The bill amends Title 23 of the General Laws by adding a new chapter that allows for electronic monitoring in nursing homes and assisted living facilities. It defines key terms and establishes that residents or their representatives can install monitoring devices in their rooms with written consent. The consent process is detailed, including the need for roommate consent, and the facility's obligation to accommodate residents who wish to use monitoring devices. If a resident's consent is not given for a shared room, the facility must attempt to move the resident to another room or offer a private room at the corresponding rate. The bill also requires facilities to reevaluate accommodation requests every two weeks and outlines the process for notification and consent, including the use of a prescribed form for consent and the updating of resident files with any changes in consent.

The bill sets conditions for the use of electronic monitoring devices, such as turning off devices during private activities and allowing residents to elect additional restrictions. It mandates that facilities must provide a notification and consent form, and residents are responsible for the costs and installation of the devices. Facilities must post notices about electronic monitoring, and tampering with devices is prohibited. Recordings are considered the personal property of the resident, and their dissemination is restricted. The bill protects residents from retaliation for electronic monitoring decisions and outlines penalties for non-compliance, including misdemeanors punishable by fines or imprisonment. Finally, the bill requires the department to adopt necessary rules and sets the act to take effect on January 30, 2025.