The Mental Health ABC Act A Positive Step to Improving Access

A man with a beard and a suit is smiling for the camera.

Unequal access to community-based services for people experiencing a mental health crisis, long waits in emergency departments before an inpatient psychiatric bed is located, better enforcement of mental health parity laws and equitable payment to providers of mental health care have been ongoing issues in the commonwealth.


An Act Addressing Barriers to Care for Mental Health passed by the Massachusetts Legislature and headed to Governor Charlie Baker’s desk is a big step toward breaking down such barriers and creating an integrated pathway that starts at the top to good mental health care and emotional wellness for all.


The 113-page “Mental Health ABC Act” calls for much interagency cooperation among the state’s department of public health, mental health, veterans services and insurance commission among others to ensure its provisions are carried out and monitored.


It calls for insurances to cover a mental health wellness examination, defines varies levels of care being made available or available in the commonwealth for mental health and addresses the issue of prior authorization for acute mental health care.


It directs those under contract to a Medicaid-managed care organization or primary care clinician plan as well as others similarly insured to cover the cost of medically-necessary mental health acute treatment, community-based acute treatment and intensive community-based acute treatment. It says the individual involved “shall not require a preauthorization before obtaining treatment; provided, however, that the facility shall notify the carrier of the admission and the initial treatment plan within 72 hours of admission.”


The act is a very detailed and comprehensive in its approach to providing access to mental and behavioral health services across all populations, from students to first responders to veterans, and oversight at every level to evaluate how effective and well this approach is being implemented and if culturally competent care is being delivered.


Its reach is broad from addressing the needs of prisoners to eliminating stigma around seeking behavioral health treatment to specifics of what insurances need to cover.


It requires the state to create regulations that will require all acute-care hospitals licensed to provide, or arrange for, licensed mental health professionals during all operating hours of an emergency department or a satellite emergency facility “to evaluate and stabilize a person admitted with a mental health presentation” and to refer such person for appropriate treatment or inpatient admission


It also addresses equitable payment for behavioral health services to providers as well as requires detailed reporting of services provided.


It aims to reduce waiting times in ERs and other settings for those in need of inpatient psychiatric services as well those needing a more stepped-down level of care. It calls for the establishment of online portals through which health care providers can access what behavioral health services as well as beds are available in the state for those waiting for such placement from emergency departments and other settings.


It also calls for the establishment of an interagency review team to collaborate on “complex cases where there is a need for urgent action to address the lack of consensus or resolution” in placement of an under-22 individual who is disabled or has special needs.


It establishes an office of behavioral health promotion within the executive office of health and human services whose duties will include assessing the behavioral health needs of veterans, examining “the extent to which municipal and state police, firefighters and public safety personnel seek, receive or are required to participate in behavioral health screening and treatment” and establishing a statewide evidence-based or evidence-informed education and awareness initiative.


The initiative’s duties include identifying best practices for preventing suicide and undertaking other steps such as creating a student stakeholder advisory committee to work in collaboration with the department of elementary and secondary education to develop and implement school-based programs that promote student mental health and wellbeing.


Other issues address changes to the board of registration for social workers, the development of standards to ensure that expulsion and suspension of a child in early education or care are “limited to extraordinary circumstances” and allows the state’s insurance commissioner to impose a penalty to any eligible carrier in violation of state and federal parity laws around substance use and mental health conditions.


It also requires that the state provide benefits on a non-discriminatory basis for children and adolescents under the age of 19, insured through Medicaid, for the diagnosis and treatment of mental, behavioral, emotional or substance use disorders that “substantially interfere with or substantially limit the functioning and social interactions of such a child or adolescent.”


It also provides for mental health screenings for children in foster care.


Some of its provisions have been already underway in Massachusetts, but elements of the legislation provided further clarification of how they will be enacted, possibly funded and who will provide oversight.


This includes the designation of at least one, 988 crisis hot-line center to operate 24/7 to provide crisis intervention services and crisis care coordination to individuals accessing the federally-designated 988 suicide prevention and behavioral health crisis hotline.


