Florida 2026 Session Status: Passed House 2 R cosponsors

HB 1229 — Residential Homes for Medically or Technologically Dependent Children

Last action — Died in Rules

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

This bill has passed the House. Introduced January 08, 2026. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the Senate.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate 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

Advancing 52% · moderate confidence

  • Passed House

    Current position in the legislative process.

  • 3 sponsors

    1 primary, 2 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (2 R).

  • Cleared a recorded vote

    Passed 3 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

Residential Homes for Medically or Technologically Dependent Children; Provides licensure & application requirements; requires AHCA to require certain background screening for certain persons; requires access to medically complex children's home at reasonable times for certain persons; requires agency to issue provisional license to newly licensed provider for specified timeframe; authorizes agency to issue conditional license for specified timeframe to licensed provider for specified reasons; requires agency to conduct inspections; provides rulemaking authority, procedures, & requirements; provides eligibility requirements to qualify for admission to medically complex children's home; provides uniform firesafety standards, emergency preparedness requirements, & construction standards; provides for denial, suspension, & revocation of license; provides for administrative fines.

Bill Text

What changed in the latest version

376 added · 417 removed

376 line(s) added, 417 removed.

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Latest
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 1229 2026 A bill to be entitled An act relating to residential homes for medically or technologically dependent children;
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 1229 2026 A bill to be entitled An act relating to residential homes for medically or technologically dependent children;
providing eligibility requirements for Page 1 of 16 CODING:
providing eligibility requirements for Page 1 of 15 CODING:
hb1229-00 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 1229 2026 admission to a medically complex children's home;
hb1229-01-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 1229 2026 admission to a medically complex children's home;
amending s.
435.12, F.S.;
requiring the Agency for Health Care Administration, by a specified date, to review and determine eligibility for specified criminal history checks;
requiring the Care Provider Background Screening Clearinghouse to share eligibility determinations with specified agencies;
Page 2 of 16 CODING:
400.9991 Legislative intent.—It is the intent of the Legislature to develop, establish, and enforce licensure and basic standards for medically complex children's homes in order to ensure that the homes are family-centered and that the medical, developmental, physiological, nutritional, and psychosocial needs of medically complex children are met.
Page 2 of 15 CODING:
hb1229-00 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 1229 2026 400.9991 Legislative intent.—It is the intent of the Legislature to develop, establish, and enforce licensure and basic standards for medically complex children's homes in order to ensure that the homes are family-centered and that the medical, developmental, physiological, nutritional, and psychosocial needs of medically complex children are met.
hb1229-01-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 1229 2026 Medically complex children's homes shall serve as a safe home- like setting with clinical oversight for children with complex medical needs as an alternative to institutional care.
Medically complex children's homes shall serve as a safe home- like setting with clinical oversight for children with complex medical needs as an alternative to institutional care.
(2) "Medically complex children's home" means any residential home that undertakes through its ownership or management to provide residential services for up to six medically dependent or technologically dependent children who Page 3 of 16 CODING:
(2) "Medically complex children's home" means any residential home that undertakes through its ownership or management to provide residential services for up to six medically dependent or technologically dependent children who are not related to the owner or operator by blood, marriage, or adoption.
Words stricken are deletions;
words underlined are additions.
hb1229-00 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 1229 2026 are not related to the owner or operator by blood, marriage, or adoption.
400.9993 Licensure required;
Page 3 of 15 CODING:
Words stricken are deletions;
words underlined are additions.
hb1229-01-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 1229 2026 400.9993 Licensure required;
Page 4 of 16 CODING:
2.
Words stricken are deletions;
words underlined are additions.
hb1229-00 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 1229 2026 2.
A prescribed pediatric extended care center licensed under part VI of chapter 400.
A prescribed pediatric extended care center licensed Page 4 of 15 CODING:
Words stricken are deletions;
words underlined are additions.
hb1229-01-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 1229 2026 under part VI of chapter 400.
(2) The initial application must contain the location of Page 5 of 16 CODING:
(2) The initial application must contain the location of the medically complex children's home for which a license is sought and documentation, signed by the appropriate local government official, that states that the applicant has met local zoning requirements.
