Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H1135 Compare Versions

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2	2	HOUSE DOCKET, NO. 4104 FILED ON: 1/17/2025
3	3	HOUSE . . . . . . . . . . . . . . . No. 1135
4	4	The Commonwealth of Massachusetts
5	5	_________________
6	6	PRESENTED BY:
7	7	Marjorie C. Decker
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 for supportive care for serious mental illness.
13	13	_______________
14	14	PETITION OF:
15	15	NAME:DISTRICT/ADDRESS :DATE ADDED:Marjorie C. Decker25th Middlesex1/17/2025 1 of 16
16	16	HOUSE DOCKET, NO. 4104 FILED ON: 1/17/2025
17	17	HOUSE . . . . . . . . . . . . . . . No. 1135
18	18	By Representative Decker of Cambridge, a petition (accompanied by bill, House, No. 1135) of
19	19	Marjorie C. Decker relative to healthcare insurance coverage for supportive care for serious
20	20	mental illness. Financial Services.
21	21	The Commonwealth of Massachusetts
22	22	_______________
23	23	In the One Hundred and Ninety-Fourth General Court
24	24	(2025-2026)
25	25	_______________
26	26	An Act for supportive care for serious mental illness.
27	27	Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
28	28	of the same, as follows:
29	29	1 SECTION 1. Section 18 of chapter 15A of the General Laws, as appearing in the 2022
30	30	2Official Edition, is hereby amended by adding the following paragraph:-
31	31	3 Notwithstanding any general or special law to the contrary, any qualifying student health
32	32	4insurance plan authorized under this chapter shall provide coverage for coordinated specialty
33	33	5care services and assertive community treatment service as described under section 4FF of
34	34	6chapter 176G.
35	35	7 SECTION 2. Chapter 32A of the General Laws is hereby amended by adding the
36	36	8following section:-
37	37	9 Section 34. (a) For the purposes of this section, the following words shall have the
38	38	10following meanings unless the context clearly requires otherwise: 2 of 16
39	39	11 “Assertive Community Treatment”, a team-based, evidenced-based treatment practice
40	40	12that offers treatment, rehabilitation, and support services, using a person-centered, recovery-
41	41	13based flexible treatment program, as defined by evidence-based standards, including, but not
42	42	14limited to, the most current guidelines issued by the federal Substance Abuse and Mental Health
43	43	15Services Administration. Practice may also include those modalities specifically designed for
44	44	16pediatric patients under the age of 19 that have been adapted from guidelines issued by the
45	45	17federal Substance Abuse and Mental Health Services Administration or the National Institute of
46	46	18Health.
47	47	19 “Behavioral health services”, care and services for the evaluation, diagnosis, treatment or
48	48	20management of patients with mental health, developmental or substance use disorders.
49	49	21 “Coordinated Specialty Care”,  a recovery-oriented treatment program for people with
50	50	22first-episode psychosis,  as defined by evidence-based standards, including, but not limited to the
51	51	23most current guidelines issued by the  National Institute of Mental Health. Programs may also
52	52	24include those specifically designed for pediatric patients under the age of 19 that have been
53	53	25adapted from guidelines issued by the federal Substance Abuse and Mental Health Services
54	54	26Administration or the National Institute of Mental Health.
55	55	27 “Evidence-based practice”, treatments that are supported by clinical research, including,
56	56	28but not limited to, research supporting practice modifications relevant to the treatment of
57	57	29pediatric patients.
58	58	30 “First episode psychosis treatment”, treatment initiated within 74 weeks of the first time
59	59	31an individual experiences an episode of psychosis. 3 of 16
60	60	32 “Serious emotional disturbance”, mental, behavioral or emotional disorders in children or
61	61	33adolescents under age 19 that have resulted in functional impairment that substantially interferes
62	62	34with or limits the child’s role or functioning in family, school or community activities.
63	63	35 “Serious mental illness”, mental, behavioral or emotional disorders resulting in serious
64	64	36functional impairment that substantially interferes with or limits at least 1 major life activity for
65	65	37an individual not less than 19 years old with a psychiatric diagnosis as defined in the American
66	66	38Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders.
