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H 781

An Act establishing the program of all-inclusive care for the elderly

194th Legislature (2025-2026) Introduced by Christine Barber and 3 co-sponsors

Massachusetts bill establishes PACE program providing comprehensive community-based care to low-income seniors to reduce nursing home placement and improve elderly independence.

Accompanied a new draft, see H4804
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Bill Summary · H 781

Legislative bill overview

H.781 establishes a Program of All-Inclusive Care for the Elderly (PACE) in Massachusetts, which provides comprehensive medical and social services to low-income seniors aged 55+ who would otherwise require nursing home care. The program coordinates care through a single provider organization, integrating primary care, specialty services, therapies, and social support while allowing participants to remain in their communities.

Why is this important

PACE programs have demonstrated success in other states by reducing nursing home admissions, hospitalizations, and emergency department use while improving quality of life for seniors. This legislation could expand access to community-based alternatives to institutional care, potentially reducing Medicaid costs while giving elderly residents more autonomy and better health outcomes.

Potential points of contention

  • Implementation costs: Establishing new PACE programs requires significant upfront infrastructure investment and training, raising questions about state funding allocation and timeline for sustainability
  • Provider participation: The program's success depends on health organizations willing to operate PACE centers; limited provider interest could restrict geographic availability, particularly in rural areas
  • Eligibility and access: Means-testing and age requirements (55+) may exclude some vulnerable seniors, and enrollment processes could create barriers for those with cognitive decline or limited English proficiency

Compiled from official sources — confirm details with the bill’s official record.

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