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4/14/25, 10:00 AM - Committee Hearing: Elder Affairs, State House Room A-1

Status: Normal
Date/Time: 4/14/25 10:00 AM
Location: State House Room A-1
Committee: Joint Committee on Elder Affairs (JEA)
Add to your calendar
     

The public is invited to participate in this hearing. 

The Chairs will limit testimony to 3 minutes per speaker. 

To register to testify, please provide contact information via this form by Friday, April 11th. Those registering to testify virtually will receive further instructions by e-mail on how to participate. Same-day registration will only be available to those testifying in person. 

Written testimony is requested to be sent in advance but will continue to be accepted after the hearing until the relevant bill is acted upon. Such testimony may be submitted via email to jointcommittee.elderaffairs@malegislature.gov. Please include "AGE Committee Testimony, [Relevant Bill Number]" in the subject line of the email.

Written testimony received by the committee will be made publicly available. The committee may limit availability or redact testimony that includes sensitive and/or personal information.

Please be advised that the schedule and agenda are subject to change at the agreement of the Chairs.
All matters filed in the House that are listed above are required to be reported on by June 14, 2025, subject to extensions consistent with House Rule 27.

Please direct any questions to committee staff via email: julianna.fernandez@mahouse.gov, jennifer.lheureux@mahouse.gov, and victoria.halal@masenate.gov.


Bill # Title Last Action Status Track
04/14/2025 - Joint Committee on Elder Affairs
Show All
Printable
Transcript
This transcript is in the process of being edited, fully edited transcript to follow.
SHOW NON-ESSENTIAL DIALOGUE

34.91 REP34.91 STANLEY34.91 -34.91 Okay.34.91 We're35.23 good.35.47 Good37.11 morning,37.35 everyone.37.67 My39.11 name39.27 is39.43 Tom39.59 Stanley.39.91 I'm40.39 the40.55 chair40.8 of41.03 the41.2 House,41.91 Committee43.43 on43.84 Aging44.16 and44.55 Independence.44.71 To46.16 my46.31 right46.48 is46.88 the47.03 Senate47.2 Chair,47.67 Patricia48.71 Jalen.49.27 And50.63 I51.2 just51.27 want51.59 to51.75 introduce53.02 a53.42 few53.58 people53.74 that53.98 are54.14 here.54.38 I56.82 have56.94 the57.1 new57.74 vice57.9 chair58.14 of58.38 the58.54 committee,58.62 Samantha59.1 Montano,59.74 Representative62.94 David63.58 DeCosta,64.06 Representative,66.55 Gentile,68.7 Leader70.55 Hode,71.27 and72.63 Representative73.03 Scarsdale.74.7 Got76.23 it.76.47 Alright.77.34 Thank77.75 you77.98 very78.23 much.78.47 We79.69 don't79.85 have,80.09 a80.89 whole81.05 lot81.37 of81.53 bills81.61 on81.93 the82.25 docket82.57 today,82.97 but83.37 they83.61 are83.85 important.84.09 And85.13 as85.45 usual,85.69 we86.17 take,86.41 legislators87.05 out87.77 of88.01 turn.88.25 So88.89 we89.05 do89.21 have89.45 one89.61 legislator89.85 here90.49 right90.73 now90.89 that91.13 wants91.29 to91.61 speak.91.77 Representative92.89 Donahue.93.53
94.72 REP94.72 DONAHUE94.72 -94.72 HB94.72 76594.72 -94.72 SB94.72 48794.72 -94.72 Thank94.72 you.95.11 Thank95.59 you,95.83 everybody.96.08 Chair97.92 Stanley,98.23 chair98.72 Jalen,99.03 honorable99.44 members99.83 of100.16 the100.31 committee,100.39 thank100.88 you101.03 for101.19 taking101.35 me101.67 out101.83 of101.99 turn.102.08 I'm103.52 here103.75 in104.08 support104.23 of104.8 H108.26 765108.66 S108.66 487,108.66 an108.66 act108.98 relative109.3 to109.7 councils109.94 on110.42 aging.110.66 This111.7 bill112.02 would112.34 allow112.66 directors113.14 to113.7 make113.94 staffing114.26 decisions114.9 if116.1 the116.5 municipal116.74 council117.3 on117.86 aging118.02 is118.04 an118.05 advisory118.07 council.118.08 This118.1 change118.12 would118.13 allow118.15 COA118.16 directors118.18 to118.5 ensure122.2 that122.2 their122.2 departments122.2 can122.2 meet122.2 the122.2 needs122.2 of122.2 their122.2 municipalities.122.2 Without122.2 necessitating122.2 a122.2 formal122.2 vote122.2 from122.2 their122.2 council122.2 this122.2 would122.2 increase122.2 the122.2 effectiveness122.2 of122.2 the122.2 directors122.2 to122.77 ensure122.92 that123.33 their123.56 departments123.81 can124.53 meet124.77 the124.92 needs125 of125.24 their125.41 municipalities126.53 without127.89 necessitating128.37 a129.56 formal129.65 vote129.88 from130.84 their131.08 council.131.25 This132.04 would132.37 increase132.53 the132.93 effectiveness133.08 of133.09 the133.09 director133.1 and133.1 the133.11 ability133.11 to133.11 meet133.12 the133.12 needs133.13 of133.13 older133.14 adults.133.14 This133.15 would133.15 increase133.16 the133.16 effectiveness133.16 of133.81 director134.23 and134.39 the134.55 ability134.79 to135.27 meet135.35 the136.23 needs136.47 of136.79 older137.03 adults.137.51 It138.31 also138.55 updates139.11 some139.59 ageist139.83 terminology140.95 in141.59 the141.75 bill.141.91 I143.35 wanna143.51 thank143.75 Chair144.07 Barber144.39 for144.87 her145.19 partnership,145.43 as146.62 well146.86 as146.94 Senator147.01 Montigny,147.57 who148.22 filed148.38 the148.69 legislation148.78 in149.5 the149.57 Senate.149.74 Essentially,150.78 what151.34 this151.5 does151.74 is152.06 it152.22 just152.38 updates153.57 the154.06 bill154.22 as155.42 councils155.74 on156.22 aging156.38 have156.78 changed157.01 from157.5 when157.74 this157.97 legislation158.22 was,158.94 originally160.21 filed.160.61 Thank161.57 you161.81 for161.89 your162.13 consideration.162.29 It163.17 was163.33 a163.57 refile163.65 and164.13 was164.29 reported164.53 favorably164.93 last165.49 session.165.81 I166.53 ask166.77 that167.01 it167.25 again167.41 be167.73 reported167.97 favorably168.69 and169.25 can169.41 answer169.57 any169.89 questions.170.05
SHOW NON-ESSENTIAL DIALOGUE

