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S 493

Certified Registered Nurse Anesthetist

2025-2026 Regular Session Introduced by Josh Kimbrell

The bill makes nonprofit long-term care loans more available while excluding for-profit providers, and allows small, free-standing, HCBS‑linked nursing homes of under 14 beds.

Referred to Committee on Medical Affairs
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Bill Summary · S 493

Summary — S. 493 (2025): "An Act to strengthen the long-term care workforce and capital trust fund"

Note: The text provided with the bill (filed 1/15/2025, Senate Docket No. 879) addresses long‑term care workforce and capital financing. Some metadata supplied with the request (title and sponsors) appears inconsistent with the bill text. This summary is based on the bill text provided.

At a glance

  • Main purpose: Amend the law governing the long‑term care workforce and the capital trust fund (G.L. c. 10, §35TTT) to (1) classify certain advisory committee members as “special state employees” for ethics law purposes and (2) narrow and expand eligibility/uses of no‑interest or forgivable capital loans to support not‑for‑profit providers and small “house” nursing homes.
  • Filed: Senate Docket No. 879 (filed 1/15/2025); introduced in Senate as S. 493.
  • Committee referral/status: Referred to committees (Elder Affairs/Aging & Independence/Health per provided actions); hearing listed for 09/16/2025 in A‑2 (per docket information). Status shown as REFERRED TO HEALTH.

Key provisions (substantive changes)

  1. Ethics classification for advisory committee members

    • Amends subsection (c) of G.L. c. 10, §35TTT to state that advisory committee members who are not state employees “shall be deemed ‘special state employees’” under G.L. c. 268A.
    • Effect: subjects non‑state employee members to the conflict‑of‑interest and conduct rules applicable to special state employees.

  2. Limits and expands capital loan eligibility/use

    • Amends subsection (e) of G.L. c. 10, §35TTT:
      • Eligibility for any no‑interest or forgivable capital loan from the trust fund is limited to not‑for‑profit entities (i.e., for‑profit entities are excluded from such loans).
      • Adds an authorized use category (after “regional entities”): loans may be used for construction of free‑standing small‑house nursing homes that (a) serve fewer than fourteen residents and (b) are operated in collaboration with home‑and‑community‑based supports and services (HCBS).

Who would be affected

  • Not‑for‑profit long‑term care providers: made explicitly eligible for no‑interest/forgivable loans.
  • For‑profit providers: effectively excluded from receiving those loans under the amended language.
  • Small‑house nursing home developers/operators and HCBS networks: newly eligible to receive funding for constructing free‑standing small‑house nursing homes (<14 residents) if operated with HCBS partnerships.
  • Advisory committee members (non‑state employees): become “special state employees,” subject to G.L. c. 268A ethics rules.

Potential impacts

  • Policy shift toward supporting nonprofit providers and community‑integrated, small‑house nursing models intended to serve fewer residents in coordination with HCBS.
  • Could accelerate funding for small residential nursing projects and strengthen nonprofit capacity while restricting for‑profit access to certain capital supports.
  • Ethics classification may increase transparency and restrict conflicts for advisory committee participants.

Procedural / timeline notes

  • Multiple committee referrals are listed (Elder Affairs; Aging & Independence; Health). A hearing is scheduled 09/16/2025 per the record provided. Verify current status on the official Massachusetts Legislature website for updates and final text.

Caveat / recommendation

The supplied metadata (title, listed sponsors, some referral dates) contains inconsistencies with the bill text and with typical sponsor names for Massachusetts legislation. Readers should confirm the official bill text and status via the Massachusetts General Court docket (Senate Bill S. 493 / Docket No. 879) before relying on this summary for legal or policy decisions.

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

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