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MA H1277

Bill

Status

Introduced

2/27/2025

Primary Sponsor

James O'Day

Click for details

Origin

House of Representatives

194th General Court

AI Summary

  • Requires health insurers to cover up to 14 days of medically necessary acute treatment services, clinical stabilization services, and co-occurring treatment services for substance use disorders without preauthorization

  • Adds coverage for "co-occurring treatment services" defined as inpatient medically monitored detoxification treatment provided in psychiatric facilities licensed by the Department of Mental Health

  • Facilities must notify carriers of admission and initial treatment plan within 48 hours; utilization review may begin on day 7 of treatment

  • Mandates coverage without preauthorization for substance use disorder evaluations ordered under Chapter 111, Section 51 1/2

  • Medical necessity determinations made by the treating clinician in consultation with the patient, documented in medical records

Legislative Description

Relative to dual diagnosis treatment coverage

Last Action

Accompanied a new draft, see H4898

1/8/2026

Committee Referrals

Financial Services2/27/2025

Full Bill Text

No bill text available