H1168

Relative to eliminating the PCP referral requirement for specialty gynecological care

Introduced·2/27/25
Introduced Text

Eliminates the requirement for a primary care provider referral for specialty gynecological care in Massachusetts.

This bill amends Massachusetts law to remove the need for insured individuals to get a referral from a primary care provider for specialty gynecological care. Specifically, it eliminates the requirement for referrals for annual preventive gynecologic health care, menstrual health conditions, maternity care, and medically necessary evaluations and services for acute or emergency gynecological conditions. The changes apply to obstetricians, gynecologists, certified nurse-midwives, and family practitioners within the health care provider network.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
Ways and Means Committee
Next
Committee decision

Sponsors

D
1
0
Democratic CaucusRepublican Caucus

Calendar

Jul 15, 2025

10:00 AM

Joint Committee on Financial Services Hearing

History

Jul 22

House

Committee recommended bill ought to pass and referred to the committee on House Ways and Means

Jun 17

House

Reporting date extended to Friday, July 31, 2026

Mar 19

House

Reporting date extended to Monday, June 15, 2026