Mass. General Laws c.118E § 10H-1/2

Coverage for the treatment of Down syndrome

This is an unofficial version of a Massachusetts General Law.

Updates

• Added by St. 2024, c. 388, § 2, effective January 1, 2026
• Amended by St. 2025, c. 14, § 43, effective August 5, 2025

Section 10H 1/2

For purposes of this section, “Down syndrome” shall mean a chromosomal condition caused by an error in cell division that results in the presence of an extra whole or partial copy of chromosome 21.

The division and its contracted health insurers, health plans, health maintenance organizations, behavioral health management firms and third-party administrators under contract to a Medicaid managed care organization or primary care clinician plan shall provide coverage for the treatment of Down syndrome through medically necessary speech therapy, occupational therapy, physical therapy and, for individuals under the age of 21, applied behavior analysis services.

Last updated:	August 5, 2025