---
type: "Bill"
title: "Home Health Aides for Medically Fragile Children"
description: "Home Health Aides for Medically Fragile Children; Requires home health agencies to ensure tasks delegated to home health aides for medically fragile children meet specified requirements; provides individuals exemption from costs associated with specified training; authorizes home health aides for medically fragile children to perform tasks delegated by registered nurse; requires AHCA to conduct annual assessment of certified health aide program; requires agency to submit report to Governor & Legislature; requires agency to establish a specified fee schedule; provides appropriations."
jurisdiction: "us/states/fl"
legislature: "Florida Legislature"
session: "2023"
identifier: "HB 391"
citation: "Florida HB 391 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
chapter_law: "2023-183"
primary_sponsors: ["Tramont"]
version_count: 5
action_count: 51
vote_count: 5
first_action: "2023-01-23"
last_action: "2023-06-02"
source: "openstates"
source_identifier: "ocd-bill/3126922e-b248-41b7-813e-30c2941b7c4d"
source_url: "https://flsenate.gov/Session/Bill/2023/391/ByCategory"
source_hash: "cd7521c6cddccb4fbec7b477bf68e9918a004440a41d7b0e0f8f38d7d7b9fc45"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-fl"]
---

# Florida HB 391 (2023) — Home Health Aides for Medically Fragile Children

Home Health Aides for Medically Fragile Children; Requires home health agencies to ensure tasks delegated to home health aides for medically fragile children meet specified requirements; provides individuals exemption from costs associated with specified training; authorizes home health aides for medically fragile children to perform tasks delegated by registered nurse; requires AHCA to conduct annual assessment of certified health aide program; requires agency to submit report to Governor & Legislature; requires agency to establish a specified fee schedule; provides appropriations.

**Enacted** — Laws of Florida, Chapter 2023-183.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **H 391 Filed** (filed) — [source](https://flsenate.gov/Session/Bill/2023/391/BillText/Filed/PDF)
2. **H 391 c1** (committee substitute) — [source](https://flsenate.gov/Session/Bill/2023/391/BillText/c1/PDF)
3. **H 391 c2** (committee substitute) — [source](https://flsenate.gov/Session/Bill/2023/391/BillText/c2/PDF)
4. **H 391 c3** (committee substitute) — [source](https://flsenate.gov/Session/Bill/2023/391/BillText/c3/PDF)
5. **H 391 er** (enrolled) — [source](https://flsenate.gov/Session/Bill/2023/391/BillText/er/PDF)

## Votes

- Passage, Third Reading — **116–0** (pass) · lower
- Favorable With Committee Substitute (Health Care Appropriations Subcommittee) — **13–0** (pass) · lower
- Favorable With Committee Substitute (Health & Human Services Committee) — **18–0** (pass) · lower
- Third Reading — **37–0** (pass) · upper
- Favorable With Committee Substitute (Healthcare Regulation Subcommittee) — **15–0** (pass) · lower

## Sponsors

- Health & Human Services Committee — primary (organization)
- Health Care Appropriations Subcommittee — primary (organization)
- Healthcare Regulation Subcommittee — primary (organization)
- Tramont — primary (person)
- Anderson — cosponsor (person)
- Bartleman — cosponsor (person)
- Basabe — cosponsor (person)
- Canady — cosponsor (person)
- Cassel — cosponsor (person)
- Chaney — cosponsor (person)
- Gottlieb — cosponsor (person)
- Harris — cosponsor (person)
- Hunschofsky — cosponsor (person)
- López, J. — cosponsor (person)
- Plasencia — cosponsor (person)
- Robinson, F. — cosponsor (person)
- Steele — cosponsor (person)
- Tant — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2023-01-23** Filed `filing`
- **2023-02-01** Referred to Healthcare Regulation Subcommittee `referral-committee`
- **2023-02-01** Referred to Health Care Appropriations Subcommittee `referral-committee`
- **2023-02-01** Referred to Health & Human Services Committee `referral-committee`
- **2023-02-01** Now in Healthcare Regulation Subcommittee
- **2023-03-07** 1st Reading (Original Filed Version) `filing, reading-1`
- **2023-03-24** Added to Healthcare Regulation Subcommittee agenda
- **2023-03-28** Favorable with CS by Healthcare Regulation Subcommittee `committee-passage-favorable`
- **2023-03-29** Reported out of Healthcare Regulation Subcommittee
- **2023-03-29** Laid on Table under Rule 7.18(a) `deferral`
- **2023-03-29** CS Filed `filing`
- **2023-03-29** 1st Reading (Committee Substitute 1) `reading-1`
- **2023-03-30** Referred to Health Care Appropriations Subcommittee `referral-committee`
- **2023-03-30** Referred to Health & Human Services Committee `referral-committee`
- **2023-03-30** Now in Health Care Appropriations Subcommittee
- **2023-04-10** Added to Health Care Appropriations Subcommittee agenda
- **2023-04-12** Favorable with CS by Health Care Appropriations Subcommittee `committee-passage-favorable`
- **2023-04-12** Reported out of Health Care Appropriations Subcommittee
- **2023-04-13** Laid on Table under Rule 7.18(a) `deferral`
- **2023-04-13** CS Filed `filing`
- **2023-04-13** Referred to Health & Human Services Committee `referral-committee`
- **2023-04-13** Now in Health & Human Services Committee
- **2023-04-13** Added to Health & Human Services Committee agenda
- **2023-04-13** 1st Reading (Committee Substitute 2) `reading-1`
- **2023-04-17** Favorable with CS by Health & Human Services Committee `committee-passage-favorable`
- **2023-04-19** Reported out of Health & Human Services Committee
- **2023-04-19** Laid on Table under Rule 7.18(a) `deferral`
- **2023-04-19** CS Filed `filing`
- **2023-04-19** 1st Reading (Committee Substitute 3) `reading-1`
- **2023-04-20** Bill referred to House Calendar
- **2023-04-20** Added to Second Reading Calendar
- **2023-04-20** Bill added to Special Order Calendar (4/25/2023)
- **2023-04-25** Read 2nd time `reading-2`
- **2023-04-25** Placed on 3rd reading `reading-3`
- **2023-04-25** Added to Third Reading Calendar
- **2023-04-26** Read 3rd time `reading-3`
- **2023-04-26** CS passed; YEAS 116, NAYS 0 `passage`
- **2023-04-26** In Messages
- **2023-04-26** Referred to Fiscal Policy `referral-committee`
- **2023-04-26** Received `enrolled`
- **2023-05-02** Withdrawn from Fiscal Policy `withdrawal`
- **2023-05-02** Placed on Calendar, on 2nd reading
- **2023-05-02** Substituted for CS/CS/SB 452
- **2023-05-02** Read 2nd time `reading-2`
- **2023-05-02** Read 3rd time `reading-3`
- **2023-05-02** CS passed; YEAS 37 NAYS 0 `passage`
- **2023-05-02** In Messages
- **2023-05-02** Ordered enrolled `enrolled`
- **2023-05-23** Signed by Officers and presented to Governor `executive-receipt`
- **2023-06-02** Approved by Governor `executive-signature`
- **2023-06-02** Chapter No. 2023-183

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/3126922e-b248-41b7-813e-30c2941b7c4d`. Confidence: reported (aggregated from official Florida legislature records).