Category: General Public Hearing for Proposed Amendments to 651 CMR 12.00: Certification procedures and standards for assisted living residences

Public Hearing for Proposed Amendments to 651 CMR 12.00: Certification procedures and standards for assisted living residences


February 26, 2026

Public Hearing for Proposed Amendments to 651 CMR 12.00: Certification procedures and standards for assisted living residences

Executive Office of Aging and Independence
Thursday, February 26, 2026, 10:00 a.m. to 1:00 p.m.

Overview
Pursuant to M.G.L. c. 30A, § 2, M.G.L. c. 19A, § 6, and M.G.L. c. 19D, a public hearing will be held on Thursday, February 26, 2026, at 10:00 A.M., relative to the adoption of proposed amendments to:  651 CMR 12.00: Certification Procedures and Standards for Assisted Living Residences. (Click Regulation Title for Link to Regulation)

The Executive Office of Aging & Independence (AGE) proposes amendments to the assisted living regulations pursuant to the statutory requirements at Chapter 197 of the Acts of 2024, secs. 2 through 11, inclusive, including the addition of Basic Health Services certification requirements, which would permit ALRs to seek and obtain separate certification to directly provide Basic Health Services. Basic Health Services include all of the following: (i) injections; (ii) the application or replacement of simple non-sterile dressings; (iii) the management of oxygen on a regular and continuing basis; (iv) specimen collection and the completion of a home diagnostic test, including, but not limited to COVID-19, influenza, warfarin, prothrombin or international normalized ratio testing and glucose testing; provided that such home diagnostic test or monitoring is approved by the United State Food and Drug Administration for home use; and (v) application of ointments or drops. Other proposed amendments ensure the health, safety, and welfare of Residents, including to enhance fire and other safety requirements, update staff training related to emergency equipment and medications, as well as ensure related policies of the use of such equipment and medications are maintained by the Residence. The amendments also update general setting requirements, such as requiring a communal activity area. The proposed amendments update the ALR application process, including updating requirements to ensure the identification of owners or others with interest. Additionally, the amendments align with the new statutory authority for AGE to issue fines for a Residence's failure to comply with regulatory provisions. Further, the amendments clarify staffing requirements as well as AGE's authority relating to compliance reviews and findings of noncompliance.

This hearing will be conducted remotely. To join the hearing online or by phone, see below.
Join the Public Hearing for amendments to 651 CMR 12.00 Zoom meeting
Meeting ID: 926 1947 5104
Passcode: 375797

To register to testify at the hearing, please email AGElegal@mass.gov.

Written testimony and public comments from interested parties may be submitted. All written submissions must be submitted to: AGElegal@mass.gov. Written testimony may also be submitted to the following address:
Executive Office of Aging & Independence
One Ashburton Place, 10th Floor
Boston, MA 02108
Attention: P. Sullivan

Please submit electronic testimony via email as an attached Word or PDF file with the name of the regulation in the subject line. All submissions must include the sender's full name, mailing address, and organization or affiliation, if any. All written testimony, whether submitted via the Postal Service or electronically, must be received by 5:00 p.m. on Friday, March 6, 2026.

To review the current draft of the proposed amended regulations, visit Mass.gov or request a copy in writing from the address noted above.

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