Bill > S662

This bill aims to improve access to a full spectrum of addiction treatment services, including acute treatment services, clinical stabilization services, and transitional support services. Key provisions of the bill include: - Defining "transitional support services" as short-term, residential support services that provide a safe and structured environment to support adults or adolescents through the addiction recovery process. - Requiring the Group Insurance Commission, Medicaid, and private insurers to cover up to 30 days of medically necessary acute treatment, clinical stabilization, and transitional support services without prior authorization. - Prohibiting insurers from making utilization review decisions that restrict or deny future medically necessary services unless the patient has received at least 30 consecutive days of such services. - Requiring insurers to cover substance use disorder evaluations ordered under state law without prior authorization. - Mandating reviews by the Center for Health Information and Analysis on the effects of the 14-day and 30-day coverage requirements on the continuum of care, access for MassHealth and commercially insured patients, and changes in costs. - Setting an effective date of October 1, 2024 for the coverage requirements.

Business and Industry, Health and Social Services

https://malegislature.gov/Bills/193/S662