Florida 2025 Regular Session Status: In Committee Bipartisan · 2 D · 1 R cosponsors

HB 223 — Electronic Monitoring Devices in Long-term Care Facilities

Last action — Died in Judiciary Committee

  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This bill is no longer active — its legislative session has ended, so there are no live odds of enactment.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

Electronic Monitoring Devices in Long-term Care Facilities; Defines "electronic monitoring device" & "representative"; authorizes resident, or his or her representative, of nursing home facility or assisted living facility, respectively, to install & use electronic monitoring device in resident's room if specified conditions are met; provides for consent of resident living in shared room with resident who intends to install device; authorizes other resident or his or her representative to impose conditions on consent; provides for withdrawal of consent & modification of conditions; requires AHCA to adopt forms by rule; prohibits facilities from denying admission or otherwise discriminating against resident for installing electronic monitoring device; provides administrative penalty; provides criminal penalty for unlawfully obstructing, tampering with, or destroying electronic monitoring device or recording made by such device; specifies who may view or listen to images & sounds broadcast or recorded by electronic monitoring device.

Bill Text

What changed in the latest version

314 added · 282 removed

314 line(s) added, 282 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 HB 223 2025 A bill to be entitled An act relating to electronic monitoring devices in long-term care facilities;
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 223 2025 A bill to be entitled An act relating to electronic monitoring devices in long-term care facilities;
authorizing a resident, or his or her representative, of a nursing home facility or assisted living facility, respectively, to authorize the installation and use of an electronic monitoring device in the resident's room if specified conditions are met;
authorizing a resident, or his or her representative, of a nursing home facility or assisted living facility, respectively, to install and use an electronic monitoring device in the resident's room if specified conditions are met;
providing for installation and use of such device if the resident lives in a shared room with another resident with the consent of the other resident or his or her representative;
providing for notice;
providing for consent of a resident living in a shared room with a resident who intends to install a device;
providing that consent may be withdrawn at any time, verbally or in writing;
providing for withdrawal of consent and modification of conditions;
authorizing facilities to adopt a consent form;
requiring the Agency for Health Care Administration to adopt forms by rule;
providing requirements for the form;
providing requirements for the forms;
prohibiting facilities from denying admission to a person or discharging a resident or otherwise discriminating or retaliating against a resident for the decision to install and use an electronic monitoring device in the resident's room;
prohibiting facilities from denying admission or otherwise discriminating against a resident for installing an electronic monitoring device;
providing a criminal penalty for unlawfully obstructing, tampering Page 1 of 11 CODING:
providing a criminal penalty for unlawfully obstructing, tampering with, or destroying an electronic monitoring device or a recording made by such device;
specifying who may view or listen to Page 1 of 12 CODING:
hb223-00 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 223 2025 with, or destroying an electronic monitoring device or a recording made by such device;
hb223-01-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 223 2025 images and sounds broadcast or recorded by an electronic monitoring device;
specifying who may view or listen to images and sounds broadcast or recorded by an electronic monitoring device;
(a) "Electronic monitoring device" means a surveillance instrument with a fixed-position video camera or an audio recording device, or a combination thereof, which broadcasts or records movement or sounds occurring in the area being surveilled.
(a) "Electronic monitoring device" means a surveillance instrument with a fixed-position, non-rotatable video camera or audio recording device, or a combination thereof, which broadcasts or records movement or sounds occurring in the area being surveilled.
Page 2 of 11 CODING:
(2) A resident or a resident's representative may install and use an electronic monitoring device in the resident's room in a nursing home facility if all of the following conditions Page 2 of 12 CODING:
hb223-00 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 223 2025 (2) A resident or a resident's representative may authorize the installation and use of an electronic monitoring device in the resident's room in a nursing home facility if all of the following conditions are met:
hb223-01-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 223 2025 are met:
(a) If the facility has adopted a consent form pursuant to subsection (5), the resident or the resident's representative completes the form.
(a) The resident or the resident's representative notifies the facility in writing using the agency form adopted pursuant to subsection (4).
(b) The cost of the device and the cost of installing, maintaining, and removing the device, not including the cost of electricity used for the device, are paid for by the resident or the resident's representative.
(b) The cost of the device and the cost of installing, maintaining, and removing the device, and providing Internet access for the device, not including the cost of electricity used for the device, are paid for by the resident or the resident's representative.
(c) If the resident is living in a room with another resident, the other resident or that resident's representative consents to the installation and use of the device in the shared room.