67	67	39 (b) Coverage offered by the commission to an active or retired employee of the
68	68	40commonwealth insured under the group insurance commission shall provide coverage for wrap-
69	69	41around coordinated specialty care services for first episode psychosis treatment and assertive
70	70	42community treatment for early or ongoing treatment of a person with a previous episode of
71	71	43psychosis who has a serious mental illness or serious emotional disturbance. Coverage under this
72	72	44section shall not be construed as imposing a limit on the number of visits an individual may
73	73	45make to a provider of any of the services under this section.
74	74	46 (c) Payment for the services performed under the treatment models listed in this section
75	75	47shall be based on a bundled treatment model or payment, rather than fee-for-service payment for
76	76	48each separate service delivered by a treatment team member.
77	77	49 (d) To determine medical necessity for the treatment approaches under this section,
78	78	50neither disability nor functional impairment shall be a precondition to receive the treatment.
79	79	51Medical necessity shall be presumed following a recommendation by a licensed physician,
80	80	52licensed clinical psychologist, licensed professional clinical counselor or licensed clinical social
81	81	53worker. 4 of 16
82	82	54 SECTION 3. Chapter 112 of the General Laws is hereby amended by inserting after
83	83	55section 9K the following section:-
84	84	56 Section 9L. To credential the mental health professionals and other members of the
85	85	57multidisciplinary coordinated specialty care treatment team or an assertive community treatment
86	86	58team as described under section 32 of chapter 32A, section 39 of chapter 176A, section 26 of
87	87	59chapter 176B, section 34 of chapter 176G and section 14 of chapter 176I, the credentialing of the
88	88	60psychiatrist or the licensed clinical leader of the treatment team shall qualify all members of the
89	89	61treatment team to be credentialed with the insurer.
90	90	62 SECTION 4. Chapter 175 of the General Laws is hereby amended by inserting after
91	91	63section 47NN the following section:-
92	92	64 Section 47OO. (a) For the purposes of this section, the following words shall have the
93	93	65following meanings unless the context clearly requires otherwise:
94	94	66 “Assertive Community Treatment”, a team-based, evidenced-based treatment practice
95	95	67that offers treatment, rehabilitation, and support services, using a person-centered, recovery-
96	96	68based flexible treatment program, as defined by evidence-based standards, including, but not
97	97	69limited to, the most current guidelines issued by the federal Substance Abuse and Mental Health
98	98	70Services Administration. Practice may also include those modalities specifically designed for
99	99	71pediatric patients under the age of 19 that have been adapted from guidelines issued by the
100	100	72federal Substance Abuse and Mental Health Services Administration or the National Institute of
101	101	73Health.
102	102	74 “Behavioral health services”, care and services for the evaluation, diagnosis, treatment or
103	103	75management of patients with mental health, developmental or substance use disorders.  5 of 16
104	104	76 “Coordinated Specialty Care”, a recovery-oriented treatment program for people with
105	105	77first-episode psychosis, as defined by evidence-based standards, including, but not limited to the
106	106	78most current guidelines issued by the National Institute of Mental Health. Programs may also
107	107	79include those specifically designed for pediatric patients under the age of 19 that have been
108	108	80adapted from guidelines issued by the federal Substance Abuse and Mental Health Services
109	109	81Administration or the National Institute of Mental Health.
110	110	82 “Evidence-based practice”, treatments that are supported by clinical research, including,
111	111	83but not limited to, research supporting practice modifications relevant to the treatment of
112	112	84pediatric patients.
113	113	85 “First episode psychosis treatment”, treatment initiated within 74 weeks of the first time
114	114	86an individual experiences an episode of psychosis.
115	115	87 “Serious emotional disturbance”, mental, behavioral or emotional disorders in children or
116	116	88adolescents under age 19 that have resulted in functional impairment that substantially interferes
117	117	89with or limits the child’s role or functioning in family, school or community activities.
118	118	90 “Serious mental illness”, mental, behavioral or emotional disorders resulting in serious
119	119	91functional impairment that substantially interferes with or limits at least 1 major life activity for
120	120	92an individual not less than 19 years old with a psychiatric diagnosis as defined in the American
121	121	93Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders.
