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sHB5299 / File No. 93 1
General Assembly File No. 93
February Session, 2026 Substitute House Bill No. 5299
House of Representatives, March 19, 2026
The Committee on Aging reported through REP. GARIBAY of
the 60th Dist., Chairperson of the Committee on the part of the
House, that the substitute bill ought to pass.
AN ACT ALLOWING TRAINED ASSISTED LIVING AIDES TO
ADMINISTER MEDICATION TO ASSISTED LIVING RESIDENTS.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. (NEW) (Effective October 1, 2026) (a) As used in this section: 1
(1) "Administration" means the direct application or provision of a 2
medication by means other than injection to the body of a person; 3
(2) "Trained assisted living aide" means an assisted living aide who 4
(A) is employed by an assisted living services agency, and (B) has 5
successfully completed training for the administration of medication 6
pursuant to regulations adopted pursuant to subsection (d) of this 7
section; 8
(3) "Assisted living services agency" has the same meaning as 9
provided in section 19a-490 of the general statutes; 10
(4) "Medication" means any medicinal preparation and includes any 11
controlled substances specifically designated in the regulations adopted 12
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pursuant to subsection (d) of this section; and 13
(5) "Registered nurse" means a registered nurse licensed pursuant to 14
chapter 378 of the general statutes who (A) is employed by an assisted 15
living services agency, and (B) is authorized by such assisted living 16
services agency to delegate to a trained assisted living aide employed 17
by such agency the administration of medication to persons receiving 18
services from such assisted living services agency. 19
(b) Notwithstanding any provision of chapter 378 of the general 20
statutes, a registered nurse may delegate to a trained assisted living aide 21
the administration of medication to persons receiving services from 22
such assisted living services agency. 23
(c) A registered nurse who, in good faith, delegates to a trained 24
assisted living aide the administration of medication pursuant to the 25
provisions of this section shall be immune from civil liability for any 26
personal injury or financial loss resulting from the acts or omissions of 27
such aide in the performance of such administration of medication. Such 28
immunity shall not apply to any acts or omissions of the registered nurse 29
that are found to constitute gross negligence or wilful or wanton 30
misconduct. No registered nurse shall be subject to disciplinary action 31
by the State Board of Examiners for Nursing solely for the act of 32
delegating the administration of medication in accordance with the 33
regulations adopted pursuant to subsection (d) of this section. 34
(d) The Commissioner of Public Health shall adopt regulations, in 35
accordance with chapter 54 of the general statutes, to carry out the 36
provisions of this section. 37
This act shall take effect as follows and shall amend the following
sections:
Section 1 October 1, 2026 New section
Statement of Legislative Commissioners:
In Subsec. (a)(1), "or provision" was added; the definitions of "assisted
living aide" in Subdiv. (2) and "trained assisted living aide" in Subdiv.
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(6) were consolidated in Subdiv. (2); Subdiv. (6) was deleted; and related
technical changes were made for clarity.
AGE Joint Favorable Subst.
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The following Fiscal Impact Statement and Bill Analysis are prepared for the benefit of the members of
the General Assembly, solely for purposes of information, summarization and explanation and do not
represent the intent of the General Assembly or either chamber thereof for any purpose. In general,
fiscal impacts are based upon a variety of informational sources, including the analyst’s professional
knowledge. Whenever applicable, agency data is consulted as part of the analysis, however final
products do not necessarily reflect an assessment from any specific department.
OFA Fiscal Note
State Impact: None
Municipal Impact: None
Explanation
The bill authorizes licensed registered nurses to delegate the
administration of certain medications to certain qualified assisted living
aides, and the Department of Public Health to establish regulations for
the administration of medications, resulting in no fiscal impact to the
state. DPH has the necessary expertise to develop the regulations.
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OLR Bill Analysis
sHB 5299
AN ACT ALLOWING TRAINED ASSISTED LIVING AIDES TO
ADMINISTER MEDICATION TO ASSISTED LIVING RESIDENTS.
SUMMARY
This bill authorizes licensed registered nurses to delegate the
administration of certain medications to assisted living aides who are
employed by an assisted living services agency (ALSA) and trained in
medication administration, as described below. Under current law, only
an ALSA’s licensed nursing personnel can administer medications to
residents under a prescribing practitioner’s orders, and assisted living
aides may only supervise residents self-administering medications.
The bill requires the Department of Public Health commissioner to
adopt related regulations. An assisted living aide must complete a
training as required by these regulations to be qualified to administer
medications, including any controlled substances sp ecified in the
regulations, but not medications that are injected.
Under the bill, to delegate medication administration to these trained
aides, a licensed registered nurse must be employed by an ALSA and
authorized by the agency to do so. The bill also provides certain
protections for these nurses. Specifically, (1) the State Board of
Examiners for Nursing cannot discipline them solely for delegating
medication administration as the bill allows and (2) they are generally
immune from civil liability if an aide’s actions, or failure to act, result in
personal injuries or fi nancial loss. However, under the bill, nurses are
not immune if their actions, or failures to act, are found to constitute
gross negligence or willful or wanton misconduct.
EFFECTIVE DATE: October 1, 2026
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COMMITTEE ACTION
Aging Committee
Joint Favorable Substitute
Yea 14 Nay 0 (03/05/2026)