Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H5225

Introduced
3/12/26  
Refer
3/12/26  

Caption

Study Order

Summary

H5225 is a House study order authorizing the Committee on Financial Services to sit during a recess of the General Court and examine a group of pending bills dealing with health insurance mandated benefits. The order directs the committee to study House documents 1115, 1172, 1253, 1268, 1287, 1323, 1341, and 1342, which cover proposed insurance coverage for services and treatments related to vitiligo, gender-affirming care, excess skin removal surgeries, maternal and pediatric health, aphakic lenses after infantile cataract surgery, autism-related care, medically necessary tattoos, and coverage for medically fragile students. The study is not itself a substantive insurance mandate. Instead, it gives the committee authority to investigate the policy, fiscal, and coverage implications of these proposals and to file recommendations and draft legislation by December 31, 2026. If adopted, the order would not immediately change insurance law, but it could lead to future legislation requiring insurers to cover additional treatments and services under Massachusetts health plans.

Impact

H5225 would affect state law only indirectly by creating a formal legislative study process for a cluster of health insurance mandate proposals. It does not amend the insurance code or impose new coverage requirements on insurers by itself; rather, it empowers the Financial Services Committee to evaluate whether and how mandated-benefit legislation should be advanced. Any legal or regulatory impact would depend on later bills introduced from the committee’s findings, potentially affecting insurers, employers, patients, and providers if coverage mandates are ultimately enacted.

Sentiment

The available text suggests a neutral, procedural posture rather than a contested policy vote. Because the measure is a study order, it appears designed to gather information and develop recommendations on several health coverage issues that have been filed together. No vote history or committee transcript is provided, so there is no recorded floor debate or formal indication of support or opposition in the materials supplied.

Contention

The likely points of contention are the underlying mandated-benefit proposals rather than the study order itself. These include whether insurers should be required to cover treatments such as gender-affirming care, medically necessary tattoos, excess skin removal surgery, autism-related services, and other specialized health needs, as well as the cost implications of expanding coverage. Supporters of the study process may view it as a way to evaluate patient access and medical necessity, while critics of future mandates may be concerned about premium increases, administrative burden, and the precedent of adding new required benefits.

Companion Bills

MA H1341

Replaces Relative to insurance coverage for medically necessary tattoos

MA H1268

Replaces Supporting maternal and pediatric health

MA H1323

Replaces Relative to insurance coverage for individuals with autism

MA H1253

Replaces Relative to insurance coverage for certain surgeries

MA H1115

Replaces Requiring full health insurance coverage for individuals with vitiligo

MA H1342

Replaces Relative to parental choice for medically fragile students

MA H1172

Replaces Relative to insurance coverage for new treatment

MA H1287

Replaces Relative to the treatment of infantile cataracts

Previously Filed As

MA H5210

Study Order

MA H4931

Study Order

MA H5181

Study Order

MA H4777

Study Order

MA H5234

Study Order

MA H5223

Study Order

MA H5336

Study Order

MA H5323

Study Order

MA H5362

Study Order

MA H5226

Study Order

Similar Bills

No similar bills found.