Text of MA H 1188 (2025)
Relative to trans-inclusive health care access
Legislative text is a public record. Where LegiScan supplied it, the CC BY 4.0 credit applies.
Source: LegiScan. Bill data and text from LegiScan (legiscan.com), licensed CC BY 4.0 and used in modified form. LegiScan does not endorse the Trans Data Initiative. License: CC BY 4.0(opens another site). Source page(opens another site)
As introduced
8,528 characters
1 of 1
HOUSE DOCKET, NO. 1500 FILED ON: 1/15/2025
HOUSE . . . . . . . . . . . . . . . No. 1188
The Commonwealth of Massachusetts
_________________
PRESENTED BY:
Natalie M. Higgins and Christine P. Barber
_________________
To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:
The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
An Act relative to trans-inclusive health care access.
_______________
PETITION OF:
NAME:
DISTRICT/ADDRESS:
DATE ADDED:
Natalie M. Higgins
4th Worcester
1/15/2025
Christine P. Barber
34th Middlesex
1/15/2025
Lindsay N. Sabadosa
1st Hampshire
1/16/2025
Joanne M. Comerford
Hampshire, Franklin and Worcester
1/28/2025
Mindy Domb
3rd Hampshire
1/29/2025
Steven Owens
29th Middlesex
1/29/2025
Danillo A. Sena
37th Middlesex
2/5/2025
James B. Eldridge
Middlesex and Worcester
2/8/2025
Samantha Montaño
15th Suffolk
3/4/2025
Adrianne Pusateri Ramos
14th Essex
3/7/2025
1 of 4
HOUSE DOCKET, NO. 1500 FILED ON: 1/15/2025
HOUSE . . . . . . . . . . . . . . . No. 1188
By Representatives Higgins of Leominster and Barber of Somerville, a petition (accompanied by
bill, House, No. 1188) of Natalie M. Higgins, Christine P. Barber and others relative to
healthcare coverage for certain gender affirming care. Financial Services.
The Commonwealth of Massachusetts
_______________
In the One Hundred and Ninety-Fourth General Court
(2025-2026)
_______________
An Act relative to trans-inclusive health care access.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
of the same, as follows:
1
SECTION 1. Chapter 32A of the General Laws, as appearing in the 2022 Official
2
Edition, is hereby amended by inserting after section 17S the following section:-
3
Section 17T. The commission shall not reject a written verification or certification from a
4
health care provider, including, but not limited to, a qualified mental health care professional, for
5
accessing gender-affirming care, unless the written verification or certification clearly does not
6
satisfy minimum requirements under established clinical guidelines, nor shall the commission
7
require more than one written verification or certification that the care is required for the
8
treatment of gender dysphoria,.
9
For purposes of this section, the term “qualified mental health care professional” shall,
10
unless the context clearly requires otherwise, mean a mental health professional who meets the
11
minimum credentials, training and standards of care for working with gender dysphoric adults
12
and adolescents developed by the World Professional Association for Transgender Health.
2 of 4
13
SECTION 2. Chapter 118E of the General Laws, as appearing in the 2022 Official
14
Edition, is hereby amended by inserting after section 10Q the following section:-
15
Section 10R. The division shall not reject a written verification or certification from a
16
health care provider, including, but not limited to, a qualified mental health care professional, for
17
accessing gender-affirming care, unless the written verification or certification clearly does not
18
satisfy minimum requirements under established clinical guidelines, nor shall the division require
19
more than one written verification or certification that the care is required for the treatment of
20
gender dysphoria.
21
For purposes of this section, the term “qualified mental health care professional” shall,
22
unless the context clearly requires otherwise, mean a mental health professional who meets the
23
minimum credentials, training and standards of care for working with gender dysphoric adults
24
and adolescents developed by the World Professional Association for Transgender Health.
25
SECTION 3. Chapter 175 of the General Laws is hereby amended by inserting after
26
section 47UU the following section:-
27
Section 47VV. No insurer or producer authorized to issue policies of insurance pursuant
28
to sections 108 or 110 shall reject a written verification or certification from a health care
29
provider, including, but not limited to, a qualified mental health care professional, for accessing
30
gender-affirming care, unless the written verification or certification clearly does not satisfy
31
minimum requirements under established clinical guidelines, nor shall any insurer or producer
32
require more than one written verification or certification that the care is required for the
33
treatment of gender dysphoria.
3 of 4
34
For purposes of this section, the term “qualified mental health care professional” shall,
35
unless the context clearly requires otherwise, mean a mental health professional who meets the
36
minimum credentials, training and standards of care for working with gender dysphoric adults
37
and adolescents developed by the World Professional Association for Transgender Health.
38
SECTION 4. Chapter 176A of the General Laws is hereby amended by inserting after
39
section 8VV the following section:-
40
Section 8WW. No corporation subject to this chapter shall reject a written verification or
41
certification from a health care provider, including, but not limited to, a qualified mental health
42
care professional, for accessing gender-affirming care, unless the written verification or
43
certification clearly does not satisfy minimum requirements under established clinical guidelines,
44
nor shall the corporation require more than one written verification or certification that the care
45
is required for the treatment of gender dysphoria.
46
For purposes of this section, the term “qualified mental health care professional” shall,
47
unless the context clearly requires otherwise, mean a mental health professional who meets the
48
minimum credentials, training and standards of care for working with gender dysphoric adults
49
and adolescents developed by the World Professional Association for Transgender Health.
50
SECTION 5. Chapter 176B of the General Laws, as appearing in the 2022 Official
51
Edition, is hereby amended by inserting after section 4VV the following section:-
52
Section 4WW. No corporation subject to this chapter shall reject a written verification or
53
certification from a health care provider, including, but not limited to, a qualified mental health
54
care professional, for accessing gender-affirming care, unless the written verification or
55
certification clearly does not satisfy minimum requirements under established clinical guidelines,
4 of 4
56
nor shall the corporation require more than one written verification or certification that the care
57
is required for the treatment of gender dysphoria,.
58
For purposes of this section, the term “qualified mental health care professional” shall,
59
unless the context clearly requires otherwise, mean a mental health professional who meets the
60
minimum credentials, training and standards of care for working with gender dysphoric adults
61
and adolescents developed by the World Professional Association for Transgender Health.
62
SECTION 6. Chapter 176G of the General Laws is hereby amended by inserting after
63
section 4NN the following section:-
64
Section 4OO. No health maintenance organization subject to this chapter, and no officer
65
or agent thereof, shall reject a written verification or certification from a health care provider,
66
including, but not limited to, a qualified mental health care professional, for accessing gender-
67
affirming care, unless the written verification or certification clearly does not satisfy minimum
68
requirements under established clinical guidelines, nor shall a health maintenance organization
69
require more than one written verification or certification that the care is required for the
70
treatment of gender dysphoria,.
71
For purposes of this section, the term “qualified mental health care professional” shall,
72
unless the context clearly requires otherwise, mean a mental health professional who meets the
73
minimum credentials, training and standards of care for working with gender dysphoric adults
74
and adolescents developed by the World Professional Association for Transgender Health.