Massachusetts Council supports licensure for nonmedical home care services

In a pivotal meeting held on April 14, 2025, the Massachusetts Joint Committee on Elder Affairs gathered to discuss a proposed licensure system for nonmedical home care services, a move that advocates say is long overdue. The atmosphere was charged with urgency as stakeholders emphasized the need for regulatory standards to protect both consumers and caregivers in a rapidly growing sector of the health care system.

Julie, a representative from the Home Care Aid Council, opened the discussion by highlighting the absence of a licensing framework for nonmedical home care services in Massachusetts, making it one of the few states without such regulations. She underscored the importance of establishing baseline standards to ensure quality care for those relying on home services. The proposed legislation aims to create a system that mandates licensing for all entities providing home care, thereby enhancing consumer protection and workforce safety.

Jake Krolovich, Executive Director of the Home Care Alliance of Massachusetts, passionately supported the bill, noting that the industry has been advocating for licensure for over 15 years. He pointed out the alarming ease with which one can start a home care agency in Massachusetts, often with less scrutiny than opening a pizza shop. Krolovich stressed that the lack of regulation exposes vulnerable residents to potential harm and exploitation, citing tragic incidents that have occurred in unregulated environments.

The testimonies from various stakeholders painted a vivid picture of the challenges faced by families seeking reliable home care. Larry Michael, owner of Visiting Angels, shared personal anecdotes about the critical need for trained and insured caregivers, emphasizing that families should not have to worry about the qualifications of those entering their homes. He echoed concerns that without proper licensing, consumers might turn to unregulated services, increasing risks for both clients and caregivers.

Anthony So to, a home care provider, added a community perspective, recounting experiences of families receiving inadequate care from unlicensed agencies. He called for a system that not only protects consumers but also holds providers accountable, ensuring that all agencies meet the same standards of care.

As the meeting progressed, committee members raised questions about the implications of the proposed regulations, particularly regarding volunteers and informal caregivers. The discussion highlighted the need for clarity in defining who qualifies for licensing, with assurances that genuine acts of charity would not be hindered by the new regulations.

The committee's deliberations reflect a growing recognition of the importance of safeguarding the home care sector. With an aging population increasingly reliant on these services, the proposed licensure system could mark a significant step toward ensuring quality care and accountability in Massachusetts. As stakeholders await the committee's decision, the call for action resonates strongly: it is time for Massachusetts to join the majority of states in implementing a robust licensure system for home care services.