122	122	94 (b) An individual policy of accident and sickness insurance issued under section 108 that
123	123	95provides hospital expense and surgical expense insurance and any group blanket or general
124	124	96policy of accident and sickness insurance issued under section 110 that provides hospital expense
125	125	97and surgical expense insurance that is issued or renewed within or without the commonwealth 6 of 16
126	126	98shall provide coverage for wrap-around coordinated specialty care services for first episode
127	127	99psychosis treatment and assertive community treatment for early or ongoing treatment of person
128	128	100with a previous episode of psychosis who has a serious mental illness or serious emotional
129	129	101disturbance. Coverage under this section shall not be construed as imposing a limit on the
130	130	102number of visits an individual may make to a provider of any of the services under this section.
131	131	103 (c) Payment for the services performed under the treatment models listed in this section
132	132	104shall be based on a bundled treatment model or payment, rather than fee-for-service payment for
133	133	105each separate service delivered by a treatment team member.
134	134	106 (d) To determine medical necessity for the treatment approaches under this section,
135	135	107neither disability nor functional impairment shall be a precondition to receive the treatment.
136	136	108Medical necessity shall be presumed following a recommendation by a licensed physician,
137	137	109licensed clinical psychologist, licensed professional clinical counselor or licensed clinical social
138	138	110worker.
139	139	111 SECTION 5. Chapter 176A of the General Laws is hereby amended by adding the
140	140	112following section:-
141	141	113 Section 39. (a) For the purposes of this section, the following words shall have the
142	142	114following meanings unless the context clearly requires otherwise:
143	143	115 “Assertive Community Treatment”, a team-based, evidenced-based treatment practice
144	144	116that offers treatment, rehabilitation, and support services, using a person-centered, recovery-
145	145	117based flexible treatment program, as defined by evidence-based standards, including, but not
146	146	118limited to, the most current guidelines issued by the federal Substance Abuse and Mental Health
147	147	119Services Administration. Practice may also include those modalities specifically designed for 7 of 16
148	148	120pediatric patients under the age of 19 that have been adapted from guidelines issued by the
149	149	121federal Substance Abuse and Mental Health Services Administration or the National Institute of
150	150	122Health.
151	151	123 “Behavioral health services”, care and services for the evaluation, diagnosis, treatment or
152	152	124management of patients with mental health, developmental or substance use disorders.
153	153	125 “Coordinated Specialty Care”, a recovery-oriented treatment program for people with
154	154	126first-episode psychosis, as defined by evidence-based standards, including, but not limited to the
155	155	127most current guidelines issued by the National Institute of Mental Health. Programs may also
156	156	128include those specifically designed for pediatric patients under the age of 19 that have been
157	157	129adapted from guidelines issued by the federal Substance Abuse and Mental Health Services
158	158	130Administration or the National Institute of Mental Health.
159	159	131 “Evidence-based practice”, treatments that are supported by clinical research, including,
160	160	132but not limited to, research supporting practice modifications relevant to the treatment of
161	161	133pediatric patients.
162	162	134 “First episode psychosis treatment”, treatment initiated within 74 weeks of the first time
163	163	135an individual experiences an episode of psychosis.
164	164	136 “Serious emotional disturbance”, mental, behavioral or emotional disorders in children or
165	165	137adolescents under age 19 that have resulted in functional impairment that substantially interferes
166	166	138with or limits the child’s role or functioning in family, school or community activities.
167	167	139 “Serious mental illness”, mental, behavioral or emotional disorders resulting in serious
168	168	140functional impairment that substantially interferes with or limits at least 1 major life activity for 8 of 16
169	169	141an individual not less than 19 years old with a psychiatric diagnosis as defined in the American
170	170	142Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders.
171	171	143 (b) A contract between a subscriber and a nonprofit hospital service corporation under an
172	172	144individual or group hospital service plan shall provide coverage for wrap-around coordinated
173	173	145specialty care services for first-episode psychosis treatment and assertive community treatment
174	174	146for early or ongoing treatment of person with a previous episode of psychosis who has a serious
175	175	147mental illness or serious emotional disturbance. Coverage under this section shall not be
176	176	148construed as imposing a limit on the number of visits an individual may make to a provider of
177	177	149any of the services under this section.
178	178	150 (c) Payment for the services performed under the treatment models listed in this section
179	179	151shall be based on a bundled treatment model or payment, rather than fee for service payment for
180	180	152each separate service delivered by a treatment team member.
