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MA H1229
Bill
Status
Introduced
2/27/2025
Primary Sponsor
Michael Kushmerek
Click for details
AI Summary
- Requires all Massachusetts health insurers to cover mental health acute treatment without preauthorization, with medical necessity determined by the treating clinician rather than the insurance carrier
- Mandates coverage for mental health crisis stabilization services for up to 14 days without preauthorization, with utilization review permitted starting on day 7
- Requires coverage for community-based acute treatment (CBAT) for children and adolescents for up to 21 days, with utilization review starting on day 10
- Requires coverage for intensive community-based acute treatment (ICBAT) for children and adolescents for up to 14 days, with utilization review starting on day 7
- Applies to Group Insurance Commission plans, MassHealth, and all commercial insurers including HMOs, hospital service corporations, and medical service corporations
Legislative Description
To further define medical necessity determinations
Last Action
Accompanied a new draft, see H4894
1/8/2026
Committee Referrals
Financial Services2/27/2025
Full Bill Text
No bill text available