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Bill

SD 1631

An Act relative to nature as a prescription

194th Legislature (2025-2026) Introduced by Mindy Domb and 1 co-sponsor

Massachusetts bill authorizes healthcare providers to prescribe nature exposure as medical treatment, aiming to improve population health through formalized outdoor activity interventions.

House concurred
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Bill Summary · SD 1631

Legislative bill overview

SD 1631 proposes to establish "nature as a prescription" programs in Massachusetts, allowing healthcare providers to formally prescribe time in nature and outdoor activities as a medical intervention. The bill would create a framework for integrating nature-based prescriptions into standard healthcare practices and would likely require insurance coverage consideration for such prescriptions.

Why is this important

Growing research demonstrates that nature exposure reduces stress, improves mental health outcomes, and supports physical recovery—yet these benefits remain underutilized in conventional medicine. Formalizing nature prescriptions could increase equitable access to these health benefits, particularly for low-income residents who face barriers to outdoor recreation, while potentially reducing healthcare costs through preventive wellness interventions.

Potential points of contention

  • Insurance coverage and cost: Unclear whether health insurers would cover nature prescriptions or how reimbursement would work, potentially creating unfunded mandates on insurance companies or the state
  • Standardization and measurement: Defining what constitutes an effective "nature prescription," establishing medical guidelines, and measuring health outcomes lacks established clinical protocols
  • Access and equity concerns: Risk that prescriptions benefit primarily those with transportation and nearby green spaces, potentially widening health disparities if implementation isn't carefully designed for underserved communities

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

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