Substitute House Bill No. 5299 allows trained assisted living aides to administer certain medications to residents of assisted living facilities, a responsibility previously limited to licensed nursing personnel. The bill defines "trained assisted living aide" as an aide employed by an assisted living services agency (ALSA) who has completed specific training in medication administration. The bill stipulates that a licensed registered nurse, employed by the ALSA and authorized to delegate medication administration, can assign this task to the trained aides. The bill also mandates the Commissioner of Public Health to adopt regulations regarding the administration of medications, including controlled substances, but excludes injectable medications.

Additionally, the bill provides legal protections for registered nurses who delegate medication administration. Specifically, it grants them immunity from civil liability for any injuries or financial losses resulting from the aides' actions, except in cases of gross negligence or willful misconduct. Furthermore, the State Board of Examiners for Nursing cannot discipline nurses solely for delegating medication administration as permitted by the bill. The effective date for these provisions is set for October 1, 2026.