To inform older adults, persons with disabilities, family members, and caregivers about legislative candidates’ positions on issues of interest, Dignity Alliance Massachusetts (DignityMA) has prepared The Dignity Dozen, twelve questions regarding key issues and proposals.
Questionnaires to all candidates on the November 5th general election ballot will be distributed after primary election day.
Questions
- Most Massachusetts residents know someone who has needed long-term services or care due to issues related to aging or disabilities or experienced it themselves. Has anyone close to you needed nursing home care, congregate living arrangements, or home and community-based services, such as personal care assistants? What was their experience?
- Nursing home residents are allowed to keep a monthly personal needs allowance (PNA) of $72.80 from their Social Security benefits and other income sources. The balance is paid to the nursing home. The PNA can be used for personal needs such as hairdressing / barber, services, clothing, cellphones, etc. The amount of the PNA has not been changed in over 30 years. Given inflation, the allowance would be about $160.00 today. Do you think the PNA should be increased?
- During the 2021-2022 legislative session, the issuance of a bond for $200 million was authorized to undertake the construction of “small house” type nursing homes for veterans in communities throughout the Commonwealth. Would you encourage the Administration to implement this project within the next year and to provide additional funding to help the program operate and expand?
- One of the most important bills being considered by the 193rd General Court, but not yet enacted, is H4193 / S.2889 An Act relative to Quality and Oversight of Long-Term Care and Assisted Living. Given the pervasive occurrence of substandard care and chronic staffing shortages in nursing homes throughout the state, would you support reform measures to require transparency of ownership, management accountability, and more rigorous enforcement by the Department of Public Health and the Executive Office of Elder Affairs?
- Most Massachusetts residents would prefer to age in place in their homes or in their community. Will you support increased funding for programs and services such as housing vouchers, home modification for greater accessibility, increased support for personal care assistants, home care, assistive technology, and similar initiatives to help older adults and people with disabilities remain independent and safe in their own homes rather than face placement in nursing homes?
- The ownership of nursing homes is increasingly under the control of out-of-state investor groups and private equity interests. The organizational structure has been segmented into many “related business” components, often under common ownership, e.g., a real estate entity, management company, therapy services, and more. This makes it difficult to determine who controls major staffing, operational, and business decisions and who has responsibility and accountability. Consequently, it is critical to analyze how MassHealth funds are being used. Periodic, independent, comprehensive, and transparent public audits are necessary to assess how nursing homes operate and how public funding is spent. Will you advocate that the state auditor undertakes this type of audit as a priority?
- During the pandemic, hundreds of millions of dollars of state and federal funds have been paid to the owners of Massachusetts nursing homes. There has been little to no analysis and accountability of the use of these funds. Providing public assurance that the funding was used as intended is crucial. Will you support the call for a comprehensive public audit of the use of pandemic-related and other supplemental funds for nursing home spending as a priority?
- Nursing home residents often have their human rights ignored or curtailed. They are frequently not treated with proper respect and dignity. Residents in nursing homes licensed by the Department of Public Health have less rights than clients served by the Department of Mental Health and the Department of Development Services. Will you support efforts to restore human rights to such residents, such as allowing nursing home residents to file suit under consumer protection laws?
- There are frequent incidences of bullying of older adults and persons with disabilities who reside in elder and congregate housing. Will you support legislation to strengthen laws and their enforcement to prevent and reduce bullying in elder and other congregate housing?
- Anti-psychotic medications are administered to about one of four nursing home residents in Massachusetts, one of the highest nursing home anti-psychotic usage rates in the country. Massachusetts requires informed written consent from a nursing home resident or a resident’s representative before the administration of anti-psychotic and other psychotropic drugs. Additionally, about 10% of Massachusetts nursing home residents have a diagnosis of schizophrenia, many of recent determination. This is a rate ten times greater than that of the general population. Will you support legislation to improve the control and oversight of these medications provided to nursing home residents?
- Approximately 70% of Massachusetts nursing homes regularly report staffing levels below the state minimum of 3.58 hours per resident day. Most experts believe that the ratio should be higher. Do you support requiring nursing homes that fail to meet an evidence-based standard for nursing care to freeze new admissions until they comply?
- The Department of Public Health is expected to respond to nursing home resident complaints in a timely manner. The same applies to the Executive Office of Elder Affairs for assisted living resident complaints. Both agencies have been chronically behind in timely response according to the Inspector General of US Health and Human Services. Will you support adequate staffing of nursing home surveyors (inspectors), and efforts to improve compliance with timely responses to resident complaints?
Do you have any thoughts to add? Do you have any questions for us?
