Massachusetts 2023-2024 Regular Session

Massachusetts House Bill H1485 Compare Versions

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22 HOUSE DOCKET, NO. 2339 FILED ON: 1/20/2023
33 HOUSE . . . . . . . . . . . . . . . No. 1485
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Michael J. Finn and Sean Garballey
88 _________________
99 To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
1010 Court assembled:
1111 The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
1212 An Act relative to authorizing supported decision-making agreements for certain adults with
1313 disabilities.
1414 _______________
1515 PETITION OF:
1616 NAME:DISTRICT/ADDRESS :DATE ADDED:Michael J. Finn6th Hampden1/20/2023Sean Garballey23rd Middlesex1/20/2023John Barrett, III1st Berkshire1/24/2023Patricia A. Duffy5th Hampden1/25/2023Tram T. Nguyen18th Essex1/25/2023Josh S. Cutler6th Plymouth1/27/2023Lindsay N. Sabadosa1st Hampshire1/27/2023Christine P. Barber34th Middlesex1/27/2023James K. Hawkins2nd Bristol1/30/2023Kathleen R. LaNatra12th Plymouth2/1/2023Angelo J. Puppolo, Jr.12th Hampden2/1/2023Andres X. Vargas3rd Essex2/3/2023Michael D. BradySecond Plymouth and Norfolk2/3/2023Paul McMurtry11th Norfolk2/9/2023James B. EldridgeMiddlesex and Worcester2/13/2023Paul J. Donato35th Middlesex2/21/2023Jacob R. OliveiraHampden, Hampshire and Worcester2/21/2023 2 of 2
1717 David Henry Argosky LeBoeuf17th Worcester2/21/2023Kate Lipper-Garabedian32nd Middlesex2/23/2023Simon Cataldo14th Middlesex3/3/2023Lydia EdwardsThird Suffolk3/10/2023Brandy Fluker Oakley12th Suffolk3/13/2023 1 of 9
1818 HOUSE DOCKET, NO. 2339 FILED ON: 1/20/2023
1919 HOUSE . . . . . . . . . . . . . . . No. 1485
2020 By Representatives Finn of West Springfield and Garballey of Arlington, a petition
2121 (accompanied by bill, House, No. 1485) of Michael J. Finn, Sean Garballey and others relative to
2222 authorizing supported probate law decision-making agreements for certain adults with
2323 disabilities. The Judiciary.
2424 The Commonwealth of Massachusetts
2525 _______________
2626 In the One Hundred and Ninety-Third General Court
2727 (2023-2024)
2828 _______________
2929 An Act relative to authorizing supported decision-making agreements for certain adults with
3030 disabilities.
3131 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
3232 of the same, as follows:
3333 1 SECTION 1. Chapter 190B, as appearing in the 2020 Official Edition, is hereby amended
3434 2by inserting after section 5-507 the following section:-
3535 3 Section 5-508. Supported Decision-Making Agreements
3636 4 (a) As used in this section, the following words shall have the following meanings unless
3737 5the context clearly requires otherwise:-
3838 6 "Adult" means an individual 18 years of age or older.
3939 7 “Coercion” means use of force or threats to persuade someone to do something.
4040 8 "Decision-maker" means an adult who seeks to execute, or has executed, a supported
4141 9decision-making agreement with one or more supporters under this chapter.  2 of 9
4242 10 “Executed” means the date on which a supported decision-making agreement is signed; if
4343 11the decision-maker and the supporters, sign the supported decision-making agreement on
4444 12different dates, the supported decision-making agreement shall be considered to be executed on
4545 13the last date it was signed.
4646 14 "Supported decision-making" means the process of supporting and accommodating the
4747 15decision-maker, without impeding the self-determination of the decision-maker, in making life
4848 16decisions, including, but not limited to, decisions related to where the decision-maker wants to
4949 17live; the services, supports, financial decisions, and medical care the decision-maker wants to
5050 18receive; whom the decision-maker wants to live with; or where the decision-maker wants to
5151 19work.
5252 20 "Supported decision-making agreement" is an agreement a decision-maker enters into
5353 21with one or more supporters under this section to use supported decision-making.
5454 22 "Supporter" means an adult who has entered into a supported decision-making agreement
5555 23with a decision-maker.
5656 24 (b) A decision-maker may voluntarily, without undue influence or coercion, enter into a
5757 25supported decision-making agreement with a supporter or supporters. The decision-maker may
5858 26change or terminate a supported decision-making agreement at any time, per the procedure(s)
5959 27outlines in section (e).
