# Mass. Gen. Laws ch. 111, sec. 2K: Affirming Health Care Trust Fund > Massachusetts · Statutes · In force URL: https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S2K ## Section - **Citation:** Mass. Gen. Laws ch. 111, sec. 2K - **Heading:** Affirming Health Care Trust Fund - **Jurisdiction:** Massachusetts - **Kind:** Statutes - **Status:** In force - **Text as of:** August 14, 2026 - **Source:** Compiled text - **Location:** MA Code / Part I / Title XVI / Chapter 111 / Section 2K ## Text [ Text of section added by 2025, 9, Sec. 42 effective July 1, 2025. See 2025, 9, Sec. 138.] Section 2K. (a) As used in this section, the term "gender-affirming health care services'' shall, unless the context clearly requires otherwise, mean all supplies, care and services of a medical, behavioral health, mental health, surgical, psychiatric, therapeutic, diagnostic, preventative, rehabilitative or supportive nature relating to the treatment of gender dysphoria. (b) There shall be established and set up on the books of the commonwealth a non-budgeted special revenue fund known as the Affirming Health Care Trust Fund. The fund shall be administered by the commissioner. The fund shall be credited with: (i) appropriations or other money authorized by the general court and specifically designated to be credited to the fund; (ii) funds from public or private sources, including, but not limited to, gifts, grants, donations, rebates and settlements; (iii) interest earned on amounts in the fund; and (iv) any funds provided from other sources. (c) Amounts credited to the fund shall be expended, without further appropriation, for gender-affirming health care services, including at institutions over which the commissioner has supervision and control pursuant to section 69E; provided, that the commissioner may also expend money in the fund to cover costs of medical malpractice liability and general liability insurance for health care providers involved in the provision of gender-affirming health care services and to support research relating to LGBTQ+ health promotion and gender-affirming health care services. The unexpended balance in the fund at the end of the fiscal year shall remain available for expenditure in subsequent fiscal years. No expenditure from the fund shall cause the fund to be in a deficit at any point. (d) Annually, not later than October 1, the department shall report to the clerks of the house of representatives and the senate, the house and senate committees on ways and means and the joint committee on health care financing on the fund's activity. The report shall include, but shall not be limited to: (i) money received by the fund; (ii) anticipated amounts to be deposited into the fund for the forthcoming fiscal year; (iii) projections for expenditures in the forthcoming fiscal year; (iv) details of all expenditures from the fund; and (v) results from any research efforts supported by the fund. [ Text of section added by 2025, 9, Sec. 42 effective July 1, 2025. See 2025, 9, Sec. 138.] Section 2K. (a) As used in this section, the term "gender-affirming health care services'' shall, unless the context clearly requires otherwise, mean all supplies, care and services of a medical, behavioral health, mental health, surgical, psychiatric, therapeutic, diagnostic, preventative, rehabilitative or supportive nature relating to the treatment of gender dysphoria. (b) There shall be established and set up on the books of the commonwealth a non-budgeted special revenue fund known as the Affirming Health Care Trust Fund. The fund shall be administered by the commissioner. The fund shall be credited with: (i) appropriations or other money authorized by the general court and specifically designated to be credited to the fund; (ii) funds from public or private sources, including, but not limited to, gifts, grants, donations, rebates and settlements; (iii) interest earned on amounts in the fund; and (iv) any funds provided from other sources. tered by the commissioner. The fund shall be credited with: (i) appropriations or other money authorized by the general court and specifically designated to be credited to the fund; (ii) funds from public or private sources, including, but not limited to, gifts, grants, donations, rebates and settlements; (iii) interest earned on amounts in the fund; and (iv) any funds provided from other sources. (c) Amounts credited to the fund shall be expended, without further appropriation, for gender-affirming health care services, including at institutions over which the commissioner has supervision and control pursuant to section 69E; provided, that the commissioner may also expend money in the fund to cover costs of medical malpractice liability and general liability insurance for health care providers involved in the provision of gender-affirming health care services and to support research relating to LGBTQ+ health promotion and gender-affirming health care services. The unexpended balance in the fund at the end of the fiscal year shall remain available for expenditure in subsequent fiscal years. No expenditure from the fund shall cause the fund to be in a deficit at any point. (d) Annually, not later than October 1, the department shall report to the clerks of the house of representatives and the senate, the house and senate committees on ways and means and the joint committee on health care financing on the fund's activity. The report shall include, but shall not be limited to: (i) money received by the fund; (ii) anticipated amounts to be deposited into the fund for the forthcoming fiscal year; (iii) projections for expenditures in the forthcoming fiscal year; (iv) details of all expenditures from the fund; and (v) results from any research efforts supported by the fund. ## Nearby sections - [Mass. Gen. Laws ch. 111, sec. 1 Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S1.md) - [Mass. Gen. Laws ch. 111, sec. 2 Duties of commissioner of public health](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S2.md) - [Mass. Gen. Laws ch. 111, sec. 2A Co-operation with MassAbility](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S2A.md) - [Mass. Gen. Laws ch. 111, sec. 2B Air pollution emergencies](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S2B.md) - [Mass. Gen. Laws ch. 111, sec. 2C Pollution violations; orders of department of environmental protection](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S2C.md) - [Mass. Gen. Laws ch. 111, sec. 2D Massachusetts State Health HIV and Hepatitis fund; definitions](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S2D.md) - [Mass. Gen. Laws ch. 111, sec. 2G Prevention and Wellness Trust Fund](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S2G.md) - [Mass. Gen. Laws ch. 111, sec. 2I Substance Abuse Services Fund](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S2I.md) - [Mass. Gen. Laws ch. 111, sec. 2J Public Health Grant Trust Fund](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S2J.md) - [Mass. Gen. Laws ch. 111, sec. 2K Affirming Health Care Trust Fund](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S2K.md) - [Mass. Gen. Laws ch. 111, sec. 3 Public health council; hearings, intervention](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S3.md) - [Mass. Gen. Laws ch. 111, sec. 4E Program to combat intellectual disabilities in children](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S4E.md) - [Mass. Gen. Laws ch. 111, sec. 4F Advisory council on radiation protection](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S4F.md) - [Mass. Gen. Laws ch. 111, sec. 4G Epileptics; program for care, treatment and rehabilitation](https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S4G.md) --- Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MA_PI_TXVI_C111_S2K. Check the current official text before relying on it. Not legal advice.