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S 2600

An Act requiring health insurance coverage for scalp cooling systems

194th Legislature (2025-2026) Introduced by Joan Lovely and 1 co-sponsor

Massachusetts requires health insurers to cover scalp cooling systems for chemotherapy patients, removing cost barriers to hair-loss prevention technology.

Hearing scheduled for 10/08/2025 from 10:30 AM-02:30 PM in Gardner Auditorium
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Bill Summary · S 2600

Legislative bill overview

S 2600 requires Massachusetts health insurance plans to cover scalp cooling systems for patients undergoing chemotherapy treatment. Scalp cooling technology reduces hair loss by lowering scalp temperature during chemotherapy infusions, minimizing damage to hair follicles. The bill mandates insurance coverage without cost-sharing barriers like copays or deductibles for this treatment option.

Why is this important

Hair loss from chemotherapy is a significant psychological burden for cancer patients, affecting body image, self-esteem, and quality of life during treatment. Currently, scalp cooling systems are expensive (typically $3,000-$5,000 per treatment course) and often not covered by insurance, making them inaccessible to many patients who could benefit. Mandating coverage removes financial barriers and gives patients agency in managing treatment side effects.

Potential points of contention

  • Cost impact on insurers and premiums: Requiring coverage of scalp cooling systems increases insurance costs, which may be passed to consumers through higher premiums or employers through increased group plan rates.
  • Clinical efficacy variation: Scalp cooling effectiveness varies significantly by patient, hair type, and chemotherapy regimen; mandatory coverage could mean paying for treatments that don't work for some patients.
  • Definition and scope creep: The bill's specific language on which cooling systems qualify, which cancer types are covered, and whether all chemotherapy patients are eligible may create implementation ambiguity or disputes.

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

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