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HD 2966

An Act replacing archaic and stigmatizing language for substance use

194th Legislature (2025-2026) Introduced by Jim O'Day

Massachusetts bill updates substance use language in state law from stigmatizing terms to clinical, person-centered terminology to reduce barriers to treatment and address health equity.

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Bill Summary · HD 2966

Legislative bill overview

HD 2966 replaces outdated and stigmatizing terminology related to substance use with person-centered, clinical language in Massachusetts state law and regulations. The bill updates references such as "drug addict" and "substance abuse" to more appropriate terms like "person with substance use disorder" or "substance use." This is primarily a housekeeping measure modernizing statutory language across relevant state codes.

Why is this important

Language shapes public perception and can either reinforce stigma or promote dignity. Research indicates that stigmatizing terminology creates barriers to treatment-seeking and contributes to discrimination in healthcare, employment, and housing. Updating official state language signals commitment to treating substance use as a health issue rather than a moral failing, potentially improving public health outcomes and access to treatment.

Potential points of contention

  • Cost and scope: Questions about whether replacing terminology across all state codes justifies legislative time, or if it's purely symbolic without substantive policy change
  • Implementation practicality: Concerns about enforcing consistent language updates across multiple agencies and whether it requires additional training or resources
  • Competing priorities: Some may argue legislative focus should prioritize concrete treatment funding or harm reduction services rather than terminology changes alone

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

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