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Our 2023 − 2024 Legislative Agenda

Caring for Planned Parenthood patients must extend beyond the exam room—we need to advocate for their entire well-being and their communities. That means accessible sexual and reproductive health care (including abortion), LGBTQ+ rights, racial justice, and economic justice. True reproductive freedom builds community power.

Our new legislative agenda is unapologetically intersectional and follows the lead of the reproductive justice movement that addresses the ways all forms of oppression impact our reproductive lives.


We're fighting for a healthier and more just Massachusetts. Email your state senator and representative to ask them to co-sponsor our legislative priorities for true reproductive freedom. 

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An Act relative to healthy youth

When a Massachusetts public school provides its students with sex education, there is no guarantee that the lessons are inclusive, age appropriate, or medically accurate.

Comprehensive sex education is about more than just sex—it helps create a culture of consent, recognizes and prioritizes LGBTQ+ youth health needs, and gives young people the tools to build healthy relationships.

The Healthy Youth Act would ensure comprehensive curricula are taught in public schools that choose to offer sex education, helping young people learn the benefits of delaying sex, as well as how to prevent STIs and pregnancy when they become sexually active.

An Act relative to HIV prevention access for young adults

Black and brown gay and bisexual people continue to face higher rates of HIV due to structural barriers, stigma, and inequitable access to care and education. Young people must be able to make decisions about their own health care—improving access to PrEP will help address this disparity.

Massachusetts already trusts young people to consent to STI testing and treatment. This bill will ensure they can also consent to certain preventive care, such as PrEP, that prevents the transmission of HIV, and empower them to make decisions about their own health.

An Act to require public universities to provide medication abortion

Students living on more remote campuses or those who cannot travel to an off-campus health center (especially BIPOC students, students with low incomes, and LGBTQ+ students) can face a number logistical hurdles while trying to access abortion care, including securing transportation, childcare, missing class, or taking time off work. 

Medication abortion has been safe and legal in the U.S. for nearly 20 years, allowing patients a more private option of ending their pregnancy. By requiring public universities to provide medication abortion safely and effectively at student health centers, this bill will remove these medically unnecessary barriers and provide young people better access to abortion care.

An Act relative to out-of-hospital birth access and safety

Our nation’s maternal mortality rates are unacceptable, and Black and brown pregnant people in particular face the highest risk of dying in childbirth. Centuries of medical discrimination and racism have caused these disparate health outcomes as well as distrust of the medical establishment. 

People of color, particularly Black people, deserve equitable access to non-hospital-based pregnancy care in which they are taken care of, listened to, and advocated for throughout their pregnancies. 

Improving access to midwives will empower people to take charge of their pregnancy and birthing experience and connect with medical professionals who can provide the care and support they need. This bill recognizes the importance of midwifery options to pregnant people and their ability to have a safe, supportive non-hospital birth.

An Act relative to medicaid coverage for doula services

Deeply ingrained medical and systemic racism have heightened maternal mortality rates for Black and brown people, immigrants, and pregnant people with low incomes. Doulas have been proven to improve health outcomes for birthing people, especially BIPOC patients, but doula care is often inaccessible to patients who would benefit from it the most. 

Patients deserve access to doulas throughout their pregnancies to be taken care of, listened to, and advocated for. Doulas deserve adequate compensation to sustain and train a diverse doula workforce.

This bill will provide Medicaid coverage for doula services for pregnant people, surrogates, foster parents and adoptive parents, making doula care more accessible and affordable, and furthering the goals of racial equity, reproductive and birthing justice.

An Act ensuring access to full spectrum pregnancy care

The United States has the highest maternal mortality rate of any industrial nation, and for pregnant BIPOC people, the risk is even greater. 

The right to decide if, when, and how to be pregnant and give birth means little if you can't afford the care itself. Every person deserves the ability to make decisions about their pregnancy without worrying if they can afford care.

This bill would require insurers to cover all pregnancy-related care (including abortion, prenatal care, childbirth, and postpartum care) without co-pays or other cost sharing, supporting healthier outcomes and reducing disparities caused by barriers to care.

