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HD 2122

An Act relative to health equity and community health workers

194th Legislature (2025-2026) Introduced by Marjorie Decker

Massachusetts bill establishes community health worker programs with training standards and reimbursement mechanisms to improve health equity in underserved communities.

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Bill Summary · HD 2122

Legislative bill overview

HD 2122 establishes community health worker (CHW) programs and regulations in Massachusetts, creating formal recognition, training standards, and potential reimbursement mechanisms for these workers. The bill aims to integrate CHWs into the healthcare system to address health disparities in underserved communities.

Why is this important

Community health workers—who typically come from and work within their own communities—have demonstrated effectiveness at improving health outcomes for marginalized populations by providing culturally competent care, health education, and navigation services. Formalizing and funding CHW roles could expand access to preventive care and reduce costly emergency department visits while addressing social determinants of health.

Potential points of contention

  • Cost and funding: Question of how expanded CHW programs will be funded, whether through Medicaid reimbursement, state appropriations, or other mechanisms, and whether costs are adequately estimated
  • Scope and oversight: Debate over appropriate qualifications, certification standards, and supervision requirements to ensure quality while maintaining accessibility and affordability of training
  • Integration challenges: Concerns about how CHWs will coordinate with existing healthcare providers, whether they'll receive equal recognition/respect, and potential resistance from traditional healthcare professionals

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

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