Senate Acts to Bring Oversight to Massachusetts’ Unregulated Home Care Industry 

Bill creates new licensure structure for home care workers, including background checks and a public list of verified agencies 

(BOSTON—7/16/2026) The Senate passed legislation today to help older adults age in place in Massachusetts by improving the industry that assists elders with basic care like cooking, dressing, and bathing. 

The Senate’s legislation strengthens the integrity of the home care industry and its workers, who provide the daily non-medical care that is key to helping people stay in the comfort of their own homes as they age. 

Massachusetts is currently among a handful of states that do not regulate home care agencies. 

By checking and licensing home care workers, the Senate bill gives peace of mind to families while also ensuring that workers are safe and prepared. 

“It is so important that residents and their families can have faith in the care that is delivered at home and trust the agencies that provide these services,” said Senator Cindy F. Friedman (D-Arlington). “ With this legislation, Massachusetts would join the majority of states that regulate home care agencies. I thank Senator Jehlen for her consistent work to improve care for our aging residents.”  

Under the bill—S.3170An Act to improve Massachusetts home care—the Executive Office of Health and Human Services (EOHHS) would create the licensure structure, which would include fingerprinting and background checks. 

A worker’s driving record would also be checked if they provide transportation for their client. 

The legislation also helps connect people in need of care with a properly checked home care service. EOHHS would share a list of verified and licensed agencies on its website. 

Full details of the legislation are available in a fact sheet in the Senate’s press room. 

The Senate Committee on Ways and Means redrafted the bill and voted 13-0 to advance it to the full Senate on July 9, 2026. The legislation was reviewed last year by the Joint Committee on Aging and Independence and a prior version was passed by the House of Representatives. 

The Senate passed the bill and sent it to the House of Representatives for further consideration. 

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