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HD 4253

An Act relative to ensuring health care options at institutions of higher education

194th Legislature (2025-2026) Introduced by Lindsay Sabadosa

Requires Massachusetts colleges to provide or arrange comprehensive health care services for students, including mental health and reproductive care, either on-campus or through established external partnerships.

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Bill Summary · HD 4253

Legislative bill overview

HD 4253 requires Massachusetts institutions of higher education to provide comprehensive health care services and options to students, including mental health services, reproductive health care, and preventive services. The bill mandates that colleges and universities either offer these services directly through campus health centers or establish agreements with external providers to ensure accessible care.

Why is this important

College students face significant barriers to health care access, including cost, transportation, and awareness of available services. Ensuring comprehensive health care options on or near campus can improve student health outcomes, reduce untreated mental health conditions, and support student retention and academic success.

Potential points of contention

  • Cost and funding: Institutions may argue implementation costs are substantial and question who bears financial responsibility—colleges, students, or the state
  • Reproductive health services scope: The inclusion of reproductive health care may generate debate about what specific services should be included and potential conflicts with institutional values
  • Mandate versus flexibility: Colleges may prefer autonomy in health service design rather than state-mandated requirements, particularly regarding partnerships and service standards
  • Capacity concerns: Rural or smaller institutions may struggle to meet requirements, potentially requiring different compliance pathways

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

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