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SENATE DOCKET, NO. 1194 FILED ON: 1/19/2023
SENATE . . . . . . . . . . . . . . No. 378
The Commonwealth of Massachusetts
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PRESENTED BY:
Patricia D. Jehlen
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To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:
The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
An Act relative to small house nursing homes.
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PETITION OF:
NAME:DISTRICT/ADDRESS :Patricia D. JehlenSecond Middlesex 1 of 2
SENATE DOCKET, NO. 1194 FILED ON: 1/19/2023
SENATE . . . . . . . . . . . . . . No. 378
By Ms. Jehlen, a petition (accompanied by bill, Senate, No. 378) of Patricia D. Jehlen for
legislation relative to regulations for small house nursing homes. Elder Affairs.
[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE SENATE, NO. 406 OF 2021-2022.]
The Commonwealth of Massachusetts
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In the One Hundred and Ninety-Third General Court
(2023-2024)
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An Act relative to small house nursing homes.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
of the same, as follows:
1 SECTION 1. Notwithstanding any general or special law to the contrary, the Department
2of Public Health shall amend 105 CMR 150.000: Standards for Long Term Care Facilities,
3establishing regulations for the operation of small house nursing homes. The amendments shall
4include a definition of small house nursing homes as 1 or more units of a nursing home designed
5and modeled as a private home including residential kitchen and living area. Small house nursing
6homes shall house no more than 14 individuals per unit, in resident rooms that accommodate not
7more than 2 residents per room, which are shared only at the request of a resident to
8accommodate a spouse, partner, family member or friend. All resident rooms shall contain a full
9private and accessible bathroom. 2 of 2
10 Regulations for small house nursing homes shall, to the extent practicable, prohibit the
11use of institutional features, including but not limited to nursing stations, medication carts, room
12numbers and wall-mounted licenses or certificates that could appropriately be accessed through
13other means.
14 Regulations for construction and physical plant standards should be based on the smaller
15size and limited number of residents served in small house nursing homes in comparison with
16traditional nursing facility units. In addition to development of construction and physical plant
17standards that support small house nursing homes, regulations shall support a staffing model in
18small house nursing homes that allow for a universal worker approach to resident care that is
19organized to support and empower all staff to respond to the needs and desires of residents
20including cooking and meal preparation, and provides for consistent staff in each small house.
21 SECTION 2. The Department of Public Health is hereby directed to accept applications
22for new long-term care beds that will be operated under a small house model of care as defined
23in section 1 above.
24 SECTION 3. The executive office of health and human services is hereby directed to
25establish standard rates of payment for nursing facilities that fully reimburse for capital costs of
26small house nursing homes.