The Legislative Mental Health Caucus of Massachusetts was the first state Mental Health Caucus in the country. Kay founded the group in 1999 to gather legislators dedicated to improving the care and treatment of Massachusetts residents with mental illnesses. The caucus supports policies that aid people with mental illness; educates legislators about mental health issues; works with the Department of Mental Health and other governmental entities to identify problems in the delivery of mental health services and ways to resolve them; and advocates for the allocation of resources for people with mental illness.
In past legislative sessions, more than eighty legislators from both the House and the Senate were members of the Caucus, the first of its kind in the country. In 2007, The Friends Voices of Rehabilitation and Recovery, recognized the Caucus with its Legislative Award.