Bill > H4939

This bill expands access to quality healthcare by establishing and covering "patient navigation services," which are defined as services provided by a "community health worker" to help patients access health-related services, address social needs, and understand their treatment. A community health worker acts as a link between patients, healthcare providers, and social services to ensure individuals can get the care they need, including for chronic diseases, behavioral health, and preventive services. The bill mandates that state health programs and contracted health insurers cover these services for eligible individuals and requires reimbursement for community health workers who have completed approved training or certification programs. It also directs the Executive Office of Health and Human Services to seek federal approval to maximize federal funding and to create regulations for implementation, with these provisions taking effect for contracts starting January 1, 2026.

Health and Social Services

Joint Committee on Financial Services (Joint)

https://malegislature.gov/Bills/194/H4939