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S 697

An Act to increase access to nurse-midwifery services

194th Legislature (2025-2026) Introduced by Jo Comerford and 3 co-sponsors

S 697 expands Massachusetts nurse-midwifery access by removing practice barriers, potentially increasing maternal healthcare availability and affordability in underserved regions.

Committee recommended ought to pass and referred to the committee on Senate Ways and Means
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Bill Summary · S 697

Legislative bill overview

S 697 seeks to expand access to nurse-midwifery services in Massachusetts by removing or modifying barriers to their practice and utilization. The bill has progressed through committee review and is currently in the Health Care Financing Committee stage. The specific mechanisms for expanding access—whether through regulatory changes, insurance coverage requirements, or funding provisions—are not detailed in the action history provided.

Why is this important

Nurse-midwifery services can provide more accessible and often lower-cost maternal healthcare options, particularly in underserved areas. Expanding these services may address maternal healthcare workforce shortages and improve access to prenatal, delivery, and postpartum care for communities with limited obstetric resources.

Potential points of contention

  • Scope of practice concerns: Obstetricians and physician organizations may resist expanded autonomous practice authority for nurse-midwives, citing liability and patient safety considerations
  • Insurance and reimbursement: Disputes may arise over insurance coverage mandates, reimbursement rates compared to physicians, and whether expansion increases overall healthcare costs or saves money
  • Supervision requirements: Disagreement over whether nurse-midwives should practice independently or under physician oversight, balancing autonomy against regulatory safeguards

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

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