Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H253

Introduced
2/27/25  
Refer
2/27/25  

Caption

Establishing guardians as providers of medical care to support the rights of incapacitated persons

Impact

The key change introduced by this bill is the explicit recognition that guardians can be considered medical care providers under state law. This change would allow guardians to engage in activities necessary to consent to medical care for incapacitated individuals, enhancing their legal standing to act in the best interest of their wards. Additionally, the bill mandates that payments for services provided by guardians are subject to new guidelines, which aim to establish fair compensation based on regional standards and relevant factors affecting service costs.

Summary

House Bill 253 aims to formalize the role of guardians as providers of medical care for incapacitated persons in Massachusetts. The bill proposes amendments to Chapter 118E of the General Laws, specifically defining who qualifies as a provider and clarifying the responsibilities of guardians in relation to obtaining medical care for their wards. This legislation is intended to enhance the rights of incapacitated individuals, ensuring they receive necessary medical services while creating a structured framework for guardians to act on their behalf.

Contention

Several points of contention may arise from the bill's implementation. One central concern is the exclusion of immediate family members from the definition of providers, which could lead to challenges in care continuity and decision-making for incapacitated individuals whose guardianship is held by family members. Furthermore, the bill sets forth conditions under which claims for medical services are reimbursed, including the need for guardians to report claims to the court, which may raise concerns about privacy and administrative burdens on both guardians and incapacitated individuals.

Companion Bills

No companion bills found.

Previously Filed As

MA S154

Establishing guardians as providers of medical care to support the rights of incapacitated persons

MA HB1262

Guardians of incapacitated persons.

MA HB1100

Guardianship for Incapacitated Adults

MA SB1760

Relating to guardianships for persons who are incapacitated; changing a fee.

MA SB23

Relating to guardianships for persons who are incapacitated; changing a fee.

MA A4802

Establishes "Safe Guardianship Act;" restricts appointment of certain persons as guardian for incapacitated person.

MA SB345

Guardianship/conservatorship of incapacitated adult; right to request counsel, right to a jury trial.

MA S2818

Allows court to consider previous care when granting letters of guardianship for incapacitated person.

MA A4293

Allows court to consider previous care when granting letters of guardianship for incapacitated person.

MA HB0334

Guardianships and Supported Decision-Making Agreements Amendments

Similar Bills

CA AB1025

Standby Caretaker Act.

NJ A969

Establishes Office of Professional Corporate Guardians.

CA AB2283

State Public Guardian.

TX SB2342

Relating to the application for appointment of a guardian and to requiring criminal history record information and other information in connection with the guardianship of a ward or the ward's estate.

WV HB4358

Establishing pilot program for Public Guardian Ad Litem Services

WV HB2035

Establishing pilot program for Public Guardian Ad Litem Services

MI HB4634

Probate: guardians and conservators; appointment; modify procedure. Amends secs. 5303, 5304, 5306, 5306a, 5312 & 5416 of 1998 PA 386 (MCL 700.5303 et seq.). TIE BAR WITH: HB 4632'25, HB 4633'25, HB 4635'25

IL HB2562

GUARDIAN TRAINING