Rep. Marjorie Decker

Maddy summaryHD 3015, "An Act relative to health insurance coverage for hearing aids," requires Massachusetts health insurance plans to cover hearing aids for insured residents with hearing loss. The bill mandates coverage for one hearing aid per hearing-impaired ear every 36 months, based on a physician's written statement, with earlier coverage allowed if hearing changes. It includes the hearing aid deemed best by the patient and audiologist (regardless of brand), all related services (evaluation, fitting, adjustments), supplies (ear molds, batteries), and repairs/replacements if the device fails. Insurance plans must limit copayments to $200 max, apply the same terms as other durable medical equipment, and cover both group and non-group policies. This directly affects Massachusetts residents with hearing loss who have health insurance.

Maddy summaryThis bill requires most health insurance plans in Massachusetts to cover pain management options during IUD insertions without cost-sharing. It applies to state employee health plans, Medicaid, private accident/sickness insurance, and hospital service plans, covering methods like IV sedation, oral sedation, or topical anesthesia as prescribed by a provider. The law prohibits deductibles, copays, or cost-sharing for these services and ensures coverage extends to spouses and dependents. Religious employers may opt out but must notify enrollees about excluded contraceptive services.

Maddy summaryHD 2465 requires Massachusetts state prisons and county facilities to provide incarcerated people with at least eight hours of daily "out of cell" time for social interaction and activities, including at least six hours weekly of group programming like education and vocational training (with three hours eligible for good conduct credits). It mandates personalized rehabilitation plans for each person, involving input from staff and the individual, and requires facilities to send parole-eligible plans to the parole board for review. The bill also sets minimum standards for access to medical care, outdoor recreation, libraries, and facilities conditions (like temperature and water quality), and requires annual data collection on programming access and outcomes, reported by race, gender, and other demographics. This law directly affects all individuals held in Massachusetts correctional facilities.

Maddy summaryHD 3241 requires Massachusetts state and county correctional facilities to maximize in-person visitation for incarcerated individuals by mandating specific schedules: at least two daily visiting periods (one at least four hours long), an eight-hour weekend visit, and a four-hour holiday visit. It prohibits facilities from limiting visitor numbers, excluding visitors based on criminal history, community involvement, or religious practices, or restricting physical contact like hugging during visits. The bill also mandates accommodations for children (with designated areas and activities), reasonable dress code policies respecting cultural/religious needs, and written justifications with appeal options for any visitation restrictions. Facilities must ensure visitation does not decrease below 2025 baseline levels and must exhaust all means to meet the schedule.

Maddy summaryThis bill enforces the federal Native American Graves Protection and Repatriation Act (NAGPRA) for organizations receiving state or local government funding in Massachusetts. It requires any agency, nonprofit, or entity funded by the Commonwealth or local governments to follow NAGPRA’s rules when handling Native American funerary objects, human remains, sacred objects, or cultural patrimony. The key mechanism is making compliance with these federal standards mandatory for all recipients of public funds, rather than voluntary. This directly affects museums, universities, and cultural institutions receiving state or municipal grants. The bill does not create new federal standards but ensures existing federal protections apply to Massachusetts-funded organizations.

Maddy summaryThis bill creates new legal standards requiring firearm industry members (manufacturers, distributors, and sellers) to implement "reasonable controls" to prevent sales to prohibited individuals or traffickers, and to avoid promoting illegal conversions or sales to minors. It directly affects these industry members by imposing new duties and provides gun violence victims harmed by industry violations a new civil legal pathway to seek compensation in court. Key provisions mandate companies to prevent sales to straw purchasers, prohibited persons, or those at high risk of harm, and to comply with existing consumer protection and safety laws. The law does not override federal restrictions but ensures victims and the Attorney General can pursue civil actions for industry misconduct under Massachusetts law.

Maddy summaryHD 1085 requires Massachusetts to provide free state identification cards to homeless adults and unaccompanied homeless youth (under age 24 without stable housing or parental care). The bill mandates that state ID regulations include a fee waiver process and allow alternative proof of residency, such as documentation from homeless shelters, youth services, or state housing/human services agencies. It also requires the state registrar and secretary to create a formal agreement to implement these provisions. This directly affects individuals experiencing homelessness by removing financial and residency barriers to obtaining official identification. The policy change creates a concrete pathway for this population to access essential services requiring ID.

Maddy summaryHD 1114 creates new parole pathways for incarcerated individuals aged 55+ and those with qualifying medical conditions. It requires parole boards to schedule hearings within 60 days of a person turning 55 or meeting a 15-year service threshold, with special consideration for age, medical conditions, and diminished capacity. For medical parole, it revises definitions of "permanent incapacitation" and "terminal illness," requiring medical documentation, a risk assessment, and 24-hour video evidence of incapacity before release. The bill mandates annual reporting on parole decisions and prohibits denial based on race, disability, or prior conviction alone.

Maddy summaryHD 3239 requires Massachusetts Medicaid (MassHealth) plans to cover non-opioid pain medications on equal terms with opioids, prohibiting restrictions like labeling them as "non-preferred" or applying stricter prior authorization rules. It mandates comprehensive care coordination for Medicaid enrollees with chronic pain, including access to primary care, specialists (like pain management and physical therapists), social work, and transportation support through individualized treatment plans. The bill also requires Medicaid managed care organizations to implement a chronic pain quality strategy by 2026, including provider training on multidisciplinary pain care and timely identification of patients. Additionally, it directs the state health center to collect and report data on chronic pain incidence, demographics, and treatment costs every two years to identify gaps and improve services. This bill directly affects Medicaid patients with chronic pain and the healthcare providers and insurers managing their care.

Maddy summaryH 4832 clarifies contract rules around digital replicas (computer-generated voice or likeness representations) for performers and creators. It makes contract clauses allowing digital replicas to replace in-person work unenforceable after January 1, 2026, if the agreement lacks clear usage details or the individual didn't have proper legal or union representation during negotiation. The bill specifically excludes standard copyright uses like sampling, remixing, or authorized remastering. It directly affects performers signing new contracts involving digital replicas for professional services starting in 2026.