19 July 2026
Well, this is definitely not Schoolhouse Rock, but apparently, this is how the MA Legislature rolls. According to our lobbyist, our best chance for getting PSYPACT enacted at this point is still the "Economic Development" (aka "must-pass pork-barrel") bill. The effort two weeks ago to get PSYPACT attached to the House version of the bill (thank you to everyone who called and wrote! it helped!) was always a long shot, but the fact that we did attract 33 co-sponsors was valuable in showing that PSYPACT does have popular support, now the bill has gone over to the Senate side.
So, you know the drill! Even if you've done it before, you need to do it again now! (Legislators have short memories.)
Look up the contact information for your legislators here.
Write an email! Pick up your phone! Ideally, do both!
Tell them that you are their constituent, and say clearly just how important it is to you that they co-sponsor PSYPACT as Amendment 11 to S.3178, the Economic Development bill, ASAP!
Include a short but vivid vignette from your own experience -- how has the legislature's ongoing failure to pass PSYPACT harmed you, or your clients, or someone you love?
Apparently, legislators also need to hear how their ongoing failure to join the rest of New England (and the country!) in PSYPACT (and every other healthcare professional compact) is encouraging more and more people to leave Massachusetts, because healthcare professionals are incentivized to get licensed and establish their practices and careers almost anywhere else, making it even harder for MA to staff its own healthcare facilities and thus making it more miserable for everyday citizens to get access to high-quality well-regulated treatment. Compacts don't reduce state oversight, they strengthen it. Tell them that!
Remind them that the cost is trivial and there is literally no opposition! If you need more ideas for what to say, look in the Advocacy Toolkit or on the PsyPact Explainers page.
Once you've done that, tell everyone you know and get them to do the same! Legislators need to hear from everyone, not just psychologists.
It's about not letting legal technicalities force vulnerable folks to stop treatment, just when it's working for them. It's about not encouraging them to seek treatment from unlicensed folks anywhere on the planet, who might be well-meaning (or maybe not, or maybe just call centers, or maybe just AI chatbots), but in any case, who won't be held accountable if they cause harm.
And we all need to tell everyone else we know to do the same thing!
Send this request to everyone you know who lives in MA -- everyone in your family, social contacts, group chat, house of worship, running club, knitting circle, parent-teacher organization, jam band, everyone.
No one realizes this is a problem until they or someone they love is bitten by it. And those situations come up far more often than you might think. Everyone assumes that the mental health licensure system can't possibly be this stupid... but it is. The legislature needs to understand that this problem affects a lot of people, and that no one will be mad at them for putting this simple and well-tested fix in place. In fact, we'll all be super-grateful!
You probably have a driver's license. Like all licenses, it was issued by one state. But all of the states have passed the Driver License Compact into law. That means that they have all agreed that having a driver's license in one member state grants you the privilege to drive in any member state. You still always have to follow the laws wherever you are actually driving, of course!. If you break the law in some other state (even if what you did might have been legal in your home state), not only will you get a ticket where you broke the law, but your home state will also be informed, and your home state might also choose to take action against your license (especially if you were drunk or reckless, etc). Also, when you move to a new state, the process of getting a driver's license in the new state is pretty quick and easy. Most people never even think about it as an issue.
Not so simple in the health professions!
Imagine if every time you crossed a state line, you were stopped and told that you have to get whatever state issued your first driver's license to go back into their paper archives and send official copies of all of the paperwork showing that you had taken the correct driver's education classes when you were a teenager, which would take at least a few months, and then the new state would have to spend another several months going over that paperwork from the old state to make sure it exactly matched the rules of the new state, and, oh, dear, that original state hadn't made you parallel park on your test back then, sorry, no can do...
And to make matters worse, in the health professions, it's very expensive to establish even a single additional license, and once you have a license, you have to also maintan it forever. Plus, every state has different requirements for continuing education, which adds yet more burden, both to pay for it and to manage the paperwork.
Treatment is legally considered to take place where the client is physically located during the session.
In mental health, however, decades of research have consistently shown that the most important factor in helping therapy work is the relationship between the therapist and the client. Neither therapists nor clients are interchangeable widgets! And in the modern era, it has become more and more common for people to relocate temporarily or permanently, often for life-stressor reasons that make it even more important for them to be allowed to maintain that therapeutic relationship if they wish. It has also become far better understood that clients do better if they are able to access care from therapists who have the particular skills, experience, and cultural/linguistic competence needed to work well with them as individuals.
Historically, most states had at least some provision for temporary or limited practice -- it wasn't great, but it was usually at least somewhat workable. During the COVID-19 pandemic, the states massively expanded those provisions, for obvious reasons. However, since then, almost all of the states have enacted the PSYPACT law for psychologists, and have gotten rid of their temporary-practice laws because PSYPACT makes them unnecessary.
Under PSYPACT, a psychologist who has a full and unrestricted license and a clean disciplinary history in one member state can quickly and easily establish a credential enabling them to treat a patient who is located in any other member state via telehealth. (There is also a separate credential for short-term in-person practice, up to 30 days per year, but almost all of the PSYPACT credentials are for telehealth.)
As with the driver's license, psychologists practicing under PSYPACT must still always be aware of and follow the laws of the state where the patient is located, and there is an automated system to make it easy for states to communicate with each other about problems. PSYPACT strengthens the ability of each state to protect its residents, and doesn't create any secret back-doors or loopholes.
(There are other compact laws for the other health professions, too -- those are also good things and should also be enacted! But each law has to be passed individually, sorry.)
If you have a representative or a senator in leadership, or on Ways & Means, you are a VIP! We all really need you to write and call your legislators, because they'll listen to their own constituents far more than to the rest of us.
