Bill S.355

SENATE DOCKET, NO. 1511 FILED ON: 1/17/2019

SENATE . . . . . . . . . . . . . . No. 355

The Commonwealth of Massachusetts

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PRESENTED BY:

Cindy F. Friedman

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To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:

The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:

An Act relative to intensive case management for clinically complex older adults.

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PETITION OF:

Name:	District/Address:
Cindy F. Friedman	Fourth Middlesex
James B. Eldridge	Middlesex and Worcester	1/29/2019
Kay Khan	11th Middlesex	1/30/2019
Bradford Hill	4th Essex	1/30/2019
Sal N. DiDomenico	Middlesex and Suffolk	1/30/2019
Brendan P. Crighton	Third Essex	1/31/2019
Patricia D. Jehlen	Second Middlesex	1/31/2019
Patrick M. O'Connor	Plymouth and Norfolk	1/31/2019
Rebecca L. Rausch	Norfolk, Bristol and Middlesex	1/31/2019
John F. Keenan	Norfolk and Plymouth	2/1/2019
Bruce E. Tarr	First Essex and Middlesex	2/1/2019
Thomas M. Stanley	9th Middlesex	2/1/2019
Jack Patrick Lewis	7th Middlesex	2/1/2019
Mary S. Keefe	15th Worcester	2/1/2019
Paul F. Tucker	7th Essex	2/1/2019
Julian Cyr	Cape and Islands	2/4/2019
John J. Mahoney	13th Worcester	2/6/2019
David Biele	4th Suffolk	3/7/2019

SENATE DOCKET, NO. 1511 FILED ON: 1/17/2019

SENATE . . . . . . . . . . . . . . No. 355

By Ms. Friedman, a petition (accompanied by bill, Senate, No. 355) of Cindy F. Friedman, James B. Eldridge, Kay Khan, Bradford Hill and other members of the General Court for legislation relative to intensive case management for clinically complex older adults. Elder Affairs.

The Commonwealth of Massachusetts

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In the One Hundred and Ninety-First General Court
(2019-2020)

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An Act relative to intensive case management for clinically complex older adults.

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:

SECTION 1. Chapter 19A of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by inserting after section 4C the following section:-

Section 4D. (a) There is hereby established, subject to appropriation, the intensive case management program for the purpose of supporting individuals who are current or prospective participants of the home care program established in section 4 and require sustained, in-depth case management exceeding the level provided under the program. Intensive case management shall be provided to transition an individual into receiving home care program services, or to retain an active enrollee who is experiencing program participation challenges due to: (1) serious mental illness or behavioral disturbances; (2) complex dynamics involving the family and informal support networks that impact the acceptance or delivery of critical home care services; or (3) multiple medical or functional needs that put at risk the ability of the aging services access points, as described in section 4B, to appropriately serve the enrollee.

(b) The department shall establish intensive case management reimbursement rates that reasonably reflect the level of expertise and commitment of time required to successfully support a qualifying individual’s enrollment and ongoing participation in the home care program.