On April 14, 2025, the Massachusetts Joint Committee on Elder Affairs convened to address pressing issues affecting the state's aging population, with a particular focus on home health care and support for the LGBTQIA+ community. The meeting highlighted significant trends in home health care ownership and the ongoing efforts to enhance services for older adults.

A key discussion point was the increasing prevalence of private equity ownership in home health care agencies. A commissioner from the Health Policy Commission revealed that a substantial portion of these agencies—approximately three dozen—are now owned by private equity firms. This trend raises concerns about the quality and accessibility of care, especially as the demand for home health services continues to grow. The committee acknowledged the challenges posed by hospital backlogs, which further complicate access to necessary care for seniors.

Lisa Krinsky, director of the LGBTQIA+ Aging Project at Fenway Health, testified in support of legislation aimed at strengthening the commission on LGBTQ aging. Massachusetts was the first state to establish such a commission in 2014, which has since made significant strides in advocating for LGBTQ cultural competency in aging services and the development of LGBTQ-friendly housing. Krinsky emphasized the need for adequate funding to implement the commission's 2025 strategic plan, particularly in light of increasing federal restrictions targeting the LGBTQ community.

John Sneath, CEO of Tribute Home Care, provided insights into the home care market, advocating for a balanced approach to potential licensure regulations. He stressed the importance of maintaining competition among agencies to ensure high-quality services. Sneath cautioned against creating barriers that could disproportionately affect smaller agencies, which often provide more personalized care. He also highlighted the necessity for existing providers to have a significant role in shaping any new regulations.

The meeting concluded with Susan Ankoviak from the Alzheimer's Association advocating for legislation aimed at improving home care for individuals living with Alzheimer's disease. With over 135,000 residents affected, the need for enhanced support services is critical.

Overall, the discussions underscored the Massachusetts government's commitment to addressing the diverse needs of its aging population, while also navigating the complexities introduced by market dynamics and social equity considerations. The committee's next steps will likely involve further deliberation on proposed legislation and continued engagement with stakeholders in the home health care sector.