(c) If the resident is living in a room with another resident, the other resident or that resident's representative consents to the installation and use of the device in the shared room by completing the agency consent form adopted pursuant to subsection (5).
If the facility has adopted a consent form pursuant to subsection (5), such consent must be obtained by having the other resident or his or her representative complete the form.
The other resident or that resident's representative may revoke the consent at any time by providing notice in writing to the facility.
(3)(a) If a resident living in a room with another resident wishes to use an electronic monitoring device in the residents' shared room, but the other resident or his or her representative refuses to consent to the installation and use of an electronic monitoring device in the shared room, the facility must make a reasonable attempt to accommodate the resident wishing to use such device by moving one of the residents to another available room with the consent of such resident or his Page 3 of 11 CODING:
(3)(a) If a resident living in a room with another resident wishes to use an electronic monitoring device in the shared room, but the other resident or his or her representative refuses to consent, the facility must make a reasonable attempt to accommodate the resident wishing to use such device by moving that resident to another similar available room with the consent of such resident or his or her representative.
(b) If the resident wishing to use an electronic monitoring device lives in the same room as another resident, Page 3 of 12 CODING:
hb223-00 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 223 2025 or her representative.
hb223-01-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 223 2025 the other resident or his or her representative may place conditions on his or her consent to the use of such device, including, but not limited to, pointing the device away from the other resident or limiting or prohibiting the use of specific devices.
(b) If the resident wishing to use an electronic monitoring device lives in the same room as another resident, the other resident or his or her representative may place conditions on his or her consent to the use of such device, including, but not limited to, pointing the device away from the other resident or limiting or prohibiting the use of specific devices.
(4) A resident or his or her representative who has authorized the installation and use of an electronic monitoring device under this section may withdraw that authorization verbally or in writing at any time.
The resident or representative imposing conditions must document the conditions on the consent form adopted by the agency pursuant to subsection (5), and may change the conditions at any time by submitting a revised consent form.
(5) A nursing home facility may adopt a consent form for installation and use of an electronic monitoring device in the facility.
(4) The agency shall adopt by rule a standard form for use by a resident or his or her representative to notify a nursing home facility of the intent to install and use an electronic monitoring device in the facility.
Such form must, at a minimum, include all of the following:
The form must include:
(c) If the resident requesting installation and use of the Page 4 of 11 CODING:
(c) An acknowledgment that the resident or his or her representative will comply with conditions placed on the use of the electronic monitoring device by other residents of the room or their representatives, if any.
(d) A section for providing the facility with information Page 4 of 12 CODING:
hb223-00 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 223 2025 electronic monitoring device lives in a room with another resident, an acknowledgment that the other resident or other resident's representative has consented to the installation and use of the device and a description of any conditions placed on that consent as authorized under paragraph (3)(b).
hb223-01-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 223 2025 regarding the type, function, and use of the device to be installed and used.
(d) A section for providing the facility with information regarding the type, function, and use of the device to be installed and used.
(e) A statement releasing the facility from liability in any civil or criminal action or administrative proceeding for a violation of the resident's right to privacy in connection with using the device.
(e) A section stating that the facility is released from liability in any civil or criminal action or administrative proceeding for a violation of the resident's right to privacy in connection with using the device.
(5) The agency shall adopt by rule a standard consent form for use by a resident living in the same room as a resident who intends to use an electronic monitoring device in the room.
This form must include:
(a) An explanation of this section.
(b) An acknowledgment that the resident or his or her representative has consented to the installation and use of the device in the resident's room.
(c) A section for listing any conditions the resident or his or her representative places on the use of the device in the room.
(d) A statement releasing the facility from liability in any civil or criminal action or administrative proceeding for a violation of the resident's right to privacy in connection with using the device.
(7) A nursing home facility may not deny a person admission to, or discharge a resident from, the facility or otherwise discriminate or retaliate against a resident based on his or her decision to install and use an electronic monitoring device in the resident's room at the facility.
Page 5 of 12 CODING:
The agency shall fine a nursing home facility $500 for each violation of this subsection.
(8) It is unlawful for a person, other than the resident and resident's representative, if any, who authorized the Page 5 of 11 CODING:
hb223-00 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 223 2025 installation and use of an electronic monitoring device in the resident's room in a nursing home facility, to intentionally obstruct, tamper with, or destroy the device or a recording made by the device.
