Rep. Marjorie Decker

Maddy summaryHD 2651 modifies Massachusetts abortion law by removing specific medical justification requirements. It replaces the previous list of permitted circumstances (e.g., preserving life, health, or fetal anomalies) with a standard allowing abortions "based upon the professional judgment of the physician." The bill also eliminates a requirement for physicians to independently review cases involving pregnancies over 24 weeks and deletes language about "determinations" related to those cases. This change directly affects patients seeking abortions and physicians performing them by broadening the legal basis for the procedure.

Maddy summaryHD 4196 establishes a two-year pilot program (starting January 2026) allowing research into psilocybin-assisted therapy for adults aged 21+ with specific conditions like PTSD, end-of-life distress, or depression in designated areas. The program, managed by the Department of Public Health, will partner with universities and community-based providers (such as mental health clinics and hospices) to conduct studies under FDA-approved pathways. Key provisions include developing professional standards, training facilitators, collecting data on efficacy and cost, and reporting annually to legislative committees on statewide impacts and potential MassHealth coverage feasibility. The pilot focuses solely on research in controlled settings, not legalization, with funding covering administration, training, data collection, and community education.

Maddy summaryHD 830 increases the monthly personal needs allowance for long-term care residents in Massachusetts from $72.80 to $113.42. It directly affects individuals living in licensed nursing facilities, chronic hospitals, rest homes, or other approved medical institutions who are not maintaining their own homes. The bill ensures these residents retain the first $113.42 of their monthly income for personal expenses or receive the difference if their income is lower, with the amount automatically adjusted annually at the same rate as other state supplementary payments. This change applies to all relevant care settings covered under chapters 117A, 118A, and 118E of the General Laws.

Maddy summaryThis bill changes Massachusetts' eligibility rules for three Medicare savings programs (Qualified Medicare Beneficiary, Specified Low-Income Medicare Beneficiary, and Qualified Individual programs). It directs the state division to disregard income up to 165% of the federal poverty level when determining eligibility for these programs, making it easier for low-income seniors to qualify. If applications for the Qualified Individual Program exceed available funding, the state must implement a waiting list. The state must submit a formal plan amendment within 30 days of the bill's effective date to put these changes into effect.

Maddy summaryHD 2485 prohibits discrimination against people with disabilities in Massachusetts healthcare. It bans healthcare providers and entities from denying lifesaving treatment or prioritizing care based on assumptions about a person's quality of life or "worth" due to disability, or using metrics that value lives with disabilities less than others. The law specifically prohibits conditioning treatment on having a "Do Not Resuscitate" order or advance directive, while allowing consideration of short-term survival likelihood in crisis care. This applies to all public and private healthcare entities in Massachusetts, ensuring equal access to treatment regardless of disability.

Maddy summaryThis bill would create a single government-run health care system called the Massachusetts Health Care Trust, providing universal coverage to all Massachusetts residents. It eliminates patient cost-sharing (like deductibles and co-pays) and requires the Trust to cover all medically appropriate services, including dental, behavioral health, and long-term care. The Trust would replace current private and public insurance plans, funding care through state revenue to ensure coverage regardless of income, health status, or employment. It directly affects every Massachusetts resident (as defined, including homeless individuals and undocumented people) and all health care providers in the state. The system aims to reduce administrative costs, control spending, and expand preventive care while guaranteeing continuous coverage without job or enrollment changes.

Maddy summaryThis bill modifies fees collected under Chapter 64D to redirect funds into three specific trust funds: the Global Warming Solutions Trust Fund (for climate programs), the Affordable Housing Trust Fund, and the Housing Preservation and Stabilization Trust Fund. It increases certain fees (e.g., from $1.50 to $1.71) and requires that funds deposited into these trusts prioritize investments in environmental justice populations and regional equity. The bill also creates tax credits for low-income home sellers (25% of the fee payment) and for sellers to first-time homebuyers, with eligibility tied to income thresholds and joint tax filing. These changes aim to channel revenue toward housing affordability and climate adaptation efforts while specifying allocation rules for the trust funds.

Maddy summaryHD 3390 modifies Massachusetts tax law to address income from foreign entities. It specifies that amounts included in federal income under Section 951A of the IRS Code (related to global intangible low-taxed income) will no longer be treated as dividends for state tax purposes, and taxpayers can only deduct 50% of this income instead of the full amount. This primarily affects businesses and individuals with foreign income subject to Section 951A provisions. The changes apply to tax years beginning on or after January 1, 2025.

Maddy summaryThis bill requires health insurance plans in Massachusetts to cover and reimburse new telehealth services, including e-consults (provider-to-provider digital advice), e-visits (patient-initiated digital check-ins), and remote monitoring of health data. It directly affects patients seeking virtual care, healthcare providers delivering telehealth services, and insurance carriers. Key provisions mandate coverage for these services without extra prior authorization compared to in-person visits, include interpreter services for non-English speakers or Deaf patients, and require insurers to offer digital health literacy programs for patients with low tech skills. The bill also creates a shared portal for applying to affordable broadband programs to support digital access.

Maddy summaryThis bill (H 4934) requires Massachusetts Medicaid insurers to cover non-opioid pain medications equally with opioids - prohibiting restrictions like labeling them "non-preferred" or imposing stricter prior authorization. It mandates comprehensive care coordination for Medicaid members with chronic pain, including access to integrated services (primary care, specialists, physical therapy, mental health) and individualized treatment plans by 2027. The bill also directs the state to collect data on chronic pain incidence, demographics, treatment costs, and care gaps, publishing reports every two years starting in 2028. These provisions directly affect Massachusetts Medicaid enrollees with chronic pain and their healthcare providers.