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| 2 | 2 | | HOUSE DOCKET, NO. 1527 FILED ON: 1/15/2025 |
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| 3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 2433 |
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| 4 | 4 | | The Commonwealth of Massachusetts |
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| 5 | 5 | | _________________ |
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| 6 | 6 | | PRESENTED BY: |
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| 7 | 7 | | Jessica Ann Giannino |
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| 8 | 8 | | _________________ |
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| 9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
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| 10 | 10 | | Court assembled: |
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| 11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
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| 12 | 12 | | An Act to establish an amputation prevention task force. |
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| 13 | 13 | | _______________ |
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| 14 | 14 | | PETITION OF: |
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| 15 | 15 | | NAME:DISTRICT/ADDRESS :DATE ADDED:Jessica Ann Giannino16th Suffolk1/15/2025 1 of 3 |
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| 16 | 16 | | HOUSE DOCKET, NO. 1527 FILED ON: 1/15/2025 |
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| 17 | 17 | | HOUSE . . . . . . . . . . . . . . . No. 2433 |
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| 18 | 18 | | By Representative Giannino of Revere, a petition (accompanied by bill, House, No. 2433) of |
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| 19 | 19 | | Jessica Ann Giannino for an investigation by a task force (including members of the General |
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| 20 | 20 | | Court) relative to amputation prevention. Public Health. |
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| 21 | 21 | | The Commonwealth of Massachusetts |
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| 22 | 22 | | _______________ |
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| 23 | 23 | | In the One Hundred and Ninety-Fourth General Court |
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| 24 | 24 | | (2025-2026) |
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| 25 | 25 | | _______________ |
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| 26 | 26 | | An Act to establish an amputation prevention task force. |
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| 27 | 27 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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| 28 | 28 | | of the same, as follows: |
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| 29 | 29 | | 1 Section 1. Notwithstanding any general or special law to the contrary, the executive |
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| 30 | 30 | | 2office of health and human services shall establish an Amputation Prevention Task Force. |
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| 31 | 31 | | 3 The secretary or designee will chair the task force and will make recommendations for |
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| 32 | 32 | | 4task force membership. Members not serving in the General Court will be appointed by the |
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| 33 | 33 | | 5governor. The governor shall ensure that appointments provide diversity of gender, race, and |
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| 34 | 34 | | 6geographical areas. |
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| 35 | 35 | | 7 The task force shall consist of the following members: |
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| 36 | 36 | | 8 (1) Commissioner of the department of public health or a designee; |
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| 37 | 37 | | 9 (2) Assistant Secretary for MassHealth or a designee; |
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| 38 | 38 | | 10 (3) Two members from the Massachusetts House of Representatives as appointed by the |
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| 39 | 39 | | 11Speaker of the House; 2 of 3 |
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| 40 | 40 | | 12 (4) Two members from the Massachusetts Senate as appointed by the Senate President; |
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| 41 | 41 | | 13 (5) One licensed endocrinologist; |
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| 42 | 42 | | 14 (6) One licensed diabetes nurse educator; |
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| 43 | 43 | | 15 (7) A vascular surgeon who has expertise in amputation prevention; |
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| 44 | 44 | | 16 (8) A medical doctor or midlevel practitioner who has expertise in amputation |
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| 45 | 45 | | 17prevention; |
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| 46 | 46 | | 18 (9) A podiatrist with expertise in treating diabetic foot ulcers; |
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| 47 | 47 | | 19 (10) A podiatrist or vascular surgeon with the veterans administration; |
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| 48 | 48 | | 20 (11) A public health provider; |
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| 49 | 49 | | 21 (12) A representative of the Massachusetts Senior Care Association; |
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| 50 | 50 | | 22 (13) One member of the public; |
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| 51 | 51 | | 23 (14) A representative of the American Diabetes Association; and |
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| 52 | 52 | | 24 (15) The task force may add members as it sees fit by a majority vote of the task force |
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| 53 | 53 | | 25members. |
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| 54 | 54 | | 26 Section 2. Duties. |
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| 55 | 55 | | 27 The task force shall: |
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| 56 | 56 | | 28 (1) advise the secretary and other state agencies on issues related to amputations with a |
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| 57 | 57 | | 29focus on amputation prevention as it relates to diabetic foot ulcers and peripheral arterial disease; 3 of 3 |
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| 58 | 58 | | 30 (2) provide a systematic and cohesive approach toward reducing amputations, including |
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| 59 | 59 | | 31increasing public awareness; |
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| 60 | 60 | | 32 (3) recommend mechanisms to encourage greater cooperation among stakeholders to |
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| 61 | 61 | | 33address amputations in Massachusetts; |
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| 62 | 62 | | 34 (4) make recommendations and identify policy solutions to the state legislature to ensure |
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| 63 | 63 | | 35access to treatments to prevent amputations including: |
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| 64 | 64 | | 36 (a) Coverage policies as it relates to treatment of diabetic foot ulcers including topical |
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| 65 | 65 | | 37oxygen therapy; |
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| 66 | 66 | | 38 (b) Policies to address timely and equitable access to evidence-supported medical tools, |
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| 67 | 67 | | 39technologies, and services to prevent avoidable amputations; |
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| 68 | 68 | | 40 (c) Improve and incentivize quality care to avoid amputations whenever possible; |
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| 69 | 69 | | 41 (d) Policies to promote collaboration |
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| 70 | 70 | | 42 (5) The task force shall publish a report and present it to the Governor, the clerks of the |
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| 71 | 71 | | 43house of representatives and senate, and the chairs of the Joint Committees on Public Health, |
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| 72 | 72 | | 44Health Care Financing, and Financial Services by no later than September 1 of the year |
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| 73 | 73 | | 45following passage into law. |
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