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HOUSE DOCKET, NO. 834 FILED ON: 1/17/2023
HOUSE . . . . . . . . . . . . . . . No. 630
The Commonwealth of Massachusetts
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PRESENTED BY:
Danielle W. Gregoire
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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 intensive case management for clinically complex older adults.
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PETITION OF:
NAME:DISTRICT/ADDRESS :DATE ADDED:Danielle W. Gregoire4th Middlesex1/17/2023Joanne M. ComerfordHampshire, Franklin and Worcester1/31/2023Steven Ultrino33rd Middlesex2/9/2023Mathew J. Muratore1st Plymouth2/15/2023Patrick Joseph Kearney4th Plymouth2/15/2023Michelle M. DuBois10th Plymouth2/15/2023 1 of 2
HOUSE DOCKET, NO. 834 FILED ON: 1/17/2023
HOUSE . . . . . . . . . . . . . . . No. 630
By Representative Gregoire of Marlborough, a petition (accompanied by bill, House, No. 630) of
Danielle W. Gregoire and others relative to intensive case management for clinically complex
older adults. Elder Affairs.
[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE HOUSE, NO. 740 OF 2021-2022.]
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 intensive case management for clinically complex older adults.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
of the same, as follows:
1 Chapter 19A is hereby amended by inserting after section 4 the following section:-
2 Section 41/2: (a) For the purposes of this section, the following words shall have the
3following meanings: “Clinically Complex”. A summarized status of an individual’s clinical
4eligibility for receiving intensive case management.
5 (b) There is hereby established the intensive case management program for the purposes
6of supporting individuals who are current or prospective participants of the home care program
7established in section 4, but who are determined to be clinically complex and therefore require
8sustained, in-depth case management exceeding the level provided under the program. Intensive
9case management shall be provided to transition an individual into receiving home care program 2 of 2
10services, or to retain an active enrollee who is experiencing program participation challenges due
11to 1) serious mental illness or behavioral disturbances; 2) complex dynamics involving the
12family and informal support networks that impact the acceptance or delivery of critical home
13care services; or 3) multiple medical and/or functional needs that put at risk the ability of the
14ASAP to appropriately serve the enrollee.
15 (c) The department shall establish intensive case management reimbursement rates that
16reasonably reflect the level of expertise and commitment of time required to successfully support
17a qualifying individual’s enrollment and ongoing participation in the State Home Care program.