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MA H2220

Bill

Status

Introduced

2/27/2025

Primary Sponsor

Kathleen LaNatra

Click for details

Origin

House of Representatives

194th General Court

AI Summary

  • Requires all health insurers, MassHealth, and the Group Insurance Commission to set minimum payment rates for psychiatric collaborative care model billing codes at or above Medicare Resource-Based Relative Value Scale physician fee schedule rates, adjusted annually

  • Defines psychiatric collaborative care model as an integrated behavioral health approach where primary care providers and care managers work with psychiatric consultants to deliver structured mental health treatment

  • Specifies covered billing codes for reimbursement: CPT codes 99492, 99493, 99494, and G2214

  • Removes psychiatric collaborative care billing codes from MassHealth accountable care organization sub-capitation rates, requiring these services to be paid on a fee-for-service basis instead

  • Applies to commercial insurers (Chapter 175), Blue Cross Blue Shield plans (Chapters 176A and 176B), HMOs (Chapter 176G), and state employee health plans (Chapter 32A)

Legislative Description

Relative to access to psychiatric collaborative care

Last Action

Accompanied a new draft, see H5230

3/12/2026

Committee Referrals

Mental Health, Substance Abuse and Recovery2/27/2025

Full Bill Text

No bill text available