---
type: "Bill"
title: "An Act relative to medically necessary breast screenings and exams for equity and early detection"
description: "An Act relative to medically necessary breast screenings and exams for equity and early detection"
jurisdiction: "us/states/ma"
legislature: "Massachusetts General Court"
session: "193rd"
identifier: "H 4918"
citation: "Massachusetts H 4918 (193rd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 1
action_count: 19
vote_count: 0
first_action: "2024-07-25"
last_action: "2024-11-13"
source: "openstates"
source_identifier: "ocd-bill/56fb64cf-e7ea-4264-b4cd-5e1067070189"
source_url: "https://malegislature.gov/Bills/193/H4918"
source_hash: "811bd0c2478b489adf7f7a5749c958dfb5c9b640b6029bde8460f0cb67d1707f"
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 4918 (193rd) — An Act relative to medically necessary breast screenings and exams for equity and early detection

## 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/193/H4918.pdf)

## Sponsors

- House Committee on Ways and Means — primary (organization)
- Adrian C. Madaro — cosponsor (person)
- Adrianne Pusateri Ramos — cosponsor (person)
- Brian M. Ashe — cosponsor (person)
- Brian W. Murray — cosponsor (person)
- Bruce E. Tarr — cosponsor (person)
- Edward R. Philips — cosponsor (person)
- Hannah Kane — cosponsor (person)
- Jacob R. Oliveira — cosponsor (person)
- James M. Murphy — cosponsor (person)
- Jason M. Lewis — cosponsor (person)
- Jay D. Livingstone — cosponsor (person)
- Jessica Ann Giannino — cosponsor (person)
- John Barrett, III — cosponsor (person)
- Judith A. Garcia — cosponsor (person)
- Kate Lipper-Garabedian — cosponsor (person)
- Lindsay N. Sabadosa — cosponsor (person)
- Lydia Edwards — cosponsor (person)
- Mindy Domb — cosponsor (person)
- Natalie M. Blais — cosponsor (person)
- Nick Collins — cosponsor (person)
- Paul McMurtry — cosponsor (person)
- Richard M. Haggerty — cosponsor (person)
- Rob Consalvo — cosponsor (person)
- Rodney M. Elliott — cosponsor (person)
- Russell E. Holmes — cosponsor (person)
- Samantha Montaño — cosponsor (person)
- Sean Garballey — cosponsor (person)
- Simon Cataldo — cosponsor (person)
- Smitty Pignatelli — cosponsor (person)
- Tommy Vitolo — cosponsor (person)
- Tram T. Nguyen — cosponsor (person)
- Tricia Farley-Bouvier — cosponsor (person)
- William F. MacGregor — cosponsor (person)

## Timeline

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

- **2024-07-25** Reported from the committee on House Ways and Means
- **2024-07-25** Pending new draft of H4410
- **2024-07-25** New draft of H4410
- **2024-07-25** Ordered to a third reading
- **2024-07-25** Rules suspended
- **2024-07-25** Read third and passed to be engrossed `passage, reading-3`
- **2024-08-05** Read; and referred to the committee on Senate Ways and Means `referral-committee`
- **2024-10-24** Committee recommended ought to pass with an amendment striking out all after the enacting clause and inserting in place thereof the text of S2971 `committee-passage-favorable`
- **2024-10-24** Rules suspended
- **2024-10-24** Read second `reading-2`
- **2024-10-24** Amended by striking out all after the enacting clause and inserting in place thereof the text of S2971 `amendment-passage`
- **2024-10-24** Ordered to a third reading
- **2024-10-28** Taken out of the Orders of the Day
- **2024-10-28** Read third and passed to be engrossed `passage, reading-3`
- **2024-10-30** Referred to the committee on Bills in the Third Reading `referral-committee`
- **2024-10-31** House concurred in the Senate amendment
- **2024-10-31** Enacted `passage`
- **2024-11-04** Enacted and laid before the Governor `passage`
- **2024-11-13** Signed by the Governor, Chapter 231 of the Acts of 2024 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/56fb64cf-e7ea-4264-b4cd-5e1067070189`. Confidence: reported (aggregated from official Massachusetts legislature records).