181	181	153 (d) To determine medical necessity for the treatment approaches under this section,
182	182	154neither disability nor functional impairment shall be a precondition to receive the treatment.
183	183	155Medical necessity shall be presumed following a recommendation by a licensed physician,
184	184	156licensed clinical psychologist, licensed professional clinical counselor or licensed clinical social
185	185	157worker.
186	186	158 SECTION 6. Chapter 176B of the General Laws is hereby amended by adding the
187	187	159following section:-
188	188	160 Section 26. (a) For the purposes of this section, the following words shall have the
189	189	161following meanings unless the context clearly requires otherwise: 9 of 16
190	190	162 “Assertive Community Treatment”, a team-based, evidenced-based treatment practice
191	191	163that offers treatment, rehabilitation, and support services, using a person-centered, recovery-
192	192	164based flexible treatment program, as defined by evidence-based standards, including, but not
193	193	165limited to, the most current guidelines issued by the federal Substance Abuse and Mental Health
194	194	166Services Administration. Practice may also include those modalities specifically designed for
195	195	167pediatric patients under the age of 19 that have been adapted from guidelines issued by the
196	196	168federal Substance Abuse and Mental Health Services Administration or the National Institute of
197	197	169Health.
198	198	170 “Behavioral health services”, care and services for the evaluation, diagnosis, treatment or
199	199	171management of patients with mental health, developmental or substance use disorders.
200	200	172 “Coordinated Specialty Care”, a recovery-oriented treatment program for people with
201	201	173first-episode psychosis, as defined by evidence-based standards, including, but not limited to the
202	202	174most current guidelines issued by the National Institute of Mental Health. Programs may also
203	203	175include those specifically designed for pediatric patients under the age of 19 that have been
204	204	176adapted from guidelines issued by the federal Substance Abuse and Mental Health Services
205	205	177Administration or the National Institute of Mental Health.
206	206	178 “Evidence-based practice”, treatments that are supported by clinical research, including,
207	207	179but not limited to, research supporting practice modifications relevant to the treatment of
208	208	180pediatric patients.
209	209	181 “First episode psychosis treatment”, treatment initiated within 74 weeks of the first time
210	210	182an individual experiences an episode of psychosis. 10 of 16
211	211	183 “Serious emotional disturbance”, mental, behavioral or emotional disorders in children or
212	212	184adolescents under age 19 that have resulted in functional impairment that substantially interferes
213	213	185with or limits the child’s role or functioning in family, school or community activities.
214	214	186 “Serious mental illness”, mental, behavioral or emotional disorders resulting in serious
215	215	187functional impairment that substantially interferes with or limits at least 1 major life activity for
216	216	188an individual not less than 19 years old with a psychiatric diagnosis as defined in the American
217	217	189Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders.
218	218	190 (b) A contract between a subscriber and a medical service corporation shall provide
219	219	191coverage for wrap-around coordinated specialty care services for first episode psychosis
220	220	192treatment and assertive community treatment for early or ongoing treatment of person with a
221	221	193previous episode of psychosis who has a serious mental illness or serious emotional disturbance.
222	222	194Coverage under this section shall not be construed as imposing a limit on the number of visits an
223	223	195individual may make to a provider of any of the services under this section.
224	224	196 (c) Payment for the services performed under the treatment models listed in this section
225	225	197shall be based on a bundled treatment model or payment, rather than fee for service payment for
226	226	198each separate service delivered by a treatment team member.
227	227	199 (d) To determine medical necessity for the treatment approaches under this section,
228	228	200neither disability nor functional impairment shall be a precondition to receive the treatment.
229	229	201Medical necessity shall be presumed following a recommendation by a licensed physician,
230	230	202licensed clinical psychologist, licensed professional clinical counselor or licensed clinical social
231	231	203worker. 11 of 16
232	232	204 SECTION 7. Chapter 176G of the General Laws is hereby amended by adding the
233	233	205following section:-
234	234	206 Section 34. (a) For the purposes of this section, the following words shall have the
235	235	207following meanings unless the context clearly requires otherwise:
236	236	208 “Assertive Community Treatment”, a team-based, evidenced-based treatment practice
237	237	209that offers treatment, rehabilitation, and support services, using a person-centered, recovery-
238	238	210based flexible treatment program, as defined by evidence-based standards, including, but not
239	239	211limited to, the most current guidelines issued by the federal Substance Abuse and Mental Health
240	240	212Services Administration. Practice may also include those modalities specifically designed for
241	241	213pediatric patients under the age of 19 that have been adapted from guidelines issued by the
242	242	214federal Substance Abuse and Mental Health Services Administration or the National Institute of
243	243	215Health.