6060 28 (c) Except as limited by a supported decision-making agreement, a supporter may
6161 29provide to the decision-maker the following decision-making assistance with the decision-
6262 30maker’s affairs with the consent of the decision-maker: 3 of 9
6363 31 (1) assisting with making decisions, communicating decisions, and understanding
6464 32information about, options for, the responsibilities of, and the consequences of decisions;
6565 33 (2) accessing, obtaining, and understanding information that is relevant to decisions
6666 34necessary for the decision-maker to manage his or her affairs, including medical, psychological,
6767 35financial, and educational information; and medical and other records;
6868 36 (3) ascertaining the wishes and decisions of the decision-maker; assisting in
6969 37communicating those wishes and decisions to other persons; and assisting to ensure the decision-
7070 38maker’s wishes and decisions are implemented; and
7171 39 (4) accompanying the decision-maker and participating in discussions with other persons
7272 40when the decision-maker is making decisions or attempting to obtain information for decisions.
7373 41 (d) A supporter may exercise only the authority granted to the supporter in the supported
7474 42decision-making agreement.
7575 43 (e) The supported decision-making agreement shall remain in effect until it is revoked,
7676 44suspended, or terminated in accordance with the provision of this section.
7777 45 (1) If the agreement sets forth a termination date, the supported decision-making
7878 46agreement shall not be effective after the termination date.
7979 47 (2) The decision-maker may revoke a supported decision-making agreement by notifying
8080 48the supporters in writing or by any other act evidencing a specific intent to revoke the agreement.
8181 49 (3) Supporter may terminate participation in the agreement by written or oral notice to the
8282 50decision-maker and the remaining supporters. If the supported decision-making agreement
8383 51includes more than one supporter, the supported decision-making agreement shall survive for 4 of 9
8484 52supporters who have not terminated their participation unless it is otherwise terminated or
8585 53revoked in a manner set forth by this section.
8686 54 (4) The disabled persons protection commission, an elder protective services agency, the
8787 55department of developmental services, the department of mental health, or any person may
8888 56petition the probate and family court to terminate, revoke, or suspend the operation of a
8989 57supported decision-making agreement on the grounds of abuse, neglect or exploitation by a
9090 58supporter or supporters. If, after notice to decision-maker and a hearing at which the decision-
9191 59maker shall have the right to be present and to be heard, the Court finds by a preponderance of
9292 60the evidence that that the decision-maker has been abused, neglected, or exploited by a supporter
9393 61or supporters, the court may revoke, terminate, or suspend for a time to be determined by the
9494 62court, the supported decision-making agreement because of a finding of abuse, neglect, or
9595 63exploitation. The agreement may survive if one or more supporters who were not found to have
9696 64abused, neglected, or exploited the adult with a disability continues to be willing to serve as a
9797 65supporter and the decision-maker agrees. The court may not order a supported decision-making
9898 66agreement to remain in effect over the objection of the decision-maker. If the decision-maker is
9999 67indigent, the court shall forthwith appoint counsel for the decision-maker upon the filing of any
100100 68petition under this paragraph.
101101 69 (f)(1) A supporter is only authorized to assist the decision-maker in accessing, collecting,
102102 70or obtaining information that is relevant to a decision authorized under the supported decision-
103103 71making agreement and to which the decision-maker agrees that the supporter should have access.
104104 72 (2) If a supporter assists the decision-maker in accessing, collecting, or obtaining
105105 73personal information, including health information, financial records or information, or 5 of 9
106106 74educational records, the supporter shall ensure the information is kept privileged and
107107 75confidential, as applicable, and is subject to neither unauthorized access, nor use, nor disclosure.
108108 76 (g) The existence of a supported decision-making agreement does not preclude a
109109 77decision-maker from seeking personal information without the assistance of a supporter.
110110 78 (h) A supported decision-making agreement must be signed voluntarily, without coercion
111111 79or undue influence, by the decision-maker and the supporter or supporters in the presence of two
112112 80or more witnesses who are at least 18 years of age, and unrelated to the decision-maker and who
113113 81are not supporters of the decision-maker, or a notary public.
114114 82 (i)(1) A supported decision-making agreement is intended to be personalized by the
115115 83decision-maker to reflect his or her personal circumstances.
116116 84 (2) A supported decision-making agreement shall be in writing and shall:
117117 85 (i) identify the decision-maker and the supporters;
118118 86 (ii) describe the kinds of decisions with which the decision-maker wants assistance from
119119 87each respective supporter;
120120 88 (iii) indicate that the supporters agree to assist the decision-maker to make decisions, to
121121 89respect the decision-maker's decisions, and, if necessary, to assist the decision-maker to
122122 90communicate decisions, and, further, agree not to make decisions for the decision-maker;
123123 91 (iv) indicate that the decision-maker may change, amend, or revoke the supported
124124 92decision-making agreement at any time for any reason subject to the requirements of section (g)
125125 93 6 of 9
126126 94 (v) include a statement that if a mandated reporter under the provisions of chapter 19A
127127 95section 15(a) or chapter 19C has reasonable cause to believe the decision-maker has been
128128 96abused, neglected or exploited by a supporter or supporters, the person shall report to, as
129129 97applicable, the disabled persons protection commission or an elder protective services agency in
130130 98accordance with the provision of the applicable chapter; and in addition any other person may
131131 99make such a report to the appropriate agency if any such person has reasonable cause to believe
132132 100the decision-maker has been abused, neglected or exploited by a supporter or supporters; and the
133133 101supported decision-making agreement shall include the contact information for the disabled
134134 102persons protection commission, the elder abuse hot line, and, the human rights officer of any
135135 103program providing services to the decision-maker;
136136 104 (vi) be signed with the date of the signature by the decision-maker and the supporters, the
137137 105decision-maker’s signature to be attested to by a notary public or, in the alternative, by two
138138 106witnesses who are unrelated to the decision-maker and who are not supporters of the decision-
139139 107making.
