Rep. Jack Lewis

Maddy summaryThis bill establishes a refundable tax credit for Massachusetts residents who provide unpaid care for family members requiring assistance with daily activities like bathing, eating, or moving. To qualify, the caregiver must have an income below $75,000 individually or $150,000 as a couple and spend money on eligible expenses such as home modifications, medical equipment, or hiring professional care services. The credit covers 100% of these costs but is capped at $1,500 per eligible family member to ensure the total benefit does not exceed that maximum amount. If multiple people care for the same individual, the $1,500 limit is shared among them based on how much each person spent. The law also requires the Department of Revenue to review and adjust the credit parameters every five years starting from when it takes effect.

Maddy summaryThis bill prohibits hospitals and certain correctional facilities in Massachusetts from requiring staff to work mandatory overtime, directly affecting registered nurses, support workers, and other healthcare personnel. It defines mandatory overtime as hours worked beyond a pre-agreed schedule of no more than 12 hours in a day and allows such requirements only during genuine emergencies where patient safety is at risk and no other options exist. Facilities must make a good faith effort to fill these gaps voluntarily before mandating overtime, report all instances to state agencies, and ensure staff do not work more than 16 consecutive hours with a required 8-hour break afterward. The law also clarifies that refusing to work beyond these limits cannot result in discrimination or dismissal.

Maddy summaryThis bill requires public employers in Massachusetts to cover cancer screenings for full-time paid firefighters without charging them any out-of-pocket costs. The screenings must occur at least every three years starting three years after the firefighter begins employment and include tests for various types of cancer such as lung, colon, and prostate cancer. The law applies to firefighters working for state agencies, cities, towns, and specific military and port authority fire departments, ensuring these workers receive regular health checks funded entirely by their employer's health plan.

Maddy summaryThis Massachusetts bill requires health insurance plans to cover full spectrum pregnancy care without deductibles, copayments, or other cost-sharing fees. It applies to most state-regulated plans but allows insurers to charge fees if doing so would cause them to lose their federal tax-exempt status. The legislation also mandates that insurance companies cannot impose unreasonable restrictions or delays on accessing these services. State regulators are tasked with ensuring that all health plans comply with these new coverage requirements.

Maddy summaryThis bill requires that community health centers in Massachusetts receive reimbursement for patient services using a specific payment method known as a prospective payment system. The legislation mandates that this payment methodology must align with federal standards established in the United States Code as of January 1, 2023. By amending state laws regarding insurance and health care financing, the bill ensures that both public programs and private insurers reimburse these centers in a standardized way. The primary goal is to create consistency in how these health centers are paid for the care they provide.

Maddy summaryThis bill proposes to establish a new state system called the Massachusetts Health Care Trust to provide universal health coverage to all residents of the Commonwealth. It creates a new chapter in state law that defines key terms, such as "resident," to explicitly include homeless, incarcerated, and undocumented individuals living in Massachusetts. The legislation declares that access to quality health care is a right for all residents and aims to eliminate out-of-pocket costs like co-payments, deductibles, and co-insurance. By setting up a dedicated trust fund and board of trustees, the bill outlines the structural framework needed to finance and administer this comprehensive health care program.

Maddy summaryThis bill directs the Commonwealth Health Insurance Connector Authority to run a five-year pilot program that expands health insurance subsidies to individuals earning up to 500 percent of the federal poverty level. Under the plan, people with incomes between 300 and 500 percent of the poverty line would be eligible for coverage plans that meet at least 90 percent of actuarial value, while those below 300 percent would continue to receive existing assistance. The program would be funded using money from the Commonwealth Care Trust Fund and is scheduled to run from January 1, 2024, through December 31, 2028. An independent evaluation will track the program's effects on medical access, costs, and health equity, with results reported to state officials in 2026 and 2029.

Maddy summaryThis bill aims to improve access to telehealth services and address digital inequality for patients in Massachusetts. It requires state agencies to link the application process for affordable internet programs with the portal used to apply for other health benefits, helping those who need reliable internet to use telehealth. Additionally, the bill restricts insurance companies from requiring prior authorization for telehealth visits if they do not require it for in-person appointments and mandates that telehealth coverage includes reimbursement for interpreter services for patients with limited English proficiency or hearing impairments.

Maddy summaryThis bill establishes a two-year pilot program at Taunton State Hospital to treat high-acuity behavioral health and dual diagnosis patients who are currently clogging emergency departments in Massachusetts's Southeast region. Under the plan, medically stable individuals with these conditions would be transferred to the hospital if they cannot be moved to another appropriate facility within four hours of arrival. The program would be staffed by registered nurses, psychiatrists, and other necessary personnel, with a specific committee tasked with developing care protocols and staffing plans during the first six months. After two years, an independent entity will produce a report evaluating the pilot's success in reducing emergency room overcrowding and the quality of care provided.

Maddy summaryThis bill requires state agencies to increase funding for human services organizations to close the pay gap between these workers and comparable state employees. The law mandates that the reimbursement gap be reduced by 50% by July 2024, 30% by July 2025, 10% by July 2026, and fully eliminated by July 2027. All additional funds received must be used to raise the salaries of the workers who provide care and support services. The legislation also directs relevant agencies to create a report on improving recruitment and retention for these employees by January 2024.