Words stricken are deletions;
words underlined are additions.
hb1229-00 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 1229 2026 the medically complex children's home for which a license is sought and documentation, signed by the appropriate local government official, that states that the applicant has met local zoning requirements.
(4) In addition to the requirements of s.
Page 5 of 15 CODING:
Words stricken are deletions;
words underlined are additions.
hb1229-01-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 1229 2026 (4) In addition to the requirements of s.
Page 6 of 16 CODING:
2.
In addition to sanctions authorized under this part, if violations are found during the inspection and the licensee fails to demonstrate compliance with all medically complex children's home requirements during a followup inspection, the licensee may not admit any new children for medically complex children's home services.
The agency may extend the provisional Page 6 of 15 CODING:
hb1229-00 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 1229 2026 2.
hb1229-01-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 1229 2026 license for not more than 1 month pending verification of correction of violations through a second followup inspection.
In addition to sanctions authorized under this part, if violations are found during the inspection and the licensee fails to demonstrate compliance with all medically complex children's home requirements during a followup inspection, the licensee may not admit any new children for medically complex children's home services.
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The agency may extend the provisional license for not more than 1 month pending verification of correction of violations through a second followup inspection.
Section 400.9995, Florida Statutes, is created Page 7 of 16 CODING:
Section 400.9995, Florida Statutes, is created to read:
400.9995 Rules establishing minimum standards.—The agency may adopt rules to administer this part and part II of chapter 408, which must include reasonable and fair minimum standards in relation to:
(1) A safe and sanitary environment that is residential Page 7 of 15 CODING:
hb1229-00 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 1229 2026 to read:
hb1229-01-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 1229 2026 and noninstitutional in design or nature and may allow for technological advances in the provision of care, safety, and security, including the use of devices, equipment, and other security measures related to the general safety and security of residents, staff, and the home.
400.9995 Rules establishing minimum standards.—The agency may adopt rules to administer this part and part II of chapter 408, which must include reasonable and fair minimum standards in relation to:
(1) A safe and sanitary environment that is residential and noninstitutional in design or nature and may allow for technological advances in the provision of care, safety, and security, including the use of devices, equipment, and other security measures related to the general safety and security of residents, staff, and the home.
(6) Programs and basic services promoting and maintaining Page 8 of 16 CODING:
(6) Programs and basic services promoting and maintaining a homelike environment and the health and development of the children served, including facilitating school services.
Such programs and services include development, implementation, and monitoring of a comprehensive protocol of care, developed in conjunction with the parent or guardian, which specifies the medical, nursing, psychosocial, and developmental therapies Page 8 of 15 CODING:
hb1229-00 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 1229 2026 a homelike environment and the health and development of the children served, including facilitating school services.
hb1229-01-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 1229 2026 required by the medically dependent or technologically dependent child served.
Such programs and services include development, implementation, and monitoring of a comprehensive protocol of care, developed in conjunction with the parent or guardian, which specifies the medical, nursing, psychosocial, and developmental therapies required by the medically dependent or technologically dependent child served.
(11) Discharge and transfer planning for a child, including a child who becomes ineligible for services from the Page 9 of 16 CODING:
(11) Discharge and transfer planning for a child, including a child who becomes ineligible for services from the home.
Words stricken are deletions;
words underlined are additions.
hb1229-00 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 1229 2026 home.
(12) Establishing procedures, identifying forms, specifying documentation, and clarifying terms, as necessary, to administer this part.
(12) Establishing procedures, identifying forms, specifying documentation, and clarifying terms, as necessary, to Page 9 of 15 CODING:
Words stricken are deletions;
words underlined are additions.
hb1229-01-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 1229 2026 administer this part.
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(3) Have a written order by the child's attending physician in consultation with the parents or legal guardians.
Words stricken are deletions;
words underlined are additions.
hb1229-00 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 1229 2026 (3) Have a written order by the child's attending physician in consultation with the parents or legal guardians.
Consideration must be given to relevant medical, emotional, psychosocial, and environmental factors.
Page 10 of 15 CODING:
Words stricken are deletions;
words underlined are additions.
