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H 4084

An Act relative to a surcharge on the 988 system

194th Legislature (2025-2026) Introduced by Jack Lewis and 1 co-sponsor

Massachusetts bill establishing a surcharge mechanism to fund the 988 suicide and crisis lifeline system, raising telecommunications costs to support mental health services.

Accompanied a study order, see H5323
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Bill Summary · H 4084

Legislative bill overview

H 4084 proposes implementing a surcharge on the 988 Suicide and Crisis Lifeline system in Massachusetts. The bill would establish a mechanism to fund the 988 service, which provides free crisis counseling and suicide prevention support through phone, text, and chat. This funding model would likely apply charges to telecommunications services or users to generate revenue for the system's operations.

Why is this important

The 988 system has become a critical mental health infrastructure following its national launch in 2022, handling hundreds of thousands of calls monthly. Massachusetts must secure sustainable funding to maintain and expand these services as demand continues to grow. The surcharge approach represents one potential revenue mechanism, though it directly impacts consumer costs and requires careful design to ensure equitable access for vulnerable populations.

Potential points of contention

  • Regressive impact: A surcharge on phone bills disproportionately affects lower-income residents who already struggle to afford telecommunications services, potentially creating barriers for those most needing crisis support
  • Consumer cost vs. public benefit: Debate over whether consumers should bear the cost through surcharges versus general tax funding or state appropriations
  • Implementation clarity: Uncertainty about surcharge amount, which services are taxed (landline, mobile, VoIP), and how revenue is distributed and overseen

Compiled from official sources — confirm details with the bill’s official record.

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