MA H2104

Requires salary allowances for direct care staff and direct support professionals to be set at minimum 75th percentile of Bureau of Labor Statistics wages for comparable positions in Massachusetts

Mandates proportional salary increases for front-line supervisors, directors, clinicians, caseworkers, and case managers tied to direct care worker increases

Excludes executive positions (CEO, CFO, COO, comptroller) from receiving the mandated salary increases

Requires fringe benefit reimbursement formulas to be benchmarked to health or education sector costs, including health insurance, retirement, FMLA, workers' compensation, and government-mandated costs like fingerprinting

Takes effect 180 days after enactment, with an 8-month planning process by the Executive Office of Health and Human Services beginning July 1, 2025