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We thank the Massachusetts Senate & House for passing extraordinary Primary Care bills that feature most of the major concepts of what we have been building with Primary Care for You (PC4YOU) for the last eight years.
- See the Senate bill (S.3141) along with a summary of this bill here.
- See the House bill (H.5630) along with a summary of this bill here.
- See a comparison of these two bills, what they have in common, and what is unique to each bill below.
In the next several months, a conference committee with three members of the MA House (Aaron Michlewitz/Chair of House Ways and Means, Meghan Kilcoyne/Vice Chair of Health Care Financing, and Hannah Kane/a leading House Republican) and three members of the MA Senate (Cindy Friedman/Chair of Health Care Financing, John Cronin/Vice Chair of Health Care Financing, and Bruce Tarr/Senate Minority Leader) will work to create a single Primary Care bill. The House and Senate will then both vote to pass this legislation and, by the end of 2026, Governor Healey will sign this landmark Primary Care legislation into law.
This PC4YOU legislation will become a national model for other states to follow.
MA Primary Care Alliance for Patients (MAPCAP) is a grassroots organization working in Massachusetts to support legislation that will fix the Primary Care system by increasing access to Primary Care and making primary care free (no copays or deductibles). These changes will leverage the triple superpower of Primary Care: improve health, decrease health disparities, and do both while lowering the overall cost of healthcare, in part by reducing unnecessary visits to the Emergency Department and preventable hospitalizations. By investing in Primary Care through PC4You, we will get more for less.
The one major concept of PC4YOU that is missing in these two bills is the Primary Care Common Fund that is featured in H.1370 (An Act Relative to Massachusetts Primary Care for you filed by Representative Rich Haggerty). This concept is discussed in depth in an article published in the Journal of the American Medical Association (JAMA), the most prestigious medical journal in the world. Learn more about PC4YOU and the Primary Care Common Fund in this podcast. We will continue to fight for this concept to move forward as we reform Primary Care in MA and across the US.

Our Guiding Principles
ACCESS TO CARE
NO Copays or Deductibles in Primary Care; increased access to your PCP

AFFORDABILITY
No out of pocket expenses for Primary Care; insurance rates stay the same or decrease
HEALTH
Better health for you and your family due to high quality primary care
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EQUITY
Decrease health inequities and help to dismantle systemic racism in health care

PERSONALIZED CARE
Shift to payments that are per person instead of per visit: value over volume
COLLABORATION
Incentivize team-based care, comprehensive services, and a focus on patients
Primary Care Should Be a Public Good for Every Resident of Massachusetts
Every resident of Massachusetts deserves equitable access to high-quality primary care. By making primary care a public good, we ensure that preventive, affordable, and patient-centered healthcare is accessible to all. It is more than just a right; it is a necessity.
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We are currently working to pass H. 1370 (PC4You), legislation that will improve both health and equity while decreasing costs. By advocating for this landmark health policy, we can build a healthier Massachusetts together for all of our communities— regardless of background or income.
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