REP173.89 GENTILE173.89 -173.89 Well,173.97 thank174.21 you174.37 very174.6 much.174.84 Pleasure176.21 to176.44 see176.6 you,176.76 representative.176.93 So177.89 are178.44 you178.53 saying,178.69 you're180.44 trying180.69 to180.93 fix181.09 you're181.97 trying182.21 to182.53 this182.84 bill183.17 would183.41 allow,183.65 say,185.25 a185.49 town185.65 manager185.97 or187 a187.89 city,187.97 let's190.13 say190.21 in190.45 a190.69 town190.77 in191.57 a191.73 town,191.89 would192.13 this192.29 allow192.53 the192.77 town192.93 manager193.09 to193.57 just193.81 make194.13 the194.45 appointments194.69 director?195.17
195.89 DONAHUE195.89 -195.89 No.195.89 It196.37 allows196.53 the197.01 director197.17 of197.81 the197.97 COA.198.21
198.93 GENTILE198.93 -198.93 The198.93 director199.17 of199.49 the199.65 COA.199.81 It200.21 allows200.37 the200.77 director200.85 of201.25 the201.41 COA201.57 to202.65 hire202.88 staff203.37 rather203.76 than204.09 the204.41 town204.56 manager?204.88
205.6 DONAHUE205.6 -205.6 No.205.6 Rather206.56 than,206.97 the208.32 legislation,208.56 if209.69 it's209.93 an210.09 advisory210.32 council,211.04 actually211.6 calls212.09 for212.56 the,212.88 Council214.25 on214.65 Aging215.03 to215.23 make215.43 the215.75 appointment.215.99 So217.11 it217.43 requires217.67 a218.23 vote218.31 from218.63 a218.79 committee.218.95
219.83 GENTILE219.83 -219.83 To219.83 make219.99 what221.03 appointment?221.27
222.47 DONAHUE222.47 -222.47 To222.47 hire222.79 anyone.223.03
223.51 GENTILE223.51 -223.51 To223.51 hire223.59 someone?223.83 Because,224.39 you225.03 know,225.11 I've225.35 been225.51 on225.75 the225.91 council225.99 on226.39 aging226.63 in227.26 Sudbury227.5 for228.14 10228.54 years.228.86 And,229.82 I'm230.38 familiar230.54 with231.03 the231.1 Council231.26 on231.58 Aging231.75 in231.99 Wayland232.14 and232.7 other233.1 councils233.34 on233.75 aging.233.99 And,234.78 those236.38 councils236.63 on237.1 aging237.34 haven't238.22 been238.54 making238.78 the239.19 hiring239.34 decisions.239.75 The240.22 town240.38 manager's240.63 been241.19 making241.34 the241.58 hiring241.75 decisions.242.06 Maybe242.47 in244.92 violation245.16 of245.64 state245.8 law,246.04 I246.28 don't246.44 know.246.68 But247.4 I'm247.72 just247.88 thinking248.04 that248.36 maybe248.52 this249.16 bill249.4 is250.04 trying250.28 to250.52 fix250.6 something250.84 that's251.16 not252.68 broken252.84 yet.253.24 We253.4 have253.56 I'll253.8 take254.04 a254.2 look254.28 at254.52 it.254.68 Is254.92 that255.16 House255.4 765?255.64
256.68 DONAHUE256.68 -256.68 Yes.256.68 Thanks.257.08 The257.88 bill258.04 came258.29 about258.52 because258.93 a259.73 community259.96 was261.08 looking261.32 to261.64 update262.04 their262.52 charter,264.29 I264.69 believe.264.76 And265.73 it265.88 was266.04 determined266.29 that266.76 what267 they267.16 wanted267.32 to267.73 do267.88 was268.2 out268.6 of268.85 compliance269 with269.49 mass269.73 general270.04 law.270.44
271.91 GENTILE271.91 -271.91 Okay.271.91 Take272.55 a272.71 good272.79 look273.03 at273.19 that.273.35 Thank273.51 you273.67 very273.83 much.273.99
274.39 STANLEY274.39 -274.39 Thank274.39 you.274.63 So274.79 I275.35 think275.59 correct276.39 me276.63 if276.79 I'm276.95 wrong,277.11 representative,277.59 but278.23 one278.47 of278.63 the278.79 issues279.19 here279.59 is279.91 the280.23 bill280.39 is280.63 addressing280.79 more282.31 of282.55 the282.63 small282.79 towns,283.19 which,283.83 have285.19 a285.26 regional285.5 director286.31 for287.03 several287.35 towns.287.67 So288.38 it289.35 gets289.5 a289.63 little289.75 confusing.289.99 Am290.55 I290.71 right?290.79
291.59 DONAHUE291.59 -291.59 It's291.59 actually291.82 No.292.46 If292.71 they're292.94 if293.5 they're293.75 structured294.06 if294.79 they're295.03 structured295.35 so295.82 that296.06 the296.23 council296.38 on296.87 aging297.03 is297.35 an297.5 advisory297.67 council.298.31
299.79 STANLEY299.79 -299.79 So299.79 it's300.03 how300.35 they300.43 were300.59 set300.75 up.300.99 Okay.301.23
302.51 DONAHUE302.51 -302.51 Yeah.302.51 It302.83 made302.99 sense303.23 when303.55 the303.71 bill303.87 when304.27 this304.51 legislation304.75 was305.31 originally305.55 enacted.305.95 But306.83 as307.07 councils308.11 on308.51 aging308.75 have309.15 become309.39 much310.27 as310.67 senior310.91 centers311.31 have311.71 become311.95 much312.27 more,312.59 professionalized313.65 and314.38 less314.62 volunteer-driven.315.42 It's316.62 essentially316.94 a317.42 technical317.57 fix,318.13 and319.18 I319.5 do319.65 think319.81 it320.06 addresses320.38 something320.86 that321.18 has321.33 happened321.5 in321.89 reality,322.06 not322.62 something323.5 that323.89 isn't324.21 real.324.77 I'm325.81 sorry.326.06 No.326.45 Nope.327.2
327.92 STANLEY327.92 -327.92 Thank327.92 you328.08 very328.32 much328.48 for328.88 that329.68 clear329.92 clarification.330.4
SHOW NON-ESSENTIAL DIALOGUE

335.36 SEN335.36 JEHLEN335.36 -335.36 I335.36 just335.44 wanted335.76 to336 recognize336.16 that336.72 Senator337.04 Lovely337.52 is338 in338.32 the338.48 house,338.64 but339.69 she's340.17 not340.4 here,341.05 but341.52 she's,341.76 here347.69 virtually347.93 while348.49 she's348.73 there348.96 in349.93 her350.08 district350.25 welcoming350.73 secretary351.37 Howe,352 and352.56 she352.81 appreciates352.96 the353.52 ability354.17 to354.6 be354.76 here355 virtually.355.08
SHOW NON-ESSENTIAL DIALOGUE
