bf8b4e475b
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
136 lines
7.2 KiB
Markdown
136 lines
7.2 KiB
Markdown
---
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type: "Bill"
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title: "Home Health Aides for Medically Fragile Children"
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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."
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jurisdiction: "us/states/fl"
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legislature: "Florida Legislature"
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session: "2023"
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identifier: "HB 391"
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citation: "Florida HB 391 (2023)"
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classification: ["bill"]
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subjects: []
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status: "enacted"
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chapter_law: "2023-183"
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primary_sponsors: ["Tramont"]
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version_count: 5
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action_count: 51
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vote_count: 5
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first_action: "2023-01-23"
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last_action: "2023-06-02"
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source: "openstates"
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source_identifier: "ocd-bill/3126922e-b248-41b7-813e-30c2941b7c4d"
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source_url: "https://flsenate.gov/Session/Bill/2023/391/ByCategory"
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source_hash: "cd7521c6cddccb4fbec7b477bf68e9918a004440a41d7b0e0f8f38d7d7b9fc45"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-fl"]
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---
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# Florida HB 391 (2023) — Home Health Aides for Medically Fragile Children
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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.
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**Enacted** — Laws of Florida, Chapter 2023-183.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **H 391 Filed** (filed) — [source](https://flsenate.gov/Session/Bill/2023/391/BillText/Filed/PDF)
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2. **H 391 c1** (committee substitute) — [source](https://flsenate.gov/Session/Bill/2023/391/BillText/c1/PDF)
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3. **H 391 c2** (committee substitute) — [source](https://flsenate.gov/Session/Bill/2023/391/BillText/c2/PDF)
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4. **H 391 c3** (committee substitute) — [source](https://flsenate.gov/Session/Bill/2023/391/BillText/c3/PDF)
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5. **H 391 er** (enrolled) — [source](https://flsenate.gov/Session/Bill/2023/391/BillText/er/PDF)
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## Votes
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- Passage, Third Reading — **116–0** (pass) · lower
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- Favorable With Committee Substitute (Health Care Appropriations Subcommittee) — **13–0** (pass) · lower
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- Favorable With Committee Substitute (Health & Human Services Committee) — **18–0** (pass) · lower
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- Third Reading — **37–0** (pass) · upper
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- Favorable With Committee Substitute (Healthcare Regulation Subcommittee) — **15–0** (pass) · lower
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## Sponsors
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- Health & Human Services Committee — primary (organization)
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- Health Care Appropriations Subcommittee — primary (organization)
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- Healthcare Regulation Subcommittee — primary (organization)
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- Tramont — primary (person)
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- Anderson — cosponsor (person)
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- Bartleman — cosponsor (person)
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- Basabe — cosponsor (person)
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- Canady — cosponsor (person)
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- Cassel — cosponsor (person)
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- Chaney — cosponsor (person)
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- Gottlieb — cosponsor (person)
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- Harris — cosponsor (person)
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- Hunschofsky — cosponsor (person)
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- López, J. — cosponsor (person)
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- Plasencia — cosponsor (person)
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- Robinson, F. — cosponsor (person)
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- Steele — cosponsor (person)
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- Tant — cosponsor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2023-01-23** Filed `filing`
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- **2023-02-01** Referred to Healthcare Regulation Subcommittee `referral-committee`
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- **2023-02-01** Referred to Health Care Appropriations Subcommittee `referral-committee`
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- **2023-02-01** Referred to Health & Human Services Committee `referral-committee`
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- **2023-02-01** Now in Healthcare Regulation Subcommittee
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- **2023-03-07** 1st Reading (Original Filed Version) `filing, reading-1`
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- **2023-03-24** Added to Healthcare Regulation Subcommittee agenda
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- **2023-03-28** Favorable with CS by Healthcare Regulation Subcommittee `committee-passage-favorable`
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- **2023-03-29** Reported out of Healthcare Regulation Subcommittee
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- **2023-03-29** Laid on Table under Rule 7.18(a) `deferral`
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- **2023-03-29** CS Filed `filing`
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- **2023-03-29** 1st Reading (Committee Substitute 1) `reading-1`
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- **2023-03-30** Referred to Health Care Appropriations Subcommittee `referral-committee`
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- **2023-03-30** Referred to Health & Human Services Committee `referral-committee`
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- **2023-03-30** Now in Health Care Appropriations Subcommittee
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- **2023-04-10** Added to Health Care Appropriations Subcommittee agenda
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- **2023-04-12** Favorable with CS by Health Care Appropriations Subcommittee `committee-passage-favorable`
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- **2023-04-12** Reported out of Health Care Appropriations Subcommittee
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- **2023-04-13** Laid on Table under Rule 7.18(a) `deferral`
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- **2023-04-13** CS Filed `filing`
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- **2023-04-13** Referred to Health & Human Services Committee `referral-committee`
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- **2023-04-13** Now in Health & Human Services Committee
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- **2023-04-13** Added to Health & Human Services Committee agenda
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- **2023-04-13** 1st Reading (Committee Substitute 2) `reading-1`
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- **2023-04-17** Favorable with CS by Health & Human Services Committee `committee-passage-favorable`
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- **2023-04-19** Reported out of Health & Human Services Committee
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- **2023-04-19** Laid on Table under Rule 7.18(a) `deferral`
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- **2023-04-19** CS Filed `filing`
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- **2023-04-19** 1st Reading (Committee Substitute 3) `reading-1`
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- **2023-04-20** Bill referred to House Calendar
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- **2023-04-20** Added to Second Reading Calendar
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- **2023-04-20** Bill added to Special Order Calendar (4/25/2023)
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- **2023-04-25** Read 2nd time `reading-2`
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- **2023-04-25** Placed on 3rd reading `reading-3`
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- **2023-04-25** Added to Third Reading Calendar
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- **2023-04-26** Read 3rd time `reading-3`
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- **2023-04-26** CS passed; YEAS 116, NAYS 0 `passage`
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- **2023-04-26** In Messages
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- **2023-04-26** Referred to Fiscal Policy `referral-committee`
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- **2023-04-26** Received `enrolled`
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- **2023-05-02** Withdrawn from Fiscal Policy `withdrawal`
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- **2023-05-02** Placed on Calendar, on 2nd reading
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- **2023-05-02** Substituted for CS/CS/SB 452
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- **2023-05-02** Read 2nd time `reading-2`
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- **2023-05-02** Read 3rd time `reading-3`
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- **2023-05-02** CS passed; YEAS 37 NAYS 0 `passage`
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- **2023-05-02** In Messages
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- **2023-05-02** Ordered enrolled `enrolled`
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- **2023-05-23** Signed by Officers and presented to Governor `executive-receipt`
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- **2023-06-02** Approved by Governor `executive-signature`
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- **2023-06-02** Chapter No. 2023-183
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## Source
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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).
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