hb1229-01-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 1229 2026 Consideration must be given to relevant medical, emotional, psychosocial, and environmental factors.
408.821 shall be submitted for review and approval to the Page 11 of 16 CODING:
408.821 shall be submitted for review and approval to the local emergency management agency.
(6) All medically complex children's homes must have an annual fire inspection conducted by the local fire marshal or authority having jurisdiction.
(7) The requirements for the construction or renovation of a medically complex children's home shall comply with all of the Page 11 of 15 CODING:
hb1229-00 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 1229 2026 local emergency management agency.
hb1229-01-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 1229 2026 following:
(6) All medically complex children's homes must have an annual fire inspection conducted by the local fire marshal or authority having jurisdiction.
(7) The requirements for the construction or renovation of a medically complex children's home shall comply with all of the following:
(2) A violation of this part, part II of chapter 408, or Page 12 of 16 CODING:
(2) A violation of this part, part II of chapter 408, or applicable rules is subject to fines specified in s.
Words stricken are deletions;
words underlined are additions.
hb1229-00 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 1229 2026 applicable rules is subject to fines specified in s.
The agency shall issue a citation regardless of correction and impose an administrative fine of $500 for an isolated violation, $750 for a patterned violation, or $1,000 for a widespread violation.
The Page 12 of 15 CODING:
Words stricken are deletions;
words underlined are additions.
hb1229-01-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 1229 2026 agency shall issue a citation regardless of correction and impose an administrative fine of $500 for an isolated violation, $750 for a patterned violation, or $1,000 for a widespread violation.
If a deficiency giving rise to a class IV violation is corrected within the time specified by the agency, Page 13 of 16 CODING:
If a deficiency giving rise to a class IV violation is corrected within the time specified by the agency, the fine may not be imposed.
Words stricken are deletions;
words underlined are additions.
hb1229-00 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 1229 2026 the fine may not be imposed.
Section 10.
Page 13 of 15 CODING:
Subsection (1) of section 435.12, Florida Statutes, is amended to read:
435.12 Care Provider Background Screening Clearinghouse.— (1) The Agency for Health Care Administration in consultation with the Department of Law Enforcement shall create a secure web-based system, which shall be known as the "Care Provider Background Screening Clearinghouse" or "clearinghouse." The clearinghouse must allow the results of criminal history checks provided to the specified agencies and, beginning January 1, 2026, or a later date as determined by the Agency for Health Care Administration, to qualified entities participating in the clearinghouse for screening of persons qualified as care providers under s.
943.0542 to be shared among the specified agencies and qualified entities when a person has applied to volunteer, be employed, be licensed, enter into a contract, or has an affiliation that allows or requires a state and national fingerprint-based criminal history check.
Beginning January 1, 2025, or a later date as determined by the Agency for Health Care Administration, the Agency for Health Care Administration Page 14 of 16 CODING:
hb1229-00 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 1229 2026 shall review and determine eligibility for all criminal history checks submitted to the clearinghouse for the Department of Education.
hb1229-01-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 1229 2026 Section 10.
The clearinghouse shall share eligibility determinations with the Department of Education and the qualified entities.
Beginning July 1, 2028, or a later date as determined by the Agency for Health Care Administration, the agency shall review and determine eligibility for all criminal history checks submitted to the clearinghouse for specified agencies as defined in s.
435.02.
The clearinghouse shall share eligibility determinations with the specified agencies.
The Agency for Health Care Administration and the Department of Law Enforcement may adopt rules to create forms or implement procedures needed to carry out this section.
Section 11.
Section 12.
Section 11.
408.802 Applicability.—This part applies to the provision of services that require licensure as defined in this part and Page 15 of 16 CODING:
408.802 Applicability.—This part applies to the provision of services that require licensure as defined in this part and to the following entities licensed, registered, or certified by the agency, as described in chapters 112, 383, 390, 394, 395, 400, 429, 440, and 765:
Words stricken are deletions;
words underlined are additions.
hb1229-00 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 1229 2026 to the following entities licensed, registered, or certified by the agency, as described in chapters 112, 383, 390, 394, 395, 400, 429, 440, and 765:
Section 13.
Section 12.
Section 14.
Section 13.
Subsection (1) of section 408.823, Florida Statutes, is amended to read:
Subsection (1) of section 408.823, Florida Page 14 of 15 CODING:
Words stricken are deletions;
words underlined are additions.
hb1229-01-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 1229 2026 Statutes, is amended to read:
Section 15.
Section 14.
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hb1229-00
hb1229-01-c1
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Action History

