Loading chat...
MA H1277
Bill
Status
2/27/2025
Primary Sponsor
James O'Day
Click for details
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