Senator Boulkes advocates nursing home bill to protect seniors' rights in Virgin Islands

In a significant meeting of the Virgin Islands Legislature's Committee on Health, Hospitals, and Human Services on July 7, 2025, lawmakers discussed Bill Number 36-0003, aimed at enhancing the standards of care for nursing homes and assisted living facilities in the territory. This proposed legislation seeks to amend Title 19 of the Virgin Islands Code by establishing a new chapter that outlines essential services these facilities must provide, financial limitations, visitation rights, and the overall rights of residents.

The bill's primary objective is to ensure that seniors in the Virgin Islands have access to dignified care and necessary facilities. It addresses critical issues such as the alarming rates of elder abuse, which have been exacerbated during the COVID-19 pandemic. According to the National Council on Aging, one in five Americans aged 60 and older reported abuse during this period, highlighting the urgent need for protective measures.

Senator Angel Boulkes, the bill's sponsor, emphasized that the legislation is a vital step toward improving the quality of life for vulnerable residents, including seniors and individuals with disabilities. The bill aims to codify existing federal protections under Medicare and Medicaid while introducing local standards that ensure transparency and accountability in care practices. Key provisions include prohibiting facilities from conditioning admission on prepayment for services covered by public assistance programs and mandating full disclosure of non-covered services and associated costs.

Support for the bill came from various stakeholders, including the Department of Human Services and AARP, which highlighted the need for a comprehensive continuum of care that reflects the unique cultural values of the Virgin Islands. AARP's state director, Troy DeChabert Shuster, pointed out that the territory's aging population is growing rapidly, with over 20% now aged 60 and older. He stressed the importance of creating a care system that is not only compliant with federal standards but also culturally sensitive and community-focused.

While the bill received broad support, several amendments were proposed to enhance its effectiveness. These included designating the Virgin Islands Department of Human Services as the oversight agency for nursing homes, establishing a clear reporting mechanism for violations, and ensuring that the legislation encompasses protections for adults with disabilities alongside seniors.

The committee's discussions underscored the pressing need for improved care standards in the Virgin Islands, where many residents currently face inadequate support and resources. As the bill moves forward, it represents a critical opportunity to reshape long-term care policy in the territory, ensuring that all residents can age with dignity and receive the care they deserve. The anticipated next steps include further amendments and a vote on the legislation, which aims to set a new standard for elder care in the Virgin Islands.