  1. Died in Rules

  2. Received

  3. Referred to Rules

  4. In Messages

  5. CS passed; YEAS 109, NAYS 0

  6. Read 3rd time

  7. Added to Third Reading Calendar

  8. Read 2nd time

  9. Bill added to Special Order Calendar (3/5/2026)

  10. Added to Second Reading Calendar

  11. Bill released to House Calendar

  12. Reported out of Health & Human Services Committee

  13. Favorable by Health & Human Services Committee

  14. Added to Health & Human Services Committee agenda

  15. Now in Health & Human Services Committee

  16. Referred to Health & Human Services Committee

  17. 1st Reading (Committee Substitute 1)

  18. CS Filed

  19. Laid on Table under Rule 7.18(a)

  20. Reported out of Health Care Facilities & Systems Subcommittee

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

  22. PCS added to Health Care Facilities & Systems Subcommittee agenda

  23. Now in Health Care Facilities & Systems Subcommittee

  24. Referred to Health & Human Services Committee

  25. Referred to Health Care Budget Subcommittee

  26. Referred to Health Care Facilities & Systems Subcommittee

  27. 1st Reading (Original Filed Version)

  28. Filed

Sponsors

Sponsorship breakdown

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1 sponsors · 2 co-sponsors · 161 not signed on

Sponsors (1)

  • Health Care Facilities & Systems Subcommittee

Co-sponsors (2)

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.

