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S 913

An Act to stabilize adult day health services

194th Legislature (2025-2026) Introduced by Bruce Tarr

Bill stabilizes adult day health services by addressing funding and operational challenges threatening community-based senior and disabled adult care programs.

Accompanied a study order, see S2931
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Bill Summary · S 913

Legislative bill overview

S. 913 aims to stabilize adult day health services (ADHS) in Massachusetts by addressing funding and operational challenges that threaten program viability. The bill responds to concerns about declining enrollment, provider closures, and inadequate reimbursement rates that have destabilized this long-term care alternative.

Why is this important

Adult day health services provide community-based care for seniors and disabled individuals, allowing them to remain in home settings while receiving medical supervision and social engagement—typically at lower cost than institutional care. Without stabilization measures, loss of ADHS capacity forces more vulnerable adults into nursing homes or hospitals, increasing state Medicaid expenditures and reducing care options for families.

Potential points of contention

  • Reimbursement rate increases: May require significant state budget allocation; fiscal conservatives may question cost-effectiveness versus other care models
  • Program scope and eligibility: Debate over which populations should qualify and how broadly services should be defined could affect program costs and access equity
  • Sustainability mechanism: Unclear whether proposed stabilization creates permanent fixes or temporary support; concerns about long-term viability without structural reforms

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

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