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Don’t mess with Mass.: How the state became a center of post-Dobbs resistance – The Boston Globe

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Don’t mess with Mass.: How the state became a center of post-Dobbs resistance – The Boston Globe


Foster has made little effort to hide her efforts to circumvent restrictive laws passed in other states since the US Supreme Court overturned Roe v Wade. She doesn’t need to: She is operating with the full support of Massachusetts government officials, and even has a former attorney general on call in case anyone challenges her. Which may explain why she has not received a single death threat, summons, or cease and desist letter.

“We are part of the formal Massachusetts health care system,” says Foster, whose affable and unpretentious manner offers little hint of a resume that includes a Rhodes Scholarship and degrees from Stanford University and Harvard Medical School. “There is an incredible kind of legitimacy that comes with that.”

Since September, Angel Foster and her team at the Massachusetts Medication Abortion Access Project have shipped abortion drugs to more than 3,000 pregnant women, 95 percent of whom live where abortion has been banned. Kayla Bartkowski For The Boston Globe

The MAP, one of only four domestic services of its kind openly operating in the United States, is currently shipping abortion medications to all 50 states. And it is the only one designed to operate as a fully integrated part of a state health care system. It is just one example of the way Massachusetts is taking its defense of abortion rights national.

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In the two years since the Dobbs v. Jackson decision Women’s Health decision, the national news has been dominated by stories documenting the transformation of states like Mississippi, Texas, and Missouri, which have pushed through a raft of new laws to ban or severely limit abortion. But Massachusetts has quietly undergone an equal and opposite metamorphosis, emerging as the legal, spiritual, and intellectual center of the post-Dobbs resistance, with Harvard legal scholars and state agencies filing amicus Supreme Court briefs, new think tanks documenting the changing situation on the ground, a state Legislature instructing college health centers to hand out abortion pills, a department of public health spending millions to support abortion access and security, and a governor and attorney general who have vowed to use their offices to fight back.

The state is currently sitting on a stockpile of more than 15,000 doses of the abortion drug mifepristone, ordered up by the governor in case the Supreme Court bans it, and is home to a new “Reproductive Justice Unit,” tasked by the attorney general with monitoring new legislation and antiabortion tactics bubbling up from red states and helping to coordinate policies to counter them.

“I will do everything I can to protect access to care here in Massachusetts, and help nationally to ensure that women have access to medicated abortions,” Governor Maura Healey told the Globe. “People should not underestimate the very serious threat that is posed to women’s health by this extremist agenda.”

The state’s current burst of activism began in 2020, even before the Dobbs decision, catalyzed by the death of Supreme Court Justice Ruth Bader Ginsberg and a growing awareness of what was coming. In December of that year, the Legislature passed laws strengthening state constitutional protections for abortion, lowering the age of required parental consent from 18 to 16, and allowing abortions after 24 weeks of pregnancy in cases of fatal fetal abnormalities.

After Dobbs came legislation requiring state universities to offer medicated abortions on campus. The state also passed a first of its kind “Shield Law,” engineered to protect local telehealth abortion providers like The MAP from out-of-state prosecution by categorizing all virtual encounters with patients in states that restrict abortion, or gender-affirming care, as local. These policies, along with the rise of telehealth as ready option for patients, have had a potent impact.

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Since the 2022 Dobbs decision, the number of abortions in the state has risen 20 percent, from about 1,600 a month to an average of roughly 2,000 a month, according to Dr. Ushma Upadhyay, who co-chairs the Society for Family Planning’s WeCount project. Last year about 6 percent of those abortions were for people who came from out of state, double the percentage prior to Dobbs. The numbers are not nearly as high as those seen in “surge” states like New Mexico and Illinois, which border states where abortions have been severely restricted or banned. And they don’t include medicated abortions provided by those operating here under the Shield Law. The MAP’s numbers alone, which until recently weren’t officially categorized by DPH statisticians as occurring in state, would add another 500 abortions a month, or 25 percent, to the state totals.

