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HD 2385

An Act relative to assisted living and the frail elder waiver

194th Legislature (2025-2026) Introduced by Tom Stanley

Massachusetts bill modifies assisted living regulations and Frail Elder Waiver eligibility to improve elderly care access and community-based alternatives to nursing homes.

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WeVote Research Nonpartisan
Bill Summary · HD 2385

Legislative bill overview

HD 2385 modifies Massachusetts' regulations governing assisted living facilities and the Frail Elder Waiver program, which allows certain elderly individuals to receive long-term care services in community settings rather than nursing homes. The bill adjusts licensing requirements, staffing standards, or eligibility criteria for these programs to improve access or care quality for vulnerable elderly populations.

Why is this important

As Massachusetts' population ages, demand for alternatives to nursing homes continues growing. Assisted living and waiver programs provide more cost-effective, less restrictive care options that many elderly residents prefer. Changes to these programs directly affect thousands of seniors' access to affordable care, state budget expenditures, and facility operations.

Potential points of contention

  • Staffing and safety trade-offs: Relaxed staffing requirements could reduce costs but may raise concerns about adequate supervision and emergency response capabilities for frail elderly residents
  • Eligibility expansion costs: Broadening who qualifies for the Frail Elder Waiver increases state Medicaid spending, potentially affecting budget priorities elsewhere
  • Facility compliance burden: Stricter regulations may increase operational costs for providers, potentially raising resident fees or reducing facility availability in less profitable markets

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

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