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Councilors press administration over GLP‑1 coverage as one option to trim $80M health bill
Summary
Councilors and the administration debated whether to use utilization management or to cut GLP‑1 coverage for weight loss to reduce the city’s projected FY27 health‑care cost increase; unions, equity concerns and data on roughly 3,000 weight‑loss users shaped the exchange.
The Boston City Council’s Feb. 26 Ways & Means hearing devoted extended questioning to the administration’s proposal to address escalating health‑care costs by changing plan design, including an option to discontinue city coverage of GLP‑1 medications when prescribed for weight loss.
Councilor Erin Durkin (remarks at the hearing) and others framed the issue as a labor and equity question. "GLP‑1 medications are not vanity medications," Durkin said, adding that many city employees and constituents rely on the drugs to manage diabetes and other cardiometabolic conditions. Durkin told the committee she had led an emergency…
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