HOUSE DOCKET, NO. 2336 FILED ON: 1/19/2023
HOUSE . . . . . . . . . . . . . . . No. 984
|
The Commonwealth of Massachusetts
_________________
PRESENTED BY:
Marjorie C. Decker and Jeffrey N. Roy
_________________
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 access to care for serious mental illness.
_______________
PETITION OF:
Name: | District/Address: | Date Added: |
Marjorie C. Decker | 25th Middlesex | 1/11/2023 |
Jeffrey N. Roy | 10th Norfolk | 1/25/2023 |
Lindsay N. Sabadosa | 1st Hampshire | 1/20/2023 |
Natalie M. Higgins | 4th Worcester | 2/28/2023 |
Christopher J. Worrell | 5th Suffolk | 3/8/2023 |
Danielle W. Gregoire | 4th Middlesex | 6/13/2023 |
John Francis Moran | 9th Suffolk | 7/31/2023 |
HOUSE DOCKET, NO. 2336 FILED ON: 1/19/2023
HOUSE . . . . . . . . . . . . . . . No. 984
By Representatives Decker of Cambridge and Roy of Franklin, a petition (accompanied by bill, House, No. 984) of Marjorie C. Decker, Jeffrey N. Roy and others relative to access to healthcare coverage for serious mental illness. Financial Services. |
The Commonwealth of Massachusetts
_______________
In the One Hundred and Ninety-Third General Court
(2023-2024)
_______________
An Act relative to access to care for serious mental illness.
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 175 of the General Laws is hereby amended by inserting after section 47PP the following section:
Section 47QQ.
(a) Any policy, contract, agreement, plan or certificate of insurance issued, delivered or renewed within the commonwealth, which is considered creditable coverage under section 1 of chapter 118M, shall provide coverage for medications used to prevent, assess or treat serious mental illness without requiring prior authorization or the initiation or completion of a step therapy protocol.
(b) For the purposes of this section, the following terms shall have the following meanings unless the context clearly requires otherwise:
"Serious mental illness" means a mental disorder, as defined in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association, that results in serious functional impairment that substantially interferes with or limits one or more major life activities.
SECTION 2. Chapter 176A of the General Laws is hereby amended by inserting after section 8QQ the following section:
Section 8RR.
(a) Any policy, contract, agreement, plan or certificate of insurance issued, delivered or renewed within the commonwealth, which is considered creditable coverage under section 1 of chapter 118M, shall provide coverage for medications used to prevent, assess or treat serious mental illness without requiring prior authorization or the initiation or completion of a step therapy protocol.
(b) For the purposes of this section, the following terms shall have the following meanings unless the context clearly requires otherwise:
"Serious mental illness" means a mental disorder, as defined in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association, that results in serious functional impairment that substantially interferes with or limits one or more major life activities.
SECTION 3. Chapter 176B of the General Laws is hereby amended by inserting after section 4QQ the following section:
Section 4RR.
(a) Any policy, contract, agreement, plan or certificate of insurance issued, delivered or renewed within the commonwealth, which is considered creditable coverage under section 1 of chapter 118M, shall provide coverage for medications used to prevent, assess or treat serious mental illness without requiring prior authorization or the initiation or completion of a step therapy protocol.
(b) For the purposes of this section, the following terms shall have the following meanings unless the context clearly requires otherwise:
"Serious mental illness" means a mental disorder, as defined in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association, that results in serious functional impairment that substantially interferes with or limits one or more major life activities.=
SECTION 4. Chapter 176G of the General Laws is hereby amended by inserting after section 4I the following section:
Section 4J.
(a) Any policy, contract, agreement, plan or certificate of insurance issued, delivered or renewed within the commonwealth, which is considered creditable coverage under section 1 of chapter 118M, shall provide coverage for medications used to prevent, assess or treat serious mental illness without requiring prior authorization or the initiation or completion of a step therapy protocol.
(b) For the purposes of this section, the following terms shall have the following meanings unless the context clearly requires otherwise:
"Serious mental illness" means a mental disorder, as defined in the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders published by the American Psychiatric Association, that results in serious functional impairment that substantially interferes with or limits one or more major life activities.