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H 4162

An Act to increase access to healthcare for ostomy patients

194th Legislature (2025-2026) Introduced by Michelle Badger and 11 co-sponsors

Expands Massachusetts healthcare coverage and access to ostomy supplies and care, removing financial barriers for patients requiring surgical ostomy management.

Accompanied a new draft, see H4961
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Bill Summary · H 4162

Legislative bill overview

H.4162 seeks to expand healthcare access and coverage for ostomy patients in Massachusetts, likely through insurance coverage mandates, reimbursement improvements, or removal of barriers to ostomy supplies and related care. The bill has advanced through the Senate and is scheduled for a substantive hearing in September 2025, indicating legislative momentum.

Why is this important

Ostomy patients (those with surgical openings for bowel or urinary diversion) require ongoing specialized supplies and care that can be expensive and medically necessary. Expanding access removes financial barriers to essential medical management, improving quality of life and preventing complications that could increase overall healthcare costs.

Potential points of contention

  • Insurance mandate costs: Insurers may resist coverage expansions due to increased claims expenses, which could affect premium rates
  • Supply definitions and limits: Disputes may arise over what products qualify for coverage and whether quantity limits should apply
  • State vs. federal coverage gaps: The bill must clarify interaction with Medicare/Medicaid coverage, which may not align with state insurance mandates

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

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