Rep. Carole Fiola

Maddy summaryThis bill establishes clear rules for who can make medical decisions on behalf of a person who cannot make their own choices (an "incapacitated person"). It creates a priority list for surrogate decision makers (spouse, adult children, parents, siblings, then others) and requires them to provide a written declaration under penalty of perjury. The bill specifies criteria for selecting the best surrogate based on their relationship, knowledge of the person's values, and availability, while banning certain individuals (like treating staff) from serving. It applies when advance directives or medical orders are missing, invalid, or not applicable, and limits surrogate authority to 90 days or the current treatment episode.

Maddy summaryHD 2320 restructures staffing positions within Massachusetts probate courts across 14 counties. The bill establishes specific numbers of "first assistant registers" (one per county) and "assistant registers" (varying by county, e.g., 4 in Middlesex), while eliminating the title "administrative deputy assistant register" (though current holders may continue). It also adds "assistant judicial case managers" for certain counties and adjusts Suffolk County's clerk and deputy register roles, including compensation details for some positions. This procedural bill directly affects probate court staff management, not public policy or services.

Maddy summaryThis bill modifies Massachusetts laws to improve access to hearing aids by changing provider restrictions and requiring cost transparency. It removes the ban on ear, nose, and throat specialists (otolaryngologists) and nonprofit healthcare facilities from selling hearing aids to patients they treat, while still requiring physicians to disclose all fees and costs upfront. Specifically, providers must give patients a written estimate of the total price - including the device, ear molds, batteries, and service fees - before selling. The bill directly affects hearing aid providers (audiologists, specialists, and clinics) and patients seeking affordable hearing solutions by reducing financial barriers and increasing clarity in pricing.

Maddy summaryThis bill requires all Massachusetts schools (public and private) serving minors to adopt and implement a formal abuse prevention policy defining inappropriate conduct between staff and students. It mandates biennial training for school staff on recognizing, preventing, and reporting sexual misconduct - including behaviors like romantic invitations or suggestive comments - and provides age-appropriate education for students on healthy boundaries, recognizing risks, and reporting concerns. The policy must be created by the Department of Elementary and Secondary Education in consultation with child advocacy agencies and reviewed every five years. Schools must maintain training records and make the policy publicly available online. The law directly affects all schools, staff members, and students in Massachusetts.

Maddy summaryThis bill requires all Massachusetts schools (public, private, charter, and religious) to adopt formal abuse prevention policies and implement specific safety measures. It mandates biennial training for school staff on recognizing, preventing, and reporting abuse or sexual misconduct, and requires age-appropriate student education on boundaries, healthy relationships, and reporting concerns. Schools must also conduct thorough background checks on applicants for positions involving direct student contact, including verifying employment history and any past investigations into misconduct allegations. The bill directly affects educators, school staff, and students by establishing standardized safety protocols and reporting procedures across all school settings.

Maddy summaryThis bill requires pharmacy benefit managers (PBMs) to pay community pharmacies fairly for services, prohibiting practices like "pharmacy steering" (steering patients to PBMs' own pharmacies) and ensuring non-affiliated pharmacies receive equal payment to affiliated ones. It mandates that maximum allowable drug costs for community pharmacies must be at least as high as those paid by Massachusetts Medicaid, with PBMs required to publicly disclose cost-setting methods and update these costs every three business days. Pharmacies can appeal if they believe drug costs are unfairly low or if a drug doesn't meet transparency requirements for inclusion on cost lists. The law directly affects community pharmacies, PBMs, and health benefit plans by standardizing payment fairness and increasing transparency in drug pricing.

Maddy summaryThis bill requires health insurers and pharmacy benefit managers to pass at least 80% of estimated drug rebates directly to patients by reducing their out-of-pocket costs at the pharmacy, rather than keeping the savings. Insurers must report compliance annually to the state commissioner, with potential fines for non-compliance, while protecting rebate details as confidential business information. Additionally, it mandates a state analysis of barriers to accessing cell and gene therapies for MassHealth patients, including projected costs, reimbursement frameworks, and infrastructure needs through 2037, with specific focus on impacts on vulnerable populations.

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 summaryThis procedural bill (H 4436) extends the deadline for the House Committee on Economic Development and Emerging Technologies to report on five specific House documents (479, 486, 491, 494, and 503). It grants the committee until Monday, December 1, 2025, to complete these reports, overriding the standard House Rule 27 timeline. The bill directly affects the committee and the specified legislative documents by delaying their reporting deadline.

Maddy summaryThis bill (H 4328) revises staffing structures for Massachusetts probate and family court departments across all 13 counties. It adds one "first assistant register" per county, establishes specific numbers of "assistant registers" (ranging from 1 to 4 per county), and eliminates "administrative deputy assistant register" positions while allowing current holders to retain their roles and pay. The bill also modifies compensation for Suffolk County deputy assistant registers and creates new "assistant judicial case manager" positions in several counties. These changes directly affect probate court operations and staffing levels in all 13 counties.