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H 1254

An Act relative to the diagnosis and treatment of autism spectrum disorder

194th Legislature (2025-2026) Introduced by Patrick Kearney and 1 co-sponsor

Bill H 1254 expands autism diagnosis and treatment in Massachusetts by allowing nurse practitioners and psychiatric specialists to improve access to care for individuals with ASD.

Accompanied a new draft, see H4952
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Bill Summary · H 1254

Summary of Bill H 1254: An Act Relative to the Diagnosis and Treatment of Autism Spectrum Disorder

Purpose and Intent

Bill H 1254 aims to enhance the diagnosis and treatment of autism spectrum disorder (ASD) in the Commonwealth of Massachusetts. The primary intent is to expand the range of healthcare professionals authorized to provide services related to the diagnosis and treatment of ASD, thereby improving access to care for individuals affected by this condition.

Key Provisions

The bill proposes several amendments to existing laws, specifically targeting the inclusion of licensed nurse practitioners and licensed psychiatric nurse mental health clinical specialists in the definitions related to autism treatment. The key provisions include:

  1. Expanded Definitions:

    • The bill amends various sections of the General Laws to include licensed nurse practitioners and licensed psychiatric nurse mental health clinical specialists in the definitions of "disability verification," "pharmacy care," and "treatment of autism spectrum disorders."
    • This change allows these professionals to contribute to the diagnosis and treatment processes, which were previously limited to licensed physicians.

  2. Specific Amendments:

    • Chapter 15C, Section 29: Updates the definition of "disability verification."
    • Chapter 32A, Section 25: Modifies the definition of "pharmacy care" and "treatment of autism spectrum disorders."
    • Chapter 118E, Section 10H: Adjusts the definition of "treatment" to include additional healthcare professionals.
    • Similar amendments are made to Chapters 175, 176A, 176B, and 176G, ensuring consistency across various healthcare regulations.

  3. Implementation Timeline:

    • All health insurance policies, contracts, and certificates subject to the amended sections must conform to the new provisions starting January 1, 2027.
    • Form filings that implement these changes will require approval from the commissioner of insurance.

Affected Parties

The bill will impact:
- Individuals with Autism Spectrum Disorder: By broadening the pool of qualified professionals, individuals may experience improved access to timely and effective diagnosis and treatment.
- Healthcare Providers: Licensed nurse practitioners and licensed psychiatric nurse mental health clinical specialists will gain the authority to participate in the diagnosis and treatment of ASD, enhancing their roles in the healthcare system.
- Health Insurance Companies: Insurers will need to update their policies and contracts to comply with the new definitions and requirements.

Procedural Aspects

  • Introduced: February 27, 2025
  • Hearing Scheduled: October 8, 2025, from 10:30 AM to 2:30 PM in Gardner Auditorium.
  • Legislative Actions: The bill was referred to the committee on Financial Services and has received concurrence from the Senate.

Conclusion

Bill H 1254 represents a significant step toward improving the diagnosis and treatment of autism spectrum disorder in Massachusetts. By allowing a broader range of healthcare professionals to participate in these processes, the bill seeks to enhance access to care and support for individuals with ASD and their families.

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

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