The proposed bill seeks to enhance the quality, safety, and accessibility of Assisted Living Residences (ALRs) in Massachusetts through a series of regulatory updates and new requirements. Key provisions include establishing minimum staffing expectations, requiring regular staffing reports, and mandating that certified nursing assistants (CNAs) connect to state-supported training programs. The bill also calls for the formation of self-governed resident and family councils, annual listening sessions for feedback, and documentation of staff competency in dementia training. Additionally, it introduces safety measures such as annual inspections by local fire departments and the designation of a Resident Safety Coordinator in each ALR. A significant focus is placed on affordability, with the creation of an ALR Affordability Task Force to address financial barriers faced by lower-income residents.

Moreover, the bill emphasizes transparency and accountability by lowering the ownership disclosure threshold from 25% to 5%, allowing for enhanced consumer protection regulations, and imposing fines of up to $500 per day for non-compliance. It mandates biennial inspections and certification by the Executive Office of Aging & Independence (AGE) to ensure compliance with care standards and includes whistleblower protections for individuals reporting violations. The bill also addresses emergency preparedness by requiring regular drills and the development of resident-specific emergency plans. Overall, these reforms aim to improve the living conditions and safety of residents in ALRs while ensuring that they have access to clear information and support.