Florida 2025 Regular Session Status: In Committee Bipartisan · 8 R · 1 D cosponsors

HB 1529 — Home Health Aide for Medically Fragile Children Program

Last action — Laid on Table, companion bill(s) passed, see CS/CS/SB 1156 (Ch. 2025-171)

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2025 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there are no live odds of enactment. It would have to be reintroduced in the current session to move again.

Summary

Home Health Aide for Medically Fragile Children Program ; Provides requirements for annual assessment of home health aide for medically fragile children program; revises program training requirements; requires employing home health agency to provide specified training & ensure each home health aide for medically fragile children holds & maintains specified certification; revises utilization cap of Medicaid fee schedule; requires home health aide for medically fragile children who works more than 40 hours per week to provide specified justification; provides requirements for AHCA to seek federal approval & federal waiver for specified purposes; requires agency to seek federal approval & implement federal waivers & state plan amendments for specified purposes.

Bill Text

What changed in the latest version

215 added · 216 removed

215 line(s) added, 216 removed.

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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 CS/CS/HB 1529 2025 A bill to be entitled An act relating to the home health aide for medically fragile children program;
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 CS/HB 1529 2025 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 each home health aide for medically fragile children holds and maintains specified certification;
Page 1 of 9 CODING:
Section 1.
Section 400.54, Florida Statutes, is amended to read:
400.54 Annual assessment of the home health aide for medically fragile children program.— Page 1 of 9 CODING:
hb1529-02-c2 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 CS/CS/HB 1529 2025 Section 1.
hb1529-01-c1 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 CS/HB 1529 2025 (1) The agency shall conduct an annual assessment of the home health aide for medically fragile children program.
Section 400.54, Florida Statutes, is amended to read:
400.54 Annual assessment of the home health aide for medically fragile children program.— (1) The agency shall conduct an annual assessment of the home health aide for medically fragile children program.
(c) Permanent disfigurement.
(d) Fracture or dislocation of bones or joints.
(e) A limitation of neurological, physical, or sensory function.
hb1529-02-c2 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 CS/CS/HB 1529 2025 (c) Permanent disfigurement.
hb1529-01-c1 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 CS/HB 1529 2025 (f) An event that is reported to law enforcement or its personnel for investigation.
(d) Fracture or dislocation of bones or joints.
(e) A limitation of neurological, physical, or sensory function.
(f) An event that is reported to law enforcement or its personnel for investigation.
400.4765 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 agency-approved training program.
400.4765 Home health aide for medically fragile children program.— (3) TRAINING.— (a) Before proving services to an eligible relative, a home health aide for medically fragile children must complete an approved training program.
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 additional training and competency validation as the medically fragile child's care needs change and consistent with any changes to the plan of care.
The employing home health agency Page 3 of 9 CODING:
Words stricken are deletions;
words underlined are additions.
hb1529-02-c2 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 CS/CS/HB 1529 2025 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.
483.151-483.154 and 484.80 to train family caregivers as home health aides for medically fragile children to increase the health care provider workforce and to authorize persons to provide trained nursing services as delegated by a registered nurse to eligible relatives.
483.151-483.154 and 484.80 to Page 3 of 9 CODING:
The training programs program must include supervised practical training under the direct supervision of a licensed registered nurse which must be tailored to the needs of an eligible relative.
Words stricken are deletions;
consist of at least 85 hours of training, including, but not limited to, all of the following:
words underlined are additions.
hb1529-01-c1 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 CS/HB 1529 2025 train family caregivers as home health aides for medically fragile children to increase the health care provider workforce and to authorize persons to provide trained nursing services as delegated by a registered nurse to eligible relatives.
The program shall include must consist of at least 85 hours of training, including, but not be limited to, all of the following:
A minimum of 40 hours of theoretical instruction in nursing, including, but not limited to, instruction on all of the following:
A minimum of 20 40 hours of theoretical instruction in nursing, including, but not limited to, instruction on all of the following:
Page 4 of 9 CODING:
g.
Words stricken are deletions;
words underlined are additions.
hb1529-02-c2 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 CS/CS/HB 1529 2025 g.
Such instruction must be offered in various formats, and any interactive instruction must be provided during various times of the day.
98 Such instruction must be offered in various formats, and any interactive instruction must be provided during various times of the day.
2.
Page 4 of 9 CODING:
A minimum of 20 hours of skills training on basic nursing skills, including, but not limited to:
Words stricken are deletions;
words underlined are additions.
hb1529-01-c1 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 CS/HB 1529 2025 2.
Up to A minimum of 20 hours of skills training on basic nursing 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:
Urinary catheterization and ostomy care.
Urinary catheterization and care and ostomy care.
At least 16 hours of clinical training under direct Page 5 of 9 CODING:
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.
Words stricken are deletions;
Show all 61 changed rows (21 more)
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words underlined are additions.
hb1529-02-c2 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 CS/CS/HB 1529 2025 supervision of a licensed registered nurse.
Page 5 of 9 CODING:
Words stricken are deletions;
words underlined are additions.
hb1529-01-c1 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 CS/HB 1529 2025 5.
Obtain and maintain a current certificate in cardiopulmonary resuscitation.
(10) FEDERAL APPROVAL.—The agency shall seek necessary federal approval, including seeking the appropriate federal waiver, to:
(10) FEDERAL APPROVAL.—Within 30 days after the effective date of this act, the agency shall seek federal approval, including seeking the appropriate federal waiver, to:
(b) Provide that the income earned under this program by a home health aide for medically fragile children is disregarded in Medicaid eligibility determinations.
(b) Provide that the income earned under this program by a home health aide for medically fragile children is disregarded in eligibility considerations for public assistance as defined in s.
Page 6 of 9 CODING:
414.0252.
Section 3.
Subsection (18) of section 400.462, Florida Page 6 of 9 CODING:
hb1529-02-c2 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 CS/CS/HB 1529 2025 Section 3.
hb1529-01-c1 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 CS/HB 1529 2025 Statutes, is amended to read:
Subsection (18) of section 400.462, Florida Statutes, is amended to read:
409.903 Mandatory payments for eligible persons.—The Page 7 of 9 CODING:
409.903 Mandatory payments for eligible persons.—The agency shall make payments for medical assistance and related Page 7 of 9 CODING:
hb1529-02-c2 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 CS/CS/HB 1529 2025 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.
hb1529-01-c1 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 CS/HB 1529 2025 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 law, the Agency for Health Care Administration shall make all necessary requests and submissions to obtain federal approval to implement Page 8 of 9 CODING:
Within 60 days after this act becomes law, the Agency for Health Care Administration shall make all necessary requests and submissions to obtain federal approval to implement this act amending s.
409.903, Florida Statutes, and initiate any Page 8 of 9 CODING:
hb1529-02-c2 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 CS/CS/HB 1529 2025 this act amending s.
hb1529-01-c1 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 CS/HB 1529 2025 necessary rulemaking to implement the provisions of this act amending s.
409.903, Florida Statutes, and initiate any necessary rulemaking to implement the provisions of this act amending s.
hb1529-02-c2
hb1529-01-c1
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Action History

