The bill seeks to improve the state's behavioral health crisis services by establishing a comprehensive system that aligns with emergency physical health care standards, particularly for vulnerable populations such as children, youth, and families. It introduces a new chapter titled "CORE STATE BEHAVIORAL HEALTH CRISIS SERVICES SYSTEMS" into Title 40.1 of the General Laws, which includes definitions for the 988 crisis hotline and related services. The legislation mandates the creation of protocols for crisis counselors, 911 responders, and law enforcement, while updating the name of the 988 Suicide Hotline to meet federal standards. It also emphasizes the need for sustainable funding and culturally competent care, authorizing the Department of Behavioral Healthcare to designate 24/7 crisis hotline centers and establish mobile crisis teams and stabilization centers.

Additionally, the bill amends the E-911 Emergency Telephone Number Act to implement a combined monthly surcharge for both E-911 and the 988 suicide lifeline, set at fifty cents per telephone line and wireless device, to fund these services. Starting January 1, 2026, all health insurance plans will be required to cover behavioral health crisis services, including mobile crisis teams, without prior authorization, ensuring that individuals can access necessary care without financial barriers. The bill also mandates that insurers comply with federal mental health parity laws and outlines the responsibilities of telecommunication service providers in reporting and transferring collected surcharges. Overall, the legislation aims to create a robust framework for crisis intervention and support, ensuring equitable access to services for historically underserved populations.