By Representative Donahue of Worcester, a petition (accompanied by bill, House, No. 1140) of Daniel M. Donahue relative to diagnostic evaluation by an advanced practice registered nurse. Financial Services.
This bill requires Massachusetts state departments to update job classifications to fully include Licensed Mental Health Counselors (LMHCs) and Licensed Supervised Mental Health Counselors (LSMHCs) in their official job descriptions. It directly affects the Departments of Mental Health, Youth Services, Children and Families, Public Health, and Personnel Administration, as well as LMHCs and LSMHCs working in state roles. The key mechanism mandates that all relevant state job postings under the Executive Office of Health and Human Services must reflect these updated classifications by September 1, 2023. This change ensures state hiring practices formally recognize the full scope of practice for these mental health professionals.
This bill eliminates a requirement for patients to get referrals from primary care doctors before seeing gynecologists or related specialists. It directly affects patients seeking specific gynecological care covered by insurance, including annual preventive exams, menstrual health issues (like heavy bleeding), maternity care, and emergency gynecological conditions. Insurance companies can no longer demand these referrals when patients visit OB/GYNs, nurse-midwives, or family practitioners in their network. The change simplifies access to timely care for these common health needs without altering insurance coverage.
This bill (HD 3581) allows licensed physician assistants to authorize psychiatric holds in Massachusetts, expanding their existing authority under Chapter 123 of the General Laws. It directly affects physician assistants working in mental health settings by permitting them to initiate involuntary psychiatric holds for individuals in crisis. Key provisions require physician assistants to complete 3 hours of specialized mental health evaluation training developed by the Department of Mental Health before authorizing such holds. The bill amends specific sections of the law to explicitly include "physician assistant" alongside "physician" in relevant provisions. This is a policy change to clarify and expand the scope of practice for physician assistants in mental health emergencies.
This bill requires insurance plans in Massachusetts to pay certified nurse-midwives the same rate for covered services as they pay physicians for the same service. It directly affects insurers, health plans, and the Commonwealth's group insurance program by mandating equal reimbursement rates for nurse-midwife care. Key provisions include prohibiting insurers from lowering physician payments to offset midwife reimbursements and ensuring coverage for all state employees and private plan members. The policy change aims to improve access to midwifery services by eliminating financial barriers in insurance coverage.
This bill requires Massachusetts to increase funding for continuous skilled nursing care for medically fragile children covered by MassHealth (state Medicaid). It mandates specific staffing targets: filling at least 75% of authorized nursing hours by 2025, 80% by 2026, and 85% by 2027 onward, with provisions to boost nurse wages. The state must also require MassHealth to submit annual reports tracking staffing levels, appeals for denied care, and reductions in authorized hours. The bill aims to improve access to consistent nursing care for vulnerable children by ensuring funding meets these targets and reviewing wage rates paid to providers.
This bill restricts the use of medical titles like "physician," "doctor," or specialty terms (e.g., "cardiologist," "neurologist") unless the person is registered as a physician with the Board of Registration in Medicine. It directly affects non-physician health care providers (e.g., nurse practitioners, physical therapists) who might otherwise imply medical practice through their titles. Key provisions require practitioners to clearly display their specific license type via visible ID tags (with photo, name, license type, and expiration) during patient visits and in office displays, and to avoid misleading advertising about their qualifications. Exceptions include licensed chiropractors, podiatrists, and physician assistants, and the law does not apply to non-patient care settings.
Massachusetts bill HD 136 would allow the state to join the Nurse Licensure Compact (NLC), enabling registered and licensed practical nurses with a Massachusetts license (their "home state") to practice in other participating states without obtaining separate licenses. The bill creates legal definitions and procedures for the NLC, including recognizing a "multistate license" that authorizes practice across all compact states. Nurses must meet Massachusetts licensing standards, pass required exams, and pass background checks, but their home-state license would automatically grant practice rights in other compact states. This directly affects Massachusetts nurses seeking to work in other NLC states and streamlines interstate practice for nursing professionals.
HD 1626 requires health insurance policies, hospital service plans, and medical service agreements in Massachusetts to cover surgical first assistant services provided by registered nurses (RNs) licensed under Chapter 112, rather than other providers. This directly affects insurers, hospitals, and RNs by mandating that existing coverage for "surgical first assisting" must specifically include RNs. The bill amends Chapters 175, 176A, 176B, and 176G of the General Laws to clarify this interpretation. Additionally, it requires the Department of Public Health to report by September 2026 on RN first assistant services, including patient outcomes and satisfaction data from hospitals and insurers.
This bill amends Massachusetts law (Chapter 201D) to update terminology related to healthcare decision-making. It replaces "attending physician" with "attending health care provider" throughout the law, explicitly including nurse practitioners and psychiatric nurse mental health clinical specialists as qualified decision-makers. This change directly affects patients who have designated a health care proxy, clarifying that their primary care provider (not limited to physicians) can legally act under the proxy. The key mechanism is a consistent terminology update across multiple sections of the law to reflect modern healthcare team structures.
