Rep. Michelle DuBois

Maddy summaryThis Massachusetts bill restricts civil immigration enforcement activities in nonpublic areas of state facilities unless required by law or necessary for federally funded programs. It requires the governor to create multilingual guidelines for state agencies, private organizations, law enforcement, and schools on how to handle immigration-related interactions, including verifying officer credentials and warrants. The legislation also mandates that correctional facilities provide detained individuals with written notices about their legal rights in their primary language. These provisions apply to a wide range of entities including police departments, universities, hospitals, and private organizations that employ ten or more people or receive state funding.

Maddy summaryH 4939 requires health insurers and Medicaid plans to cover patient navigation services provided by certified community health workers. These services help patients access care by addressing chronic disease prevention, social needs screenings, health education, and overcoming barriers like language or health literacy. The bill mandates reimbursement for workers with national certification or approved training, effective January 1, 2026. It directly affects Medicaid-eligible patients and community health workers by expanding access to coordinated care support. The law also directs the Executive Office of Health and Human Services to secure federal funding for implementation.

Maddy summaryH 4616 requires health insurance companies in Massachusetts to publicly list all medical services, drugs, and procedures needing pre-approval (prior authorization) on their websites. Insurers must also report annual data on approval/denial rates, processing times, and appeal outcomes in a standardized format. The bill prevents insurers from denying coverage for services already approved or denying claims over minor administrative errors (unless fraud is proven), and bans retrospective denials unless fraud occurred. This directly affects insurers, healthcare providers, and patients by making the authorization process more transparent and reducing unexpected coverage denials.

Maddy summaryThis bill establishes a special commission to study the feasibility of implementing a single-payer health care system in Massachusetts, aiming to provide universal access for all residents regardless of their background. The commission, which includes representatives from various sectors such as labor, business, and health care, is tasked with analyzing costs, reviewing models used by other states and countries, and developing specific recommendations for funding and administration. Its report will cover detailed aspects like transition costs, workforce impacts, and methods to ensure equitable access to services including dental, mental health, and long-term care. Ultimately, the legislation focuses on creating a comprehensive plan rather than immediately enacting a new health care system.

Maddy summaryH 5046 ("Freddy’s Law") requires all Massachusetts high school athletes participating in MIAA sports to undergo one electrocardiogram (EKG) screening before competing, starting in the 2026-2027 school year. The bill mandates that all health insurance plans sold in Massachusetts - including state employee coverage, employer group plans, and individual policies - must cover this screening at no cost to families. It also directs the state to work with the MIAA to create policies covering athlete compliance, handling abnormal results, religious exemptions, and sharing screening results across schools. The law directly affects all high school athletes in MIAA sports and their insurance providers, ensuring EKG screenings are accessible without out-of-pocket costs.

Maddy summaryH 5015 requires Massachusetts health insurers and health plans to reimburse community health centers at rates equivalent to MassHealth payments for the same services. It applies to all entities paying for Federally Qualified Health Center services, including private insurers, HMOs, and dental corporations. The law mandates that reimbursement must match MassHealth's payment methodology as of January 1, 2025, ensuring community health centers receive the same revenue they would get through Medicaid. Insurers must annually report compliance with this standard to the state insurance division.

Maddy summaryH 4767 requires health care employers in Massachusetts (including hospitals, mental health facilities, and certain state-operated care facilities) to create and maintain workplace violence prevention programs. Employers must conduct annual risk assessments covering factors like working alone, high-crime areas, and patient behavior, then develop written plans with employee training, reporting systems, and crisis response teams. The law mandates specific provisions such as staff training on reporting violence, post-incident debriefings, and designated senior managers for crisis response. Violations can result in fines up to $2,000 per offense, and employees cannot be retaliated against for reporting safety concerns.

Maddy summaryThis bill creates a Midwifery Workforce Development Fund to support midwifery education, retention, and birth centers. The fund will finance midwifery student tuition, licensing fees, childcare stipends, loan forgiveness for midwives serving underserved areas, and grants for midwifery training programs. It also requires that certified midwives and freestanding birth centers be paid the same rate as physicians for equivalent services under state employee health plans. The bill directly affects midwifery students, practicing midwives, birth centers, and state health programs by providing dedicated funding and ensuring equitable reimbursement.

Maddy summaryThis bill creates a PFAS Remediation Trust Fund to address contamination in Massachusetts drinking water, groundwater, soil, and other environmental media. It directly affects communities with PFAS pollution, including vulnerable environmental justice areas, private well owners, and public water systems. The fund provides grants for PFAS treatment, remediation, and outreach programs, prioritizing communities with limited resources. Money comes from settlements with PFAS manufacturers, other grants, and interest, with strict rules requiring repayment if responsible parties are later identified.

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.