2025 Massachusetts Advocacy Efforts

Our priorities for the 2025-26 Legislative Session:

FERTILITY COVERAGE

Make family building options more accessible for LGBTQ families

 

An Act Relative to Modern Family Building (SD2081/HD2700)

Lead Sponsors: Sen. Julian Cyr and Rep. Natalie M. Higgins

Family building options will be made more accessible for LGBTQ families by creating a training module for physicians, which will provide information on increasing access to services, family building options for LGBTQ individuals, and the elimination of discrimination on the basis of sexual orientation and gender expression and identity. Key terms and guidelines for various fertility care treatments and diagnostic measures are also clarified.

Require private health insurance plans to improve accessibility to infertility treatment

 

An Act Improving Access to Infertility Treatment (SD1396/HD3095)

Lead Sponsors: Sen. Cynthia Stone Creem and Rep. Kevin Honan

Improved accessibility to infertility treatment will be required by private health insurance plans, including guidelines for the coverage of fertility diagnostic care and treatment. Coverage will be dependent on clinical guidelines and patients’ medical history. It must be provided without discrimination based on personal characteristics such as age, gender, race, religion, or disability.

RAISING AWARENESS

Raise awareness, improve care, and promote research for Endometriosis

 

An Act Relative to Endometriosis Awareness (SD2414)

Lead Sponsor: Sen. John C. Velis

This bill would create a special commission focused on endometriosis, which is a disease in which tissue similar to the lining of the uterus grows outside the uterus. Endometriosis can cause severe pain during periods and intercourse, chronic pelvic pain, infertility, abdominal bloating, nausea, and fatigue. However, there is a widespread lack of funding, public awareness, and research surrounding this serious condition.

 

An Act Relative to the Creation of an Endometriosis Task Force (SD2389/HD4049)

Lead Sponsor: Sen. Robyn K. Kennedy, Rep. Lindsay N. Sabadosa and Rep. Christopher Hendricks

An endometriosis task force will be created by the executive office of health and human services and will consist of professionals in diverse fields who will combine efforts to develop and promote strategies regarding endometriosis research, access to care, treatment, and diagnosis.

Designate September as PCOS Awareness Month

An Act Designating September as PCOS Awareness Month (SD999/HD767)

Lead Sponsors: Sen. Liz Miranda and Rep. Samantha Montano

Polycystic Ovary Syndrome (PCOS) is a serious genetic, hormone, metabolic and reproductive disorder that can lead to lifelong complications, psychosocial disorders, obesity, cardiovascular disease, type 2 diabetes, infertility, nonalcoholic fatty liver disease, endometrial cancer, maternal/fetal health complications and other conditions. PCOS is an extremely common endocrine disorder, yet there is widespread lack of awareness, with 50% of people with PCOS being undiagnosed or misdiagnosed.

Designate October 15th as Pregnancy and Infant Loss Awareness Day

An Act Designating October 15th as Pregnancy and Infant Loss Awareness Day (SD1875)

Lead Sponsor: Sen. Paul Feeney

October 15 will be recognized annually in Massachusetts as Pregnancy and Infant Loss Awareness Day to increase public awareness of the prevalence of pregnancy loss, as well as the physical and mental toll that individuals face from experiencing loss when trying to grow a family.

ADOPTION REFORM

Streamline the adoption process for out-of-state birth parents engaging in an adoption with a Massachusetts family

 

An Act Relative to Adoptions (SD155/HD365)

Lead Sponsors: Sen. Cindy Creem and Rep. Lindsay Sabadosa

Many adoptive families are now facing delays, confusion and additional costs during the finalization of adoption, as some Massachusetts judges have refused to accept out-of-state birth parents. This bill would make a technical change to ensure that out-of-state birth parents engaging in an adoption with a Massachusetts family can use either the law of their state or Massachusetts law in consenting to the termination of parental rights, resulting in a more efficient adoption process for all involved.

MATERNAL MENTAL HEALTH DISPARITIES

Expand and diversify the mental health professionals specializing in perinatal (pregnancy and postpartum) mental health

 

An Act To Establish a Perinatal Behavioral Health Care Workforce Trust Fund (HD2877/SD992)

Lead Sponsors: Sen. Liz Miranda and Rep. Brandy Fluker-Reid

In Massachusetts and nationwide, postpartum depression and other Perinatal Mood and Anxiety Disorders (PMADs) are an urgent mental health care crisis with at least 20% of new moms struggling with PMADs. Unfortunately, most parents facing these mental health challenges do NOT get identified or treated. And those facing racial and/or economic inequities are both more likely to suffer from PMADs and less likely to access treatment. This bill would create a fund to train mental health professionals in perinatal mental health, with a focus on expanding culturally congruent care, as recommended by the state’s Special Commission on Racial Inequities in Maternal Health.

AllPaths is also following and supporting other bills in the Commonwealth, so we will keep you posted when there are key advocacy opportunities!

Take Action

 

1. Find your state legislators: malegislature.gov/Search/FindMyLegislator

2. Call or email call your own State Rep. and Senator and ask them to co-sponsor the bill(s) you support.

3. Use the sample language below for your call or email.
If you have any questions or would like some assistance, email Kate at kwleblanc@allpathsfb.org!

Sample Script/Email

My name is **** and I live in your district in CITY/TOWN/NEIGHBORHOOD.

I am writing/calling to ask you to co-sponsor BILL NUMBER(S) and TITLE(S).

I care about this because….. BRIEFLY SHARE YOUR OWN STORY AND/OR OPINION/INFORMATION.

As your constituent, I would be so grateful to have you as a co-sponsor of this legislation. Please reach out to me by email or phone if you have any questions. Thank you.

Current Massachusetts Fertility Insurance Law

Massachusetts has a Fertility Insurance Law. It passed in 1987 and was amended in 2010.

Summary

The Massachusetts Fertility Insurance Law provides coverage for:

  • Infertility diagnosis and treatment for individuals

Legal Definition of Infertility

“Infertility” shall mean the condition of an individual who is unable to conceive or produce conception during a period of 1 year if the female is age 35 or younger or during a period of 6 months if the female is over the age of 35.

Additional Definitions

For purposes of meeting the criteria for infertility in this section, if a person conceives but is unable to carry that pregnancy to live birth, the period of time she attempted to conceive prior to achieving that pregnancy shall be included in the calculation of the 1 year or 6 month period, as applicable.

Limits

No insurer shall be required to provide benefits for any experimental infertility procedure, until the procedure becomes recognized as non-experimental and is so recognized by the Commissioner; reversal of Voluntary Sterilization; cryopreservation of eggs. These procedures are at the optional coverage discretion of the individual insurance provider.

Exemptions

Employers who self-insured are exempt from the Massachusetts insurance mandate requirements.

For more information about the Massachusetts Insurance Mandate, please consult Mass Gen Laws Ann. Ch. 175, Section 47Hch. 176A, Section 8Kch. 176B, Section 4Jch. 176G, Section 4, and 211 CMR 37.00.