The HB391 program provides a pathway for eligible family members to receive paid training and be hired through a participating home health agency to care for their medically fragile child at home. It supports family-led care while ensuring clinical supervision, structured training, and ongoing agency support.

To qualify, you must:

• Be at least 18 years old

• Be a legal family caregiver of an eligible child

• Pass a background check

• Demonstrate basic reading and writing skills

• Complete an approved training program

Your child must:

• Be approved for Private Duty Nursing (PDN) through Medicaid

• Be Medicaid eligible (excludes those on KidCare or Healthy Kids plans with premiums or copays)

Yes. If you meet all program requirements and complete the training, you can be employed by a participating home health agency and get paid to provide care to your child.

To become a paid caregiver under the HB391 program, you must complete at least 86 hours of state-approved training, which includes:

• 40 hours of theoretical (can be completed online)

• 30 hours of hands-on skills training in basic nursing care

• 16 hours of clinical training supervised by a licensed registered nurse

• Required training on HIV/AIDS (no set hour minimum)

You’ll also need to:

• Maintain a valid CPR certification

• Complete 6 hours of medication administration training (if delegated by an RN)

• Complete 12 hours of in-service training every 12 months to stay active in the program

Yes. Income earned through this program could impact your family’s Medicaid eligibility.

See AHCA’s official Medicaid Eligibility Flyer - https://ahca.myflorida.com/content/download/25476/file/Medicaid_Eligibility_Home_Health_Flyer_11262024.pdf

Yes. More than one family caregiver can participate, but the combined weekly hours cannot exceed 56 hours to ensure proper nurse oversight.

You’ll be responsible for:

• Following your child’s care plan

• Providing care as trained

• Completing shift documentation

• Complying with Electronic Visit Verification (EVV) by clocking in and out through the agency’s system

• Attending required check-ins or trainings

• Working under the supervision of the agency’s licensed nurse

The full process—including eligibility screening, training, and onboarding—can take 2 to 4 weeks, depending on how quickly requirements like background checks and training are completed.

The training program is standardized and was developed to cover a wide range of medical conditions and care tasks commonly seen in medically fragile children. Even if certain topics may not apply to your child’s current care plan, they help ensure caregivers are broadly prepared, knowledgeable, and able to adapt if care needs change.