This bill allows spouses to serve as paid caregivers under the MassHealth program, overriding any existing laws that may prohibit this arrangement. The implementation of this provision is contingent upon the authorization of the home and community-based service waiver from the United States Secretary of Health and Human Services, in accordance with Section 1915(c) of the federal Social Security Act.

The bill aims to enhance the flexibility of caregiving options available to families, recognizing the important role that spouses can play in providing care. By enabling spouses to be compensated for their caregiving services, the legislation seeks to support families in managing health care needs more effectively.