Massachusetts
Massachusetts considers regulations for home care agencies caring for elderly – The Boston Globe
In a state where barbers, manicurists, and massage therapists must be licensed, home care agencies providing nonmedical support are subject to shockingly little oversight, despite the profound vulnerability of the people who rely on them.
Massachusetts is one of only four states without a licensing process for private, nonmedical home care agencies, said Harrison Collins, director of legislative affairs for the Home Care Alliance of Massachusetts, an industry group representing about 200 agencies that provide help with the tasks of daily living, including bathing and toileting, household chores, and basic companionship.
“In many respects, it’s easier to open a home care agency than a pizza shop in the Commonwealth,” he wrote in a letter endorsing the legislation.
That may soon change.
Earlier this month, the Massachusetts House passed a bill that would create a licensing requirement and establish standards and oversight for nonmedical home care agencies. The legislation focuses on home care businesses, not individuals who work in the field, such as through the state’s personal care attendant program. It proposes worker background checks, mandatory training on skills including infection control and dementia care, transparency around the services that agencies provide and their costs, and protections for workers.
“The industry is asking for regulation,” said state Representative Thomas Stanley, a Waltham Democrat and sponsor of the bill that passed the House earlier this month. “We want to get higher quality people to take care of our loved ones.”
If passed by the Senate, the legislation would become the latest in a series of health care-related laws to address Massachusetts’ aging population and the shortage of people to care for them, including two that increased oversight for long-term care facilities and hospitals.
Well over 100,000 people work as home health or personal care aides in Massachusetts, according to 2024 data from the Bureau of Labor Statistics, many of them giving extraordinary care that’s both emotionally and physically taxing for modest pay. Their mean annual income nationally was shy of $17 an hour, the bureau reported.
Because of the lack of oversight in Massachusetts, it’s not clear how many people rely on these services. The state runs 24 regional senior services offices that provide home care to 70,000 individuals, but that doesn’t include the many thousands who get care through private agencies. A lack of oversight of those private agencies leaves the door open for unscrupulous or inexperienced operators, and families adrift in their search for competent help at home.
“Right now anybody could roll into town and they could put a shingle out and they could start hiring people and offering home care,” said Paul Lanzikos, a coordinator for the disability advocacy group Dignity Alliance Massachusetts.
Before her illness, which was diagnosed five years ago, Kirsten Hano had a thriving career as an advertising account executive and raised three sons. She started the first girls high school hockey team in Vermont, her husband said, and contributed to an inner-city girls mentoring program.
“She was always giving back,” Doug Hano said.
He works from home most of the time but relies on home care aides to help between 11 a.m. and 3 p.m.
Agency workers’ quality of care varies wildly, Doug Hano said. One worker listened to an online class on her earbuds while helping his wife eat lunch. Another left her staring at a television while the worker stared at her phone.
“If there’s somebody who’s not so great, who’s not so engaging, who doesn’t know how to keep the energy up and stay positive, she can sink into a really tough spot,” Doug Hano said of his wife.
Under the proposed legislation, agencies would need a three-year license through the state Executive Office of Health and Human Services to operate. HHS could inspect and investigate agencies, and would have the power to suspend, revoke, or refuse to renew licenses. Penalties would include a $500 daily fine until the violation is resolved.
Anyone with a 5 percent or greater ownership stake in an agency would have to be identified and provide background information, including criminal and civil findings.
An April letter from the union representing about 60,000 home care workers statewide, SEIU 1199, noted private equity has made inroads in the home care industry.
If passed, the legislation’s requirements for home care agencies would go into effect within a year.
Collins, of the Home Care Alliance, said many agencies already meet the proposed standards. But with virtually no bar to entry, a glut of businesses leaves those that spend the money on training and quality control at a disadvantage.
“They’re being undercut by agencies that skirt the rules,” Collins said. “In the end, it creates subpar care.”
There are as many as 1,500 home care agencies operating in the state, according to Representative Stanley’s office.
The legislation benefits workers, too, said Rebecca Gutman, SEIU 1199’s vice president of home care. Along with protections to ensure fair payroll practices and workers’ compensation and liability insurance, it proposes creating a reporting and tracking system for mistreatment complaints from both clients and workers.
“If there are employers out there consistently harassing the workers that come into their home, there needs to be a process for protecting that worker,” Gutman said.
While the licensing requirements would apply only to agencies, the abuse protections would benefit anyone doing home care work.
This year, Doug Hano found a home care worker whom he ranked as an 11 on a scale of one to 10.
“She knew all the ins and outs of dealing with someone with Alzheimer’s,” he said.
