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2 | 2 | | HOUSE DOCKET, NO. 2149 FILED ON: 1/15/2025 |
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3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 2199 |
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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 | | Marjorie C. Decker |
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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 ending unnecessary hospitalizations. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | NAME:DISTRICT/ADDRESS :DATE ADDED:Marjorie C. Decker25th Middlesex1/15/2025 1 of 3 |
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16 | 16 | | HOUSE DOCKET, NO. 2149 FILED ON: 1/15/2025 |
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17 | 17 | | HOUSE . . . . . . . . . . . . . . . No. 2199 |
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18 | 18 | | By Representative Decker of Cambridge, a petition (accompanied by bill, House, No. 2199) of |
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19 | 19 | | Marjorie C. Decker relative to the involuntary hospitalization. Mental Health, Substance Use |
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20 | 20 | | and Recovery. |
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21 | 21 | | The Commonwealth of Massachusetts |
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22 | 22 | | _______________ |
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23 | 23 | | In the One Hundred and Ninety-Fourth General Court |
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24 | 24 | | (2025-2026) |
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25 | 25 | | _______________ |
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26 | 26 | | An Act ending unnecessary hospitalizations. |
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27 | 27 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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28 | 28 | | of the same, as follows: |
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29 | 29 | | 1 SECTION 1. Section 1 of Chapter 123 of the General Laws is hereby amended by |
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30 | 30 | | 2inserting the following sentence after the second sentence:- |
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31 | 31 | | 3 “Community Alternatives,” include but are not limited, to voluntary services provided |
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32 | 32 | | 4through Mobile Crisis Intervention (MCI), Behavioral Health Urgent Care, and Community |
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33 | 33 | | 5Crisis Stabilization (CCS) programs and other voluntary services at Community Behavioral |
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34 | 34 | | 6Health Centers; the MassHealth BH Urgent Care programs, Behavioral Health Helpline, 988 |
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35 | 35 | | 7and peer-run programs. |
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36 | 36 | | 8 SECTION 2. Section 12 of Chapter 123 of the General Laws is hereby amended by |
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37 | 37 | | 9striking the first paragraph in subsection (a) and inserting the following paragraph:- |
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38 | 38 | | 10 (a) Prior to applying for involuntary detention pursuant to this section, a professional or |
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39 | 39 | | 11police officer authorized to apply for such detention must first determine that there is no |
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40 | 40 | | 12community alternative appropriate for the person. If the person is appropriate for and consents to 2 of 3 |
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41 | 41 | | 13the community alternative, the professional or police office shall arrange for transport, via |
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42 | 42 | | 14ambulance or otherwise, to the community alternative. A physician who is licensed pursuant to |
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43 | 43 | | 15section 2 of chapter 112, an advanced practice registered nurse authorized to practice as such |
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44 | 44 | | 16under regulations promulgated pursuant to section 80B of said chapter 112, a qualified |
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45 | 45 | | 17psychologist licensed pursuant to sections 118 to 129, inclusive, of said chapter 112 or a licensed |
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46 | 46 | | 18independent clinical social worker licensed pursuant to sections 130 to 137, inclusive, of said |
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47 | 47 | | 19chapter 112 who, after examining a person and after determining that there is no appropriate |
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48 | 48 | | 20community alternative to involuntary hospitalization, has reason to believe that failure to |
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49 | 49 | | 21hospitalize such person would create a likelihood of serious harm by reason of mental illness |
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50 | 50 | | 22may restrain or authorize the restraint of such person and apply for the hospitalization of such |
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51 | 51 | | 23person for a 3-day period at a public facility or at a private facility authorized for such purposes |
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52 | 52 | | 24by the department. If an examination is not possible because of the emergency nature of the case |
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53 | 53 | | 25and because of the refusal of the person to consent to such examination, the physician, qualified |
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54 | 54 | | 26psychologist, qualified advanced practice registered nurse or licensed independent clinical social |
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55 | 55 | | 27worker on the basis of the facts and circumstances may, after determining that there is no |
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56 | 56 | | 28appropriate community alternative to involuntary hospitalization, determine that involuntary |
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57 | 57 | | 29hospitalization is necessary and may therefore apply. In an emergency situation, if a physician, |
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58 | 58 | | 30qualified psychologist, qualified advanced practice registered nurse or licensed independent |
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59 | 59 | | 31clinical social worker is not available, a police officer who, after determining that there is no |
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60 | 60 | | 32appropriate community alternative to involuntary hospitalization, believes that failure to |
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61 | 61 | | 33hospitalize a person would create a likelihood of serious harm by reason of mental illness may |
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62 | 62 | | 34restrain such person and apply for the hospitalization of such person for a 3-day period at a |
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63 | 63 | | 35public facility or a private facility authorized for such purpose by the department. An application 3 of 3 |
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64 | 64 | | 36for hospitalization shall state the community alternatives to involuntary hospitalization |
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65 | 65 | | 37determined to be inappropriate, the reasons for the restraint of such person and any other relevant |
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66 | 66 | | 38information that may assist the admitting physician or qualified advanced practice registered |
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67 | 67 | | 39nurse. Whenever practicable, prior to transporting such person, the applicant shall telephone or |
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68 | 68 | | 40otherwise communicate with a facility to describe the circumstances and known clinical history |
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69 | 69 | | 41and to determine whether the facility is the proper facility to receive such person and to give |
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70 | 70 | | 42notice of any restraint to be used and to determine whether such restraint is necessary. |
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71 | 71 | | 43 SECTION 3. Section 12 of Chapter 123 of the General Laws is hereby amended adding |
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72 | 72 | | 44after subsection (e) the following subsection:- |
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73 | 73 | | 45 (f) The department shall collect information regarding all applications filed pursuant to |
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74 | 74 | | 46this section, including the number of applications and other such information as may be relevant, |
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75 | 75 | | 47including, but not limited to, information on the age, gender identity, race, ethnicity, insurance |
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76 | 76 | | 48status, and diagnosis of individuals subject to an application. The department shall annually, not |
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77 | 77 | | 49later than July 31, report to the house and senate committees on ways and means, joint |
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78 | 78 | | 50committee on public health and the joint committee on mental health, substance use and recovery |
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79 | 79 | | 51the number of applications pursuant to said section 12, other information as may be relevant, and |
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80 | 80 | | 52any actions the department has taken in response to the information it has received, including any |
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81 | 81 | | 53licensing actions. |
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