SENATE . . . . . . . . . . . . . . No. 2542
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The Commonwealth of Massachusetts
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In the One Hundred and Ninetieth General Court
(2017-2018)
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SENATE, Wednesday, June 6, 2018
The committee on Health Care Financing, to whom was referred the Senate Bill relative to the closing of hospital essential services (Senate, No. 1199),-- reports recommending that the same ought to pass with an amendment substituting a new draft with the same title (Senate, No. 2542).
For the committee,
James T. Welch
SENATE . . . . . . . . . . . . . . No. 2542
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The Commonwealth of Massachusetts
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In the One Hundred and Ninetieth General Court
(2017-2018)
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An Act relative to the closing of hospital essential services.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:
Chapter 111 of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by striking subsection (4) of section 51G and inserting in place thereof the following section:
(4) (a) Any hospital shall inform the department 90 days prior to the closing of the hospital or the discontinuance of any essential health service provided therein. Adequate notice shall, at a minimum, require submission of documentation of notices received by primary service area stakeholders regarding the closure or discontinuation of an essential health service. Primary service area stakeholders shall include but are not limited to: (a) The hospital’s patient and family council; (b) All staff members of the hospital; (c) Any labor organization that is currently representing any members of the hospital’s workforce; (d) Any members of the General Court who represent the city or town in the hospital’s primary service area; and; (e) A representative of the local officials of each city or town in the hospital’s primary service area. The department shall define essential services for the purposes of this section.
(b) After filing adequate notice with the department, but prior to the date of a public hearing conducted by the department, the hospital shall meet with stakeholders in its primary service area to discuss the causes and impacts of the closure or discontinuation of an essential health service. The hospital must submit testimony at the public hearing conducted by the department demonstrating the occurrence and nature of the engagement with those primary service area stakeholders.
(c) The department shall, in the event that a hospital proposes to discontinue an essential health service or services, determine whether any such discontinued services are necessary for preserving access and health status in the hospital’s service area, require hospitals to submit a plan for assuring access to such necessary services following the hospitals closure of the service, and assure continuing access to such services in the event that the department determines that their closure will significantly reduce access to necessary services. This plan shall address any concerns or suggestions raised by primary service area stakeholders during the engagement process. The department shall conduct a public hearing prior to a determination on the closure of said essential services or of the hospital. No original license shall be granted to establish or maintain an acute-care hospital, as defined by section 25B, unless the applicant submits a plan, to be approved by the department, for the provision of community benefits, including the identification and provision of essential health services. In approving the plan, the department may take into account the applicants existing commitment to primary and preventive health care services and community contributions as well as the primary and preventive health care services and community contributions of the predecessor hospital. The department may waive this requirement, in whole or in part, at the request of the applicant which has provided or at the time the application is filed, is providing, substantial primary and preventive health care services and community contributions in its service area.
(d) If a hospital executes a plan to discontinue an essential health service, said plan not having been approved by the department pursuant to paragraphs (a) and (b) of this subsection, the department shall refer the matter to the Attorney General to seek an injunction to require that the essential health service be maintained for the duration of the notice period outlined in paragraph (a) of this section, and any other appropriate equitable relief.