Massachusetts continues its statewide transition from MOLST to POLST, with the new electronic POLST (ePOLST) Registry scheduled to launch on April 6, 2027. After this date, paper MOLST forms will no longer be used for new medical orders. All new orders for life‑sustaining treatment will be created and stored electronically in the Registry.

The ePOLST system is designed to ensure that patient goals of care are accessible across all care settings, including EMS, hospitals, long‑term care, hospice, and home health. Existing MOLST and DNR/Comfort Care forms remain valid and must continue to be honored.

 

MassPOLST has released early implementation resources, planning tools, and upcoming training opportunities for organizations preparing for the transition. These materials are available at: https://www.mass.gov/masspolst