JULIE398.88 WATT398.88 FAQIR398.88 -398.88 HOME398.88 CARE398.88 AIDE398.88 COUNCIL398.88 -398.88 SB398.88 470398.88 -398.88 HB398.88 789398.88 -398.88 R398.88 -398.88 I398.88 am399.2 Julie399.52 Watt400.4 Faqir,400.64 and400.64 I'm400.88 the401.13 executive401.29 director401.85 of402.25 the402.32 Home402.49 Care402.73 Aide403.13 Council.403.37 We404.64 are404.81 a404.96 nonprofit405.05 trade405.76 association406.08 whose406.88 members407.2 include407.61 100408.17 nonprofit408.96 and409.52 for-profit410 home410.5 care410.62 agencies410.74 that412.18 directly412.42 employ,412.9 supervise,413.7 and414.34 manager414.58 over415.06 50,000415.38 home416.18 care416.34 aids416.66 who417.3 provide417.46 personalized417.94 and418.66 supportive418.9 direct419.46 care419.86 services420.18 to421.14 elders421.3 throughout421.86 the422.26 Commonwealth.422.42 We423.62 are423.77 grateful423.86 to424.33 the424.57 chairs424.74 of425.69 the425.94 Joint426.1 Committee426.57 on426.98 Aging427.13 and427.38 Independence,427.54 Senators429.13 Jehlen430.25 and430.25 Rep430.42 Stanley,430.57 and431.62 the431.86 Committee432.01 for432.5 the432.57 Leadership432.74 and433.21 Consideration433.45 you434.18 have434.33 shown434.57 during435.38 drafting435.77 of436.33 S438.65 470439.13 and439.13 H439.13 789,439.13 an439.13 act439.37 to439.53 improve439.69 Massachusetts440.09 home440.81 care.441.05 The442.01 council442.17 supports442.65 these443.05 bills443.37 as443.77 drafted444.17 and444.89 the444.97 creation445.21 of445.61 a445.69 licensure445.85 system446.49 that447.21 would447.37 establish447.61 baseline448.17 standards448.81 for449.29 agencies449.53 to450.41 ensure450.57 a450.97 quality451.05 network451.53 of451.85 providers452.01 for452.82 home452.99 care453.23 consumers453.54 and454.19 keep454.43 services454.67 affordable455.14 for456.02 those456.19 who456.43 rely456.67 on456.99 them.457.14 Massachusetts458.19 does458.9 not459.14 currently459.46 license460.43 nonmedical460.99 home461.63 care461.87 services462.1 that462.99 are463.14 essential463.38 to463.79 the463.94 Commonwealth's464.1 long464.82 term465.06 services465.46 and465.94 support466.19 systems466.67 that467.49 allow467.73 individuals468.21 to468.77 remain468.93 safely469.25 in469.65 their469.89 homes.470.05
471.01 As471.01 a471.17 member471.25 of471.49 the471.57 home471.65 care471.89 licensing472.05 commission,472.69 which473.09 was473.33 established473.65 in474.29 section474.45 97474.93 of475.57 chapter475.73 227476.45 of477.41 the477.49 acts477.73 of477.89 2020,478.05 I479.09 participated479.33 in479.97 the480.13 state's480.29 effort480.69 to481.01 study481.17 and481.57 make481.73 recommendations481.97 to483.14 establish483.38 a483.78 statewide483.94 licensing484.5 process485.14 for485.87 Massachusetts486.1 home486.75 care486.99 agencies487.22 for488.1 the488.34 protection488.5 of488.9 consumers,489.14 home489.87 care490.19 agencies,490.43 and491.06 home491.38 care491.54 professionals.491.7 The493.14 commission493.31 was493.7 required493.94 to494.34 study494.5 and494.82 report494.99 to495.38 the495.46 legislature495.63 on496.26 the496.43 following,496.58 current497.31 licensure,497.63 reporting498.53 and498.93 oversight499.17 requirements499.65 across500.29 the500.61 long500.77 term501.01 care501.89 services502.29 industry502.85 and503.25 support503.49 systems,503.97 and504.77 other505.01 relevant505.25 state505.73 agencies,506.05 including506.85 the507.33 provider507.49 monitoring508.05 conducted508.85 by509.33 the509.49 aging509.65 service510.05 access510.45 points510.93 to511.6 avoid511.85 duplication512.25 of513.04 conflicting513.37 requirements,513.92 home515.21 care515.45 agency515.61 licensure516.16 requirements516.64 in517.21 other517.45 states,517.68 processes518.64 for519.13 implementing519.45 a520 statewide520.25 home520.8 care521.04 agency521.37 licensing522 process,522.64 and523.62 current523.86 licensure524.34 processes524.82 in525.38 the525.54 home525.7 care526.1 health526.58 care526.9 industry527.14 in527.7 Massachusetts.528.02 The529.38 Home529.54 Care529.78 Aid530.1 Council530.26 supports530.74 the531.14 legislation531.3 as531.94 drafted,532.1 which532.9 closely533.14 reflects533.7 the534.1 findings534.26 of534.66 the534.82 report534.9 of535.3 the535.38 Home535.54 Care535.78 Licensure535.94 Commission,536.58 particularly537.46 in538.18 the538.34 following538.42 ways.538.82
539.6 They539.6 would539.75 it540.32 would540.48 require540.71 an541.2 agency541.36 or541.67 entity541.91 providing542.39 home542.79 care543.03 services543.36 to544.07 acquire544.24 a544.71 license544.79 and545.6 would545.83 authorize546.07 the546.55 secretary546.71 of547.27 EOHHS547.6 in548.63 consultation548.95 with550 AGE550.71 and551.67 DBH552 to552.71 develop552.88 regulations.553.36 It554.57 would554.65 also554.89 authorize555.29 the555.69 department555.93 to556.33 conduct556.41 surveys556.81 and557.21 investigations557.53 to558.33 enforce558.57 compliance559.13 and560.49 promulgate560.81 regulations561.37 related562.01 to562.41 background562.65 screening563.13 check563.69 requirements564.01 for564.57 all564.81 home565.05 care565.29 workers,565.53 minimum566.33 standards566.81 for567.21 consumer567.45 specific568.01 service568.57 plans,568.97 training569.98 and570.3 competency570.62 requirements571.25 for571.74 agency571.98 staff,572.54 minimum573.42 coverage573.89 requirements574.3 for574.77 workers'575.01 compensation575.42 and576.22 liability576.46 insurance,577.01 policies578.13 and578.62 procedures578.86 to579.42 ensure579.58 home579.89 care580.13 workers580.3 have580.7 safe580.94 working581.42 conditions,581.82 adequate582.54 training,583.1 and584.03 process584.27 for584.67 submitting584.99 complaints.585.39 Requirement587.63 and588.19 processes588.35 for588.91 reporting589.15 of589.55 consumer589.71 complaints590.35 and591.15 the591.39 maintenance591.47 of591.95 payroll592.11 and592.51 payroll592.67 process593.23 that593.95 follows594.11 all594.59 state594.83 and595.15 federal595.39 label,595.87 labor596.43 and596.83 wage596.99 laws.597.3 The598.11 council598.35 stands598.75 ready599.07 to599.38 work599.46 in599.7 collaboration599.87 with600.5 the600.66 legislature600.9 and601.7 the601.87 administration602.02 to603.07 develop603.23 regulations603.63 establishing604.42 a605.14 licensure605.3 system.605.87 Thank606.75 you.606.99
SHOW NON-ESSENTIAL DIALOGUE

