Amendment #116 to H4200

Ensuring the appropriate and timely payment and residential service placement for children deemed to be a safety risk

Mr. Howitt of Seekonk moves to amend the bill by adding at the end the following new section:

Section XX. SECTION 1. Notwithstanding any other general or special law to the contrary, the department of developmental services shall coordinate with the department of children and families and the department of mental health to ensure residential service placement within 30 days for children with intellectual disabilities once it has been determined by the professional mental health care facility that he or she is eligible to receive treatment.

SECTION 2. Notwithstanding any general or special law to the contrary, there shall be established a special commission to examine and report on the feasibility of creating an emergency fund for timely placement and payment of a disabled child in a residential care facility. This commission shall evaluate options and prepare policy recommendations necessary to address payment and placement delays in the current health care system, to reform the current determination of payment process, and to establish a more efficient and timely means of providing the proper care to children with developmental disabilities. Such recommendations shall include policy options concerning the following:

(i)Potential savings to the Commonwealth and improvements to care delivery that could be realized by reducing the lag time between payment and placement; (ii) improvements to the MassHealth reimbursement system for residential care facilities; and (iii) any other recommendations as needed to more effectively care for developmentally disabled children in the payment and transfer processes in the Commonwealth.

The commission shall consist of  6 members; 1 of whom shall be the secretary of health and human services or a designee, the 2 chairs of the joint committee on children, families and persons with disabilities, or their designees who shall serve as co-chairs; 1 of whom shall be the director of MassHealth or a designee, 1 of whom shall be the senate chair of the joint committee on health care financing or a designee, 1 of whom shall be the house chair of the joint committee on health care financing or a designee.

The commission shall meet within 60 days of passage of this Act, and not less than quarterly thereafter, and shall release final recommendations to the Senate President, the Speaker of the House, the Joint Committee on Children, Families and Persons with Disabilities no later than one year from passage of this Act.