S742 — An Act relative to cognitive rehabilitation for individuals with an acquired brain injury

Summary

An Act relative to cognitive rehabilitation for individuals with an acquired brain injury

Bill Text

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The bill establishes new provisions for insurance coverage related to acquired brain injuries and associated therapies in several chapters of the General Laws.

• Chapter 32A, Section 17S

  (a) For purposes of this section, the following terms shall have the following meanings: ... (d) Individual practitioners and treatment facilities shall be qualified to provide acute care and post-acute care rehabilitation services through possession of the appropriate licenses, accreditation, training and experience deemed customary and routine in the trade practice.

  This addition defines terms related to acquired brain injuries and mandates coverage for treatments following such injuries.

• Chapter 175, Section 47RR

  (a) For purposes of this section, the following terms shall have the following meanings: ... (d) Individual practitioners and treatment facilities shall be qualified to provide acute care and post-acute care rehabilitation services through possession of the appropriate licenses, accreditation, training and experience deemed customary and routine in the trade practice.

  This addition defines terms related to acquired brain injuries for insurance policies and mandates coverage for necessary treatments.

• Chapter 175, Section 47RR, subsection (b)

  (ii) any policy of accident and sickness insurance, as described in section 108, which provides hospital expense and surgical expense insurance and which is delivered, issued or subsequently renewed by agreement between the insurer and policyholder in the commonwealth; (ii) any blanket or general policy of insurance described in subdivision (A), (C) or (D) of section 110 which provides hospital expense and surgical expense insurance and which is delivered, issued or subsequently renewed by agreement between the insurer and the policyholder in or outside of the commonwealth; or (iii) any employees’ health and welfare fund which provides hospital expense and surgical expense benefits and which is delivered, issued or renewed to any person or group of persons in the commonwealth. → (ii) any policy of accident and sickness insurance, as described in section 108, which provides hospital expense and surgical expense insurance and which is delivered, issued or subsequently renewed by agreement between the insurer and policyholder in the commonwealth; (ii) any blanket or general policy of insurance described in subdivision (A), (C) or (D) of section 110 which provides hospital expense and surgical expense insurance and which is delivered, issued or subsequently renewed by agreement between the insurer and the policyholder in or outside of the commonwealth; or (iii) any employees’ health and welfare fund which provides hospital expense and surgical expense benefits and which is delivered, issued or renewed to any person or group of persons in the commonwealth.

  This change clarifies the types of insurance policies that must provide coverage for medically necessary treatments related to acquired brain injuries.

Sponsors

• Paul R. Feeney · Primary

Subjects