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Bill

H 213

An Act ensuring access to behavioral health services for children involved with state agencies

194th Legislature (2025-2026) Introduced by Marjorie Decker and 2 co-sponsors

Mandates Massachusetts ensure children in state custody receive timely access to mental health and substance abuse treatment services through coordinated care standards.

Reporting date extended to Friday, July 31, 2026
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Bill Summary · H 213

Legislative bill overview

H 213 requires the state to ensure children involved with state agencies (child protective services, foster care, juvenile justice) have timely access to behavioral health services including mental health and substance use treatment. The bill establishes standards for assessment, referral, and care coordination to address the high rates of trauma and mental health needs among this vulnerable population.

Why is this important

Children in state custody experience significantly higher rates of trauma, mental health disorders, and substance use issues than the general population, yet historically face barriers to accessing appropriate care. This bill addresses a documented gap where children may languish on waitlists or fall through coordination gaps between child welfare and behavioral health systems, potentially worsening outcomes for educational achievement, permanency, and successful transition to adulthood.

Potential points of contention

  • Implementation costs: Expanding behavioral health services requires funding for providers, care coordinators, and infrastructure; unclear whether the bill includes adequate appropriations or relies on existing agency budgets
  • Provider capacity: Massachusetts already faces shortages of child psychiatrists and trauma-informed therapists; mandating access doesn't automatically create availability, potentially stretching already limited resources
  • Scope and definition disputes: "Behavioral health services" and "timely access" may be interpreted differently by agencies; without clear metrics, enforcement and accountability could become problematic

Compiled from official sources — confirm details with the bill’s official record.

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