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Overcoming racial health disparities is focus of new bill. What would change if passed

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Overcoming racial health disparities is focus of new bill. What would change if passed


BOSTON Health equity advocates are urging lawmakers to advance a comprehensive health equity bill to overcome racial disparities in the health care system. 

The omnibus bill, co-sponsored by 31 legislators in the House and Senate, aims to improve access and quality of health care. Among other provisions, the bill includes creating an executive office of equity; reducing the cost of certain medications for chronic conditions that disproportionately affect communities of color and low-income communities; and expanding MassHealth coverage for people regardless of immigration status. 

“This legislation is an essential step toward addressing the failings of our health care system and the root causes of health inequities across the commonwealth,” said state Sen. Pavel Payano, D-Lawrence, lead sponsor of the bill, during a Joint Committee on Health Care Financing hearing on Wednesday.

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Requiring the governor’s cabinet to include a secretary of equity would elevate equity with the Legislature and raise appropriate awareness of health care gaps, said Assaad Sayah, president and chief executive of the Cambridge Health Alliance.

“Bureaucracy worries me,” said state Sen. Cindy Friedman, D-Arlington, Senate Chair of the Committee on Health Care Financing. “We can spend a lot of time on the bureaucracy and then we have not a lot to show.”

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Having diverse representation in policy conversations is an essential first step versus remaining an afterthought in governance, Sayah said.

“The gap is huge and the conversation is large,” he said. “It needs to be a voice that’s coming from inside at every lesson in every conversation.”

Uninsured residents use emergency rooms for primary care

More than 80% of Massachusetts residents believe some racial groups face more health care obstacles, with 23% citing health care and insurance affordability and cost as top barriers to health equity in open-ended responses, according to a new MassINC Polling Group survey.

Many uninsured Massachusetts residents overuse emergency rooms for primary care due to a lack of access to primary care physicians, said Amie Shei, president and CEO of the Health Foundation of Central Massachusetts, in an interview before Wednesday’s hearing.

“This is very costly and they (uninsured residents) end up delaying treatment and many times their health conditions worsen as a result,” she said.

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Though Massachusetts has broader insurance coverage, “many still don’t guarantee to receive understanding, compassionate and culturally competent providers within practices that offer people respectful care,” said Nancy Norman, medical director of integration for the Massachusetts Behavioral Health Partnership. 

Shari Nethersole, vice president of community jhealth at Boston Children’s Hospital, said during Wednesday’s testimony that language barriers and limited culturally relevant care make it difficult for immigrant families to navigate and access care.

“The current system of offering medical limited coverage to children and adults for undocumented immigrants creates a tiered system where even members of the same family may have access to the same level of care,” Nethersole said, adding that equal coverage would ensure patients get appropriate preventive care on time.

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Bill would require state agencies to report health data

One proposal in the package is to require state agencies to report data related to health disparities using standardized health equity data metrics.

Analyzing and sharing data such as life expectancy differences between Boston neighborhoods is difficult, said Bisola Ojikutu, executive director of the Boston Public Health Commission. 

“Standardizing data that have already been shared allows us to clearly target interventions and measure progress over time,” Ojikutu said during the hearing. “We need solutions that are comprehensive and encompass the entire state, even if they need increased bureaucracy.”

Health equity activists rally on State House steps 

Ahead of Wednesday’s hearing, members of the Health Equity Compact — an organization representing more than 80 leaders of color representing hospitals, health centers and other community health organizations — held a rally to support the legislation on the State House steps. 

According to the MassInc poll, 96% of Massachusetts residents agree that everyone deserves an opportunity to live a long, healthy life, regardless of income, education or race. 

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Michael Curry, co-founder of the Compact and president of Massachusetts League of Community Health Centers, said the Health Equity Compact will continue to advocate to get the legislation moved favorably out of the committee by the Joint Rule 10 deadline, which is next April.

“It’s only equitable that it passes,” Sayah said. “The bill is not the answer to everything, but it is an important step in that journey.”



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Mass. gives noncompliant towns more time to meet MBTA zoning regulations

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Mass. gives noncompliant towns more time to meet MBTA zoning regulations


The Healey administration filed emergency regulations late Tuesday afternoon to implement the controversial law meant to spur greater housing production, after Massachusetts’ highest court struck down the last pass at drafting those rules.

The Supreme Judicial Court upheld the MBTA Communities Act as a constitutional law last week, but said it was “ineffective” until the governor’s Executive Office of Housing and Livable Communities promulgated new guidelines. The court said EOHLC did not follow state law when creating the regulations the first time around, rendering them “presently unenforceable.”

