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Massachusetts Bill Requires Equal Behavioral Health Access for MassHealth Consumers

Original title: An Act providing equitable access to behavioral health services for MassHealth consumers

Last action · March 30, 2026: Accompanied a study order, see H5319 (under House Rule 27)Sponsors: Adam Scanlon and 1 other

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

MassHealth contracted health plans, insurers, and must provide equal access to behavioral health services, benefits, and medications of comparable quality to medical assistance recipients. The state division must obtain approval from the secretary of the executive office of health and human services for all behavioral health policies, protocols, and management criteria. Additionally, all contracted health entities must report their inpatient mental health and substance use provider reimbursement methodologies within 90 days of the act taking effect.

Why it matters

MassHealth consumers gain a legal guarantee of behavioral health care access matching physical medical standards, while contracted health plans face mandatory state oversight and strict reporting deadlines regarding their provider reimbursement rates.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

MassHealth consumers

Consumers receive a guarantee of equal access to behavioral health services, benefits, and medications of comparable quality.

Directly affected

Contracted accountable care organizations and health insurers

These entities must ensure equal behavioral health access, obtain secretarial approval for policies, and submit inpatient reimbursement methodology reports.

Directly affected

Inpatient mental health and substance use providers

Providers are part of the reimbursement methodology reporting and transparency requirements established by contracted health entities.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What standards must health plans meet regarding behavioral health services for MassHealth consumers?
Contracted , health insurers, health plans, health maintenance organizations, and behavioral health management firms must provide equal access to behavioral health services, benefits, and medications of comparable quality.
Who must approve the behavioral health policies and utilization criteria used by health plans?
The secretary of the executive office of health and human services must approve all behavioral health services, benefits, and medications, including policies, protocols, standards, and utilization management criteria.
What reporting is required regarding provider reimbursement?
Contracted health plans must submit their method of determining reimbursement levels to network inpatient mental health and substance use providers, including median payment levels and range of payment amounts, to the division and specified legislative committees within 90 days.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

4 actions
  1. Mar 30, 2026House
    Accompanied a study order, see H5319 (under House Rule 27)
  2. Oct 24, 2025Joint
    Hearing scheduled for 11/03/2025 from 01:00 PM-05:00 PM in A-2
  3. Feb 27, 2025Senate
    Senate concurred
  4. Feb 27, 2025HouseCommittee
    Referred to the committee on Mental Health, Substance Use and Recovery

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Connected Entities

Executive Office of Health and Human Services, MassHealth
OrganizationExecutive Office of Health and Human Services“State office whose secretary must approve behavioral health policies and criteri”Map →
OrganizationMassHealth“Medicaid program serving consumers”Map →

Sources

Open source document

malegislature.gov

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz35
    Current news / social attention level

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