The bill, Substitute House Bill No. 7249, mandates that by January 1, 2026, supervisors of assisted living services agencies (ALSAs) must ensure that client service programs for residents of managed residential communities (MRCs) include specific protocols for providing emergency medical services. These protocols must outline the types of emergency medical services that ALSA staff can provide, the categories of staff qualified to deliver these services along with their required training, and the circumstances under which staff should either provide these services or seek emergency medical assistance through the 911 system. The bill specifies that ALSA staff may administer treatments for conditions such as asthma, chronic obstructive pulmonary disease, dehydration, and hypoglycemia, among others.

Additionally, the bill requires that ALSA staff be educated on the established emergency medical treatment protocols and best practices for determining when to provide emergency medical services versus when to call 911 or arrange for hospital transportation. The definition of a managed residential community is clarified as a facility providing a managed group living environment for individuals primarily aged 55 and older, excluding state-funded congregate housing. The bill is set to take effect on October 1, 2025, and does not impose any fiscal impact on the state or municipalities.