H 253 Massachusetts House · 194th Legislature (2025-2026)

An Act establishing guardians as providers of medical care to support the rights of incapacitated persons

This bill allows court-appointed guardians to be paid directly for arranging medical care for incapacitated people (those unable to make their own health decisions). It creates specific rules for guardians to qualify as "providers," requiring proof of court appointment, a sworn statement of service dates, and confirmation they are not immediate family members (spouse, parent, child, or sibling). Guardians must submit claims with court documents, and payments cannot duplicate existing insurance coverage. The law also sets new payment rates for guardians based on regional costs, inflation, and geographic wage differences.
Bill status passed 3 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Sep 2025
Senate Passage
Feb 2025
Governor
Introduced Feb 27, 2025 Last action Jun 17, 2026
Floor votes

How they voted

This bill passed the Senate. No roll call record of that vote is available.
Full legislative history

Actions timeline

Total actions
7
Key actions
2
Committee
2
Sep 17, 2025
Lower · Passed
Reported favorably by committee and referred to the committee on Health Care Financing
lower
Feb 27, 2025
Upper · Passed
Senate concurred
upper
Feb 27, 2025
Committee
Referred to the committee on Children, Families and Persons with Disabilities
lower
1 primary · 7 co-sponsors

Sponsors