MA H1136

Bill

To further define medical necessity determinations

Introduced
03/29/2021

In Committee
03/30/2022

Crossed Over

Passed

Dead
12/31/2022

Introduced Session

192nd General Court

Bill Summary

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

AI Summary

This bill requires health plans in Massachusetts to cover medically necessary mental health acute treatment, mental health crisis stabilization services, community-based acute treatment, and intensive community-based acute treatment without requiring prior authorization. The bill defines these mental health services and specifies that medical necessity shall be determined by the treating clinician in consultation with the patient. The coverage requirements apply to the state's Group Insurance Commission, MassHealth, and various health insurance policies and contracts issued or renewed in the Commonwealth.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (4)

Kay Khan (D)*, Ruth Balser (D), Elizabeth Malia (D), Jim O'Day (D),

Last Action

Accompanied a study order, see H5222 (on 09/15/2022)

Official Document

https://malegislature.gov/Bills/192/H1136

(8 Companion Bills)

Version:

Document Type	Source Location
State Bill Page	https://malegislature.gov/Bills/192/H1136
Bill	https://malegislature.gov/Bills/192/H1136.pdf

Bill	Bill Name	Last Action	Type
H2109	To further define medical necessity determinations	Accompanied a study order, see H5194	Similar To
H4837	Similar Bills	Adopted, in concurrence	Similar To
H5222	Study Order	No further action taken	Replaced by
S1284	To provide more timely treatment of inpatient mental health care	Committee recommended ought to pass and referred to the committee on Senate Ways and Means	Similar To
S1290	Establishing a commission to encourage acceptance of insurance by outpatient mental health providers	Accompanied a study order, see H5229	Similar To
S1720	Relative to line of duty death benefits	Accompanied a study order, see S2679	Similar To
S2514	Establishing a sick leave bank for Lisa Sbrogna, an employee of the Department of Mental Health	Accompanied a new draft, see S2528	Similar To
S2528	Establishing a sick leave bank for Lisa Sbrogna, an employee of the Department of Mental Health	Read second and ordered to a third reading	Similar To

Bill > H1136

MA H1136

summary

Introduced Session

Bill Summary

AI Summary

Committee Categories

Sponsors (4)

Last Action

Official Document

bill text

bill summary

bill summary

bill summary