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HOUSE DOCKET, NO. 1644         FILED ON: 1/20/2011

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 1416

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Ruth B. Balser

_______________

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 regarding proportional payments of the Massachusetts Child Psychiatry Access Project.

_______________

PETITION OF:

 

Name:

District/Address:

Ruth B. Balser

12th Middlesex

Frank I. Smizik

15th Norfolk

Thomas A. Golden, Jr.

16th Middlesex

Denise Provost

27th Middlesex

Tom Sannicandro

7th Middlesex

Ellen Story

3rd Hampshire

Anne M. Gobi

5th Worcester

Jason M. Lewis

31st Middlesex

Jennifer L. Flanagan

 

Christine E. Canavan

10th Plymouth

Elizabeth A. Malia

11th Suffolk

Walter F. Timilty

7th Norfolk


HOUSE DOCKET, NO. 1644        FILED ON: 1/20/2011

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 1416

By Ms. Balser of Newton, a petition (accompanied by bill, House, No. 1416) of Ruth B. Balser and others for legislation to establish a child psychiatry access project within the Department of Mental Health.  Mental Health and Substance Abuse. 


The Commonwealth of Massachusetts
 

_______________

In the Year Two Thousand Eleven

_______________

 

An Act regarding proportional payments of the Massachusetts Child Psychiatry Access Project.
 

              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. The General Laws as appearing in the 2008 Official Edition are hereby amended by adding after section 16 of chapter 19 the following new section:-

              Section 16A.              Massachusetts Child Psychiatry Access Project

              (a) The department shall develop or utilize a statewide program to provide mental health consultations by telephone to pediatricians, family physicians, nurse practitioners and youth serving primary care practices for persons under the age of 19 who exhibit a possible mental health or substance use disorder.

              (b) The program shall incorporate, but is not limited to, the following guidelines:

              (1)               responding to all consultation requests within 30 minutes from primary care settings for quality access;

              (2)              hiring multiple person teams consisting of professionals who meet the educational requirements from the fields of child psychiatry, nursing, and social work;

              (3)              continued training for the team members;

              (4)              pro-active engagement, mentoring, and education to pediatricians, family physicians, nurse practitioners and youth serving primary care providers;

              (5)              ability to provide face to face consultations when telephonic consultation is not sufficient;

              (6)              care coordination and referral services for youth requiring behavioral health treatment regardless of type of insurance coverage;

              (7)              ability to serve children with transitional care concerns, while waiting for behavioral health treatment;

              (8)              outreach ability to the community and ability to use program to identify child mental health system issues;

              (9)              ability to internally track which insurance the child has in order to properly compile percentage billing rates, however, no child shall be turned away from a consultation based on health insurance; and

              (10)              ability to provide appropriate administrative support.

              (c) The commissioner of the department shall seek and obtain payment as a condition of licensure from insurance companies doing business in Massachusetts for the use of the Massachusetts Child Psychiatry Access Project. Said billing shall be on a regular annual basis and shall be calculated based on the percentage of that insurers members using the program in the previous year. The commissioner shall publish an annualized report that indicates but is not limited to: the cost of the program, the amount requested of each payor, the number and percentage of the payor's members utilizing the program, relevant data on services rendered and outcomes achieved of the population served by this program in order to calculate the percentage charged to each insurance company licensed in Massachusetts.

              (d) All retained revenue generated shall be allocated to a flexible spending account which shall be used to expand the program into educational settings.

              SECTION 2. Subsection (c) of this act shall take effect on January 1, 2012.

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