By Representatives Stanley of Waltham and Fiola of Fall River, a petition (subject to Joint Rule 12) of Thomas M. Stanley, Carole A. Fiola and Patricia D. Jehlen relative to assisted living residences. Aging and Independence.
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Date
Branch
Action
6/17/2026
House
6/17/2026 HouseBill reported favorably by committee and referred to the committee on House Ways and Means
5/11/2026
Joint
5/11/2026 JointHearing rescheduled to 05/11/2026 from 10:00 AM-11:10 AM in A-1 and Virtual — Hearing updated to New End Time
4/24/2026
Joint
4/24/2026 JointHearing scheduled for 05/11/2026 from 10:00 AM-01:00 PM in A-1
4/15/2026
Senate
4/15/2026 SenateSenate concurred
4/13/2026
House
4/13/2026 HouseReported, referred to the committee on Joint Rules, reported, rules suspended and referred to the committee on Aging and Independence
4/2/2026
House
4/2/2026 HouseReferred to the committee on House Rules
An Act relative to assisted living residences in the Commonwealth
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8 section(s) · formatted for easier reading
▸SECTION 1
Chapter 10 of the General Laws is hereby amended by inserting after section 35TTT the following section:-
▸SECTION 35U
UU. (a) There shall be established and set up on the books of the commonwealth a separate fund known as the Assisted Living Residences Trust Fund. The fund shall be administered by the secretary of aging and independence. The secretary may use amounts credited to the fund to pay for: (i) assisted living certification unit staffing; (ii) assisted living certification compliance reviews; (iii) assisted living complaint and incident investigations; (iv) ombudsman services for residents of assisted living and residents’ families; (v) maintaining public-facing data, reporting and accountability measures; (vi) managing appeals of findings and fines; and (vii) oversight enhancements.
(b) The fund shall consist of: (i) any revenues collected from certification application and renewal fees under subsection (b) of section 4 of chapter 19D; (ii) any revenues collected from fines under clause (iii) of subsection (a) of section 6 of said chapter 19D; (iii) any revenues or other financing sources directed to the fund by appropriation; (iv) any amount recovered by the commonwealth and credited thereto in connection with civil actions brought pursuant to section 8 of said chapter 19D; (v) bond revenues or other money authorized by the general court and specifically designated to be credited to the fund; (vi) any income derived from the investment of amounts credited to the fund or repayment of loans from the fund; (vii) funds from public or private sources, including, but not limited to, gifts, federal or private grants, donations, rebates and settlements received by the commonwealth that are specifically designated to be credited to the fund; and (viii) all other amounts credited or transferred into the fund from any other source. The department shall seek to maximize fund revenues through federal money, matching funds and grants. Any unexpended balances in the fund at the end of the fiscal year shall not revert to the General Fund and shall be available for expenditures in subsequent fiscal years. Any fiscal year-end balance in the fund shall be excluded from the calculation of the consolidated net surplus pursuant to section 5C of chapter 29. The fund shall not be subject to appropriation.
▸SECTION 2
Section 4 of chapter 19D of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by adding the following subsection:-
(i) All certification application and renewal fees collected pursuant to this section shall be deposited into the Assisted Living Residences Trust Fund established in section 35UUU of chapter 10.
▸SECTION 3
Section 6 of said chapter 19D, as so appearing, is hereby amended by adding the following subsection:-
(c) All fines collected pursuant to this section shall be deposited into the Assisted Living Residences Trust Fund established in section 35UUU of chapter 10.
▸SECTION 4
Section 8 of said chapter 19D, as so appearing, is hereby amended by adding the following subsection:-
(c) All civil penalties collected pursuant to this section shall be deposited into the Assisted Living Residences Trust Fund established in section 35UUU of chapter 10.
▸SECTION 5
Subsection (a) of section 72W½ of chapter 111 of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by inserting after “long-term care facilities” the following words:- and assisted living residences as defined in section 1 of chapter 19D of the General Laws.
