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HOUSE DOCKET, NO. 1507 FILED ON: 1/15/2025
HOUSE . . . . . . . . . . . . . . . No. 1371
The Commonwealth of Massachusetts
_________________
PRESENTED BY:
Natalie M. Higgins
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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 to support equal access to community care for elders and persons with disabilities.
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PETITION OF:
NAME:DISTRICT/ADDRESS :DATE ADDED:Natalie M. Higgins4th Worcester1/15/2025Lindsay N. Sabadosa1st Hampshire1/21/2025Joanne M. ComerfordHampshire, Franklin and Worcester1/28/2025David Paul Linsky5th Middlesex1/29/2025Christine P. Barber34th Middlesex2/4/2025Christopher Richard Flanagan1st Barnstable2/4/2025Jacob R. OliveiraHampden, Hampshire and Worcester2/7/2025Natalie M. Blais1st Franklin2/7/2025James B. EldridgeMiddlesex and Worcester2/10/2025Mindy Domb3rd Hampshire2/19/2025William C. Galvin6th Norfolk2/27/2025Bruce E. TarrFirst Essex and Middlesex2/27/2025Danillo A. Sena37th Middlesex3/10/2025 1 of 2
HOUSE DOCKET, NO. 1507 FILED ON: 1/15/2025
HOUSE . . . . . . . . . . . . . . . No. 1371
By Representative Higgins of Leominster, a petition (accompanied by bill, House, No. 1371) of
Natalie M. Higgins and others relative to Medicaid eligibility for certain elders and persons with
disabilities. Health Care Financing.
[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE HOUSE, NO. 1200 OF 2023-2024.]
The Commonwealth of Massachusetts
_______________
In the One Hundred and Ninety-Fourth General Court
(2025-2026)
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An Act to support equal access to community care for elders and persons with disabilities.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
of the same, as follows:
1 Subsection (5) of section 25 of Chapter 118E of the General Laws, as appearing in the
22020 Official Edition, is hereby amended by striking out the second paragraph, contained in lines
356 through 61, and inserting in place thereof the following paragraph:-
4 In any case where the monthly income of an applicant or recipient is in excess of the
5exemptions allowed, the applicant or recipient, if otherwise eligible for Medicaid under this
6chapter, shall be liable to pay to the provider of medical care or service an amount which shall be
7equal to the excess income for a period of six consecutive months, which includes the period
8when such service was provided, except if the individual is an applicant or recipient for home or
9community-based services pursuant to a waiver granted under 42 USC 1396a(10)(A)(ii)(VI) or a
10Program of All Inclusive Care for the Elderly (PACE), under 42 USC 1396u-4 or 42 USC 2 of 2
111395eee, the applicant or recipient shall be liable to pay to the provider of medical care or
12service an amount which shall be equal to the excess income reduced by the difference between
13the applicable MassHealth deductible-income standard and 300 percent of the federal benefit
14rate; provided, however, this exception shall not apply to individuals eligible for the “special
15income eligibility group,” the requirements for which are established under 42 CFR 435.217 and
16pursuant to federal regulations at 42 CFR 435.726 and 42 CFR 460.184.