Breast cancer accounts for 30 per cent of new cancer diagnoses, approximately 5,000 residents live with Down syndrome
(BOSTON—10/29/2024) This week the Massachusetts Senate passed two bills expanding services that must be covered by health insurers in the state.
One requires that insurers provide coverage for the treatment of Down syndrome through speech therapy, occupational therapy, physical therapy and applied behavior analysis services. The other requires insurers provide coverage for diagnostic examinations for breast cancer.
“I firmly believe that insurance coverage should never be a barrier to seeking and receiving comprehensive and evidence-based medical treatment,” said Senator Cindy F. Friedman (D-Arlington), Senate Chair of the Joint Committee on Health Care Financing. “One bill passed by the Senate today requires insurance coverage for therapies to treat individuals with a singular diagnosis of Down syndrome, helping to reduce financial stressors for families and ensure these individuals receive necessary interventions to help them thrive. The other bill passed by the Senate covers breast cancer screenings and diagnostic examinations, removing the financial barriers that could otherwise prevent early detection and treatment of beatable cases of breast cancer. The Massachusetts Senate will continue to work to address challenges to equitable health care access to ensure we can improve the lives of those who stand to benefit the most from these life-changing treatments.”
Requiring Coverage for Breast Cancer Screenings
H.4918, An Act relative to medically necessary breast screenings and exams for equity and early detection, requires health insurance providers, including the Group Insurance Commission (GIC) and MassHealth, to provide coverage for diagnostic examinations for breast cancer, digital breast tomosynthesis screening, and medically necessary and appropriate screening with breast magnetic resonance imaging.… Read more.