Councilors press administration over GLP‑1 coverage as one option to trim $80M health bill 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.

Boston City Council is grappling with a controversial proposal that could cut GLP-1 medication coverage, raising urgent equity concerns for thousands reliant on these vital drugs.

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Boston officials warn of $80 million FY27 health‑care shortfall; propose 22.6% premium rate increase City finance officials told the Boston City Council Ways & Means Committee the city faces an $80 million jump in employer health‑care costs for FY27, driven by unusually high claims and greater GLP‑1 drug use; the administration proposed a 22.6% rate increase to replenish reserves and keep the self‑insured trust solvent.

Boston is facing an alarming $80 million surge in health-care costs, prompting a proposed 22.6% rate hike that could impact families' budgets significantly.

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