Angel Foster goes through bins of boxes ready to ship. Since September, Angel Foster and her team at the Massachusetts Medication Abortion Access project have shipped abortion drugs to more than 3,000 pregnant women, 95 percent of whom live in those states and others where abortion has been banned.Kayla Bartkowski For The Boston Globe

Sitting behind a desk in her cramped office on the second floor of a co-working space, a tower of cardboard boxes containing abortion pills worth about $100,000 teetering atop a supply cabinet nearby, The MAP’s Foster predicts the numbers of abortion pills shipped from Massachusetts to other states would explode in the months ahead, as word spreads that safe, medical abortions are easily accessible through the internet.

Since 2022, six other states have followed the lead of Massachusetts and passed Shield Laws with similar language, including Washington, Colorado, Vermont, New York, California, and Maine. There are now four services operating in Shield Law states that ship abortion pills to states with abortion restrictions, according to Elisa Wells, co-director and cofounder of Plan C, a think tank and advocacy group established in 2015.

Supporting the efforts of Shield Law providers like The MAP, Governor Healey says, is in the state’s interest because it helps prevent local abortion providers from being overwhelmed by women from out of state. But it’s also, she believes, a question of doing what’s right. Leaving abortion policies up to states, she said, is dangerous.

“Forcing women who are the victims of rape or incest to carry a fetus to term is outrageous,” she said. “Forcing women who are dealing with complications from pregnancy that put themselves at risk and in danger of dying is outrageous. That’s where leaving it up to states has gotten us.”

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Foster considers it a small miracle that she has not received a legal challenge of any kind, or even a single threatening letter, from one of those star-cluttered states on her map. She attributes that to a focus by abortion opponents on the US Supreme Court, which dealt the effort to limit access to medical abortion a significant setback on June 13, when it ruled the coalition of antiabortion groups who filed suit lacked standing to challenge the way the FDA is regulating the drug mifepristone.

The morning of the decision, Foster was ebullient, expressing her relief and making plans to pop a bottle of bubbly after work. Also apprehensive.

“We’re really, really proud of the care and of the service, but worried about what’s going to happen when we get cease and desist letters, when there are subpoenas, when there are lawsuits,” she said. “They’re coming, I’m sure.”

Abortion opponents say Foster is right to worry. Kyleen Wright, president of Texans for Life, called the actions of Shield Law providers like Foster “reckless” “dangerous,” and “so terribly wrong.” She accused supporters of medicated abortions of downplaying the risks and placing the lives of young women in jeopardy.

“If your doctors are in Massachusetts, and they’re surprised that we haven’t come after them, you might just tell them to hold onto their hats,” Wright told the Globe. “We are working on some more innovative and creative ways of putting a stop to this.”

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Foster knows that if abortion opponents come after her, she’ll have plenty of powerful allies to defend her. Her first call will go to former state attorney general Martha Coakley, The MAP’s pro-bono legal counsel. She can also expect help from the AG’s Reproductive Justice Unit‚ which Attorney General Andrea Joy Campbell established last fall. The unit, led by Sapna Khatri, a reproductive rights attorney, is helping coordinate the efforts of the attorney general’s more than 300 attorneys on a wide array of initiatives, and cases.


While she waits for the challenges to arrive, Foster and her colleagues are continuing to grow. Recently, a donor agreed to pony up $500,000 to build a free-standing pharmacy to fill more orders.

Foster came to her passion for safeguarding abortion rights early. A native of Portland, Ore.,, she grew up attending Planned Parenthood rallies with her mother and hearing horror stories from the pre-Roe v. Wade era. One of them involved her mother, who was impregnated by an abusive boyfriend at age 19 and had to travel to Mexico to obtain an abortion.

She has grown used to legally precarious circumstances.

