Massachusetts House Bill H781

Massachusetts 2025-2026 Regular Session

• Introduced: 2/27/25
• Refer: 2/27/25

Caption

Establishing the program of all-inclusive care for the elderly

Impact

The introduction of H781 is expected to significantly impact state law regarding elderly care services by formalizing the state's commitment to offering a coordinated care model through PACE. This means that residents eligible for MassHealth and Medicare can receive services tailored to their needs, improving access to care while also aiming to reduce overall healthcare costs by preventing more expensive institutional care. Enrollees will have the right to voluntarily choose to participate in PACE, representation that their autonomy and preferences are respected in care decisions.

Summary

House Bill 781 (H781) proposes the establishment of the Program of All-Inclusive Care for the Elderly (PACE) in Massachusetts. This program aims to provide a comprehensive service delivery model designed to help older adults, especially those at risk of needing nursing facility placement, to remain in their communities. The bill outlines a framework for integrating medical and long-term care services through interdisciplinary teams focused on individualized care plans. Funding mechanisms include capitation payments for services provided under the program, reliant on both state and federal financial resources.

Contention

Despite the potential benefits, there are points of contention surrounding H781. Critics may raise concerns regarding the efficacy of the PACE model in ensuring quality care, particularly in rural areas where service providers may be limited. Additionally, there are implications for funding and resource allocation that could arise, especially during economic downturns or changes in federal support for Medicaid programs. Educating potential enrollees will also be critical, as highlighted in the bill, to ensure that they understand their options and the enrollment processes, which some may find complex.