Florida Senate - 2023 SB 1486 By Senator Hutson 7-00964-23 20231486__ 1 A bill to be entitled 2 An act relating to electronic monitoring devices in 3 long-term care facilities; creating ss. 400.025 and 4 429.265, F.S.; defining the terms “electronic 5 monitoring device” and “representative”; authorizing a 6 resident, or his or her representative, of a nursing 7 home facility or assisted living facility, 8 respectively, to authorize the installation and use of 9 an electronic monitoring device in the resident’s room 10 if specified conditions are met; providing for 11 installation and use of such device if the resident 12 lives in a shared room with another resident; 13 requiring the consent of such other resident or his or 14 her representative; authorizing such other resident or 15 his or her representative to impose conditions on the 16 consent; providing that consent may be withdrawn at 17 any time, verbally or in writing; authorizing 18 facilities to adopt a consent form; providing 19 requirements for the form; prohibiting facilities from 20 denying admission to a person or discharging a 21 resident or otherwise discriminating or retaliating 22 against a resident for the decision to install and use 23 such electronic monitoring device in the resident’s 24 room; providing an administrative penalty; providing a 25 criminal penalty for unlawfully obstructing, tampering 26 with, or destroying an electronic monitoring device or 27 a recording made by such device; specifying who may 28 view or listen to images and sounds broadcast or 29 recorded by an electronic monitoring device; providing 30 applicability; authorizing the Agency for Health Care 31 Administration to adopt rules; providing an effective 32 date. 33 34 Be It Enacted by the Legislature of the State of Florida: 35 36 Section 1. Section 400.025, Florida Statutes, is created to 37 read: 38 400.025 Electronic monitoring devices in residents’ rooms.— 39 (1) As used in this section, the term: 40 (a) “Electronic monitoring device” means a surveillance 41 instrument with a fixed-position video camera or an audio 42 recording device, or a combination thereof, which broadcasts or 43 records movement or sounds occurring in the area being 44 surveilled. 45 (b) “Representative” means a person granted a durable power 46 of attorney under chapter 709, a guardian appointed under 47 chapter 744, or a person designated as a health care surrogate 48 under chapter 765 to make health care decisions on behalf of a 49 person. 50 (2) A resident or a resident’s representative may authorize 51 the installation and use of an electronic monitoring device in 52 the resident’s room in a nursing home facility if all of the 53 following conditions are met: 54 (a) If the facility has adopted a consent form pursuant to 55 subsection (5), the resident or the resident’s representative 56 completes the form. 57 (b) The cost of the device and the cost of installing, 58 maintaining, and removing the device, not including the cost of 59 electricity used for the device, are paid for by the resident or 60 the resident’s representative. 61 (c) If the resident is living in a room with another 62 resident, the other resident or that resident’s representative 63 consents to the installation and use of the device in the shared 64 room. If the facility has adopted a consent form pursuant to 65 subsection (5), such consent must be obtained by having the 66 other resident or his or her representative complete the form. 67 (3)(a) If a resident living in a room with another resident 68 wishes to use an electronic monitoring device in the residents’ 69 shared room, but the other resident or his or her representative 70 refuses to consent to the installation and use of an electronic 71 monitoring device in the shared room, the facility must make a 72 reasonable attempt to accommodate the resident wishing to use 73 such device by moving one of the residents to another available 74 room with the consent of such resident or his or her 75 representative. 76 (b) If the resident wishing to use an electronic monitoring 77 device lives in the same room as another resident, the other 78 resident or his or her representative may place conditions on 79 his or her consent to the use of such device, including, but not 80 limited to, pointing the device away from the other resident or 81 limiting or prohibiting the use of specific devices. If 82 conditions are placed on a resident’s consent in this manner, 83 the electronic monitoring device must be installed and used in a 84 manner consistent with such conditions as long as the resident 85 who imposed the conditions is living in the same room. 86 (4) A resident or his or her representative who has 87 authorized the installation and use of an electronic monitoring 88 device under this section may withdraw that authorization 89 verbally or in writing at any time. 90 (5) A nursing home facility may adopt a consent form for 91 installation and use of an electronic monitoring device in the 92 facility. Such form must, at a minimum, include all of the 93 following: 94 (a) An explanation of this section. 95 (b) An acknowledgment that the resident or his or her 96 representative has consented to the installation and use of the 97 device in the resident’s room. 98 (c) If the resident requesting installation and use of the 99 electronic monitoring devices lives in a room with another 100 resident, an acknowledgment that the other resident or other 101 resident’s representative has consented to the installation and 102 use of the device and a description of any conditions placed on 103 that consent as authorized under paragraph (3)(b). 104 (d) A section for providing the facility with information 105 regarding the type, function, and use of the device to be 106 installed and used. 107 (e) A section stating that the facility is released from 108 liability in any civil or criminal action or administrative 109 proceeding for a violation of the resident’s right to privacy in 110 connection with using the device. 111 (6) A nursing home facility may post a notice in a 112 conspicuous location at the entrance of a resident’s room with 113 an electronic monitoring device stating that such device is in 114 use in that room. 115 (7) A nursing home facility may not deny a person admission 116 to, or discharge a resident from, the facility or otherwise 117 discriminate or retaliate against a resident based on his or her 118 decision to install and use an electronic monitoring device in 119 the resident’s room at the facility. A nursing home facility 120 shall be fined $500 for each violation of this subsection. 121 (8) It is unlawful for a person, other than the resident 122 and resident’s representative, if any, who authorized the 123 installation and use of an electronic monitoring device in the 124 resident’s room in a nursing home facility, to intentionally 125 obstruct, tamper with, or destroy the device or a recording made 126 by the device. A person who violates this subsection commits a 127 misdemeanor of the first degree, punishable as provided in s. 128 775.082 or s. 775.083. 