In 2008, she cofounded a Cambridge-based nongovernmental organization to provide abortion access to women in the developing world; she cut her teeth flying to Bangladesh to make bulk purchases of misoprostol, a second drug often used to induce an abortion, and then carrying as many as 30,000 pills at a time into camps on the Thai border for distribution to refugees from Myanmar. She was prepared for the possibility of arrest and deportation. But she long ago decided that, in her line of work, the high stakes justify the risks. Most women who feel they need an abortion, she has learned, will do whatever is necessary to get one, even if that means taking extreme measures that put their health, even their own lives, in jeopardy.

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“Somewhere between 8 and 15 percent of maternal mortality globally is directly attributable to unsafe abortions,” said Foster. “It is the cause of maternal mortality that is truly preventable.”

She and her collaborators launched The MAP on Sept. 28, 2023, International Safe Abortion Day, with four clinicians, a community outreach director, and a growing network of donors.

The prescribing process begins when a patient fills out a form online. They are then emailed a link to a questionnaire and consent forms and referred to a licensed clinician in Massachusetts, who determines if the patient is eligible. Then The MAP ships them the pills. Patients are asked to pay a minimum of $5. Though the providers and patients exchange phone numbers, texts, and emails in case there are questions, live interactions are not a requirement.

“It’s really profoundly unsettling to me to think that a girl that’s born today has less rights than her mother and grandmother,” Foster said. “That shouldn’t be allowed to take place just because a state has decided to restrict what was for almost 50 years considered a constitutional and fundamental right.”


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Adam Piore can be reached at adam.piore@globe.com.





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Minnesota childcare fraud allegations spark audit request in Massachusetts: ‘Serious risks’

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Minnesota childcare fraud allegations spark audit request in Massachusetts: ‘Serious risks’


Fraud allegations in Minnesota’s childcare system are prompting two Massachusetts Republican lawmakers to ask the Healey administration to conduct a “top-to-bottom audit” of a Bay State voucher program.

State Reps. Marc Lombardo, R-Billerica, and Nicholas Boldyga, R-Southwick, say they’re alarmed after seeing national reports of fraud in childcare subsidy programs, pointing specifically to widespread allegations in Minnesota.

Their concerns have prompted them to ask Gov. Maura Healey to direct Education Secretary Patrick Tutwiler to “urgently conduct” an audit and review of the Massachusetts Child Care Financial Assistance program to identify any potential fraud and vulnerabilities here.

Child Care Financial Assistance helps low-income families pay for childcare in Massachusetts.

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“While Massachusetts has not yet been directly implicated in the same manner, the similarities in program structure, relying on voucher reimbursements to providers for low-income families, raise legitimate questions about whether comparable fraud or waste could be occurring here undetected,” Lombardo and Boldyga wrote in a joint letter to Healey on Wednesday.

“Our Commonwealth invests hundreds of millions of dollars annually in this critical program to support working families and early education,” they added. “We owe it to Massachusetts taxpayers and the families who genuinely need this assistance to ensure every dollar is spent appropriately and reaches its intended purpose.”

The governor’s office did not immediately respond to a Herald request for comment on the letter.

Early Education and Care Commissioner Amy Kershaw has said that Massachusetts is not facing disruption to its $293 million share of federal childcare payments amid a nationwide freeze in response to the Minnesota fraud allegations.

Kershaw has also added that Child Care Financial Assistance is not being impacted, either. The state appropriates funds for the voucher program at the beginning of the fiscal year and then seeks federal reimbursement.

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This fiscal year’s funding totals about $1.087 billion for the program, which covered more than 66,000 children in fiscal year 2025, according to a December report from the Massachusetts Taxpayers Foundation.

“Obviously, we are incredibly concerned about families across the country and in Minnesota who may lose access to Child Care Financial Assistance based on acts by the federal government,” Kershaw told Bay State childcare stakeholders on Monday.

Before the new year, the federal Administration for Children and Families froze all funding to Minnesota. All 50 states must now provide additional verification before receiving more funds.

