马萨诸塞州参议院推进初级保健医生短缺应对方案

马萨诸塞州参议院于6月通过一项法案，针对该州日益严峻的初级保健医生短缺问题。1根据2025年健康信息与分析中心的报告，30%的马萨诸塞州居民在获取初级保健方面遭遇困难。1

该法案要求医院和医疗机构到2030年将初级保健支出提高至总支出的15%。1目前商业医疗支出中仅6.6%用于初级保健。1同时法案要求商业保险公司提高对社区卫生中心的报销费用，并恢复2010年被削减的医疗补助研究生医学教育项目。1违反规定的医院将面临至少50万美元的罚款。1

短缺的严重程度在新贝德福德市尤为明显。1该市仅有36名初级保健临床医生，20000至25000名居民没有初级保健提供者。1南海岸医疗中心的新患者初级保健预约等待时间约59天，霍桑医疗协会则有约4000人的等待名单。1不过新贝德福德社区卫生中心已取得进展，成人患者等待时间从9个月降至3个月。1

一项2022年研究表明，每次面对面初级保健访问可为每患者每年节省医疗成本721美元，为该改革提供了成本效益支持。1该法案目前待众议院审议，众议院截止日期为2026年7月31日。1

Massachusetts' state Senate passed legislation in June to combat a critical shortage of primary care physicians across the state 1. The bill requires hospitals and health care facilities to increase primary care spending to 15 percent of total expenditures by 2030 1, while mandating commercial insurers raise reimbursement rates for community health centers and restoring graduate medical education funding under Medicaid that was cut in 2010 1. The measure now awaits House review, with a deadline of July 31, 2026 1.

The shortage has reached acute levels in many communities. Thirty percent of Massachusetts residents face difficulties accessing primary care, according to a 2025 Center for Health Information and Analysis report 1. New Bedford exemplifies the crisis, with only 36 primary care clinicians serving between 20,000 and 25,000 residents lacking a primary care provider 1. Wait times for new patient appointments have become prohibitively long: Southcoast Health reports approximately 59-day delays, while Hawthorn Medical Associates maintains a waiting list of roughly 4,000 people 1. New Bedford Community Health Center has achieved some progress, reducing adult patient wait times from nine months to three months 1.

The legislation targets current spending disparities, as commercial health care expenditures in Massachusetts devoted only 6.6 percent to primary care in 2024 1. Health officials point to economic benefits of preventive care: a 2022 study found that each face-to-face primary care visit saves $721 per patient annually in medical costs 1. Hospitals that fail to comply with the new spending requirements face fines starting at $500,000 1.