Relative to assisted living and the frail elder waiver
Impact
If enacted, S474 will amend existing waiver provisions related to the frail elder program, specifically allowing for the inclusion of assisted living services. This represents a significant shift in state policy, potentially enhancing access to long-term care options for the elderly. The average daily rate for this new service will be kept within 80% of the costs associated with institutional care, ensuring that assisted living remains a financially feasible alternative. Additionally, the bill requires the state to implement a payment rate schedule that improves equitable access to these services.
Summary
Bill S474, titled 'An Act relative to assisted living and the frail elder waiver,' aims to enhance the options available to older adults receiving Medicaid in Massachusetts. The bill mandates the state's executive office of health and human services to seek federal approval to introduce an assisted living service for individuals qualifying for Medicaid who are at risk of nursing home placement. This initiative is designed to empower these individuals by allowing them to reside in certified assisted living residences, thereby promoting aging in place among the elderly population.
Contention
While the bill appears to offer greater flexibility for Medicaid beneficiaries, it may face scrutiny regarding its financial implications and the effectiveness of the proposed assisted living model. Proponents of assisted living argue that it provides a less restrictive and more homelike environment compared to traditional nursing homes, helping preserve the dignity and independence of seniors. However, there may be concerns from stakeholders regarding whether the funding model will adequately support these services, thus potentially impacting the quality of care provided.
Directing the administration to amend the frail elder home and community-based waiver to permit eligible older adults to choose to reside in certified assisted living residences
Order relative to authorizing the joint committee on Elder Affairs to make an investigation and study of certain current Senate documents relative to elder care matters.