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MA H4897
Bill
Status
1/8/2026
Primary Sponsor
Joint Committee on Financial Services
Click for details
AI Summary
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Requires all Massachusetts health insurance plans to cover "behavioral health bundled services" delivered through Community Behavioral Health Centers on a nondiscriminatory basis when medically necessary
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Defines behavioral health bundled services as evaluation, diagnosis, treatment, care coordination, management, or peer support for mental health, developmental, or substance use disorders, reimbursed at a flat rate per encounter as specified in 101 CMR 305.00
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Applies coverage mandate to Group Insurance Commission plans (state employees), individual and group accident/sickness insurance, hospital service plans, medical service agreements, and health maintenance contracts
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Community Behavioral Health Centers must be licensed by the Department of Public Health and regulated under 130 CMR 448.00
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Amends five chapters of Massachusetts General Laws (32A, 175, 176A, 176B, and 176G) to ensure consistent coverage requirements across all insurance types
Legislative Description
Improving access to community behavioral health centers
Last Action
Reported favorably by committee and referred to the Joint Committee on Health Care Financing
1/8/2026