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Massachusetts Is Changing the Rules for Home Care: Is This a Sign of What’s Coming as the Senior Tsunami Approaches?

If you've followed me for a while, you've heard me talk about what I call the Senior Tsunami —the massive demographic shift taking place as millions of Baby Boomers age and the demand for home care, senior care and aging-in-place services continues to increase. I've also been saying something else: The home care industry we know today will not look the same by 2030. Massachusetts just gave us another example of why Home Care CEOs need to pay attention. Massachusetts Is Creating Statewide Home Care Licensing In August 2026, Massachusetts enacted Chapter 180 of the Acts of 2026, An Act to Improve Massachusetts Home Care , creating a statewide licensing and oversight system for home care agencies. This is significant because Massachusetts has historically been among the relatively small number of states without statewide regulation of home care agencies. In fact, when the Massachusetts Senate advanced the legislation in July, lawmakers specifically described home care as an “u...

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