AN ACT ALLOWING TRAINED ASSISTED LIVING AIDES TO ADMINISTER MEDICATION TO ASSISTED LIVING RESIDENTS.
HB 5299 allows trained assisted living aides employed by an assisted living agency to administer medication to residents, directly affecting residents who receive care in these facilities. The bill permits registered nurses (RNs) to delegate medication administration to these trained aides, provided the aides have completed specific training. Agencies must indemnify RNs against liability for non-wanton negligence during this delegated task, and the Public Health Commissioner will create implementing regulations. This changes current practice by expanding aides' responsibilities under RN supervision, without altering prescription authority.
Bill status
failed
1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 19, 2026
Last action Apr 7, 2026
Maddy AI version diff · 1 comparison
What changed between versions
Raised Bill
→
AGE Joint Favorable Substitute
·
4 edits
MODERATE
The bill was amended to consolidate definitions and clarify the delegation of medication administration duties between nurses and trained aides. The primary change shifts liability protection from the assisted living agency to the individual nurse, shielding the nurse from civil liability if they delegate in good faith, while explicitly excluding protection for gross negligence or willful misconduct.
Scope change
The scope of applicability remains the same, but the legal protections and responsibilities for the registered nurse have been significantly altered.
DEFINITION
The definition of 'registered nurse' was updated to explicitly require employment by an assisted living services agency and authorization to delegate medication administration.
The separate definition for 'trained assisted living aide' was removed and merged into the definition of 'assisted living aide' to streamline the text.
REQUIREMENT
The delegation process was simplified by removing the requirement for the agency to indemnify the nurse; instead, the nurse is granted personal immunity from civil liability when acting in good faith.
ENFORCEMENT
New language was added to state that nurses cannot face disciplinary action from the State Board of Examiners for Nursing solely for delegating medication administration in accordance with regulations.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
11
Key actions
2
Committee
3
Mar 31, 2026
Lower · Passed
REF. BY HOUSE TO COMMITTEE ON Public Health
lower
Mar 5, 2026
Lower · Passed
Joint Favorable Substitute
lower
Feb 19, 2026
Committee
REF. TO JOINT COMM. ON Aging
lower
5 primary · 0 co-sponsors
Sponsors
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