Joint Testimony in Support of Full-Spectrum Pregnancy Care

Dear Chairs Murphy, Feeney, and members of the Joint Committee on Financial Services:

We, the undersigned organizations committed to advancing reproductive freedom, equity, and justice in the Commonwealth, write today in support of H.1311 filed by Representative Sabadosa and S.761 filed by Senator Friedman.

Massachusetts law, as currently written, requires insurers to offer coverage for childbirth and treatment of miscarriages, but permits cost sharing. For too many mothers and families navigating high deductible plans and increased out-of-pocket spending, the burden of this cost sharing results in long-term financial struggles.

Under this legislation, all Massachusetts-regulated health insurance plans would be required to cover the full spectrum of pregnancy-related care without any cost-sharing, ensuring that Bay Staters are not saddled with insurmountable debt post-pregnancy and enabling them to have greater control over their lives and financial futures. We are grateful to the Legislature for its old action to ensure coverage without cost-sharing for all abortion and abortion-related care, a key provision of Chapter 127 of the Acts of 2022. Now, we must go further to break down financial barriers to all pregnancy-related care.

A right to reproductive health care — including care for all pregnancies, abortion, and  miscarriage — is not a real right unless every individual is able to access that care, free from cost barriers.Being a new parent is tough enough. The last thing someone adjusting to life with a newborn needs to worry about is how they’re going to pay for the care they just received.

According to the Massachusetts Center for Health Information and Analysis’ (CHIA) 2023 Massachusetts Health Insurance Survey, nearly half of all Massachusetts residents reported that they or their families experience health care affordability issues, and nearly half are enrolled in a high deductible health plan. That’s more than 1.7 million people…

● Who may struggle to get out of debt once they start a family;

● Who could be forced to meet their deductible twice if the nine months of their pregnancy falls across two insurance plan years;

● Who may be forced to forgo prenatal or postpartum care because of costs;

● Who may delay family planning decisions because they are too concerned about making ends meet; or most cruelly,

● Who would be sent a hefty bill days after suffering the devastating loss of miscarriage.

The futures of people seeking pregnancy care should not be dictated by deductibles.

This is an issue of gender and racial equity. Massachusetts is already combatting an epidemic of racial inequities in maternal health. Black women in our state are twice as likely as white women to die from pregnancy-related complications, and financial barriers to care are compounding these poor health outcomes. Forty percent of mothers have reported delaying prenatal care because they lack the money or insurance to cover the visits. Newborns of mothers who do not receive prenatal care are three times more likely to have a low birth weight and five times more likely to die than children born to mothers who receive prenatal care. We must reimagine our health care system and health care spending to center and support the needs of birthing people, families, and Black and Brown communities by making all pregnancy care more accessible.

Based on CHIA’s Mandated Benefit Review of this legislation, we can make high-quality pregnancy-related care accessible to all Bay Staters for only an extra $2.09 per month on our monthly health insurance premiums—less than a cup of coffee. We don’t have to imagine a  Massachusetts where everyone has access to the pregnancy care they need to safely give birth and raise a family; where fewer of our loved ones die from pregnancy-related care; and where no one has to go into debt to start a family. All we have to do to make this our reality is pay an extra $25 a year on our health insurance premiums.

Every Bay Stater must have access to the full spectrum of pregnancy-related care so we all can decide if, when, and how to have a family or raise children. We can ensure that our friends, families, loved ones, children, and children’s children would be safer, happier, and healthier, because pregnancy-related care would be so much more accessible to them.

Thank you for the opportunity to submit our testimony, and we again urge you to give H.1311 and S.761 a favorable report.

Respectfully,

Rebecca Hart Holder, President, Reproductive Equity Now

Emily Anesta, President, Bay State Birth Coalition

Jonathan Cohn, Policy Director, Progressive Massachusetts

MaryRose Mazzola, Esq, Chief External Affairs Officer, Planned Parenthood League of

Massachusetts; Executive Director, Planned Parenthood Advocacy Fund of Massachusetts

Amy Rosenthal, Executive Director, Health Care For All

Gavi Wolfe, Legislative Director, American Civil Liberties Union of Massachusetts

Chloe Zera, MD, Massachusetts Section Chair, American College of Obstetricians and

Gynecologists

Letter: “Fear not, the millionaires tax is bearing fruit”

Jonathan Cohn, “Letter: It’s our high cost of living, not the tax, that’s driving people to leave the state,” Boston Globe, April 28, 2025.

