Bill
H 4336
Requires insurance coverage parity for services delivered through approved Mobile Integrated Health programs.
Summary and note on source material
- The materials provided appear to contain text from two different legislative measures conflated under the same identifier: (1) a Massachusetts House bill (House No. 4336) concerning insurance coverage for Mobile Integrated Health (MIH) programs, and (2) a South Carolina statutory amendment to the assault-and-battery statute expanding “high and aggravated” victims. Below are concise, separate summaries of each measure, followed by procedural details and a recommended next step to confirm the intended jurisdiction and bill.
Massachusetts — House No. 4336 (dated 2025) — “An Act relative to insurance coverage of mobile integrated health”
Purpose
- Require parity in coverage and payment for health services delivered through Department of Public Health–approved Mobile Integrated Health (MIH) programs.
Key provisions
- Adds a new section to multiple Massachusetts statutes (Chapter 32A, 118E, 175, 176A, and others) to require that group insurance, Medicaid-managed care, commercial insurers, HMOs, behavioral health contractors, third-party administrators, employers’ health and welfare funds, and subscribers not decline coverage for medical, behavioral, or other health services solely because services are delivered via a DPH‑approved MIH program.
- Establishes coverage parity: services delivered by approved MIH providers must be covered to the same extent as if delivered in a licensed health care facility.
- Prohibits reducing payment rates for otherwise-covered services solely because the provider participates in an approved MIH program.
- Allows plans to impose deductibles, copayments, or coinsurance for MIH-delivered services only up to the same amounts applicable when the same services are provided in a health care facility.
- Adds a provision to Chapter 111O: MIH programs focused on behavioral health are exempt from application and registration fees.
- The same or closely parallel language is added across statutes governing state employee plans (GIC), Medicaid, commercial insurance, and hospital service plans to create broad statutory coverage parity.
Who is affected
- DPH‑approved MIH providers and programs; patients receiving MIH services (including behavioral health services); state employees and retirees, Medicaid enrollees, commercial and group plan subscribers, insurers and managed-care contractors.
Potential impact
- Encourages development and use of MIH programs by ensuring reimbursement parity and removing a cost barrier for behavioral-health-focused MIH programs.
- Could increase access to community‑based acute and behavioral health interventions, potentially reducing ED visits and inpatient use if MIH expands.
South Carolina — Draft amendment to S.C. Code §16-3-600 — “Assault and battery of a high and aggravated nature, certain victims”
Purpose
- Amend the definition of “assault and battery of a high and aggravated nature” to include injuries to certain classes of workers when the injury occurs during or because of performance of official duties.
Key provisions
- Adds subsection that elevates to felony (up to 20 years’ imprisonment) any unlawful injury that:
- Causes great bodily injury, or
- Is accomplished by means likely to produce death or great bodily injury, or
- Occurs when the injured person is a federal/state/local law enforcement or corrections officer, a healthcare professional/worker or emergency response employee (per S.C. Code §44‑29‑230 definitions), or an educational professional (e.g., administrator, principal, counselor, teacher) while on school grounds — and the injury is during or because of official duties.
- Declares the offense a lesser-included offense of attempted murder.
- Effective on gubernatorial approval; contains standard savings clause preserving pending actions.
Who is affected
- Law enforcement and corrections officers, healthcare workers and emergency responders, educational professionals — their attackers would face felony charges; criminal defendants face enhanced penalties.
Procedural status (per materials provided)
- Massachusetts text: Filed 4/09/2025; reported from the Committee on Financial Services and reported favorably 7/31/2025; new draft of H1154 noted; referred to Committee on Health Care Financing.
- An entry shows “Referred to Committee on Judiciary” (4/09/2025) — this may reflect routing differences or the conflation of two separate measures.
- South Carolina text appears as a standalone bill draft with filing language and effective-date language; no consolidated procedural history is provided in the packet.
Recommendation
- Verify the intended bill number and jurisdiction (Massachusetts H.4336 vs. a South Carolina amendment). If you want a deeper analysis of either measure (fiscal impact, stakeholder reactions, or legislative likelihood), specify which jurisdiction/bill to focus on.
Compiled from official sources — confirm details with the bill’s official record.
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