Planning for Incapacity Under Massachusetts Law

Planning for Incapacity Under Massachusetts Law

Life can change quickly, and many of us avoid thinking about what happens if we cannot make decisions for ourselves. Yet under Massachusetts law, planning for incapacity is one of the most important steps in protecting our families and our future. We often meet clients in Gloucester, Rockport, Manchester By The Sea, Beverly, and across Essex County who assume that their spouse or children will automatically have authority to handle medical and financial matters if something happens. Unfortunately, that is not the case under Massachusetts statutes. Without proper planning, the Probate and Family Court may need to appoint a guardian or conservator, a process that is costly, time-consuming, and often stressful for loved ones. By putting the right legal documents in place, we can ensure that our wishes are honored and that the people we trust have the authority they need.

Health Care Proxies Under Massachusetts Law

Massachusetts General Laws c.201D establishes the right to appoint a health care proxy. This document allows us to name an agent to make medical decisions if we lose capacity. Without a proxy, family members may disagree about treatment, and doctors may be uncertain about who has authority to act. The law requires that the proxy be in writing, signed, and witnessed by two adults. By creating this document while we are healthy, we avoid confusion and ensure our values guide future health care choices.

Durable Powers Of Attorney For Financial Decisions

Financial incapacity can cause just as many problems as medical incapacity. Massachusetts General Laws c.190B §5-501 recognizes the durable power of attorney as a legal tool to authorize an agent to handle financial matters. A durable power of attorney continues to be valid even if we become incapacitated. With this in place, someone we trust can pay bills, manage bank accounts, and handle property transactions without court intervention. Without one, loved ones must petition for conservatorship under M.G.L. c.190B §5-401, a process that adds delay and expense.

Guardianship And Conservatorship As A Last Resort

If no planning documents exist, Massachusetts courts must appoint a guardian for personal decisions and a conservator for financial matters. These proceedings are governed by M.G.L. c.190B, Article V. The court may appoint someone we would not have chosen, and the appointee must file reports and accountings with the court. While guardianship and conservatorship can provide protection, they limit personal choice and add oversight. Planning ahead avoids the need for these proceedings in most situations.

Why Early Planning Protects Families

The key to effective incapacity planning is timing. We must act while we still have legal capacity to sign documents. If dementia, illness, or sudden injury strikes first, it may be too late. Families in Gloucester, Rockport, Manchester By The Sea, Beverly, and across Essex County have faced unnecessary court battles simply because a health care proxy or durable power of attorney was never signed. By planning now, we maintain control, reduce family conflict, and provide peace of mind.


Frequently Asked Questions About Planning For Incapacity In Massachusetts

What Is The Difference Between A Health Care Proxy And A Living Will In Massachusetts?
Massachusetts recognizes health care proxies under M.G.L. c.201D, but not living wills. A health care proxy legally authorizes an agent to make medical decisions, while a living will is only an informal statement of preferences. Doctors and hospitals in Massachusetts rely on the health care proxy, making it essential for every adult.

Can My Spouse Automatically Make Medical Decisions If I Am Incapacitated?
No. In Massachusetts, a spouse does not automatically have the right to make health care decisions unless named in a valid proxy. Without one, the Probate and Family Court may need to appoint a guardian. This can cause delays and disputes among family members.

What Happens If I Do Not Have A Durable Power Of Attorney In Massachusetts?
If you become incapacitated without a durable power of attorney, your family must petition for conservatorship under M.G.L. c.190B §5-401. The court will then oversee your financial matters, requiring reports and accountings. This process is expensive and restricts family flexibility.

Can I Name More Than One Person In My Health Care Proxy Or Durable Power Of Attorney?
Massachusetts law permits naming a primary agent and an alternate in both documents. However, naming two agents to serve at the same time can create conflict and delay. Most estate planning attorneys recommend designating one person as primary and another as backup.

When Should I Create A Health Care Proxy And Durable Power Of Attorney?
The best time is now, while you are healthy and capable of making decisions. Waiting until you are seriously ill may make it difficult to prove capacity. Courts may refuse to honor documents executed after incapacity is suspected.

Do I Need To File A Health Care Proxy Or Durable Power Of Attorney With The Court?
No filing is required. These documents are private and should be shared with your chosen agents, doctors, and financial institutions. Unlike guardianship or conservatorship, they do not involve court oversight, which is one reason they are so effective.

How Often Should I Review My Incapacity Planning Documents?
We recommend reviewing every three to five years or after major life changes, such as marriage, divorce, or serious illness. If the people you have named are no longer available or trusted, updating is essential to maintain protection.


Call The Sullivan Firm P.C. For a Free Consultation

At The Sullivan Firm P.C., we help families in Gloucester, Rockport, Manchester By The Sea, Beverly, and throughout Essex County create health care proxies, durable powers of attorney, and related documents to ensure they are protected under Massachusetts law. Planning for incapacity is not only about legal documents—it is about protecting your family from unnecessary stress and ensuring your wishes are honored.

Call us today at 978-325-2721 for a free consultation. Our Gloucester office proudly serves the North Shore, and we are ready to help you create the plan you need to protect yourself and your loved ones.