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Massachusetts considers regulations for home care agencies caring for elderly – The Boston Globe

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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.

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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.

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“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.

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“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.

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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.

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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.

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“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.





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Winter storm brings more than 6 inches of snow to parts of Massachusetts

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Winter storm brings more than 6 inches of snow to parts of Massachusetts



As the sun set and the temperatures dropped with it Tuesday night, the snow that fell in Central Massachusetts felt more like frozen pellets falling from the sky. 

Snowblowers hummed in Leominster as the city received about half a foot of snow, some of the most during this storm. Scott Single was clearing out his driveway before it got colder. “I am trying to get it up before the ice starts coming down and starts icing everything over,” said Single. “It’s New England weather; nice one day and then it’s crappy the next.” 

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“Roads are very slippery”

Route 2 turned more snow covered the farther west you drove. What started as a cold rain in Boston turned into heavy snow by the time drivers reached Fitchburg. It sent some cars off the shoulder of the road while snowplows made their rounds. 

Primary and secondary roads were in pretty good shape by the end of the night, but neighborhood streets remained snow covered and slick. 

Fitchburg ended up with more six inches of snow. The city was one of several communities that canceled school on Tuesday. 

The slushy roads in Groton kept plow drivers like Scott Mattheson busy. “The roads are very slippery,” Mattheson said Tuesday afternoon. “The snow today so far has been sticking together, making it easy to plow.” 

Nicole Palmer works at a family medical office which decided to close early because of the storm. Fortunately, she has a short commute. “We closed early, yeah we tried to call as many patients as we could,” she said. 

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Katie Linehan is the basketball coach at Littleton High School. They canceled practice on Tuesday afternoon. “I definitely think it was a smart move to cancel, although we love to have practice, but the rain that has kind of turned to ice is making the roads a little bit slippery underneath the snow,” Linehan said. 

By Tuesday at 10 p.m. virtually no power outages were reported. Fitchburg remained under a snow emergency until Wednesday at 8 a.m.



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‘People have a right to know’: Flood disclosures poised to step into legislative limelight next year  – CommonWealth Beacon

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‘People have a right to know’: Flood disclosures poised to step into legislative limelight next year  – CommonWealth Beacon


DENISE KRESS HAS been living for 35 years with the Belle Isle Marsh as her backyard. 

But as more severe storms hit over the past decade, her life has been consumed by the marsh in ways other than its natural beauty: thinking about water, preparing for its encroachment, laying down bags of sand, living through flooding, and recovering from its wreckage. It’s meant two totaled cars and five repaired or replaced electrical and heating systems, and weeks spent in a hotel in the winter of 2018 after flood waters breached her basement twice in two months and then froze so that you’d need a “pick axe” to navigate it. 

Through all this, she’s stayed. 

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But Kress occasionally ponders what it will look like, when the day comes, to sell her house just over the Boston border in Winthrop, given all the flooding the property has endured.  

“I can’t worry about it because there’s little that I can do about it,” Kress said when asked if she’s concerned that disclosing her home’s flooding history could impact its value. “But I would want the next owner to know. People have a right to know.” 

She’s quick to add, though, that even if she had known all the flood damages and insurance price hikes that would come in her 35 years in Winthrop, she may not have changed a thing anyway: “If I had to do it all over again, I probably would,” said Kress, who finds comfort in the vast marsh that drew her to the property originally. 

Such are the complications facing Massachusetts, a high-cost coastal state seeing some of the fastest-warming ocean temperatures in the world and increasing rates of precipitation that are exposing its aging stormwater drainage systems, dams, and culverts.  

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Gov. Maura Healey aims to direct a new influx of cash to address those very issues through her nearly $3 billion environmental bond bill, which includes $308 million to upgrade high-risk dams and flood control systems and nearly $100 million for coastal initiatives like seawalls, jetties, and beach nourishments. But as flooding touches more Massachusetts households, she’s also proposing a new requirement to steer people out of harm’s way in the first place: mandating flood risk disclosure when property owners sell. 

Massachusetts is one of just 14 states in the nation and one of just three located along the coast (Virginia and Georgia are the others) not to require flood disclosures, which are meant to arm prospective homebuyers with knowledge of a property’s past flooding history. Healey’s proposal comes as state leaders push to build more homes to ease high prices, including a goal to construct 220,000 more units by 2035 and a major zoning overhaul designed to increase housing around MBTA rail stops.  

