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HD 2584

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 phone surcharge to fund the 988 suicide crisis lifeline system to ensure adequate mental health crisis response resources.

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Bill Summary · HD 2584

Legislative bill overview

HD 2584 proposes establishing a surcharge on the 988 Suicide and Crisis Lifeline system in Massachusetts. The surcharge would generate dedicated funding for the crisis mental health services that the 988 line provides. This follows the federal establishment of 988 as the national suicide prevention hotline number.

Why is this important

The 988 system has experienced dramatically increased call volumes since its 2022 launch, straining resources in many states. Dedicated funding mechanisms are necessary to maintain response quality and reduce wait times for people in mental health crises. Massachusetts must decide how to sustainably finance this critical mental health infrastructure.

Potential points of contention

  • Regressive cost structure: Surcharges on phone bills disproportionately burden lower-income residents who already face barriers to healthcare access, potentially creating equity concerns
  • Implementation details unclear: The bill's specific surcharge amount, which phone services are affected, and exemption criteria are not detailed, making it difficult to assess true fiscal impact
  • Alternative funding sources: Debate over whether dedicated surcharges are preferable to general fund appropriations, grant funding, or federal support mechanisms

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

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