Senate Bill No. 1190 mandates that by January 1, 2026, all nursing homes and managed residential communities (MRCs) must be equipped with an automated external defibrillator (AED) located in a central area that is accessible to staff, residents, and visiting family members. The bill requires that the AED be maintained and tested according to the manufacturer's guidelines. Additionally, it stipulates that at least one staff member trained in cardiopulmonary resuscitation (CPR) and AED use, following the standards of the American Red Cross or American Heart Association, must be present on-site during all operational hours.

The bill also clarifies definitions related to assisted living services agencies (ALSAs) and MRCs, specifying that MRCs are facilities for individuals primarily aged 55 and older, excluding state-funded congregate housing. Notably, the bill includes several changes to existing legal language, such as replacing "facility" with "community" in certain sections for clarity. The effective date for the provisions of this act is set for October 1, 2025. The fiscal impact of the bill is expected to be negligible, as it does not alter state payments to these facilities.