140140 108 (j)(A) A person who receives the original or a copy of a supported decision-making
141141 109agreement shall rely on the agreement and recognize a decision or request made or
142142 110communicated with the decision-making assistance of a supporter under this chapter as the
143143 111decision or request of the decision-maker.
144144 112 (B) A person who or entity which, in good faith, acts in reliance on an authorization in a
145145 113supported decision-making agreement is not subject to civil or criminal liability or to discipline
146146 114for unprofessional conduct for relying on a decision made in accordance with a supported
147147 115decision-making agreement. 7 of 9
148148 116 (k) Execution of a supported decision-making agreement may not be a condition of
149149 117participation in any activity, service, or program.
150150 118 (l) If a person who receives a copy of a supported decision-making agreement or is aware
151151 119of the existence of a supported decision-making agreement has cause to believe that the decision-
152152 120maker is being abused, neglected, or exploited by the supporter, the person may report the
153153 121alleged abuse, neglect, or exploitation to the disabled persons protection commission in
154154 122accordance with chapter 19D or the Elder Abuse Prevention Hotline in accordance with chapter
155155 12319C.
156156 124 (m) Nothing in this section shall be interpreted to limit or restrict any individual’s right to
157157 125execute a health care proxy pursuant to chapter 201D or a power of attorney pursuant to sections
158158 1265-501 through 5-507 of chapter 190B.
159159 127 SECTION 2. Chapter 190B of the General Laws is hereby amended in section 5-303, by
160160 128inserting after paragraph (b)(9) the following paragraph (b)(9½)
161161 129 The petitioner shall file with the petition a copy of any supported decision-making
162162 130agreement executed by the person alleged to be incapacitated, if available.
163163 131 SECTION 3: Chapter 190B of the General Laws is hereby amended in section 5-303
164164 132(b)(10) by inserting at the end thereof the following:-
165165 133 whether alternatives to guardianship and available supports and services to prevent the
166166 134need for guardianship, including a supported decision-making agreement, were considered; and
167167 135why such alternatives to guardianship and supports and services are not feasible or would not
168168 136prevent the need for guardianship. 8 of 9
169169 137 SECTION 4. Chapter 6A of the General Laws is hereby amended by inserting after
170170 138section 16F the following section:-
171171 139 Section 16F ½. The executive office of health and human services shall establish a
172172 140training program on supported decision-making. The training program shall include instruction
173173 141by state agencies including the department of developmental services, the department of mental
174174 142health, the executive office of elder affairs and a non-profit corporation or corporations.
175175 143 The training program on supported decision-making shall be provided to a supporter or a
176176 144decision-maker receiving decision-making assistance, and shall include the rights and obligations
177177 145contained in section 5-508 of chapter 190B. The training shall be in any format accessible to the
178178 146individuals receiving such training. Such training shall include trainers with disabilities and
179179 147adults who receive or might receive supported decision-making assistance.
180180 148 SECTION 5. Section 2 of chapter 71B of the General Laws is hereby amended by
181181 149inserting at the thereof the following:-
182182 150 The department of elementary and secondary education shall promulgate regulations
183183 151requiring school districts and charter schools to be part of the transitional planning process to
184184 152inform students and families of the availability of supported decision-making as an alternative to
185185 153guardianship in such cases where adult guardianship is being contemplated.
186186 154 SECTION 6. Section 3 of chapter 71B of the General Laws is hereby amended by
187187 155inserting the following at the end thereof:-
188188 156 For any student for whom adult guardianship is being considered at the Individual
189189 157Educational Program (IEP) team meeting, the IEP team shall inform the student and family (or 9 of 9
190190 158guardian if there is a guardian of the minor) at the earliest possible meeting of the availability of
191191 159supported decision-making as an alternative to guardianship. The IEP team shall assist the child
192192 160and his or her family or minor guardian in locating resources to assist in establishing a supported
193193 161decision-making plan if the child and family are interested in supported decision-making. If a
194194 162supported decision-making agreement is executed, the IEP team shall abide by decisions made
195195 163by the student pursuant to the supported decision-making agreement.
196196 164 SECTION 7. This act shall take effect six months from the date of the Governor’s
197197 165signature. A supported decision-making agreement executed before the effective date of the act
198198 166shall be valid for one year from the effective date of the act. Thereafter, only those supported
199199 167decision-making agreements which conform to the requirements of the act and which are
200200 168executed after the effective date of the act shall be valid.