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MA H4852

Bill

Status

Introduced

12/29/2025

Primary Sponsor

Joint Committee on Children, Families and Persons with Disabilities

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Origin

House of Representatives

194th General Court

AI Summary

  • Establishes a legal framework for supported decision-making agreements, allowing adults with disabilities to designate one or more supporters to help them make life decisions about housing, medical care, finances, and employment without surrendering decision-making authority to a guardian

  • Requires the Executive Office of Health and Human Services to create a training program on supported decision-making within 6 months of passage, with input from agencies including the Department of Developmental Services, Department of Mental Health, and disability advocacy organizations

  • Mandates that IEP teams inform students and families about the Office of Adult Guardianship and Conservatorship Oversight at the first IEP meeting after a student turns 16, and requires guardianship petitions to address why a supported decision-making agreement would not suffice

  • Establishes safeguards including: supporters must be 18+, cannot have abuse allegations against them, cannot make decisions for the decision-maker or sign documents on their behalf, must avoid conflicts of interest, and agreements are limited to 3-year terms requiring notarized signatures

  • Creates a special legislative commission ("Authorization Documents Commission") to study expanding or creating online registries for supported decision-making agreements, with findings due by June 1, 2027

Legislative Description

Relative to supported decision-making agreements for certain adults

Last Action

Reported favorably by committee and referred to the Joint Committee on Health Care Financing

12/29/2025

Committee Referrals

Health Care Financing12/29/2025

Full Bill Text

No bill text available