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

Passage Third Reading

Passed 109 Yea · 0 Nay · 8 Other
Party YeaNayPresentNot Voting
Republican 74005
Unaffiliated 4000
Democrat 31003
Total 109008
% of votes cast 93%0%0%7%
How each member voted (117)
Member Party Vote
Gonzalez Pittman — Yea
Smith — Yea
Kincart Jonsson — Yea
Tomkow — Yea
Alvarez, Jose Democrat Yea
Antone, Bruce Hadley Democrat Yea
Aristide, Wallace Democrat Yea
Bartleman, Robin Democrat Yea
Campbell, Daryl Democrat Yea
Chambliss, Kevin D. Democrat Yea
Cross, Lindsay Democrat Yea
Daley, Dan Democrat Yea
Daniels, Kimberly Democrat Yea
Driskell, Fentrice Democrat Yea
Dunkley, Lisa Democrat Yea
Edmonds, Jervonte "Tae" Democrat Not Voting
Eskamani, Dr. Anna V. Democrat Yea
Franklin II, Gallop Democrat Yea
Gantt, Ashley Viola Democrat Yea
Gottlieb, Michael "Mike" Democrat Yea
Harris, Jennifer "Rita" Democrat Yea
Hart-Lowman, Dianne "Ms Dee" Democrat Yea
Hinson, Yvonne Hayes Democrat Yea
Hunschofsky, Christine Democrat Yea
Joseph, Dotie Democrat Not Voting
Long, Rob Democrat Yea
López, Johanna Democrat Yea
Nixon, Angela "Angie" Democrat Yea
Rayner, Michele K. Democrat Yea
Robinson, Felicia Simone Democrat Yea
Robinson, Felicia Simone Democrat Not Voting
Rosenwald, Mitch Democrat Yea
Skidmore, Kelly Democrat Yea
Spencer, Leonard Democrat Yea
Tant, Allison Democrat Yea
Tendrich, Debra Democrat Yea
Woodson, Marie Paule Democrat Yea
Young, RaShon Democrat Yea
Abbott, Shane G. Republican Yea
Albert, Jon Republican Yea
Alvarez, Daniel Antonio "Danny" Republican Yea
Anderson, Adam Republican Yea
Andrade, Robert Alexander "Alex" Republican Yea
Baker, Jessica Republican Yea
Bankson, Douglas Michael "Doug" Republican Yea
Barnaby, Webster Republican Yea
Basabe, Fabián Republican Yea
Benarroch, Yvette Republican Yea
Berfield, Kimberly Republican Yea
Black, Dean Republican Yea
Blanco, Omar Republican Yea
Booth, Erika Republican Yea
Borrero, David Republican Yea
Botana, Adam Republican Yea
Boyles, Nathan Republican Yea
Brackett, Robert A. "Robbie" Republican Yea
Brannan III, Robert Charles "Chuck" Republican Yea
Buchanan, James Republican Yea
Busatta, Demi Republican Yea
Canady, Jennifer Republican Yea
Cassel, Hillary Republican Yea
Chamberlin, Ryan Republican Yea
Chaney, Linda Republican Yea
Cobb, Nan Republican Yea
Conerly, William "Bill" Republican Yea
Duggan, Wyman Republican Yea
Esposito, Tiffany Republican Yea
Fabricio, Tom Republican Yea
Garrison, Sam Republican Yea
Gentry, Richard Republican Yea
Gerwig, Anne Republican Yea
Giallombardo, Mike Republican Yea
Gossett-Seidman, Peggy Republican Not Voting
Greco, Sam Republican Yea
Griffitts Jr., Philip Wayne "Griff" Republican Not Voting
Grow, J.J. Republican Yea
Hodgers, Brian Republican Yea
Holcomb, Jeff Republican Yea
Jacques, Berny Republican Yea
Johnson, Chad Republican Yea
Kendall, Kim Republican Yea
Koster, Traci Republican Yea
LaMarca, Chip Republican Yea
Maggard, Randall Scott "Randy" Republican Yea
Maney, Patt Republican Yea
McClure, Lawrence Republican Yea
McFarland, Fiona Republican Not Voting
Melo, Lauren Republican Yea
Michael, Kiyan Republican Not Voting
Miller, Monique Republican Yea
Mooney Jr., James Vernon "Jim" Republican Yea
Nix Jr., Danny Republican Yea
Oliver, Vanessa Republican Yea
Overdorf, Tobin Rogers "Toby" Republican Yea
Owen, Michael Republican Yea
Partington, Bill Republican Yea
Perez, Daniel Republican Yea
Persons-Mulicka, Jenna Republican Yea
Plakon, Rachel Saunders Republican Yea
Plasencia, Susan Republican Yea
Porras, Juan Carlos Republican Yea
Redondo, Mike Republican Yea
Rizo, Alex Republican Yea
Salzman, Michelle Republican Yea
Sapp, Judson Republican Yea
Shoaf, Jason Republican Yea
Sirois, Tyler I. Republican Yea
Snyder, John Republican Yea
Stark, Paula A. Republican Yea
Steele, Kevin M. Republican Yea
Trabulsy, Dana Republican Yea
Tramont, Chase Republican Yea
Tuck, Kaylee Republican Yea
Valdés, Susan L. Republican Yea
Weinberger, Meg Republican Yea
Yarkosky, Taylor Michael Republican Yea
Yeager, Bradford Troy "Brad" Republican Not Voting

Official roll call →

Subjects

public-safety housing healthcare labor education
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Frequently asked questions

What does HB 1229 do?
Residential Homes for Medically or Technologically Dependent Children; Provides licensure & application requirements; requires AHCA to require certain background screening for certain persons; requires access to medically complex children's home at reasonable times for certain persons; requires agency to issue provisional license to newly licensed provider for specified timeframe; authorizes agency to issue conditional license for specified timeframe to licensed provider for specified reasons; requires agency to conduct inspections; provides rulemaking authority, procedures, & requirements; provides eligibility requirements to qualify for admission to medically complex children's home; provides uniform firesafety standards, emergency preparedness requirements, & construction standards; provides for denial, suspension, & revocation of license; provides for administrative fines.
Who sponsors HB 1229?
HB 1229 is sponsored by Health Care Facilities & Systems Subcommittee, Oliver, Vanessa (Republican), and Valdés, Susan L. (Republican).
What is the current status of HB 1229?
This bill has passed the House. Introduced January 08, 2026. It now moves to the second chamber.
Where can I track HB 1229?
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