660.73 JAKE660.73 KRILOVICH660.73 -660.73 HOME660.73 CARE660.73 ALLIANCE660.73 OF660.73 MASSACHUSETTS660.73 -660.73 SB660.73 470660.73 -660.73 HB660.73 789660.73 -660.73 Well,660.73 good660.97 morning.661.13 My662.25 name662.4 is662.49 Jake662.64 Krilovich.662.88 I'm663.29 the663.45 executive663.61 director664 for664.33 the664.49 Home664.57 Care664.73 Alliance664.97 of665.21 Massachusetts.665.37 I666.64 wanna666.73 thank666.97 the667.21 committee,667.37 for668.09 the668.5 opportunity668.58 to669.14 offer669.22 testimony669.54 on670.1 the670.18 bill670.26 at670.5 hand,670.66 which671.46 would671.7 create671.86 a672.1 licensure672.26 system,672.74 for673.78 non-medical674.26 home674.58 care674.74 services.674.98 And675.38 I675.54 particularly675.7 wanna676.26 thank676.5 and676.74 express676.9 our677.22 appreciation677.38 to677.86 the678.02 chairs,678.1 Pat678.42 Jehlen678.66 and678.98 Tom679.38 Stanley,679.62 and680.34 also680.77 Rep681.01 Gentile681.38 for681.74 all682.21 of682.38 your682.53 dedication682.69 and,683.33 you683.89 know,684.05 support684.38 for684.69 the684.77 care684.93 at685.1 home685.25 industry.685.5 Our686.69 industry686.93 has687.65 been687.89 advocating,688.13 and688.53 our688.77 association689.01 has689.5 been689.65 advocating689.82 for690.21 licensure690.38 for690.93 over691.1 15691.33 years.691.82 It's692.77 not692.93 often693.17 you693.5 have693.57 an693.74 industry693.89 coming694.38 to694.62 this694.77 body694.93 asking695.33 for695.65 itself696.11 to696.27 be696.43 regulated,696.51 and697.07 it's697.23 even697.87 more698.11 rare698.35 to698.75 see698.91 the699.63 industry699.79 alongside700.35 the700.83 union700.99 in701.39 support701.55 of701.79 a701.95 single702.11 bill.702.35 Yet,703.55 we703.87 believe704.03 in704.27 this704.43 initiative704.59 so705.07 deeply705.31 that706.19 we706.43 created706.59 our706.99 own707.07 accreditation707.31 standards707.95 in708.35 lieu708.51 of708.67 state708.83 licensure709.07 many710.03 years710.35 ago.710.59 This711.46 accreditation711.77 holds712.65 our712.98 members713.13 to713.46 a713.7 higher713.77 standard714.1 so714.5 that714.65 consumers715.05 can715.54 be715.7 certain715.86 they're716.17 receiving716.42 care717.05 in717.62 the717.86 best718.01 way718.17 possible.718.5
718.5 This719.54 accreditation719.86 was720.65 largely720.89 served721.22 as721.54 the721.62 basis721.77 for722.1 this722.25 bill722.42 before722.74 the722.98 committee723.13 today.723.46 As724.58 you724.74 know,724.9 home725.3 care725.54 services725.7 are726.1 a726.34 vital726.42 and726.66 growing726.74 part727.06 of727.22 the727.3 health727.38 care727.62 delivery727.78 system.728.26 They're728.66 essential,728.9 cost729.54 effective,729.78 nonmedical730.82 companion731.54 and732.02 homemaking732.18 services732.74 that733.22 allow733.38 people733.7 to733.94 age734.1 safely734.34 in734.66 their734.82 homes734.98 and735.54 delay735.78 their736.1 need736.26 for736.5 higher736.74 acute,737.06 higher737.54 cost,737.94 and738.26 facility738.42 based738.98 care.739.22 Our740.38 association740.63 gets741.11 at741.35 least741.5 two741.9 inquiries742.23 a742.71 week742.87 from743.26 people743.5 looking743.83 to744.14 open744.23 a744.54 private744.71 pay745.02 home745.26 care745.42 agency.745.58 And746.38 as746.63 me746.87 and747.02 my747.18 staff747.26 often747.58 inform747.9 these748.3 prospective748.46 business748.95 owners,749.26 in749.66 many749.83 respects,750.07 it's751.42 often751.66 easier752.07 to752.38 open752.54 a752.78 home752.87 care753.11 agency753.26 than753.66 it753.83 is753.9 a754.07 pizza754.14 shop754.54 in754.78 Massachusetts,754.87 and755.69 I've755.85 said756.01 that756.17 to756.33 many756.41 of756.57 you756.73 on756.81 this756.97 panel.757.13 Currently,758.41 you758.89 simply759.13 file759.37 with759.61 the759.77 Secretary759.93 of760.41 State's760.49 office760.73 as761.13 a761.29 business,761.37 and762.01 then762.25 you're762.49 supposed762.73 to763.05 adhere763.37 to763.69 one763.77 or764.01 two764.09 DPH764.33 regulations764.81 when765.53 sending765.77 workers766.09 into766.41 an766.65 older766.81 adult's767.05 home,767.45 and767.69 then767.85 you768.01 can768.25 operate.768.41 And769.29 we769.54 remain769.77 one770.25 of770.5 only770.58 a770.82 few770.89 states771.22 without771.54 licensure771.86 for772.25 home772.5 care772.65 services.773.29
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1841.21 SPEAKER61841.21 -1841.21 I1841.21 understand1841.29 what1841.62 you're1841.77 getting1841.93 at,1842.1 and1842.26 I1842.49 and1842.58 I1842.73 and1842.82 I1843.13 sort1843.45 of1843.77 I1844.01 sympathize1844.17 with1844.58 the1844.73 question.1844.89 I1845.21 would1845.29 also1845.45 I1845.75 but1845.86 I1846.1 would1846.17 say,1846.34 you1846.65 know,1846.82 yes.1847.13 And1847.38 I1847.53 and1847.69 I'm1847.86 not1848.01 suggesting1848.17 that,1848.73 a1849.86 a1850.24 person1850.32 who1850.64 is1851.04 acting1851.36 out1851.6 of1851.76 the1851.8 kindness1851.84 of1852.16 their1852.24 heart1852.48 would1852.64 have1852.8 to1852.96 go1853.04 through1853.2 this1853.36 strenuous1853.6 regulatory1854.4 licensure1854.96 process.1855.52 I1855.84 think1856 that1856.16 that'll1856.32 be1856.56 something1856.72 the1856.96 regulators1857.12 will1857.6 have1857.76 to1858 sort1858.08 through.1858.32 But1858.88 at1859.04 the1859.2 end1859.28 of1859.44 the1859.6 day,1859.68 if1860.32 that1860.56 person1860.72 acting1861.04 out1861.36 of1861.52 the1861.6 kindness1861.68 of1862.08 their1862.24 heart1862.4 falls1862.67 on1862.91 the1862.99 front1863.08 steps1863.39 of1863.71 that1863.88 person,1864.12 they1864.91 have1865.15 no1865.39 liability1865.55 insurance,1866.12 you1866.76 know,1866.91 what1868.36 happens?1868.6 Right?1869.08 And1869.39 I1869.47 think1869.55 that1869.71 that's1869.95 sort1870.19 of1870.36 the1870.52 the1870.76 question1870.91 too.1871.39 You1872.36 know,1872.43 your1872.6 example1872.84 is1873.23 11873.39 with1873.63 with1873.79 individuals,1873.95 but1874.6 if1875.08 we1875.23 have1875.32 agencies1875.79 or1876.36 businesses1876.52 out1876.91 out1877.18 there1877.34 operating1877.5 who1878.06 don't1878.22 have1878.38 liability1878.62 insurance1879.02 and1879.42 the1879.58 caregiver1879.66 falls1880.14 on1880.38 the1880.54 front1880.62 steps1880.86 of1881.1 a1881.34 person's1881.42 home,1881.82 what1882.7 happens1883.02 in1883.26 that1883.42 situation?1883.66
