The bill titled "An Act Relative to Treatments and Coverage for Substance Use Disorder and Recovery Coach Licensure" mandates the closure of the Massachusetts Alcohol and Substance Abuse Center (MASAC) as a secure facility for individuals committed under Section 35 of Chapter 123 of the General Laws by December 31, 2026. The Secretary of Health and Human Services is responsible for developing a plan to end operations at MASAC, ensuring that there are sufficient licensed or approved facilities to accommodate individuals in need of treatment. The Secretary must submit this plan, along with quarterly progress reports, to the clerks of the Senate and House of Representatives and the Joint Committee on Mental Health, Substance Use, and Recovery within 180 days of the act's effective date.

The bill also addresses the ongoing commitment of individuals to MASAC until suitable alternatives are identified and emphasizes the importance of geographic distribution in licensing new facilities. It introduces new provisions related to the management of withdrawal and clinical stabilization services, which are crucial for treating substance use disorders. Additionally, the bill highlights the staffing and operational needs of MASAC and Stonybrook facilities, particularly regarding dual commitments and Activities of Daily Living (ADLs). It notes the lack of 24-hour Certified Nursing Assistant (CNA) staffing requirements and MassHealth reimbursement for these costs, while also emphasizing the need for facilities that can accommodate dual commitments to prevent individuals from facing pre-trial detention without proper civil commitment orders. The anticipated fiscal impact includes a budget allocation of $24.5 million for MASAC, supplemented by the Department of Correction's operational budget.