An Act supporting family caregivers
Generates a plain-language summary of the bill text and history.
| Committee | Recommendation | Vote |
|---|---|---|
| J26 | Redraft | 1 entries |
| J24 | Accompanied | — |
Chapter 6A of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting after section 16FF the following section:-
G. (a) There shall be an advisory council on family caregiving. The advisory council shall consist of: the secretary of health and human services, or a designee; the secretary of aging and independence, or a designee; the commissioner of public health, or a designee; the secretary of veterans’ services, or a designee; the secretary of labor and workforce development, or a designee; the house and senate chairs of the joint committee on elder affairs, or their designees; and 10 persons to be appointed, in a manner that ensures, as much as possible, geographic and demographic diversity, by the governor, including 2 family caregiver advocates, 2 family caregivers, 2 health care providers, 2 representatives of state-based academic institutions, 1 of whom is a gerontologist, and 2 representatives from state-based advocacy organizations that provide services to family caregivers, including information, referral and support services. (b) The advisory council shall meet at least quarterly and shall advise the executive office of health and human services and the general court on the development of family caregiving policy for the commonwealth. The advisory council shall work with the secretary of health and human services to identify resources available, and services needed for these individuals and associated costs. (c) Annually, not later than March 1, the advisory council shall provide a report to the executive office of health and human services, the clerks of the senate and the house of representatives, the joint committee on children, families, and persons with disabilities, the joint committee on elder affairs, and the joint committee on public health which shall include: (i) information and recommendations on family caregiving policy and (ii) an evaluation of all state-funded efforts in caregiving research, clinical care, institutional and home-based and community-based services and supports.
Chapter 19A of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting after section 4D the following section:-
(a) As used in this subsection, the following words shall have the following meanings unless the context clearly requires otherwise: "Activities of daily living", everyday functions and activities, which individuals usually do without help including, but not limited to, bathing, continence, dressing, eating, toileting and transferring. "Eligible family member", an individual who (i) is at least 18 years of age during a taxable year, (ii) requires assistance with at least 1 activity of daily living, and (iii) qualifies as a dependent, spouse, parent or other relation by blood or marriage, including an in-law, grandparent, grandchild, step-parent, aunt, uncle, niece or nephew of the family caregiver. "Family caregiver", an individual who is a resident for the year and had eligible caregiving actions, excluding those described in paragraph (d) of this subsection, with respect to 1 or more eligible family members during the year. “Respite services”, a program that provides short term relief to family caregivers from the demands of caring for individuals with chronic or other health conditions, disabilities or functional limitations. (b) A family caregiver is eligible to receive a voucher for respite services up to 100 percent of the eligible expenditures incurred by the family caregiver, with a maximum allowable voucher of $1,500, provided that the family caregiver has an annual income of no more than $135,000 for an individual or no more than $250,000 of combined household income. One year following the enactment of this section, and annually thereafter, the executive office of aging and independence shall increase such income eligibility criteria over that of the previous fiscal year to reflect the annual cost of living adjustment in Social Security income, if any. (c) Expenditures eligible to be claimed for the voucher include the costs associated with respite services. (d) No family caregiver shall be entitled to claim a respite voucher under this subsection for the same eligible expenditures claimed by another family caregiver. (e) The secretary of the executive office of aging and independence shall promulgate rules and regulations relative to the administration and enforcement of this subsection. (f) The secretary shall annually, not later than September 1, file a report with the house and senate committees on ways and means and the chairs of the joint committee on elder affairs identifying, by municipality, the total amount of caregiver respite vouchers claimed for the preceding fiscal year.
Section 1 of chapter 151A of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting after subsection (dd) the following 3 subsections:- (ee) "Activities of daily living", everyday functions and activities, which individuals usually do without help including, but not limited to, bathing, continence, dressing, eating, toileting and transferring. (ff) “Eligible family member”, an individual who (i) is at least 18 years of age during a taxable year, (ii) requires assistance with at least 1 activity of daily living, and (iii) qualifies as a dependent, spouse, parent or other relation by blood or marriage, including an in-law, grandparent, grandchild, step-parent, aunt, uncle, niece or nephew of the family caregiver. (gg) “Family Caregiver”, an individual resident of Massachusetts who is at least 18 years of age and who provides assistance in the activities of daily living, with respect to 1 or more eligible family members during the year.
