summary
Introduced
01/20/2015
01/20/2015
In Committee
01/20/2015
01/20/2015
Crossed Over
Passed
Dead
07/31/2016
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)
Ruth Balser (D)*,
Paul Heroux (D),
Brian Joyce (D),
Kay Khan (D),
Barbara L'Italien (D),
Jason Lewis (D),
Elizabeth Malia (D),
Matt Muratore (R),
Last Action
Accompanied a study order, see H4111 (on 03/28/2016)
Official Document
bill text
bill summary
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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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