H 4804 Massachusetts House · 194th Legislature (2025-2026)

An Act establishing the program of all-inclusive care for the elderly

This bill establishes Massachusetts' PACE (Program of All-Inclusive Care for the Elderly) program under MassHealth, providing comprehensive medical and long-term care to eligible seniors. It directly affects elderly Massachusetts residents who meet MassHealth's skilled-nursing-facility level of care criteria, reside in a PACE service area, and can safely live in the community. Key provisions require MassHealth to contract with approved PACE organizations to deliver integrated care through interdisciplinary teams, covering Medicare Part A/B services plus Medicaid benefits without restrictive limitations. Enrollment is voluntary, with clear disenrollment options, and the program uses a dual capitation payment system combining Medicare and Medicaid funding. The bill also mandates educational materials for applicants and ensures special income eligibility rules for people qualifying for both Medicare and Medicaid.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 8, 2025 Last action Dec 8, 2025
Floor votes

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Full legislative history

Actions timeline

Total actions
3
Key actions
2
Committee
2
Dec 8, 2025
Lower · Passed
Bill reported favorably by committee and referred to the committee on House Ways and Means
lower
Dec 8, 2025
Lower · Passed
Reported from the committee on Aging and Independence
lower
0 primary · 4 co-sponsors

Sponsors

No sponsor information available.