Subsection (c) of Section 24 of said chapter 151A of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting after the second sentence the following sentence:- An individual who can provide certified medical documentation showing that they act as a family caregiver, as defined in section 1 of this chapter, to an eligible family member requiring assistance with activities of daily living shall be deemed to be available for work under clause (b) of the first paragraph of this section.
Section 1 of chapter 151B of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting after the definition of “genetic test” the following 3 definitions:- 24. The term "activities of daily living", shall mean everyday functions and activities, which individuals usually do without help including, but not limited to, bathing, continence, dressing, eating, toileting and transferring. 25. The term “eligible family member”, shall mean an individual who (i) is at least 18 years of age during a taxable year, (ii) requires assistance with at least 1 activity of daily living, and (iii) qualifies as a dependent, spouse, parent or other relation by blood or marriage, including an in-law, grandparent, grandchild, step-parent, aunt, uncle, niece or nephew of the family caregiver. 26. The term “family caregiver”, shall mean an individual resident of Massachusetts who is at least 18 years of age and who provides assistance in the activities of daily living, with respect to 1 or more eligible family members during the year.
Section 4 of said chapter 151B of the General Laws, as so appearing, is hereby amended by inserting after the word “veteran,” in line 8, line 190 and line 213, in each instance, the following words:- or status as a family caregiver
Said section 4 of said chapter 151B of the General Laws, as so appearing, is hereby further amended by inserting after the word “blind,” in line 296 and line 302, in each instance, the following words:- or because such person is as a family caregiver
Said section 4 of said chapter 151B of the General Laws, as so appearing, is hereby further amended by inserting after the word “handicap,” in line 315, the following words:- or because such person is as a family caregiver
Said section 4 of said chapter 151B of the General Laws, as so appearing, is hereby further amended by inserting the word “ancestry,” in line 361, line 369 and line 379, in each instance, the following:- or status as a family caregiver
Chapter 32A of the General Laws is hereby amended by inserting after section 17S the following section:-
(1) The commission shall provide, to an active or retired employee of the commonwealth who is insured under the group insurance commission, an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium.
Chapter 118E of the General Laws is hereby amended by inserting after section 10Q the following section:-
(1) The division and its contracted health insurers, health plans, health maintenance organizations, behavioral health management firms and third party administrators under contract to a Medicaid managed care organization or primary care clinician plan shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium.
Chapter 176A of the General Laws is hereby amended by inserting after section 8VV the following section:-
W. (1) A contract between a subscriber and the corporation under an individual or group hospital service plan that is delivered, issued or renewed within or without the commonwealth shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium.
Chapter 176B of the General Laws is hereby amended by inserting after section 4VV the following section:-
W. (1) A subscription certificate under an individual or group medical service agreement delivered, issued or renewed within the commonwealth shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium.
Chapter 176G of the General Laws is hereby amended by inserting after section 4NN the following section:-
O. (1) Any health maintenance organization subject to this chapter that is issued or renewed within the commonwealth shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium.
Chapter 176I of the General Laws is hereby amended by inserting after section 3A the following section:-
(1) A preferred provider contract between a covered person and an organization that participates in the market shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium.
Chapter 176J of the General Laws is hereby amended by inserting after section 14 the following section:-
(1) Any carrier subject to this chapter that participates in the market shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium.
Chapter 176K of the General Laws is hereby amended by inserting after section 4 the following section:-
(1) Any carrier subject to this chapter that participates in the market shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium.
Section 2 of chapter 176M of the General Laws is hereby amended by inserting after paragraph (1) of subsection (c) the following paragraph:- (1 1/2) Any nongroup health plan subject to this chapter that participates in the market shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this paragraph. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium.
Chapter 176Q of the General Laws is hereby amended by inserting after section 5 the following section:-
(1) Any plan that participates in the market shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III-controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium.
Notwithstanding any general or special law to the contrary, the secretary of health and human services, in conjunction with the secretary of aging and independence, shall take action, including requesting federal approval, if required, to permit spouses to serve as paid caregivers in the MassHealth program. Any federal approvals that may be required to implement this section shall be filed no later than 6 months after the effective date of this act.