hb223-01-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 223 2025 (7) A nursing home facility may not deny a person admission to, or discharge a resident from, the facility or otherwise discriminate or retaliate against a resident based on his or her decision to install and use an electronic monitoring device in the resident's room at the facility.
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The agency shall fine a nursing home facility $500 for each violation of this subsection.
(8) It is unlawful for a person, other than the resident and resident's representative, if any, who owns an electronic monitoring device in the resident's room in a nursing home facility, to intentionally obstruct, tamper with, or destroy the device or a recording made by the device.
(10) This section does not apply to an electronic monitoring device installed by a law enforcement agency and used solely for legitimate law enforcement purposes.
(10) A person may not intentionally publish or otherwise Page 6 of 12 CODING:
(11) The agency may adopt rules to implement this section.
Words stricken are deletions;
words underlined are additions.
hb223-01-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 223 2025 make available on the Internet, in a manner accessible to the general public, the images and sounds broadcast or recorded by an electronic monitoring device installed in a resident's room.
(11) This section does not apply to an electronic monitoring device installed by a law enforcement agency and used solely for legitimate law enforcement purposes.
(12) The agency may adopt rules to implement this section.
Page 6 of 11 CODING:
(a) "Electronic monitoring device" means a surveillance instrument with a fixed-position, non-rotatable video camera or audio recording device, or a combination thereof, which broadcasts or records movement or sounds occurring in the area being surveilled.
(b) "Representative" means a person granted a durable power of attorney under chapter 709, a guardian appointed under chapter 744, or a person designated as a health care surrogate under chapter 765 who is authorized to make health care decisions on behalf of a person.
(2) A resident or a resident's representative may install and use an electronic monitoring device in the resident's room in an assisted living facility if all of the following Page 7 of 12 CODING:
hb223-00 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 223 2025 (a) "Electronic monitoring device" means a surveillance instrument with a fixed-position video camera or an audio recording device, or a combination thereof, which broadcasts or records movement or sounds occurring in the area being surveilled.
hb223-01-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 223 2025 conditions are met:
(b) "Representative" means a person granted a durable power of attorney under chapter 709, a guardian appointed under chapter 744, or a person designated as a health care surrogate under chapter 765 who is authorized to make health care decisions on behalf of a person.
(a) The resident or the resident's representative notifies the facility in writing using the agency form adopted pursuant to subsection (4).
(2) A resident or a resident's representative may authorize the installation and use of an electronic monitoring device in the resident's room in an assisted living facility if all of the following conditions are met:
(b) The cost of the device and the cost of installing, maintaining, and removing the device, and providing internet access for the device, not including the cost of electricity used for the device, are paid for by the resident or the resident's representative.
(a) If the facility has adopted a consent form pursuant to subsection (5), the resident or the resident's representative completes the form.
(c) If the resident is living in a room with another resident, the other resident or that resident's representative consents to the installation and use of the device in the shared room by completing the agency consent form adopted pursuant to subsection (5).
(b) The cost of the device and the cost of installing, maintaining, and removing the device, not including the cost of electricity used for the device, are paid for by the resident or the resident's representative.
The other resident or that resident's representative may revoke the consent at any time by providing notice in writing to the facility.
(c) If the resident is living in a room with another resident, the other resident or that resident's representative consents to the installation and use of the device in the shared room.
(3)(a) If a resident living in a room with another resident wishes to use an electronic monitoring device in the shared room, but the other resident or his or her representative refuses to consent to the installation and use of an electronic monitoring device in the shared room, the facility must make a reasonable attempt to accommodate the resident wishing to use such device by moving that resident to another similar available room with the consent of such resident or his or her representative.
If the facility has adopted a consent form pursuant to Page 7 of 11 CODING:
Page 8 of 12 CODING:
hb223-00 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 223 2025 subsection (5), such consent must be obtained by having the other resident or his or her representative complete the form.
hb223-01-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 223 2025 (b) If the resident wishing to use an electronic monitoring device lives in the same room as another resident, the other resident or his or her representative may place conditions on his or her consent to the use of such device, including, but not limited to, pointing the device away from the other resident or limiting or prohibiting the use of specific devices.
(3)(a) If a resident living in a room with another resident wishes to use an electronic monitoring device in the residents' shared room, but the other resident or his or her representative refuses to consent to the installation and use of an electronic monitoring device in the shared room, the facility must make a reasonable attempt to accommodate the resident wishing to use such device by moving one of the residents to another available room with the consent of such resident or his or her representative.
