Mass. Gen. Laws ch. 118E, sec. 6 — MA Code / Part I / Title XVII / Chapter 118E / Section 6
Medical care advisory committee; member; staff; report from office of Medicaid
Status: in_force

[ Text of section effective until August 5, 2025. For text effective August 5, 2025, see below.] Section 6. There shall be a medical care advisory committee which shall advise the executive office about health and medical care services. The committee shall have the opportunity to participate in policy development and program administration. The secretary of health and human services shall appoint members to the advisory committee on a rotating and continuous basis in such numbers and for such terms as the secretary of health and human services deems appropriate; provided that the committee shall include board-certified physicians and other representatives of the health professions who are familiar with the medical needs of low-income population groups and with the resources available and required for their care, members of consumers' groups, including medical assistance recipients, and the commissioner of the department of public welfare. The executive office shall provide the committee with such staff and technical assistance as is necessary to enable the committee to make effective recommendations, and such financial arrangements as are necessary to make possible the participation of recipient members. The office of Medicaid shall make a report to the committee on health care financing and to house and senate committees on ways and means no later than October 1 of each year on the previous state fiscal year's activities of the medical care advisory committee. The report shall include, but not be limited to, the names and titles of committee members, dates of committee meetings, agendas and minutes or notes from such meetings, and any correspondence, memorandum, recommendations or other product of the committee's work. Chapter 118E: Section 6. MassHealth program advisory committee; membership; staff; annual report from office of Medicaid [ Text of section as amended by 2025, 14, Sec. 41 effective August 5, 2025. For text effective until August 5, 2025, see above.] Section 6. (a) There shall be a MassHealth program advisory committee to advise the executive office on matters of concern related to policy development and matters related to effective program administration. The assistant secretary for MassHealth or their designee shall select members for the advisory committee on a rotating and continuous basis in such numbers and for such terms as the executive office deems appropriate. (b) The MassHealth program advisory committee shall include at a minimum: (i) 1 member of the MassHealth member advisory committee; (ii) 1 member of a state or local consumer group or other community-based organization that represents the interests of, or provides direct service to, MassHealth beneficiaries; (iii) 1 clinical provider or administrator who is familiar with the health and social needs of MassHealth beneficiaries and with the resources available and required for their care, including, but not limited to, providers or administrators of primary care, specialty care and long-term care; (iv) as applicable, 1 member of a Medicaid-participating managed care entity, including, but not limited to, managed care organizations, accountable care partnership plans, primary care accountable care organizations, one care plans, senior care options plans, the behavioral health vendor or the primary care clinician plan; and (v) 1 member of any other state agency that serves MassHealth beneficiaries, who shall serve as an ex officio, non-voting member. (c) The executive office shall provide the committee with such staff and technical assistance as necessary to enable the committee to make effective recommendations and such financial arrangements as necessary to make possible the participation of recipient members. (d) Annually, not later than October 1, the office of Medicaid shall report to the joint committee on health care financing and the house and senate committees on ways and means on the activities of the MassHealth program advisory committee in the previous fiscal year. The report shall include, but shall not be limited to, the names and titles of committee members, dates of committee meetings, agendas and minutes or notes from such meetings and any correspondence, memorandum, recommendations or other product of the committee's work. MassHealth member advisory committee members shall have the option to omit their names from the report.

[ Text of section effective until August 5, 2025. For text effective August 5, 2025, see below.]

Section 6. There shall be a medical care advisory committee which shall advise the executive office about health and medical care services. The committee shall have the opportunity to participate in policy development and program administration. The secretary of health and human services shall appoint members to the advisory committee on a rotating and continuous basis in such numbers and for such terms as the secretary of health and human services deems appropriate; provided that the committee shall include board-certified physicians and other representatives of the health professions who are familiar with the medical needs of low-income population groups and with the resources available and required for their care, members of consumers' groups, including medical assistance recipients, and the commissioner of the department of public welfare.

The executive office shall provide the committee with such staff and technical assistance as is necessary to enable the committee to make effective recommendations, and such financial arrangements as are necessary to make possible the participation of recipient members.

The office of Medicaid shall make a report to the committee on health care financing and to house and senate committees on ways and means no later than October 1 of each year on the previous state fiscal year's activities of the medical care advisory committee. The report shall include, but not be limited to, the names and titles of committee members, dates of committee meetings, agendas and minutes or notes from such meetings, and any correspondence, memorandum, recommendations or other product of the committee's work.

Chapter 118E: Section 6. MassHealth program advisory committee; membership; staff; annual report from office of Medicaid

[ Text of section as amended by 2025, 14, Sec. 41 effective August 5, 2025. For text effective until August 5, 2025, see above.]

Section 6. (a) There shall be a MassHealth program advisory committee to advise the executive office on matters of concern related to policy development and matters related to effective program administration. The assistant secretary for MassHealth or their designee shall select members for the advisory committee on a rotating and continuous basis in such numbers and for such terms as the executive office deems appropriate.

(b) The MassHealth program advisory committee shall include at a minimum: (i) 1 member of the MassHealth member advisory committee; (ii) 1 member of a state or local consumer group or other community-based organization that represents the interests of, or provides direct service to, MassHealth beneficiaries; (iii) 1 clinical provider or administrator who is familiar with the health and social needs of MassHealth beneficiaries and with the resources available and required for their care, including, but not limited to, providers or administrators of primary care, specialty care and long-term care; (iv) as applicable, 1 member of a Medicaid-participating managed care entity, including, but not limited to, managed care organizations, accountable care partnership plans, primary care accountable care organizations, one care plans, senior care options plans, the behavioral health vendor or the primary care clinician plan; and (v) 1 member of any other state agency that serves MassHealth beneficiaries, who shall serve as an ex officio, non-voting member.

(c) The executive office shall provide the committee with such staff and technical assistance as necessary to enable the committee to make effective recommendations and such financial arrangements as necessary to make possible the participation of recipient members.

(d) Annually, not later than October 1, the office of Medicaid shall report to the joint committee on health care financing and the house and senate committees on ways and means on the activities of the MassHealth program advisory committee in the previous fiscal year. The report shall include, but shall not be limited to, the names and titles of committee members, dates of committee meetings, agendas and minutes or notes from such meetings and any correspondence, memorandum, recommendations or other product of the committee's work. MassHealth member advisory committee members shall have the option to omit their names from the report.