It calls for community behavioral health centers that can be part of this care coordination and response as well as community crisis stabilization programs that may provide an alternative to hospitalization by providing very individualized and focused treatment in a more home-like setting.


The act also requires that the school committee and commonwealth charter school board trustees ensure that every school under their jurisdictions have a written emergency response plan to address both medical and behavioral health crises to reduce the “incidence of life-threatening medical emergencies and behavioral health crises and to promote efficient and appropriate responses to such emergencies.”


We applaud the state and the many lawmakers who contributed to the bill’s language for making the mental health care needs of residents throughout the Commonwealth a priority.

share this story

STAY UP TO DATE

Receive email updates from MHA and upcoming events.

Subscribe
Logo for Gravity Hill, an MHA program, with stylized graphics and text.
By Aubrey Vargas October 7, 2025
MHA rebrands Sober Home programs to Gravity Hill
Headshots of six women from MHA organization, with names and titles.
By Aubrey Vargas September 26, 2025
Chicopee, MA — The Mental Health Association, Inc. (MHA) is pleased to announce the promotion of six key leaders within the organization, aimed at further enhancing its commitment to providing high-quality health services. Sarah Smith has been promoted to Chief Financial Officer, Christine Palmieri to Chief Operating Officer, Amy Conklin to Vice President of Recovery Services, Olivia Bernstein to Vice President of Supportive Housing Services, Sara Kyser to Vice President of Quality and Professional Development, and Ebonie Bethea to Vice President of New Way Services. Each of these dynamic leaders brings a wealth of experience and a proven track record of success in their respective areas. Sarah Smith, formerly Vice President of Fiscal, will now oversee MHA’s financial operations, ensuring fiscal responsibility and strategic growth. Christine Palmieri, who previously served as Senior Vice President of the Division of Recovery and Housing, will lead the organization in streamlining operations while enhancing the quality of care provided to clients. Amy Conklin, transitioning from her role as Senior Director of Residential Recovery Services, will focus on advancing MHA’s recovery programs, fostering a supportive environment for individuals on their journey to wellness. Olivia Bernstein, who previously held the position of Senior Director of Supportive Housing, will continue to expand housing services that play a critical role in the recovery process. Sara Kyser, who previously served as Vice President of New Way Services and Professional Development will now oversee MHA’s Quality Department, bringing with her decades of experience in program leadership, licensing, compliance, and policy development across multiple contracts. Ebonie Bethea previously served as Senior Director for Residential Services of MHA’s New Way Division and will now lead the strategic vision for all acquired brain injury programming as Vice President of New Way Services. “We are thrilled to promote such talented individuals who are deeply committed to our mission,” said Cheryl Fasano, President & CEO of MHA. “These roles will help us scale our operations and streamline processes. MHA remains dedicated to improving the lives of those affected by mental health challenges and is excited to embark on this new chapter of growth and innovation." For more information about MHA and its services, please visit www.mhainc.org or contact Jennifer Ducharme, Vice President of Development & Community Relations at jducharme@mhainc.org or (413)233-5343. MHA (Mental Health Association) helps people live their best life. MHA provides access to therapies for emotional health and wellness; services for substance use recovery, developmental disabilities and acquired brain injury; services for housing and residential programming, and more. With respect, integrity, and compassion, MHA provides each individual served through person-driven programming to foster independence, community engagement, wellness, and recovery. To learn more, visit www.mhainc.org.
A group of people are posing for a picture in a room.
By Aubrey Vargas July 14, 2025
Raymond Fields was awarded the You Matter Award!
J.P. posing for a photgraph
By John Collins April 23, 2025
For many individuals, experiencing a sudden, life-altering injury can evoke feelings of hopelessness and despair. However, such a transformative event may inspire profound introspection and a renewed sense of purpose for some. J.P., a member of MHA's The Resource Center (TRC) has an inspiring story of resilience and transformation that embodies positivity and hope.
More Posts