SB 1156 — Home Health Aide for Medically Fragile Children Program
Last action — Chapter No. 2025-171
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced February 25, 2025. Enacted.
Signed by Governor Ron DeSantis (Republican) on June 23, 2025.
Odds of enactment
High chanceBased on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.
Upgrade to see the exact probability and what's driving it.
A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
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Enacted
Current position in the legislative process.
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4 sponsors
3 primary, 1 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (1 R · 1 D) — cross-party backing.
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Cleared a recorded vote
Passed 5 recorded votes so far.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
Summary
Home Health Aide for Medically Fragile Children Program; Providing requirements for the annual assessment of the home health aide for medically fragile children program; revising the utilization cap of a Medicaid fee schedule; requiring a home health aide for medically fragile children who works more than 40 hours per week to provide specified justification; requiring the agency to seek federal approval and implement federal waivers and state plan amendments for specified purposes, etc.
Bill Text
What changed in the latest version
218 added · 214 removed218 line(s) added, 214 removed.
Florida Senate - 2025 CS for CS for SB 1156 By the CommitteesCommittee on FiscalHealth Policy;
and HealthSenator Policy;Harrell 588-03192-25 20251156c1 A bill to be entitled An act relating to the home health aide for medically fragile children program;
and Senator Harrell 594-03846-25 20251156c2 A bill to be entitled An act relating to the home health aide for medically fragile children program;
requiring an employing home health agency to provide specified training and ensure that each home health aide for medically fragile children holds and maintains specified certification;
providingrequiring requirements for the Agency for Health Care Administration to seek federal approvalapproval, andincluding a federal waiverwaiver, for specified purposes;
requiring the agency to seek federal approvalapproval, andincluding implementa federal waiverswaiver andor state plan amendmentsamendment, for specified purposes;
providing construction;
providing a directive to the agency to carry out certain tasks within a specified timeframe;
400.54 Annual assessment of the home health aide for medically fragile children program.— Page(1) 1The agency shall conduct an annual assessment of 7the CODING:home health aide for medically fragile children program.
The Page 1 of 8 CODING:
Florida Senate - 2025 CS for CS for SB 1156 594-03846-25588-03192-25 20251156c220251156c1 (1)assessment Themust agencyreport shallcaregiver conductsatisfaction anwith annualthe assessmentprogram, ofreport data on adverse incidents, identify additional support that may be needed by the home health aide for medically fragile children, and assess the rate and extent of hospitalization of children program.in home health services who are attended by a home health aide for medically fragile children compared to those in home health services provided by a registered nurse or a licensed practical nurse without a home health aide for medically fragile children.
The assessment must report caregiver satisfaction with the program, report data on adverse incidents, and identify additional support that may be needed by the home health aide for medically fragile children, and assess the rate and extent of hospitalization of children in home health services who are attended by a home health aide for medically fragile children compared to those in home health services provided by a registered nurse or a licensed practical nurse without a home health aide for medically fragile children.
(2) The home health agency mustshall report all adverse incidents occurring under the care of a home health aide for medically fragile children to the agency and managed care plan within 48 hours ofafter the incident.
For purposes of reporting to the agency under this section,subsection, the term “adverse incident” means:means any of the following:
(f) An event that is reported to law enforcement or its personnel for investigation.
By January 1 of each year, beginning January 1, 2025, the agency Pageshall 2report its findings to the Governor, the President of 7the CODING:Senate, and the Speaker of the House of Representatives.
Section 2.
Present paragraphs (a) and (b) of subsection (3) Page 2 of 8 CODING:
Florida Senate - 2025 CS for CS for SB 1156 594-03846-25588-03192-25 20251156c220251156c1 shallof reportsection its400.4765, findingsFlorida Statutes, are redesignated as paragraphs (b) and (c), respectively, a new paragraph (a) is added to thethat Governor,subsection, thesubsection President(10) ofis theadded Senate,to that section, and thepresent Speakerparagraph (a) of thesubsection House(3) and subsection (9) of Representatives.that section are amended, to read:
Section400.4765 2.Home health aide for medically fragile children program.— (3) TRAINING.— (a) Before providing services to an eligible relative, a home health aide for medically fragile children must complete an approved training program.
ParagraphThe (a)employing ofhome subsectionhealth (3)agency andmust subsectionprovide (9)validation of sectioncompetency 400.4765,by Floridaa Statutes,registered arenurse amended, and subsectionmaintain (10)documentation isof addedtraining tocompletion thatand section,competency tovalidation. read:
400.4765The Homeemploying home health aideagency formust medicallyprovide fragileadditional childrentraining program.—and (3)competency TRAINING.—validation (a)as Beforethe providingmedically servicesfragile tochild’s ancare eligibleneeds relative,change aand homeconsistent healthwith aideany forchanges medicallyto fragilethe childrenplan mustof completecare. an agency-approved training program.