1885.58 SPEAKER91885.58 -1885.58 It's1885.58 it's1885.82 kind1886.06 of1886.3 a1886.38 you1886.46 know,1886.62 hard1886.78 cases1887.02 make1887.5 bad1887.74 laws,1887.98 and1888.22 I'm1888.38 thinking1888.54 and1888.86 mister1889.1 chair,1889.42 I1889.58 don't1889.66 mean1889.9 to1890.06 draw1890.22 this1890.46 out,1890.62 but1890.78 I1890.94 can1891.02 give1891.26 you1891.42 dozens1892.04 of1892.36 examples.1892.67 I1893.15 am1893.63 among1893.88 probably1894.99 301895.47 or1895.8 401895.88 American1896.12 Legion1896.6 members1896.91 in1897.23 my1897.39 town1897.56 regularly1898.36 pick1898.91 up1899.15 food1899.39 on1900.36 occasion1900.52 and1900.99 drop1901.23 it1901.47 off1901.63 to1901.95 veterans1902.43 and1902.91 widows1903.15 of1903.47 veterans.1903.63 And1904.04 it's1904.19 a1904.36 collective1904.43 great1904.91 system1905.15 we1905.47 have1905.63 in1905.8 the1905.95 South1906.04 Shore,1906.41 also1906.81 the1907.05 South1907.21 Shore.1907.53 But1908.25 what1908.41 you're1908.57 telling1908.73 me1908.97 is1909.13 if1909.37 they,1909.45 for1909.69 instance,1909.85 you1910.49 know,1910.65 brought1910.89 something1911.13 into1911.37 the1911.69 house,1911.77 delivered1912.09 it,1912.41 and1912.57 put1912.65 it1912.89 away1912.97 from1913.21 them,1913.37 you1913.93 would1914.17 say1914.41 you1915.05 now1915.29 have1915.69 to1915.93 be1916.17 regulated1916.49 through1917.45 this1917.69 system?1918.01
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1935.77 SPEAKER131935.77 -1935.77 Yes.1935.77
1936.62 SPEAKER121936.62 -1936.62 Right.1936.62
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1961.2 SPEAKER61961.2 -1961.2 here1961.2 today,1961.37 that's1961.73 probably1961.97 how1962.21 I1962.45 would1962.61 say.1962.69 But,1962.85 again,1963.01 I1963.33 think1963.41 the,1963.65 you1963.97 know,1964.13 UOHHS1964.53 is1965.25 gonna1965.33 have1965.57 to1965.73 interpret1965.89 the1966.21 law.1966.37
1967.01 SPEAKER11967.01 -1967.01 Right.1967.01 So1967.25 I1967.49 I1967.61 just1967.73 didn't1967.97 wanna1968.21
1968.69 SPEAKER61968.69 -1968.69 Yeah.1968.69
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1974.21 SPEAKER91974.21 -1974.21 Would1974.21 would1974.29 you1974.53 be1974.61 willing1974.77 to1975.09 to1975.81 to1975.88 the1975.97 chair's1976.05 point,1976.45 would1976.68 you1976.92 be1977.01 willing1977.16 to1977.57 have1977.64 a1977.88 a1978.21 modification1978.37 of1978.92 the1979.16 law1979.24 to1979.4 make1979.57 that1979.81 clear1979.97 that1980.29 the1980.53 intent1980.68 is1981.01 not1981.24 to1981.4 regularize1981.57 regulate1982.53 people,1983.01 I'll1983.33 use1983.49 that1983.64 probably1983.88 a1984.21 better1984.37 term,1984.61 out1984.92 of1985.01 the1985.16 kindness1985.24 of1985.64 their1985.81 heart1985.97 or1986.53 however,1986.77 that1988.46 they1989.02 are1989.26 not1989.42 subject1989.66 to1989.98 this.1990.14
1990.54 SPEAKER61990.54 -1990.54 Yeah.1990.54 I1990.78 think1990.86 we1991.02 would1991.26 be1991.42 willing1991.5 to1991.9 look1991.98 at1992.14 language1992.22 like1992.62 that1992.7 and1993.02 defer1993.18 to1993.5 our1993.58 sponsors.1993.9 Yeah.1994.38
1995.58 SPEAKER91995.58 -1995.58 Thank1995.58 you.1995.82 K.1996.62
1996.86 SPEAKER11996.86 -1996.86 Yeah.1996.86 Representative1997.5 John1998.14 Tyler.1998.3
1998.7 SPEAKER31998.7 -1998.7 Thank1998.7 you,1998.86 mister1999.02 chairman.1999.42 So2001.18 clearly2001.42 in2001.98 the2002.14 Commonwealth,2002.3 you2003.1 know,2003.26 volunteers,2003.71 acting2005.23 in2005.63 a2005.88 in2006.33 a2006.78 in2007.23 a,2007.47 for2008.28 example,2008.52 a2008.91 nonprofit.2009.08 For2009.63 example,2009.79
2013.88 Habitat2013.88 for2014.28 Humanity2014.43 builds2015.08 homes2015.39 all2016.28 over2016.52 the2016.76 Commonwealth.2017.39 And2018.51 if2018.83 you2019.07 and2020.27 by2020.51 volunteers,2020.75 everyone2021.31 is2022.11 a2022.35 volunteer.2022.59 No2023.23 one's2023.39 compensated.2023.71 And2024.75 in2024.99 order2025.15 to2026.51 work2026.91 with2027.23 Habitat2027.71 for2028.19 Humanity2028.35 as2028.83 12028.9 of2028.98 their2029.23 volunteers,2029.47
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2041.66 SPEAKER12041.66 -2041.66 in2041.66
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2051.05 SPEAKER32051.05 -2051.05 So2051.05 in2051.69 in2051.93 this2052.09 instance,2052.33 if2052.73 someone2052.97 was2053.37 to,2053.61 provide2054.73 a2055.21 home2055.37 care2055.61 service2056.57 for2057.29 free,2057.61 as2059.22 a2059.55 volunteer,2059.78 then2060.82 they2061.22 ought2061.47 to2061.7 be2061.78 able2061.86 to,2062.18 to2063.63 do2063.78 that.2063.95 I2064.98 mean,2065.14 signing2065.63 a2066.03 waiver,2066.11 they2066.34 maybe2066.66 they2066.98 have2067.14 to2067.39 sign2067.47 a2067.7 waiver2067.78 or2068.18 they2068.26 that2068.74 they2069.14 that2069.95 they2070.18 won't2070.34 be2070.66 holding,2070.91 and2071.3 it's2071.47 somewhat2071.63 liable.2071.95 But2072.43 volunteerism2074.26 is2074.98 alive2075.22 and2075.54 well2075.7 in2075.86 the2076.02 Commonwealth,2076.1 I'm2076.58 sure2076.74 this2076.98 the2077.22 statue2077.38 wouldn't2077.78 interfere2079.3 with2079.86 that.2080.1
