Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H2199 Compare Versions

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22 HOUSE DOCKET, NO. 2149 FILED ON: 1/15/2025
33 HOUSE . . . . . . . . . . . . . . . No. 2199
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Marjorie C. Decker
88 _________________
99 To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
1010 Court assembled:
1111 The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
1212 An Act ending unnecessary hospitalizations.
1313 _______________
1414 PETITION OF:
1515 NAME:DISTRICT/ADDRESS :DATE ADDED:Marjorie C. Decker25th Middlesex1/15/2025 1 of 3
1616 HOUSE DOCKET, NO. 2149 FILED ON: 1/15/2025
1717 HOUSE . . . . . . . . . . . . . . . No. 2199
1818 By Representative Decker of Cambridge, a petition (accompanied by bill, House, No. 2199) of
1919 Marjorie C. Decker relative to the involuntary hospitalization. Mental Health, Substance Use
2020 and Recovery.
2121 The Commonwealth of Massachusetts
2222 _______________
2323 In the One Hundred and Ninety-Fourth General Court
2424 (2025-2026)
2525 _______________
2626 An Act ending unnecessary hospitalizations.
2727 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
2828 of the same, as follows:
2929 1 SECTION 1. Section 1 of Chapter 123 of the General Laws is hereby amended by
3030 2inserting the following sentence after the second sentence:-
3131 3 “Community Alternatives,” include but are not limited, to voluntary services provided
3232 4through Mobile Crisis Intervention (MCI), Behavioral Health Urgent Care, and Community
3333 5Crisis Stabilization (CCS) programs and other voluntary services at Community Behavioral
3434 6Health Centers; the MassHealth BH Urgent Care programs, Behavioral Health Helpline, 988
3535 7and peer-run programs.
3636 8 SECTION 2. Section 12 of Chapter 123 of the General Laws is hereby amended by
3737 9striking the first paragraph in subsection (a) and inserting the following paragraph:-
3838 10 (a) Prior to applying for involuntary detention pursuant to this section, a professional or
3939 11police officer authorized to apply for such detention must first determine that there is no
4040 12community alternative appropriate for the person. If the person is appropriate for and consents to 2 of 3
4141 13the community alternative, the professional or police office shall arrange for transport, via
4242 14ambulance or otherwise, to the community alternative. A physician who is licensed pursuant to
4343 15section 2 of chapter 112, an advanced practice registered nurse authorized to practice as such
4444 16under regulations promulgated pursuant to section 80B of said chapter 112, a qualified
4545 17psychologist licensed pursuant to sections 118 to 129, inclusive, of said chapter 112 or a licensed
4646 18independent clinical social worker licensed pursuant to sections 130 to 137, inclusive, of said
4747 19chapter 112 who, after examining a person and after determining that there is no appropriate
4848 20community alternative to involuntary hospitalization, has reason to believe that failure to
4949 21hospitalize such person would create a likelihood of serious harm by reason of mental illness
5050 22may restrain or authorize the restraint of such person and apply for the hospitalization of such
5151 23person for a 3-day period at a public facility or at a private facility authorized for such purposes
5252 24by the department. If an examination is not possible because of the emergency nature of the case
5353 25and because of the refusal of the person to consent to such examination, the physician, qualified
5454 26psychologist, qualified advanced practice registered nurse or licensed independent clinical social
5555 27worker on the basis of the facts and circumstances may, after determining that there is no
5656 28appropriate community alternative to involuntary hospitalization, determine that involuntary
5757 29hospitalization is necessary and may therefore apply. In an emergency situation, if a physician,
5858 30qualified psychologist, qualified advanced practice registered nurse or licensed independent
5959 31clinical social worker is not available, a police officer who, after determining that there is no
6060 32appropriate community alternative to involuntary hospitalization, believes that failure to
6161 33hospitalize a person would create a likelihood of serious harm by reason of mental illness may
6262 34restrain such person and apply for the hospitalization of such person for a 3-day period at a
6363 35public facility or a private facility authorized for such purpose by the department. An application 3 of 3
6464 36for hospitalization shall state the community alternatives to involuntary hospitalization
6565 37determined to be inappropriate, the reasons for the restraint of such person and any other relevant
6666 38information that may assist the admitting physician or qualified advanced practice registered
6767 39nurse. Whenever practicable, prior to transporting such person, the applicant shall telephone or
6868 40otherwise communicate with a facility to describe the circumstances and known clinical history
6969 41and to determine whether the facility is the proper facility to receive such person and to give
7070 42notice of any restraint to be used and to determine whether such restraint is necessary.
7171 43 SECTION 3. Section 12 of Chapter 123 of the General Laws is hereby amended adding
7272 44after subsection (e) the following subsection:-
7373 45 (f) The department shall collect information regarding all applications filed pursuant to
7474 46this section, including the number of applications and other such information as may be relevant,
7575 47including, but not limited to, information on the age, gender identity, race, ethnicity, insurance
7676 48status, and diagnosis of individuals subject to an application. The department shall annually, not
7777 49later than July 31, report to the house and senate committees on ways and means, joint
7878 50committee on public health and the joint committee on mental health, substance use and recovery
7979 51the number of applications pursuant to said section 12, other information as may be relevant, and
8080 52any actions the department has taken in response to the information it has received, including any
8181 53licensing actions.