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H 4900

An Act related to comprehensive clinical and extended support services

194th Legislature (2025-2026) Introduced by Kate Donaghue and 3 co-sponsors

The bill would establish and fund integrated comprehensive clinical services with extended, long-term support and coordinated care across providers.

Reporting date extended to Thursday, December 31, 2026
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Bill Summary · H 4900

Summary of H 4900, 194th Massachusetts Legislature: An Act related to comprehensive clinical and extended support services

Purpose and intent

  • The bill aims to establish and expand comprehensive clinical and extended support services within the Massachusetts health care system. While the specific text is not provided here, the title indicates a focus on integrated clinical care combined with long-term or ongoing support services to improve patient outcomes, care coordination, and access to essential health services.

Key provisions (as implied by title and typical structure of related legislation)

  • Development and funding of comprehensive clinical services: likely authorizes state programs or agencies to implement and finance an expanded set of clinical services beyond primary care, potentially including behavioral health, specialty care coordination, and preventive services.
  • Extended/long-term support services: provisions to provide sustained support for patients with complex or chronic needs, possibly including case management, social determinants of health interventions, wraparound services, and community-based supports.
  • Care coordination and integration: emphasis on coordinating care across providers, settings, and payers to reduce fragmentation, with potential requirements for care plans, patient navigation, and information-sharing protocols (within privacy laws).
  • Funding mechanisms: outline of state funding, grants, or allocations to support the expanded services, and possible incentives for providers to participate in integrated care models.
  • Oversight and accountability: creation or designation of oversight bodies, reporting requirements, and performance metrics to monitor access, quality, and outcomes.
  • Eligibility and enrollment: criteria for individuals who would access these services, and coordination with existing health programs (e.g., Medicaid, state public health programs).

Who would be affected

  • Patients and consumers: individuals requiring comprehensive clinical care and extended support services, potentially including those with complex health needs, chronic conditions, or social determinants that impact health.
  • Health care providers and organizations: hospitals, clinics, primary care practices, behavioral health providers, community health organizations, and care coordinators involved in delivering integrated services.
  • Payers and state agencies: state departments overseeing health care financing and public health, along with Medicaid program administrators and other funding sources.
  • Stakeholders in care management: social service agencies and community-based organizations partnering to deliver wraparound supports.

Procedural and timeline aspects

  • Report status: The bill has been reported favorably by the committee and referred to the Committee on Health Care Financing (as of January 8, 2026).
  • Revisions: A new draft (H1319) was introduced and reported from the Committee on Financial Services on January 8, 2026, indicating ongoing refinements.
  • Reporting date extension: The reporting date for the bill has been extended to Thursday, December 31, 2026, suggesting additional time for analysis, amendments, or stakeholder input.

Practical impact and considerations

  • If enacted, the bill could broaden access to integrated care by providing funding and structure for comprehensive clinical and extended support services.
  • It may require collaboration across health care providers, insurers, and social service agencies to implement coordinated care models.
  • Providers may need to align with new reporting and accountability requirements to demonstrate improved access, quality, and outcomes.
  • The success of the measure would likely depend on clear definitions of “comprehensive clinical services” and “extended support services,” funding levels, and the specifics of care coordination mechanisms.

Note: This summary is based on the bill’s title, sponsor information, and the provided action history. For a precise understanding of each provision, text of the bill H 4900 and any amendments should be consulted.

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

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