Bill

Bill > H2109


MA H2109

To further define medical necessity determinations


summary

Introduced
03/29/2021
In Committee
03/29/2021
Crossed Over
Passed
Dead
12/31/2022

Introduced Session

192nd General Court

Bill Summary

For legislation to further define medical necessity determinations. Mental Health, Substance Use and Recovery.

AI Summary

This bill aims to further define medical necessity determinations, particularly for mental health treatment. The key provisions of the bill are: (1) It amends the definition of "Medically Necessary Services" in Chapter 118E to state that medical necessary services for mental health treatment shall be determined by the treating clinician in consultation with the patient, and documented in the patient's medical record. (2) It amends Chapter 176O to state that medical necessity for mental health services shall be determined by the treating clinician in consultation with the patient, and noted in the patient's medical record. This bill aims to give more authority and discretion to the treating clinician, in collaboration with the patient, in determining what constitutes medically necessary mental health services.

Committee Categories

Health and Social Services

Sponsors (11)

Last Action

Accompanied a study order, see H5194 (on 09/06/2022)

bill text


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