▸SECTION 6
Subsection (b) of said section 72W½ of said chapter 111, as so appearing, is hereby amended by inserting after “long-term care facilities” the following words:- and assisted living residences as defined in section 1 of chapter 19D of the General Laws
▸SECTION 7
(a) there shall be a task force to study and make recommendations on creating and improving access to affordable assisted living residences. The task force shall meet not less than 5 times and shall hold not less than 1 public hearing.
(b) The task force shall consist of the secretary of aging and independence, or their designee, who shall serve as chair; the secretary of housing and livable communities, or their designee; the assistant secretary for MassHealth, or their designee; the commissioner of public health, or their designee; the chairs of the joint committee on aging and independence, or their designees; 1 person to be appointed by the minority leader of the house of representatives; 1 person to be appointed by the minority leader of the senate; a representative of the Massachusetts Housing Finance Agency; a representative of the Community Economic Development Assistance Corporation; a representative of Massachusetts Aging Access Association, Inc.; a representative of MassPACE, Inc.; a representative of LeadingAge Massachusetts, Inc.; a representative of the Massachusetts Assisted Living Association, Inc.; a representative of the Massachusetts Senior Care Association, Inc.; and 4 members to be appointed by the governor, 1 of whom shall have expertise in developing affordable assisted living residences, 1 of whom shall have expertise in operating affordable assisted living residences, 1 of whom shall represent an organization that represents low-income tenants and 1 of whom shall be a resident or a family member of a resident of an assisted living residence.
(c) In making recommendations, the task force shall consider issues including, but not limited to: (i) creating an operational definition of an “affordable assisted living residence”; (ii) identifying the target population and service needs of qualifying residences; (iii) creating a current inventory of qualifying residences; (iv) assessing the service, housing, and operational costs of qualifying residences; (v) identifying and evaluating any gaps in the continuum of care for older adults; (vi) estimating statewide need for qualifying residences; (vii) recommending sustainable “housing plus services” financing models for qualifying residences; (x) reviewing the financing and affordability models for the defined population in other settings; (xi) studying financing and affordability models for the defined population in other states; (xii) reviewing Medicaid supported options and subsidized housing options; (xiii) establishing a feasible affordability model for assisted living residences in commonwealth.
(d) The task force shall submit a report of its findings, including any recommendations or proposed legislation necessary to carry out its recommendations, to the clerks of the senate and house of representatives, the joint committee on aging and independence, and the senate and house committees on ways and means, not later than December 31, 2027.
Show raw text
SECTION 1. Chapter 10 of the General Laws is hereby amended by inserting after section 35TTT the following section:-
SECTION 35UUU. (a) There shall be established and set up on the books of the commonwealth a separate fund known as the Assisted Living Residences Trust Fund. The fund shall be administered by the secretary of aging and independence. The secretary may use amounts credited to the fund to pay for: (i) assisted living certification unit staffing; (ii) assisted living certification compliance reviews; (iii) assisted living complaint and incident investigations; (iv) ombudsman services for residents of assisted living and residents’ families; (v) maintaining public-facing data, reporting and accountability measures; (vi) managing appeals of findings and fines; and (vii) oversight enhancements.
(b) The fund shall consist of: (i) any revenues collected from certification application and renewal fees under subsection (b) of section 4 of chapter 19D; (ii) any revenues collected from fines under clause (iii) of subsection (a) of section 6 of said chapter 19D; (iii) any revenues or other financing sources directed to the fund by appropriation; (iv) any amount recovered by the commonwealth and credited thereto in connection with civil actions brought pursuant to section 8 of said chapter 19D; (v) bond revenues or other money authorized by the general court and specifically designated to be credited to the fund; (vi) any income derived from the investment of amounts credited to the fund or repayment of loans from the fund; (vii) funds from public or private sources, including, but not limited to, gifts, federal or private grants, donations, rebates and settlements received by the commonwealth that are specifically designated to be credited to the fund; and (viii) all other amounts credited or transferred into the fund from any other source. The department shall seek to maximize fund revenues through federal money, matching funds and grants. Any unexpended balances in the fund at the end of the fiscal year shall not revert to the General Fund and shall be available for expenditures in subsequent fiscal years. Any fiscal year-end balance in the fund shall be excluded from the calculation of the consolidated net surplus pursuant to section 5C of chapter 29. The fund shall not be subject to appropriation.
