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Bill

HD 1657

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

194th Legislature (2025-2026) Introduced by Kristin Kassner and 1 co-sponsor

Massachusetts bill requiring health insurers to cover hair prostheses for alopecia areata patients, treating them as medically necessary devices rather than cosmetic purchases.

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Bill Summary · HD 1657

Legislative bill overview

HD 1657 requires health insurance plans in Massachusetts to cover scalp and facial hair prostheses (wigs and hairpieces) for individuals diagnosed with alopecia areata, a medical condition causing hair loss. The bill mandates insurance coverage for these prosthetic devices as medically necessary treatments, similar to coverage for other prosthetic devices.

Why is this important

Alopecia areata is an autoimmune disorder that can cause significant psychological distress, particularly in children, affecting self-esteem and social functioning. Prosthetic hair devices can be expensive (often $500-$3,000+), making them inaccessible to many patients without insurance coverage, which currently is not mandated in most plans.

Potential points of contention

  • Insurance cost increases: Insurers may argue this expands coverage costs, potentially raising premiums for all policyholders, though the number of affected individuals may be relatively small
  • Definition of "medical necessity": Questions about whether cosmetic appearance devices meet the threshold for essential medical coverage versus elective procedures
  • Equity concerns: Other conditions causing hair loss (chemotherapy, trichotillomania, male pattern baldness) might seek similar coverage, creating precedent questions about scope expansion

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

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