  1. Laid on Table, companion bill(s) passed, see CS/CS/SB 1156 (Ch. 2025-171)

  2. Added to Second Reading Calendar

  3. Temporarily postponed, on 2nd Reading

  4. Bill added to Special Order Calendar (4/25/2025)

  5. Added to Second Reading Calendar

  6. Temporarily postponed, on 2nd Reading

  7. Bill added to Special Order Calendar (4/25/2025)

  8. 1st Reading (Committee Substitute 2)

  9. Bill added to Special Order Calendar (4/23/2025)

  10. Bill referred to House Calendar

  11. CS Filed

  12. Laid on Table under Rule 7.18(a)

  13. Reported out of Health & Human Services Committee

  14. Favorable with CS by Health & Human Services Committee

  15. Added to Health & Human Services Committee agenda

  16. Now in Health & Human Services Committee

  17. Reported out of Health Care Budget Subcommittee

  18. Favorable by Health Care Budget Subcommittee

  19. Added to Health Care Budget Subcommittee agenda

  20. Now in Health Care Budget Subcommittee

  21. Referred to Health & Human Services Committee

  22. Referred to Health Care Budget Subcommittee

  23. 1st Reading (Committee Substitute 1)

  24. CS Filed

  25. Laid on Table under Rule 7.18(a)

  26. Reported out of Health Care Facilities & Systems Subcommittee

  27. Favorable with CS by Health Care Facilities & Systems Subcommittee

  28. Added to Health Care Facilities & Systems Subcommittee agenda

  29. Now in Health Care Facilities & Systems Subcommittee

  30. Referred to Health & Human Services Committee

  31. Referred to Health Care Budget Subcommittee

  32. Referred to Health Care Facilities & Systems Subcommittee

  33. 1st Reading (Original Filed Version)

  34. Filed

Sponsors

Sponsorship breakdown

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3 sponsors · 8 co-sponsors · 153 not signed on

Sponsors (3)

  • Tramont, Chase Republican
  • Health Care Facilities & Systems Subcommittee
  • Health & Human Services Committee

Co-sponsors (8)

Not signed on (153)

153 members have not signed on to this bill.