November Candidate Responses (pdfs)
- Response from Damian Anketell, candidate for Senate in the 2nd Essex Senate District. Anketell website
- Response from Michelle Badger, candidate for State Rep in the 1st Plymouth House District. Badger website
- Response from Sharon Cintolo, candidate for State Rep in the 2nd Norfolk House District. Cintolo Website
- Response from Susanne H. Conley, candidate for State Rep in the 2nd Barnstable House District. Conley Website
- Response from George Ferdinand, candidate for State Rep in the 19th Middlesex House District. Ferdinand Facebook
- Response from Christopher Flanagan, candidate for State Rep in the 1st Barnstable House District. Flanagan Website
- Response from Carmine Gentile, candidate for State Rep in the 13th Middlesex House District. Gentile Website
- Response from Patricia A. Haddad, candidate for State Rep in the 5th Bristol DistrHouse Districtict.
- Response from Patricia Jehlen, candidate for Senate in the 2nd Middlesex Senate District. Jehlen Website
- Response from Eric Meschino, candidate for State Rep in the 12th Plymouth House District. Meschino Website
- Response from Steven J. Ouelette, candidate for State Rep in the 8th Bristol House District. Ouelette Facebook
- Response from Jerry Parisella, candidate for State Rep in the 6th Essex House District. Parisella Facebook
Primary Candidate Responses (pdfs)
- Responses from Alexander Jablon, candidate for State Rep in the 11th Middlesex District. Jablon website
- Responses from David Martin, candidate for State Rep in the 1st Bristol District. Martin website
- Responses from Bill Humphrey, candidate for State Rep in the 12th Middlesex District. Humphrey website
- Response from Michelle Badger, candidate for State Rep in the 1st Plymouth District. Badger website
- Response from Patricia A. Haddad, candidate for State Rep in the 5th Bristol District.
Primary Candidates for State Senate and House
State Chamber | CANDIDATES | EMAIL ADDRESSES | CAMPAIGN WEBSITES | |
---|---|---|---|---|
SENATE | 1st Suffolk District | Nick Collins | Nick.Collins@masenate.gov | |
SENATE | 1st Suffolk District | Juwan Skeens | skeensforsenate@gmail.com | |
SENATE | 2nd Bristol District | Mark Montigny | Mark.Montigny@masenate.gov | |
SENATE | 2nd Bristol District | Molly Kivi | mollykivi1919@gmail.com | |
SENATE | 3rd Bristol and Plymouth District | Joseph Pacheco | joe@joepacheco.net | |
SENATE | 3rd Bristol and Plymouth District | Barry Sanders | Barry@barrysanders.us | |
SENATE | Hampden District | Adam Gomez | gomezadam@live.com | |
SENATE | Hampden District | Malo Brown | Malomiajane@yahoo.com | |
SENATE | Norfolk, Plymouth and Bristol District | Kathleen Crogan-Camara | Kate755745@aol.com | |
SENATE | Norfolk, Plymouth and Bristol District | Erin Bradley | eringbradley@gmail.com | |
SENATE | Norfolk, Plymouth and Bristol District | William Driscoll, Jr. | bdriscolljr@gmail.com | |
SENATE | Plymouth and Barnstable District | Kari MacRae | Karidmacrae@gmail.com | |
SENATE | Plymouth and Barnstable District | Mathew Muratore | matmuratore@gmail.com | |
HOUSE | 1st Bristol District | Kostas Loukos | kostas.dimitrios.loukos@gmail.com | |
HOUSE | 1st Bristol District | David Martin | neopolity@gmail.com | |
HOUSE | 1st Bristol District | Michael E. Toole | votetoole@comcast.net | |
HOUSE | 1st Plymouth District | Michelle Badger | badgerforplymouth@gmail.com | BadgerForPlymout.com |
HOUSE | 1st Plymouth District | Arthur Desloges | art.desloges@gmail.com | |
HOUSE | 1st Plymouth District | Scott Hokanson | hokansonbenefits@gmail.com | |
HOUSE | 1st Plymouth District | Stephen Michael Palmer | stephenp@mirbeau.com | |
HOUSE | 1st Plymouth District | Jesse Brown | jesse.brown@heidrea.com | |
HOUSE | 1st Plymouth District | Dee WallaceSpencer | dwallacespencer@yahoo.com | |
HOUSE | 2nd Plymouth District | Susan Gifford | Susan.Gifford@mahouse.gov | |
HOUSE | 2nd Plymouth District | John Gaskey | john.r.gaskey@gmail.com | |
