An Act to improve Massachusetts home care
H 4706 establishes a licensing system for home care agencies in Massachusetts, requiring them to obtain and maintain a license from the Executive Office of Health and Human Services. It mandates background checks for all home care workers (including criminal history, federal exclusion lists, and driving records for drivers), sets minimum standards for consumer service plans and contracts, and requires agencies to carry workers' compensation and liability insurance. The bill also mandates annual training for workers on topics like abuse reporting, dementia care, safety, and privacy. This directly affects home care agencies, home care workers, and the thousands of Massachusetts residents receiving home care services in their homes.
Bill status
passed both
4 of 5 stages cleared
Introduction
Nov 2025
Committee Review
Jul 2026
House Passage
Jul 2026
Senate Passage
Jul 2026
Governor
Introduced Nov 5, 2025
Last action Jul 30, 2026
Floor votes · House Nov 5, 2025
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
26
Key actions
10
Committee
5
Amendments
4
Jul 27, 2026
Upper · Passed
Committee of conference appointed (Brownsberger-Jehlen-Fattman), in concurrence
upper
Jul 27, 2026
Introduced
Senate insisted on its amendment
upper
Jul 23, 2026
Lower · Passed
Committee of conference appointed - (Stanley-F. Moran-DeCoste)
lower
Jul 23, 2026
Lower · Passed
House NON-concurred in the Senate amendment
lower
Jul 16, 2026
Upper · Passed
Passed to be engrossed
upper
Jul 16, 2026
Introduced
Reprinted, as amended, see S3183
upper
Jul 16, 2026
Upper · Passed
Amended by striking out all after the enacting clause and inserting in place thereof the text of S3170
upper
Jul 9, 2026
Upper · Passed
Order relative to subject matter adopted
upper
Jul 9, 2026
Upper · Passed
Committee recommended ought to pass with an amendment striking out all after the enacting clause and inserting in place thereof the text of S3170
upper
Nov 6, 2025
Committee
Read; and referred to the committee on Senate Ways and Means
upper
Nov 5, 2025
Lower · Passed
Passed to be engrossed - 153 YEAS to 1 NAYS (See YEA and NAY No. 107 )
lower
Nov 5, 2025
Lower · Passed
Amendment 5 adopted, as changed - 154 YEAS to 0 NAYS (See YEA and NAY No. 106 )
lower
Nov 5, 2025
Lower · Passed
Reported from the committee on House Ways and Means
lower
0 primary · 45 co-sponsors
Sponsors
No sponsor information available.
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