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Bill

S 251

An Act relative to health equity and community health workers

194th Legislature (2025-2026) Introduced by Sal DiDomenico and 1 co-sponsor

Massachusetts formalizes community health worker roles with standards and training requirements to expand equitable healthcare access in underserved communities.

Hearing rescheduled to 09/29/2025 from 09:00 AM-11:30 AM in A-2 and Virtual Hearing updated to New End Time
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Bill Summary · S 251

Legislative bill overview

S 251 establishes a framework for community health workers (CHWs) in Massachusetts, likely including licensing requirements, training standards, and integration into the state's healthcare system. The bill aims to formalize the role of CHWs—paraprofessional health advocates who work in underserved communities—and ensure they meet consistent quality and competency standards while improving health equity across the state.

Why is this important

Community health workers are frontline health professionals who bridge gaps between healthcare systems and vulnerable populations, improving health outcomes and reducing disparities. Formalizing their role through legislation increases access to culturally competent care in underserved areas while potentially reducing healthcare costs through preventative community-based interventions.

Potential points of contention

  • Credential scope and licensing burden: Questions about whether licensing requirements will be too stringent, potentially limiting recruitment from the communities CHWs serve, or too lenient to ensure quality care
  • Funding and insurance coverage: Unclear whether private insurance, Medicaid, and Medicare will reimburse CHW services, and how the state will fund these positions if not
  • Job protections versus labor costs: Potential friction between healthcare employers regarding wages, benefits, and classification standards for CHWs, which could increase operational expenses for hospitals and clinics

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

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