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Florida's memory care license and what it means in Lee County

Memory care used to be a phrase on a brochure. Florida has turned it into a license, and the clock is running.

Quick answer

Section 429.076, Florida Statutes, created by chapter 2026-102, says an assisted living facility that serves memory care residents or holds itself out as offering memory care must hold a memory care services license in addition to its standard ALF license, renewed on the same cycle, once AHCA's rule

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Last verified: November 2026

What does Florida's 2026 memory care law require of assisted living facilities?

Section 429.076, Florida Statutes, created by chapter 2026-102, says an assisted living facility that serves memory care residents or holds itself out as offering memory care must hold a memory care services license in addition to its standard ALF license, renewed on the same cycle, once AHCA's rules are in force.

The law reaches marketing as well as practice. A Fort Myers community that tours families through a "memory neighborhood" will need the license even if it never uses the word "unit." A facility that simply offers optional supportive services to any resident with dementia, and avoids the protected terms, does not.

When will the Florida memory care license actually take effect?

AHCA must adopt the minimum standards by June 1, 2027; a facility licensed after the rules take effect needs the memory care license before it admits a memory care resident, and a facility already licensed then has six months from the effective date to obtain one.

So in late 2026 the operative rule is still s. 429.178. An ALF that advertises special Alzheimer's care must keep an awake staff member on duty at all hours if it has 17 or more residents, offer activities suited to cognitive impairment, provide a safe environment and train its staff under s. 430.5025. