Rep. Natalie Higgins

Maddy summaryHD 2988 requires health insurance plans in Massachusetts to cover post-pregnancy mental health care - encompassing both postpartum and post-miscarriage care - without any deductibles, copayments, or cost-sharing. It applies directly to insured individuals and their covered spouses or dependents, ensuring equal access to this care as part of existing postpartum coverage requirements. The bill mandates that insurers provide this coverage without unreasonable delays or restrictions, aligning with existing health care laws. These changes apply to multiple sections of Massachusetts General Laws governing health insurance plans and Medicaid.

Maddy summaryThis bill (HD 1468) allows school nurses employed in Department of Education-approved schools to count prior nursing work experience toward their retirement credit if they are already in a teacher's, municipal, or state retirement system. To qualify, nurses must pay 10% of their annual salary for each year of service plus interest (paid in a lump sum or installments), after completing 10 years in the retirement system, with a maximum of three years of creditable service allowed. Nurses must apply within 90 days of being notified of eligibility by the retirement board.

Maddy summaryThis bill requires the state to cover health insurance premiums for qualifying adjunct faculty at public higher education institutions. It defines eligible faculty as those teaching at least two 3-credit courses per semester (or four annually), regardless of funding source or employment term. The state will gradually increase its share of premium costs over five years, starting at 25% in the first year and reaching 75% by the sixth year. A working group must study adjunct faculty retirement benefits, compensation, and career pathways, reporting findings by December 2026. The bill directly affects adjunct faculty at state universities, community colleges, and UMass campuses.

Maddy summaryThis bill establishes the Faculty Restoration and Equity Fund to require public colleges in the state to: (1) ensure at least 75% of undergraduate courses are taught by full-time faculty, (2) maintain at least 75% full-time support staff in departments, and (3) provide part-time and non-tenure track faculty with pay and benefits equal to full-time faculty. It also amends retirement laws to grant part-time faculty teaching four or more courses yearly full retirement credit, equal pay on a pro-rata basis, and formal processes for assignment priority and tenure-track consideration. The fund prioritizes institutions with high reliance on part-time faculty, and all provisions are subject to collective bargaining. The bill directly affects public higher education institutions and their part-time/non-tenure track faculty.

Maddy summaryThis bill requires all Massachusetts healthcare facilities (like hospitals, clinics, and long-term care centers) to implement a medical chaperone policy. It mandates that doctors or nurses inform patients before sensitive exams (such as those involving genitalia, breasts, or rectal areas) about their option to request a trained medical chaperone or, if unavailable, a family/friend chaperone (called a "familial chaperone"). Facilities must document these disclosures and requests in patients' electronic health records, provide educational materials to patients and familial chaperones, and report annual usage data to the state. The policy directly affects patients receiving intimate exams, healthcare facilities, and medical staff who must follow these new disclosure and documentation procedures.

Maddy summaryHD 1090 creates a new dental therapist license to expand access to preventive dental care, particularly for underserved groups including children, elderly patients, and residents in areas with limited dental services. Dental therapists must complete accredited education, pass a clinical exam, and work under a collaborative agreement with a supervising dentist to provide services like preventive care and administer non-narcotic medications. Public schools are required to notify parents about oral health screenings and connect them with affordable care resources through standardized notices. The bill also updates reimbursement rules for dental therapists and directs the dental director to support recruitment of providers focusing on underserved populations.

Maddy summaryHD 4087 creates a PFAS Remediation Trust Fund to address contamination from harmful chemicals (PFAS) in Massachusetts drinking water and environmental media. The fund, financed by settlements with PFAS manufacturers and other sources like grants and donations, will cover costs for public water systems, private well owners, municipalities, and regional water systems to test, treat, and remediate PFAS in water, soil, and groundwater. The Department of Environmental Protection will administer the fund, prioritizing vulnerable communities and requiring applicants to disclose any third-party payments to avoid duplicate funding. The fund operates without annual appropriation, with leftover balances carrying over to future years to ensure sustained support for PFAS cleanup efforts.

Maddy summaryThis bill requires Massachusetts healthcare providers to offer a trained, licensed chaperone for all genital and rectal exams (regardless of patient gender) and breast exams for patients who identify as female. Patients can choose to accept or decline the chaperone, and providers must document the choice. Chaperones must be unrelated to the patient or provider and cannot interfere with the exam. Exceptions include medical emergencies or when a chaperone is already present during the exam.

Maddy summaryThis bill requires healthcare providers to obtain written consent for sensitive examinations (like pelvic or prostate exams) on unconscious or heavily sedated patients, except in emergencies. It guarantees patients the right to request a medical chaperone during such exams, with healthcare organizations encouraged to provide a chaperone matching the patient’s gender identity. Providers must inform patients about this right before exams and use standardized consent forms that explicitly mention the chaperone option. The law applies to all healthcare organizations and providers performing sensitive exams, aiming to ensure patient autonomy and safety during these procedures.

Maddy summaryThis bill requires Massachusetts to develop an emergency plan supporting agricultural, seafood, and processed food production during crises, coordinated across state agencies. It mandates an annual report tracking local food distribution through state-funded food assistance programs (like school meals and Meals on Wheels), including quantities, types, sourcing farms, and program-specific data. The report must include recommendations for increasing local food use while maintaining affordability and will be published online and submitted to legislative committees. This directly affects state agencies, food assistance programs, and farms supplying locally grown or produced food. The plan must be reviewed every five years and updated as needed.