2080.9 SPEAKER12080.9 -2080.9 Thank2080.9 you.2081.14 Good.2081.46 Yeah.2081.7 Good2082.02 points.2082.18 I2082.5 think2082.58 we're2082.82 getting2082.98 ahead2083.38 of2083.62 ourselves2083.78 a2084.26 little2084.42 bit.2084.66 But,2084.98 I2085.54 I2085.78 also2085.86 wanna2086.18 recognize,2086.66 representative2088.34 Erica2088.97 Idaho2089.69 from2090.17 Somerville2090.49 about2091.21 to2091.45 do2091.53 that.2091.69 Thank2092.41 you.2092.57 And2092.82 representative2093.14 David2093.86 Beal,2094.17 as2095.53 well.2095.69 And2097.3 I2097.61 just,2097.78 you2099.14 know,2099.3 we've2101.61 been2101.86 checking2103.3 this,2103.54 a2104.58 few2104.74 big2104.98 bills2105.22 around2105.78 for2106.18 32108.34 terms2108.74 while2109.14 I've2109.54 been2109.78 here,2109.94 but2110.26 a2110.42 lot2110.5 longer,2110.74 I2111.14 think,2111.3 before2112.02 I2112.34 got2112.5 here.2112.74 And2113.54 I2113.86 thought2114.1 that2114.42 this2114.58 12114.82 would2115.14 be2115.38 home2116.43 care2116.51 licensure2116.84 would2117.47 be2117.8 easier2118.43 to2118.99 get2119.07 through2119.23 than,2119.64 long2121.32 term2121.64 care2121.88 and,2122.67 the2123.55 assisted2123.71 living,2124.36 residence,2125.47 bill2127.39 that2127.8 we2128.03 both2129.36 of2129.68 which2129.84 we2130.08 combined2130.48 and2130.96 passed2131.12 last2131.52 last2132 session.2132.32 And2133.6 but,2133.92 you2134.88 know,2135.12 12135.28 of2135.52 the2135.68 first2136.48 of2136.72 all,2136.88 it's2138 everyone's2138.32 best2138.88 estimate2139.12 that2139.6 home2141.04 care,2141.36 agencies2142.91 in2143.95 the2144.11 state,2144.36 50%,2145.55 certified2148.28 and2149.07 contracted2149.64 through,2150.36 ASAP,2151.24 so2151.88 this2152.04 aging2152.68 service2152.99 access2154.04 points.2154.52 And2155.32 the2155.55 other2155.72 50%2156.04 are2157.32 not2157.47 certified2157.95 and,2159.61 you2161.21 know,2161.37 don't2161.61 have2161.77 a2162.41 con2162.49 contractual2163.13 agreement2163.69 with2164.25 any2164.49 organization2164.73 that2165.37 has2165.61 a2165.85 contract2166.01 with2166.41 the2166.57 state.2166.65 Right?2167.61
2168.09 SPEAKER62168.09 -2168.09 I2168.09 think2168.17 that2168.49 there2168.65 are2168.89 between2169.37 2252169.85 and2170.97 2502171.05 certified2172.09 home2172.47 health2172.63 agencies.2172.95 Also2174.14 not2174.47 licensed,2174.79 but2175.43 they2175.59 are2175.74 certified2175.99 through2176.39 CMS.2176.63
2179.34 There2179.34 are2179.66 someone2181.11 else,2181.51 you2181.74 know,2181.83 from2181.91 the2182.14 ASAP2182.31 network2182.63 could2182.86 speak2183.03 better2183.18 to2183.51 this,2183.59 but2183.74 I2183.91 think2183.99 probably2184.31 around2184.79 a2185.03 252185.18 to2186.22 a2186.46 502186.77 providers2187.71 participating2188.02 in2188.34 the2188.65 ASAP2188.96 home2189.27 care2189.59 program.2189.9 In2190.53 terms2190.84 of2191.15 purely2191.46 private2191.78 pay2192.09 home2192.4 care2192.71 agencies,2193.03 we2193.34 again,2193.97 we2194.28 have2194.59 no2194.9 idea.2195.22 I2195.53 I2195.84 my2196.47 personal2196.78 opinion2197.09 is2197.41 that2197.72 it2198.03 ranges2198.34 somewhere2198.66 between2198.97 515.2199.28
2201.32 SPEAKER12201.32 -2201.32 Alright.2201.32 So,2201.8 the2202.84 last2203.01 point2203.24 I2203.48 wanna2203.64 make2203.89 is,2204.13 I2205.48 believe2205.64 what's2206.05 been2206.36 holding2206.61 the2207.41 bill2207.57 back2207.89 is2208.45 the2209.8 cost.2210.05 And,2211.09 you2211.64 know,2211.8 we've2211.97 we've2212.36 tried2212.61 very2213.66 hard2213.82 to,2214.22 get2215.74 answers2215.98 as2216.54 to2216.7 what2216.86 is2217.02 the2217.26 cost2217.42 of2217.74 the2218.54 state,2218.78 implementing2219.98 such2220.86 a2221.18 program.2221.34 And2222.22 we've2222.46 we've,2223.18 we2224.22 haven't2224.38 got2224.7 the2224.86 answers.2225.02 And2226.06 I2226.22 think,2226.38
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2392.73 she2392.73 had2392.97 another2393.21 aid,2393.61 privately.2395.21 She2397.21 got2397.45 she2399.41 set2399.58 up2399.82 an2399.97 LLP.2400.14 She2401.41 got2401.66 insurance.2401.97 She2402.86 got2403.02 workers2403.26 compensation2403.58 insurance.2404.38 And2404.93 she2405.09 played2405.26 her2405.66 paid2405.89 the2406.14 employer2406.3 taxes2407.02 and2407.97 did2408.22 the2408.45 employee2408.7 withholding.2409.09 She2410.78 knew2411.02 what2411.58 she2411.82 needed2411.97 to2412.44 do2412.76 to2412.8 make2412.84 sure2413.08 that2413.48 both2414.2 her2414.52 husband,2414.76 her2415.24 home,2415.48 and2416.28 the2416.44 caregiver2416.6 was2417.4 safe.2417.64 And2418.12 it2418.36 wasn't2418.44 she2418.76 didn't2418.92 describe2419.16 it2419.48 as2419.72 onerous2419.88 or2420.28 difficult,2420.44 but2421.4 she2421.56 understood2421.8 that2422.2 there2422.44 were2422.6 certain2422.68 things2423 that2423.24 she2423.4 needed2423.56 to2423.88 do2424.04 to2424.2 make2424.28 sure2424.52 that2425.08 that2425.32 relationship2425.48 could,2427.51 continue2428.22 like2428.86 the2429.11 12429.18 you2429.43 described.2429.66
2430.14 SPEAKER72430.14 -2430.14 Mhmm.2430.14
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2437.91 SPEAKER112437.91 -2437.91 just2437.91 update2437.99 the2438.3 almost2439.18 the2439.51 same2439.59 exact2439.82 words.2440.14 But2440.3 the2440.47 only2440.55 I2440.78 I2441.03 would2441.11 say2441.26 to2442.1 councilor2442.34 Torres,2442.82 so2443.86 if2444.58 somebody2444.74 volunteers,2445.14 I2446.42 don't2446.58 think2446.74 we're2446.9 looking2447.14 at2447.46 any2447.62 of2447.86 that2447.94 stuff.2448.1 We're2448.34 not2448.5 looking2448.74 at2448.98 vol2449.14 people2449.7 volunteer2450.1 to2450.58 take2450.66 care2450.9 of2451.14 of,2451.3 elderly2451.78 folks2452.26 or2452.58 if2452.82 respectfully,2453.06 if2453.62 someone2453.78 in2454.1 my2454.26 family2454.34 wanted2454.74 to2455.06 take2455.7 care2455.86 of2456.1 our2456.34 grandmother2456.5 or2457.14 in2457.57 that2457.8 sense.2458.61 I2458.84 I2459.09 think2459.16 