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MA H785

MA H785
Relative to the continuity of care of mental health treatment


summary

Introduced
01/20/2015
In Committee
01/20/2015
Crossed Over
Passed
Dead
07/31/2016

Introduced Session

189th General Court

Bill Summary

Relative to the continuity of care for mental health treatment. Financial Services.

AI Summary

This bill aims to ensure continuity of mental health treatment by defining a "continuing course of treatment" as having at least one visit in the past four months for the same or similar mental health diagnosis or symptoms. It amends existing law (chapter 176O of the General Laws) to allow individuals undergoing such treatment to continue seeing their licensed mental health provider even if the provider is involuntarily or voluntarily disenrolled from their insurance network (carrier) for reasons other than quality or fraud, or if the provider becomes out-of-network due to a carrier change. Under these circumstances, the insurance carrier must reimburse the provider at their usual network rate, or the median rate if multiple exist, and the patient may only pay a higher co-payment if it's demonstrably due to increased costs from using an out-of-network provider, with no additional charges or deductibles beyond that. The bill also updates the title of a section related to continued treatment by out-of-network providers.

Committee Categories

Business and Industry

Sponsors (8)

Last Action

Accompanied a study order, see H4111 (on 03/28/2016)

bill text


bill summary

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bill summary

Document Type Source Location Created
State Bill Page https://malegislature.gov/Bills/189/House/H785 11/24/2016
State Bill Page https://malegislature.gov/Bills/189/H785 03/11/2015
Bill https://malegislature.gov/Bills/189/H785.pdf 03/11/2015
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