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HD 2788

An Act to expand equity and access to patient centered care for substance abuse disorder

194th Legislature (2025-2026) Introduced by Dave Rogers and 1 co-sponsor

Massachusetts bill expands substance abuse disorder treatment access by authorizing more providers to prescribe MAT medications and reducing insurance approval barriers.

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Bill Summary · HD 2788

Legislative bill overview

HD 2788 expands access to medication-assisted treatment (MAT) and behavioral health services for individuals with substance use disorders in Massachusetts. The bill aims to increase the number of providers authorized to prescribe medications like buprenorphine and methadone, reduce prior authorization requirements, and integrate substance abuse disorder treatment into primary care settings.

Why is this important

Massachusetts has faced persistent opioid overdose deaths and limited access to evidence-based treatment, particularly in rural and underserved areas. Expanding MAT access and reducing administrative barriers can improve treatment initiation rates, reduce overdose mortality, and lower healthcare costs associated with untreated addiction and emergency interventions.

Potential points of contention

  • Provider liability and training standards: Opponents may argue that broadening prescribing authority without stringent oversight could increase diversion risks or compromise patient safety, while supporters contend current restrictions unnecessarily limit qualified providers
  • Insurance coverage and prior authorization elimination: Insurers may resist removing prior authorization requirements citing fraud prevention, while patient advocates argue these delays prevent timely treatment and contribute to overdose deaths
  • Funding mechanisms: The bill's cost and whether it relies on new state funding, existing budgets, or insurance industry cost-sharing remains unclear and could face fiscal scrutiny

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

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