SB 170 — Quality of Care in Nursing Homes
Last action — Died in Messages, companion bill(s) passed, see SB 2502 (Ch. 2025-199), SB 2514 (Ch. 2025-204)
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✓Introduced
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✓In Committee
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3Passed Senate
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4Passed House
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5To Executive
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6Enacted
This bill died with 2025 Regular Session. It reached “Passed Senate” 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This bill is no longer active — its legislative session has ended, so there are no live odds of enactment.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
Quality of Care in Nursing Homes; Reviving, reenacting, and amending a provision relating to consumer satisfaction surveys; requiring the Agency for Health Care Administration to develop user-friendly consumer satisfaction surveys for nursing home facilities; requiring medical directors of nursing home facilities to obtain, or to be in the process of obtaining, certain qualifications by a specified date; requiring nursing home facilities to conduct biennial patient safety culture surveys; requiring nursing home facilities that maintain certain electronic health records to make available certain data to the agency’s Florida Health Information Exchange program for a specified purpose; exempting nursing homes operated by state agencies from certain financial reporting requirements, etc.
Bill Text
What changed in the latest version
436 added · 527 removed436 line(s) added, 527 removed.
Florida Senate - 2025 CS for CS for SB 170 By the Appropriations Committee on Health andPolicy; Human Services;
and Senator Burton 588-02134-25 2025170c1 A bill to be entitled An act relating to the Committeequality onof Healthcare Policy;in nursing homes;
and Senator Burton 603-02910-25 2025170c2 A bill to be entitled An act relating to the quality of care in nursing homes;
requiring nursing home facilities to submit the results of such surveys biennially to the agency in a format specified by Page 1 of 1815 CODING:
Florida Senate - 2025 CS for CS for SB 170 603-02910-25588-02134-25 2025170c22025170c1 agency rule;
exempting nursing homes operated by state agencies from certain financial reporting requirements;
prohibitingexempting nursinghealth homescare subjectfacilities tofrom certainimposition of administrative fines fromif beingthey finedhave underotherwise abeen specifiedfined provision for the same violation;violation pursuant to other provisions;
requiring the agency to revisesubmit itsan methodologyannual forreport calculatingto the Governor and the Legislature on payments made under the Quality Incentive ProgramProgram; payments;
providing requirements for such revision;
requiring the agency to submit an annual report to the Governor and the Legislature on payments made under the Quality Page 2 of 18 CODING:
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words underlined are additions.
Florida Senate - 2025 CS for CS for SB 170 603-02910-25 2025170c2 Incentive Program;
requiring the agency to contract with a third- party vendor to conduct a comprehensive study of nursing home quality incentive programs in other states;
providing minimum requirements for the report;
requiring the agency to submit a final report on the study to the Governor and the Legislature by a specified date;
SectionPage 1.2 of 15 CODING:
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Florida Senate - 2025 CS for SB 170 588-02134-25 2025170c1 Section 1.
Page(3) 3Employees and volunteers of 18the CODING:nursing home facility or of a corporation or business entity with an ownership interest in the nursing home facility are prohibited from attempting to influence a resident’s responses to the consumer satisfaction survey.
(4) The agency shall specify the protocols for conducting the consumer satisfaction surveys, ensuring survey validity, reporting survey results, and protecting the identity of individual respondents.
The agency shall make aggregated survey data available to consumers on the agency’s website pursuant to Page 3 of 15 CODING:
Florida Senate - 2025 CS for CS for SB 170 603-02910-25588-02134-25 2025170c22025170c1 (3)s. Employees and volunteers of the nursing home facility or of a corporation or business entity with an ownership interest in the nursing home facility are prohibited from attempting to influence a resident’s responses to the consumer satisfaction survey.
(4) The agency shall specify the protocols for conducting the consumer satisfaction surveys, ensuring survey validity, reporting survey results, and protecting the identity of individual respondents.
The agency shall make aggregated survey data available to consumers on the agency’s website pursuant to s.
