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HOUSE DOCKET, NO. 3058 FILED ON: 1/20/2023
HOUSE . . . . . . . . . . . . . . . No. 1184
The Commonwealth of Massachusetts
_________________
PRESENTED BY:
Marjorie C. Decker
_________________
To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:
The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
An Act relative to health equity and community health workers.
_______________
PETITION OF:
NAME:DISTRICT/ADDRESS :DATE ADDED:Marjorie C. Decker25th Middlesex1/20/2023 1 of 4
HOUSE DOCKET, NO. 3058 FILED ON: 1/20/2023
HOUSE . . . . . . . . . . . . . . . No. 1184
By Representative Decker of Cambridge, a petition (accompanied by bill, House, No. 1184) of
Marjorie C. Decker for legislation to assure coverage and reimbursement for covered health care
services and to establish a community health worker workforce development task force
(including members of the General Court) to provide health equity. Health Care Financing.
The Commonwealth of Massachusetts
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In the One Hundred and Ninety-Third General Court
(2023-2024)
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An Act relative to health equity and community health workers.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
of the same, as follows:
1 SECTION 1. Section 259 of chapter 112 of the General Laws is hereby amended by
2striking out the definition of “Core competencies” and inserting in place thereof the following:-
3 ''Core competencies'', a set of overlapping and mutually reinforcing skills and knowledge
4essential for effective community health work in core areas that include, but are not limited to:
5 (a) outreach methods and strategies;
6 (b) client and community assessment;
7 (c) effective communication;
8 (d) culturally-based communication and care;
9 (e) health education for behavior change; 2 of 4
10 (f) support, advocacy and coordination of care for clients;
11 (g) application of public health concepts and approaches;
12 (h) behavioral health, mental health, and substance use disorder services;
13 (i) community capacity building; and
14 (j) writing and technical communication skills.
15 SECTION 2. Section 260 of said chapter 112 is hereby amended by striking out the third
16paragraph in its entirety.
17 SECTION 3. Notwithstanding any general or special law to the contrary, the group
18insurance commission public employee plans under Chapter 32A; the division of medical
19assistance under chapter 118E and its contracted health insurers, health plans, health
20maintenance organizations, behavioral health management firms and third-party administrators
21under contract to a Medicaid managed care organization or primary care clinician plan; insurance
22companies organized under Chapter 175; non-profit hospital service corporations organized
23under Chapter 176A; medical service corporations organized under chapter 176B; and health
24maintenance organizations organized under chapter 176G shall not decline to provide coverage
25and reimbursement for covered health care services solely on the basis that those services were
26delivered by a certified community health worker, as defined by Section 259 of Chapter 112,
27employed by health care providers or provider groups, including but not limited, an acute care
28hospital, health system, community health center, school-based health center, community
29behavioral health center, community mental health center, or behavioral health community
30partner. 3 of 4
31 SECTION 4. There shall be a Community Health Worker Workforce Development Task
32Force. The task force shall be chaired by the president of the senate or their designee and the
33speaker of the house of representatives or their designee, and shall consist of the following
34members: the senate chair of the joint committee on health care financing, the house chair of the
35joint committee on health care financing, the senate chair of the joint committee on public health,
36the house chair of the joint committee on public health, the secretary of health and human
37services or their designee, the commissioner of public health or their designee, the executive
38director of the Group Insurance Commission or their designee, the executive director of the
39Health Policy Commission or their designee, a representative of the Massachusetts Association
40of Community Health Workers, a representative of the Massachusetts League of Community
41Health Centers, a representative of Health Care For All, a representative of the Massachusetts
42Health and Hospital Association, a representative of the Massachusetts Health Council, a
43representative of the Association for Behavioral Healthcare and a representative of the
44Massachusetts Public Health Association.
45 The commission shall:
46 (a) examine the existing community health worker workforce, including but not limited
47to, the current supply and distribution of certified community health workers, by region, and
48organization and employer type;
49 (b) study barriers to retention of community health workers, including but not limited to,
50lack of integrative reimbursement models that cover community health worker services and other
51financial or socioemotional unmet needs of community health workers; 4 of 4
52 (c) examine the demographics of certified community health workers and of patients
53receiving services from community health workers, including but not limited to, race, ethnicity,
54language, disability status, sexual orientation, and gender identity;
55 (d) issue a report and recommendations on: (i) improving the pipeline of community
56health workers; (ii) expanding use of community health workers across inpatient and outpatient
57settings; (iii) methods and strategies for community health worker retention and career growth;
58(iv) requiring reimbursement of community health worker services; (v) the impact of insurance
59coverage on the community health worker pipeline.