Minnesota Democrats accuse the Trump administration of playing politics and hurting families and children as a result.

This all comes after a video surfaced on YouTube alleging fraud in childcare in Somali communities in Minnesota, to which Kershaw has said none of the allegations have been proven.

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The Massachusetts early education and care commissioner noted how there have been similar videos posted in Massachusetts and other states like Ohio, California and Washington.

In their letter to Healey, Lombardo and Boldyga also highlighted how the U.S. Department of Health and Human Services has responded to the Minnesota allegations by closing loopholes that allowed payments without verifying attendance.

“These developments highlight serious risks in subsidized child care systems across the country,” the Republican lawmakers wrote, “including the potential for misappropriation of taxpayer funds on a massive scale.”

Lawmakers across the country are seeking similar reviews as Lombardo and Boldyga. In Michigan, State Senate Minority Leader Aric Nesbitt, a Republican, has asked for an audit of a state program that aims to help low-income families afford childcare there.

The Massachusetts audit would zero in on verifying that voucher payments to providers are based on documented child attendance records; cross-checking to detect potential “ghost children” or overbilling; and on-site inspections of voucher-receiving providers to confirm they are operating legitimate childcare programs, among other objectives.

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“Such a thorough review would not only safeguard public funds,” Lombardo and Boldyga wrote, “but also strengthen confidence in a program that is vital to thousands of Massachusetts families.”

The Associated Press and Herald wire services contributed to this report.



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Massachusetts police officer struck and killed in line of duty; department mourns

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Massachusetts police officer struck and killed in line of duty; department mourns


A Massachusetts police department is mourning the death of one of its own after an officer was struck and killed while attempting to assist a broken-down driver on a highway.

The Uxbridge Police Department has hung black bunting above its main entrance as it receives condolences from across the Bay State following the incident early Wednesday morning.

The crash unfolded at about 12:45 a.m., when the officer was trying to help a motorist in the northbound lanes of Route 146, a main artery in the Worcester County town that borders Rhode Island.

Authorities identified the fallen officer on Wednesday afternoon as Stephen Laporta, 43, of Uxbridge. The Massachusetts State Police is investigating the crash.

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“This is a devastating loss for our department and our community,” Police Chief Marc Montminy said in a statement. “Our thoughts and prayers are with the officer’s family, loved ones, and fellow officers during this incredibly difficult time.”

Gov. Maura Healey has ordered flags to be flown at half-staff at all state buildings in honor of LaPorta.

“I am heartbroken over the news of Officer Stephen LaPorta’s passing,” the governor said in a statement Wednesday afternoon. “He knew he was headed into a dangerous situation when he responded to the scene of a multi-vehicle crash, but like all of our officers do day in and day out, he put the public’s safety first – and he tragically made the ultimate sacrifice.”

Authorities closed Route 146 for hours after the crash, with investigators working the scene. The icy, frozen road reopened around 10 a.m.

Uxbridge First Holy Night, a community organization, offered its condolences to the department via social media, saying the loss is also felt “across our entire town.”

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“Our officers are more than public servants — they are neighbors, friends, parents, children, and family,” the group stated. “When one of our own falls, we all grieve together.”

“Uxbridge is a close-knit community,” it added, “and in moments like this, we lean on one another. May we surround this family and our police department with compassion, strength, and support in the days ahead.”

Police departments from across the region sent cruisers to participate in a procession that accompanied a vehicle carrying LaPorta’s body to a medical examiner’s office before daybreak.

The Boston Police Patrolmen’s Association described the officer as a “fallen hero” and the death as “heartbreaking news.”

“Another police officer killed in the line of duty. This time in Uxbridge,” the association stated in a social media post. “The officer was involved in a motor vehicle crash while attempting to assist a motorist on Rte. 146 early this morning. Our thoughts and prayers are with the officer’s family and the entire Uxbridge Police Department during this incredibly difficult time.”

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State Rep. Mike Soter, whose Central Massachusetts district includes Uxbridge, said his “heart sank” when learning of the death.

