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SD 2267

An Act to remove medical and health service fees for incarcerated people

194th Legislature (2025-2026) Introduced by Pavel Payano

Massachusetts bill eliminates medical fees for incarcerated people to ensure healthcare access regardless of ability to pay while in state custody.

House concurred
0
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Bill Summary · SD 2267

Legislative bill overview

SD 2267 would eliminate medical and health service fees that incarcerated individuals are currently required to pay while in Massachusetts correctional facilities. The bill removes financial barriers to healthcare access for people in state custody by waiving charges for medical visits, medications, and other health services.

Why is this important

Incarcerated individuals often have limited income and resources, making even small medical fees a significant burden that can deter them from seeking necessary treatment. This directly affects public health outcomes both inside facilities and upon reentry, as untreated conditions may worsen and spread. The policy raises questions about the state's responsibility to provide adequate care to people in its custody and the long-term cost-benefit of preventive versus deferred medical treatment.

Potential points of contention

  • Cost implications: Opponents may argue the state already bears substantial healthcare costs for incarcerated populations and question whether eliminating fees will increase facility budgets without offsetting revenue.
  • Incentive structure: Critics might contend that medical fees serve as a deterrent to frivolous medical requests, potentially increasing administrative burden on healthcare staff.
  • Equity concerns: Supporters argue incarcerated people shouldn't face barriers to healthcare that free citizens don't; opponents may question whether this creates inequitable advantages compared to low-income non-incarcerated individuals who still pay copays.

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

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