Bill > H1131

This bill aims to improve patient-centered access to behavioral health services within Accountable Care Organizations (ACOs) in Massachusetts. Key provisions include: 1. Requiring all ACOs in the Commonwealth to offer patient navigation and care coordination services through "Patient Engagement Advocates" to assist patients with mental illness or substance use disorder in accessing appropriate care, navigating insurance, scheduling appointments, and maintaining treatment gains. 2. Mandating that primary care providers within ACOs refer patients with a diagnosed or suspected mental health or substance use issue to the Patient Engagement Advocates, who will then help the patient access a suitable behavioral health specialist, even outside the ACO network. 3. Providing funding for a pilot program with a community-based organization to offer additional services like e-support networks, financial counseling, and patient empowerment initiatives, as well as provider education on reducing stigma and integrating behavioral health into primary care. 4. Requiring the Health Policy Commission to promulgate regulations to implement these new patient-centered access provisions within 3 months of the bill's effective date.

Health and Social Services

https://malegislature.gov/Bills/191/H1131