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2 | 2 | | SENATE DOCKET, NO. 1376 FILED ON: 1/19/2023 |
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3 | 3 | | SENATE . . . . . . . . . . . . . . No. 631 |
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4 | 4 | | The Commonwealth of Massachusetts |
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5 | 5 | | _________________ |
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6 | 6 | | PRESENTED BY: |
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7 | 7 | | James B. Eldridge |
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8 | 8 | | _________________ |
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9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
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10 | 10 | | Court assembled: |
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11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
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12 | 12 | | An Act relative to access to care for serious mental illness. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | NAME:DISTRICT/ADDRESS :James B. EldridgeMiddlesex and Worcester 1 of 4 |
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16 | 16 | | SENATE DOCKET, NO. 1376 FILED ON: 1/19/2023 |
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17 | 17 | | SENATE . . . . . . . . . . . . . . No. 631 |
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18 | 18 | | By Mr. Eldridge, a petition (accompanied by bill, Senate, No. 631) of James B. Eldridge for |
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19 | 19 | | legislation relative to access to care for serious mental illness. Financial Services. |
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20 | 20 | | The Commonwealth of Massachusetts |
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21 | 21 | | _______________ |
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22 | 22 | | In the One Hundred and Ninety-Third General Court |
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23 | 23 | | (2023-2024) |
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24 | 24 | | _______________ |
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25 | 25 | | An Act relative to access to care for serious mental illness. |
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26 | 26 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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27 | 27 | | of the same, as follows: |
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28 | 28 | | 1 SECTION 1. Chapter 175 of the General Laws is hereby amended by inserting after |
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29 | 29 | | 2section 47PP the following new section:- |
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30 | 30 | | 3 Section 47QQ. |
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31 | 31 | | 4 (a) Any policy, contract, agreement, plan, or certificate of insurance issued, delivered, or |
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32 | 32 | | 5renewed within the commonwealth, which is considered creditable coverage under section 1 of |
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33 | 33 | | 6chapter 118M, shall provide coverage for medications used to prevent, assess, or treat serious |
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34 | 34 | | 7mental illness without requiring prior authorization or the initiation or completion of a step |
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35 | 35 | | 8therapy protocol. |
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36 | 36 | | 9 (b) For the purposes of this section, the following terms shall have the following |
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37 | 37 | | 10meanings unless the context clearly requires otherwise: |
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38 | 38 | | 11 "Serious mental illness" a mental disorder, as defined in the most recent edition of the |
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39 | 39 | | 12Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric 2 of 4 |
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40 | 40 | | 13Association, that results in serious functional impairment that substantially interferes with or |
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41 | 41 | | 14limits one or more major life activities. |
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42 | 42 | | 15 SECTION 2. Chapter 176A of the General Laws is hereby amended by inserting after |
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43 | 43 | | 16section 8QQ the following new section:- |
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44 | 44 | | 17 Section 8RR. |
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45 | 45 | | 18 (a) Any policy, contract, agreement, plan, or certificate of insurance issued, delivered, or |
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46 | 46 | | 19renewed within the commonwealth, which is considered creditable coverage under section 1 of |
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47 | 47 | | 20chapter 118M, shall provide coverage for medications used to prevent, assess, or treat serious |
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48 | 48 | | 21mental illness without requiring prior authorization or the initiation or completion of a step |
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49 | 49 | | 22therapy protocol. |
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50 | 50 | | 23 (b) For the purposes of this section, the following terms shall have the following |
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51 | 51 | | 24meanings unless the context clearly requires otherwise: |
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52 | 52 | | 25 "Serious mental illness" means a mental disorder, as defined in the most recent edition of |
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53 | 53 | | 26the Diagnostic and Statistical Manual of Mental Disorders published by the American |
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54 | 54 | | 27Psychiatric Association, that results in serious functional impairment that substantially interferes |
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55 | 55 | | 28with or limits one or more major life activities. |
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56 | 56 | | 29 SECTION 3. Chapter 176B of the General Laws is hereby amended by inserting after |
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57 | 57 | | 30section 4QQ the following new section:- |
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58 | 58 | | 31 Section 4RR. |
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59 | 59 | | 32 (a) Any policy, contract, agreement, plan, or certificate of insurance issued, delivered, or |
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60 | 60 | | 33renewed within the commonwealth, which is considered creditable coverage under section 1 of 3 of 4 |
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61 | 61 | | 34chapter 118M, shall provide coverage for medications used to prevent, assess, or treat serious |
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62 | 62 | | 35mental illness without requiring prior authorization or the initiation or completion of a step |
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63 | 63 | | 36therapy protocol. |
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64 | 64 | | 37 (b) For the purposes of this section, the following terms shall have the following |
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65 | 65 | | 38meanings unless the context clearly requires otherwise: |
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66 | 66 | | 39 "Serious mental illness" means a mental disorder, as defined in the most recent edition of |
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67 | 67 | | 40the Diagnostic and Statistical Manual of Mental Disorders published by the American |
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68 | 68 | | 41Psychiatric Association, that results in serious functional impairment that substantially interferes |
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69 | 69 | | 42with or limits one or more major life activities. |
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70 | 70 | | 43 SECTION 4. Chapter 176G of the General Laws is hereby amended by inserting after |
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71 | 71 | | 44section 4I the following new section:- |
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72 | 72 | | 45 Section 4J. |
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73 | 73 | | 46 (a) Any policy, contract, agreement, plan, or certificate of insurance issued, delivered, or |
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74 | 74 | | 47renewed within the commonwealth, which is considered creditable coverage under section 1 of |
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75 | 75 | | 48chapter 118M, shall provide coverage for medications used to prevent, assess, or treat serious |
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76 | 76 | | 49mental illness without requiring prior authorization or the initiation or completion of a step |
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77 | 77 | | 50therapy protocol. |
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78 | 78 | | 51 (b) For the purposes of this section, the following terms shall have the following |
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79 | 79 | | 52meanings unless the context clearly requires otherwise: |
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80 | 80 | | 53 "Serious mental illness" means a mental disorder, as defined in the most recent edition of |
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81 | 81 | | 54the Diagnostic and Statistical Manual of Mental Disorders published by the American 4 of 4 |
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82 | 82 | | 55Psychiatric Association, that results in serious functional impairment that substantially interferes |
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83 | 83 | | 56with or limits one or more major life activities. |
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