Then, about two months ago, her car failed. She hasn’t been able to get it fixed and is now only available for overnight care when he goes on business trips.
The agency’s replacement is good, he said, but his wife’s condition is declining, and he is concerned he may soon need more hours of daily home care support. If his current care worker isn’t able to fill those hours, he may be forced once again to search for someone he can trust with Kirsten’s wellbeing.
“It seems mind-boggling that Massachusetts, pretty progressive, wouldn’t have something…” he said, “to just make sure that there is more training, there is more vetting, there is more accountability.”
Jason Laughlin can be reached at jason.laughlin@globe.com. Follow him @jasmlaughlin.
A fire broke out Sunday morning in Townsend, Massachusetts.
The Townsend Fire department said shortly before 7 a.m. that firefighters were on scene for a structure fire on Dudley Road.
People have been asked to avoid the area.
The Massachusetts Department of Fire Services said state police fire investigators assigned to the state fire marshal’s office are responding to assist the Townsend Fire Department.
There was no immediate word on any injuries, or any information on what caused the fire. It’s also unclear if the large snow piles in the area impeded access to fire hydrants, as was the case at the house explosion in Taunton last week.
This developing story will be updated when we learn more
Massachusetts
Eight high school takeaways from the midst of the state tournaments, plus a new Attleboro football coach – The Boston Globe
Throw in Newton North winning its first state gymnastics title in 54 years, two Natick runners (and one from Oliver Ames) capturing New England titles, a last-minute goal from St. John’s (Shrewsbury) boys’ hockey to eliminate BC High, and plenty of overtime thrillers, and you get an all-time action-packed day.
Find all the scores here, and take a moment to browse all of our coverage:
Not seeing your team’s highlights in Takeaways? Here are all the ways to submit scores and stats to Globe Schools via phone, email, and social media.
▪ With a deep 3-pointer in the first quarter of Greater New Bedford’s 68-43 win over Springfield International, junior Jai-Ana Silva became the program’s leading scorer, surpassing Stephanie Antoine’s 1,493 points, set in 2012. Silva finished with 31 points and now sits at 1,513. Earlier this season, she became the fourth female 1,000-point scorer in school history.
▪ With 30 points in a 90-68 win over Quincy, Beverly senior Jacob Klass surpassed Peter Wynne’s scoring mark of 1,351, set in 1981. Klass, who reached 1,000 earlier this season, has 1,371.
▪ Concord-Carlisle senior goalie Sam Griswold made 44 saves, including the 1,000th of his career, in a 2-1 win over Woburn.
▪ Hoosac Valley senior Qwanell Bradley joined the 1,000-point club on a 3-pointer during a 78-59 Division 5 first-round win over Pacific Rim Charter.
▪ A pair of Bulldogs reached 100 points in Canton’s 9-0 smackdown of Somerset Berkley. Senior defenseman Teddy Shuman got there with a goal and three assists, and senior center Joey Ryan also reached the mark with three helpers.
▪ Taunton junior Jamie Vallarelli matched the school’s points record, joining Jeff Gallagher (’94) with 139, by notching a goal and adding an assist on the overtime tally that kept the Tigers’ season alive with a 3-2 win over Middleborough.
The single-digit seeds are starting to fall.
Saturday saw the first three top-five seeded teams sent home, with No. 3 St. John’s Prep boys’ hockey getting taken down by No. 14 Arlington Catholic in Division 1 action — the highest seed sent home through the first five days of the tournament.
The highest-ranked team to be bounced from the Division 2 boys’ hockey bracket became No. 5 Woburn. It fell, 2-1, to No. 12 Concord-Carlisle, which got an incredible 44-save performance from senior Sam Griswold and goals from Ben Brooks and Joe Grasso.
Division 3 also saw a top-five falter, as No. 5 Pembroke was clipped by No. 13 Norwood, 3-1, in the second round. John Lynch, Anthony Parise, and Mark Trahon provided the goals.
Not to be left out, Division 4 boys’ hockey also saw a significant upset, with No. 23 Bourne riding Jackson Palmborg’s 26 saves to a 3-2 first-round win over No. 10 Hudson.
On the hardcourt, No. 24 Pembroke boys’ basketball didn’t mind a morning ferry ride to Martha’s Vineyard, taking down the ninth-seeded hosts, 65-50, behind Will Farrell’s 24 points.
▪ Seventh-grader Effie Parsons found the net with 31 seconds left in overtime as No. 2 St. Mary’s girls’ hockey escaped a strong upset attempt from No. 18 Winchester, which led, 2-1, before Alyssa Norden tied it up in the third period.
