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Bill

SD 1729

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

194th Legislature (2025-2026) Introduced by Jo Comerford and 2 co-sponsors

Massachusetts establishes integrated PACE program delivering coordinated medical and social services enabling elderly adults to age in communities rather than institutional settings.

House concurred
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Bill Summary · SD 1729

Legislative bill overview

Bill SD 1729 establishes a Program of All-Inclusive Care for the Elderly (PACE) in Massachusetts, which provides comprehensive, coordinated long-term services and supports to elderly adults who might otherwise require institutional care. The program integrates medical, social, and long-term care services through a capitated funding model, allowing seniors to remain in their communities while receiving integrated care management.

Why is this important

PACE programs have demonstrated success in other states by delaying or preventing nursing home placement, improving quality of life for seniors, and often reducing overall healthcare costs through preventive care and care coordination. Massachusetts currently has limited PACE availability despite federal authorization, so establishing this program could significantly expand options for elderly residents seeking alternatives to institutional care while addressing workforce demands in long-term care.

Potential points of contention

  • Funding and costs: Requires state investment and potentially significant Medicaid expenditure; questions about whether savings materialize or if program expands overall spending
  • Provider capacity: Implementation depends on adequate healthcare providers, adult day centers, and transportation services, which may not exist in all regions, potentially creating rural/urban disparities
  • Enrollment and accessibility: Risk that program primarily serves affluent or well-connected seniors; unclear how outreach will reach eligible populations or whether eligibility requirements exclude vulnerable populations

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

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