Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H264

Introduced
2/27/25  

Caption

Relative to supported decision making

Impact

The proposed legislation would significantly impact existing laws regarding guardianship in Massachusetts. Specifically, it would encourage the use of supported decision-making as an alternative to guardianship, offering individuals with disabilities more avenues to maintain control over their affairs. The bill mandates training programs for supporters, ensuring they are well equipped to assist decision-makers responsibly while protecting disabled individuals from possible coercion or neglect. Furthermore, the law would facilitate a process of reporting any suspected abuse, thereby enhancing safeguarding measures for vulnerable adults.

Summary

House Bill H264 aims to amend the General Laws to introduce supported decision-making agreements for adults, particularly those with disabilities. This legislation seeks to enhance the rights of adults to make informed decisions about their own lives while receiving assistance from designated supporters. These agreements will allow a decision-maker to voluntarily enter into arrangements with supporters who will assist in various decisions, ranging from medical care to financial choices, without undermining the individual’s autonomy and self-determination. The bill emphasizes that no undue influence or coercion should be exerted on the decision-maker when formalizing such agreements, thus prioritizing the individual’s rights and personal agency.

Contention

Some points of contention surrounding H264 are likely to arise regarding the efficacy of supported decision-making versus traditional guardianship. Advocates argue that supported decision-making acknowledges and respects the autonomy of adults with disabilities, potentially reducing unnecessary guardianships. However, there may be concerns among critics about the adequacy of support and protections against exploitation and abuse. Ensuring that the supported decision-making process meets the needs of those with significant disabilities will be crucial in fostering trust in this new framework.

Companion Bills

MA H4852

Replaced by Relative to supported decision-making agreements for certain adults

Previously Filed As

MA H4852

Relative to supported decision-making agreements for certain adults

MA H261

Relative to supported decision-making agreements for certain adults

MA H1874

Improving medical decision making

MA S155

Relative to authorizing supported decision-making agreements for certain adults with disabilities

MA HB149

Supported Decision-making Act

MA HB320

Relating To Supported Decision-making Agreements.

MA SB776

Relating To Supported Decision-making Agreements.

MA SB776

Relating To Supported Decision-making Agreements.

MA HB05485

An Act Concerning Supported Decision-making Study.

MA H1692

Improving medical decision making

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