▪ Reading sophomore Payton Curran not only delivered the equalizer in the final minute of regulation, but provided the overtime winner to lift the Rockets to a 3-2 girls’ hockey win over Waltham.
▪ Nantucket’s Gaven Smith forced overtime against Swampscott with a 3-pointer with nine seconds left in regulation, but the fourth-seeded Big Blue rode 26 points from Connor Chiarello and 25 from Teddy O’Neill to a 67-61 win over the No. 29 Whalers.
▪ No. 25 Bishop Fenwick girls’ hockey nearly upset No. 8 Bishop Stang, which would have eliminated both of last year’s Division 1 finalists, but the Spartans survived, 1-0, on junior Alexis Pettinato’s overtime winner.
▪ Braden LaChance netted the overtime winner for Taunton, which survived Middleborough, 3-2, in the third matchup between the two programs in 12 days. The Tigers won, 4-1, on Feb. 16 at Aleixo Arena before Middleborough prevailed, 4-0, on Feb. 18 at Bridgewater Ice Arena.
▪ Nico Santella scored on a stick-side snipe with 42.2 seconds left to propel St. John’s (Shrewsbury) past BC High, 2-1, in a Division 1 second-round matchup of Catholic Conference rivals.
Cal Atherton, Newburyport — The senior erupted for 31 points, guiding the Clippers to a first-round win over the defending Division 2 champions, Somerset Berkley.
Allen Brown Jr., Holbrook — The senior poured in 32 points, the highest total reported to the Globe on Saturday, to lead the Bulldogs past Boston Prep, 66-45 and into the second round.
Amelia Crowe, Pentucket — Amelia Crowe caught fire from deep, draining eight 3-pointers en route to 27 points and a 40-33 first-round win over Seekonk.
Addy Harrington, Duxbury — The senior produced one of the night’s three hat tricks, scoring thrice in a 4-2 second-round win over Melrose.
Levi McNally, Barnstable — Just a sophomore, he netted a hat trick for the Red Hawks in a 5-2 first-round win over Minnechaug.
Cam Melone, Hanover — The senior went for 5 points, scoring twice and assisting thrice in a 6-1 second-round win over Lynnfield.
Georgia Murray, Bishop Feehan — The junior scored a natural hat trick in the first period and finished with four goals in a 6-2 second-round win over Acton-Boxborough.
Celia Neilson, Bishop Fenwick — The senior captain contributed across the board, providing 23 points, 6 rebounds, 6 assists, and 8 steals for the top-seeded Crusaders in a 58-27 waxing of Wilmington.
Jackie Pohl and Jenna Oman, East Bridgewater — Pohl, a sophomore, and Oman, a junior, were everywhere in a 63-39 first-round win over Bellingham. Pohl finished with 20 points, 7 rebounds, and 8 assists, and Oman had 15 points, 10 rebounds, 4 assists, and 3 steals.
Attleboro High has a new football coach. Lamont Penn, a Bridgewater-Raynham assistant under Eian Bain, will take over the Bombardiers. They went 3-8 last year under Jim Winters, who helmed the program for four seasons, going 14-30.
Penn served as Norwood’s offensive coordinator from 2018-21. He was introduced to the team Friday.
Providence junior Jon Mignacca, a Bishop Feehan graduate from Seekonk, won the Big East high jump championship, clearing 6 feet, 8.25 inches (2.04 meters) to beat out UConn’s Enaji Muhammad (6-7).
▪ UMass Dartmouth sophomore Ancil Alexander, a Taunton graduate, was named Little East Conference Field Athlete of the Year for men’s indoor track after taking second at the LEC Championships in the shot put (51 feet, 3.75 inches). He won the event three times during the season.
▪ UMass Dartmouth freshman Michael Veegh, a Bishop Stang graduate from Tiverton (R.I.), was named Little East Conference men’s indoor track Rookie of the Year. He won the 400 at the LEC Championships (50.54 seconds) and was part of the second-place 4×400 relay (3:28.67). He was also named All-LEC first team.
▪ Keene State junior Tyler Bolaske, a Palmer graduate, was tabbed as the Little East Conference’s male Track Athlete of the Year after leading the Owls to their first indoor championship since 2008. Bolaske won the mile at the LEC Championships in 4:11 and was runner-up in the 800 (1:59.25).
