Massachusetts legislation · 194th General Court
Massachusetts H791: An Act relative to assisted living and the frail elder waiver
Status: In committee, June 17, 2026
What the bill says
From the introduced text, February 27, 2025:
SECTION 1. Notwithstanding any general or special law to the contrary, the executive office of health and human services shall, not later than 90 days after the effective date of this act, pursue and submit applications for new state plan amendments, state plan options or state plan waiver or demonstration requests for federal approval that will establish an assisted living service to allow individuals qualifying for Medicaid and at risk of entering a nursing home to reside in a certified assisted living residence; provided, however, that the average daily rate developed for such service, when combined with the average daily benefit assistance provided by the Supplemental Security Income program inclusive of the state supplementary payment program authorized under section 131 of chapter 6 of the General Laws and chapter 118A of the General Laws, shall not exceed 80 per cent of the cost of substantially similar institutional care for the equivalent waiver year as demonstrated by the Factor G value of Appendix J of the current MassHealth frail elder home and community-based services waiver, 0059.R08.00; provided further, that MassHealth shall implement a rate schedule for such assisted living service that uses disproportionate share payment methodologies to ensure equal economic access to the assisted living care setting for long-term care services and supports when measured with consideration for the level of …
Sponsors
- Thomas Stanley (D, 9th Middlesex) · primary sponsor
- Paul McMurtry (D, 11th Norfolk)
- Michelle Badger (D)
- Bruce Ayers (D)
Latest actions
- : Reporting date extended to Friday, July 31, 2026
- : Reporting date extended to Monday, June 15, 2026
- : Reporting date extended to Wednesday, March 18, 2026
- : Reported favorably by committee and referred to the committee on Health Care Financing
- : Referred, pursuant to an order adopted by the two branches, to the committee on Aging and Independence
- : Hearing scheduled for 05/12/2025 from 10:00 AM-01:00 PM in A-1
- : Senate concurred
- : Referred to the committee on Elder Affairs
Votes
- Committee Vote - Joint Committee on Aging and Independence (August 8, 2025): 9 yea, 0 nay, passed
Common questions
- What is H791?
- H791 is a bill in the Massachusetts Legislature (194th General Court): An Act relative to assisted living and the frail elder waiver.
- What is the status of H791?
- In committee as of June 17, 2026. Latest action: Reporting date extended to Friday, July 31, 2026 (June 17, 2026).
- Who sponsored H791?
- Thomas Stanley (D, 9th Middlesex), with 3 co-sponsors.
- Where is the official record for H791?
- On the Massachusetts Legislature website: https://malegislature.gov/Bills/194/H791
Source: official Massachusetts record. Tracked by Delilah, AI for legislation across all 50 states and Congress.