The agency, or its contractor, shall specify the protocol for Pageconducting 4and ofreporting 18the CODING:consumer satisfaction surveys.
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words underlined are additions.
Florida Senate - 2025 CS for CS for SB 170 603-02910-25 2025170c2 conducting and reporting the consumer satisfaction surveys.
Paragraph (b) of subsection (1) of section 400.141, Florida Statutes, is amended, and paragraph (x) is addedPage to4 thatof subsection,15 toCODING: read:
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words underlined are additions.
Florida Senate - 2025 CS for SB 170 588-02134-25 2025170c1 added to that subsection, to read:
(x) Conduct, at least biennially, a patient safety culture survey using the applicable Survey on Patient Safety Culture Pagedeveloped 5by ofthe 18federal CODING:Agency for Healthcare Research and Quality.
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Florida Senate - 2025 CS for CS for SB 170 603-02910-25 2025170c2 developed by the federal Agency for Healthcare Research and Quality.
SectionPage 3.5 of 15 CODING:
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Florida Senate - 2025 CS for SB 170 588-02134-25 2025170c1 Section 3.
The Nursing Home Guide must shall explain that this state offers alternative programs that allow permit qualified elderly persons to stay in their homes instead of Pagebeing 6placed ofin 18nursing CODING:homes and must shall encourage interested persons to call the Comprehensive Assessment Review and Evaluation for Long-Term Care Services (CARES) Program to inquire as to whether if they qualify.
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words underlined are additions.
Florida Senate - 2025 CS for CS for SB 170 603-02910-25 2025170c2 being placed in nursing homes and must shall encourage interested persons to call the Comprehensive Assessment Review and Evaluation for Long-Term Care Services (CARES) Program to inquire as to whether if they qualify.
A list by name and address of all nursing home facilities in this state, including any prior name by which a facilityPage was6 knownof during15 theCODING: previous 24-month period.
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Florida Senate - 2025 CS for SB 170 588-02134-25 2025170c1 facility was known during the previous 24-month period.
Whether or not each facility accepts Medicare or Medicaid recipients or insurance, health maintenance organization, United States Department of Veterans Affairs, PageCHAMPUS 7program, ofor 18workers’ CODING:compensation coverage.
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words underlined are additions.
Florida Senate - 2025 CS for CS for SB 170 603-02910-25 2025170c2 CHAMPUS program, or workers’ compensation coverage.
Survey and deficiency information, including all federal and state recertification, licensure, revisit, and complaintPage survey7 information,of for15 eachCODING: facility.
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Florida Senate - 2025 CS for SB 170 588-02134-25 2025170c1 complaint survey information, for each facility.
Present subsections (7) through (15) of section Page408.061, 8Florida ofStatutes, 18are CODING:redesignated as subsections (8) through (16), respectively, and a new subsection (7) is added to that section, to read:
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Florida Senate - 2025 CS for CS for SB 170 603-02910-25 2025170c2 408.061, Florida Statutes, are redesignated as subsections (8) through (16), respectively, a new subsection (7) is added to that section, and subsections (5) and (6) of that section are amended, to read:
immunity.— (5)(7)(a) WithinBeginning 120January days1, after2026, the endagency shall impose an administrative fine of its$10,000 fiscalper year,violation eachagainst a nursing home asor definedhome inoffice s.that fails to comply with subsection (5) or subsection (6), as applicable.
408.07,For excludingpurposes nursingof homesthis operatedPage by8 state agencies, shall file with the agency, on forms adopted by the agency and based on the uniform system of financial15 reporting,CODING: its actual financial experience for that fiscal year, including expenditures, revenues, and statistical measures.
Such data may be based on internal financial reports that are certified to be complete and accurate by the chief financial officer of the nursing home.
However, a nursing home’s actual financial experience shall be its audited actual experience.
This audited actual experience must include the fiscal year-end balance sheet, income statement, statement of cash flow, and statement of retained earnings and must be submitted to the agency in addition to the information filed in the uniform system of financial reporting.