Georgia Murray, Bishop Feehan, 4
Addy Harrington, Duxbury, 3
Levi McNally, Barnstable, 3
Riley Bergeron, Acton-Boxborough, 2
Brayden Boczenowski, Arlington Catholic, 2
Cate Buckler, Barnstable, 2
Abigail Burke, Notre Dame (H), 2
Payton Curran, Reading, 2
Hannah D’Angelo, Pembroke, 2
Luke Dickson, Medfield, 2
Colman Donohue, Hingham, 2
Will Doucette, Canton, 2
Ryan Elrick, Canton, 2
Jack McCourt, Catholic Memorial, 2
Cam McKenna, Hingham, 2
Cam Melone, Hanover, 2
Joe Pumphret, Winthrop, 2
Nolan Russell, Arlington, 2
Sabrina Stone, Milton, 2
Ella Sullivan, Pembroke, 2
Connor Hines, Hanover, 3
Cam Melone, Hanover, 3
Joe Ryan, Canton, 3
Teddy Shuman, Canton, 3
Abigail Burke, Notre Dame (H), 2
Kellen Labanara, Canton, 2
Hunter McClain, Bourne, 2
Sam Griswold, Concord-Carlisle, 44
Stephen Camara, Arlington Catholic, 33
Jackson Palmborg, Bourne, 26
Jaxson Fleming, Catholic Memorial, 24
Jim Lyman, Winthrop, 22
Colin McCarthy, St. John’s Shrewsbury, 21
Lydia Barnes, Methuen/Tewksbury, 18
Dom Conte, BC High, 18
John Snider, Arlington, 15
Vivienne Melo, Bishop Stang, 14
8. Basketball leaderboard
Allen Brown, Holbrook, 32
Cal Atherton, Newburyport, 31
Jacob Klass, Beverly, 30
Elian Rodriguez, Salem, 30
Mike Berry, Cape Cod Academy, 28
Elian Rodriguez, Salem, 28
Tyler Staiti, Abington, 28
Amelia Crowe, Pentucket, 27
Jag Garces, West Bridgewater, 27
Connor Chiarello, Swampscott, 26
Sysy Emmanuel, St. Mary’s, 26
Dom Taylor, Somerset Berkley, 26
Michael Cimetti, Hull, 25
Grant Neal, Lynnfield, 25
Teddy O’Neill, Swampscott, 25
Will Farrell, Pembroke, 24
Logan Volkringer, Plymouth South, 24
Celia Neilson, Bishop Fenwick, 23
Julian Allison-Cardoso, Dedham, 22
Mateo Jackson, Bridgewater-Raynham, 22
Tori White, Canton, 22
Tori Adams, Walpole, 21
Liam Conneely, Hull, 20
Jackie Pohl, East Bridgewater, 20
Kingston Maxwell, Abington, 15
Krem Amparo, Latin Academy, 14
Mateo Jackson, Bridgewater-Raynham, 14
Bella Bingham, Walpole, 13
Sadie Hartley-Matteson, Old Rochester, 13
Devyn Walsh, Pentucket, 13
A’laya Colbert, North Quincy, 12
Zade Garron Ciberay, Plymouth South, 12
Mike Ekweanya, New Mission, 11
Chase Groothuis, Swampscott, 11
Teddy O’Neill, Swampscott, 11
Brooke Connor, Canton, 10
Jenna Oman, East Bridgewater, 10
Hannah Thorell, Old Rochester, 10
Jackie Pohl, East Bridgewater, 8
Kingston Maxwell, Abington, 7
Jacob Klass, Beverly, 6
Celia Neilson, Bishop Fenwick, 6
Luke Tirrell, Bridgewater-Raynham, 6
Sydney Bosma, Old Rochester, 5
Cason Faulk, Bridgewater-Raynham, 5
Manny Valentino, New Mission, 5
Grace Goudreau, Seekonk, 4
Sadie Hartley-Matteson, Old Rochester, 4
Celia Neilson, Bishop Fenwick, 8
Emma Farrell, East Bridgewater, 6
Connor Chiarello, Swampscott, 5
Sienna Miranda, Seekonk, 4
Brooke Connor, Canton, 3
Zade Garron Ciberay, Plymouth South, 3
Brendan Kurie can be reached at brendan.kurie@globe.com. Follow him on X @BrendanKurie.
National Grid is reporting that roughly 20,000 customers are without power due to outages in the Winthrop and Revere areas.
The utility company’s live outages map shows that 10,753 customers are without power in the Revere area and 9,261 customers are without power in the Winthrop area as of 2:25 p.m. Saturday.
The Herald has reached out to National Grid for comment. The Herald has also reached out to Eversource for information regarding any outages in their service regions, where a Herald photographer has seen some outages. Eversource’s outage map did not display any major outages at 2:25 p.m.
This is a developing story.
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