The Baker-Polito Administration has begun implementing its second round of comprehensive nursing home reforms to keep older adults safe, improve the standards of care and infection control, and respond to the ongoing COVID-19 pandemic. As part of the Accountability and Supports Package 2.0 announced in September, the first phase includes $82 million in restructured Medicaid rates and immediate steps to eliminate 3 and 4 bed rooms in nursing homes. In addition, the state released updated surveillance testing guidance for nursing homes and rest homes and announced new funding for assisted living residences (ALRs) to support surveillance testing. The Administration also announced strengthened flu vaccine requirements for staff at nursing homes, rest homes, ALRs, adult day health programs, and dialysis units to protect vulnerable residents and providers.