Massachusetts 2025-2026 Regular Session

Massachusetts Senate Bill S1393 Latest Draft

Bill / Introduced Version Filed 02/27/2025

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SENATE DOCKET, NO. 2483       FILED ON: 1/17/2025
SENATE . . . . . . . . . . . . . . No. 1393
The Commonwealth of Massachusetts
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PRESENTED BY:
Julian Cyr
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To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:
The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
An Act relative to preventing overdose deaths and increasing access to treatment.
_______________
PETITION OF:
NAME:DISTRICT/ADDRESS :Julian CyrCape and IslandsJoanne M. ComerfordHampshire, Franklin and Worcester1/28/2025Jason M. LewisFifth Middlesex1/29/2025John F. KeenanNorfolk and Plymouth1/29/2025Rebecca L. RauschNorfolk, Worcester and Middlesex1/30/2025Dylan A. FernandesPlymouth and Barnstable2/5/2025James B. EldridgeMiddlesex and Worcester2/11/2025Patricia D. JehlenSecond Middlesex2/19/2025Sal N. DiDomenicoMiddlesex and Suffolk2/21/2025Manny Cruz7th Essex2/25/2025 1 of 4
SENATE DOCKET, NO. 2483       FILED ON: 1/17/2025
SENATE . . . . . . . . . . . . . . No. 1393
By Mr. Cyr, a petition (accompanied by bill, Senate, No. 1393) of Julian Cyr, Joanne M. 
Comerford, Jason M. Lewis, John F. Keenan and other members of the Senate for legislation 
relative to preventing overdose deaths and increasing access to treatment. Mental Health, 
Substance Use and Recovery.
[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE SENATE, NO. 1242 OF 2023-2024.]
The Commonwealth of Massachusetts
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In the One Hundred and Ninety-Fourth General Court
(2025-2026)
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An Act relative to preventing overdose deaths and increasing access to treatment.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority 
of the same, as follows:
1 SECTION 1. Chapter 111 of the General Laws, as appearing in the 2022 edition, is 
2hereby amended by inserting after section 215 the following new section:-
3 Section 215A. (a) For the purposes of this section, the following words shall have the 
4following meanings unless the context clearly requires otherwise:
5 “Harm reduction program”, a program or service that reduces the adverse consequences 
6of substance use, including use-related morbidity and mortality, stabilizes and improves the 
7health of people who use substances, and advances public health. Programming or services 
8provided by a harm reduction program may include, but shall not be limited to: needle exchange; 
9primary care, including disease prevention and health screenings; access or referral to evidence- 2 of 4
10based treatment options; drug testing services; overdose reversal care; supervision of persons 
11who use pre-obtained substances; and other social support services deemed permissible by the 
12department.
13 “Harm reduction program operators”, entities or individuals directly involved in the 
14operation, administration or staffing of a harm reduction program, including directors, board 
15members, consultants, health care providers, service providers, staff and volunteers.
16 (b) Not later than 1 year after the implementation of a harm reduction program under this 
17subsection, the department shall report the results of authorized programs pursuant to this section 
18and any recommendations by filing the report with the clerks of the senate and house of 
19representatives, the joint committee on mental health, substance use and recovery, the joint 
20committee on public health and the senate and house committees on ways and means.
21 (c) Notwithstanding any general or special law to the contrary, harm reduction program 
22operators, individuals who access harm reduction program services, owners, lessors and sub-
23lessors of property used for harm reduction programs and state, county and municipal employees 
24involved in approving or operating harm reduction programs shall, for actions related to the 
25approval or operation of, or participation in, a harm reduction program, be immune from: (i) 
26arrest, charge or prosecution, including for attempting, aiding and abetting or conspiracy to 
27commit a violation, pursuant to sections 32, 32A, 32B, 32C, 32D, 32E, 32I, 34, 40, 43 and 47 of 
28chapter 94C and chapter 271A; (ii) seizure or forfeiture of data, records, assets or property under 
29state law; (iii) civil suit, liability or damages alleged to have been sustained by an act or omission 
30by a harm reduction program operator in the course of providing harm reduction services; (iv) 
31denial of any right or privilege; and (v) for health care providers, disciplinary action by a  3 of 4
32professional licensing board, credentialing restriction, contractual liability, adverse employment 
33action or denial of any professional privilege; provided, however, that the immunity described in 
34this subsection shall apply only if the harm reduction program is approved by the department and 
35operates in good faith in accordance with this section and regulatory requirements issued by the 
36department. 
37 (d) Entering or exiting or utilizing a harm reduction program cannot serve as the basis 
38for, or a fact contributing to the existence of, reasonable suspicion or probable cause to conduct a 
39search or seizure.
40 (e) The immunity provided under subsection (c) shall not apply: (i) if the damage was 
41caused by an act or omission constituting gross negligence or recklessness, conduct with an 
42intent to harm, discrimination based on race, ethnicity, national origin, religion, disability, sexual 
43orientation or gender identity, or conduct outside the scope of responsibility of a harm reduction 
44program employee or volunteer, as determined by the department; (ii) to consumer protection 
45actions brought by the attorney general; (iii) to false claims actions brought by or on behalf of 
46the commonwealth; or (iv) privacy violations.
47 (f) Notwithstanding any general law or special law to the contrary, a person or entity 
48providing harm reduction services under this section and approved by the department shall not be 
49required to register their activities pursuant to section 7 of chapter 94C.
50 (g) The department shall promulgate regulations to implement this section.
51 SECTION 2. Section 193U of chapter 175 of the general laws, as amended by section 23 
52of chapter 127 of the acts of 2022, is hereby amended by inserting in the first sentence of the  4 of 4
53second paragraph, after the word “that,”, the following words:- “a health care provider provides 
54services at a harm reduction program, or”.