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H 791

An Act relative to assisted living and the frail elder waiver

194th Legislature (2025-2026) Introduced by Bruce Ayers and 3 co-sponsors

H 791 revises Massachusetts assisted living and Frail Elder Waiver policies to modify how seniors and disabled individuals access community-based long-term care services outside institutional settings.

Reporting date extended to Friday, July 31, 2026
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Bill Summary · H 791

Legislative bill overview

H 791 modifies Massachusetts' policies governing assisted living facilities and the Frail Elder Waiver program, which allows elderly and disabled individuals to receive long-term care services in community settings rather than institutional facilities. The bill adjusts eligibility requirements, service definitions, or funding mechanisms for these programs, though specific provisions require review of the full legislative text.

Why is this important

This legislation affects how thousands of Massachusetts seniors and disabled residents access affordable care alternatives to nursing homes. Changes to the Frail Elder Waiver program directly impact both the cost of elder care for families and state Medicaid spending, while also influencing quality-of-life outcomes for vulnerable populations seeking to age in place.

Potential points of contention

  • Cost implications: Whether proposed changes increase or decrease state Medicaid expenditures, potentially affecting broader budget priorities
  • Access equity: How modifications might affect wait lists, eligibility criteria, or geographic availability of waiver services across urban and rural areas
  • Facility standards: Disagreement over whether new regulations strengthen or weaken safety and quality standards in assisted living environments

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

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