Show all 153 →

"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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Favorable With Committee Substitute (Health & Human Services Committee)

Passed 23 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 16002
Democrat 6000
Unaffiliated 1000
Total 23002
% of votes cast 92%0%0%8%
How each member voted (25)
Member Party Vote
Tomkow — Yea
Bartleman, Robin Democrat Yea
Campbell, Daryl Democrat Yea
Hart-Lowman, Dianne "Ms Dee" Democrat Yea
Joseph, Dotie Democrat Yea
Rosenwald, Mitch Democrat Yea
Woodson, Marie Paule Democrat Yea
Anderson, Adam Republican Yea
Andrade, Robert Alexander "Alex" Republican Yea
Black, Dean Republican Yea
Brackett, Robert A. "Robbie" Republican Yea
Busatta, Demi Republican Yea
Chaney, Linda Republican Not Voting
Greco, Sam Republican Yea
Grow, J.J. Republican Yea
Johnson, Chad Republican Yea
Kincart Jonsson, Jennifer Republican Yea
Melo, Lauren Republican Yea
Overdorf, Tobin Rogers "Toby" Republican Yea
Plasencia, Susan Republican Not Voting
Redondo, Mike Republican Yea
Robinson Jr., William Cloud "Will" Republican Yea
Steele, Kevin M. Republican Yea
Trabulsy, Dana Republican Yea
Tuck, Kaylee Republican Yea

Official roll call →

Favorable (Health Care Budget Subcommittee)

Passed 12 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 8003
Democrat 4000
Total 12003
% of votes cast 80%0%0%20%
How each member voted (15)
Member Party Vote
Rosenwald, Mitch Democrat Yea
Tant, Allison Democrat Yea
Tendrich, Debra Democrat Yea
Woodson, Marie Paule Democrat Yea
Anderson, Adam Republican Yea
Andrade, Robert Alexander "Alex" Republican Yea
Cassel, Hillary Republican Not Voting
Gonzalez Pittman, Karen Republican Yea
Kincart Jonsson, Jennifer Republican Yea
Melo, Lauren Republican Not Voting
Redondo, Mike Republican Yea
Steele, Kevin M. Republican Yea
Trabulsy, Dana Republican Not Voting
Tramont, Chase Republican Yea
Tuck, Kaylee Republican Yea

Official roll call →

Favorable With Committee Substitute (Health Care Facilities & Systems Subcommittee)

Passed 18 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 13000
Democrat 4000
Unaffiliated 1000
Total 18000
% of votes cast 100%0%0%0%
How each member voted (18)
Member Party Vote
Casello — Yea
Bartleman, Robin Democrat Yea
Campbell, Daryl Democrat Yea
Franklin II, Gallop Democrat Yea
Joseph, Dotie Democrat Yea
Anderson, Adam Republican Yea
Barnaby, Webster Republican Yea
Booth, Erika Republican Yea
Borrero, David Republican Yea
Brackett, Robert A. "Robbie" Republican Yea
Cassel, Hillary Republican Yea
Cobb, Nan Republican Yea
Gerwig, Anne Republican Yea
Kincart Jonsson, Jennifer Republican Yea
Michael, Kiyan Republican Yea
Snyder, John Republican Yea
Steele, Kevin M. Republican Yea
Tramont, Chase Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does HB 1529 do?
Home Health Aide for Medically Fragile Children Program ; Provides requirements for annual assessment of home health aide for medically fragile children program; revises program training requirements; requires employing home health agency to provide specified training & ensure each home health aide for medically fragile children holds & maintains specified certification; revises utilization cap of Medicaid fee schedule; requires home health aide for medically fragile children who works more than 40 hours per week to provide specified justification; provides requirements for AHCA to seek federal approval & federal waiver for specified purposes; requires agency to seek federal approval & implement federal waivers & state plan amendments for specified purposes.
Who sponsors HB 1529?
HB 1529 is sponsored by Weinberger, Meg (Republican), Valdés, Susan L. (Republican), Snyder, John (Republican), Rizo, Alex (Republican), Nix Jr., Danny (Republican), Mooney Jr., James Vernon "Jim" (Republican), López, Johanna (Democrat), Booth, Erika (Republican), Tramont, Chase (Republican), Health Care Facilities & Systems Subcommittee, and Health & Human Services Committee.
What is the current status of HB 1529?
This bill died with 2025 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB 1529?
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