The bill amends Title 23 of the General Laws by adding a new chapter that provides for the use of electronic monitoring devices in nursing and assisted living facilities. It defines key terms, establishes the authorization process requiring written consent from the resident or their representative, and mandates consent from roommates in shared spaces. The bill also details the conditions under which electronic monitoring may be conducted, including the handling of situations where a resident lacks the capacity to consent, and the facility's obligation to attempt to accommodate residents who wish to use monitoring devices. Additionally, it outlines the use of recordings, the process for notification and consent, and the responsibilities of residents for the costs and installation of the devices.

The bill requires facilities to post notices about electronic monitoring, prohibits tampering with devices, and considers recordings as the personal property of the resident. It also includes provisions to protect residents from retaliation for using electronic monitoring and voids contractual provisions that limit these rights. Employees disciplined based on electronic monitoring evidence must be given access to the evidence. Penalties for non-compliance are introduced, with facilities and individuals facing misdemeanor charges and fines for violations. The department is tasked with adopting necessary rules to administer and enforce the chapter, which is set to take effect on January 30, 2025. The legislative language includes insertions related to penalties and rulemaking but does not indicate any deletions.