Bill H.4558

FILED ON: 9/22/2025

HOUSE . . . . . . . . . . . . . . . No. 4558

The Commonwealth of Massachusetts

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In the One Hundred and Ninety-Fourth General Court
(2025-2026)

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An Act establishing a commission on aging disabled adults.

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. Chapter 3 of the General Laws , as appearing in the 2022 Official Edition, is hereby amended by inserting after section 75 the following section:-

Section 76. (a) There shall be a special commission established pursuant to section 2A of chapter 4 of the General Laws to study the aging disabled adult population in the commonwealth. The commission shall consist of: 1 member of the house of representatives appointed by the speaker of the house, who shall serve as co-chair; 1 member of the senate appointed by the senate president, who shall serve as co-chair; the secretary of the executive office of aging and independence or a designee; the secretary of housing and livable communities or a designee; the commissioner of public health or a designee; a representative of the LGBTQIA+ Aging Project or a designee; a representative of the National Association on HIV Over Fifty, Inc.; a representative of Massachusetts Aging Access, Inc. or a designee; a representative of AARP Massachusetts or a designee; a representative of the Massachusetts Association of Councils on Aging, Inc. or a designee; a representative of the Massachusetts Senior Care Association, Inc. or a designee; a representative of the Home Care Aides Council or a designee, a representative of the Home Care Alliance of Massachusetts, Inc. or a designee; and 5 members to be appointed by the governor, 1 of whom shall be a member of the Massachusetts bar who practices elder law, 1 of whom shall be an expert in adult disability public policy or research and 3 aging disabled adults. The governor's appointees shall ensure that the commission has at least 1 representative from each of the following areas: Cape Cod, western Massachusetts and central Massachusetts.

(b) The commission shall investigate, analyze and study the health, housing, financial, social, psychosocial and long-term care needs of aging disabled adults and their caregivers and shall make recommendations to improve access to benefits and services where appropriate and necessary. In furtherance of its duties, the commission shall: (i) examine the impact of the commonwealth's policies and regulations on aging disabled adults and make recommendations to ensure equality of access, treatment, care and benefits; (ii) examine strategies to increase provider awareness of the needs of aging disabled adults and their caregivers and improve the competence of and access to treatment, services and ongoing care, including preventive care; (iii) assess the funding and programming needed to enhance services to the growing population of aging disabled adults; (iv) examine best practices for increasing access, reducing isolation, preventing abuse and exploitation, promoting independence and self-determination, strengthening caregiving, eliminating disparities and improving quality of life; (v) examine whether certain policies and practices, or the absence of certain policies and practice, promote the premature admission of aging disabled adults to institutional care; (vi) recommend, as appropriate and necessary, lower cost and culturally appropriate home and community-based alternatives to institutional care; (vii) examine the feasibility of developing statewide training curricula to improve provider competency in the delivery of health, housing and long-term support services to aging disabled adults and their caregivers; and (viii) examine outreach protocols to reduce apprehension among aging disabled adults and their caregivers of utilizing mainstream providers.

(c) The commission, in formulating its recommendations, shall consider the best policies and practices in other states and jurisdictions. The commission may hold regular public meetings, fact-finding hearings and other public forums as it considers necessary.

(d) The commission may accept and solicit funds, including any gifts, donations, grants or bequests or any federal funds to further the purposes of this section. These funds shall be deposited in a separate account with the state treasurer, shall be received by the treasurer on behalf of the commonwealth and shall be expended by the commission in accordance with law.

(e) The commission shall submit a report on its activities and findings, including any recommendations, to the governor, the clerks of the house of representatives and the senate and the house and senate chairs of the joint committee on aging and independence and shall file at least 1 report by December 31 in the even-numbered years.