129 (9) A person may not intentionally view or listen to the 130 images and sounds broadcast or recorded by an electronic 131 monitoring device installed in a resident’s room, unless that 132 person is: 133 (a) The resident; 134 (b) The resident’s representative; 135 (c) Law enforcement personnel; or 136 (d) Authorized by the resident or the resident’s 137 representative to view or listen to the images and sounds 138 broadcast or recorded by the device. 139 (10) This section does not apply to an electronic 140 monitoring device installed by a law enforcement agency and used 141 solely for legitimate law enforcement purposes. 142 (11) The agency may adopt rules to implement this section. 143 Section 2. Section 429.265, Florida Statutes, is created to 144 read: 145 429.265 Electronic monitoring devices in residents’ rooms.— 146 (1) As used in this section, the term: 147 (a) “Electronic monitoring device” means a surveillance 148 instrument with a fixed-position video camera or an audio 149 recording device, or a combination thereof, which broadcasts or 150 records movement or sounds occurring in the area being 151 surveilled. 152 (b) “Representative” means a guardian appointed under 153 chapter 744, a person designated as a health care surrogate 154 under chapter 765, or a person granted a durable power of 155 attorney under chapter 709 to make health care decisions on 156 behalf of a person. 157 (2) A resident or a resident’s representative may authorize 158 the installation and use of an electronic monitoring device in 159 the resident’s room in an assisted living facility if all of the 160 following conditions are met: 161 (a) If the facility has adopted a consent form pursuant to 162 subsection (5), the resident or the resident’s representative 163 completes the form. 164 (b) The cost of the device and the cost of installing, 165 maintaining, and removing the device, not including the cost of 166 electricity used for the device, is paid for by the resident or 167 the resident’s representative. 168 (c) If the resident is living in a room with another 169 resident, the other resident or that resident’s representative 170 consents to the installation and use of the device in the shared 171 room. If the facility has adopted a consent form pursuant to 172 subsection (5), such consent must be obtained by having the 173 other resident or his or her representative complete the form. 174 (3)(a) If a resident living in a room with another resident 175 wishes to use an electronic monitoring device in the residents’ 176 shared room, but the other resident or his or her representative 177 refuses to consent to the installation and use of an electronic 178 monitoring device in the shared room, the facility must make a 179 reasonable attempt to accommodate the resident wishing to use 180 such device by moving one of the residents to another available 181 room with the consent of such resident or his or her 182 representative. 183 (b) If the resident wishing to use an electronic monitoring 184 device lives in the same room as another resident, the other 185 resident or his or her representative may place conditions on 186 his or her consent to the use of such device, including, but not 187 limited to, pointing the device away from the other resident or 188 limiting or prohibiting the use of specific devices. If 189 conditions are placed on a resident’s consent in this manner, 190 the electronic monitoring device must be installed and used in a 191 manner consistent with such conditions as long as the resident 192 who imposed the conditions is living in the same room. 193 (4) A resident or his or her representative who has 194 authorized the installation and use of an electronic monitoring 195 device under this section may withdraw that authorization 196 verbally or in writing at any time. 197 (5) An assisted living facility may adopt a consent form 198 for installation and use of an electronic monitoring device in 199 the facility. Such form must, at a minimum, include all of the 200 following: 201 (a) An explanation of this section. 202 (b) An acknowledgment that the resident or his or her 203 representative has consented to the installation and use of the 204 device in the resident’s room. 205 (c) If the resident requesting installation and use of the 206 electronic monitoring devices lives in a room with another 207 resident, an acknowledgment that the other resident or other 208 resident’s representative has consented to the installation and 209 use of the device and a description of any conditions placed on 210 that consent as authorized under paragraph (3)(b). 211 (d) A section for providing the facility with information 212 regarding the type, function, and use of the device to be 213 installed and used. 214 (e) A section stating that the facility is released from 215 liability in any civil or criminal action or administrative 216 proceeding for a violation of the resident’s right to privacy in 217 connection with using the device. 218 (6) An assisted living facility may post a notice in a 219 conspicuous location at the entrance of a resident’s room with 220 an electronic monitoring device stating that such device is in 221 use in that room. 222 (7) An assisted living facility may not deny a person 223 admission to, or discharge a resident from, the facility or 224 otherwise discriminate or retaliate against a resident based on 225 his or her decision to install and use an electronic monitoring 226 device in the resident’s room at the facility. An assisted 227 living facility shall be fined $500 for each violation of this 228 subsection. 229 (8) It is unlawful for a person, other than the resident 230 and resident’s representative, if any, who authorized the 231 installation and use of an electronic monitoring device in the 232 resident’s room in an assisted living facility, to intentionally 233 obstruct, tamper with, or destroy the device or a recording made 234 by the device. A person who violates this subsection commits a 235 misdemeanor of the first degree, punishable as provided in s. 236 775.082 or s. 775.083. 237 (9) A person may not intentionally view or listen to the 238 images and sounds broadcast or recorded by an electronic 239 monitoring device installed in a resident’s room, unless that 240 person is: 241 (a) The resident; 242 (b) The resident’s representative; 243 (c) Law enforcement personnel; or 244 (d) Authorized by the resident or the resident’s 245 representative to view or listen to the images and sounds 246 broadcast or recorded by the device. 247 (10) This section does not apply to an electronic 248 monitoring device installed by a law enforcement agency and used 249 solely for legitimate law enforcement purposes. 250 (11) The agency may adopt rules to implement this section. 251 Section 3. This act shall take effect July 1, 2023.