Advocacy – Goals and Objectives

Dignity Alliance Massachusetts has endorsed a set of transformative goals in March, 2021. Download Dignity Alliance Massachusetts Mission and Goals March 2021.docx.


Dignity Alliance Massachusetts is dedicated to transformative change to ensure the dignity of older adults, people with disabilities, and their caregivers. We are committed to advancing new ways of providing long-term services, support, living options, and care, while respecting choice and self-determination. Through education, legislation, regulatory reform, and legal strategies, this mission will become reality throughout the Commonwealth.

Our Transformative Change Goals

Goal # 1: Nursing Home Reform that is person-centered and respectful of human dignity with oversight, accountability and transparency.


  • Protect skilled nursing facility residents for spread of COVID-19, other communicable diseases, and resulting isolation and neglect
  • Resident-centered care with single occupancy rooms, full-time infection prevention, falls prevention, abuse prevention, strengthened family councils,
  • Support redesign of nursing homes preferring small (maximum 12 residents) facilities.
  • Access to palliative care and palliative care clinicians
  • Improved transitions of care between nursing homes and hospitals and return to community
  • Support increased nursing services for residents demonstrated to improve quality and safety. – 24/7 RN coverage, 4.1 HPRD (Hours per Resident Day) of nursing care and oppose including unlicensed or uncertified personnel in calculations
  • Medical loss ratio rebates for payments calculated by taking the amount spent on medical claims and qualified health quality initiatives and dividing it by the premiums collected, minus certain federal and state taxes and fees
  • Minimize use of psychotropic medications
  • Safe visitation policies in all nursing facilities
  • Nursing facilities to be the last option among choices for long-term care.
  • Strengthen oversight and enforcement through full annual surveys with public reporting of complaints and findings even during pandemic with appropriate attention to safety protocols
  • Rescind waivers of regulations and reporting during public health emergencies detrimental to residents
  • Improvements to the response to complaints and deficiencies in skilled nursing facilities.
  • Strengthen vetting of new owners and management companies to ensure qualification
  • Non-profit or public ownership of nursing facilities over for-profit ownership
  • Support transparency and accountability concerning ownership and management, including finances
  • Enhance Long-Term Care Ombudsman Program advocacy

Goal # 2: Congregate Living (other than skilled nursing facilities) and other opportunities for independence, informed choices, and integration in the community.


  • Safe visitation policies throughout all types of congregate living residences similar to those required of nursing facilities
  • Evidence-based falls prevention programs.
  • Complaint resolution program for independent living and public elderly housing.
  • Support basic health services for assisted living residents
  • Strengthen rights of residents living with dementia in memory care units at assisted living residences
  • Require assisted living residences to provide special diets (e.g., Kosher, diabetic, gluten-free)
  • Improvements in care and treatment for older, frail inmates of correctional institutions.

Goal #3: Home and Community-Based Supports and Services improvement and expansion of opportunities.


  • Adoption of a Community First provision in the 1115 Medicaid Waiver scheduled for renewal in 2022.
  • Age-friendly, ADA-compliant communities with affordable, accessible public transportation.
  • An end to ageism and ableism in every community in the Commonwealth.
  • Accessible, affordable, integrated housing to assist people to remain in their homes and communities.
  • Fully including older adults and people with disabilities in work and community spheres such as voting, serving on boards and commissions, and positions of leadership.
  • Policies for older adults and people with disabilities must recognize the those living in rural areas or in underserved neighborhoods in urban areas may lack broadband, access to technology, access to health providers, etc.

Goal #4: Strengthen Support of Long-Term Care workers whether in career, volunteers, or family members.


  • Living wage and enhanced benefits for caregivers.
  • Improved caregiver training in areas such as infection prevention, resident abuse prevention, and communication skills
  • Require more than 75 hours certified nurse assistant (CAN) training
  • Broadest possible education in geriatrics for all health care professionals and staff.
  • Behavioral health and wellness programs for long-term care staff.
  • Minimize multi-facility employment by care staff
  • Educate staff on the importance of vaccinations to protect selves and residents

Goal #5: Strengthen Accessible, Universally-Designed Emergency Procedures and Responses.


