MA H1029

Bill

To further define medical necessity determinations

Introduced
01/22/2019

In Committee
01/22/2019

Crossed Over

Passed

Dead
12/31/2020

Introduced Session

191st General Court

Bill Summary

Relative to health plan coverage for medically necessary mental health crisis stabilization services. Financial Services.

AI Summary

This bill seeks to further define medical necessity determinations for mental health services in Massachusetts. Specifically, it requires the state's Group Insurance Commission, Medicaid program, and various private insurance plans to cover medically necessary mental health acute treatment, crisis stabilization services, community-based acute treatment, and intensive community-based acute treatment without requiring prior authorization. Medical necessity is to be determined by the treating clinician in consultation with the patient and noted in the patient's medical record. The bill also specifies the duration of coverage for these services, ranging from 14 to 21 days depending on the type of service.

Committee Categories

Business and Industry

Sponsors (11)

Ruth Balser (D), Edward Coppinger (D), Jamie Eldridge (D), Colleen Garry (D), Stephen Hay (D), Kay Khan (D), Elizabeth Malia (D), Paul Mark (D), Jim O'Day (D), Denise Provost (D), Becca Rausch (D),

Last Action

Accompanied a study order, see H5160 (on 12/01/2020)

Official Document

https://malegislature.gov/Bills/191/H1029

(8 Companion Bills)

Version:

Document Type	Source Location
State Bill Page	https://malegislature.gov/Bills/191/H1029
Bill	https://malegislature.gov/Bills/191/H1029.pdf

Bill	Bill Name	Last Action	Type
H158	Relative to ensuring the safety of residents of facilities under the authority of the Department of Mental Health and the Department of Developmental Services	Accompanied a new draft, see H4495	Similar To
H1719	Relative to creating intensive stabilization and treatment units within the Department of Mental Health	Accompanied S1153	Similar To
H1751	Relative to providing appropriate medical care for persons in mental health facilities	Accompanied a study order, see H4450	Similar To
H5160	Study Order - payments and insurance	Discharged to the committee on House Rules	Replaced by
S1135	To transfer Bridgewater State Hospital from the Department of Corrections to the Department of Mental Health	Bill reported favorably by committee and referred to the committee on Senate Ways and Means	Similar To
S2276	Relative to expungement from central registry	Accompanied a study order, see S2532	Similar To
S550	Relative to mental health providers	Accompanied a study order, see S2543	Similar To
S731	Relative to the promotion of mental health education in Massachusetts high schools	Accompanied a study order, see S2538	Similar To

Bill > H1029

MA H1029

summary

Introduced Session

Bill Summary

AI Summary

Committee Categories

Sponsors (11)

Last Action

Official Document

bill text

bill summary

bill summary

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