Massachusetts 2025-2026 Regular Session

Massachusetts Senate Bill S166

Introduced
2/27/25  
Refer
2/27/25  
Refer
12/24/25  

Caption

To close the achievement gap by addressing disparities in children's vision

Summary

This bill aims to address disparities in children’s vision and eye health as a way to help close the achievement gap. It amends existing education law to expand vision screening-related requirements, including adding preschool to the relevant age range and tying school-based vision efforts to a new statewide children’s vision registry. The bill also removes language that had limited certain actions to the individual request of a parent or guardian, indicating a broader public-health approach to screening and follow-up. The bill creates a Children’s Vision and Eye Health Advisory Council within the Department of Public Health. The council would include state officials, medical professionals, school nursing representatives, community health advocates, and parents, and it would advise the department on registry implementation, public awareness campaigns, screening expansion, and long-term vision health goals. It must report annually to the Joint Committee on Public Health and the Joint Committee on Ways and Means. The bill also requires the Department of Public Health to establish and operate a computerized registry of children’s vision screenings and eye care. Licensed providers who perform screenings or eye exams would be required to report data to the registry, which would track screening results and follow-up care. The registry is designed to support equitable eye care, research, and coordination among providers, schools, and state programs, while also allowing individuals or parents/guardians to correct inaccurate information and see who accessed their records. The bill would significantly affect state public health and education law by creating new reporting, data-sharing, and advisory structures around children’s vision care. It would also establish confidentiality protections for registry data, limit disclosure to specified users, and make the information nonpublic and generally shielded from subpoena or court order. In practical terms, the measure would expand the state’s role in identifying and addressing vision problems that can interfere with learning and school performance. The overall sentiment reflected in the bill text is strongly supportive of preventive children’s health care and early intervention, with an emphasis on equity and educational outcomes. No committee transcript or vote history is provided, so there is no recorded opposition in the available materials. Potential points of contention, based on the bill’s structure, could include mandatory provider reporting, privacy and data-sharing concerns, and the scope of state involvement in screening and surveillance, but those concerns are not documented in the supplied record.

Impact

The bill would amend chapter 71, section 57, and add new sections 38 and 38A to chapter 69 of the General Laws. It would expand school and public health-related vision screening policy, create a Children’s Vision and Eye Health Advisory Council, and require the Department of Public Health to maintain a confidential children’s vision registry. The measure would impose reporting obligations on licensed providers, authorize limited access to registry data for care, school health, and outreach purposes, and establish confidentiality, correction, and access-record procedures for the registry.

Sentiment

The available materials suggest a generally favorable, public-health-oriented approach focused on early identification of vision problems, equity, and educational success. The bill’s title and structure frame children’s vision as a contributor to the achievement gap, and the absence of committee testimony or votes means no explicit opposition is documented in the record provided. Any concerns are therefore inferred rather than stated, and likely would center on privacy, administrative burden, and mandatory reporting rather than the bill’s overall purpose.

Contention

No committee discussion or voting history is included, so there are no documented points of contention in the provided record. Based on the bill text alone, the most likely areas of debate would be the creation of a statewide registry, mandatory reporting by licensed providers, confidentiality and access to sensitive health information, and the extent to which the state should direct children’s vision screening and follow-up care. Stakeholders likely to focus on these issues would include health providers, school nurses, privacy advocates, and parents, while supporters would include pediatric, optometric, public health, and children’s advocacy groups.

Companion Bills

No companion bills found.

Previously Filed As

MA H202

To close the achievement gap by addressing disparities in children's vision

MA H5089

To close the achievement gap by addressing disparities in children's vision

MA H730

Addressing school exclusion policies to remedy disparities in educational achievement

MA S376

Addressing school exclusion policies to remedy disparities in students' educational achievement

MA S1349

Relative to raising the minimum wage closer to a living wage in the commonwealth

MA S101

To require closed captioning in telecommunications in public areas

MA S1505

Relative to LGBTQ+ health disparities

MA H2501

Relative to LGBTQ+ health disparities

MA S302

Addressing economic, health and social harms caused by sports betting

MA H1500

Addressing affordable housing

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