SECTION 1. Chapter 6A of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting after section 16FF the following section:- Section 16GG. (a) There shall be an advisory council on family caregiving. The advisory council shall consist of: the secretary of health and human services, or a designee; the secretary of aging and independence, or a designee; the commissioner of public health, or a designee; the secretary of veterans’ services, or a designee; the secretary of labor and workforce development, or a designee; the house and senate chairs of the joint committee on elder affairs, or their designees; and 10 persons to be appointed, in a manner that ensures, as much as possible, geographic and demographic diversity, by the governor, including 2 family caregiver advocates, 2 family caregivers, 2 health care providers, 2 representatives of state-based academic institutions, 1 of whom is a gerontologist, and 2 representatives from state-based advocacy organizations that provide services to family caregivers, including information, referral and support services. (b) The advisory council shall meet at least quarterly and shall advise the executive office of health and human services and the general court on the development of family caregiving policy for the commonwealth. The advisory council shall work with the secretary of health and human services to identify resources available, and services needed for these individuals and associated costs. (c) Annually, not later than March 1, the advisory council shall provide a report to the executive office of health and human services, the clerks of the senate and the house of representatives, the joint committee on children, families, and persons with disabilities, the joint committee on elder affairs, and the joint committee on public health which shall include: (i) information and recommendations on family caregiving policy and (ii) an evaluation of all state-funded efforts in caregiving research, clinical care, institutional and home-based and community-based services and supports. SECTION 2. Chapter 19A of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting after section 4D the following section:- Section 4E. (a) As used in this subsection, the following words shall have the following meanings unless the context clearly requires otherwise: "Activities of daily living", everyday functions and activities, which individuals usually do without help including, but not limited to, bathing, continence, dressing, eating, toileting and transferring. "Eligible family member", an individual who (i) is at least 18 years of age during a taxable year, (ii) requires assistance with at least 1 activity of daily living, and (iii) qualifies as a dependent, spouse, parent or other relation by blood or marriage, including an in-law, grandparent, grandchild, step-parent, aunt, uncle, niece or nephew of the family caregiver. "Family caregiver", an individual who is a resident for the year and had eligible caregiving actions, excluding those described in paragraph (d) of this subsection, with respect to 1 or more eligible family members during the year. “Respite services”, a program that provides short term relief to family caregivers from the demands of caring for individuals with chronic or other health conditions, disabilities or functional limitations. (b) A family caregiver is eligible to receive a voucher for respite services up to 100 percent of the eligible expenditures incurred by the family caregiver, with a maximum allowable voucher of $1,500, provided that the family caregiver has an annual income of no more than $135,000 for an individual or no more than $250,000 of combined household income. One year following the enactment of this section, and annually thereafter, the executive office of aging and independence shall increase such income eligibility criteria over that of the previous fiscal year to reflect the annual cost of living adjustment in Social Security income, if any. (c) Expenditures eligible to be claimed for the voucher include the costs associated with respite services. (d) No family caregiver shall be entitled to claim a respite voucher under this subsection for the same eligible expenditures claimed by another family caregiver. (e) The secretary of the executive office of aging and independence shall promulgate rules and regulations relative to the administration and enforcement of this subsection. (f) The secretary shall annually, not later than September 1, file a report with the house and senate committees on ways and means and the chairs of the joint committee on elder affairs identifying, by municipality, the total amount of caregiver respite vouchers claimed for the preceding fiscal year. SECTION 3. Section 1 of chapter 151A of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting after subsection (dd) the following 3 subsections:- (ee) "Activities of daily living", everyday functions and activities, which individuals usually do without help including, but not limited to, bathing, continence, dressing, eating, toileting and transferring. (ff) “Eligible family member”, an individual who (i) is at least 18 years of age during a taxable year, (ii) requires assistance with at least 1 activity of daily living, and (iii) qualifies as a dependent, spouse, parent or other relation by blood or marriage, including an in-law, grandparent, grandchild, step-parent, aunt, uncle, niece or nephew of the family caregiver. (gg) “Family Caregiver”, an individual resident of Massachusetts who is at least 18 years of age and who provides assistance in the activities of daily living, with respect to 1 or more eligible family members during the year. SECTION 4. Subsection (c) of Section 24 of said chapter 151A of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting after the second sentence the following sentence:- An individual who can provide certified medical documentation showing that they act as a family caregiver, as defined in section 1 of this chapter, to an eligible family member requiring assistance with activities of daily living shall be deemed to be available for work under clause (b) of the first paragraph of this section. SECTION 5. Section 1 of chapter 151B of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting after the definition of “genetic test” the following 3 definitions:- 24. The term "activities of daily living", shall mean everyday functions and activities, which individuals usually do without help including, but not limited to, bathing, continence, dressing, eating, toileting and transferring. 