244	244	216 “Behavioral health services”, care and services for the evaluation, diagnosis, treatment or
245	245	217management of patients with mental health, developmental or substance use disorders.
246	246	218 “Coordinated Specialty Care”, a recovery-oriented treatment program for people with
247	247	219first-episode psychosis, as defined by evidence-based standards, including, but not limited to the
248	248	220most current guidelines issued by the National Institute of Mental Health. Programs may also
249	249	221include those specifically designed for pediatric patients under the age of 19 that have been
250	250	222adapted from guidelines issued by the federal Substance Abuse and Mental Health Services
251	251	223Administration or the National Institute of Mental Health. 12 of 16
252	252	224 “Evidence-based practice”, treatments that are supported by clinical research, including,
253	253	225but not limited to, research supporting practice modifications relevant to the treatment of
254	254	226pediatric patients.
255	255	227 “First episode psychosis treatment”, treatment initiated within 74 weeks of the first time
256	256	228an individual experiences an episode of psychosis.
257	257	229 “Serious emotional disturbance”, mental, behavioral or emotional disorders in children or
258	258	230adolescents under age 19 that have resulted in functional impairment that substantially interferes
259	259	231with or limits the child’s role or functioning in family, school or community activities.
260	260	232 “Serious mental illness”, mental, behavioral or emotional disorders resulting in serious
261	261	233functional impairment that substantially interferes with or limits at least 1 major life activity for
262	262	234an individual not less than 19 years old with a psychiatric diagnosis as defined in the American
263	263	235Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders.
264	264	236 (b) A contract between a member and a health maintenance organization shall provide
265	265	237coverage for wrap-around coordinated specialty care services for first episode psychosis
266	266	238treatment and assertive community treatment for early or ongoing treatment of person with a
267	267	239previous episode of psychosis who has a serious mental illness or serious emotional disturbance.
268	268	240Coverage under this section shall not be construed as imposing a limit on the number of visits an
269	269	241individual may make to a provider of any of the services under this section.
270	270	242 (c) Payment for the services performed under the treatment models listed in this section
271	271	243shall be based on a bundled treatment model or payment, rather than fee for service payment for
272	272	244each separate service delivered by a treatment team member. 13 of 16
273	273	245 (d) To determine medical necessity for the treatment approaches under this section,
274	274	246neither disability nor functional impairment shall be a precondition to receive the treatment.
275	275	247Medical necessity shall be presumed following a recommendation by a licensed physician,
276	276	248licensed clinical psychologist, licensed professional clinical counselor or licensed clinical social
277	277	249worker.
278	278	250 SECTION 8. Chapter 176I of the General Laws is hereby amended by adding the
279	279	251following section:-
280	280	252 Section 14. (a) For the purposes of this section, the following words shall have the
281	281	253following meanings unless the context clearly requires otherwise:
282	282	254 “Assertive Community Treatment”, a team-based, evidenced-based treatment practice
283	283	255that offers treatment, rehabilitation, and support services, using a person-centered, recovery-
284	284	256based flexible treatment program, as defined by evidence-based standards, including, but not
285	285	257limited to, the most current guidelines issued by the federal Substance Abuse and Mental Health
286	286	258Services Administration. Practice may also include those modalities specifically designed for
287	287	259pediatric patients under the age of 19 that have been adapted from guidelines issued by the
288	288	260federal Substance Abuse and Mental Health Services Administration or the National Institute of
289	289	261Health.
290	290	262 “Behavioral health services”, care and services for the evaluation, diagnosis, treatment or
291	291	263management of patients with mental health, developmental or substance use disorders.
