SB 1190 — AN ACT REQUIRING NURSING HOMES AND MANAGED RESIDENTIAL COMMUNITIES TO BE EQUIPPED WITH AN AUTOMATED EXTERNAL DEFIBRILLATOR.

Senate General Assembly RaisedFile Bill No.

119022 January Session, 2025 LCOSubstitute Senate Bill No.

36071190 ReferredSenate, toFebruary 27, 2025 The Committee on PUBLICPublic HEALTHHealth Introducedreported by:through SEN.

(PH)ANWAR ANof ACTthe REQUIRING3rd NURSINGDist., HOMESChairperson ANDof ASSISTEDthe LIVINGCommittee FACILITIESon TOthe BEpart EQUIPPEDof WITHthe ANSenate, AUTOMATEDthat EXTERNALthe DEFIBRILLATOR.substitute bill ought to pass.

AN ACT REQUIRING NURSING HOMES AND MANAGED RESIDENTIAL COMMUNITIES TO BE EQUIPPED WITH AN AUTOMATED EXTERNAL DEFIBRILLATOR.

(1) "Assisted living facility"services agency" means aan facilityentity operatedlicensed by anthe assistedDepartment livingof servicesPublic agency,Health aspursuant definedto inchapter section368v 19a-490 of the general statutes,statutes that providesprovides, chronicamong andother stablethings, individuals with services that include, but need not be limited to, nursing services and assistance with activities of daily living andin may have a dementiamanaged specialresidential carecommunity unitto ora program,population asthat definedis inchronic sectionand 19a-562stable; of the general statutes;

(B) contains internal decision-making electronics, microcomputers or special software that allows it to interpret physiologic signals, make medical diagnosisdiagnoses and, if necessary, apply therapy;

andsSB1190 (D)/ doesFile not require the user to employ any discretion or judgment LCO No.

360722 1 ofsSB1190 2File Raised Bill No.

119022 and (D) does not require the user to employ any discretion or judgment in its use;

and (3) "Nursing"Managed home"residential community" means (A)a anyfor-profit chronicor andnot-for- convalescentprofit nursingfacility homeconsisting orof anyprivate restresidential homeunits withthat nursingprovides supervisiona thatmanaged providesgroup nursingliving supervisionenvironment underconsisting aof medicalhousing directorand twenty-fourservices hoursfor perpersons day;who are primarily fifty-five years of age or older.

"Managed residential community" does not include any state-funded congregate housing facilities;

and (4) "Nursing home" means (A) any chronic and convalescent nursing home or any rest home with nursing supervision that provides nursing supervision under a medical director twenty-four hours per day;

(b) Not later than January 1, 2026, the administrator of each nursing home and each assistedmanaged livingresidential facilitycommunity shall (1) provide and maintain an automated external defibrillator in a central location on the premises of thehomeorfacility,(2)makesuchcentrallocationknownandaccessible to staff members and residents of the nursing home or facilitymanaged andresidential familycommunity, members(2) ofmake such residentscentral wholocation visitknown theand homeaccessible orto facility,staff (3)members ensureand thatresidents at least one staff member of the home or facility,community who is trained in cardiopulmonary resuscitation and thefamily usemembers of ansuch automaticresidents externalwho defibrillatorvisit in accordance with the standards set forth by the American Red Cross or American Heart Association, is on the premises of the home or facilitycommunity, during all hours of operation, and (4)(3) maintain and test the automatic external defibrillator in accordance with the manufacturer's guidelines.

This(c) actNot shalllater takethan effectJanuary as1, follows2026, the administrator of each nursing home and each assisted living services agency shall amendensure that at least one staff member of the followingnursing sections:home or managed residential community, who is trained in cardiopulmonary resuscitation and the use of an automatic external defibrillator in accordance with the standards set forth by the American Red Cross or American Heart Association, is on the premises of the home or community during all hours of operation.

SectionsSB1190 1/ OctoberFile 1,No. 2025 New section Statement of Purpose:

To22 require2 nursingsSB1190 homesFile andNo. assisted living facilities to be equipped with an automated external defibrillator.

[Proposed22 deletionsThis areact enclosedshall intake brackets.effect as follows and shall amend the following sections:

ProposedSection additions1 areOctober indicated1, by2025 underline,New exceptsection thatStatement when the entire text of aLegislative billCommissioners: or resolution or a section of a bill or resolution is new, it is not underlined.] LCO No.

3607In 2Subsec. of 2

(b)(1), "facility" was deleted, in Subsec.

(b)(2), both references to "facility" were changed to "community", and in Subsec.

(c), the first reference to "facility" was deleted and the second reference to "facility" was changed to "community" for clarity.

PH Joint Favorable Subst.

X sSB1190 / File No.

22 3 sSB1190 File No.

22 The following Fiscal Impact Statement and Bill Analysis are prepared for the benefit of the members of the General Assembly, solely for purposes of information, summarization and explanation and do not represent the intent of the General Assembly or either chamber thereof for any purpose.

In general, fiscal impacts are based upon a variety of informational sources, including the analyst’s professional knowledge.

Whenever applicable, agency data is consulted as part of the analysis, however final products do not necessarily reflect an assessment from any specific department.

OFA Fiscal Note State Impact:

None Municipal Impact:

None Explanation The bill, which establishes requirements for nursing homes related to automated external defibrillators (AEDs), has no fiscal impact as the changes are not anticipated to alter state payments to such facilities.

The Out Years State Impact:

None Municipal Impact:

None sSB1190 / File No.

22 4 sSB1190 File No.

22 OLR Bill Analysis sSB 1190 AN ACT REQUIRING NURSING HOMES AND MANAGED RESIDENTIAL COMMUNITIES TO BE EQUIPPED WITH AN AUTOMATED EXTERNAL DEFIBRILLATOR.

SUMMARY This bill requires administrators of nursing homes and managed residential communities (MRCs), by January 1, 2026, to have and maintain an automated external defibrillator (AED) in a central location at thehome or MRC.

They must (1) make the AED’slocationknown and accessible to staff members and residents and their visiting family members and (2) maintain and test the AED according to the manufacturer’s guidelines.

The bill also requires administrators of nursing homes and assisted living services agencies (ALSAs), by this same date, to ensure that at least one staff member at the home or MRC who is trained in CPR and AED use, under the standards of the American Red Cross or American Heart Association, is on the premises during all hours of operation.