1 of 1 SENATE DOCKET, NO. 1758 FILED ON: 1/19/2023 SENATE . . . . . . . . . . . . . . No. 613 The Commonwealth of Massachusetts _________________ PRESENTED BY: John J. Cronin _________________ 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 community behavioral health centers. _______________ PETITION OF: NAME:DISTRICT/ADDRESS :John J. CroninWorcester and MiddlesexMichael O. MooreSecond Worcester2/2/2023 1 of 5 SENATE DOCKET, NO. 1758 FILED ON: 1/19/2023 SENATE . . . . . . . . . . . . . . No. 613 By Mr. Cronin, a petition (accompanied by bill, Senate, No. 613) of John J. Cronin and Michael O. Moore for legislation relative to community behavioral health centers. Financial Services. The Commonwealth of Massachusetts _______________ In the One Hundred and Ninety-Third General Court (2023-2024) _______________ An Act relative to community behavioral health centers. 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. Chapter 32A of the general laws, as appearing in the 2020 official edition, 2is hereby amended by inserting after section 30 the following new section:- 3 Section 31. (a) For the purposes of this section, the following words shall have the 4following meanings: 5 “Behavioral health bundled services”, services delivered by a community behavioral 6health center as specified in title 101 of the code of Massachusetts regulations 305.00 for the 7evaluation, diagnosis, treatment, care coordination, management, or peer support of patients with 8mental health, developmental or substance use disorder, provided that services are reimbursed 9through a flat rate per encounter. 10 “Community Behavioral Health Centers”, a clinic licensed by the department of public 11health and regulated pursuant to title 130 of the code of Massachusetts regulations 448.00. 2 of 5 12 (b) Any health plan offered by the commission shall provide to an active or retired 13employee of the commonwealth who is insured under the group insurance commission benefits 14on a nondiscriminatory basis for medically necessary behavioral health bundled services 15delivered through community behavioral health centers. 16 SECTION 2. Chapter 175 of the general laws, as appearing in the 2020 official edition, is 17hereby amended by inserting after section 47PP the following new section:- 18 Section 47QQ. (a) For the purposes of this section, the following words shall have the 19following meanings: 20 “Behavioral health bundled services”, services delivered by a community behavioral 21health center as specified in title 101 of the code of Massachusetts regulations 305.00 for the 22evaluation, diagnosis, treatment, care coordination, management, or peer support of patients with 23mental health, developmental or substance use disorder, provided that services are reimbursed 24through a flat rate per encounter. 25 “Community Behavioral Health Centers”, a clinic licensed by the department of public 26health and regulated pursuant to title 130 of the code of Massachusetts regulations 448.00. 27 (b) Any individual policy of accident and sickness insurance issued pursuant to section 28108, which provides hospital expense and surgical expense insurance, and a group blanket or 29general policy of accident and sickness insurance issued pursuant to section 110, which provides 30hospital expense and surgical expense insurance, which is issued or renewed within or without 31the commonwealth, shall provide benefits on a nondiscriminatory basis for medically necessary 32behavioral health bundled services delivered through community behavioral health centers. 3 of 5 33 SECTION 3. Chapter 176A of the general laws, as appearing in the 2020 official edition, 34is hereby amended by inserting after section 38 the following new section:- 35 Section 39. (a) For the purposes of this section, the following words shall have the 36following meanings: 37 “Behavioral health bundled services”, services delivered by a community behavioral 38health center as specified in title 101 of the code of Massachusetts regulations 305.00 for the 39evaluation, diagnosis, treatment, care coordination, management, or peer support of patients with 40mental health, developmental or substance use disorder, provided that services are reimbursed 41through a flat rate per encounter. 42 “Community Behavioral Health Centers”, a clinic licensed by the department of public 43health and regulated pursuant to title 130 of the code of Massachusetts regulations 448.00. 44 (b) Any contract between a subscriber and the corporation under an individual or group 45hospital service plan which is issued or renewed within or without the commonwealth shall 46provide benefits on a nondiscriminatory basis for medically necessary behavioral health bundled 47services delivered through community behavioral health centers. 48 SECTION 4. Chapter 176B of the general laws, as appearing in the 2020 official edition, 49is hereby amended by inserting after section 25 the following new section:- 50 Section 26. (a) For the purposes of this section, the following words shall have the 51following meanings: 52 “Behavioral health bundled services”, services delivered by a community behavioral 53health center as specified in title 101 of the code of Massachusetts regulations 305.00 for the 4 of 5 54evaluation, diagnosis, treatment, care coordination, management, or peer support of patients with 55mental health, developmental or substance use disorder, provided that services are reimbursed 56through a flat rate per encounter. 57 “Community Behavioral Health Centers”, a clinic licensed by the department of public 58health and regulated pursuant to title 130 of the code of Massachusetts regulations 448.00. 59 (b) Any subscription certificate under an individual or group medical service agreement 60which is issued or renewed within or without the commonwealth shall provide benefits on a 61nondiscriminatory basis for medically necessary behavioral health bundled services delivered 62through community behavioral health centers. 63 SECTION 5. Chapter 176G of the general laws, as appearing in the 2020 official edition, 64is hereby amended by inserting after section the following new section 33:- 65 Section 34. (a) For the purposes of this section, the following words shall have the 66following meanings: 67 “Behavioral health bundled services”, services delivered by a community behavioral 68health center as specified in title 101 of the code of Massachusetts regulations 305.00 for the 69evaluation, diagnosis, treatment, care coordination, management, or peer support of patients with 70mental health, developmental or substance use disorder, provided that services are reimbursed 71through a flat rate per encounter. 72 “Community Behavioral Health Centers”, a clinic licensed by the department of public 73health and regulated pursuant to title 130 of the code of Massachusetts regulations 448.00. 5 of 5 74 (b) Any health maintenance contract issued or renewed within or without the 75commonwealth shall provide benefits on a nondiscriminatory basis for medically necessary 76behavioral health bundled services delivered through community behavioral health centers.