republic-os/legislation/us/states/ma/193rd/h-4999.md

---
type: "Bill"
title: "An Act promoting access to midwifery care and out-of-hospital birth options"
description: "The committee of conference on the disagreeing votes of the two branches with reference to the Senate amendment of the House Bill promoting access to midwifery care and out-of-hospital birth options (House, No. 4785), reports recommending passage of the accompanying bill (House, No. 4999)."
jurisdiction: "us/states/ma"
legislature: "Massachusetts General Court"
session: "193rd"
identifier: "H 4999"
citation: "Massachusetts H 4999 (193rd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: []
version_count: 1
action_count: 11
vote_count: 0
first_action: "2024-08-15"
last_action: "2024-08-23"
source: "openstates"
source_identifier: "ocd-bill/ea0e5f03-d5b9-4a07-9356-81b7814a4ffc"
source_url: "https://malegislature.gov/Bills/193/H4999"
source_hash: "b5c384a44b2fda93af7de0f96adcc43baa7f7239f86e5102282bc5dc2cdd2948"
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 4999 (193rd) — An Act promoting access to midwifery care and out-of-hospital birth options

The committee of conference on the disagreeing votes of the two branches with reference to the Senate amendment of the House Bill promoting access to midwifery care and out-of-hospital birth options (House, No. 4785), reports recommending passage of the accompanying bill (House, No. 4999).

## 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/H4999.pdf)

## Sponsors

- Midwifery Care and Out-of-Hospital options — primary (organization)
- Adrian C. Madaro — cosponsor (person)
- Adrianne Pusateri Ramos — cosponsor (person)
- Andres X. Vargas — cosponsor (person)
- Bradley H. Jones, Jr. — cosponsor (person)
- Brandy Fluker Oakley — cosponsor (person)
- Brian W. Murray — cosponsor (person)
- Bruce E. Tarr — cosponsor (person)
- Bud L. Williams — cosponsor (person)
- Carlos González — cosponsor (person)
- Carmine Lawrence Gentile — cosponsor (person)
- Carole A. Fiola — cosponsor (person)
- Christine P. Barber — cosponsor (person)
- Christopher J. Worrell — cosponsor (person)
- Christopher Richard Flanagan — cosponsor (person)
- Daniel Cahill — cosponsor (person)
- Daniel M. Donahue — cosponsor (person)
- Danillo A. Sena — cosponsor (person)
- David F. DeCoste — cosponsor (person)
- David Henry Argosky LeBoeuf — cosponsor (person)
- David M. Rogers — cosponsor (person)
- David Paul Linsky — cosponsor (person)
- Dawne Shand — cosponsor (person)
- Dylan A. Fernandes — cosponsor (person)
- Erika Uyterhoeven — cosponsor (person)
- Estela A. Reyes — cosponsor (person)
- Hannah Kane — cosponsor (person)
- Jack Patrick Lewis — cosponsor (person)
- Jacob R. Oliveira — cosponsor (person)
- James B. Eldridge — cosponsor (person)
- James C. Arena-DeRosa — cosponsor (person)
- James J. O'Day — cosponsor (person)
- Jeffrey N. Roy — cosponsor (person)
- Jennifer Balinsky Armini — cosponsor (person)
- Jessica Ann Giannino — cosponsor (person)
- Joanne M. Comerford — cosponsor (person)
- John Barrett, III — cosponsor (person)
- John Francis Moran — cosponsor (person)
- John J. Mahoney — cosponsor (person)
- Jon Santiago — cosponsor (person)
- Jonathan D. Zlotnik — cosponsor (person)
- Kathleen R. LaNatra — cosponsor (person)
- Kay Khan — cosponsor (person)
- Kevin G. Honan — cosponsor (person)
- Kimberly N. Ferguson — cosponsor (person)
- Kristin E. Kassner — cosponsor (person)
- Lindsay N. Sabadosa — cosponsor (person)
- Lydia Edwards — cosponsor (person)
- Manny Cruz — cosponsor (person)
- Marcus S. Vaughn — cosponsor (person)
- Margaret R. Scarsdale — cosponsor (person)
- Mathew J. Muratore — cosponsor (person)
- Mindy Domb — cosponsor (person)
- Natalie M. Blais — cosponsor (person)
- Natalie M. Higgins — cosponsor (person)
- Nick Collins — cosponsor (person)
- Patricia A. Duffy — cosponsor (person)
- Patricia A. Haddad — cosponsor (person)
- Patrick Joseph Kearney — cosponsor (person)
- Patrick M. O'Connor — cosponsor (person)
- Paul J. Donato — cosponsor (person)
- Rebecca L. Rausch — cosponsor (person)
- Rob Consalvo — cosponsor (person)
- Rodney M. Elliott — cosponsor (person)
- Russell E. Holmes — cosponsor (person)
- Ruth B. Balser — cosponsor (person)
- Sally P. Kerans — cosponsor (person)
- Samantha Montaño — cosponsor (person)
- Sean Garballey — cosponsor (person)
- Simon Cataldo — cosponsor (person)
- Smitty Pignatelli — cosponsor (person)
- Steven Owens — cosponsor (person)
- Steven Ultrino — cosponsor (person)
- Susan Williams Gifford — cosponsor (person)
- Tackey Chan — cosponsor (person)
- Thomas M. Stanley — cosponsor (person)
- Tommy Vitolo — cosponsor (person)
- Tram T. Nguyen — cosponsor (person)
- Vanna Howard — cosponsor (person)
- Walter F. Timilty — cosponsor (person)
- William F. MacGregor — cosponsor (person)
- William J. Driscoll, Jr. — cosponsor (person)

## Timeline

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

- **2024-08-15** Reported from the committee of conference
- **2024-08-15** Reported on H4785
- **2024-08-15** Referred to the committee on House Steering, Policy and Scheduling `referral-committee`
- **2024-08-15** Committee reported that the matter be placed in the Orders of the Day for the next sitting, the question being on acceptance
- **2024-08-15** Rules suspended
- **2024-08-15** Committee of conference report accepted
- **2024-08-15** Rules suspended
- **2024-08-15** Committee of conference report accepted, in concurrence
- **2024-08-15** Enacted `passage`
- **2024-08-15** Enacted and laid before the Governor `passage`
- **2024-08-23** Signed by the Governor, Chapter 186 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/ea0e5f03-d5b9-4a07-9356-81b7814a4ffc`. Confidence: reported (aggregated from official Massachusetts legislature records).