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HD 2860

An Act to improve continuity of care for MassHealth members with chronic conditions

194th Legislature (2025-2026) Introduced by Lindsay Sabadosa

Massachusetts bill requiring MassHealth to strengthen care coordination systems for chronic condition patients to reduce gaps in treatment and hospitalizations.

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Bill Summary · HD 2860

Legislative bill overview

HD 2860 aims to enhance care coordination and continuity of treatment for MassHealth (Massachusetts's Medicaid program) beneficiaries who have chronic conditions. The bill appears to establish mechanisms to reduce gaps in care, improve transitions between providers, and ensure consistent access to necessary treatments for conditions like diabetes, heart disease, and asthma.

Why is this important

Chronic condition management is a leading driver of healthcare costs and preventable hospitalizations. Poor continuity of care—such as missed appointments, lost medical records, or interrupted medication access—frequently results in emergency room visits and worse health outcomes, particularly among lower-income populations relying on Medicaid. Strengthening these systems directly affects both individual health outcomes and state healthcare spending.

Potential points of contention

  • Implementation costs: Expanded care coordination requires increased staffing, IT infrastructure, and provider network development, raising questions about state budget impact and whether savings from reduced hospitalizations will offset upfront expenses
  • Provider participation and compensation: Success depends on healthcare providers participating in coordination efforts; unclear whether proposed reimbursement structures adequately incentivize participation or burden already-stretched community health centers
  • Scope and definition challenges: The bill's effectiveness depends on clear definitions of "chronic conditions" and "continuity of care"—overly broad definitions could strain resources while narrow ones may exclude vulnerable populations

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

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