Massachusetts has state legislation around cord blood education that is two-tiered. Hospitals are required to inform all pregnant women in the 3rd trimester of the opportunity to donate cord blood. There is also a public education program run by the Dept. of Health that follows the Institute of Medicine guidelines and asks (but does not mandate) physicians to educate expectant parents about ALL forms of cord blood banking. The Massachusetts bill was enacted 30 May 2005 and became effective immediately.