(b) If the resident wishing to use an electronic monitoring device lives in the same room as another resident, the other resident or his or her representative may place conditions on his or her consent to the use of such device, including, but not limited to, pointing the device away from the other resident or limiting or prohibiting the use of specific devices.
(4) A resident or his or her representative who has authorized the installation and use of an electronic monitoring device under this section may withdraw that authorization Page 8 of 11 CODING:
The resident or representative imposing conditions must document the conditions on the consent form adopted by the agency pursuant to subsection (5), and may change the conditions at any time by submitting a revised consent form.
(4) The agency shall adopt by rule a standard form for use by a resident or his or her representative to notify an assisted living facility of the intent to install and use an electronic monitoring device in the facility.
The form must include:
(a) An explanation of this section.
(b) An acknowledgment that the resident or his or her representative has consented to the installation and use of the device in the resident's room.
(c) An acknowledgment that the resident or his or her representative will comply with conditions placed on the use of the electronic monitoring device by other residents of the room Page 9 of 12 CODING:
hb223-00 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 223 2025 verbally or in writing at any time.
hb223-01-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 223 2025 or their representatives, if any.
(5) An assisted living facility may adopt a consent form for installation and use of an electronic monitoring device in the facility.
(d) A section for providing the facility with information regarding the type, function, and use of the device to be installed and used.
Such form must, at a minimum, include all of the following:
(e) A statement releasing the facility from liability in any civil or criminal action or administrative proceeding for a violation of the resident's right to privacy in connection with using the device.
(5) The agency shall adopt by rule a standard consent form for use by a resident living in the same room as a resident who intends to use an electronic monitoring device in the room.
This form must include:
(c) If the resident requesting installation and use of the electronic monitoring device lives in a room with another resident, an acknowledgment that the other resident or other resident's representative has consented to the installation and use of the device and a description of any conditions placed on that consent as authorized under paragraph (3)(b).
(c) A section for listing any conditions the resident or his or her representative places on the use of the device in the room.
(d) A section for providing the facility with information regarding the type, function, and use of the device to be installed and used.
(d) A statement releasing the facility from liability in any civil or criminal action or administrative proceeding for a violation of the resident's right to privacy in connection with using the device.
(e) A section stating that the facility is released from liability in any civil or criminal action or administrative proceeding for a violation of the resident's right to privacy in connection with using the device.
(6) An assisted living facility may post a notice in a conspicuous location at the entrance of a resident's room having Page 10 of 12 CODING:
(6) An assisted living facility may post a notice in a conspicuous location at the entrance of a resident's room having an electronic monitoring device, stating that such device is in Page 9 of 11 CODING:
hb223-00 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 223 2025 use in that room.
hb223-01-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 223 2025 an electronic monitoring device, stating that such device is in use in that room.
(8) It is unlawful for a person, other than the resident and resident's representative, if any, who authorized the installation and use of an electronic monitoring device in the resident's room in an assisted living facility, to intentionally obstruct, tamper with, or destroy the device or a recording made by the device.
(8) It is unlawful for a person, other than the resident and resident's representative, if any, who owns an electronic monitoring device in the resident's room in an assisted living facility, to intentionally obstruct, tamper with, or destroy the device or a recording made by the device.
or (d) An individual authorized by the resident or the resident's representative to view or listen to the images and Page 10 of 11 CODING:
or (d) An individual authorized by the resident or the resident's representative to view or listen to the images and Page 11 of 12 CODING:
hb223-00 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 223 2025 sounds broadcast or recorded by the device.
hb223-01-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 223 2025 sounds broadcast or recorded by the device.
(10) This section does not apply to an electronic monitoring device installed by a law enforcement agency and used solely for legitimate law enforcement purposes.
(10) A person may not intentionally publish or otherwise make available on the Internet, in a manner accessible to the general public, the images and sounds broadcast or recorded by an electronic monitoring device installed in a resident's room.
(11) The agency may adopt rules to implement this section.
(11) This section does not apply to an electronic monitoring device installed by a law enforcement agency and used solely for legitimate law enforcement purposes.
(12) The agency may adopt rules to implement this section.
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hb223-00
hb223-01-c1
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Action History

