An Act to support equal access to community care for elders and persons with disabilities

HD 1507 amends Massachusetts Medicaid rules to reduce out-of-pocket costs for elders and people with disabilities receiving community-based care. It changes the payment calculation for individuals with income above exemptions, lowering the amount they must pay to providers when enrolled in specific federal programs like PACE or home-based waiver programs under federal law. Instead of paying the full income excess, they pay the excess minus a defined income threshold (300% of federal benefit rate). This exception does not apply to individuals in the "special income eligibility group" under federal Medicaid rules.