The financial statements must tie to the information submitted in the uniform system of financial reporting, and a crosswalk must be submitted along with the financial statements.
(6) Within 120 days after the end of its fiscal year, the home office of each nursing home as defined in s.
408.07, excluding nursing homes operated by state agencies, shall file with the agency, on forms adopted by the agency and based on the Page 9 of 18 CODING:
Florida Senate - 2025 CS for CS for SB 170 603-02910-25588-02134-25 2025170c22025170c1 uniformparagraph, systemthe ofterm financial“violation” reporting,means itsfailing actualto file the financial experiencereport forrequired thatby fiscalsubsection year,(5) includingor expenditures,subsection revenues,(6), andas statisticalapplicable, measures.on or before the report’s due date.
Such data may be based on internal financial reports that are certified to be complete and accurate by the chief financial officer of the nursing home.
However, the home office’s actual financial experience shall be its audited actual experience.
This audited actual experience must include the fiscal year-end balance sheet, income statement, statement of cash flow, and statement of retained earnings and must be submitted to the agency in addition to the information filed in the uniform system of financial reporting.
The financial statements must tie to the information submitted in the uniform system of financial reporting, and a crosswalk must be submitted along with the audited financial statements.
(7)(a) Beginning January 1, 2026, the agency shall impose an administrative fine of $10,000 per violation against a nursing home or home office that fails to comply with subsection (5) or subsection (6), as applicable.
For purposes of this paragraph, the term “violation” means failing to file the financial report required by subsection (5) or subsection (6), as applicable, on or before the report’s due date.
The agency may determine not to impose the fine’s full dollar amount upon a Pageshowing 10that ofthe 18full CODING:fine is inappropriate under the circumstances.
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Florida Senate - 2025 CS for CS for SB 170 603-02910-25 2025170c2 showing that the full fine is inappropriate under the circumstances.
enforcement.— (2) AnyUnless healthotherwise carefined facilitypursuant that refuses to file a report, fails to timely file a report, files a false report, or files an incomplete report and upon notification fails to timely file a complete report required under s.
408.061(7), any health care facility that refuses to file a report, fails to timely file a report, files a false report, or files an incomplete report and upon notification fails to timely file a complete report required under s.
Pursuant to rules adopted by the agency, the agency may, upon a showing of good cause, grant a one-time extension of any deadline for a health care facilityPage to9 timelyof file15 aCODING: report as required by this section, s.
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Florida Senate - 2025 CS for SB 170 588-02134-25 2025170c1 facility to timely file a report as required by this section, s.
A facility fined under s.
408.061(7) may not be additionally fined under this subsection for the same violation.
These methodologies may include fee schedules, reimbursement Pagemethods 11based ofon 18cost CODING:reporting, negotiated fees, competitive bidding pursuant to s.
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words underlined are additions.
Florida Senate - 2025 CS for CS for SB 170 603-02910-25 2025170c2 methods based on cost reporting, negotiated fees, competitive bidding pursuant to s.
Further, nothing in this section shall be construed to prevent or limit the agency from adjusting fees, reimbursement rates, lengths of stay, number of visits, or number of services, or making any other adjustments necessary to comply with the availabilityPage 10 of moneys15 andCODING: any limitations or directions provided for in the General Appropriations Act, provided the adjustment is consistent with legislative intent.
(2) (b) Subject to any limitations or directions in the General Appropriations Act, the agency shall establish and implement a state Title XIX Long-Term Care Reimbursement Plan for nursing home care in order to provide care and services in conformance with the applicable state and federal laws, rules, regulations, and quality and safety standards and to ensure that individuals Page 12 of 18 CODING:
Florida Senate - 2025 CS for CS for SB 170 603-02910-25588-02134-25 2025170c22025170c1 eligibleavailability of moneys and any limitations or directions provided for medicalin assistancethe haveGeneral reasonableAppropriations geographicAct, accessprovided tothe suchadjustment care.is consistent with legislative intent.