Chris Anderson,president of the Massachusetts High Technology Council, and Jim Stergios, executive director of Pioneer Institute, cite U-Haul data to argue that residents of Massachusetts are fleeing the state’s new Fair Share millionaires tax (“The millionaires tax: A cautionary tale for R.I.,” Opinion, BostonGlobe.com, April 23). But are multimillionaires really the ones renting U-Hauls?

Massachusetts is experiencing outmigration, but it’s not multimillionaires who are fleeing slightly higher taxes. It’s young workers fleeing our high cost of living.

As a millennial, I’ve become accustomed to seeing friends move out of Boston, then out of the state entirely, due to the high cost of living. If you want to buy a home for a decent price or find affordable child care, good luck. We are losing people because affording the high quality of life we tout is getting farther and farther out of reach.

By supporting massive investments in education, from prekindergarten through college, and in transportation infrastructure that will enable new housing production across the state, Fair Share is addressing the real drivers of outmigration. New policies such as free school meals, free buses, and free community college are making the state more affordable for middle-class families.

I hope our neighbors in Rhode Island join us in building an economy that works for everyone, not just those at the top.

Jonathan Cohn

Policy director

Progressive Mass

Boston

Happy Earth Day! Let’s Keep up the Fight Against Climate Chaos.

Happy Earth Day!

As the Trump administration tries to dismantle critical environmental regulations and funding, it’s up to states like Massachusetts to step up even more in the fight against climate chaos.

The bad news: Every year, we continue to see record-breaking global temperatures.

The good news: We know the policy solutions that can work. That’s why we’re fighting this session to Put Gas in the Past and to Make Polluters Pay.

The Put Gas in the Past bill (H.3547 / S.2290) would prevent the expansion of gas infrastructure near Environmental Justice communities and require gas companies and the Commonwealth to undergo planning for a just transition to green energy.

The Make Polluters Pay bill (H.1014 / S.558) would require major polluters to pay a fee based on historic emissions to fund climate resilience work (e.g., flood mitigation, energy efficiency upgrades, improved transit).

It’s a simple message. Keep fossil fuels in the ground. Accelerate the transition to a green and just economy. Make those who got us into the mess pay to fix it.

Can you share that message with your state legislators?

PM in the News: “Mass. Democratic Committees urge party to oppose Trump’s agenda in open letter”

Liam Dunne, “Mass. Democratic Committees urge party to oppose Trump’s agenda in open letter,” Daily Free Press, April 17, 2025.

Progressive Massachusetts Policy Director Jonathan Cohn said he wanted to see more action and commitment from Democratic leaders.

“We need people to … commit to organizing their cause,” said Cohn, who also serves as secretary for the Ward 4 Democrats. “Especially for those who are in the Senate, where there are more tools available for them … to kind of delay things they should be taking full advantage of them,”…

Cohn said the party must commit to core values as it pushes back against the Republican agenda.

“The future pathway does not lie in scapegoating communities but in standing strongly in favor of values and protecting the interest of working families, whatever they look like and wherever they came from,” Cohn said.

Testimony: Our Higher Ed Faculty and Staff Deserve to Be Compensated Well for the Essential Work They Do

Wednesday, April 16, 2025

Chair Oliveira, Chair McMurtry, and Members of the Joint Committee on Labor and Workforce Development:

My name is Jonathan Cohn, and I am the Policy Director at Progressive Massachusetts, a statewide grassroots advocacy group fighting for a more equitable, just, sustainable, and democratic commonwealth.

We urge you to give a favorable report to H.2185 and S.1365: An Act to provide fair wages to employees of public institutions of higher education.

We commend the recent work from the MA Legislature to strengthen our Commonwealth’s commitment to public higher education, such as making community college free and expanding aid and scholarship programs for students attending our four-year public colleges and universities.

As we work to ensure more students are able to benefit from high-quality public higher education, we must also work to ensure that quality, and that means properly compensating faculty and staff.

Faculty and staff at MA’s public colleges and universities are paid less than their peers in private colleges and universities and in colleges and universities in nearby states. When we compensate faculty less, then we make our public colleges and universities less attractive to the best teachers and researchers when they are weighing various opportunities. We increase the burnout of those that we are able to attract, and we create a scenario where faculty and staff may have to take on side jobs to make ends meet. They lose out, and our students lose out too.

Not being competitive in compensation is especially concerning given that MA stands out in our high cost of living. We have among the most expensive housing, health care, and child care. Our state has much to offer, but so often that is only if you can afford it.

These bills would ensure that future wages of public higher education employees are at or above the national average when adjusted for cost of living and require the Commonwealth to pay for the full cost of fringe benefits and collective bargaining agreements. They help us to continue to deliver on the promise of public higher education and its role as a creator of opportunity, a bastion of critical thinking, and an engine of our state’s economy.

