# Florida SB 1156: Home Health Aide for Medically Fragile Children Program Florida SB 1156, Home Health Aide for Medically Fragile Children Program, is a 2025 Senate bill sponsored by Gayle Harrell (Republican); status signed, last action 2025-06-24 (Chapter No. 2025-171); PRIA reads it as touching household money (as of 2026-10-17). - Canonical: https://policyrisk.com/state-bill/FL-SB1156-2025 - As of: 2026-10-17 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Florida SB 1156 - State: Florida - Session: 2025 - Title: Home Health Aide for Medically Fragile Children Program - Status: signed - Chamber: Senate - Introduced: 2025-02-25 - Last action: 2025-06-24, Chapter No. 2025-171 - Sponsor: Gayle Harrell (Republican) - Cosponsors: 2 - Subjects: Appropriation, Health Policy, Appropriations Committee on Health and Human Services, Fiscal Policy, House Calendar - Touches household money: yes - Roll calls: 5 (186 yes, 0 no in all) - Economic provisions PRIA read: 4 ## Summary No summary available. ## Bill overview: provisions PRIA read - Protecting family aides' Medicaid eligibility: benefit, medium. Florida must seek federal approval to keep program aide earnings out of Medicaid income calculations, including low-income-family eligibility calculations. The exclusion depends on federal approval; the law does not make it automatic. Family income and resources remain compared with the July 1996 A… - Safety reporting for children's home aide care: benefit, low. Home health agencies must report adverse incidents during program aide care to Florida's health agency and the child's managed care plan. Reports are due within 48 hours. Incidents include death, brain or spinal damage, permanent disfigurement, fractures or dislocations, lost or limited function, a… - More daily aide care, but weekly limits: mixed, medium. Florida Medicaid must reimburse participating home health agencies at least $25 per hour; this is not a guaranteed aide wage. The law raises each child's daily aide-care limit from 8 to 12 hours and sets a 40-hour weekly cap. Extra weekly hours require a justified lack of another qualified provider… - Family aides get shorter training, broader duties: mixed, low. Family aides must finish approved training before serving an eligible relative; minimum training falls from 85 to 76 hours. Programs require at least 40 hours of aide training, 20 hours of child-specific nursing skills, and 16 clinical hours. A registered nurse must directly supervise clinical trai… ## Sponsors and cosponsors - Sponsor: Gayle Harrell (Republican), Senate - Cosponsor: Fiscal Policy - Cosponsor: Health Policy ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-30 | House | House Floor Vote | pass | 113 | 0 | | | 2025-04-29 | Senate | Senate Floor Vote | pass | 37 | 0 | | | 2025-04-22 | Senate | Fiscal Policy Vote | pass | 18 | 0 | | | 2025-04-10 | Senate | Appropriations Committee on Health and Human Services Vote | pass | 8 | 0 | | | 2025-04-01 | Senate | Health Policy Vote | pass | 10 | 0 | | ## Actions (34) - 2025-06-24: Chapter No. 2025-171 - 2025-06-23: Approved by Governor - 2025-06-18: Signed by Officers and presented to Governor - 2025-04-30: Ordered enrolled (Senate) - 2025-04-30: CS passed; YEAS 113, NAYS 0 (House) - 2025-04-30: Read 3rd time (House) - 2025-04-30: Added to Third Reading Calendar (House) - 2025-04-30: Placed on 3rd reading (House) - 2025-04-30: Read 2nd time (House) - 2025-04-29: 1st Reading (Engrossed 1) (House) - 2025-04-29: Bill added to Special Order Calendar (4/30/2025) (House) - 2025-04-29: Bill referred to House Calendar (House) - 2025-04-29: In Messages (House) - 2025-04-29: CS passed as amended; YEAS 37 NAYS 0 -SJ 615 (Senate) - 2025-04-29: Read 3rd time -SJ 615 (Senate) - 2025-04-29: Amendment(s) adopted (347492) -SJ 614 (Senate) - 2025-04-29: Read 2nd time -SJ 614 (Senate) - 2025-04-24: CS/CS by Fiscal Policy read 1st time (Senate) - 2025-04-23: Placed on Special Order