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 by December 31, 2026. Until that date, MASAC will remain a secure facility for commitments under Section 35 of Chapter 123 of the General Laws, unless the Secretary of Health and Human Services determines that there is an adequate supply of treatment beds. The Secretary is responsible for developing a plan to transition operations away from MASAC, which includes identifying and approving alternative facilities with sufficient capacity. This plan must be submitted to legislative clerks and the Joint Committee on Mental Health, Substance Use, and Recovery within 180 days of the bill's effective date, along with quarterly progress reports.

The bill also introduces new provisions to enhance the management of treatment facilities, ensuring adequate bed availability for individuals committed under Section 35, while considering their medical, psychiatric, or behavioral needs. It highlights the necessity for facilities to provide comprehensive services, including withdrawal management and clinical stabilization. Additionally, the bill addresses staffing and operational needs at MASAC and Stonybrook, particularly for individuals with dual commitments and those needing assistance with daily living activities. It notes the lack of 24-hour Certified Nursing Assistant staffing requirements and MassHealth reimbursement for these costs. The bill underscores the importance of developing alternative facilities to prevent individuals from facing pre-trial detention without proper civil commitment orders, with a projected budget allocation of $24.5 million for MASAC operations.