The bill CS/HB 223 establishes comprehensive regulations for the installation and use of electronic monitoring devices in long-term care facilities, specifically targeting nursing homes and assisted living facilities. It defines "electronic monitoring device" as a fixed-position video camera or audio recording device that captures movement or sounds in a resident's room. Residents or their representatives are permitted to install these devices under specific conditions, including providing written notice to the facility, covering all associated costs, and obtaining consent from any co-residents. The bill also mandates the Agency for Health Care Administration to create standard forms for notification and consent, while prohibiting facilities from discriminating against residents who choose to install such devices.

Additionally, the bill imposes penalties for unlawful actions related to electronic monitoring, such as tampering or unauthorized viewing of recordings, classifying these offenses as first-degree misdemeanors. It specifies who may access the recordings, including the resident, their representative, law enforcement, or individuals authorized by the resident, and prohibits the public dissemination of any recorded images or sounds. The legislation also includes a provision that prohibits facilities from denying admission or discharging residents based on their decision to install monitoring devices, imposing a fine of $500 for each violation. The act is set to take effect on July 1, 2025, and allows the agency to adopt rules for its implementation.