  • Enhanced emergency plans in coordination with the Massachusetts Emergency Management Agency.
  • Establish mutual aid agreements with all congregate care facilities
  • Underwrite membership of all certified long term service providers in Mass Mutual Aide Association, entitling them to educational conferences, annual emergency training
  • Provide adequate supplies of testing, personal protective equipment (PPE), and vaccinations for individuals living in the community and home care aides along with residents and staff of skilled nursing facilities, assisted and independent living residences.
  • Promoting an emergency plan and an emergency supply kit for all older adults and people with disabilities who live independently, as recommended by the Centers for Disease Control and Prevention (CDC)

Advocacy and Policy

I-Team: Advocates say nursing home crisis could be looming

Report by Cheryl Fiandaca of the CBS Boston I-Team, September 15, 2022 Dignity Alliance MA members, Arlene Germain and Paul ...
Read More about Closing Nursing Homes

DignityMA Supports Veto Override to Preserve Special Needs Trusts for Seniors

9/13/22 Dignity Alliance Massachusetts strongly urges the Senate and House of Representatives to override the Governor’s poorly reasoned veto of ...
Read More about 4792 Veto

DignityMA Supports Minimum Staffing Standard

6/10/22 DignityMA response to CMS Request for Information (RFI) to support National Minimum Staffing Standard. Inadequate staffing is the primary ...
Read More about CMS Staffing Standards

DignityMA Outreach

Our first outreach table, at the State Democratic Convention on June 4 in Worcester, was a success. The Votes 2022 ...
Read More about Outreach


Dignity Alliance MA voted to endorse and support the upcoming REV UP conference. REV UP Mass (Register! Educate! Vote! Use ...
Read More about REV UP MA

DignityMA Media Re: White House Proposal

DignityMA members have been busy being published in newspapers across the state, explaining our support for the White House's Proposed ...
Read More about Media

Advocacy Letters for Holyoke Soldiers’ Home

On May 25, 2021, Governor Baker signed legislation authorizing bond financing for the Holyoke Soldiers’ Home providing $400 million for ...
Read More about Soldiers Homes Letters

Support Community Service Budget Items

Action Steps - Contact Mass State Senators and Reps to advocate with the conference committee to support the House version ...
Read more about budget items

Response to RFI Rescue Plan Act

Dignity Alliance Massachusetts’ Response to the Request for Information American Rescue Plan Act Home and Community-Based Community HCBS Initiatives May ...
Read More about Rescue Plan Response

Holyoke Soldiers’ Home bond bill S. 2439

Dear Senators, Dignity Alliance Massachusetts supports the Holyoke Soldiers' Home bond bill S. 2439 as well as adoption of Amendment ...
Read More on Holyoke Bill 2439

Boston Globe on Holyoke’s Soldiers Home

Read two articles from the Boston Globe. The first is by the Globe Editorial Board, Holyoke veterans deserve more than ...
Read More about Globe and Holyoke

FY 2022 Budget Amendment Endorsement 7004-9030 (Alternative Housing Voucher Program)

Dignity Alliance Massachusetts advocates for the adoption of the following amendment affecting Line Item 7004-9030: Alternative Housing Voucher Program, mobile ...
Read More on 7004-9030

FY 2022 Budget Amendment Endorsement: 4120-4000 ( pilot to develop community-based sites for behavioral health services for adults under sixty)

Dignity Alliance Massachusetts advocates for the adoption of the following amendment affecting Line Item 4120-4000 (Massachusetts Rehabilitation Commission): For a ...
Read More on 4120-4000

FY 2022 Budget Amendment Endorsement: 9110-1640 (Executive Office of Elder Affairs – Level funding at $1,000,000 and two new treatment sites.)

Dignity Alliance Massachusetts advocates for the adoption of the following amendment affecting Line Item 9110-1640 (Executive Office of Elder Affairs): ...
Read More on 9110-1640

Policy Statement on Holyoke Soldier’s Home

Dignity Alliance Massachusetts urges the Commonwealth to put aside the current proposal to construct a 235-bed, congregate care facility and, ...
Read More about Holyoke Soldier's Home Policy

Endorsement: Vaccine Equity for POC

Dignity Alliance Massachusetts endorses the petition letter of the Vaccine Equity NOW! Coalition and demand that Governor Baker take immediate ...
Read More about Vaccine POC

Endorsement: Vaccine Equity for PWD

Dignity Alliance Massachusetts has endorsed the following Advocacy to add to listing of disability conditions to qualify for vaccination priority ...
Read More about Vaccine PWD