Urge Your State Senator to Support Home Care Rate Setting Reform

A Senate budget amendment would require a more complete analysis of the true cost of delivering home care services in Massachusetts.

Last week, the Massachusetts State Senate Ways and Means Committee released its FY27 state budget proposal. Senator Patricia Jehlen has filed an amendment to include the Alliance and Enough Pay to Stay Coalition’s priority rate setting reform legislation.

This legislation would not directly require the Executive Office of Health and Human Services to increase reimbursement rates. Instead, it would require the agency to conduct a more comprehensive rate setting analysis that reflects the actual cost of delivering services.

Why This Matters

Home care agencies continue to face rising workforce, transportation, compliance, training, and administrative costs. Without a rate setting process that fully accounts for these realities, providers are left trying to sustain essential services under reimbursement structures that may not reflect what care actually costs.

A more complete rate analysis is a necessary first step toward a stronger, more transparent, and more sustainable home care system for older adults, people with disabilities, families, workers, and providers across the Commonwealth.

 Email Your State Senator 

The Alliance and the Enough Pay to Stay Coalition are urging members and partners to act quickly and ask their State Senators to support this amendment during the Senate budget debate.