SESSION WATCH
Died SENATE · SESSION 2026

No. SB 788

Health Care
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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

Health Care; Authorizing the Agency for Health Care Administration to authorize certain agencies and organizations to access, use, and run reports in a specified database for certain purposes; authorizing assisted living facilities to retain certain licenses under certain circumstances; requiring referral agencies for assisted living facilities to disclose specified information to a consumer; providing requirements for contracts entered into between a referral agency and an assisted living facility; creating the Assisted Living Task Force adjunct to the agency for specified purposes, etc.

Full bill text →

Plain English Summary

AI-GENERATED
Removes the requirement to report serious incidents within one business day.

Assisted living facilities no longer must alert the state within one business day of a serious incident like a resident's death or brain injury; the only deadline left is a full report within 15 days.

A new 'referral agency' industry is regulated for the first time: agencies steering consumers to assisted living facilities must disclose fees and conflicts, and facilities that pay them are shielded from discipline over it.

Facilities can now keep a specialty license through renewal even with no qualifying residents, get a 30-day grace period on late renewals, and have an ownership change wipe their public violation history clean.

Trained, unlicensed facility staff, not just nurses, may now dial doses and attach needles on prefilled insulin pens for residents, once a nurse or pharmacist confirms they are competent to do it.

KEY PROVISIONS
§ 1 Eliminates the 1-business-day preliminary report for serious incidents majors. 429.23(3)

AIFacilities currently must alert the agency within one business day of an adverse incident such as a death, brain damage, or fracture. That fast-alert duty is deleted outright; only the slower 15-day full report requirement remains.

“shall provide within 1 business day after the occurrence of an adverse incident, through the agency's online portal” bill text, line 432 →
§ 2 Creates first-time rules for assisted living referral agencies majors. 429.212(2)

AIBusinesses that refer consumers to assisted living facilities for a fee must give consumers a disclosure statement covering fees and contracts, and may not refer to a facility they have a financial stake in, hold a consumer's power of attorney, or knowingly refer to an unlicensed facility.

“Refer a consumer to an assisted living facility in which the referral agency has an ownership, management, or financial interest” bill text, line 367 →
§ 3 Shields facilities that pay referral fees from discipline majors. 429.212(5)(b)

AIA facility that pays a referral agency in a manner compliant with the new section cannot be disciplined for that payment, even if some other law would otherwise treat the arrangement as grounds for action.

“compensation paid to a referral agency which is in compliance with this section is not grounds for disciplinary action” bill text, line 397 →
§ 4 Lets unlicensed staff handle prefilled insulin pens majors. 429.256(4)(b)

AIAssistance with self-administration of medication, a task unlicensed but trained facility staff may perform, is expanded to cover dialing a prefilled insulin pen's dose and attaching a new needle to it, tasks previously excluded as injection-route administration.

“except for the attachment of a new needle to an insulin pen prefilled by the manufacturer” bill text, line 475 →
§ 5 Narrows what counts as a reportable 'adverse incident' moderates. 429.23(2)(a)

AIAn adverse incident is redefined as one over which facility personnel actually had real power to act, not merely one they hypothetically 'could' have controlled, tightening the standard for which events trigger mandatory reporting.

“possess the capacity, authority, or realistic ability to exercise control”
§ 6 Lets a change of ownership erase public violation history moderates. 429.55(1)(b)

AIThe public disclosure of a facility's violations over the past 60 months now stops applying once the facility changes ownership, as long as the old and new owners don't share a controlling interest.

“until such a time as a change of ownership occurs, provided that the former and new ownership do not share” bill text, line 620 →
§ 7 Lets a facility keep a specialty license without qualifying residents moderates. 429.07(3)

AIA facility licensed for extended congregate care, limited nursing, or limited mental health services can hold onto that license through its next renewal even if it currently has no residents using those services, so long as staffing lapses are reported.

“An assisted living facility may retain such license until licensure renewal, regardless of whether the facility currently has residents using such services” bill text, line 97 →
§ 8 Adds a 30-day grace period for late license renewals moderates. 429.17(2)

AIA renewal application submitted up to 30 days after a license expires must still be accepted for review if it explains the delay, though the agency may still charge late fees.

“If an application for renewal is submitted within 30 days after the expiration date of the license, the application must be accepted for review” bill text, line 308 →
TIMELINE
3/13/2026
Died in Health Policy
1/13/2026
Introduced
12/16/2025
Referred to Health Policy; Appropriations Committee on Health and...
12/8/2025
Filed
STATUTES IT CHANGES
s. 408.821
+41 / −1
s. 408.822
+26 / −0
s. 429.07
+69 / −21
s. 429.17
+47 / −0
s. 429.212
+731 / −0
s. 429.23
+35 / −180