Calendar, 04/29/25 (Senate) - 2025-04-23: Placed on Calendar, on 2nd reading (Senate) - 2025-04-23: Pending reference review -under Rule 4.7(2) - (Committee Substitute) (Senate) - 2025-04-22: CS/CS by- Fiscal Policy; YEAS 18 NAYS 0 (Senate) - 2025-04-17: On Committee agenda-- Fiscal Policy, 04/22/25, 11:00 am, 412 Knott Building (Senate) - 2025-04-11: Now in Fiscal Policy (Senate) - 2025-04-10: Favorable by Appropriations Committee on Health and Human Services; YEAS 8 NAYS 0 (Senate) - 2025-04-07: On Committee agenda-- Appropriations Committee on Health and Human Services, 04/10/25, 8:30 am, 412 Knott Building (Senate) - 2025-04-03: CS by Health Policy read 1st time (Senate) - 2025-04-03: Now in Appropriations Committee on Health and Human Services (Senate) - 2025-04-03: Pending reference review under Rule 4.7(2) - (Committee Substitute) (Senate) - 2025-04-01: CS by Health Policy; YEAS 10 NAYS 0 (Senate) - 2025-03-27: On Committee agenda-- Health Policy, 04/01/25, 1:30 pm, 412 Knott Building (Senate) - 2025-03-04: Introduced (Senate) - 2025-03-03: Referred to Health Policy; Appropriations Committee on Health and Human Services; Fiscal Policy (Senate) - 2025-02-25: Filed (Senate) ## Bill text - er, 2025-06-23: [HTML](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/er/HTML), [PDF](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/er/PDF) - e1, 2025-04-29: [HTML](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/e1/HTML), [PDF](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/e1/PDF) - c2, 2025-04-23: [HTML](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/c2/HTML), [PDF](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/c2/PDF) - c1, 2025-04-03: [HTML](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/c1/HTML), [PDF](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/c1/PDF) - Filed, 2025-02-25: [HTML](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/Filed/HTML), [PDF](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/Filed/PDF) ## Related bills - HB 1427: Nursing Education Programs (vetoed) - HB 1095: Criminal Offender Substance Abuse Program (vetoed) - HB 6017: Recovery of Damages for Medical Negligence Resulting in Death (vetoed) - HB 1445: Public Officers and Employees (vetoed) - HB 11: Municipal Water and Sewer Utility Rates (vetoed) - HB 5015: State Group Insurance (vetoed) ## Sources - [er (HTML)](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/er/HTML) - [er (PDF)](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/er/PDF) - [e1 (HTML)](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/e1/HTML) - [e1 (PDF)](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/e1/PDF) - [c2 (HTML)](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/c2/HTML) - [c2 (PDF)](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/c2/PDF) - [c1 (HTML)](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/c1/HTML) - [c1 (PDF)](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/c1/PDF) - [Filed (HTML)](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/Filed/HTML) - [Filed (PDF)](https://www.flsenate.gov/Session/Bill/2025/1156/BillText/Filed/PDF) ## Related - [HB 1427: Nursing Education Programs](https://policyrisk.com/state-bill/FL-HB1427-2025) - [HB 1095: Criminal Offender Substance Abuse Program](https://policyrisk.com/state-bill/FL-HB1095-2025) - [HB 6017: Recovery of Damages for Medical Negligence Resulting in Death](https://policyrisk.com/state-bill/FL-HB6017-2025) - [HB 1445: Public Officers and Employees](https://policyrisk.com/state-bill/FL-HB1445-2025) - [HB 11: Municipal Water and Sewer Utility Rates](https://policyrisk.com/state-bill/FL-HB11-2025) - [HB 5015: State Group Insurance](https://policyrisk.com/state-bill/FL-HB5015-2025) - [Florida bills](https://policyrisk.com/states/florida/bills) - [Florida state hub](https://policyrisk.com/states/florida) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/FL-SB1156-2025 (as of 2026-10-17).