Sincerely,

Jonathan Cohn

Policy Director

Progressive Massachusetts

Happy Tax Day! Time for Large Corporations to Pay Their Fair Share

Last week, Republicans in the US House voted to advance a budget outline that entails steep cuts to Medicaid, the Supplemental Nutrition Assistance Program, and other essential programs in order to fund tax cuts for billionaires and large corporations.

Their priorities are clear. And so should ours in Massachusetts.

The federal budget fight isn’t over. But MA needs to ensure that, regardless of what Congressional Republicans do and regardless of Elon Musk’s illegal federal funding freezes, we are not cutting essential services. We need to do more to meet the needs of all, not less.

And we know how to raise such funds. It’s not by giving tax cuts to rich people and large corporations as our Legislature did two years ago. It’s by ensuring that large corporations are paying their fair share.

That’s why we’re supporting Raise Up Mass’s Corporate Fair Share campaign to ensure that billionaire global corporations like Apple, Google, and Walmart pay their fair share and can’t get away with tax-dodging antics.

Can you email your legislator in support of this important legislation?

Did you know that Massachusetts taxes a smaller share of offshored corporate income than New Hampshire? An Act Combating Offshore Tax Avoidance (H.3110 / S.2033) would fix that, bringing us in line with the federal government and other states and raising hundreds of millions of dollars in new annual revenues.

Email, Call, and then Show Up

Want to make sure that your legislators hear that message loud and clear?
Join us next month — on Wednesday, May 28, at 10 am at the State House — for our annual lobby day.

RSVP HERE

“The purchase and sale of cell phone location data empowers bad actors.”

Wednesday, April 8, 2025 

Chair Moore, Chair Farley-Bouvier, and Members of the Joint Committee on Advanced Information Technology, the Internet and Cybersecurity:

My name is Jonathan Cohn, and I am the Policy Director at Progressive Massachusetts, a statewide grassroots advocacy group fighting for a more equitable, just, sustainable, and democratic commonwealth.

We urge you to give a favorable report to S.197: An Act to protect safety and privacy by stopping the sale of location data and H.86: An Act to protect location privacy, known collectively as the Location Shield Act. 

This Saturday, tens of thousands of Massachusetts residents rallied to protest the chaos, cruelty, and corruption of the Trump administration. 

If you attended a rally, you know when you arrived and when you left, and where you went next. Your friends and family might know that too, at least part. 

But do you know who doesn’t need to know that? Bad actors like Elon Musk. 

Right now, there is no law that prevents anyone with a credit card from purchasing cell phone location data. 

The purchase and sale of cell phone location data empowers bad actors: right-wing extremists seeking to target individuals seeking abortion care or gender-affirming care, domestic abusers seeking to track their victims, predatory bosses seeking to spy on their employees, the list goes on. And by attacking privacy rights, it also weakens the basic rights of free expression and dissent in a democracy. 

We have already seen the Trump administration detain and threaten to deport students merely for the act of attending protests, and they are not subtle about their desire to ramp up targeting and to target citizens as well. We should not be giving them any more tools to do so. 

As your chamber deliberates on our Commonwealth’s response to the disasters in DC, we urge you to make this bill a part of it. 250 years ago this month, Massachusetts was the site of taking a stand against the abuses of civil liberties by a monarchical government, and that is a legacy that we should continue. 

Sincerely, 

Jonathan Cohn

Policy Director

Progressive Massachusetts

FY 2026 Budget Testimony: Protect Our Essential Services & Invest in Our Future

April 8, 2025 

Chair Michlewitz, Chair Rodrigues, and Members of the Joint Committee on Ways & Means: 

My name is Jonathan Cohn, and I am the Policy Director at Progressive Massachusetts, a statewide grassroots advocacy group fighting for a more equitable, just, sustainable, and democratic commonwealth.

As we contemplate the daunting, anxiety-inducing, catastrophic possibility of steep cuts to the federal budget as Republicans in DC attempt to take an axe to health care, education, infrastructure, and so much more, we need to be prepared in MA to protect our essential services. We need to continue to do what we are doing—and we also need to be doing more. 

To make that possible, I urge you to embrace progressive sources of revenue as well as tap into the rainy day fund as needed. 

First on the rainy day fund. Like many of us, I have had the experience of holding an umbrella while walking in the rain. The rain gets heavier and heavier, but I think, “Oh, it’s not that bad yet” while getting fully soaked. Let’s not be that. When it starts pouring, don’t be afraid to take out an umbrella. 

