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HD 2438

An Act establishing alternative models for behavioral health transport

194th Legislature (2025-2026) Introduced by Adam Scanlon

Massachusetts bill creates alternative behavioral health crisis response teams to transport mental health emergencies outside traditional ambulance and police systems, reducing ED visits and incarceration.

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Bill Summary · HD 2438

Legislative bill overview

HD 2438 establishes alternative transport models for behavioral health emergencies in Massachusetts, allowing non-emergency medical transport and specialized behavioral health response teams to handle certain mental health crises instead of traditional ambulances or police. The bill creates a framework for communities to implement crisis response programs that can reduce unnecessary emergency department visits and incarceration of individuals experiencing mental health episodes.

Why is this important

Mental health crises currently consume significant emergency response resources and often result in costly ED admissions or criminal justice involvement when clinical de-escalation might resolve the situation. This bill addresses a growing national movement toward alternative crisis response (like CAHOOTS and STAR programs) that data suggests reduces costs and improves outcomes for individuals in behavioral distress.

Potential points of contention

  • Scope and safety concerns: Questions about which calls qualify for alternative response and whether current criteria adequately protect public safety, particularly for cases with potential violence or substance use
  • Implementation costs and funding: Establishing new transport systems and training programs requires significant upfront investment; unclear how municipalities will fund operations long-term
  • Coordination with existing systems: Potential friction between traditional EMS, police departments, and new behavioral health teams regarding response protocols, liability, and jurisdictional authority
  • Equity in service delivery: Risk that alternative response programs concentrate in affluent areas while underserved communities remain dependent on traditional emergency systems

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

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