The emergency regulations filed Tuesday are in effect for 90 days. Over the next three months, EOHLC intends to adopt permanent guidelines following a public comment period, before the expiration of the temporary procedures, a release from the office said.

“The emergency regulations do not substantively change the law’s zoning requirements and do not affect any determinations of compliance that have been already issued by EOHLC. The regulations do provide additional time for MBTA communities that failed to meet prior deadlines to come into compliance with the law,” the press release said.

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Massachusetts’ Supreme Judicial Court ruled that the state’s attorney general has the power to enforce the MBTA Communities Law, which requires communities near MBTA services to zone for more multifamily housing, but it also ruled that existing guidelines aren’t enforceable.

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The MBTA Communities Act requires 177 municipalities that host or are adjacent to MBTA service to zone for multifamily housing by right in at least one district.

Cities and towns are classified in one of four categories, and there were different compliance deadlines in the original regulations promulgated by EOHLC: host to rapid transit service (deadline of Dec. 31, 2023), host to commuter rail service (deadline of Dec. 31, 2024), adjacent community (deadline of Dec. 31, 2024) and adjacent small town (deadline of Dec. 31, 2025).

Under the emergency regulations, communities that did not meet prior deadlines must submit a new action plan to the state with a plan to comply with the law by 11:59 p.m. on Feb. 13, 2025. These communities will then have until July 14, 2025, to submit a district compliance application to the state.

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Communities designated as adjacent small towns still face the Dec. 31, 2025 deadline to adopt compliant zoning.

The town of Needham voted Tuesday on a special referendum over whether to re-zone the town for 3,000 more units of housing under Massachusetts’ MBTA Communities law.

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Like the old version of the guidelines, the new emergency regulations gives EOHLC the right to determine whether a city or town’s zoning provisions to allow for multi-family housing as of right are consistent with certain affordability requirements, and to determine what is a “reasonable size” for the multi-family zoning district.

The filing of emergency regulations comes six days after the SJC decision — though later than the governor’s office originally projected. Healey originally said her team would move to craft new regulations by the end of last week to plug the gap opened up by the ruling.

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“These regulations will allow us to continue moving forward with implementation of the MBTA Communities Law, which will increase housing production and lower costs across the state,” Healey said in a statement Tuesday. “These regulations allow communities more time to come into compliance with the law, and we are committed to working with them to advance zoning plans that fit their unique needs.”

A total of 116 communities out of the 177 subject to the law have already adopted multi-family zoning districts to comply with the MBTA Communities Act, according to EOHLC.





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Revere city councilor slams Massachusetts officials for being ‘woke’ after migrant shelter bust

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Revere city councilor slams Massachusetts officials for being ‘woke’ after migrant shelter bust


A Revere city councilor says the state’s right-to-shelter law is a “perfect example” of how “woke” ideologies are harmful, as he addressed the arrest of a migrant who allegedly had an AR-15 and 10 pounds of fentanyl at a local hotel.

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Massachusetts senator seeks to extend deadline for TikTok ban | TechCrunch

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Massachusetts senator seeks to extend deadline for TikTok ban | TechCrunch


Senatory Ed Markey (D-Mass.) is planning to introduce legislation to extend the TikTok ban deadline by 270 days. TikTok has warned of a looming shutdown in just five days, but the new legislation, officially called the Extend the TikTok Deadline Act, would give TikTok more time to divest from its Chinese parent company ByteDance, if approved by Congress.

TikTok is currently expected to “go dark” on January 19, unless the Supreme Court intervenes to delay the ban. The Supreme Court is weighing the ban, and is expected to decide sometime this week whether the law behind the ban violates the First Amendment.

“As the January 19th deadline approaches, TikTok creators and users across the nation are understandably alarmed,” Markey said in a Senate floor speech on Monday. “They are uncertain about the future of the platform, their accounts, and the vibrant online communities they have cultivated. “These communities cannot be replicated on another app. A ban would dismantle a one-of-a-kind informational and cultural ecosystem, silencing millions in the process.”

Markey noted that while TikTok has its problems and poses a “serious risk” to the privacy and mental health of young people, a ban “would impose serious consequences on millions of Americans who depend on the app for social connections and their economic livelihood.”

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Markey and Senator Rand Paul (R-Ky.), along with Congressman Ro Khanna (CA-17), recently submitted a bipartisan amicus brief urging the Supreme Court to reverse the D.C. Circuit Court’s decision that upheld the TikTok ban. The trio argued that the TikTok ban conflicts with the First Amendment.



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