Advocacy On State Legislation

The Florida Legislature runs 60 days during the spring of each year.

FLiCRA continually monitors and reviews legislative or regulatory proposals that may have a positive or adverse effect on the life of residents. During each legislative session, thousands of bills are filed in the Legislature. Many of these bills contain issues that are relevant to CCRC residents. FLiCRA encourages residents to contact their legislators at the local level on issues of concern. The Tallahassee staff also works with legislators on these same issues.

FLiCRA is the only voice at the Capitol that speaks for the residents. FLiCRA has had many legislative successes over the past 25+ years, including the development of a resident “Bill of Rights,” homestead exemption, meal sales tax exemption and prescription drug repackaging. The prescription drug repackaging legislation provides the ability to transfer prescription drug programs from independent living to skilled nursing. In all, FLiCRA’s legislative efforts have resulted in a savings of up to $8,500 per year.

FLiCRA actively monitors bills primarily related to Florida Statutes:
  • 651 (Continuing Care Retirement Communities)
  • 400 (Nursing Homes and Assisted Living)
  • 641 (Health Care Services)
  • 196 (Taxes) – Sales Tax and Ad Valorem Taxation for Homes for the Aged
  • 631 (Insurer Insolvency)
  • 624 (Insurance)
 
FLiCRA has a board policy that governs taking positions on legislation:
  • Does the bill or amendment restrict residents’ rights?
  • Does the bill or amendment enhance residents’ rights?
  • Will the bill or amendment likely result in increased costs to residents?
  • Will the bill or amendment likely result in decreased costs to residents?
  • Are there other groups who publicly support the bill or amendment?
  • Are there other groups publicly opposed to the bill or amendment?
  • Is the bill controversial based on certain elements of the bill (but not in its entirety?)
What has FLiCRA done for public policy issues?
Annual Savings to Continuing Care Retirement Community Residents Achieved by FLiCRA through Legislation

During FLiCRA’s history, there are a significant number of changes to Florida Law that have occurred thanks in part to FLiCRA’s advocacy on behalf of residents.

There are a number of these changes to Florida law where FLiCRA was the catalyst for the initiative and such changes likely would not have occurred without FLiCRA’s efforts.

Some of these changes to Florida law include but are not limited to:

  • Passage of FL Law Prescription Drug Repackaging which ensures residents in independent living can use their retirement plan R/X program if they transition to skill nursing
  • Passage of FL Law that created the Bill of Rights for Residents in CCRCs
  • Passage of FL Law that created the Designated Resident Representative Role in CCRCs and the law related to that role
  • Passage of FL Law that stipulates when a CCRC files bankruptcy that the Resident Council designates a resident to serve on the Creditors Committee
  • Passage of FL Law on disclosures (FLiCRA wrote most of the language for this section of current law which is provided on this page)


