Massachusetts 2025-2026 Regular Session

Massachusetts Senate Bill S481 Compare Versions

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22 SENATE DOCKET, NO. 2017 FILED ON: 1/17/2025
33 SENATE . . . . . . . . . . . . . . No. 481
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Paul W. Mark
88 _________________
99 To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
1010 Court assembled:
1111 The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
1212 An Act to establish the Office of Older Adult Advocate.
1313 _______________
1414 PETITION OF:
1515 NAME:DISTRICT/ADDRESS :Paul W. MarkBerkshire, Hampden, Franklin and
1616 Hampshire 1 of 5
1717 SENATE DOCKET, NO. 2017 FILED ON: 1/17/2025
1818 SENATE . . . . . . . . . . . . . . No. 481
1919 By Mr. Mark, a petition (accompanied by bill, Senate, No. 481) of Paul W. Mark for legislation
2020 to ensure older adults under the care of the Commonwealth receive dignified treatment and
2121 access to all available benefits and services. Elder Affairs.
2222 The Commonwealth of Massachusetts
2323 _______________
2424 In the One Hundred and Ninety-Fourth General Court
2525 (2025-2026)
2626 _______________
2727 An Act to establish the Office of Older Adult Advocate.
2828 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
2929 of the same, as follows:
3030 1 The General Laws are hereby amended by inserting after chapter 117A the following new
3131 2chapter:-
3232 3 CHAPTER 117B. OFFICE OF OLDER ADULT ADVOCATE.
3333 4 Section 1. As used in this chapter, the following words shall, unless the context clearly
3434 5requires otherwise, have the following meanings:
3535 6 “Executive agency” shall mean a state agency within the office of the governor, including
3636 7the executive office of education, the executive office of public safety and security, executive
3737 8office of health and human services, the executive office of elder affairs, and their constituent
3838 9agencies, the Massachusetts interagency council on housing and homelessness and the executive
3939 10office of housing and livable communities, and their constituent agencies. 2 of 5
4040 11 “Nominating committee” shall mean the nominating committee as established in section
4141 123 of this chapter.
4242 13 “Office” shall mean the office of the older adult advocate established in section 2 of this
4343 14chapter.
4444 15 “Older adult advocate” shall mean the older adult advocate appointed under section 3 of
4545 16this chapter.
4646 17 “Older adult” shall mean any resident of the Commonwealth aged sixty or above.
4747 18 “Veteran” shall mean any person who meets the definition provided in clause 43, section
4848 197, chapter 4 of the General Laws.
4949 20 Section 2. There shall be an office of the older adult advocate, which shall be
5050 21independent of any supervision or control by any executive agency. The office shall: (i) ensure
5151 22that older adults in the care of the commonwealth or receiving services under the supervision of
5252 23an executive agency in any public or private facility receive humane and dignified treatment at
5353 24all times, with full respect for the older adults' personal dignity and right to privacy; (ii) ensure
5454 25that older adults in the care of the commonwealth or receiving services under the supervision of
5555 26an executive agency in any public or private facility receive timely, safe and effective services;
5656 27(iii) aid and coordinate with local councils on aging and aging services access point to ensure
5757 28older adults receive all available state and federal benefits; (iv) examine, on a system-wide basis,
5858 29the care and services that executive agencies provide adults; (v) advise the public and those at the
5959 30highest levels of state government about how the commonwealth may improve its services to and
6060 31for older adults and their families; (vi) develop internal procedures appropriate for the effective
6161 32performance of the office's duties; (vii) act as a liaison to all state agencies providing services to 3 of 5
6262 33older adults to ensure each older adult receives necessary services and care; (viii) assist in
6363 34developing procedures for the executive agencies to best serve the older adult community; (ix)
6464 35act as a liaison to the Administration for Community Living of the United States Department of
6565 36Health and Human Services and all other relevant federal agencies to advocate on behalf of the
6666 37older adults of the commonwealth; and (x) investigate incidents where a older adults suffered a
6767 38fatality, near fatality or serious bodily or emotional injury, including so-called “no harm”
6868 39incidents, while receiving services from an executive agency, or circumstances which result in a
6969 40reasonable belief that an executive agency or a constituent agency failed in its duty to care for an
7070 41older adult and, as a result, the older adult was at imminent risk of, or suffered serious bodily or
7171 42emotional injury or death.
7272 43 Section 3. (a) The office of the older adult advocate, established pursuant to this chapter,
7373 44shall be under the direction of the older adult advocate. The older adult advocate shall be the
7474 45administrative head of the office and shall devote full time to the duties of the office. The older
7575 46adult advocate shall be appointed by a majority vote of the attorney general, the state auditor and
7676 47the governor from a list of 3 nominees submitted by a nominating committee to recommend an
7777 48older adult advocate. The nominating committee shall consist of: the secretary of elder affairs, or
7878 49a designee, who shall serve as chair; the secretary of housing and livable communities, the
7979 50secretary of health and human services, or a designee; the secretary of public safety, or a
8080 51designee; the commissioner of mental health, the commissioner of public health or a designee;
8181 52the house and senate chairs of the joint committee on elder affairs; the long-term care
8282 53ombudsman or a designee; a representative of the AARP; a representative of Dignity Alliance
8383 54Massachusetts, a representative of the Massachusetts Association of Councils on Aging, a
8484 55representative of the Alzheimer’s Association, a representative of Mass Aging Access; and a 4 of 5
8585 56representative of the Home Care Alliance of Massachusetts. The nominating committee shall
8686 57submit salary recommendations for the candidates commensurate with the candidates' experience
8787 58and other similar state positions. The work of the nominating committee shall be coordinated by
8888 59the executive office of elder affairs.
8989 60 (b) Any person appointed to the position of older adult advocate shall be selected without
9090 61regard to political affiliation and on the basis of integrity and demonstrated ability in older adult
9191 62welfare, justice, auditing, law, health care, management analysis, public administration and
9292 63investigation or criminal justice administration. The older adult advocate may, subject to
9393 64appropriation, appoint such other personnel as the older adult advocate deems necessary for the
9494 65efficient management of the office.
9595 66 (c) The older adult advocate shall serve for a term of 5 years. In the case of a vacancy in
9696 67the position of the older adult advocate, a successor shall be appointed in the same manner for
9797 68the remainder of the unexpired term. No person shall be appointed as older advocate for more
9898 69than 2 full terms.
9999 70 (d) The older advocate may be removed from office for cause by a majority vote of the
100100 71attorney general, the state auditor and the governor. Such cause may include substantial neglect
101101 72of duty, gross misconduct or conviction of a crime. The cause for removal of the older adult
102102 73advocate shall be stated in writing and shall be sent to the clerks of the senate and house of
103103 74representatives and to the governor at the time of removal and shall be a public document.
104104 75 Section 5. In every instance where services are determined to be provided to an older
105105 76adult who is a qualified veteran, and not simply because of age, the office of the veterans’
106106 77advocate shall serve as the primary agency for response. However, where services are provided 5 of 5
107107 78because of eligibility determine by age, regardless of veterans’ status, the office of older adult
108108 79advocate shall be the primary agency for response.
109109 80 Section 6. The older adult advocate shall report annually to the governor, the senate
110110 81president, the speaker of the house of representatives, the senate and the house committees on
111111 82ways and means, and the joint committee on elder affairs on the activities of the office,
112112 83including, but not limited to, an analysis of the delivery of services to older adults and
113113 84recommendations for changes in agency procedures which would enable the commonwealth to
114114 85better provide services to and for older adults and their families and priorities for implementation
115115 86of those changes to services. The report shall be made public on the website of the older
116116 87advocate.