there2460.53 just2460.77 needs2460.93 to2461.16 be2461.24 checks2461.32 and2461.57 balances.2461.72 That2462.13 that's,2462.36 I2462.61 think,2462.77 that2462.93 we're2463.09 we're2463.32 we're2463.49 just2463.57 looking2463.72 for2463.97 checks2464.05 and2464.28 balances.2464.45 We're2464.77 not2464.93 they're2465.09 not2465.32 going2465.57 after,2465.8 you2466.45 know,2466.61 the2466.77 boy2466.93 scouts2467.16 or2467.49 America2467.64 or2468.05 the2468.2 vets2468.36 or2468.77 that2469.24 do2469.41 volunteer2469.57 work.2469.97 We2470.61 we2470.84 just2470.93 need2471.16 we're2471.41 asking2471.57 for2471.89 checks2472.05 and2472.28 and2473.25 that2473.33 we're2473.49 able2473.73 to2474.85 verify2474.93 who's2475.41 in2475.97 people's2476.21 homes.2476.61 But2477.49 if2477.73 someone2477.89 privately2478.29 knows2478.93 someone2479.17 and2479.89 they're2480.21 hiring2480.61 them,2480.93 that2481.17 has2481.41 nothing2481.97 to2482.29 do2482.45 with2482.53 agencies.2482.77 That2483.25 has2483.41 that2483.57 has2483.73 anything2483.89 to2484.21 do2484.29 with2484.45 agents.2484.53 That's2484.77 your2484.93 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That's2561.76 where2562 where2562.48 this2562.64 day2562.88 at2562.96 the2563.04 end2563.2 of2563.28 the2563.36 day2563.44 is2563.6 a2563.76 cost.2563.84 But,2564.08 again,2564.24 we2566.32 really2566.56 need2566.88 to2567.04 look2567.12 at2567.36 this.2567.52 We2568.48 we2568.88 really,2569.12 really,2569.44 really2569.68 need2570 to2570.32 to2570.4 to2570.72 hammer2571.2 down,2571.44 and2571.53 this2571.76 is2571.92 stop2572.01 kicking.2572.24 Whatever2573.28 the2573.68 the2573.92 analogy2574.16 they2574.57 used2574.72 kicking2575.13 it2575.44 down2575.61 the2575.84 road2575.92 a2576.16 lot,2576.24 we2576.48 really2576.72 need2577.05 to2577.2 to2577.61 move2578.09 forward2578.32 on2578.64 this.2578.89 And2579.28 I2579.44 understand2579.61 there's2580.01 a2580.24 cost,2580.41 but2580.8 understand2581.13 there2581.84 there's2582.16 a2582.57 higher2582.72 cost2582.96 if2583.2 we2583.36 don't2583.44 do2583.68 it.2583.84 Thank2584.72 you.2584.96
2587.98 SPEAKER62587.98 -2587.98 I2587.98 mean,2588.06 if2588.3 I2588.46 could2588.54 add2588.7 on2588.86 the,2589.02 on2589.66 the2589.82 workforce2589.98 question.2590.46 I2590.78 we2591.1 hear2591.34 from2591.5 I2591.82 mean,2591.9 I've2592.14 heard2592.22 from2592.38 Larry2592.62 on2592.86 this.2592.94 Plenty2593.42 of2593.74 our2593.9 members2594.06 who2594.46 talk2594.62 about,2594.86 right,2595.58 the2595.82 the2595.98 workforce2596.22 issues2596.62 across2596.94 all2597.26 sectors2597.42 is2597.82 really2598.06 dire.2598.3 Right?2598.7 We're2599.18 all2599.34 competing2599.58 against2599.93 a2600.26 limited2600.41 work2600.89 pool.2601.3 And2601.54 in2601.78 this2601.93 workforce2602.09 in2602.57 particular,2602.74 you're2604.34 we're2604.74 competing2604.97 against2605.38 retail2605.7 and2606.26 restaurant2606.41 opportunities.2606.97 And2608.41 so2608.66 as2608.97 an2609.54 agency2609.7 of2610.02 like2610.49 the2610.57 22610.74 we2611.06 have2611.22 here2611.38 or2611.61 any2611.78 of2612.02 our2612.34 members2612.57 who2612.97 who2613.24 do2613.48 the2613.64 right2613.72 thing,2613.96 as2615.24 they2615.48 try2615.64 and2615.88 do2615.96 the2616.12 right2616.28 thing2616.44 by2616.76 training2617.24 the2617.72 workforce,2617.8 requiring2618.68 certain2619.32 things2619.56 of2619.8 the2619.96 workforce,2620.12 that2621.56 is2621.8 that2622.12 is2622.28 a2622.44 hurdle2622.52 and2623.08 it's2623.56 a2623.8 barrier2623.88 for2624.28 a2624.52 worker2624.6 to2625 come2625.08 to2625.88 employment.2626.04 And2627.08 when2628.36 a2628.76 worker,2628.91 a2629.47 prospective2629.64 candidate,2630.11 has2630.6 an2630.84 opportunity2630.99 to2631.39 work2631.56 for2631.8 someone2631.95 like2632.43 these2632.84 22633.08 providers2633.8 who2634.43 might2634.84 require2635.08 training,2635.47 the2636.28 background2636.52 check,2636.99 and2637.47 whatnot,2637.64 it2638.6 might2638.76 be2638.91 appealing2639.16 for2639.56 the2639.72 worker2639.8 to2640.2 go2640.28 to2640.52 the2640.68 agency2640.76 down2641.16 the2641.32 street2641.39 who's2641.72 gonna2641.95 require2642.28 them2642.6 to2642.84 do2642.91 nothing.2642.99 And2643.92 there's2644.08 no,2644.48 you2644.84 know,2645.2 training2645.36 or2645.84 onboarding2646 requirements.2646.56 Right?2647.12 And2647.28 so2647.44 you're2647.6 sort2647.84 of2648 it's2648.48 weighing2648.8 down2649.2 the2649.52 quality2649.76 of2650.24 care2650.48 that's2650.8 being2651.04 provided2651.28 out2651.68 there.2651.84 And2652.08 so2652.24 when2652.48 I2652.64 talk2652.72 about2652.96 leveling2653.2 the2653.52 playing2653.68 field2653.92 among2654.16 operators,2654.48 that's2654.88 kind2655.12 of2655.28 what2655.44 we're2655.6 talking2655.68 about.2656 And2656.72 on2656.88 immigration,2657.04 I2657.52 mean,2657.6 that's2657.84 a2658.08 separate2658.16 topic2658.48 for2658.8 sure.2658.96 But2659.12 there's2659.34 a2659.45 lot2659.57 of,2659.73 angst2660.21 and2660.45 anxiety2660.61 among2661.09 the2661.41 membership,2661.49 particularly2662.3 around2662.7 TPS.2663.66
2666.38 SPEAKER12666.38 -2666.38 Okay.2666.38 Thank2666.78 you2667.01 very2667.26 much.2667.41 Thank2668.14 you,2668.3 thank2669.41 the2669.73 panel2669.82 for2670.14 your2670.38 time.2670.45 Thank2670.78 you.2670.93 Next2672.61 up,2672.86 we'll,2673.18 is2674.78 Betsy2675.01 Connell,2675.55 available,2676.75 remotely?2678.51
