F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 1013 2026 A bill to be entitled An act relating to homenurse healthregistries; services;
requiring each nurse registry to providedisplay a specified disclosuredisclaimer toin clientsa atclear certainand times;conspicuous manner on its website and all advertising and marketing materials;
authorizing the Agency for Health Care Administration to adopt rules;
prohibiting a nurse registry from using certain terms in specified materials;
requiring a nurse registry to use a specified phrase and provide a specified disclaimer in specified materials and display its state license number in all marketing and advertising;
requiring each nurse registry to file a current fee schedule with the agency and provide the schedule to patients before initiating services;
providing requirements for the fee schedule;
authorizing the agency to impose administrative sanctions under certain circumstances;
amending s.
400.509, F.S.;
providing that registered companion and homemaker service providers are subject to initial and periodic inspections by the Agency for Health Care Administration for certain purposes;
providing requirements for such inspections;
requiring companion and homemaker service providers to provide standardized written disclosures to clients under certain circumstances;
providing requirements for the disclosures;
requiring the agency to establish Page 1 of 8 CODING:
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hb1013-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1013 2026 standard disclosure templates and acknowledgment forms;
prohibiting companion and homemaker service providers from using specified terms in specified materials;
requiring companion and homemaker service providers to use a specified phrase and provide a specified disclaimer in specified materials and display its state registration number in all marketing and advertising;
requiring companion and homemaker service providers to maintain certain records for each client and report to the agency any adverse incidents or complaints;
requiring the agency to establish procedures for investigating complaints;
authorizing the agency to conduct unannounced visits and impose certain fines under certain circumstances;
amending s.
408.803, F.S.;
removing nurse registries from the definition of the term "low-risk provider";
amending s.
817.505, F.S.;
prohibiting nurse registries from receiving a commission or fee under certain circumstances;
8 Be It Enacted by the Legislature of the State of Florida:
SubsectionsSubsection (21) andis (22) are added to section 400.506, Florida Statutes, to read:
Pagepenalties.— 2(21) Each nurse registry must display, in a clear and conspicuous manner on the homepage of 8its CODING:website and on the face of all digital or print marketing and advertising materials, the following disclaimer:
Words"All strickencaregivers referred by this nurse registry are deletions;independent contractors of the client, not employees of either the nurse registry or the client." Section 2.
words underlined are additions.
hb1013-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1013 2026 penalties.— (21)(a) Each nurse registry shall provide standardized written disclosures to clients at intake and annually thereafter.
The disclosures must:
1.
Be presented in at least 14-point bold type.
2.
Include a signed acknowledgment of receipt by the client or the client's representative;
and 3.
Contain the following information:
a.
A statement that caregivers referred by the nurse registry are independent contractors and not employees of the nurse registry.
b.
The nurse registry's insurance status, including the type and amount of liability coverage carried.
c.
Contact information for filing complaints, including the state hotline and applicable professional licensing boards.
d.
A clear explanation of the risks associated with patient transport or the operation of lifting equipment, along with documentation of the client's consent or declination for such activities.
(b) The agency shall adopt rules to implement this subsection, including standard disclosure templates and acknowledgment forms.
(22)(a) A nurse registry may not use the terms "home health," "home healthcare," or "agency" in any business name, advertising, website, or promotional materials.
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hb1013-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1013 2026 (b) Each nurse registry must include the phrase "nurse registry" in its licensed business name and display its state license number prominently in all marketing and advertising, including digital platforms.
(c) Each nurse registry must display, in a clear and conspicuous manner on its website and in all digital or print marketing materials, the following disclaimer:
84 "All caregivers referred by this nurse registry are independent contractors, not employees.
By law, the registry has no authority to supervise, manage, or train caregivers and assumes no responsibility for their actions or the services they provide." 90 (d) Each nurse registry shall file a current fee schedule with the agency and provide the schedule to clients before initiating services.
The fee schedule must clearly disclose all costs and charges in a manner understandable to the general public.
(e) The agency may impose administrative sanctions for failure to comply with this subsection.
Section 2.
Subsections (6) and (7) of section 400.509, Florida Statutes, are renumbered as subsections (11) and (12), respectively, and new subsections (6) through (10) are added to that section, to read:
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hb1013-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1013 2026 400.509 Registration of particular service providers exempt from licensure;
certificate of registration;
regulation of registrants.— (6)(a) A registered companion or homemaker service provider is subject to initial and periodic inspections by the agency to determine compliance with applicable general laws and rules.
(b) The agency shall adopt rules establishing the frequency and scope of such inspections, which must occur at least once every 36 months.
(c) Inspections must include, but are not limited to, review of service records, client disclosures, background screening documentation, and compliance with marketing standards.
(7)(a) A registered companion or homemaker service provider must provide standardized written disclosures to clients upon initiation of services and annually thereafter.
(b) The disclosures must:
1.
Be presented in at least 14-point bold type;
2.
Include a signed acknowledgment of receipt by the client or the client's representative;
and 3.
Contain all of the following information:
a.
A statement that services are limited to nonmedical, non–hands-on care.
b.
The provider's insurance coverage status, including Page 5 of 8 CODING:
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hb1013-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1013 2026 type and amount of liability coverage.
c.
Instructions for filing complaints, including the state hotline number.
d.
An explanation of the provider's scope and limitations, including the prohibition against personal care or medical services.
e.
A disclosure of whether caregivers are employees or independent contractors.
(c) The agency shall adopt rules establishing standard disclosure templates and acknowledgment forms.
(8)(a) A companion or homemaker service provider may not use the terms "home health," "home healthcare," "nursing," "nurse registry," or "agency" in any business name, advertising, website, or promotional materials.
(b) A companion or homemaker service provider must include the phrase "companion and homemaker services" in its licensed business name and display its state registration number prominently in all marketing and advertising, including digital platforms.
(c) A companion or homemaker service provider must display, in a clear and conspicuous manner on its website and in all digital or print marketing materials, the following disclaimer:
"This business provides companion and homemaker Page 6 of 8 CODING:
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hb1013-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1013 2026 services only.
Services do not include personal care or any hands-on health care.
By law, companion and homemaker service providers may not assist with activities requiring a health care license or certification." (d) The agency shall adopt rules to implement this subsection.
(9)(a) Companion and homemaker service providers must maintain accurate, chronological service records for each client, including caregiver assignments, incident reports, and acknowledgment of required disclosures.
(b) Providers shall document and report to the agency any adverse incidents or complaints as required by rule.
(c) The agency shall adopt rules to implement this subsection.
(10)(a) The agency shall establish procedures for investigating complaints against companion and homemaker service providers and may conduct unannounced inspections.
(b) The agency may impose administrative fines or other sanctions for violations of this subsection or rules adopted thereunder.
Section 3.
Subsection (10) of section 408.803, Florida Statutes, is amended to read:
408.803 Definitions.—As used in this part, the term:
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hb1013-00 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HB 1013 2026 (10) "Low-risk provider" means a nonresidential provider, including a nurse registry, a home medical equipment provider, or a health care clinic.
Section 4.
Paragraph (h) of subsection (3) of section 817.505, Florida Statutes, is amended to read:
817.505 Patient brokering prohibited;
exceptions;
penalties.— (3) This section shall not apply to the following payment practices:
(h) Commissions or fees paid to a nurse registry licensed under s.
400.506 for referring persons providing health care services to clients of the nurse registry.
Section 5.
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