(2) (b) Subject to any limitations or directions in the General Appropriations Act, the agency shall establish and implement a state Title XIX Long-Term Care Reimbursement Plan for nursing home care in order to provide care and services in conformance with the applicable state and federal laws, rules, regulations, and quality and safety standards and to ensure that individuals eligible for medical assistance have reasonable geographic access to such care.
Effective October 1, 2018, a prospective payment methodology shall be implemented for rate setting purposes with the following parameters:Page 11 of 15 CODING:
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Florida Senate - 2025 CS for SB 170 588-02134-25 2025170c1 parameters:
Page(III) 13Operating ofCosts 18...........................86 CODING:percent.
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Florida Senate - 2025 CS for CS for SB 170 603-02910-25 2025170c2 (III) Operating Costs ...........................86 percent.
Quality Score Threshold to Qualify Quality for Quality Incentive Payment............................................20thPayment......................................................20th ...............................percentile of included facilities.
(IV)Page Movable12 Equipmentof Allowance15 ............$8,000CODING: per bed.
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Florida Senate - 2025 CS for SB 170 588-02134-25 2025170c1 (IV) Movable Equipment Allowance ............$8,000 per bed.
Page2. 14 of 18 CODING:
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Florida Senate - 2025 CS for CS for SB 170 603-02910-25 2025170c2 2.
The agency shall revise its methodology for calculating Quality Incentive Program payments to include the results of consumer satisfaction surveys conducted pursuant to s.
400.0225 as a measure of nursing home quality.
The agency shall so revise the methodology after the surveys have been in effect for an amount of time the agency deems sufficient for statistical and scientific validity as a meaningful quality measure that may be incorporated into the methodology.
3.
4.3.3.
5.4.4.
On July 1 of each year, the agency shall report to the Legislature direct and indirect care costs, including average direct and indirect care costs per resident per facility and directPage care13 and indirect care salaries and benefits per category of staff15 memberCODING: per facility.
Page 15 of 18 CODING:
Florida Senate - 2025 CS for CS for SB 170 603-02910-25588-02134-25 2025170c22025170c1 6.5.direct care and indirect care salaries and benefits per category of staff member per facility.
5.
7.6.6.
8.7.7.
9.8.
The total number of quality incentive metric points awarded by the agency to each facility and the number of points awardedPage by14 theof agency15 forCODING: each individual quality metric measured.
Page 16 of 18 CODING:
Florida Senate - 2025 CS for CSSB 170 588-02134-25 2025170c1 awarded by the agency for SBeach 170individual 603-02910-25quality 2025170c2metric c.measured.
c.
(1) To support and enhance quality outcomes in Florida’s nursing homes, the Agency for Health Care Administration shall contract with a third-party vendor to conduct a comprehensive study of nursing home quality incentive programs in other states.
(a) At a minimum, the study must include a detailed analysis of quality incentive programs implemented in each of Page 17 of 18 CODING:
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Florida Senate - 2025 CS for CS for SB 170 603-02910-25 2025170c2 the states examined, identify components of such programs which have demonstrably improved nursing home quality outcomes, and provide recommendations to modify or enhance this state’s existing Medicaid Quality Incentive Program based on its historical performance and trends since it was first implemented.
(b) The study must also include:
1.
An in-depth review of emerging and existing technologies applicable to nursing home care and an analysis of how their adoption in this state could improve quality of care and operational efficiency;
and 2.
An examination of other states’ Medicaid add-on payment structures related to the provision of ventilator care, bariatric services, and behavioral health services.
(2) The agency shall submit a final report on the study, including findings and actionable recommendations, to the Governor, the President of the Senate, and the Speaker of the House of Representatives by December 1, 2025.
Section 9.
