---
type: "Bill"
title: "An Act relative to strengthening the local and regional public health system"
description: "An Act relative to strengthening the local and regional public health system"
jurisdiction: "us/states/ma"
legislature: "Massachusetts General Court"
session: "191st"
identifier: "H 4503"
citation: "Massachusetts H 4503 (191st)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["House Committee on Ways and Means"]
version_count: 1
action_count: 24
vote_count: 0
first_action: "2020-02-26"
last_action: "2020-04-29"
source: "openstates"
source_identifier: "ocd-bill/f80de0b2-4ccd-4e03-a7dd-fc05a278be87"
source_url: "https://malegislature.gov/Bills/191/H4503"
source_hash: "32e9abb0de4bf82e487df77b882bd61020b9d5d202c922593cfb3e1fba4a4679"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ma"]
---

# Massachusetts H 4503 (191st) — An Act relative to strengthening the local and regional public health system

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Bill Text** (committee substitute) — [source](https://malegislature.gov/Bills/191/H4503.pdf)

## Sponsors

- House Committee on Ways and Means — primary (person)
- Bradley H. Jones, Jr. — cosponsor (person)
- Bruce E. Tarr — cosponsor (person)
- Carlos González — cosponsor (person)
- Carmine Lawrence Gentile — cosponsor (person)
- Carolyn C. Dykema — cosponsor (person)
- Christina A. Minicucci — cosponsor (person)
- Christine P. Barber — cosponsor (person)
- Daniel Cahill — cosponsor (person)
- Daniel J. Hunt — cosponsor (person)
- Daniel J. Ryan — cosponsor (person)
- Daniel M. Donahue — cosponsor (person)
- Daniel R. Cullinane — cosponsor (person)
- David F. DeCoste — cosponsor (person)
- David Henry Argosky LeBoeuf — cosponsor (person)
- David M. Rogers — cosponsor (person)
- David Paul Linsky — cosponsor (person)
- Denise C. Garlick — cosponsor (person)
- Denise Provost — cosponsor (person)
- Diana DiZoglio — cosponsor (person)
- Elizabeth A. Malia — cosponsor (person)
- Frank A. Moran — cosponsor (person)
- Hannah Kane — cosponsor (person)
- Jack Patrick Lewis — cosponsor (person)
- James B. Eldridge — cosponsor (person)
- Jason M. Lewis — cosponsor (person)
- John Barrett, III — cosponsor (person)
- John H. Rogers — cosponsor (person)
- John J. Lawn, Jr. — cosponsor (person)
- Jonathan Hecht — cosponsor (person)
- José F. Tosado — cosponsor (person)
- Julian Cyr — cosponsor (person)
- Kay Khan — cosponsor (person)
- Linda Dean Campbell — cosponsor (person)
- Liz Miranda — cosponsor (person)
- Louis L. Kafka — cosponsor (person)
- Marcos A. Devers — cosponsor (person)
- Maria Duaime Robinson — cosponsor (person)
- Marjorie C. Decker — cosponsor (person)
- Mathew J. Muratore — cosponsor (person)
- Michael O. Moore — cosponsor (person)
- Mike Connolly — cosponsor (person)
- Natalie M. Blais — cosponsor (person)
- Natalie M. Higgins — cosponsor (person)
- Nika C. Elugardo — cosponsor (person)
- Patricia D. Jehlen — cosponsor (person)
- Patrick M. O'Connor — cosponsor (person)
- Paul Brodeur — cosponsor (person)
- Paul McMurtry — cosponsor (person)
- Paul W. Mark — cosponsor (person)
- Rebecca L. Rausch — cosponsor (person)
- Sean Garballey — cosponsor (person)
- Shawn Dooley — cosponsor (person)
- Smitty Pignatelli — cosponsor (person)
- Stephan Hay — cosponsor (person)
- Susan Williams Gifford — cosponsor (person)
- Tami L. Gouveia — cosponsor (person)
- Thomas M. Stanley — cosponsor (person)
- Thomas P. Walsh — cosponsor (person)
- Tommy Vitolo — cosponsor (person)
- Walter F. Timilty — cosponsor (person)
- William J. Driscoll, Jr. — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2020-02-26** Reported from the committee on House Ways and Means
- **2020-02-26** Pending new draft of H1935
- **2020-02-26** New draft of H1935
- **2020-02-26** Ordered to a third reading
- **2020-02-26** Rules suspended
- **2020-02-26** Read third `reading-3`
- **2020-02-26** Passed to be engrossed - 149 YEAS to 0 NAYS (See YEA and NAY in Supplement, No.152) `passage`
- **2020-02-27** Read; and referred to the committee on Senate Ways and Means `referral-committee`
- **2020-03-12** Committee recommended ought to pass with an amendment, striking out all after the enacting clause and inserting in place thereof a new text, see S2594 and referred to the committee on Senate Rules `committee-passage-favorable, referral-committee`
- **2020-03-18** Committee reported that the matter be placed in the Orders of the Day for the next session
- **2020-03-18** Rules suspended
- **2020-03-18** Read second `reading-2`
- **2020-03-18** New draft substituted, see S2594
- **2020-03-18** Ordered to a third reading
- **2020-03-18** Read third and passed to be engrossed `reading-3`
- **2020-03-19** Referred to the committee on Bills in the Third Reading `referral-committee`
- **2020-04-23** House concurred in the Senate amendment with a further amendment, striking all after the enacting clause and inserting in place thereof the text of House document numbered 4671
- **2020-04-23** Rules suspended
- **2020-04-23** Senate concurred in the House further amendment
- **2020-04-23** Emergency preamble adopted
- **2020-04-23** Emergency preamble adopted
- **2020-04-23** Enacted `passage`
- **2020-04-23** Enacted and laid before the Governor `passage`
- **2020-04-29** Signed by the Governor, Chapter 72 of the Acts of 2020 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f80de0b2-4ccd-4e03-a7dd-fc05a278be87`. Confidence: reported (aggregated from official Massachusetts legislature records).