The Committee on Children, Families and Elder Affairs of the Florida State Legislature convened on March 19, 2025, to discuss significant legislative measures aimed at improving the quality of life for individuals with developmental disabilities. The primary focus of the meeting was Senate Bill 1736, which seeks to redefine the role of direct support professionals and enhance care options for individuals living in group homes.

The bill introduces the term "direct support professional," which refers to individuals paid to provide direct services to clients with developmental disabilities receiving home and community-based services. Proponents of the bill argue that it will enable these individuals to avoid nursing home placements, thereby improving their quality of life. The bill emphasizes that many conditions, such as diabetes, can be managed effectively with proper care and training.

An amendment to the bill was presented, clarifying the scope of insulin administration in group homes. This amendment allows for sliding scale insulin therapy and subcutaneous administration of insulin and epinephrine by direct support professionals and relatives. The committee adopted the amendment without objection, ensuring that these practices are permissible under the new legislation.

During the discussion, Senator Sharif raised concerns regarding Medicaid billing for care provided in group homes. It was clarified that direct support professionals are not Medicaid providers, and thus, billing for their services under Medicaid would not be applicable. However, care provided by registered nurses in group homes could still be reimbursed through Medicaid if prescribed.

Public testimony was provided by Alan Abramowitz, CEO of the Arc of Florida, who expressed strong support for the bill. He highlighted the importance of standardizing the terminology for direct support professionals to reduce confusion and improve recruitment for these essential roles. Abramowitz emphasized that the bill would help prevent institutionalization of individuals with disabilities.

Anthony Mancuso, a parent of a special needs individual, shared his personal experience with the challenges of finding appropriate care for his son. He underscored the necessity of allowing trained individuals to administer critical medications, such as insulin, in group home settings. Mancuso's testimony illustrated the urgent need for legislative changes to support families facing similar situations.

The committee concluded the meeting with a commitment to further discuss the implications of the bill and its potential impact on the lives of individuals with developmental disabilities and their families. The next steps will involve continued evaluation of the bill as it moves through the legislative process.