HOUSE DOCKET, NO. 1832        FILED ON: 1/17/2019

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 630


The Commonwealth of Massachusetts



Aaron Vega and Carmine Lawrence Gentile


To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:

The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:

An Act relative to home care.






Aaron Vega

5th Hampden

Carmine Lawrence Gentile

13th Middlesex

James Arciero

2nd Middlesex

Brian M. Ashe

2nd Hampden

Bruce J. Ayers

1st Norfolk

Christine P. Barber

34th Middlesex

Natalie M. Blais

1st Franklin

Daniel Cahill

10th Essex

Linda Dean Campbell

15th Essex

Tackey Chan

2nd Norfolk

Mike Connolly

26th Middlesex

Edward F. Coppinger

10th Suffolk

Julian Cyr

Cape and Islands

Marjorie C. Decker

25th Middlesex

Marcos A. Devers

16th Essex

Sal N. DiDomenico

Middlesex and Suffolk

Mindy Domb

3rd Hampshire

James B. Eldridge

Middlesex and Worcester

Nika C. Elugardo

15th Suffolk

Tricia Farley-Bouvier

3rd Berkshire

William C. Galvin

6th Norfolk

Sean Garballey

23rd Middlesex

Denise C. Garlick

13th Norfolk

Susan Williams Gifford

2nd Plymouth

Thomas A. Golden, Jr.

16th Middlesex

Carlos González

10th Hampden

Tami L. Gouveia

14th Middlesex

James K. Hawkins

2nd Bristol

Stephan Hay

3rd Worcester

Jonathan Hecht

29th Middlesex

Natalie M. Higgins

4th Worcester

Bradford Hill

4th Essex

Donald F. Humason, Jr.

Second Hampden and Hampshire

Daniel J. Hunt

13th Suffolk

James M. Kelcourse

1st Essex

Kay Khan

11th Middlesex

David Henry Argosky LeBoeuf

17th Worcester

Jack Patrick Lewis

7th Middlesex

Jason M. Lewis

Fifth Middlesex

Marc T. Lombardo

22nd Middlesex

Elizabeth A. Malia

11th Suffolk

Joseph W. McGonagle, Jr.

28th Middlesex

Paul McMurtry

11th Norfolk

Joan Meschino

3rd Plymouth

Christina A. Minicucci

14th Essex

Michael O. Moore

Second Worcester

Mathew J. Muratore

1st Plymouth

Harold P. Naughton, Jr.

12th Worcester

Tram T. Nguyen

18th Essex

James J. O'Day

14th Worcester

Denise Provost

27th Middlesex

Rebecca L. Rausch

Norfolk, Bristol and Middlesex

David M. Rogers

24th Middlesex

John H. Rogers

12th Norfolk

Alan Silvia

7th Bristol

Thomas M. Stanley

9th Middlesex

Bruce E. Tarr

First Essex and Middlesex

Walter F. Timilty

Norfolk, Bristol and Plymouth

José F. Tosado

9th Hampden

Steven Ultrino

33rd Middlesex

John C. Velis

4th Hampden

Bud L. Williams

11th Hampden

HOUSE DOCKET, NO. 1832        FILED ON: 1/17/2019

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 630

By Messrs. Vega of Holyoke and Gentile of Sudbury, a petition (accompanied by bill, House, No. 630) of Aaron Vega, Carmine Lawrence Gentile and others relative to home care and enhanced community options programs.  Elder Affairs.


The Commonwealth of Massachusetts



In the One Hundred and Ninety-First General Court



An Act relative to home care.


Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:

SECTION 1. Section 13D of chapter 118E is hereby amended in the second paragraph by adding after the words “as defined under section 71 of chapter 111” the following: and home health agencies pursuant to Title XVIII, Section 1891 of the Social Security Act.

SECTION 2. Section 13D of Chapter 118E is further amended by adding, after the third paragraph thereof, the following new paragraph: --

Rates for the home care program, as defined under sections 4 and 4B, of chapter 19A, shall be adjusted on a biennial prospective basis by October 1st. The executive office shall establish, in consultation with the executive office of elder affairs, a base purchase of service and a base personnel and operations per client per month capitation for the home care and enhanced community options programs, or successor programs, to be used in establishing biennial capitations pursuant to the provisions of this section and section 13C.  Said capitations shall be based on operating costs for aging services access points. In calculating operating costs, the executive office shall consider costs associated with providing similar services in both the public and private settings including but not limited to health insurance, employment benefits and wage rates as required by law ; provided further that compensation earned by homemakers and personal care homemakers shall be no less than $15 per hour by July 1, 2020 and shall increase by $.75 an hour commensurate to the increase in the state minimum wage, to $15.75 on July 1, 2021, to $16.50 per hour July 1, 2022 and to $17.25 per hour on July 1, 2023 and provided further that said compensation shall be no less than 15 percent higher than the state minimum wage thereafter.