651.091 Availability, distribution, and posting of reports and records; requirement of full disclosure.—
(1) Each continuing care facility shall maintain as public information, available upon request, records of all cost and inspection reports pertaining to that facility which have been filed with or issued by any governmental agency. A copy of each report shall be retained for at least 5 years after the date the report is filed or issued. Each facility shall also maintain as public information, available upon request, all annual statements that have been filed with the office. For purposes of this section, a management company or operator is considered an agent of the provider.
(2) Every continuing care facility shall:
(a) Display the certificate of authority in a conspicuous place inside the facility.
(b) Post in a prominent position in the facility which is accessible to all residents and the general public a concise summary of the last examination report issued by the office, with references to the page numbers of the full report noting any deficiencies found by the office, and the actions taken by the provider to rectify such deficiencies, indicating in such summary where the full report may be inspected in the facility.
(c) Post in a prominent position in the facility, accessible to all residents and the general public, a notice containing the contact information for the office and the Division of Consumer Services of the department and stating that the division or office may be contacted for the submission of inquiries and complaints with respect to potential violations of this chapter committed by a provider. Such contact information must include the division’s website and the toll-free consumer helpline and the office’s website and telephone number.
(d) Provide notice to the president or chair of the residents’ council within 10 business days after issuance of a final examination report or the initiation of any legal or administrative proceeding by the office or the department and include a copy of such document.
(e) Provide a copy of the final examination report and corrective action plan, if one is required by the office, to the executive officer of the provider’s board or governing body and to the president or chair of the residents’ council within 60 days after issuance of the report.
(f) Post in a prominent position in the facility which is accessible to all residents and the general public a summary of the latest annual statement, indicating in the summary where the full annual statement may be inspected in the facility. A listing of any proposed changes in policies, programs, and services must also be posted.
(g) Distribute a copy of the full annual statement and a copy of the most recent third-party financial audit filed with the annual report to the president or chair of the residents’ council within 30 days after filing the annual report with the office, and designate a staff person to provide explanation thereof.
(h) Deliver the information described in s. 651.085(4) in writing to the president or chair of the residents’ council and make supporting documentation available upon request.
(i) Deliver to the president or chair of the residents’ council a summary of entrance fees collected and refunds made during the time period covered in the annual report and the refund balances due at the end of the report period.
(j) Deliver to the president or chair of the residents’ council a copy of each quarterly statement within 30 days after the quarterly statement is filed with the office if the facility is required to file quarterly.
(k) Upon request, deliver to the president or chair of the residents’ council a copy of any newly approved continuing care or continuing care at-home contract within 30 days after approval by the office.
(l) Provide to the president or chair of the residents’ council a copy of any notice filed with the office relating to any change in ownership within 10 business days after such filing by the provider.
(m) Provide to the president or chair of the residents’ council a written notice of any change in management within 10 business days.
(n) Make the information available to prospective residents pursuant to paragraph (3)(d) available to current residents and provide notice of changes to that information to the president or chair of the residents’ council within 3 business days.
(3) Before entering into a contract to furnish continuing care or continuing care at-home, the provider undertaking to furnish the care, or the agent of the provider, shall make full disclosure, obtain written acknowledgment of receipt, and provide copies of the disclosure documents to the prospective resident or his or her legal representative, of the following information:
(a) The contract to furnish continuing care or continuing care at-home.
(b) The summary listed in paragraph (2)(b).
(c) All ownership interests and lease agreements, including information specified in s. 651.022(2)(b)8.
(d) In keeping with the intent of this subsection relating to disclosure, the provider shall make available for review master plans approved by the provider’s board or governing body and any plans for expansion or phased development, to the extent that the availability of such plans does not put at risk real estate, financing, acquisition, negotiations, or other implementation of operational plans and thus jeopardize the success of negotiations, operations, and development.
(e) Copies of the rules and regulations of the facility and an explanation of the responsibilities of the resident.
(f) The policy of the facility with respect to admission to and discharge from the various levels of health care offered by the facility.
(g) A copy of s. 651.071.
(h) A copy of the resident’s rights as described in s. 651.083.
(i) Notice of the issuance of a final examination report or the initiation of any legal or administrative proceeding by the office or the department, including where the report or filing may be inspected in the facility, and that, upon request, an electronic copy or specific website address will be provided from which the document can be downloaded at no cost.
(j) Notice that if the resident does not exercise the right to rescind a continuing care contract within 7 days after executing the contract, the resident’s funds held in escrow pursuant to s. 651.055(2) will be released to the provider.
(k) A statement that distribution of the provider’s assets or income may occur or a statement that such distributions will not occur.
(l) Notice of any holding company system or obligated group of which the provider is a member.
(m) Disclosure of whether the provider has one or more residents serving on its board or governing body and whether that resident has a vote or is serving in a nonvoting, ex officio capacity.
(4) A true and complete copy of the full disclosure document to be used must be filed with the office before use. A resident or prospective resident or his or her legal representative may inspect the full reports referred to in paragraph (2)(b); the charter or other agreement or instrument required to be filed with the office pursuant to s. 651.022(2), together with all amendments thereto; and the bylaws of the corporation or association, if any. Upon request, copies of the reports and information shall be provided to the individual requesting them if the individual agrees to pay a reasonable charge to cover copying costs.

State and Federal Regulations of Interest

CCRC Facility Locations – Updated 2023

Regulation Resources
2023 Presentation to the Governor’s Continuing Care Advisory Council 
Chapter 69O-193 Rule Continuing Care Contracts
CCRC Medical Deductions
Fair Housing Act for Residents
Senior Living Tax Deductions Guide
Florida Statutes
Chapter 651 of the Florida Statutes

CCRC Disputes and Complaints
FLiCRA is not meant to replace local resident councils or associations, or to deal with local disputes between councils and management. FLiCRA and LeadingAge work together to ensure that residents and providers are informed about existing rights under the law that ensure communication to resolve disputes even the most minor.

The following information is provided as a best practice step-by-step process to facilitate communication.

CCRC Dispute Resolution Guide – Updated 2020
CCRC Complaint Form

Regulatory Agencies
Florida Department of Financial Services (FLDFS)
The Florida Continuing Care industry is regulated under Chapter 651 of the Florida Statutes and the primary regulatory agency is the Florida Office of Insurance Regulation.

Long-Term Care: A Guide for Consumers

Agency for Health Care Administration (AHCA)
Due to the wide range of services that CCRCs offer to its residents, communities may also be licensed as assisted living and nursing home facilities which are regulated by the state Agency for Health Care Administration.

Department of Elder Affairs (DOEA)
The Florida Department of Elder Affairs also serves Florida’s elderly residents in promoting and implementing long-term care policies and procedures that are elder-friendly and plans, coordinates, administers and initiates programs and services that empower elders and their caregivers to age in place, with dignity, security, purpose, and in an elder-friendly environment.

FLiCRA Media Coverage