SESSION WATCH
Died SENATE · SESSION 2026

No. SB 1438

Agency for Health Care Administration
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SPONSOR
Harrell
FILED BY
Gayle Harrell — District 31, Republican [search donations]
EFFECTIVE
7/1/2026
DIED IN
Health Policy

Filed under Healthcare.

PROVIDED SUMMARY

Agency for Health Care Administration; Requiring the Agency for Health Care Administration to require certain background screening for certain persons; providing eligibility requirements for admission to a medically complex children’s home; providing for the denial, suspension, and revocation of a license; requiring the agency, by a specified date, to review and determine eligibility for specified criminal history checks, etc.

Full bill text →

Plain English Summary

AI-GENERATED
Creates a new licensed home for medically fragile children.

A new licensed category, the medically complex children's home, lets small residential homes care for up to six children who depend on medical equipment or procedures to survive, as an alternative to hospitals or institutions.

Only children moving from an in-state hospital or facility, or from a parent or guardian whose primary residence is in Florida, may be admitted; homes are not meant to serve out-of-state families.

Homes must have licensed nursing staff on site at all times, an automatic fire sprinkler system, a permanent generator, and background-screened staff, with unannounced inspections during the first licensing period.

An existing group home already sharing ownership with a nursing agency, therapy clinic, and medical-equipment supplier can skip full initial review if it already holds a valid license. Violations bring fines up to $1,000 per incident.

KEY PROVISIONS
§ 1 Creates a licensed home for medically fragile children majors. 400.9992

AIA new type of state-licensed home may care for up to six children who depend on medical equipment or procedures to survive, run by someone unrelated to the children by blood, marriage, or adoption, as an alternative to institutional care.

“provide residential services for up to six children who are medically dependent or technologically dependent upon medical equipment or procedures” bill text, line 67 →
§ 2 Admission limited to children with Florida-based families majors. 400.9996

AIA child may be admitted only from a higher level of care at an in-state facility, or from the home of a parent or guardian whose primary residence is in Florida, closing the door to out-of-state placements.

“from the home of a parent or guardian whose primary residence is in this state” bill text, line 235 →
§ 3 Vertically integrated group homes get a fast licensure path majors. 400.9993

AIAn existing chapter 393 group home serving medically complex children is treated as already meeting initial licensure if, as of June 30, 2026, it holds a license in good standing and shares ownership with a nursing agency, a pediatric extended care center, a home medical equipment provider, and a therapy clinic.

“is deemed to satisfy the requirements for initial licensure under this part if the home meets each of the following criteria” bill text, line 89 →
§ 4 Licensed nursing staff required on site around the clock majors. 400.9995

AIMinimum standards must require a medically complex children's home to keep licensed nursing staff on duty in the home at all times, alongside sanitary conditions, staffing tied to residents' ages and needs, and a homelike environment.

“must have licensed nursing staff on duty in the home at all times” bill text, line 187 →
§ 5 Repeated violations can force homes to stop admitting children majors. 400.9994

AIIf a provisional licensee still has uncorrected violations after two inspections, the agency may not extend its provisional license further, and the licensee may not admit any new children until it completes a plan to safely discharge current residents.

“the licensee may not admit any new children for medically complex children's home services” bill text, line 150 →
§ 6 AHCA takes over more background checks starting in 2028 majors. 435.12

AIStarting in mid-2028, or later if the agency chooses, the Agency for Health Care Administration must also review and clear criminal history checks submitted through the statewide screening clearinghouse for other specified agencies, beyond the Department of Education checks it already handles.

“the agency shall review and determine eligibility for all criminal history checks submitted to the clearinghouse for specified agencies” bill text, line 350 →
§ 7 Fixed fine schedule set for licensing violations moderates. 400.9998

AIViolations are classified by severity, with fines ranging from $100 to $200 for the least serious class up to $500, $750, or $1,000 depending on how widespread a Class I violation is found to be.

“impose an administrative fine of $500 for an isolated violation, $750 for a patterned violation, or $1,000 for a widespread violation” bill text, line 302 →
§ 8 Homes gain guaranteed in-person visitation rights for residents moderates. 408.823

AIBy adding medically complex children's homes to the list of facility types covered by the state's in-person visitation statute, residents and their families gain the same visitation protections given to nursing home and assisted living facility residents.

“medically complex children's homes licensed under part XII of chapter 400” bill text, line 391 →
TIMELINE
3/13/2026
Died in Health Policy
1/22/2026
Introduced
1/16/2026
Referred to Health Policy; Appropriations Committee on Health and...
1/8/2026
Filed
STATUTES IT CHANGES
s. 400.9991
+0 / −0
s. 400.9998
+0 / −0
s. 400.9991
+148 / −0
s. 400.9992
+92 / −0
s. 400.9993
+293 / −0
s. 400.9994
+469 / −0