1 | 1 | | 1 of 1 |
---|
2 | 2 | | HOUSE DOCKET, NO. 2788 FILED ON: 1/16/2025 |
---|
3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 2229 |
---|
4 | 4 | | The Commonwealth of Massachusetts |
---|
5 | 5 | | _________________ |
---|
6 | 6 | | PRESENTED BY: |
---|
7 | 7 | | David M. Rogers and Greg Schwartz |
---|
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 to expand equity and access to patient centered care for substance abuse disorder. |
---|
13 | 13 | | _______________ |
---|
14 | 14 | | PETITION OF: |
---|
15 | 15 | | NAME:DISTRICT/ADDRESS :DATE ADDED:David M. Rogers24th Middlesex1/16/2025Greg Schwartz12th Middlesex1/16/2025 1 of 3 |
---|
16 | 16 | | HOUSE DOCKET, NO. 2788 FILED ON: 1/16/2025 |
---|
17 | 17 | | HOUSE . . . . . . . . . . . . . . . No. 2229 |
---|
18 | 18 | | By Representatives Rogers of Cambridge and Schwartz of Newton, a petition (accompanied by |
---|
19 | 19 | | bill, House, No. 2229) of David M. Rogers and Greg Schwartz for legislation to expand equity |
---|
20 | 20 | | and access to patient centered care for substance abuse disorders. Mental Health, Substance Use |
---|
21 | 21 | | and Recovery. |
---|
22 | 22 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
---|
23 | 23 | | SEE HOUSE, NO. 2011 OF 2023-2024.] |
---|
24 | 24 | | The Commonwealth of Massachusetts |
---|
25 | 25 | | _______________ |
---|
26 | 26 | | In the One Hundred and Ninety-Fourth General Court |
---|
27 | 27 | | (2025-2026) |
---|
28 | 28 | | _______________ |
---|
29 | 29 | | An Act to expand equity and access to patient centered care for substance abuse disorder. |
---|
30 | 30 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
---|
31 | 31 | | of the same, as follows: |
---|
32 | 32 | | 1 SECTION 1: Notwithstanding any special or general law to the contrary, the Department |
---|
33 | 33 | | 2of Public Health and the Massachusetts Board of Registration in Medicine shall develop, or |
---|
34 | 34 | | 3provide for, a healthcare provider education campaign that encourages the adoption of all FDA- |
---|
35 | 35 | | 4approved medications for the treatment of alcohol and opioid use disorders. The goal of the |
---|
36 | 36 | | 5campaign is to increase the number of providers offering all FDA-approved medications, directly |
---|
37 | 37 | | 6or by referral, along with counseling and other appropriate support services. The training shall |
---|
38 | 38 | | 7include, but not be limited to guidelines and best practices for: |
---|
39 | 39 | | 8 A. Screening and Assessment; |
---|
40 | 40 | | 9 B. Toxicology screens; 2 of 3 |
---|
41 | 41 | | 10 C. Detoxification/withdrawal management and induction to relapse prevention |
---|
42 | 42 | | 11medication |
---|
43 | 43 | | 12 D. Treatment Plans, including counseling frequency and type, and an informed consent |
---|
44 | 44 | | 13process to guide medication and treatment decisions and selection |
---|
45 | 45 | | 14 E. Addressing Co-occurring mental health disorders |
---|
46 | 46 | | 15 F. Reducing disparities in health outcomes for underserved communities experiencing |
---|
47 | 47 | | 16substance use disorder |
---|
48 | 48 | | 17 G. Care Coordination; |
---|
49 | 49 | | 18 H. Appropriate Length of Treatment; and |
---|
50 | 50 | | 19 I. Relapse Prevention |
---|
51 | 51 | | 20 The training developed or provided shall be accepted by the board as up to 2 continuing |
---|
52 | 52 | | 21professional development credits. |
---|
53 | 53 | | 22 SECTION 2: Notwithstanding any special or general law to the contrary, the Department |
---|
54 | 54 | | 23of Public Health and the Bureau of Substance Abuse Services shall establish a peer mentoring |
---|
55 | 55 | | 24program that supplements the healthcare provider educational campaign by providing a network |
---|
56 | 56 | | 25for peer-to-peer trainings, materials, and prescriber and clinical team support. Peer mentors |
---|
57 | 57 | | 26should have strong credentials, expertise and clinical experience with all FDA-approved |
---|
58 | 58 | | 27medications for the treatment of substance use disorder. Mentors shall provide coaching for |
---|
59 | 59 | | 28providers licensed or certified by the Department of Public Health. The Department shall |
---|
60 | 60 | | 29prioritize the efforts of the peer mentor program for providers serving geographic areas and |
---|
61 | 61 | | 30racially and ethnically diverse populations of the Commonwealth identified by the Department 3 of 3 |
---|
62 | 62 | | 31where access to medication assisted treatment is limited. Provided further, that said training |
---|
63 | 63 | | 32program shall include, but not be limited to the following criteria: patient eligibility, optimal |
---|
64 | 64 | | 33selection criteria, placement matching, patient engagement, team coaching and coordination, |
---|
65 | 65 | | 34withdrawal management and induction, dosing and administration, clinical evaluation and |
---|
66 | 66 | | 35laboratory monitoring, side effect management, co-occurring disorders management, drug-drug |
---|
67 | 67 | | 36interactions, treatment retention, managed care interactions, and termination of medication. |
---|
68 | 68 | | 37 SECTION 3: There shall be a grant program established to support providers who |
---|
69 | 69 | | 38demonstrate the ability to offer all FDA-approved medications for substance use disorders, along |
---|
70 | 70 | | 39with counseling and other supports, directly or by referral. Providers will be eligible to apply for |
---|
71 | 71 | | 40funding to add a staff person(s) to support the expanded services. In addition to, or in substitution |
---|
72 | 72 | | 41of state funding, the grant program may utilize applicable federal grants and state trust funds. |
---|
73 | 73 | | 42 SECTION 4: The department of public health shall create an inventory of health care |
---|
74 | 74 | | 43providers treating patients with medications to measure adoption of offering all FDA-approved |
---|
75 | 75 | | 44treatment options across the Commonwealth. They shall also submit a report to the house and |
---|
76 | 76 | | 45senate committees on ways and means and the joint committee on mental health and substance |
---|
77 | 77 | | 46use, and recovery on the number of providers trained and any identified obstacles to expanding |
---|
78 | 78 | | 47the number of providers offering all FDA-approved medications by January 1, 2020. |
---|