By Ms. Lovely, a petition (accompanied by bill, Senate, No. 887) of Joan B. Lovely, Joanne M. Comerford, Christopher Richard Flanagan, Jacob R. Oliveira and others for legislation to increase the monthly amount of money that Medicaid recipients living in nursing homes are allowed to keep from their income to spend on personal items like toiletries, clothing, and small entertainment. Health Care Financing.
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Date
Branch
Action
11/6/2025
Senate
11/6/2025 SenateBill reported favorably by committee and referred to the committee on Senate Ways and Means
An Act increasing the personal needs allowance for long term care residents
Active
5 section(s) · formatted for easier reading
▸SECTION 1
Section 1 of chapter 117A of the General Laws, as appearing in the 2020 Official Edition, is hereby amended by striking out the second paragraph and inserting in place thereof the following paragraph:-
Any person eligible for assistance under this chapter who is not maintaining their home and is receiving care in or residing in a licensed nursing facility, licensed chronic hospital, licensed rest home, or an approved public medical institution as defined in section 8 of chapter 118E, shall retain the first $113.42 of their monthly income for clothing, personal needs, and leisure time activities. If there is no such income or if it is less than the amount of $113.42, such a person shall be paid monthly in advance the difference between such income and said amount. Said amount shall be increased annually each fiscal year at the same time and at the same percentage rate as increases payable to an individual who maintains their own home and receives state supplementary payments pursuant to sections 1 and 2 of chapter 118A.
▸SECTION 2
Chapter 118A of General Laws, as so appearing, is hereby amended by inserting after section 7A the following new section:-
▸SECTION 7B
Any person eligible for financial assistance under this chapter who is not maintaining their home and is in a licensed medical facility which is eligible for medical assistance payments pursuant to chapter 118E or is residing in a licensed rest home to which such person pays a fixed rate, shall retain the first $113.42 of their monthly income for clothing, personal needs, and leisure time activities. If there is no such income or if it is less than the amount of $113.42, such a person shall be paid monthly in advance the difference between such income and said amount. Said amount shall be increased annually each fiscal year at the same time and at the same percentage rate as increases payable to an individual who maintains their own home and receives state supplementary payments pursuant to sections 1 and 2 of this chapter.
▸SECTION 3
Section 15 of chapter 118E of the General Laws, as so appearing, is hereby amended by striking the fourth paragraph and inserting in place thereof the following paragraph:-
A person eligible for medical assistance under this chapter who is not maintaining their own home and is receiving care in a licensed nursing facility, a licensed chronic hospital, a licensed rest home, an approved public medical institution, or a public psychiatric institution shall retain the first $113.42 of their monthly income for clothing, personal needs, and leisure time activities. If there is no such income or if it is less than the amount of $113.42, such a person shall be paid monthly in advance the difference between such income and said amount. Said amount shall be increased annually each fiscal year at the same time and at the same percentage rate as increases payable to an individual who is maintaining their own home and who is receiving supplemental payments pursuant to sections 1 and 2 of chapter 118A.
▸SECTION 4
Section 15 of chapter 118E of the General laws, as so appearing, is hereby amended by striking in the fifth paragraph the figure "$72.80" and inserting in place thereof the following figure:-$113.42
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SECTION 1. Section 1 of chapter 117A of the General Laws, as appearing in the 2020 Official Edition, is hereby amended by striking out the second paragraph and inserting in place thereof the following paragraph:-
Any person eligible for assistance under this chapter who is not maintaining their home and is receiving care in or residing in a licensed nursing facility, licensed chronic hospital, licensed rest home, or an approved public medical institution as defined in section 8 of chapter 118E, shall retain the first $113.42 of their monthly income for clothing, personal needs, and leisure time activities. If there is no such income or if it is less than the amount of $113.42, such a person shall be paid monthly in advance the difference between such income and said amount. Said amount shall be increased annually each fiscal year at the same time and at the same percentage rate as increases payable to an individual who maintains their own home and receives state supplementary payments pursuant to sections 1 and 2 of chapter 118A.
SECTION 2. Chapter 118A of General Laws, as so appearing, is hereby amended by inserting after section 7A the following new section:-
Section 7B. Any person eligible for financial assistance under this chapter who is not maintaining their home and is in a licensed medical facility which is eligible for medical assistance payments pursuant to chapter 118E or is residing in a licensed rest home to which such person pays a fixed rate, shall retain the first $113.42 of their monthly income for clothing, personal needs, and leisure time activities. If there is no such income or if it is less than the amount of $113.42, such a person shall be paid monthly in advance the difference between such income and said amount. Said amount shall be increased annually each fiscal year at the same time and at the same percentage rate as increases payable to an individual who maintains their own home and receives state supplementary payments pursuant to sections 1 and 2 of this chapter.
SECTION 3. Section 15 of chapter 118E of the General Laws, as so appearing, is hereby amended by striking the fourth paragraph and inserting in place thereof the following paragraph:-
A person eligible for medical assistance under this chapter who is not maintaining their own home and is receiving care in a licensed nursing facility, a licensed chronic hospital, a licensed rest home, an approved public medical institution, or a public psychiatric institution shall retain the first $113.42 of their monthly income for clothing, personal needs, and leisure time activities. If there is no such income or if it is less than the amount of $113.42, such a person shall be paid monthly in advance the difference between such income and said amount. Said amount shall be increased annually each fiscal year at the same time and at the same percentage rate as increases payable to an individual who is maintaining their own home and who is receiving supplemental payments pursuant to sections 1 and 2 of chapter 118A.
SECTION 4. Section 15 of chapter 118E of the General laws, as so appearing, is hereby amended by striking in the fifth paragraph the figure "$72.80" and inserting in place thereof the following figure:-$113.42