HOUSE | 3rd Berkshire District | Leigh Davis | leighdavis99@gmail.com | |
HOUSE | 3rd Berkshire District | Jamie Minacci | jamieminacci@gmail.com | |
HOUSE | 3rd Berkshire District | Patrick White | patrick@patrickwhiteberkshires.com | |
HOUSE | 5th Middlesex District | David Linsky | David.Linsky@mahouse.gov | |
HOUSE | 5th Middlesex District | Jaymin Patel | ijaymin@gmail.com | |
HOUSE | 6th Plymouth District | Jane Cournan | janecournan@gmail.com | |
HOUSE | 6th Plymouth District | Kenneth Sweezey | ken@sweezeyforstaterep.com | |
HOUSE | 6th Suffolk District | Russell Holmes | Russell.Holmes@mahouse.gov | |
HOUSE | 6th Suffolk District | Harris Hardaway | harishardaway@yahoo.com | |
HOUSE | 6th Suffolk District | Samuel Pierce | Samuelpierce2020@gmail.com | |
HOUSE | 7th Middlesex District | Jack Patrick Lewis | jackplewis@gmail.com | |
HOUSE | 7th Middlesex District | Carlton Phelps | infophelpsma@gmail.com | |
HOUSE | 7th Norfolk District | Christos Alexopoulos | info@chrisalexopoulos.com | |
HOUSE | 7th Norfolk District | Tony King | tony@beantownusa.com | |
HOUSE | 7th Norfolk District | Richard Wells, Jr. | Richardwells@ymail.com | |
HOUSE | 7th Worcester District | Paul Frost | Paul.Frost@mahouse.gov | |
HOUSE | 7th Worcester District | Michelle Frigon | Mfree1212@yahoo.com | |
HOUSE | 8th Suffolk District | Jay Livingstone | Livingstone.james@gmail.com | |
HOUSE | 8th Suffolk District | Lisa Graf | lisa_jeanne_graf@msn.com | |
HOUSE | 8th Suffolk District | Kelechi Linardon | kc2020campaign@gmail.com | |
HOUSE | 9th Middlesex District | Thomas Stanley | Thomas.Stanley@mahouse.gov | |
HOUSE | 9th Middlesex District | Heather May | npnebraska@gmail.com | |
HOUSE | 10th Bristol District | Robert McConnell | fwe931@yahoo.com | |
HOUSE | 10th Bristol District | Joseph Pires | joepiresma@gmail.com | |
HOUSE | 11th Essex District | Hong Net | votehong@gmail.com | |
HOUSE | 11th Essex District | Sean Reid | TheReidCommittee@gmail.com | |
HOUSE | 11th Hampden District | Bud Williams | Budl3@comcast.net | |
HOUSE | 11th Hampden District | Johnnie McKnight | johnniekiley@gmail.com | |
HOUSE | 11th Middlesex District | Alexander Jablon | Jablonforma@gmail.com | |
HOUSE | 11th Middlesex District | Amy Sangiolo | sangioloforstaterep@gmail.com | |
HOUSE | 11th Plymouth District | Rita Mendes | Mendeslawgroup@gmail.com | |
HOUSE | 11th Plymouth District | Fred Fontaine | FredMFontaine@yahoo.com | |
HOUSE | 12th Middlesex District | Bill Humphrey | bill@billhumphrey.net | BillHumphrey.org |
HOUSE | 12th Middlesex District | Rick Lipof | info@RickLipof.com | |
HOUSE | 12th Middlesex District | Greg Schwartz | greg.schwartz02@gmail.com | |
HOUSE | 13th Norfolk District | Patrick Gatto | patrick@gattoagency.com | |
HOUSE | 13th Norfolk District | Kenneth Ruetenik | kennyruetenik@gmail.com | |
HOUSE | 13th Norfolk District | Joshua Tarsky | electjoshuatarsky@gmail.com | |
HOUSE | 16th Essex District | Francisco Paulino | franciscopaulino9@gmail.com | |
HOUSE | 16th Essex District | Marcos Devers | jhovannymarte@yahoo.com | |
HOUSE | 18th Middlesex District | Rady Mom | Rady.Mom@mahouse.gov | |
HOUSE | 18th Middlesex District | Tara Hong | tarathornhong@gmail.com | |
HOUSE | 18th Middlesex District | Andrew Kollar | andrew.wj.kollar@gmail.com | |
HOUSE | 25th Middlesex District | Marjorie Decker | marjorie.decker@gmail.com | |
HOUSE | 25th Middlesex District | Evan MacKay | evancmackay@gmail.com | |
HOUSE | 27th Middlesex District | Erika Uyterhoeven | erika@electerika.com | |
HOUSE | 27th Middlesex District | Kathleen Hornby | kathleen@kathleenhornby.com | |
HOUSE | 28th Middlesex District | Jospeh McGonagle, Jr. | Joseph.McGonagle@mahouse.gov | |
HOUSE | 28th Middlesex District | Michael Marchese | Michael_marchese10@comcast.net | |
HOUSE | 35th Middlesex District | Paul Donato | Paul.Donato@mahouse.gov | |
HOUSE | 35th Middlesex District | Nichole Mossalam | nmossalam@gmail.com | |
HOUSE | 35th Middlesex District | Zayda Ortiz | electzayda@gmail.com |