The employing home health agency must provide validation of competency by a registered nurse, and maintain documentation of training completion and competency validation.
The employing home health agency must provide additional training and competency validation as the medically fragile child’s care needs change, consistent with any changes to the plan of care.
The employing home health agency must provide training on HIV infections and AIDS and must ensure that each home health aide for medically fragile children holds and maintains a certification in cardiopulmonary resuscitation.
The trainingprogram programsshall programinclude must includeconsist supervisedof practicalat Pageleast 385 hours of 7training, CODING:including, but not be limited to, all of the following:
1.
A minimum of 20 40 hours of theoretical instruction in Page 3 of 8 CODING:
Florida Senate - 2025 CS for CS for SB 1156 594-03846-25588-03192-25 20251156c220251156c1 trainingnursing, underincluding, thebut directnot supervisionlimited ofto, ainstruction licensedon registeredall nurseof which must be tailored to the needsfollowing: of an eligible relative.
consist of at least 85 hours of training, including, but not limited to, all of the following:
1.
A minimum of 40 hours of theoretical instruction in nursing, including, but not limited to, instruction on all of the following:
Up to A minimum of 20 hours of skills training on basic nursing skills,skills tailored to the child’s care needs as specified in the ordering provider’s plan of care and individualized care needs, which may include training on the following topics, as applicable, including, but not limited to:
Pagef. 4 of 7 CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2025 CS for CS for SB 1156 594-03846-25 20251156c2 f.
Portable Oxygen use and safety and other respiratory procedures.Page 4 of 8 CODING:
Words stricken are deletions;
words underlined are additions.
Show all 61 changed lines (21 more)
Florida Senate - 2025 CS for SB 1156 588-03192-25 20251156c1 procedures.
Urinary catheterization and care and ostomy care.
Up to At least 16 hours of clinical training related to the specific needs of the eligible relative under direct supervision of a licensed registered nurse.
(9)5. FEE SCHEDULE.—The agency shall modify any state Medicaid plans and implement any federal waivers necessary to implement this section and shall establish a Medicaid fee schedule for home health agencies employing a home health aide for medically fragile children at minimum rate of $25 per hour with a utilization cap of no more than 12 8 hours per day and 40 hours per week, per medically fragile child.
Obtaining and maintaining a current certificate in cardiopulmonary resuscitation.
(9) FEE SCHEDULE.—The agency shall modify any state Medicaid plans and implement any federal waivers necessary to implement this section and shall establish a Medicaid fee schedule for home health agencies employing a home health aide for medically fragile children at a minimum rate of $25 per hour with a utilization cap of no more than 12 8 hours per day and 40 hours per week, per medically fragile child.
(10) FEDERAL APPROVAL.—TheAPPROVAL.—Within 30 days after the effective date of this act, the agency shall seek necessary federal approval, including seeking the appropriate federal waiver, to:
(a) Allow Medicaid private duty nursing specialty providers and home health services providers to participate in and receive Page 5 of 78 CODING:
Florida Senate - 2025 CS for CS for SB 1156 594-03846-25588-03192-25 20251156c220251156c1 and home health services providers to participate in and receive reimbursement for services rendered under this program.
(b) Provide that the income earned under this program by a home health aide for medically fragile children is disregarded in Medicaid eligibility determinations.considerations for public assistance as defined in s.
414.0252.
Paragraph (c) of subsection (1) of section 409.903,Page Florida6 Statutes,of is8 amendedCODING: to read:
409.903 Mandatory payments for eligible persons.—The agency Page 6 of 7 CODING:
Florida Senate - 2025 CS for CS for SB 1156 594-03846-25588-03192-25 20251156c220251156c1 shall409.903, makeFlorida paymentsStatutes, foris medicalamended assistance and related services on behalf of the following persons who the department, or the Social Security Administration by contract with the Department of Children and Families, determines to beread: eligible, subject to the income, assets, and categorical eligibility tests set forth in federal and state law.
409.903 Mandatory payments for eligible persons.—The agency shall make payments for medical assistance and related services on behalf of the following persons who the department, or the Social Security Administration by contract with the Department of Children and Families, determines to be eligible, subject to the income, assets, and categorical eligibility tests set forth in federal and state law.
Within 60 days after this act becomes a law, the Agency for Health Care Administration shall make all necessary requests and submissions to obtain federal approval to implement the amendment made by this act amendingto s.
