Florida Senate - 2026                                    SB 1404
       
       
        
       By Senator Burton
       
       
       
       
       
       12-01086-26                                           20261404__
    1                        A bill to be entitled                      
    2         An act relating to memory care; amending s. 429.177,
    3         F.S.; defining the term “memory care services”;
    4         requiring facilities claiming to provide memory care
    5         services to meet specified standards of operation in
    6         providing such services; providing applicability;
    7         specifying requirements for resident contracts;
    8         specifying requirements for facilities with a resident
    9         who experiences certain changes of condition;
   10         specifying staffing requirements for facilities
   11         providing memory care services; repealing s. 429.178,
   12         F.S., relating to special care for persons with
   13         Alzheimer’s disease or other related disorders;
   14         creating s. 430.71, F.S.; providing the purpose of the
   15         Florida Alzheimer’s Center of Excellence; defining
   16         terms; creating the center within the Department of
   17         Elderly Affairs; authorizing the center to contract
   18         for services; providing duties of the center;
   19         requiring the center to submit an annual report to the
   20         Governor and the Legislature by a specified date;
   21         specifying requirements for the report; specifying
   22         eligibility requirements for services; authorizing the
   23         center to provide assistance to qualified persons,
   24         subject to the availability of funds and resources;
   25         providing effective dates.
   26          
   27  Be It Enacted by the Legislature of the State of Florida:
   28  
   29         Section 1. Effective January 1, 2027, section 429.177,
   30  Florida Statutes, is amended to read:
   31         429.177 Patients with Alzheimer’s disease, dementia, or
   32  other memory related disorders; certain disclosures; minimum
   33  standards.—
   34         (1)As used in this section, the term “memory care
   35  services” means specialized or focused care and services
   36  designed to address health or behavioral issues resulting from
   37  Alzheimer’s disease, dementia, or other memory disorders.
   38         (2)(a)A facility that advertises itself as a memory care
   39  provider or otherwise claims that the facility provides memory
   40  care services, including, but not limited to, services for
   41  residents with Alzheimer’s disease, dementia, or other memory
   42  disorders, must:
   43         1.Develop and implement policies and procedures addressing
   44  all of the following:
   45         a.Admittance criteria.
   46         b.Care and services necessary to address the needs of
   47  persons admitted for memory care services;
   48         2.Offer activities specifically designed for persons
   49  admitted for memory care services; and
   50         3.Maintain a current and accurate log of residents
   51  admitted for the purpose of receiving memory care services.
   52         (b)The standards in paragraph (a) apply to any unit
   53  designated for the provision of memory care services or to a
   54  facility that provides memory care services to any resident
   55  admitted and requiring such services.
   56         (3)In addition to the requirements of s. 429.24, resident
   57  contracts must specify all memory care services to be provided
   58  and any costs related to such services which exceed standard
   59  room and board.
   60         (4)In addition to the requirements of s. 429.26(7), for
   61  persons residing in facilities providing memory care services
   62  who exhibit a change of condition, the facility shall:
   63         (a)Notify a licensed physician to ensure that appropriate
   64  care is provided to the resident. The notification must occur
   65  within 30 days after the acknowledgment of such changes in
   66  condition by facility staff.
   67         (b)Notify the resident’s representative or designee and
   68  assist in making appointments for the necessary care and
   69  services for treatment of the change in condition.
   70         (c)If the resident does not have a representative or
   71  designee, or if the resident’s representative or designee cannot
   72  be located or is unresponsive, arrange with the appropriate
   73  health care provider for the necessary care and services for
   74  treatment of the change in condition.
   75         (5)(a)A facility providing memory care services, or a
   76  specific unit of a health care facility which is designated for
   77  memory care services, must have at least one staff member
   78  present to provide care and services at all times. The staff
   79  member shall:
   80         1.Stay awake at all times.
   81         2.Meet any training required as defined by statute or rule
   82  for assisted living facilities, including the training and
   83  continuing education requirements of s. 430.5025.
   84         3.Be certified in first aid and cardiopulmonary
   85  resuscitation.
   86         (b)A staff member administering medication or providing
   87  assistance with the self-administration of medication does not
   88  count toward the staffing requirement specified in paragraph (a)
