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Massachusetts legalizes supported decision-making agreements as an alternative to adult guardianship

Original title: An Act relative to authorizing supported decision-making agreements for certain adults with disabilities

Last action · October 16, 2025: Bill reported favorably by committee and referred to the committee on Senate Ways and MeansSponsors: Joan Lovely and 20 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Massachusetts establishes a legal framework for agreements, allowing adults with disabilities to appoint supporters to help them make life decisions without losing their autonomy. The measure requires schools to inform students with disabilities and their families about these agreements during transition planning at age sixteen and mandates state agencies to create training and oversight programs.

Why it matters

Provides adults with disabilities and school-age students an alternative legal mechanism to , allowing them to retain decision-making authority while receiving assistance from designated supporters to access records and communicate choices.

Background
  • Supported decision-making is recognized across various jurisdictions as a tool that enables individuals with disabilities to retain their civil rights and make their own choices with the assistance of trusted advisors. context
  • Adult guardianship historically served as the primary legal mechanism for managing the affairs of incapacitated individuals, often resulting in the complete removal of personal decision-making rights. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Adults with disabilities

Adults with disabilities gain the legal option to execute supported decision-making agreements to assist with life decisions as an alternative to guardianship.

Directly affected

Supporters

Supporters are bound by statutory duties to respect preferences, maintain confidentiality, act in good faith, and avoid conflicts of interest while assisting decision-makers.

Directly affected

School districts

School districts must inform students and families about supported decision-making at IEP meetings starting at age 16 and provide training materials.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Can a supporter make legal or medical decisions on behalf of the decision-maker?
No. Supporters are strictly prohibited from making decisions for or on behalf of the decision-maker and cannot sign documents for them.
What is the maximum duration of a supported decision-making agreement?
A agreement has a maximum term of three years unless it is extended in writing by agreement of the decision-maker and supporters, or terminated earlier.
At what age must schools inform students about supported decision-making?
School districts must inform students and their families at the first meeting after the student turns 16 years old.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

4 actions
  1. Oct 16, 2025SenateCommittee
    Bill reported favorably by committee and referred to the committee on Senate Ways and Means
  2. Aug 27, 2025Joint
    Hearing scheduled for 09/09/2025 from 1:00 PM-5:00 PM in B-2
  3. Feb 27, 2025House
    House concurred
  4. Feb 27, 2025SenateCommittee
    Referred to the committee on Children, Families and Persons with Disabilities

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift98% confidence

Codification of Alternative to Guardianship

The bill formally integrates supported decision-making into probate law (Chapter 190B) and school transition planning (Chapter 71B), marking a shift toward less restrictive autonomy supports.

Connected Entities

Executive Office of Health and Human Services, Massachusetts Health and Hospital Association, Department of Elementary and Secondary Education and 19 more
OrganizationExecutive Office of Health and Human Services“Required to establish training programs and promulgate regulations”Map →
OrganizationMassachusetts Health and Hospital Association“Consulted on training development”Map →
OrganizationDepartment of Elementary and Secondary Education“Must promulgate regulations requiring school districts to inform students of sup”Map →
PersonJohn Keenan“Co-sponsor of the bill”Map →
OrganizationExecutive Office of Elder Affairs“Participates in training and consultation”Map →
OrganizationMassachusetts Bankers Association“Consulted on training development”Map →
PersonAlyson Sullivan-Almeida“Co-sponsor of the bill”Map →
PersonJoan Lovely“Primary sponsor of Senate Bill No. 155”Map →
OrganizationDepartment of Higher Education“Consulted on school district transitional planning regulations”Map →
OrganizationMassachusetts Medical Society“Consulted on training development”Map →
PersonMike Barrett“Co-sponsor of the decision”Map →
PersonJo Comerford“Co-sponsor of the bill”Map →
OrganizationDepartment of Mental Health“Participates in training and consultation”Map →
PersonJim Hawkins“Co-sponsor of the bill”Map →
PersonBruce Tarr“Co-sponsor of the bill”Map →
OrganizationDisabled Persons Protection Commission“Receives reports of abuse, neglect, or exploitation and may petition the court”Map →
PersonJamie Eldridge“Co-sponsor of the bill”Map →
PersonPatrick O'Connor“Co-sponsor of the bill”Map →
PersonManny Cruz“Co-sponsor of the bill”Map →
OrganizationDepartment of Developmental Services“Participates in training and consultation”Map →
OrganizationDisability Law Center“Consulted on training development”Map →
PersonSean Garballey“Co-sponsor of the bill”Map →

Sources

Open source document

malegislature.gov

Analysis Score

0–100
  • Significance85
    How much this matters to a regular citizen
  • Controversy15
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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