292	292	264 “Coordinated Specialty Care”, a recovery-oriented treatment program for people with
293	293	265first-episode psychosis, as defined by evidence-based standards, including, but not limited to the
294	294	266most current guidelines issued by the National Institute of Mental Health. Programs may also 14 of 16
295	295	267include those specifically designed for pediatric patients under the age of 19 that have been
296	296	268adapted from guidelines issued by the federal Substance Abuse and Mental Health Services
297	297	269Administration or the National Institute of Mental Health.
298	298	270 “Evidence-based practice”, treatments that are supported by clinical research, including,
299	299	271but not limited to, research supporting practice modifications relevant to the treatment of
300	300	272pediatric patients.
301	301	273 “First episode psychosis treatment”, treatment initiated within 74 weeks of the first time
302	302	274an individual experiences an episode of psychosis.
303	303	275 “Serious emotional disturbance”, mental, behavioral or emotional disorders in children or
304	304	276adolescents under age 19 that have resulted in functional impairment that substantially interferes
305	305	277with or limits the child’s role or functioning in family, school or community activities.
306	306	278 “Serious mental illness”, mental, behavioral or emotional disorders resulting in serious
307	307	279functional impairment that substantially interferes with or limits at least 1 major life activity for
308	308	280an individual not less than 19 years old with a psychiatric diagnosis as defined in the American
309	309	281Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders.
310	310	282 (b) A preferred provider contract between a covered person and an organization shall
311	311	283provide coverage for wrap-around coordinated specialty care services for first episode psychosis
312	312	284treatment and assertive community treatment for early or ongoing treatment of person with a
313	313	285previous episode of psychosis who has a serious mental illness or serious emotional disturbance.
314	314	286Coverage under this section shall not be construed as imposing a limit on the number of visits an
315	315	287individual may make to a provider of any of the services under this section. 15 of 16
316	316	288 (c) Payment for the services performed under the treatment models listed in this section
317	317	289shall be based on a bundled treatment model or payment, rather than fee for service payment for
318	318	290each separate service delivered by a treatment team member.
319	319	291 (d) To determine medical necessity for the treatment approaches under this section,
320	320	292neither disability nor functional impairment shall be a precondition to receive the treatment.
321	321	293Medical necessity shall be presumed following a recommendation by a licensed physician,
322	322	294licensed clinical psychologist, licensed professional clinical counselor or licensed clinical social
323	323	295worker.
324	324	296 SECTION 9. Not later than 6 months after the effective date of this act, the division of
325	325	297insurance shall convene a working group of insurance companies and mental health treatment
326	326	298providers that deliver the bundled treatment approaches listed in section 32 of chapter 32A,
327	327	299section 39 of chapter 176A, section 26 of chapter 176B, section 34 of chapter 176G and section
328	328	30014 of chapter 176I to determine a coding solution to allow the bundled treatment models to be
329	329	301coded and paid for as a bundle of services, similar to bundled payments under a single billing
330	330	302code for physical health care.
331	331	303 SECTION 10. The group insurance commission, the division of insurance and the health
332	332	304connector shall promulgate any regulations necessary to implement this section not later than six
333	333	305months after enactment.
334	334	306 SECTION 11. All carriers must implement these benefits and demonstrate to the
335	335	307Division of Insurance the adequacy of their provider networks for these services by the effective
336	336	308date of this act. Any carrier that fails to demonstrate adequate networks of providers of these
337	337	309services by the effective date shall: 16 of 16
338	338	310 (a) assist any plan member to find an out-of-network CSC program or ACT program and
339	339	311to cover those services as if they were furnished in network; and
340	340	312 (b) report monthly to the Division of Insurance on the status of their networks, and pay a
341	341	313fine of $50,000 per month.
342	342	314 SECTION 12. After 5 years following full implementation of this act, the health policy
343	343	315commission, the division of insurance and the group insurance commission shall collaborate to
344	344	316perform an independent analysis of the impact of the coverage of the team-based treatment
345	345	317models provided under this section upon savings in hospitalization costs or other costs and on
346	346	318any increase in cost to the group insurance commission, the division of insurance or group
347	347	319insurance commission members. The analysis shall review claims payment and plan and
348	348	320consumer cost data for the largest group insurance commission plans that comprise at least 80
349	349	321per cent of the covered lives at the time of the study.
350	350	322 SECTION 13. This act shall take effect 1 year after its passage.