SB 1678 Arizona Senate · 57th Legislature - Second Regular Session

health facilities; group homes; resident information

SB 1678 requires assisted living centers and homes in Arizona to provide emergency responders with a standardized written document when contacting them for a resident. This document must include critical information like the resident's medications, allergies, primary care physician details, health conditions, pharmacy contact, health insurance authorization, and advance directives. The bill also mandates that hospitals coordinate with receiving assisted living facilities by providing detailed discharge plans, including medical assessments, medication instructions, and follow-up care recommendations. These provisions directly affect assisted living facilities, emergency responders, hospitals, and residents by standardizing communication during medical emergencies and patient transfers. The goal is to improve care coordination and safety during transitions between facilities and emergency services.
Bill status passed 3 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Senate Passage
Mar 2026
House Passage
Governor
Introduced Feb 5, 2026 Last action Mar 10, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Version Senate Engrossed Version (03/03/2026) · 5 edits · Mar 3, 2026
MODERATE
The bill was significantly rewritten to shift focus from daily shift handoff procedures to emergency response protocols and advance directive enforcement. It now mandates that assisted living facilities provide specific medical and insurance documents to emergency responders and requires hospitals to coordinate closely with facilities for patient discharge and readmission. Additionally, the bill establishes a new study committee with expanded membership to research vulnerable adult services and includes a sunset clause to repeal the committee section after 2028.
Scope change
The bill's scope expanded from general resident information updates to specifically target emergency medical situations, hospital discharge planning, and the enforcement of do-not-resuscitate orders. The applicability was broadened to include new stakeholder groups such as assisted living facility representatives, nursing care institution representatives, and healthcare professionals on the study committee.
REQUIREMENT

Replaced daily shift handoff information requirements with mandatory provision of written documents (including medication lists, allergies, and insurance releases) to emergency responders and hospitals.

Added specific duties for hospitals to coordinate discharge plans, document patient conditions, and facilitate readmission screenings with assisted living facilities.

ENFORCEMENT

Changed enforcement mechanisms to allow the Department of Health Services to investigate complaints from emergency technicians regarding missing do-not-resuscitate orders.

ELIGIBILITY

Added new members to the Vulnerable Adult System Study Committee, including representatives from assisted living facilities, nursing care institutions, Alzheimer's advocacy groups, and healthcare professionals.

TIMELINE

Established a sunset provision that repeals the study committee section on December 31, 2028.

Floor votes · Senate Mar 3, 2026

How they voted

273
Passed
Total votes 30
Mar 3, 2026
D Democratic13
13 Yea
100% Yea
R Republican17
14 Yea 3 Nay
82% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
8
Key actions
3
Committee
0
Amendments
2
Mar 3, 2026
Upper · Passed
PASSED
upper
Mar 3, 2026
Upper · Passed
DPA
upper
Feb 18, 2026
Upper · Passed
DPA
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Tim Dunn
Tim Dunn
RRepublican
AZ
25