The bill amends sections of the General Laws related to the licensing of healthcare facilities, introducing new definitions and clarifying existing ones. It defines terms such as "Affiliate," "Alzheimer’s dementia special-care unit or program," "Change in operator," "Change in owner," "Certified nurse-teacher," "Clinician," "Director," "Freestanding emergency-care facility," and "Healthcare facility," among others. The bill broadens the definition of "Healthcare facility" to include a variety of providers and institutions, while exempting certain entities like professional service corporations and individual practitioners' offices, except for hospital-affiliated offices. It also exempts providers of free hospice care from licensing provisions, provided they meet certain standards.

Additionally, the bill specifies new requirements for the management and ownership of nursing homes, including the responsibilities of entities with substantial management control and the information required for licensure or ownership change applications. It mandates the disclosure of various documents and information in the event of significant ownership changes and requires transparency in ownership by detailing who must file ownership information. The bill also expands the categories of individuals and entities whose financial interests in the facility must be disclosed. The Department of Health is required to make all received documents and information public upon request. The act is set to take effect immediately upon passage, emphasizing the urgency of the new disclosure and transparency requirements.