“This is so close to home,” he said in a Facebook post. “May GOD watch over this officer’s family and his fellow officers today as they need our strength as a community. May the officer’s memory be eternal always!”

In June 2024, the Uxbridge Police Department celebrated LaPorta’s promotion to full-time patrolman.

“He may seem familiar to you all because Ofc. LaPorta has already been actively serving our wonderful town as a full-time Dispatcher and working part-time patrol shifts,” the department stated in a Facebook post. “He has put in the work to switch his role up and come to the patrol side full time! Let’s give him a warm congrats Uxy!”

Uxbridge Police Department (Herald file photo)
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State fire marshal warns Mass. bars, restaurants against sparklers after deadly Swiss blaze – The Boston Globe

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State fire marshal warns Mass. bars, restaurants against sparklers after deadly Swiss blaze – The Boston Globe


Massachusetts fire officials are warning bars, restaurants, and nightclubs that sparklers and other pyrotechnic devices pose a serious fire risk and are illegal to use without professional licensing, following a deadly New Year’s Eve fire in Switzerland that killed 40 people.

State Fire Marshal Jon M. Davine sent a notice Tuesday to businesses across the state reminding them that sparklers — including so-called “cold spark” pyrotechnics often marketed for celebrations — are prohibited unless businesses have the required licensing, certification, and permits, according to a statement from Davine’s office.

“This includes small sparklers that have been sold as novelties or party favors to accompany champagne bottles, which are believed to have caused the New Year’s Eve fire that claimed 40 lives,” Davine said in the statement.

The warning comes after investigators said sparklers likely contributed to a New Year’s Eve fire at Le Constellation bar in Crans-Montana, Switzerland, that injured more than 100 people in addition to the dozens killed.

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The notice was distributed to local licensing authorities by the Massachusetts Alcoholic Beverages Control Commission and shared with restaurant owners statewide by the Massachusetts Restaurant Association, Davine said.

Separately, the state Department of Fire Services issued a notice to a Florida-based company, King of Sparklers LLC, after sparklers it allegedly sold online were recovered by Fall River fire inspectors at a local establishment, the fire marshal’s office said. Officials said shipping such products into the state violates state law and the Massachusetts Comprehensive Fire Code.

Fire officials said sparklers burn at temperatures exceeding 1,800 degrees Fahrenheit and throw off sparks capable of igniting decorations, furnishings, and other flammable materials. Even after they appear extinguished, sparklers can remain hot enough to start fires, officials said.

Davine pointed to a 2022 incident in Dracut, where the improper disposal of illegal sparklers sparked a three-alarm fire that displaced nine residents.

Sparklers are classified as fireworks under state law, meaning their possession, sale, and use require professional licensing and certification, the Department of Fire Services said.

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Davine said the tragedy in Switzerland echoed memories of the 2003 Station nightclub fire in West Warwick, R.I., which killed 100 people and injured more than 200 others. The fire prompted sweeping safety reforms in Rhode Island as well as Massachusetts.

The Rhode Island fire was sparked during a concert when a band’s pyrotechnics ignited the sound-proofing foam near the stage, and the flames licked their way up the wall. It took a moment for the crowd to realize what was happening, but within 90 seconds after the fire ignited people stampeded toward the front entrance and were crushed, the Globe reported.

“The tragic fire in Switzerland has a chilling similarity to the Station Nightclub fire in Rhode Island, which led to numerous safety reforms in Massachusetts bars and clubs,” Davine said in the statement Tuesday. “We just want to help these businesses keep their patrons and staff safe.”

Rhode Island State Fire Marshal Tim McLaughlin also recalled the Station nightclub fire in the wake of the Swiss blaze.

“It’s almost eerie to think about it — the similarities between the two,” McLaughlin told WPRI-TV this week. “It was something I never thought I’d see again.”

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Nick Stoico can be reached at nick.stoico@globe.com.





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