HOUSE DOCKET, NO. 542        FILED ON: 1/13/2023

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 1997

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Michael P. Kushmerek

_________________

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 to further define medical necessity determinations.

_______________

PETITION OF:

 

Name:

District/Address:

Date Added:

Michael P. Kushmerek

3rd Worcester

1/13/2023


HOUSE DOCKET, NO. 542        FILED ON: 1/13/2023

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 1997

By Representative Kushmerek of Fitchburg, a petition (accompanied by bill, House, No. 1997) of Michael P. Kushmerek for legislation to further define medical necessity determinations.  Mental Health, Substance Use and Recovery.

 

[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE HOUSE, NO. 2109 OF 2021-2022.]

 

The Commonwealth of Massachusetts

 

_______________

In the One Hundred and Ninety-Third General Court
(2023-2024)

_______________

 

An Act to further define medical necessity determinations.

 

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: Section 8a of Chapter 118E is amended by inserting the following new sentence at the end of the definition “Medically Necessary Services” the following new sentence: “Medical necessary services for mental health treatment shall be determined by the treating clinician in consultation with the patient and noted in the patient’s medical record”.

SECTION 2: Section 16 (b) of Chapter 176O is amended by inserting the following new sentence at the end after the word “restriction” the following new sentence. “Medical necessity for mental health services shall be determined by the treating clinician in consultation with the patient and noted in the patient’s medical record.”