H 1319 Massachusetts House · 194th Legislature (2025-2026)

An Act related to comprehensive clinical and extended support services

This bill (HD 375) requires health insurance plans in Massachusetts to cover specific addiction treatment services without preauthorization. It defines "transitional support services" (short-term residential care after stabilization) and mandates coverage for up to 30 days of acute treatment, clinical stabilization, and transitional support services for: 1) Active or retired Commonwealth employees with group insurance, and 2) All insured individuals under Medicaid and general health plans. Facilities must notify insurers within 48 hours of admission and provide discharge plans, with utilization reviews allowed only after 14 days (and not restricting future care unless 30+ consecutive days are provided). Medical necessity is determined by the treating clinician, not insurers.
Sub-Topics: Insurance
Bill status passed 3 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Feb 2025
Senate Passage
Feb 2025
Governor
Introduced Feb 27, 2025 Last action Jan 8, 2026
Floor votes

How they voted

This bill passed the Senate. No roll call record of that vote is available.
Full legislative history

Actions timeline

Total actions
5
Key actions
1
Committee
1
Feb 27, 2025
Upper · Passed
Senate concurred
upper
Feb 27, 2025
Committee
Referred to the committee on Financial Services
lower
0 primary · 3 co-sponsors

Sponsors

No sponsor information available.