409.903, Florida Statutes, and initiate any necessary rulemaking to implement the provisionsamendment ofPage this7 actof amending8 s.CODING:
Words stricken are deletions;
words underlined are additions.
Florida Senate - 2025 CS for SB 1156 588-03192-25 20251156c1 made by this act to s.
Page 78 of 78 CODING:
Show all 61 changed rows (21 more)
View plain text versions (5)
- S 1156 c1 View text pdf
- S 1156 c2 View text pdf
- S 1156 e1 View text pdf
- S 1156 er View text Current pdf
- Introduced S 1156 Filed pdf
Action History
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Chapter No. 2025-171
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Approved by Governor
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Signed by Officers and presented to Governor
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Ordered enrolled
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CS passed; YEAS 113, NAYS 0
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Read 3rd time
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Added to Third Reading Calendar
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Placed on 3rd reading
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Read 2nd time
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1st Reading (Engrossed 1)
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Bill added to Special Order Calendar (4/30/2025)
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Bill referred to House Calendar
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In Messages
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CS passed as amended; YEAS 37 NAYS 0
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Read 3rd time
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Amendment(s) adopted (347492)
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Read 2nd time
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CS/CS by Fiscal Policy read 1st time
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Placed on Special Order Calendar, 04/29/25
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Placed on Calendar, on 2nd reading
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Pending reference review -under Rule 4.7(2) - (Committee Substitute)
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CS/CS by- Fiscal Policy; YEAS 18 NAYS 0
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On Committee agenda-- Fiscal Policy, 04/22/25, 11:00 am, 412 Knott Building
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Now in Fiscal Policy
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Favorable by Appropriations Committee on Health and Human Services; YEAS 8 NAYS 0
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On Committee agenda-- Appropriations Committee on Health and Human Services, 04/10/25, 8:30 am, 412 Knott Building
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CS by Health Policy read 1st time
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Now in Appropriations Committee on Health and Human Services
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Pending reference review under Rule 4.7(2) - (Committee Substitute)
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CS by Health Policy; YEAS 10 NAYS 0
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On Committee agenda-- Health Policy, 04/01/25, 1:30 pm, 412 Knott Building
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Introduced
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Referred to Health Policy; Appropriations Committee on Health and Human Services; Fiscal Policy
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Filed
Sponsors
- Barbara Sharief · Cosponsor
- Gayle Harrell · Primary
- Health Policy · Primary
- Fiscal Policy · Primary
Sponsorship breakdown
Export CSV (upgrade) →3 sponsors · 1 co-sponsors · 160 not signed on
Sponsors (3)
- Harrell, Gayle Republican
- Health Policy
- Fiscal Policy
Co-sponsors (1)
- Sharief, Barbara Democrat
Not signed on (160)
160 members have not signed on to this bill.
Show all 160 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Republican | 78 | 0 | 0 | 3 |
| Democrat | 30 | 0 | 0 | 3 |
| Unaffiliated | 5 | 0 | 0 | 0 |
| Total | 113 | 0 | 0 | 6 |
| % of votes cast | 95% | 0% | 0% | 5% |
How each member voted (119)
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 10 | 0 | 0 | 0 |
| Republican | 24 | 0 | 0 | 1 |
| Unaffiliated | 2 | 0 | 0 | 0 |
| No Party Affiliation | 1 | 0 | 0 | 0 |
| Total | 37 | 0 | 0 | 1 |
| % of votes cast | 97% | 0% | 0% | 3% |
How each member voted (38)
| Member | Party | Vote |
|---|---|---|
