MA S476

Establishes a 16-member special commission to study and recommend a statewide long-term services and supports benefit program for Massachusetts residents with functional or cognitive limitations

Commission will examine funding mechanisms including potential payroll tax increases through the state disability insurance program, voluntary premium contributions, and mandatory enrollment with opt-out options

Must review the actuarial study conducted by Milliman, Inc. (authorized in Chapter 18 of the Acts of 2024) on public, private, and hybrid long-term care financing models

Commission membership includes state officials (Health and Human Services, Aging and Independence, Public Health, MassHealth), legislators, and representatives from home care, senior care, AARP, SEIU Local 1199, and insurance industry organizations

Report with findings, recommendations, and draft legislation due within one year to the Senate, House, and joint committees on elder affairs and health care financing