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Bill

H 4552

An Act to ensure access to scalp and facial hair prostheses for children and adults with alopecia areata

194th Legislature (2025-2026) Introduced by Jamie Eldridge and 4 co-sponsors

Requires Massachusetts insurers to cover scalp and facial hair prostheses for alopecia areata patients, treating them as medical devices rather than cosmetic expenses.

Reporting date extended to Friday, July 31, 2026
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Bill Summary · H 4552

Legislative bill overview

H 4552 requires insurance coverage for scalp and facial hair prostheses for individuals diagnosed with alopecia areata, a medical condition causing hair loss. The bill aims to ensure both children and adults with this condition have access to these prostheses as covered medical devices rather than out-of-pocket expenses.

Why is this important

Alopecia areata can have significant psychological and social impacts, particularly for children and young adults, affecting self-esteem and mental health. Currently, many insurance plans categorize prostheses as cosmetic rather than medical necessities, leaving patients to bear substantial costs that may be unaffordable for many families.

Potential points of contention

  • Definition and scope: Disagreement over what qualifies as medically necessary versus cosmetic, and whether coverage should extend to multiple replacements or upgrades
  • Insurance cost impact: Concerns from insurers about coverage expansion increasing premiums and healthcare costs across the market
  • Equity considerations: Questions about whether this coverage should apply equally to other hair loss conditions or dermatological concerns, or why alopecia areata specifically warrants mandated coverage

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

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