The bill proposes amendments to the existing Chapter 12-1.4 of the General Laws, which is concerned with the safety and care of the elderly. The title of the chapter is changed from "Citizens’ Commission for the Safety and Care of the Elderly" to "Commission for the Safety and Care of the Elderly," removing the word "Citizens’." The bill also revises the short title of the chapter and the creation section to reflect this change, establishing the commission within the Office of Healthy Aging instead of the Department of Elderly Affairs. The purpose of the commission is expanded to include acting as a liaison in the area of crime against the elderly, injury and fire safety, and protective service options, as well as outlining suggested responsibilities and facilitating training requirements for older adults, police, and fire advocates.

The membership of the commission is adjusted from twenty-one to twenty-two members, with changes in the appointment process and terms of service. The bill specifies that three older adults will be appointed by the speaker, three by the president of the senate, and one by the governor's office, all for two-year terms. The remaining fifteen members will include various designated officials and up to nine representatives from agencies and organizations working with older adults. The bill also requires local police and fire chiefs to designate representatives to serve as senior safety advocates and mandates the commission to report its findings and recommendations to the general assembly, the governor's office, and the Office of Healthy Aging annually. The act will take effect upon passage.