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ageist2743.9 terminology,2744.22 and2745.34 second,2745.59 to2745.9 update2746.14 language2746.46 which2746.94 does2747.18 not2747.42 reflect2747.74 the2748.39 current2748.55 construct2749.03 of2749.59 the2749.82 majority2749.98 of2750.55 Council2750.78 on2751.18 Aging2751.34 Boards.2751.74 Since2752.86 the2753.18 statute2753.34 was2753.74 established2753.98 and2755.18 passed2755.42 in2755.82 192756.07 56,2756.46 6,2757.48 councils2757.64 have2758.12 grown2758.28 to2758.6 fall2758.76 into2759 22759.4 categories,2759.72 supervisory2760.92 and2761.64 advisory.2762.12 The2763.4 current2763.64 statute2764.2 states2764.76 the2765.48 council2765.88 may2766.44 appoint,2766.76 which2767.48 only2768.36 reflects2769.16 the2769.8 construct2770.04 where2770.6 the2770.92 council2771.45 on2771.78 aging,2772.26 which2772.89 is2773.14 appointed2773.3 board2773.78 members,2774.01 has2775.05 supervisory2775.45 or2776.17 hiring2776.41 capacity.2776.89 And2777.53 that's2777.78 approximately2778.09 62778.82 councils2779.14 on2779.45 aging2779.61 in2779.93 the2780.01 state.2780.17 Whereas2781.05 over2781.53 the2781.78 last2781.93 602782.17 years,2782.49 the2782.82 majority2782.97 of2783.38 councils2783.53 on2783.93 aging,2784.09 their2784.57 boards,2784.82 shifted2785.67 to2786.07 become2786.31 advisory2787.03 as2787.83 municipalities2788.07 built2789.03 senior2789.35 centers2789.67 and2790.07 created2790.23 senior2790.71 center2791.19 council2792.07 on2792.39 aging2792.63 director2793.11 positions2793.67 and2794.63 other2794.95 support2795.35 staff2795.75 for2796.23 their2796.39 council2796.71 on2797.03 aging2797.27 departments.2797.59 As2799.61 you2799.76 see2799.93 in2800.09 the2800.16 bill,2800.32 the2800.57 proposed2800.72 language2801.13 change2802.01 reflects2802.8 both2803.44 constructs2804.09 of2804.72 advisory2805.68 and2806.57 supervisory,2806.8 providing2807.76 the2808.32 capacity2808.48 for2809.2 the2809.36 municipality2809.61 senior2811.2 center2811.61 director2811.93 or2812.48 the2813.06 town2813.3 HR2813.62 department2814.1 or2814.9 the2815.06 town2815.22 administrator,2815.54 whatever2816.1 the2816.58 bylaws2816.66 are2817.14 of2817.3 that2817.38 community,2817.54 to2818.02 hire2818.18 staff.2818.5 Whereas2819.38 without2819.94 the2820.42 language,2820.58 the2821.14 additional2821.3 language2821.62 being2822.02 put2822.26 in,2822.42 only2822.66 the2822.98 council2823.14 is2823.78 allowed2824.02 to2824.42 hire.2824.5 So2825.53 issues2825.78 with2826.26 the2826.41 outdated2826.57 statute2826.97 were2827.38 brought2827.53 to2827.78 our2827.93 attention2828.01 about2828.41 22828.57 and2828.73 a2828.82 half2828.89 years2829.05 ago2829.3 when2829.53 the2829.78 town2829.86 of2830.09 Sherborne,2830.26 after2830.82 having2831.05 submitted2831.38 and2831.78 received2832.01 approval2832.34 through2832.82 a2833.05 town2833.14 meeting2833.45 of2833.69 a2833.86 warrant2834.01 article2834.26 to2834.66 change2834.89 their2835.21 council2835.45 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do4050.34 that4050.49 here4050.66 as4050.89 well.4051.05 It4052.41 shouldn't4052.66 matter4053.14 what4053.7 the4054.02 payer4054.18 is,4054.49 if4054.82 it's4054.97 from4055.22 private4055.45 pay4055.86 or4056.09 from4056.26 Medicaid4056.49 or4057.05 Medicare.4057.22 The4058.09 consumer4058.34 should4058.82 know4058.97 that4059.14 if4059.38 you're4059.45 advertising4059.86 as4060.41 a4060.57 home4060.74 care4060.97 agency,4061.14 that4062.23 they4062.39 the4062.55 employer4062.79 themselves4063.27 has4063.67 or4064.07 the4064.15 home4064.31 care4064.55 agent4064.63 themselves4064.87 has4065.59 met4065.75 some4066.07 credible,4066.39 review4067.43 process,4067.83 standard4068.55 review4068.95 that4069.27 we4069.43 do4069.51 in4069.91 in4070.07 long4070.39 term4070.63 care4070.87 spaces,4071.11 as4071.91 well4072.15 as4072.31 the4072.47 workers4072.55 that4072.95 they4073.11 fill,4073.27 some4073.91 background,4074.15 have4074.63 some4074.71 experience4074.95 that4075.51 you4075.67 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home4128.1 care,4128.34 home4129.22 health,4129.46 and4129.7 hospice4129.86 services.4130.34 Over4131.38 the4131.7 past4131.78 decade,4132.1 as4132.58 detailed4132.74 in4133.22 the4133.3 Health4133.48 Policy4133.72 Commission's4134.11 December4134.68 204135.31 234135.56 report,4136.11 nearly4137.64 34138.11 dozen4138.35 of4139.31 the4139.48 Massachusetts4139.72 of4140.52 these4140.68 Massachusetts4140.84 home4141.48 care4141.64 service4141.8 providers4142.03 have4142.6 been4142.76 purchased4142.91 by4143.56 private4143.8 equity4144.2 for4144.84 profit4145.16 investors.4145.8 With4147.52 limited4147.76 state4148.24 regulation4148.64 in4149.12 these4149.28 areas,4149.52 these4149.92 financial4150.16 transactions4150.8 threaten4151.44 to4151.76 reduce4151.92 quality4152.8 care4153.2 and4153.44 squeeze4153.68 out4153.92 remaining4154.16 community4154.64 based4155.04 and4155.28 locally4155.44 owned4155.92 competitors.4156.24 Passage4157.52 of4157.92 this4158.08 legislation4158.32 is4158.88 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4205.27 SPEAKER14205.27 -4205.27 Thank4205.27 Thank4205.46 you,4205.54 mister4205.7 Foley.4206.26 Okay.4207.5 Senator4208.5 Jalen.4208.82
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4452.06 SPEAKER104452.06 -4452.06 I4452.06 I4452.22 said4452.39 34452.63 dozen4452.94 of4453.34 34453.59 dozen.4453.74 Okay.4454.06 The4454.39 health4454.55 policy4454.78 commission,4455.1 which4455.43 I'm4455.66 a4455.82 commissioner,4455.98 actually,4456.63 resigned4457.59 my4457.91 position,4458.95 did4460.07 a4460.23 study4460.55 of4460.87 the4460.95 transactions4461.27 that,4461.91 like,4462.07 we4462.31 report,4462.63 of4463.51 all4463.75 the4463.91 transactions4464.15 in4464.55 health4464.71 care4464.95 that4465.11 have4465.27 a4465.43 market4465.51 impact.4465.83 And4466.71 it's4466.87 clear4467.11 from4467.35 the4467.59 last4467.75 report4468.07 that4468.39 was4468.63 produced4468.79 in4469.11 02/2024,4469.35 the4470.39 the4470.55 majority4470.79 of4471.27 private4471.43 equity4471.75 transactions4472.15 are4472.79 in4472.87
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