If their name is in green, they voted in favor in Joint Public Health or House Health Care Financing, or are on the sponsor list -- thank them and ask them to help keep it moving!
Sen. Karen Spilka (President of the Senate)
Sen. Cynthia Stone Creem (Majority Leader (and sponsor!))
Sen. William N. Brownsberger, President Pro Tempore
Sen. Joan B. Lovely, Assistant Majority Leader
Sen. Michael J. Barrett, Assistant Majority Leader
Sen. Sal N. DiDomenico, Assistant Majority Leader
Sen. Michael F. Rush, Senate Majority Whip
Sen. Julian Cyr, Assistant Majority Whip
Sen. Bruce E. Tarr, Minority Leader
Sen. Patrick M. O'Connor, Assistant Minority Leader
Sen. Ryan C. Fattman, Assistant Minority Leader
Sen. Peter J. Durant, Assistant Minority Leader
Sen. Kelly A. Dooner, Assistant Minority Leader
Sen. Michael J. Rodrigues (Chair)
Sen. Joanne M. Comerford (Vice Chair)
Sen. Paul R. Feeney (Asst. Vice Chair)
Sen. Michael D. Brady
Sen. Nick Collins
Sen. Brendan P. Crighton
Sen. John J. Cronin
Sen. Lydia Edwards
Sen. Adam Gómez
Sen. Robyn K. Kennedy
Sen. Paul W. Mark
Sen. Liz Miranda
Sen. Jacob R. Oliveira
Sen. Pavel M. Payano
Sen. Michael F. Rush
Sen. Patrick M. O'Connor (Ranking Minority)
Sen. Ryan C. Fattman
Sen. Kelly A. Dooner
No one should lose their mental health care just because they change zip code -- let's finally get Massachusetts on board!
(note that NY (yes, New York, historically just as elitist and standoffish as MA!) is also about to turn light-blue! https://www.nysenate.gov/legislation/bills/2025/S7136)
Here is a basic phone / email script.
Many more resources are available in the Advocacy Toolkit and under the PsyPact Explainers page.
“Hello, my name is [Name], and I am a constituent, living in [Town]. I’m calling to urge [Representative/Senator X] to help us pass the PSYPACT bills (H.2528/S.1487/Amendment 11 to S.3178). Both bills were reported favorably out of committee on the merits, and now are in fiscal-impact review, but PSYPACT is also crucial for economic development in the Commonwealth.
PSYPACT is very important for Massachusetts residents. It expands access to high-quality mental health care, maintains all of the legal protections we already have, and eliminates a huge source of disruptions to therapy. This is particularly crucial to those who come from vulnerable populations or who need specialty care. There is literally no known opposition to PSYPACT, and 45+ other states have already passed it, including all of the other New England states. Even New York is sending it to their governor's desk!
Here's something terrible that really happened to me / someone I know / someone I love... (don't go on at length, but make it clear that real people are really being denied access to therapy and/or being forced to spend a lot of money and time and effort to get around this problem which has such an easy fix. If you know someone whose therapist has left the state entirely, or a recent graduate who chose not to bother getting licensed here in the first place, because it was pointless to establish and maintain an expensive license that is so limited in its actual usefulness, say so!
We need [Representative/Senator X] to help us move these bills forward ASAP, either by getting the standalone bill reported favorably out of Ways & Means, or by their co-sponsoring it as an amendment to the Economic Development Omnibus Bill currently in preparation. Not only is PSYPACT not expected to present any substantial additional cost to the Commonwealth, it will likely save money and let the Board of Registration focus on their important work of protecting the public.
More examples of sample text you can use:
No one should be forced to lose their therapist just because they move to another state, whether to go to college, get another job, take care of family emergencies, or even just enjoy summer vacation.. But in Massachusetts, that’s exactly what happens — because we still haven’t joined PSYPACT, the interstate compact that 45+ other states already use to protect continuity of care and client choice.
Massachusetts is behind the curve. Almost all of the other states have already joined PSYPACT, a bipartisan solution that makes mental health care far more accessible across state lines and greatly increases the options for vulnerable clients who need high-quality specialty care.
Both sides of the Joint Committee on Public Health, as well as the House Committee on Health Care Financing, reported the bills favorably. Now, we need to clear Ways and Means in both chambers -- the folks who take care to not waste our tax dollars need to understand that the direct cost of these bills is trivial (just $10 per participating psychologist per year, capped at $6000 -- that's couch-cushion money!) and that PSYPACT will in fact streamline administrative burdens, such that it will likely save money.
Both chambers’ Public Health committees -- and the House Committee on Health Care Financing -- have already agreed: PSYPACT is a good bill. Now the fiscal committees simply need reassurance that the price tag is tiny — about $10 per psychologist per year, capped at $6,000 and soon to be zero! —and that the administrative efficiencies will likely save money in the long run. A small investment unlocks huge gains in access, continuity, and client wellbeing.
Massachusetts families shouldn’t have to choose between staying with a trusted therapist and handling real-life transitions like college, job changes, or caregiving. PSYPACT offers a ready-made, bipartisan framework — already embraced by 45+ states — that protects continuity of care and expands access to specialized mental health services. It’s time for Massachusetts to finally catch up.
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Welcome! This site is a central hub for Massachusetts psychologists and allies who want to help move key legislation forward — especially the PSYPACT bills, which will expand access to mental health care, strengthen our profession, and bring Massachusetts in line with 45 (soon to be 46!) other states which have already implemented this simple and inexpensive legislative improvement to the outdated and fragmented licensing system.
We know it’s hard to keep track of deadlines, drafts, and legislative updates. That’s why everything you need to take action — background info, timelines, scripts, letter templates, and one-pagers to share with colleagues and friends — is gathered here.
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