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2 | 2 | | SENATE DOCKET, NO. 1733 FILED ON: 1/19/2023 |
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3 | 3 | | SENATE . . . . . . . . . . . . . . No. 793 |
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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 | | Susan L. Moran |
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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 |
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12 | 12 | | resolve: |
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13 | 13 | | Resolve establishing a task force on MassHealth reimbursement for schools. |
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14 | 14 | | _______________ |
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15 | 15 | | PETITION OF: |
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16 | 16 | | NAME:DISTRICT/ADDRESS :Susan L. MoranPlymouth and Barnstable 1 of 3 |
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17 | 17 | | SENATE DOCKET, NO. 1733 FILED ON: 1/19/2023 |
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18 | 18 | | SENATE . . . . . . . . . . . . . . No. 793 |
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19 | 19 | | By Ms. Moran, a petition (accompanied by resolve, Senate, No. 793) of Susan L. Moran that |
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20 | 20 | | provisions be made for an investigation and study by a task force (including members of the |
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21 | 21 | | General Court) relative to MassHealth reimbursement for schools. Health Care Financing. |
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22 | 22 | | The Commonwealth of Massachusetts |
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23 | 23 | | _______________ |
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24 | 24 | | In the One Hundred and Ninety-Third General Court |
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25 | 25 | | (2023-2024) |
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26 | 26 | | _______________ |
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27 | 27 | | Resolve establishing a task force on MassHealth reimbursement for schools. |
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28 | 28 | | 1 Resolved, (a) Notwithstanding any general or special law to the contrary, the executive |
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29 | 29 | | 2office of health and human services shall establish a MassHealth reimbursement of school-based |
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30 | 30 | | 3care task force to study and make recommendations with respect to direct MassHealth |
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31 | 31 | | 4reimbursement to local education agencies for direct nursing services, administrative activities, |
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32 | 32 | | 5and any other medical benefits provided by such local education authority to any school-age |
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33 | 33 | | 6child who is an eligible beneficiary of MassHealth in accordance with chapter 118E of the |
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34 | 34 | | 7General Laws, Title XIX, and Title XXI, as appropriate. |
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35 | 35 | | 8 (b) The task force shall consist of: the secretary of the executive office of health and |
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36 | 36 | | 9human services, or a designee, who shall serve as co-chair; the secretary of the executive office |
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37 | 37 | | 10of education, or a designee, who shall serve as co-chair; a representative from the division of |
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38 | 38 | | 11local services; 3 persons to be appointed by the secretary of the executive office of health and |
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39 | 39 | | 12human services who shall have knowledge of school-based care; and 3 persons to be appointed |
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40 | 40 | | 13by the secretary of the executive office of education who shall have knowledge of municipal and |
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41 | 41 | | 14educational finance. 2 of 3 |
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42 | 42 | | 15 The task force shall also consist of 2 members of the senate to be appointed by the |
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43 | 43 | | 16president of the senate and 1 member of the senate to be appointed by the minority leader of the |
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44 | 44 | | 17senate, 2 members of the house of representatives to be appointed by the speaker of the house |
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45 | 45 | | 18and 1 member of the house of representatives to be appointed by the minority leader of the house |
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46 | 46 | | 19of representatives |
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47 | 47 | | 20 (c) The task force shall: (1) determine the number of local education agencies enrolled |
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48 | 48 | | 21with the division of medical assistance as MassHealth providers; (2) analyze the extent to which |
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49 | 49 | | 22said local education agencies utilize MassHealth reimbursement of direct nursing services, |
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50 | 50 | | 23administrative activities and any other medical benefits provided by such local education |
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51 | 51 | | 24authority to any school-age child who is an eligible beneficiary of MassHealth; (3) investigate |
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52 | 52 | | 25any impediments to seeking MassHealth reimbursement for said services, including but not |
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53 | 53 | | 26limited to student eligibility; and (4) analyze common state and federal reimbursements and |
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54 | 54 | | 27other sources of revenue for educational or other school-based services, and the extent to which |
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55 | 55 | | 28said reimbursements and sources of revenue are allocated directly to the municipality versus the |
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56 | 56 | | 29local educational agency. |
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57 | 57 | | 30 (d) The task force shall submit its findings, recommendations, and any determinations |
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58 | 58 | | 31regarding necessary legislation to the governor and the clerks of the house of representatives and |
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59 | 59 | | 32the senate not later than July 31, 2023. |
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60 | 60 | | 33 (e) For the purposes of this act, the following terms shall have the following meanings: |
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61 | 61 | | 34 “Administrative activities,” those activities as defined in the local education authority’s |
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62 | 62 | | 35provider contract with MassHealth, and shall include Medicaid outreach services, facilitation or |
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63 | 63 | | 36assistance in the MassHealth application process, assistance in coordination and delivery of 3 of 3 |
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64 | 64 | | 37MassHealth covered services, individual care planning, monitoring, coordination and referrals of |
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65 | 65 | | 38MassHealth covered services, and assistance in obtaining MassHealth-covered transportation or |
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66 | 66 | | 39translation services that are related to MassHealth covered services. |
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67 | 67 | | 40 “Local education authority,” any city, town, charter school, public health commission, or |
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68 | 68 | | 41school district. |
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69 | 69 | | 42 “Direct nursing services,” skilled nursing services as defined in the local educational |
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70 | 70 | | 43authority’s provider contract with MassHealth, and shall include mandated grade-level physical, |
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71 | 71 | | 44mental, and behavioral health screening, and nursing treatment/services. |
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72 | 72 | | 45 “Individualized education program,” a written statement, developed and approved in |
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73 | 73 | | 46accordance with federal special education law in a form established by the Department of |
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74 | 74 | | 47Elementary and Secondary Education of the Commonwealth that identifies a student's special |
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75 | 75 | | 48education needs and describes the services a local education authority shall provide to meet those |
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76 | 76 | | 49needs. |
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77 | 77 | | 50 “School-age child,” any person of ages three through twenty-two who has not attained a |
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78 | 78 | | 51high school diploma or its equivalent. |
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