HD 1449 Massachusetts House · 194th Legislature (2025-2026)

An Act to improve Massachusetts home care

This bill establishes a licensing system for home care agencies in Massachusetts, requiring most providers of in-home care services to obtain a license from the Secretary of Health and Human Services. It directly affects home care agencies (businesses or nonprofits providing services like personal assistance or housekeeping in consumers' homes), home care workers, and consumers receiving these services. Key provisions include mandatory background checks for workers, requirements for detailed service plans and contracts, minimum insurance coverage, adherence to labor laws, and annual staff training on topics like abuse reporting and dementia care. The Secretary enforces compliance through fines for unlicensed operation or violations, with temporary licenses allowed for new or struggling agencies under specific conditions.
Bill status Introduction 0 of 4 stages cleared
Introduction
Committee Review
Floor Vote
Governor