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View plain text versions (3)
- S 170 c1 View text pdf
- S 170 c2 View text Current pdf
- Introduced S 170 Filed pdf
Action History
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Died in Messages, companion bill(s) passed, see SB 2502 (Ch. 2025-199), SB 2514 (Ch. 2025-204)
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Indefinitely postponed and withdrawn from consideration
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In Messages
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Immediately certified
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CS passed; YEAS 37 NAYS 0
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Read 3rd time
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Read 2nd time
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Placed on Special Order Calendar, 04/09/25
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Placed on Calendar, on 2nd reading
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CS/CS by Appropriations Committee on Health and Human Services read 1st time
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Favorable by- Appropriations; YEAS 18 NAYS 0
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On Committee agenda-- Appropriations, 04/03/25, 9:00 am, 412 Knott Building --Meeting cancelled
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On Committee agenda-- Appropriations, 04/02/25, 9:00 am, 412 Knott Building
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Now in Appropriations
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Pending reference review under Rule 4.7(2) - (Committee Substitute)
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CS/CS by Appropriations Committee on Health and Human Services; YEAS 10 NAYS 0
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On Committee agenda-- Appropriations Committee on Health and Human Services, 03/26/25, 1:00 pm, 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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Introduced
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CS by Health Policy; YEAS 10 NAYS 0
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On Committee agenda-- Health Policy, 03/04/25, 2:00 pm, 412 Knott Building
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Referred to Health Policy; Appropriations Committee on Health and Human Services; Appropriations
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Filed
Sponsors
- Colleen Burton · Primary
- Health Policy · Primary
- Appropriations Committee on Health and Human Services · Primary
Sponsorship breakdown
Export CSV (upgrade) →3 sponsors · 0 co-sponsors · 161 not signed on
Sponsors (3)
- Burton, Colleen Republican
- Health Policy
- Appropriations Committee on Health and Human Services
Co-sponsors (0)
None.
Not signed on (161)
161 members have not signed on to this bill.
Show all 161 →"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 |
|---|---|---|---|---|
| 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 | Not Voting |
| 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 | Yea |
| Vacant | Republican | Yea |
| Wright, Tom A. | Republican | Yea |
| Yarborough, Clay | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 5 | 0 | 0 | 0 |
| Republican | 11 | 0 | 0 | 0 |
| Unaffiliated | 1 | 0 | 0 | 0 |
| No Party Affiliation | 1 | 0 | 0 | 0 |
| Total | 18 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (18)
| Member | Party | Vote |
|---|---|---|
| Collins | — | Yea |
| Berman, Lori | 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 |
| Brodeur, Jason | Republican | Yea |
| Burgess, Danny | Republican | Yea |
| DiCeglie, Nick | Republican | Yea |
| Garcia, Ileana | Republican | Yea |
| Grall, Erin | Republican | Yea |
| Harrell, Gayle | Republican | Yea |
| Hooper, Ed | Republican | Yea |
| Martin, Jonathan | Republican | Yea |
| McClain, Stan | Republican | Yea |
| Trumbull, Jay | Republican | Yea |
| Wright, Tom A. | 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 |
| Rouson, Darryl Ervin | Democrat | Yea |
| Brodeur, Jason | Republican | Yea |
| Burton, Colleen | Republican | Yea |
| Garcia, Ileana | Republican | Yea |
| 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 170 do?
- Quality of Care in Nursing Homes; Reviving, reenacting, and amending a provision relating to consumer satisfaction surveys; requiring the Agency for Health Care Administration to develop user-friendly consumer satisfaction surveys for nursing home facilities; requiring medical directors of nursing home facilities to obtain, or to be in the process of obtaining, certain qualifications by a specified date; requiring nursing home facilities to conduct biennial patient safety culture surveys; requiring nursing home facilities that maintain certain electronic health records to make available certain data to the agency’s Florida Health Information Exchange program for a specified purpose; exempting nursing homes operated by state agencies from certain financial reporting requirements, etc.
- Who sponsors SB 170?
- SB 170 is sponsored by Burton, Colleen (Republican), Health Policy, and Appropriations Committee on Health and Human Services.
- What is the current status of SB 170?
- This bill died with 2025 Regular Session. It reached “Passed Senate” 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 SB 170?
- Track SB 170 free on One Click Politics — get push/email alerts when it moves.
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