Proposed Changes to Assisted Living Facility Regulations
March 13, 2026
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The Frame
The bill would have altered operational requirements for assisted living facilities and expanded the types of medication assistance staff could provide, directly impacting facility management and the daily care services available to residents.
Potentially affected actors named in the source documents. Mention is not a position.
Assisted living facility operators
Operators would have faced new reporting timelines, staffing rule changes, and requirements to provide specific facility data to the state.
Assisted living facility residents
Residents would have seen changes in the scope of medication assistance provided by staff and the availability of facility information online.
Last recorded activity March 13, 2026.
Introduced.
Summary
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
Would this bill have changed how quickly facilities report accidents?
What new tasks could staff perform under this bill?
What information would facilities be required to share online?
Why It Matters
The bill would have altered operational requirements for assisted living facilities and expanded the types of medication assistance staff could provide, directly impacting facility management and the daily care services available to residents.
News Coverage
Lobbying Activity
AARP
2026
“P.L. 119-21, One Big Beautiful Bill Act H.R. 8867, Planning for Long-term Aging Needs (PLAN) Act H.R. 5861, Legacy Act of 2025 H.R. 9393, the Lower Costs, More Transparency Act. H.R. 9396, the Prior Authorization Accountability Act. S. 4916, the Aging with Artificial Intelligence Act. H.R. 8100, Safe Staffing Saves Lives Act. S. 3886, Nurses Belong in Nursing Homes Act. H.R. 6766/S. 3492, the Essential Caregivers Act of 2025. H.R. 7966/S. 4118, Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act. S. 2120, the Older Americans Act Reauthorization Act of 2025 H.R. 5575, the Firefighters Assisting Seniors to Emergency Response (FASTER) Act of 2025. H.R. 3954/S. 4641, Improving Access to Medicare Coverage Act. H.R.5554/S.2831, Stand Strong for Medicare Act. S. 3439/H.R. 6735, Connecting Caregivers to Medicare Act and efforts related to the bill S. 1227/H.R. 2491, Alleviating Barriers for Caregivers Act S. 668/H.R. 3183, Supporting Access to Falls Education and Prevention and Strengthening Training Efforts and Promoting Safety Initiatives (SAFE STEPS) for Veterans Act of 2025 CMS-1851-P, Hospice Proposed rule. CMS-1843-P, Skilled Nursing Facility Proposed rule. CMS-1844-P, Home Health Proposed rule. No bill number. Health care transparency. No bill number. Discussed use of artificial intelligence and health data technology. No bill number. Discussed health-related policies and activities around the fall respiratory virus season. No bill number. Discussed health insurance affordability proposals. No bill number. Discussed Nursing Home staffing standards, safety, and quality. No bill number. Discussed Nursing home transparency and ownership requirements. No bill number. Discussed home health, hospice, and long-term care. No bill number. Discussed falls prevention. No bill number. Discussed social isolation. No bill number. Discussed HUD Assisted Living Requirements No bill number. Discussed family caregiving. No bill number. Discussed AARP paper on Medicare Caregiver Training Services. No bill number. Discussed Medicaid community engagement interim final rule, including the family caregiver exemption. No bill number. Discussed the paid direct care workforce in long-term care. No bill number. Discussed the unaffordability of long-term care. No bill number. Discussed Money Follows the Person Rebalancing Demonstration Program and Medicaid HCBS spousal impoverishment protections. No bill number. Discussed Medicaid fraud and family caregivers, Medicaid self-direction programs. No bill number. Discussed sandwich generation family caregiver hearing and submitted a statement for the record discussing family caregivers and sandwich generation caregivers, programs that support them, AARP caregiving resources, and federal policies to support sandwich generation caregivers and caregivers more broadly. No bill number. Discussed long-term care. No bill number. CMS-2453-NC; Medicaid Program; 2028 Medicaid Home and Community-Based Services Quality Measure Set Submitted comments No bill number. Discussed expanding access to home care. No bill number. Discussed the increasing cost of home care No bill number. Discussed HSA use for telehealth chronic care management services/subscriptions. No bill number. Discussed artificial intelligence and technology”
REES & ASSOCIATES INCORPORATED
on behalf of CALIFORNIA ASSISTED LIVING FACILITIES ASSOCIATION
JOHNSTON GROUP, LLC
on behalf of JAMIE'S PLACE
Voting Record
Passage, Third Reading
Total
117
Yes
113
No
0
Present
0
Not Voting
4
Abstain
0
How they voted (117)
Wallace Aristide
Democratic · yes
Susan Plasencia
Republican · yes
Alex Andrade
Republican · yes
Webster Barnaby
Republican · yes
Traci Koster
Republican · yes
Judson Sapp
Republican · yes
Mitch Rosenwald
Democratic · yes
Adam Botana
Republican · yes
Doug Bankson
Republican · yes
Jon Albert
Republican · yes
Jeff Holcomb
Republican · yes
Meg Weinberger
Republican · yes
Tyler Sirois
Republican · yes
Toby Overdorf
Republican · yes
Fiona McFarland
Republican · yes
Debra Tendrich
Democratic · yes
Mike Giallombardo
Republican · yes
Daryl Campbell
Democratic · yes
Brad Yeager
Republican · not voting
Alex Rizo
Republican · yes
Jim Mooney
Republican · yes
Kim Berfield
Republican · yes
Dan Daley
Democratic · yes
Rob Long
Democratic · yes
+ 93 more
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Deregulation of Staffing
The bill sought to reduce administrative burdens on facilities by removing minimum staffing requirements for nursing services when no residents require those specific services.
Connected Entities
Sources
openstates.org
Analysis Score
0–100- Significance65How much this matters to a regular citizen
- Controversy20Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz10Current news / social attention level
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