Mass. Gen. Laws ch. 175 § 47HH

Current through Chapter 223 of the 2024 Legislative Session
Section 175:47HH - [Multiple Versions] Policy, contract, agreement, plan or certificate to provide coverage for long-term antibiotic therapy for patients with Lyme disease
(a) For the purposes of this section, "long-term antibiotic therapy" and "Lyme disease" shall have the meaning ascribed to them in section 12DD of chapter 112.
(b) A policy, contract, agreement, plan or certificate of insurance issued, delivered or renewed within the commonwealth that provides medical expense coverage shall provide coverage for long-term antibiotic therapy for a patient with Lyme disease when determined to be medically necessary and ordered by a licensed physician after making a thorough evaluation of the patient's symptoms, diagnostic test results or response to treatment. An experimental drug shall be covered as a long-term antibiotic therapy if it is approved for an indication by the United States Food and Drug Administration; provided, however, that a drug, including an experimental drug, shall be covered for an off-label use in the treatment of Lyme disease if the drug has been approved by the United States Food and Drug Administration.

Mass. Gen. Laws ch. 175, § 47HH

Added by Acts 2016, c. 183,§ 1, eff. 7/1/2016.