Rep. Marjorie Decker

Maddy summaryThis bill (HD 3226) creates a new "Secretary of Equity" position within state government and adds "health equity" as a core requirement across health-related laws. It defines "priority populations" as groups disproportionately affected by health disparities and mandates that health agencies incorporate health equity into all decisions, including requiring a "chief health equity officer" (Section 8). The bill also establishes new reporting requirements for health care spending trends, including data on health inequities (Section 17), and sets aggregate expenditure targets for primary care and behavioral health services (Section 9A). It directly affects state health agencies, healthcare providers, and priority populations by requiring systemic changes to address health disparities.

Maddy summaryHD 2540 creates a legal process for terminally ill Massachusetts residents to request medication for a peaceful death. It requires patients to be mentally capable adults with a terminal diagnosis (expected death within 6 months), prove Massachusetts residency, and complete a 15-day waiting period after an initial oral request. The process involves two physicians confirming the diagnosis and mental capacity, plus two non-family witnesses verifying the patient’s voluntary participation. Patients with legal guardians are excluded, and the bill explicitly does not affect existing hospice or palliative care options.

Maddy summaryHD 2146 requires Massachusetts' Department of Public Health to create a mandatory assessment tool within 12 months. This tool quantifies health impacts (like asthma, hospital visits, and premature death) and associated costs or savings from energy-related emissions (e.g., pollution from power plants) and energy efficiency/renewable energy benefits. It specifically analyzes effects on environmental justice communities, MassHealth, community hospitals, and state budgets. Starting 24 months after the law takes effect, all new state energy, transportation, or waste policies must explicitly factor in the tool's health cost analysis before adoption.

Maddy summaryThis bill amends Massachusetts health insurance laws to change coverage rules for surviving spouses of deceased or retired state employees. It removes language requiring coverage termination upon remarriage (affecting those who remarried before the law took effect) and shifts premium costs: the government now pays half the premium, with the surviving spouse covering the other half. The changes apply only prospectively, meaning no retroactive coverage is provided to those who lost coverage due to remarriage before the bill's effective date. These updates directly impact surviving spouses who were previously required to pay full premiums or lose coverage if they remarried.

Maddy summaryThis bill (HD 1026) requires the Division to cover medically necessary habilitative and rehabilitative treatments for adults aged 21+ who have developmental disabilities, intellectual disabilities, or autism spectrum disorder and are covered under Chapter 118E. It mandates coverage for treatments like applied behavior analysis (provided by licensed professionals) and both dedicated and non-dedicated communication devices (including tablets), as determined medically necessary by a licensed physician or psychologist. The policy directly affects eligible adults with these diagnoses, ensuring state-funded access to specific therapies and assistive devices previously not guaranteed under the existing coverage. It does not change eligibility criteria but expands required coverage for defined treatments and devices.

Maddy summaryThis bill expands eligibility for paid caregiving under MassHealth's home and community-based services program. It directly affects legally liable family members (including parents, guardians, adult children, and others with legal responsibility) who currently may be excluded from being paid caregivers. The key provision amends the law to explicitly include these individuals within the definition of "family member" for payment purposes, removing barriers imposed by existing statutes. MassHealth must then file a required state plan amendment or waiver to implement this change. The policy change modifies program eligibility rules without altering funding or creating new services.

Maddy summaryThis bill requires health insurance plans in Massachusetts covering prescription drugs to establish a separate out-of-pocket limit for those drugs - including specialty drugs - distinct from other medical costs. The limit cannot exceed the federal minimum annual deductible for high-deductible health plans (set under IRS code 26 U.S.C. §223), which covers both self-only and family coverage. It defines "out-of-pocket limit" to include cost-sharing expenses like copays under the Affordable Care Act. The rule applies to all relevant health insurance policies renewed or issued on or after January 1, 2026, directly affecting insurers and patients with prescription drug coverage.

Maddy summaryThis bill requires Massachusetts correctional facilities to provide free contraceptive services - including reversible methods, emergency contraception, and nonprescription options - to all incarcerated individuals capable of pregnancy upon request, with no unnecessary obstacles. It mandates family planning counseling 60-180 days before release, ensures continuity of prescribed birth control methods, and requires facilities to post clear information about reproductive health rights. For pregnant individuals, the bill guarantees they can determine their own abortion eligibility under state law, with informed consent required and prison staff barred from making such decisions. The Department of Correction must implement these changes within one year of passage.

Maddy summaryThis bill creates a state-funded pilot program to help people with Long COVID access better healthcare in Massachusetts. It requires the health department to develop a "patient navigation" service that connects patients with medical specialists, social support (like transportation or housing help), and resources to address daily challenges. The program must reduce barriers to care, study related conditions (such as ME/CFS or heart disease), and include input from Long COVID patients through a consumer advisory board. The department must report on the pilot's progress within one year, including participation numbers and recommendations for expansion.

Maddy summaryThis bill requires Massachusetts' Department of Public Health to establish a standardized system for tracking Long COVID (PASC) cases across the state. It mandates creating a surveillance definition aligned with national standards, developing a case report form to collect demographic data (like race, gender identity, and location), symptom details, and associated health conditions (such as heart disease or chronic fatigue), and conducting active surveillance starting six months after enactment. The department must publish annual public reports on Long COVID prevalence and impact, and submit a progress report to lawmakers within one year. This directly affects Massachusetts residents diagnosed with Long COVID by enabling a comprehensive understanding of the condition's scope and health system burden.