“The flood disclosure provision is about consumer protection,” Katherine Antos, the state’s undersecretary for decarbonization and resilience, said in an interview. “Oftentimes, what families pay for their housing, whether they’re making one of the largest financial decisions of buying a home, or if they’re renting, this is a significant portion of their expenses. Making sure that they have available information about flood risk is key to helping them make informed decisions, including ways that they can keep themselves and their property safe.” 

Healey’s bill will now need action in the Legislature, and it arrived there earlier this year with broad support from the business community to the insurance industry to municipalities.  

But there’s one stakeholder key to the state’s efforts to address both a dire shortage in homes and a growing need to shore up current and future housing stock against flood risk that is keeping mum on the disclosure push: the real estate industry.  

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Theresa Hatton, CEO of the Massachusetts Association of Realtors, said that she’s neutral on the proposed flood disclosure requirement. But she cautioned that moving ahead with the policy would upend Massachusetts’s structure as a “buyer beware” state — meaning the burden falls mostly on the buyer to proactively investigate issues with the home. 

“Flooding will affect the price of a home in terms of the insurance that you’ll have to pay,” she said. “In some cases, a buyer may decide, ‘This is not the home for me. I’d rather put this money into my mortgage as opposed to flood insurance.’ And others might say, ‘This is the most beautiful piece of property I’ve ever seen. I’m willing to take the risk and invest in flood insurance.’ To each their own — the more information, the better-informed decision you can make. But this is a systematic change that I don’t believe is the biggest priority to tackle at the moment. Let’s get some more housing built first.”  

Daryl Fairweather, chief economist of real estate firm Redfin, told CommonWealth Beacon that she supports mandatory flood disclosures — but acknowledged that “there are people who disagree with me in the real estate industry.” 

“If the seller is aware of flood risk and the buyer is not, then that gives an advantage to the seller during the negotiation process,” Fairweather said. “It’s better for there to be more even footing between seller and buyer. And on a more macro level, anything that helps homebuyers make better economic decisions, the more it will help the economy overall. Otherwise, we could have a situation where homebuyers are not at all aware of the risks, they go buying homes with high risk unwittingly, and then they end up needing bailouts from the government or insurance companies.” 

Supporters of Healey’s proposal in Massachusetts recognize the real estate industry could play a pivotal role in whether the state is able to enact a flood disclosure requirement. Norman Abbott, senior government affairs specialist at the Metropolitan Area Planning Council, said the sector is “an influential group” and that “this may be an issue where we ultimately don’t see eye to eye.” 

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Sen. Rebecca Rausch, a Democrat who co-chairs the Joint Committee on Environment and Natural Resources, declined to say in an interview whether she’s concerned that the real estate industry could serve as a roadblock to the flood disclosure provision. 

But she added that “flood risk is only going to increase” — and with that risk comes a potential financial reckoning for property owners.  

“So whether [owners are] required to talk about it or not, the value is going to be impacted,” Rausch said.  

Joel Scata, a senior attorney at the Natural Resources Defense Council who leads the group’s flood disclosure scorecard project, said real estate agents in other “buyer beware” states have opposed flood disclosure requirements because of a “misconstrued fear that this is going to hamper the real estate industry even though many other states have strong disclosure laws and still have strong real estate markets.” 

Luck might play a role, too.  

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David Melly, a senior policy director at the Environmental League of Massachusetts, said that Massachusetts has avoided the flood disclosure conversation in recent years in part because it has largely been spared from devastating and headline grabbing major hurricanes with statewide impacts. New Jersey and New York, for instance, enacted flood disclosure laws in 2023 in the wake of hurricanes Sandy and Ida that battered those coastlines, flooded subway systems, and knocked out power for a large swath of people for an extended period of time.  

Still, between dramatic coastal erosion along bluffs and beaches in the state and crushing inland flooding in communities like Leominster in recent years, Healey’s bond bill would strengthen stormwater management systems and establish a revolving fund to implement upgrades to roads, bridges, dams, and salt marsh restoration projects. 

The flood disclosure requirement in particular is one that Carole McCauley wishes had already been in place when she sold her flood-prone Salem home a decade ago. 

McCauley, a single mother who used to work in the state’s Office of Coastal Zone Management and is now at Mass Audubon, would often park her car up the street on safer ground because the drains in front of her house would regularly overflow, with water spreading out over the road and bubbling up the sidewalk and onto her front steps. She became accustomed to watching the tide charts daily. 

