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MA S898
Bill
Status
2/27/2025
Primary Sponsor
Michael Moore
Click for details
AI Summary
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Requires all Health Policy Commission-certified Accountable Care Organizations (ACOs) to provide patient navigation and care coordination services for patients with diagnosed or suspected mental illness or substance use disorders, with existing ACOs having 6 months to comply
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Creates "Patient Engagement Advocate" positions (licensed social workers, certified nursing aides, community health workers, or peer specialists) who must perform intake assessments, find appropriate providers, assist with insurance navigation, schedule appointments, coordinate transportation, support medication adherence, and provide post-treatment follow-up
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Mandates primary care providers connect eligible patients with Patient Engagement Advocates prior to discharge or within 7 calendar days, and prohibits ACOs from restricting behavioral health referrals to only in-network specialists
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Directs the Secretary of Health and Human Services to fund at least one pilot program with a community-based organization offering patient empowerment services, e-support networks, online Cognitive Behavioral Therapy referrals, and provider education on reducing stigma
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Requires the Health Policy Commission to promulgate implementing regulations within 3 months of the law's effective date
Legislative Description
Relative to patient centered access to behavioral health services in accountable care organizations
Last Action
Accompanied a study order, see S2931
1/29/2026