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Bill

Bill

S 726

An Act relative to insurance coverage of mobile integrated health

194th Legislature (2025-2026) Introduced by Bill Driscoll

Massachusetts bill requiring insurance coverage for Mobile Integrated Health services delivered by paramedics and EMTs in non-emergency community settings to reduce ER visits and improve preventive care access.

Accompanied a study order, see S2931
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Bill Summary · S 726

Legislative bill overview

S 726 requires insurance companies in Massachusetts to cover Mobile Integrated Health (MIH) services, which are healthcare services delivered by paramedics and emergency medical technicians in non-emergency settings. The bill aims to expand access to preventive and urgent care services outside traditional emergency departments, potentially reducing unnecessary emergency room visits and associated costs.

Why is this important

Mobile Integrated Health programs can improve healthcare access for underserved communities, reduce emergency department overcrowding, and lower overall healthcare costs by providing preventive care and managing chronic conditions before they become emergencies. Insurance coverage is essential for program viability, as it determines whether providers can be reimbursed and whether programs can scale beyond grant-funded pilots.

Potential points of contention

  • Scope and definition disputes: The bill may face disagreement over what specific services qualify as MIH and which providers are authorized to deliver them, potentially affecting program implementation and reimbursement rates
  • Cost concerns: Insurance companies may resist mandated coverage if they believe MIH services will increase overall healthcare spending rather than reduce it, or if reimbursement rates are deemed inadequate
  • Provider qualifications and liability: Questions may arise about paramedic and EMT training standards, scope of practice expansion, and liability issues when these providers operate outside traditional emergency response frameworks

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

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