A critical discussion on the growing influence of private equity in Massachusetts' home care industry took center stage during the Joint Committee on Elder Affairs meeting on April 14, 2025. Advocates emphasized the urgent need for enhanced state oversight to protect quality care and community-based services as private equity investments surge.

Tim Foley, representing a union of thousands of workers, highlighted alarming trends in the home care sector. He noted that nearly three dozen home care providers in Massachusetts have been acquired by profit-driven private equity firms over the past decade. This trend, he warned, poses a significant threat to the quality of care and could push out local competitors, as these firms prioritize profit over patient welfare.

Foley urged lawmakers to pass legislation that would impose stricter regulations on these financial transactions, stating, "Passage of this legislation is urgently needed to better scrutinize this rapid growth of private equity and home care." He underscored the growing demand for home care services due to an aging population, making it imperative for the state to act swiftly to safeguard consumers, workers, and families.

The meeting also touched on the potential for similar legislation to address the hospice sector, as concerns about private equity's encroachment extend beyond home care. Senator Jalen expressed interest in filing a bill to tackle this issue, recognizing the need for comprehensive oversight across all areas of elder care.

As the meeting concluded, lawmakers and advocates alike acknowledged the importance of collaboration in crafting effective legislation that balances the needs of the community with the realities of a changing healthcare landscape. The call for action is clear: Massachusetts must act now to ensure that the growing home care market remains focused on quality and accessibility for all.