The bill amends the General Laws to include a new section that mandates coverage for community health worker services in individual or group health insurance contracts and policies effective January 1, 2025. Community health workers are defined as trained professionals who assist patients with chronic health conditions or those facing barriers to health needs, providing services such as health promotion coaching, education, system navigation, care planning, and follow-up care recommendations. These services must be covered if they are within the worker's professional competence and are reimbursed when provided by other healthcare providers.

The legislation specifies that insurers cannot require supervision, signature, or referral by another healthcare provider for reimbursement of community health worker services, except where such conditions are standard for other providers. It also prevents payment for duplicate services by a community health worker and another provider. Insurers must report utilization and cost information related to these services by July 1, 2026, and annually thereafter. The bill excludes certain insurance coverage types from these requirements and is set to take effect upon passage.