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H 1315

An Act relative to IUD pain management coverage

194th Legislature (2025-2026) Introduced by James Arena-DeRosa and 15 co-sponsors

Massachusetts bill requiring health insurers to cover pain management drugs and anesthesia for IUD insertion procedures to reduce financial and physical barriers to contraceptive access.

Accompanied a new draft, see H4957
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Bill Summary · H 1315

Legislative bill overview

H.1315 requires health insurance plans in Massachusetts to cover pain management medications and anesthesia services for intrauterine device (IUD) insertion procedures. The bill addresses a gap in current insurance coverage by ensuring that patients can access pain relief options without bearing the full cost themselves.

Why is this important

IUD insertion can cause significant pain for many patients, and access to pain management affects whether people can afford and choose this contraceptive method. Current coverage gaps may create financial barriers to a highly effective form of birth control, potentially impacting reproductive healthcare equity across different income levels. This directly influences both individual healthcare costs and broader public health outcomes related to contraceptive access.

Potential points of contention

  • Insurance cost implications: Insurers may argue that mandating coverage increases premiums for all enrollees, though supporters counter the costs are minimal relative to other contraceptive coverage
  • Medical necessity debate: Some may question whether anesthesia is medically necessary versus merely preferred, versus medical evidence supporting pain management's role in procedure success and patient compliance
  • Scope of coverage details: Ambiguity about which specific medications and anesthesia types qualify, and whether coverage applies to all settings or only certain medical facilities

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

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