Substitute House Bill No. 5143, also known as Public Act No. 26-50, mandates that all homemaker-companion agencies provide a minimum of eight hours of paid training to new employees within ninety days of their employment starting January 1, 2027. This initial training must cover various topics, including communication, maintaining a safe environment, and identifying abuse, among others. Employees who have received similar training from another agency within the past three years can fulfill this requirement by providing proof of their prior training. Additionally, agencies are required to offer annual continuing education based on a list of approved training programs developed by the Commissioner of Consumer Protection in consultation with other relevant departments.

The bill also includes provisions regarding advertising practices for homemaker-companion agencies. Agencies may use the term "care" in their business name and advertising, provided they clearly state that they only offer nonmedical services. Furthermore, they can advertise their training for employees who assist individuals with memory difficulties, detailing the type and duration of training received. The bill emphasizes compliance with state training requirements and outlines penalties for misleading advertising. Overall, the legislation aims to enhance the quality of care provided by homemaker-companion agencies through standardized training and clear communication in advertising.