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But everything changed when a microburst of intense rain woke her up one morning in October 2011. She ran downstairs to find that three feet of water had poured into her basement, despite three sump pumps, and later learned she had lost a water heater and had her car totaled from the storm. 

When McCauley found out a few years later that her mortgage lender was going to require her to purchase flood insurance, McCauley decided it was time to move. 

But she didn’t disclose the flooding history to the next owner. 

“I felt like a real jerk,” McCauley said. “I remember having a conversation with the realtor, and he’s like, ‘Are you going to disclose?’ He just looked at me, like, ‘I’m your agent, and this is your money. What do you want me to do?’ They’re not making us do it. Hold your nose, and off you go.” 

The experience changed her thinking on flooding, climate change, and even capitalism. 

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“This is not even just about convincing people that science is real and here’s something science is telling us,” McCauley said. “Now we’re telling people that their retirement, their future, their savings is at risk if their property values are impacted. But it is a very painful step in the right direction to require the mandatory disclosures. It’s not going to convince some people – some people can afford the loss, and some people just don’t believe it. But if they don’t believe it, it’s only because they have never lived through what it’s like to have all your family photos gone because they’re soaked in mud.” 

The proposed flood disclosure requirement isn’t necessarily just to benefit buyers, either.

Fairweather, Redfin’s chief economist, said if sellers knew their flood history would be disclosed, they could be nudged into taking additional steps to help mitigate against any damage such disclosures could do to their property value by investing in new gutters, for instance, or redoing their landscaping to navigate water away from the home. 

Now, Healey’s flood disclosure proposal will barrel forward into next year and stands to offer an early glimpse into the policy jockeying to come over how Massachusetts handles its growing flood problem.  

“Choosing not to disclose isn’t necessarily the answer, because it’s almost like a perverse game of musical chairs,” said Scata, the senior attorney at the Natural Resources Defense Council. “Eventually, someone’s going to be left holding that property that’s untenable because it floods so often.” 

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This <a target=”_blank” href=”https://commonwealthbeacon.org/environment/people-have-a-right-to-know-flood-disclosures-poised-to-step-into-legislative-limelight-next-year/”>article</a> first appeared on <a target=”_blank” href=”https://commonwealthbeacon.org”>CommonWealth Beacon</a> and is republished here under a <a target=”_blank” href=”https://creativecommons.org/licenses/by-nd/4.0/”>Creative Commons Attribution-NoDerivatives 4.0 International License</a>.<img src=”https://i0.wp.com/commonwealthbeacon.org/wp-content/uploads/2023/08/cropped-Icon_Red-1.png?resize=150%2C150&amp;ssl=1″ style=”width:1em;height:1em;margin-left:10px;”>

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Massachusetts exec busted for allegedly cheating the IRS, getting paid under the table

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Massachusetts exec busted for allegedly cheating the IRS, getting paid under the table


A former local exec is accused of cheating the IRS by getting paid more than $1.6 million in compensation and fringe benefits under the table.

Marlboro man Stephen Hochberg, 77 — who was an accounting and real estate executive in Sudbury — was recently charged by the feds. He has agreed to plead guilty to perpetrating the multi-year scheme.

Hochberg, who was previously convicted of wire fraud and securities fraud, is also accused of lying to the U.S. Attorney’s Office about his income to avoid paying restitution he owed to victims of the earlier fraud scheme.

According to the feds, Hochberg and his business partner Charles Katz agreed as early as 2014 to cheat the IRS.

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They allegedly agreed that Hochberg — who was the director of corporate services at Katz’s accounting firm and the COO at Katz’s real estate firm — would be paid significant compensation off the books so that Hochberg would have tax-free income.

Also, this scheme would mean that Katz’s firms – CD Katz LLC and Gebsco Realty Corporation – would have lower employment taxes.

Over time, Katz allegedly paid Hochberg’s family, provided rent-free housing to Hochberg’s ex-wife, paid college tuition for his children, and paid personal expenses that Hochberg and his ex-wife charged on corporate credit cards.

Katz allegedly paid Hochberg at least $1,668,487 in unreported income, and avoided taxes of at least $835,105.

In 2008, Hochberg was convicted of eight counts of wire fraud and nine counts of securities fraud. He was sentenced to more than five years in federal prison, and he was ordered to pay almost $1.8 million to his victims.

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In addition to his and Katz’s scheme, he allegedly lied to the U.S. Attorney’s Office about his income from Katz’s firms and obstructed the collection of restitution he owed victims.



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