   89  when he or she is engaged in such tasks.
   90         (6) A facility licensed under this part which claims that
   91  it provides special care for persons who have Alzheimer’s
   92  disease, dementia, or other memory related disorders must
   93  disclose in its advertisements or in a separate document those
   94  services that distinguish the care as being especially
   95  applicable to, or suitable for, such persons. The facility must
   96  give a copy of all such advertisements or a copy of the document
   97  to each person who requests information about programs and
   98  services for persons with Alzheimer’s disease, dementia, or
   99  other memory related disorders offered by the facility and must
  100  maintain a copy of all such advertisements and documents in its
  101  records. The agency shall examine all such advertisements and
  102  documents in the facility’s records as part of the license
  103  renewal procedure.
  104         Section 2. Effective January 1, 2027, section 429.178,
  105  Florida Statutes, is repealed.
  106         Section 3. Section 430.71, Florida Statutes, is created to
  107  read:
  108         430.71Florida Alzheimer’s Center of Excellence.—
  109         (1)PURPOSE AND INTENT.—The purpose of this section is to
  110  assist and support persons with Alzheimer’s disease or related
  111  forms of dementia and their caregivers by connecting them with
  112  resources in their communities to address the following goals:
  113         (a)To allow residents of this state living with
  114  Alzheimer’s disease or related forms of dementia to age in
  115  place.
  116         (b)To empower family caregivers to improve their own well
  117  being.
  118         (2)DEFINITIONS.-As used in this section, the term:
  119         (a)“Center” means the Florida Alzheimer’s Center of
  120  Excellence.
  121         (b)“Department” means the Department of Elderly Affairs.
  122         (3)POWERS AND DUTIES.—
  123         (a)There is created within the department the Florida
  124  Alzheimer’s Center of Excellence, which shall assist in
  125  improving the quality of care for persons living with
  126  Alzheimer’s disease or related forms of dementia and improving
  127  the quality of life for family caregivers. The center may
  128  contract for services necessary to implement this section. The
  129  center shall do all of the following:
  130         1.Conduct caregiver assessments to measure caregiver
  131  burden.
  132         2.Create personalized plans that guide caregivers to
  133  community resources, empowering them with the skills, education,
  134  support, and planning necessary for effective caregiving,
  135  including addressing any medical, emotional, social, legal, or
  136  financial challenges experienced by the person with Alzheimer’s
  137  disease or a related form of dementia.
  138         3.Educate and assist caregivers with strategies for
  139  caregiving for someone with Alzheimer’s disease or a related
  140  form of dementia and provide guidance on all aspects of home
  141  based care, including home safety, physical and mental health,
  142  legal and financial preparedness, communication skills, and
  143  hands-on care techniques.
  144         4.Provide online educational resources for caregivers.
  145         5.Track outcomes, including, but not limited to, decreased
  146  hospitalizations, reduced emergency department visits, reduction
  147  in falls, and reduction in caregiver burnout.
  148         6.By December 1 of each year, submit a report to the
  149  Governor, the President of the Senate, and the Speaker of the
  150  House of Representatives which addresses the number of families
  151  served, the types of services provided, and the outcomes
  152  achieved.
  153         (b)The center shall work with area agencies on aging as
  154  defined in s. 430.203; the Alzheimer’s Disease Advisory
  155  Committee established under s. 430.501; the Alzheimer’s Disease
  156  Initiative established under ss. 430.501-430.504; the state
  157  funded memory disorder clinics established under s. 430.502; the
  158  department’s Dementia Care and Cure Initiative task forces;
  159  universities; hospitals; and other available community resources
  160  to ensure full use of the state’s infrastructure.
  161         (4)ELIGIBILITY FOR SERVICES.—
  162         (a)To qualify for assistance from the center, an
  163  individual or a caregiver must meet all of the following
  164  criteria:
  165         1.At least one person in the household is a caregiver for
  166  a person diagnosed with, or suspected to have, Alzheimer’s
  167  disease or a related form of dementia.
  168         2.The caregiver or the person diagnosed with, or suspected
  169  to have, Alzheimer’s disease or a related form of dementia is a
  170  resident of this state.
  171         3.The person seeking assistance has the goal of providing
  172  in-home care for the person diagnosed with, or suspected to
  173  have, Alzheimer’s disease or a related form of dementia.
  174         (b)If the person seeking assistance meets the criteria in
  175  paragraph (a), the center may provide assistance to the
  176  caregiving family, subject to the availability of funds and
  177  resources.
  178         Section 4. Except as otherwise expressly provided in this
  179  act, this act shall take effect July 1, 2026.