Massachusetts 2023-2024 Regular Session

Massachusetts Senate Bill S370 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	1 of 1
2	2	SENATE DOCKET, NO. 402 FILED ON: 1/13/2023
3	3	SENATE . . . . . . . . . . . . . . No. 370
4	4	The Commonwealth of Massachusetts
5	5	_________________
6	6	PRESENTED BY:
7	7	Adam Gomez
8	8	_________________
9	9	To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
10	10	Court assembled:
11	11	The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
12	12	An Act relative to intensive case management for clinically complex older adults.
13	13	_______________
14	14	PETITION OF:
15	15	NAME:DISTRICT/ADDRESS :Adam GomezHampdenJoanne M. ComerfordHampshire, Franklin and Worcester1/31/2023Sal N. DiDomenicoMiddlesex and Suffolk2/9/2023Mathew J. Muratore1st Plymouth2/10/2023Michael D. BradySecond Plymouth and Norfolk3/1/2023Mark C. MontignySecond Bristol and Plymouth3/3/2023 1 of 2
16	16	SENATE DOCKET, NO. 402 FILED ON: 1/13/2023
17	17	SENATE . . . . . . . . . . . . . . No. 370
18	18	By Mr. Gomez, a petition (accompanied by bill, Senate, No. 370) of Adam Gomez, Joanne M.
19	19	Comerford, Sal N. DiDomenico, Mathew J. Muratore and other members of the General Court
20	20	for legislation relative to intensive case management for clinically complex older adults. Elder
21	21	Affairs.
22	22	[SIMILAR MATTER FILED IN PREVIOUS SESSION
23	23	SEE SENATE, NO. 398 OF 2021-2022.]
24	24	The Commonwealth of Massachusetts
25	25	_______________
26	26	In the One Hundred and Ninety-Third General Court
27	27	(2023-2024)
28	28	_______________
29	29	An Act relative to intensive case management for clinically complex older adults.
30	30	Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
31	31	of the same, as follows:
32	32	1 Chapter 19A of the General Laws, as appearing in the 2020 Official Edition, is hereby
33	33	2amended by inserting, after section 4, the following section:-
34	34	3 Section 4 1/2.
35	35	4 (a) For the purposes of this section, the following words shall have the following
36	36	5meanings: “Clinically Complex”. A summarized status of an individual’s clinical eligibility for
37	37	6receiving intensive case management.
38	38	7 (b) There is hereby established the intensive case management program for the purposes
39	39	8of supporting individuals who are current or prospective participants of the home care program 2 of 2
40	40	9established in section 4, but who are determined to be clinically complex and therefore require
41	41	10sustained, in-depth case management exceeding the level provided under the program. Intensive
42	42	11case management shall be provided to transition an individual into receiving home care program
43	43	12services, or to retain an active enrollee who is experiencing program participation challenges due
44	44	13to 1) serious mental illness or behavioral disturbances; 2) complex dynamics involving the
45	45	14family and informal support networks that impact the acceptance or delivery of critical home
46	46	15care services; or 3) multiple medical and/or functional needs that put at risk the ability of the
47	47	16ASAP to appropriately serve the enrollee.
48	48	17 (c) The department shall establish intensive case management reimbursement rates that
49	49	18reasonably reflect the level of expertise and commitment of time required to successfully support
50	50	19a qualifying individual’s enrollment and ongoing participation in the State Home Care program.