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Bill

S 903

An Act improving access to post acute services

194th Legislature (2025-2026) Introduced by Pavel Payano

Massachusetts bill expands post-acute care access through improved financing and provider coordination to reduce hospital readmissions and improve patient transitions.

Accompanied a study order, see S2931
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Bill Summary · S 903

Legislative bill overview

S 903 aims to expand and improve access to post-acute care services in Massachusetts, which include rehabilitation, skilled nursing, and other transitional care provided after hospital discharge. The bill was referred to the Health Care Financing Committee in February 2025 and is scheduled for a public hearing in July 2025.

Why is this important

Post-acute care services are critical for patient recovery and preventing hospital readmissions, but access barriers—including insurance coverage gaps, provider shortages, and geographic disparities—affect many Massachusetts residents. Improving these services could reduce healthcare costs, improve outcomes, and help vulnerable populations transition safely from hospitals to home or facility-based care.

Potential points of contention

  • Cost and funding: Expanding post-acute services requires significant state or insurance funding; policymakers may debate whether to increase Medicaid/MassHealth rates, impose new provider requirements, or restructure existing programs
  • Provider capacity: Massachusetts may lack sufficient post-acute care facilities and staffing; mandating increased access without supporting workforce development could strain existing providers
  • Coverage scope: Disagreement may arise over which services qualify for coverage, income thresholds for eligibility, and whether private insurers should bear cost-sharing obligations alongside state programs

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

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