Massachusetts H4937 mandates health insurance coverage for medically necessary enteral formulas for specific diseases.
Massachusetts H4937 amends the state's General Laws to require health insurance coverage for enteral formulas for home use, administered orally or via tube feeding, when prescribed by a physician for specific diseases. The bill specifies that these formulas must be medically necessary and proven effective as a disease-specific treatment regimen. Diseases covered include inherited metabolic disorders, eosinophilic gastrointestinal disorders, Crohn's Disease, gastroesophageal reflux with failure to thrive, gastrointestinal motility disorders, and severe food allergies.
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