SECTION 2. Section 4 of chapter 19D of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by adding the following subsection:-
(i) All certification application and renewal fees collected pursuant to this section shall be deposited into the Assisted Living Residences Trust Fund established in section 35UUU of chapter 10.
SECTION 3. Section 6 of said chapter 19D, as so appearing, is hereby amended by adding the following subsection:-
(c) All fines collected pursuant to this section shall be deposited into the Assisted Living Residences Trust Fund established in section 35UUU of chapter 10.
SECTION 4. Section 8 of said chapter 19D, as so appearing, is hereby amended by adding the following subsection:-
(c) All civil penalties collected pursuant to this section shall be deposited into the Assisted Living Residences Trust Fund established in section 35UUU of chapter 10.
SECTION 5. Subsection (a) of section 72W½ of chapter 111 of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by inserting after “long-term care facilities” the following words:- and assisted living residences as defined in section 1 of chapter 19D of the General Laws.
SECTION 6. Subsection (b) of said section 72W½ of said chapter 111, as so appearing, is hereby amended by inserting after “long-term care facilities” the following words:- and assisted living residences as defined in section 1 of chapter 19D of the General Laws
SECTION 7. (a) there shall be a task force to study and make recommendations on creating and improving access to affordable assisted living residences. The task force shall meet not less than 5 times and shall hold not less than 1 public hearing.
(b) The task force shall consist of the secretary of aging and independence, or their designee, who shall serve as chair; the secretary of housing and livable communities, or their designee; the assistant secretary for MassHealth, or their designee; the commissioner of public health, or their designee; the chairs of the joint committee on aging and independence, or their designees; 1 person to be appointed by the minority leader of the house of representatives; 1 person to be appointed by the minority leader of the senate; a representative of the Massachusetts Housing Finance Agency; a representative of the Community Economic Development Assistance Corporation; a representative of Massachusetts Aging Access Association, Inc.; a representative of MassPACE, Inc.; a representative of LeadingAge Massachusetts, Inc.; a representative of the Massachusetts Assisted Living Association, Inc.; a representative of the Massachusetts Senior Care Association, Inc.; and 4 members to be appointed by the governor, 1 of whom shall have expertise in developing affordable assisted living residences, 1 of whom shall have expertise in operating affordable assisted living residences, 1 of whom shall represent an organization that represents low-income tenants and 1 of whom shall be a resident or a family member of a resident of an assisted living residence.
(c) In making recommendations, the task force shall consider issues including, but not limited to: (i) creating an operational definition of an “affordable assisted living residence”; (ii) identifying the target population and service needs of qualifying residences; (iii) creating a current inventory of qualifying residences; (iv) assessing the service, housing, and operational costs of qualifying residences; (v) identifying and evaluating any gaps in the continuum of care for older adults; (vi) estimating statewide need for qualifying residences; (vii) recommending sustainable “housing plus services” financing models for qualifying residences; (x) reviewing the financing and affordability models for the defined population in other settings; (xi) studying financing and affordability models for the defined population in other states; (xii) reviewing Medicaid supported options and subsidized housing options; (xiii) establishing a feasible affordability model for assisted living residences in commonwealth.
(d) The task force shall submit a report of its findings, including any recommendations or proposed legislation necessary to carry out its recommendations, to the clerks of the senate and house of representatives, the joint committee on aging and independence, and the senate and house committees on ways and means, not later than December 31, 2027.