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HD 1974

An Act relative to insurance coverage of mobile integrated health

194th Legislature (2025-2026) Introduced by Mike Finn

Massachusetts bill requiring health insurers to cover mobile integrated health services delivered by paramedics and EMTs to reduce emergency department use and improve community care access.

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WeVote Research Nonpartisan
Bill Summary · HD 1974

Legislative bill overview

HD 1974 establishes insurance coverage requirements for mobile integrated health (MIH) services, which are healthcare services delivered by paramedics and emergency medical technicians outside traditional hospital settings. The bill requires health insurance plans to cover these preventive and urgent care services when provided through authorized MIH programs.

Why is this important

MIH programs can reduce emergency department utilization and hospital readmissions by providing timely care to vulnerable populations in their homes or communities. Insurance coverage mandates directly affect whether these potentially cost-saving programs remain financially viable and accessible to patients, particularly those with chronic conditions or frequent acute episodes.

Potential points of contention

  • Cost implications: Insurers may argue that mandatory coverage increases premiums or reduces profits, while proponents counter that preventing ED visits creates net savings
  • Program standards and accountability: Defining which MIH providers and programs qualify for coverage, and establishing quality metrics, could create administrative complexity or exclude some legitimate services
  • Scope of covered services: Disagreement over what specific services (preventive care, chronic disease management, mental health response, etc.) should be included and at what reimbursement rates

Compiled from official sources — confirm details with the bill’s official record.

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