| Ingoglia | — | Yea |
| Collins | — | Yea |
| Arrington, Kristen Aston | Democrat | Yea |
| Berman, Lori | Democrat | Yea |
| Bernard, Mack | Democrat | Yea |
| Davis, Tracie | Democrat | Yea |
| Jones, Shevrin D. "Shev" | Democrat | Yea |
| Osgood, Rosalind | Democrat | Yea |
| Polsky, Tina Scott | Democrat | Yea |
| Rouson, Darryl Ervin | Democrat | Yea |
| Sharief, Barbara | Democrat | Yea |
| Smith, Carlos Guillermo | Democrat | Yea |
| Pizzo, Jason W. B. | No Party Affiliation | Yea |
| Albritton, Ben | Republican | Yea |
| Boyd, Jim | Republican | Yea |
| Bradley, Jennifer | Republican | Yea |
| Brodeur, Jason | Republican | Yea |
| Burgess, Danny | Republican | Yea |
| Burton, Colleen | Republican | Yea |
| Calatayud, Alexis | Republican | Yea |
| DiCeglie, Nick | Republican | Yea |
| Gaetz, Don | Republican | Yea |
| Garcia, Ileana | Republican | Yea |
| Grall, Erin | Republican | Yea |
| Gruters, Joe | Republican | Yea |
| Harrell, Gayle | Republican | Yea |
| Hooper, Ed | Republican | Yea |
| Leek, Thomas J. "Tom" | Republican | Yea |
| Martin, Jonathan | Republican | Yea |
| McClain, Stan | Republican | Yea |
| Passidomo, Kathleen | Republican | Yea |
| Rodriguez, Ana Maria | Republican | Yea |
| Simon, Corey | Republican | Yea |
| Truenow, Keith L. | Republican | Yea |
| Trumbull, Jay | Republican | Not Voting |
| Vacant | Republican | Yea |
| Wright, Tom A. | Republican | Yea |
| Yarborough, Clay | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 5 | 0 | 0 | 0 |
| Republican | 12 | 0 | 0 | 1 |
| Unaffiliated | 1 | 0 | 0 | 0 |
| Total | 18 | 0 | 0 | 1 |
| % of votes cast | 95% | 0% | 0% | 5% |
How each member voted (19)
| Member | Party | Vote |
|---|---|---|
| Ingoglia | — | Yea |
| Arrington, Kristen Aston | Democrat | Yea |
| Bernard, Mack | Democrat | Yea |
| Davis, Tracie | Democrat | Yea |
| Jones, Shevrin D. "Shev" | Democrat | Yea |
| Osgood, Rosalind | Democrat | Yea |
| Boyd, Jim | Republican | Yea |
| Bradley, Jennifer | Republican | Yea |
| Burton, Colleen | Republican | Yea |
| Calatayud, Alexis | Republican | Yea |
| Gaetz, Don | Republican | Yea |
| Gruters, Joe | Republican | Yea |
| Leek, Thomas J. "Tom" | Republican | Yea |
| Passidomo, Kathleen | Republican | Yea |
| Rodriguez, Ana Maria | Republican | Yea |
| Simon, Corey | Republican | Yea |
| Truenow, Keith L. | Republican | Yea |
| Vacant | Republican | Yea |
| Yarborough, Clay | Republican | Not Voting |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 2 | 0 | 0 | 1 |
| Republican | 6 | 0 | 0 | 1 |
| Total | 8 | 0 | 0 | 2 |
| % of votes cast | 80% | 0% | 0% | 20% |
How each member voted (10)
| Member | Party | Vote |
|---|---|---|
| Berman, Lori | Democrat | Yea |
| Davis, Tracie | Democrat | Not Voting |
| Rouson, Darryl Ervin | Democrat | Yea |
| Brodeur, Jason | Republican | Yea |
| Burton, Colleen | Republican | Yea |
| Garcia, Ileana | Republican | Not Voting |
| Gruters, Joe | Republican | Yea |
| Harrell, Gayle | Republican | Yea |
| Rodriguez, Ana Maria | Republican | Yea |
| Trumbull, Jay | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 3 | 0 | 0 | 0 |
| Republican | 7 | 0 | 0 | 0 |
| Total | 10 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (10)
| Member | Party | Vote |
|---|---|---|
| Berman, Lori | Democrat | Yea |
| Davis, Tracie | Democrat | Yea |
| Osgood, Rosalind | Democrat | Yea |
| Burton, Colleen | Republican | Yea |
| Calatayud, Alexis | Republican | Yea |
| Gaetz, Don | Republican | Yea |
| Harrell, Gayle | Republican | Yea |
| Leek, Thomas J. "Tom" | Republican | Yea |
| Passidomo, Kathleen | Republican | Yea |
| Trumbull, Jay | Republican | Yea |
Subjects
Frequently asked questions
- What does SB 1156 do?
- Home Health Aide for Medically Fragile Children Program; Providing requirements for the annual assessment of the home health aide for medically fragile children program; revising the utilization cap of a Medicaid fee schedule; requiring a home health aide for medically fragile children who works more than 40 hours per week to provide specified justification; requiring the agency to seek federal approval and implement federal waivers and state plan amendments for specified purposes, etc.
- Who sponsors SB 1156?
- SB 1156 is sponsored by Sharief, Barbara (Democrat), Harrell, Gayle (Republican), Health Policy, and Fiscal Policy.
- What is the current status of SB 1156?
- This bill has been enacted into law. Introduced February 25, 2025. Enacted.
- Where can I track SB 1156?
- Track SB 1156 free on One Click Politics — get push/email alerts when it moves.
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