Reps. Miller, Sweeney Introduce Legislation to Strengthen Transparency and Accountability in Long-Term Care Facilities
COLUMBUS, OH — State Representatives Melanie Miller (R-Ashland) and Bride Rose Sweeney (D-Westlake) have introduced House Bill 809, legislation aimed at expanding and strengthening protections for the use of electronic monitoring devices in long-term care facilities.
Building on Esther’s Law, enacted in 2021, the proposal extends the right to install in-room cameras beyond nursing homes to include assisted living and memory care settings. These environments often serve residents with similar or greater levels of vulnerability, making additional safeguards especially important.
This legislation also addresses practical barriers that have limited access to monitoring devices, including excessive installation fees and restricted internet availability. Changes were informed by feedback from residents and families, as well as findings from the State Long-Term Care Ombudsman’s Office, which identified gaps in the effectiveness and accessibility of Esther’s Law.
“When families can’t be there every moment, they deserve the ability to stay connected and informed,” said Representative Miller. “By removing unnecessary barriers, we are giving residents and their loved ones practical tools to enhance safety, strengthen oversight, and provide peace of mind.”
House Bill 809 clarifies that residents may use electronic monitoring devices, including those with two-way audio and video, and ensures facilities may only charge fees that reflect actual installation and service costs, with added affordability protections for Medicaid recipients. It also prohibits facilities from retaliating against residents who choose to use monitoring devices.
“Every Ohioan deserves to be safe and treated with dignity in long-term care settings,” said Rep Sweeney. “This legislation is about protecting the rights of residents and families to take reasonable steps to ensure transparency and accountability in their care, especially when a loved one is vulnerable and unable to advocate for themselves.”
The proposal aims to improve transparency, accountability, and safety for residents and their families across Ohio’s long-term care system.
The bill now awaits a committee assignment.
