---
type: "Bill"
title: "Certified Nursing Assistants"
description: "Certified Nursing Assistants; Authorizing nursing home facilities to allow their registered nurses to delegate certain tasks to certified nursing assistants who meet specified criteria; providing for the designation of such certified nursing assistants as qualified medication aides; requiring that medication administration be included in certain performance improvement activities tracked by nursing homes in accordance with federal regulations; providing that the time spent by certified nursing assistants performing the duties of a qualified medication aide may not be included in the computing of certain minimum staffing ratio requirements for direct care provided to residents, etc."
jurisdiction: "us/states/fl"
legislature: "Florida Legislature"
session: "2023"
identifier: "SB 558"
citation: "Florida SB 558 (2023)"
classification: ["bill"]
subjects: ["public health", "regulation of professions and occupations"]
status: "enacted"
chapter_law: "2023-250"
primary_sponsors: ["Burton", "Health Policy"]
version_count: 3
action_count: 32
vote_count: 5
first_action: "2023-02-07"
last_action: "2023-06-16"
source: "openstates"
source_identifier: "ocd-bill/f45c5505-81ab-406b-97d6-a0fe3f216ba0"
source_url: "https://flsenate.gov/Session/Bill/2023/558/ByCategory"
source_hash: "5c4dd321bd70f4914f768d91fb0a216d7ab79c25acaa14f3a0fb29197954b399"
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 SB 558 (2023) — Certified Nursing Assistants

Certified Nursing Assistants; Authorizing nursing home facilities to allow their registered nurses to delegate certain tasks to certified nursing assistants who meet specified criteria; providing for the designation of such certified nursing assistants as qualified medication aides; requiring that medication administration be included in certain performance improvement activities tracked by nursing homes in accordance with federal regulations; providing that the time spent by certified nursing assistants performing the duties of a qualified medication aide may not be included in the computing of certain minimum staffing ratio requirements for direct care provided to residents, etc.

**Enacted** — Laws of Florida, Chapter 2023-250.

## Version chain

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

1. **S 558 Filed** (filed) — [source](https://flsenate.gov/Session/Bill/2023/558/BillText/Filed/HTML)
2. **S 558 c1** (committee substitute) — [source](https://flsenate.gov/Session/Bill/2023/558/BillText/c1/HTML)
3. **S 558 er** (enrolled) — [source](https://flsenate.gov/Session/Bill/2023/558/BillText/er/HTML)

## Votes

- Favorable — **19–0** (pass) · upper
- Favorable — **15–0** (pass) · upper
- Third Reading — **39–0** (pass) · upper
- Favorable with Committee Substitute — **10–0** (pass) · upper
- Passage, Third Reading — **117–0** (pass) · lower

## Sponsors

- Burton — primary (person)
- Health Policy — primary (person)

## Timeline

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

- **2023-02-07** Filed `filing`
- **2023-02-16** Referred to Health Policy; Appropriations Committee on Health and Human Services; Fiscal Policy `referral-committee`
- **2023-02-27** On Committee agenda-- Health Policy, 03/06/23, 3:30 pm, 412 Knott Building
- **2023-03-06** CS by Health Policy; YEAS 10 NAYS 0
- **2023-03-07** Introduced `introduction`
- **2023-03-07** Pending reference review under Rule 4.7(2) - (Committee Substitute)
- **2023-03-07** CS by Health Policy read 1st time
- **2023-03-08** Now in Appropriations Committee on Health and Human Services
- **2023-03-16** On Committee agenda-- Appropriations Committee on Health and Human Services, 03/21/23, 8:30 am, 412 Knott Building
- **2023-03-21** Favorable by Appropriations Committee on Health and Human Services; YEAS 15 NAYS 0 `committee-passage-favorable`
- **2023-03-21** Now in Fiscal Policy
- **2023-03-23** On Committee agenda-- Fiscal Policy, 03/28/23, 8:30 am, 110 Senate Building
- **2023-03-28** Favorable by- Fiscal Policy; YEAS 19 NAYS 0 `committee-passage-favorable`
- **2023-03-29** Placed on Calendar, on 2nd reading
- **2023-03-30** Placed on Special Order Calendar, 04/04/23
- **2023-04-04** Read 2nd time `reading-2`
- **2023-04-04** Read 3rd time `reading-3`
- **2023-04-04** CS passed; YEAS 39 NAYS 0 `passage`
- **2023-04-04** Immediately certified
- **2023-04-05** In Messages
- **2023-04-28** Bill referred to House Calendar
- **2023-04-28** Bill added to Special Order Calendar (5/1/2023)
- **2023-04-28** 1st Reading (Committee Substitute 1) `reading-1`
- **2023-05-01** Read 2nd time `reading-2`
- **2023-05-01** Placed on 3rd reading `reading-3`
- **2023-05-01** Added to Third Reading Calendar
- **2023-05-02** Read 3rd time `reading-3`
- **2023-05-02** CS passed; YEAS 117, NAYS 0 `passage`
- **2023-05-02** Ordered enrolled `enrolled`
- **2023-06-12** Signed by Officers and presented to Governor `executive-receipt`
- **2023-06-16** Approved by Governor `executive-signature`
- **2023-06-16** Chapter No. 2023-250

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f45c5505-81ab-406b-97d6-a0fe3f216ba0`. Confidence: reported (aggregated from official Florida legislature records).