Massachusetts
Massachusetts’ primary-care crisis requires urgent action – The Boston Globe
Slots for primary-care training, including family medicine, pediatrics, and internal medicine, also increased by 877 positions this year, offering up to 20,300 positions for the nation. This seems like promising news for a city like Boston, where the wait for a new patient to access primary care is at least 40 days, twice as long as in 15 other studied cities, and up to half of the primary-care workforce is close to retiring age. The most recent primary-care dashboard from Massachusetts Health Quality Partners, a measurement and reporting nonprofit organization, shows that these shortages are driving up visits to emergency departments, spiking Massachusetts’ total cost on health care, and disproportionately affecting low-income people and people of color, further aggravating our state’s health inequities.
The small increase in slots to train future primary-care physicians nationally will not come close to fixing our primary-care crisis in Massachusetts, however. In a state that has more physicians per capita than any other in the United States, only 22 percent of Massachusetts medical school graduates were providing primary care six to eight years later, as of 2023.
Further, not all primary-care training programs are equal in terms of generating practicing primary-care physicians. According to a recent study, 97 percent of family-medicine residents conclude their training in primary care, whereas only 54 percent of pediatric residents and 35 percent of internal medicine residents conclude their training in primary care. In other words, the vast majority of new primary-care physicians in the United States are family-medicine physicians. Given the robust training of family-medicine physicians, including caring for prenatal, postpartum, pediatric, adult, and geriatric patients, this workforce is crucial.
However, while 13.4 percent of first-year residency positions were in family medicine nationally, Massachusetts only provides 3.9 percent of its first-year residency slots in family medicine. Given that studies show the vast majority (68.7 percent) of family-medicine graduates continue to work in the state where they trained after graduation, this anemic number is a poor harbinger for our future.
A significant barrier to training more family-medicine physicians is the lack of academic medical support. Apart from Boston Medical Center, there are no family-medicine departments in Boston’s academic medical centers, where the majority of graduate medical education occurs. The rationale often cited is that it is the responsibility of community-based institutions to train future primary-care and family-medicine doctors. However, it is exceedingly difficult for community-based hospitals and community health centers to take on this responsibility with already tight profit margins, a lack of internal infrastructure to support residency programs, and traditional residency program funding flowing to academic medical centers.
If Massachusetts wants to have adequate access to primary-care physicians, it needs to prioritize and organize state-level partnerships between large academic institutions and community-based institutions, particularly community health centers, to develop infrastructure and funding for new family-medicine residency programs. Academic medical centers must include investments in developing family medicine as part of their larger primary-care investment plans. Legislators must also reinstitute Medicaid Graduate Medical Education funding in Massachusetts that is targeted to support family-medicine training programs. Currently, Massachusetts is one of only seven states that does not fund residency programs through this program.
Furthermore, to attract more motivated and capable medical students to enter the field of family medicine, health care leaders, educators, and policy makers must work to make the job more sustainable. This includes actions such as statewide policies increasing reimbursements for family-medicine services from all payers, streamlining the number of health care metrics family-medicine physicians are accountable for, and reducing the administrative burden of family-medicine physicians by accelerating the use of AI to complete forms for items such as durable medical equipment, prior authorizations, and messages generated through electronic medical systems.
We are grateful to Governor Maura Healey for her recent remarks on prioritizing primary care; to the Legislature for the development of the Primary Care Task Force, which will focus on primary care access, delivery, and financial sustainability; and to the recent Massachusetts legislative hearings on Senator Cindy Friedman’s Primary Care for You bill. However, we cannot wait for the group’s recommendations to start addressing our state’s primary-care crisis. Legislators, payers, hospitals, and community health centers must work now to strengthen and grow the family-medicine workforce, build a stronger pipeline, and pay for a health care system that will build a healthier Commonwealth.
Massachusetts
Farm Bill provision threatens Massachusetts animal welfare rules – AOL
The Farm Bill passed by the U.S. House of Representatives April 30 could undermine a Massachusetts law aimed at preventing animal cruelty.
The sweeping agricultural bill includes a section called the “Save Our Bacon Act,” which prohibits state and local governments from having farm animal welfare protections that extend to products originating in other states.
The measure specifically targets Massachusetts and California state laws that prohibit certain farm animals from being held in extreme confinement.