But beyond that, I want to urge that “the money isn’t there” is a difficult argument to stomach in a state as affluent as Massachusetts. Indeed, our state’s GDP is higher than countries like Sweden or Belgium despite our smaller population. We have great wealth in this state, and that great wealth is why the Fair Share Amendment has been able to deliver so much. 

You have many tools at your disposal to raise necessary funds, such as but not limited to ensuring that billionaire global mega-corporations like Amazon and Apple are paying their fair share and are not able to dodge taxes by offshoring their profits in Bermuda and the Cayman Islands. 

Similarly, as you are going to seek every opportunity to trim our investments, I would urge you to first do the same to the state’s tax corporate tax breaks to evaluate whether or not they deliver upon any goal at all. The sales tax exemption for private jets is but one of many examples. 

It shows a lack of regard for the most vulnerable populations to countenance cuts to mental health case workers and cuts to assistance to needy families, but not countenance cuts to the tax giveaways to large estates and day traders passed two years ago. 

We  know who has the money: the rich and large corporations. What matters is the political will to raise the funds. 

In the FY 2026 budget, we urge you to focus on increasing critical investments that underlie the quality of life in the Commonwealth and make this high quality of life accessible to all: 

  • Delivering on Our Promises to Our K-12 Students: The Student Opportunity Act from 2019 was a major win for students across the Commonwealth. However, the combination of high rates of inflation in FY23 and FY24 and a tight inflation cap under the SOA has led to a $465 million gap in district budgets.  As a result, districts across the state are being forced to cut their budgets, lay off educators and staff, and cancel long-needed investments. We must keep our promises to students.

We further urge you to fix charter school tuition reimbursements so that our public schools are not losing critical funding. Tuition dollars follow students, but if a class size falls from 25 to 23, a school cannot hire 23/25 of a teacher. So many of the costs of education are fixed costs, and siphoning off resources harms the 90% of students who attend local district public schools. 

Our students deserve not only well-funded schools, but also green and healthy schools that focus on the whole student. We urge you to increase funding for capital improvements for school buildings so that students can have the safe and healthy environment conducive to learning, and to provide funding for community schools so that districts can embrace this proven model that empowers students, parents, and educators to collaborate and provide vital wraparound services. 

  • Building on Recent Child Care & Early Ed Investments: Last session, you made historic investments in early education and child care, moving us closer toward a vision of quality and stability for providers, good pay for educators, and affordability and access for families. We join the Common Start Coalition in calling for continued investments:
    • $200 million to increase access to child care financial assistance (line item 3000-4060 in the FY25 budget): A $100 million increase over FY25 is needed just to maintain existing caseloads, and an additional $100 million would be enough to provide financial assistance vouchers to 6,000 additional children who are currently on the waitlist for CCFA.
    • $45 million to increase operational grants to child care providers to a total of $520 million (line item 3000-1045 in the FY25 budget): An increase in total funding to $520 million is needed to keep up with increased utilization of the C3 program by providers. Increased funding for the C3 program is essential to support the growing number of providers who accept families using child care vouchers.
    • $45 million to raise early education and care financial assistance reimbursement rates (line items 3000-1041 & 3000-1042 in the FY25 budget): This will improve access to child care financial assistance by increasing the number of programs that are willing and able to accept vouchers, allow programs to invest in quality, and raise workforce salaries for subsidized child care providers.
    • $20 million for the Head Start Supplemental Grant (line item 3000-5000 in the FY25 budget): Funding needed to increase salaries in Head Start classrooms and help programs that provide high-quality care to some of the state’s lowest-income, highest-need children, especially in anticipation of potential federal cuts.
  • Investing in the Opportunity Engine of Public Higher Ed: Last year, you made community college free, a transformative step that has benefited many residents already. We need to build on that commitment to opportunity by making our four-year public institutions debt-free for all students as well and ensuring that our colleges and universities have the resources needed to give a high-quality education and experience to every student. 

That means ensuring better pay and benefits for adjunct faculty, who often have to juggle high course loads for low pay. That means ensuring that our public higher education employees are paid at or above the national average, especially given the high cost of living in MA.  And that means ensuring that our public colleges and universities have green and healthy buildings and having the Commonwealth assume the capital debt of public higher education institutions and cover the costs of such upgrades. 

