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SD 631

An Act relative to special education health care costs

194th Legislature (2025-2026) Introduced by Cynthia Creem

Clarifies financial responsibility for health care services provided to special education students in Massachusetts schools, affecting district budgets and service delivery.

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Bill Summary · SD 631

Legislative bill overview

SD 631 addresses the allocation of health care costs for students receiving special education services in Massachusetts. The bill seeks to clarify or modify which entities—schools, districts, or insurance providers—bear financial responsibility for medical services provided to special education students during the school day.

Why is this important

Special education health care costs have become a significant budget burden for school districts, potentially affecting their ability to fund other educational services. This bill attempts to establish clearer cost-sharing arrangements that could impact both district finances and student access to necessary medical support services.

Potential points of contention

  • District burden: School districts may resist provisions that maintain or increase their financial responsibility for health care costs, arguing resources should prioritize direct education services
  • Insurance coverage scope: Disputes may arise over whether private insurance, MassHealth, or other payers should cover services provided in school settings versus clinical settings
  • Student access: Changes to cost allocation could affect availability of health-related services (nursing, physical therapy, medications) if districts reduce offerings due to budget constraints
  • Implementation complexity: Different interpretations of which services qualify as "special education health care" versus general student health services could create administrative challenges

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

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