H 1801 Massachusetts House · 194th Legislature (2025-2026)

An Act to provide continuum of care for severe mental illness

HD 3780 creates a new court-approved community-based treatment program for adults with severe mental illness who are at high risk of harm to themselves or others due to treatment non-adherence. It establishes a "critical community mental health service treatment plan" requiring court approval as the least restrictive alternative to hospitalization, targeting individuals who are "gravely disabled" (unable to meet basic needs safely due to mental illness) and have a history of repeated hospitalizations or violent behavior. The plan must include supervision, medication, and assistance with basic needs like housing and employment, with initial court orders limited to 180 days (renewable up to 365 days). This bill directly affects eligible individuals with severe mental illness and their care providers, shifting focus from inpatient commitment to structured community care under judicial oversight.
Sub-Topics: Mental Health
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 Mar 26, 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 The Judiciary
lower
1 primary · 16 co-sponsors

Sponsors