  • Increasing Funding for Access to Counsel: We join fellow organizations in the Right to Counsel Coalition in urging for an increase to the Access to Counsel pilot (Line Item 0321-1800) from $2.5 million to $5 million and making the program permanent. While upwards of 90% of landlords are represented, recent Trial Court data shows that over the past two years only 4% of tenants had legal representation. We can change this, prevent homelessness, and stabilize peoples’ housing by incrementally building a strong statewide Access to Counsel program.
  • Protecting Our Right to Shelter by Investing in Emergency Assistance: We believe in listening to the experts connected to communities on the ground about how best to solve the problems facing the Commonwealth. The Massachusetts Coalition for the Homeless are the experts on how to best manage the emergency shelter system in Massachusetts and assume that all families have access to safe housing. We urge you to support their requests, which include:
    • Undoing harmful restrictions to emergency shelter: Removing the length of stay limits, which force families out of shelter before they can access safe housing; eliminating the “dual track” system, which kicks some families out of rapid track shelters in as little as 30 business days; removing the cap on the number of families in EA shelter, currently set at 5,800 families; restoring presumptive eligibility, which gives families temporary access to shelter while they gather documents to prove ongoing eligibility; and strengthening support for families leaving shelter, including by improving housing search, providing ongoing wraparound support, and increasing HomeBASE rehousing resources
    • Increasing funding for RAFT (Line Item 7004-9316): Increase funding for Rental Assistance for Families in Transition RAFT) to $300 million, up from the current FY25 funding level of $204.7 million ($197.4 million in General Appropriations Act funding and $7.3 million in supplemental funding)
    • Increasing HomeBASE (Line Item 7004-1008) Increasing the maximum benefit levels to $50,000 over the first 24 months of the program and up to $25,000 in subsequent years for families needing additional time

Moreover, we urge you to reject harmful proposed cuts in Governor Healey’s budget. 

  • Please reject Governor Healey’s proposed elimination of the 10% increase to cash assistance grants that recently took effect. This assistance is for our families with highest need, and it is unconscionable to think that that is where we would be making cuts in the budget. 
  • Please reject Governor Healey’s proposed cuts to mental health care and the corresponding layoffs of Department of Mental Health case workers. This is critical care, and it is about people’s lives. 

Thank you for your work on the budget and on this marathon of a hearing. 

Sincerely, 

Jonathan Cohn 

Policy Director 

Progressive Massachusetts 

Hands Off Our Data: Contact Your State Legislators about the Location Shield Act

This Saturday, thousands of us rallied on the Boston Common and around the state (and the country) to protest the chaos, cruelty, and corruption of the Trump administration — with a message of “Hands Off.”

If you went to a rally this weekend, you know what time you arrived, when you left, and where you went next. Your friends and family might know that too.

But do you know who doesn’t need to know that? Bad actors like Elon Musk.

Right now, there is no law that prevents anyone with a credit card from purchasing cell phone location data.

The purchase and sale of cell phone location data empowers bad actors: right-wing extremists seeking to target individuals seeking abortion care or gender-affirming care, domestic abusers seeking to track their victims, predatory bosses seeking to spy on their employees. The list goes on.

Fortunately, the solution is clear: our Legislature can pass the Location Shield Act (H.86 / S.197), which would ban the purchase and sale of cell phone location data.

The bill has had overwhelming support in the Legislature this session, and it will be having a hearing this Wednesday.

Here’s what you can do:

Recording + Links (Follow-up to “DC Attacks, MA Fights Back: Defending Science and Our Health”)

Thank you so much for joining us on Wednesday for our forum “DC Attacks, MA Fights Back: Defending Science and Our Health”!

And thank you again to our speakers!

  • Dr. Nancy Krieger, Professor of Social Epidemiology, Harvard T.H. Chan School of Public Health
  • Dr. Gordon Schiff, Quality and Safety Director, Harvard Medical School Center for Primary Care
  • Dr. Sarah Neville, Postdoctoral Researcher, Brown University School of Public Health, and Chelsea School Committee Member
  • Melissa Varga, Science Network Senior Manager, Union of Concerned Scientists
  • Katie Blair, Executive Director, Massachusetts Families for Vaccines

Recording

You can find the video here: https://youtu.be/3W9Hurh6XkM

Slide Decks Shared

What You Can Do

Other Resources

This is a running list of HHS offices eliminated entirely or reduced to the point of non-functionality. https://docs.google.com/document/u/0/d/1_HNSEowQOkojkTM5MjXdNdXzNjPK79Q4BXO8VU83A0w/mobilebasic?utm_source=substack&utm_medium=email&pli=1&urp=gmail_link

Upcoming Forums

Join us again on May 7: https://actionnetwork.org/events/dc-attacks-ma-fights-back-protecting-masshealth.