Rep. Billy MacGregor

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 (HD 4040) requires all welding, cutting, and hot works training programs in Massachusetts to use a specific National Fire Protection Association program or an equivalent system with an electronic worker status database, multilingual classes, identity verification, and annual refresher training. It adds "criminal negligence" to define repeated, reckless failure to follow safety rules, making such non-compliance potentially punishable as a crime. Penalties for violating welding/cutting rules escalate with offenses: first offense up to $1,000, second up to $2,000 or 1 year in jail, and third+ offenses up to 0.25% of project value or $10,000. The bill also mandates a public system (online database, quarterly reports) to track and notify about safety violations affecting workers and property owners.

Maddy summaryHD 2335 requires health insurers and Medicaid plans in Massachusetts to cover biomarker testing for patients when the test is supported by medical evidence, such as FDA approvals, CMS guidelines, or nationally recognized clinical practice guidelines. It directly affects patients needing personalized treatment (e.g., cancer care) and insurers, mandating coverage for diagnosis, treatment, or monitoring of diseases. Key provisions include strict timelines for prior authorization decisions (72 hours standard, 24 hours in emergencies), limits on requiring multiple biopsies, and clear processes for patients to appeal coverage denials. The bill ensures access to evidence-based testing without unnecessary delays or disruptions in care.

Maddy summaryHD 1243 requires private gas and distribution companies to increase transparency when awarding construction contracts over $100,000 for work on public ways. Companies must notify all qualified bidders within two business days of their decision, including the award criteria, bidder score, and winning amount. They must also post the contractor name, project location, and work duration on their website. This applies to all such contracts except single-bid situations or when disclosure would harm law enforcement, public interest, or commercial interests. The state department enforces these requirements.

Maddy summaryThis bill gives tenants in multi-unit rental properties the first right to purchase their building if the owner sells due to foreclosure, short sale, or similar circumstances. It requires tenants to form a Tenant Association (representing at least 51% of occupied units) to exercise this right, with the property then becoming Long-Term Affordable Housing (requiring 30+ years of affordability restrictions for low-income households). Municipalities must adopt this local option for it to apply, and the purchase must be structured through a Tenant Association or its designated entity to ensure the property remains affordable. The bill specifically excludes single-family homes occupied by owners and certain housing types like shelters or temporary dwellings.

Maddy summaryThis bill amends a Massachusetts adoption law to clarify the legal standard for adoption documents. It replaces the phrase "state or the country where it was executed" with "commonwealth or the laws of the place where it was executed." The change specifically affects adoption paperwork processed in Massachusetts, ensuring documents comply with either Massachusetts law or the laws of the location where the adoption was finalized. This is a technical clarification to improve consistency in adoption documentation procedures, with no new rights or obligations created.

Maddy summaryThis bill requires public employers (like state fire departments, cities, towns, or fire districts) to provide full-time firefighters with cancer screenings starting three years after they begin working and every three years thereafter. It directly affects firefighters employed by Massachusetts fire departments, including those at military reservations, air bases, and specific regional zones. The screenings must cover 11 specific cancers (such as colon, lung, breast, and prostate), with all costs covered by the employer's health plan - no co-pays, deductibles, or out-of-pocket expenses for firefighters. This mandates a regular, employer-funded health benefit without requiring firefighter contributions.

Maddy summaryHD 1552 requires shelters, schools, and correctional facilities to provide free disposable menstrual products (like pads, tampons, and liners) to menstruating individuals without stigma. It applies to temporary housing providers (e.g., domestic violence shelters, emergency hotels), all public primary/secondary schools, and correctional facilities (jails, prisons). The bill mandates these products be available in convenient, non-stigmatizing ways, such as in restrooms. This directly affects menstruating people experiencing homelessness, attending school, or in detention. The law creates a new requirement for these specific institutions to cover the cost of products.

Maddy summaryThis bill creates a legal presumption that certain contagious diseases contracted by full-time police, fire, or emergency medical service workers were incurred during their duties, if they passed required physical exams upon entry and had no pre-existing condition. It applies to diseases like COVID-19, hepatitis, tuberculosis, and HIV - those linked to exposure to blood or bodily fluids - excluding the common cold. Workers must apply within five years of leaving active service and demonstrate they regularly responded to emergency calls during their tenure. Benefits, if approved, would cover disability or death claims under existing workers' compensation laws (Chapters 32, 41, 152).

Maddy summaryThis bill amends Massachusetts health insurance laws to expand coverage for midwifery services. It updates definitions in multiple statutes to include "licensed certified professional midwives" alongside existing providers and removes the phrase "for abortion or abortion-related care" from coverage exclusions. These changes apply to health insurance policies under Chapters 32A, 118E, 175, 176A, 176B, and 176G, requiring insurers to cover a broader range of midwifery services without prior restrictions. The commissioner of health insurance must ensure compliance with these updated requirements.