Massachusetts Sens. Elizabeth Warren and Ed Markey, both Democrats, released a statement opposing the inclusion of the measure in the Farm Bill.
“This is a highly controversial and poisonous policy that ignores the will of the people. These state laws were overwhelmingly supported by a popular vote — they shouldn’t be overridden because of big-dollar lobbying,” the senators said in their statement. “We have significant concerns about the House-passed Farm Bill, including this overreaching and harmful provision that should not be in the Farm Bill and needs to be removed.”
What is Massachusetts’s Question 3?
In 2016, Massachusetts voters passed Question 3, or an Act to Prevent Cruelty to Farm Animals, with 78% of the vote.
The measure banned the sale of eggs, veal or pork from animals that were “confined in a cruel manner.” It eliminated enclosures that prevented an animal from lying down, standing up, fully extending their limbs or turning around freely.
All of these products sold in Massachusetts must be compliant, regardless of whether the animals were raised on farms in or outside Massachusetts. Therefore, out-of-state farms must comply with Question 3 in order to sell their products in Massachusetts.
Town Line cares for 50 cows, reserving some each year for meat to sell at its farm store.
The law is similar to California’s Proposition 12, which also lays out specific freedom of movement and minimum floor space requirements for how veal calves, breeding pigs and egg-laying hens are kept. It also doesn’t allow the sale of any products from animals confined in ways that don’t meet their standards, including those produced in other states.
What is the Save Our Bacon Act?
The Save Our Bacon Act seeks to block California’s and Massachusetts’s laws on out-of-state producers by saying that no state “may enact or enforce, directly or indirectly, a condition or standard on the production of covered livestock other than for covered livestock physically raised in such State or subdivision.”
The legislation would apply to any domestic animal raised for the purpose of human consumption or milk production, but not animals raised primarily for egg production.
Rep. Ashley Hinson, R-Iowa, originally introduced the Save Our Bacon Act in July 2025.
“California’s Proposition 12 and Massachusetts’ Question 3 pose a major threat to family farms and food security — both in Iowa and across the country,” she said in a press release at the time. “The Save Our Bacon Act reaffirms livestock producers’ right to sell their products across state lines, without interference from arbitrary mandates.”
The act was added as a section in the Farm Bill, which was then passed by the House on a vote of 224-200. The bill next heads to the Senate, where its fate is unclear as lawmakers both across and within party lines have butted heads on several provisions.
This article originally appeared on Telegram & Gazette: Farm Bill provision threatens Massachusetts animal welfare rules
Massachusetts
Smoke from North Attleborough fire visible for miles
Fire broke out at an apartment building in North Attleborough, Massachusetts, on Monday afternoon, sending a column of smoke high into the air.
NBC affiliate WJAR-TV reports the smoke was visible from miles away from the building on Juniper Road.
More details were not immediately available.
This is a developing story. Check back for updates.
Massachusetts
Life Care Center of Raynham earns deficiency‑free state inspection
Life Care Center of Raynham has received a deficiency‑free inspection result from the Massachusetts Department of Public Health, a distinction awarded to a small share of the state’s licensed nursing homes, according to a community announcement.
The inspection was conducted as part of the state’s routine, unannounced nursing home survey process overseen by the Massachusetts Department of Public Health. These comprehensive, multi‑day inspections evaluate multiple aspects of facility operations, including staffing levels, quality of care, medication management, cleanliness, food service and resident rights.
State survey records show that Life Care Center of Raynham met required standards during its most recent standard survey, with no deficiencies cited, based on publicly available state data.
The announcement states that fewer than 8% of Massachusetts nursing homes achieve deficiency‑free survey results. That figure could not be independently verified through state or federal data and is attributed to the announcement.
In addition to the state survey outcome, the facility is listed as a five‑star provider for quality measures on the federal Medicare Care Compare website. The five‑star quality measure rating reflects above‑average performance compared with other nursing homes nationwide, according to federal rating methodology.
Officials said the inspection results reflect ongoing compliance with state and federal standards designed to protect resident health and safety. According to the announcement, the outcome is attributed to staff performance and internal quality practices.
This story was created by Dave DeMille, ddemille@gannett.com, with the assistance of Artificial Intelligence (AI). Journalists were involved in every step of the information gathering, review, editing and publishing process. Learn more at cm.usatoday.com/ethical-conduct.
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