MA LEG Substance Use Coverage

Updated on: Dec 31, 2024

Latest Event


  • Dec. 24, 2024 MA LEG Governor Approval
  • On Dec. 24, 2024, MA LEG reported governor signed bill HB 5143 on Dec. 23, 2024.

On Dec. 19, MA LEG passed bill on substance use disorder coverage.

  • MA LEG passed HB 5143 re treatment and coverage for substance use disorder (SUD) and recovery coach licensure; amends MA General Laws at MA LEG I-IV-32a-17Q.
  • Bill Provisions
  • As amended Section 17Q(a) would provide that the Commission shall develop a plan to provide active or retired employees insured under the group insurance commission adequate coverage and access to a broad spectrum of pain management services.
  • Including non-medication, nonsurgical treatment modalities and non-opioid medication treatment options that serve as alternatives to opioid prescribing, per guidelines.
  • Also add MA LEG I-IV-32a-17(X) to provide coverage for prescribed, ordered or dispensed opioid antagonists used in the reversal of overdoses caused by opioids.
  • Makes other amendments to Section 17 of Chapter 32a of the General Laws.
  • Legislative History
  • Due to disagreeing votes of the two branches with reference to a Senate amendment of bill H4758 (formerly H4743), chambers passed accompanying bill, which is H.5143.
  • On Dec. 19, 2024, bill reported to House; on Dec. 19, 2024, bill was passed by House.
  • On Dec. 19, 2024, bill passed by Senate; on Dec. 19, 2024, bill was sent to governor.
  • Effectiveness
  • Sections 1, 20, 24, 26, and 28 apply to all contracts entered into, 1105 renewed or amended on or after Jul. 1, 2025; Sections 5 and 8 shall take effect on Jul. 1, 2025.
  • Dec. 24, 2024 MA LEG Governor Approval
  • On Dec. 24, 2024, MA LEG reported governor signed bill HB 5143 on Dec. 23, 2024.
Regulators
MA LEG
Entity Types
CNSM; Ins
Reference
PR, Act, 12/24/2024; Bill, H5143, 12/19/2024; Citation: *MA LEG* I-IV-32a-17Q, I-IV-32a;
Functions
Compliance; Legal; Product Administration; Product Design; Underwriting
Countries
United States of America
Category
State
N/A
Products
Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Dec 19, 2024
Effective Date
Jul 1, 2025
Rule ID
238220
Linked to
N/A
Reg. Last Update
Dec 24, 2024
Report Section
US Consumer