H 4306 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 agencies providing home care services to obtain a license from the Secretary of Health and Human Services. It directly affects home care agencies, workers, and consumers (individuals receiving home care), while excluding government agencies, house cleaning services, and existing programs like hospice or home health agencies. Key provisions include mandatory background checks for workers (criminal history, driving records, etc.), minimum standards for service plans and contracts, insurance requirements, and enforcement through fines for unlicensed operation. The law aims to improve safety and consistency in home care by creating standardized oversight, requiring agencies to follow state labor laws, and setting training requirements for staff.
Bill status in committee 1 of 4 stages cleared
Introduction
Jul 2025
Committee Review
Floor Vote
Governor
Introduced Jul 28, 2025 Last action Nov 5, 2025
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
9
Key actions
4
Committee
4
Amendments
1
Nov 5, 2025
Lower · Passed
Read second, amended (as recommended by the committee on House Ways and Means)
lower
Nov 5, 2025
Committee
Referred to the committee on House Steering, Policy and Scheduling with the amendment pending
lower
Nov 5, 2025
Lower · Passed
Committee recommended ought to pass with an amendment, substituting therefor a bill with the same title, see H4706
lower
Jul 28, 2025
Lower · Passed
Bill reported favorably by committee and referred to the committee on House Ways and Means
lower
Jul 28, 2025
Lower · Passed
Reported from the committee on Aging and Independence
lower
0 primary · 45 co-sponsors

Sponsors

No sponsor information available.