An Act to increase patient access to certain health care services

This bill amends definitions in Massachusetts health care law to clarify when health care facilities must seek department approval before making significant service changes. It defines "substantial change in services" for hospitals and other facilities (like nursing homes), requiring review for expansions, conversions to new services (e.g., psychiatric care), or increases in bed capacity over 12 beds. The bill explicitly excludes facilities relying solely on spiritual healing through prayer, ambulatory surgical centers, and routine outpatient services from these requirements. It aims to streamline patient access to new services by establishing clear criteria for when regulatory review is needed, directly affecting hospitals, clinics, and long-term care facilities planning service expansions.