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Bill > S1044


MA S1044

MA S1044
To further define medical necessity determinations


summary

Introduced
04/15/2015
In Committee
04/15/2015
Crossed Over
Passed
Dead
07/31/2016

Introduced Session

189th General Court

Bill Summary

For legislation to further define medical necessity determinations. Mental Health and Substance Abuse.

AI Summary

This bill aims to clarify how medical necessity is determined for mental health and substance abuse treatments by amending existing laws. Specifically, it proposes that for services covered under Chapter 118E (likely related to public health programs) and Chapter 176O (likely related to health insurance), the determination of whether a mental health service is "medically necessary" – meaning it's required for the patient's health and well-being – should be made by the patient's treating clinician. This decision must be made in consultation with the patient and documented in their medical record, ensuring a collaborative and transparent approach to mental healthcare access.

Committee Categories

Health and Social Services

Sponsors (2)

Last Action

Accompanied H1795 (on 02/04/2016)

bill text


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