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HD 2969

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

194th Legislature (2025-2026) Introduced by Christine Barber and 2 co-sponsors

Massachusetts establishes a comprehensive community-based care program for elderly residents to provide medical and social services while enabling seniors to age in place rather than enter nursing homes.

Senate concurred
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Bill Summary · HD 2969

Legislative bill overview

HD 2969 establishes a "Program of All-Inclusive Care for the Elderly" (PACE) in Massachusetts, which provides comprehensive medical and social services to elderly individuals, typically those aged 55 and older who qualify for nursing home care but prefer to remain in their communities. The program coordinates care through adult day centers, in-home services, transportation, and other support to help seniors maintain independence while reducing reliance on institutional care.

Why is this important

As Massachusetts faces an aging population with increasing long-term care costs, PACE programs offer a cost-effective alternative to nursing homes while improving quality of life for seniors who want to age in place. The program addresses both a public health priority and fiscal concern, potentially reducing Medicaid expenditures while meeting elderly residents' stated preferences for community-based care.

Potential points of contention

  • Program funding and sustainability: Questions about whether state and federal funding mechanisms adequately cover the comprehensive services promised, and whether costs could exceed projections
  • Geographic accessibility: Concerns that PACE services may concentrate in urban areas, leaving rural elderly populations underserved despite legislative intent
  • Provider capacity and workforce: Whether Massachusetts has sufficient trained healthcare workers, social workers, and transportation services to launch and scale the program effectively

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

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