This bill amends several sections of the General Laws to ensure that health insurance policies provide coverage for enteral formulas used at home, whether administered orally or via tube feeding. The amendments specify that coverage is contingent upon a physician's written order, which must confirm that the enteral formula is medically necessary and effective for treating specific diseases that can lead to malnutrition or serious health issues if untreated. The bill outlines a list of conditions for which enteral formulas are deemed effective, including inherited metabolic diseases, Crohn's Disease, and severe food allergies.

The bill modifies existing legal language by replacing the first sentences of various sections in chapters 32A, 175, 176A, 176B, and 176G, emphasizing the necessity of physician orders for enteral formulas and distinguishing these from elective nutritional supplements. This change aims to enhance access to essential medical nutrition for individuals who are at risk of malnutrition or serious health complications due to specific medical conditions.

Statutes affected:
Bill Text: 32A-17A, 175-47I, 176A-8L, 176B-4K, 176G-4D