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Bill

S 155

An Act relative to authorizing supported decision-making agreements for certain adults with disabilities

194th Legislature (2025-2026) Introduced by Mike Barrett and 20 co-sponsors

Massachusetts bill legalizes supported decision-making agreements, allowing disabled adults to retain autonomy while receiving trusted supporter assistance instead of requiring full guardianship.

Bill reported favorably by committee and referred to the committee on Senate Ways and Means
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Bill Summary · S 155

Legislative bill overview

S 155 authorizes supported decision-making (SDM) agreements in Massachusetts, allowing adults with disabilities to make their own decisions with trusted supporters rather than requiring full legal guardianship. The bill creates a legal framework for documenting these informal support relationships and establishes protections for both the individual and their supporters.

Why is this important

Currently, Massachusetts law often requires guardianship as the only formal mechanism for protecting vulnerable adults, which strips individuals of legal autonomy and decision-making rights. SDM offers a less restrictive alternative that preserves personal agency while providing practical support, addressing a growing national movement toward disability rights and person-centered planning.

Potential points of contention

  • Definition and oversight concerns: The bill must clarify what constitutes adequate "support" and how much oversight is appropriate without replicating guardianship's restrictions or leaving people vulnerable to exploitation
  • Legal liability and enforceability: Questions exist about the enforceability of SDM agreements with third parties (banks, healthcare providers) and who bears responsibility if supporters act against the individual's interests
  • Conflict with existing protections: Determining how SDM interacts with existing guardianship law, conservatorship, and elder law protections requires careful legal coordination to prevent gaps or contradictions

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

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