  1. Died in Judiciary Committee

  2. Indefinitely postponed and withdrawn from consideration

  3. 1st Reading (Committee Substitute 1)

  4. 1st Reading (Original Filed Version)

  5. Now in Judiciary Committee

  6. Referred to Health & Human Services Committee

  7. Referred to Judiciary Committee

  8. CS Filed

  9. Laid on Table under Rule 7.18(a)

  10. Reported out of Health Care Facilities & Systems Subcommittee

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

  12. Added to Health Care Facilities & Systems Subcommittee agenda

  13. Now in Health Care Facilities & Systems Subcommittee

  14. Referred to Health & Human Services Committee

  15. Referred to Judiciary Committee

  16. Referred to Health Care Facilities & Systems Subcommittee

  17. Filed

Sponsors

Sponsorship breakdown

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2 sponsors · 2 co-sponsors · 160 not signed on · 2 voted No

Sponsors (2)

Co-sponsors (2)

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.

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

Passed 15 Yea · 2 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 12001
Democrat 2201
Unaffiliated 1000
Total 15202
% of votes cast 79%11%0%11%
How each member voted (19)
Member Party Vote
Casello — Yea
Bartleman, Robin Democrat Not Voting
Campbell, Daryl Democrat Nay
Franklin II, Gallop Democrat Nay
Joseph, Dotie Democrat Yea
Skidmore, Kelly 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 Not Voting
Tramont, Chase Republican Yea

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Subjects

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Frequently asked questions

What does HB 223 do?
Electronic Monitoring Devices in Long-term Care Facilities; Defines "electronic monitoring device" & "representative"; authorizes resident, or his or her representative, of nursing home facility or assisted living facility, respectively, to install & use electronic monitoring device in resident's room if specified conditions are met; provides for consent of resident living in shared room with resident who intends to install device; authorizes other resident or his or her representative to impose conditions on consent; provides for withdrawal of consent & modification of conditions; requires AHCA to adopt forms by rule; prohibits facilities from denying admission or otherwise discriminating against resident for installing electronic monitoring device; provides administrative penalty; provides criminal penalty for unlawfully obstructing, tampering with, or destroying electronic monitoring device or recording made by such device; specifies who may view or listen to images & sounds broadcast or recorded by electronic monitoring device.
Who sponsors HB 223?
HB 223 is sponsored by Rosenwald, Mitch (Democrat), López, Johanna (Democrat), Plasencia, Susan (Republican), and Health Care Facilities & Systems Subcommittee.
What is the current status of HB 223?
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 223?
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