25. The term “eligible family member”, shall mean an individual who (i) is at least 18 years of age during a taxable year, (ii) requires assistance with at least 1 activity of daily living, and (iii) qualifies as a dependent, spouse, parent or other relation by blood or marriage, including an in-law, grandparent, grandchild, step-parent, aunt, uncle, niece or nephew of the family caregiver. 26. The term “family caregiver”, shall mean an individual resident of Massachusetts who is at least 18 years of age and who provides assistance in the activities of daily living, with respect to 1 or more eligible family members during the year. SECTION 6. Section 4 of said chapter 151B of the General Laws, as so appearing, is hereby amended by inserting after the word “veteran,” in line 8, line 190 and line 213, in each instance, the following words:- or status as a family caregiver SECTION 7. Said section 4 of said chapter 151B of the General Laws, as so appearing, is hereby further amended by inserting after the word “blind,” in line 296 and line 302, in each instance, the following words:- or because such person is as a family caregiver SECTION 8. Said section 4 of said chapter 151B of the General Laws, as so appearing, is hereby further amended by inserting after the word “handicap,” in line 315, the following words:- or because such person is as a family caregiver SECTION 9. Said section 4 of said chapter 151B of the General Laws, as so appearing, is hereby further amended by inserting the word “ancestry,” in line 361, line 369 and line 379, in each instance, the following:- or status as a family caregiver SECTION 10. Chapter 32A of the General Laws is hereby amended by inserting after section 17S the following section:- Section 17T. (1) The commission shall provide, to an active or retired employee of the commonwealth who is insured under the group insurance commission, an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium. SECTION 11. Chapter 118E of the General Laws is hereby amended by inserting after section 10Q the following section:- Section 10R. (1) The division and its contracted health insurers, health plans, health maintenance organizations, behavioral health management firms and third party administrators under contract to a Medicaid managed care organization or primary care clinician plan shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium. SECTION 12. Chapter 176A of the General Laws is hereby amended by inserting after section 8VV the following section:- Section 8WW. (1) A contract between a subscriber and the corporation under an individual or group hospital service plan that is delivered, issued or renewed within or without the commonwealth shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium. SECTION 13. Chapter 176B of the General Laws is hereby amended by inserting after section 4VV the following section:- Section 4WW. (1) A subscription certificate under an individual or group medical service agreement delivered, issued or renewed within the commonwealth shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium. SECTION 14. Chapter 176G of the General Laws is hereby amended by inserting after section 4NN the following section:- Section 4OO. (1) Any health maintenance organization subject to this chapter that is issued or renewed within the commonwealth shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium. SECTION 15. Chapter 176I of the General Laws is hereby amended by inserting after section 3A the following section:- Section 3B. (1) A preferred provider contract between a covered person and an organization that participates in the market shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium. SECTION 16. Chapter 176J of the General Laws is hereby amended by inserting after section 14 the following section:- Section 14A. (1) Any carrier subject to this chapter that participates in the market shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium. SECTION 17. Chapter 176K of the General Laws is hereby amended by inserting after section 4 the following section:- Section 4A. (1) Any carrier subject to this chapter that participates in the market shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium. SECTION 18. Section 2 of chapter 176M of the General Laws is hereby amended by inserting after paragraph (1) of subsection (c) the following paragraph:- (1 1/2) Any nongroup health plan subject to this chapter that participates in the market shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this paragraph. Such list shall include, but not be limited to, all schedule II and schedule III controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium. SECTION 19. Chapter 176Q of the General Laws is hereby amended by inserting after section 5 the following section:- Section 5A. (1) Any plan that participates in the market shall provide an additional 30-day supply of any current prescription of the insured, at the same level of coverage as a normal refill of such prescription drug upon the declaration of a state of emergency pursuant to Chapter 639 of the Acts of 1950. (2) The commissioner of insurance shall promulgate a list of prescription drugs which shall not be subject to the provisions of this section. Such list shall include, but not be limited to, all schedule II and schedule III-controlled substances with the exception of those prescribed through a hospice agency physician for purposes of treating end-of-life symptoms including pain, nausea, anxiety or delirium. SECTION 20. Notwithstanding any general or special law to the contrary, the secretary of health and human services, in conjunction with the secretary of aging and independence, shall take action, including requesting federal approval, if required, to permit spouses to serve as paid caregivers in the MassHealth program. Any federal approvals that may be required to implement this section shall be filed no later than 6 months after the effective date of this act.