An Act relative to telehealth and digital equity for patients 

Sexual and reproductive health needs are essential and time sensitive. Planned Parenthood sees firsthand how barriers like time, transportation, childcare, and privacy concerns keep people from the care they need. 

Telehealth, especially during the COVID-19 pandemic, has improved health access for a wealth of patients, especially those living in remote or rural areas. This bill will help make telehealth services more affordable and available, helping more patients effectively access care.

An Act to protect the civil rights and safety of all Massachusetts residents

Deportation tears families apart and has devastating destabilizing effects; supporting reproductive freedom means supporting people if and when they decide to have a family and supporting policies that help them keep their families safe, healthy, and whole. 

No one should fear deportation when seeking health care, and all people deserve the highest quality of care, no matter their immigration status. 

We're proud to continue supporting the Safe Communities Act which will help ensure everyone can seek medical care, emergency assistance, and protection without fear of deportation.

An Act relative to work and family mobility during and subsequent to the COVID-19 pandemic 

Without the ability to obtain a license, people who are undocumented may not be able to travel to health care appointments or may delay or skip preventive and lifesaving care. No one's health should be compromised because of their immigration status. 

The Work and Family Mobility Act would allow people who are undocumented to obtain a Massachusetts driver's license, ensuring they can safely and legally drive to work, care for themselves and their families, and to be active members of their communities.

An Act to create alternatives for community emergency services (ACES)

From blatant police brutality to centuries of systematic, institutionalized oppression, even before the founding of our country, there has been no greater threat to Black lives than the violence inflicted at the hands of the state. That violence also exists in the inherent racism of laws that disproportionately block Black people's access to basic care and services.

As health care advocates, our first priority is the health and safety of our patients. That concern does not stop once patients leave our doors—we believe in investing in community-based solutions, education, and health care instead of relying on police forces to serve as first responders to a person in crisis.

The ACES Act aims to improve public health and reduce police violence by investing in community-based response options rather than leaving people to rely solely on law enforcement when requesting help.

An Act fostering voting opportunity, trust, equity, and security

The reproductive lives of BIPOC people, young people, LGBTQ+ folks and people in communities with low incomes are at stake in every election. And each of these communities are disproportionately disenfranchised by barriers to voting. 

The ability to preserve and expand everyone’s access to reproductive care rests on their right to vote. Without the right to vote, people lose their power to decide.

The VOTES Act aims to make sure every voice is heard in our democracy by making vote-by-mail options permanent, establishing Election Day registration, and supporting people who are incarcerated and still have the right to vote cast their ballots.

An Act to lift kids out of deep poverty

In Planned Parenthood health centers, providers see firsthand the harmful ways that financial barriers prevent people from accessing the care and support they need. Every person should be able to raise a healthy family, regardless of how much money they make. 

Massachusetts has a responsibility to support children and families struggling to get by. This bill supports our state’s lowest-income families by increasing cash benefits for families living in deep poverty.

An Act providing affordable and accessible high quality early education and care to promote child development and well-being and support the economy in the Commonwealth

The COVID-19 pandemic has reinforced the need for high-quality, affordable child care and exposed how barriers to this support keep people from fully participating in the workforce. Without safe access to affordable, high-quality early education and child care, parents and other caregivers are often unable to work, or struggle to balance work with caring for their children. 

The burden of child care still overwhelmingly falls to women, and people with lower incomes have fewer options for high-quality child care. All parents should be supported and be able to access the resources they need to work and care for their children

We’re proud to be members of the Common Start Coalition, fighting to make high-quality early education and child care affordable and accessible to all Massachusetts families.

Our movement is strong.

We can't achieve true reproductive freedom without your help. Sign up to with us to hear more about upcoming volunteering opportunities like action alerts, lobbying, LTE writing, and more! 


Beyond Roe Coalition

Together with coalition partners Reproductive Equity Now and ACLU of MA, we recommend three broad courses of action to protect and expand abortion access in Massachusetts – expand access to care, support patients and providers, and increase education and research.

Find out more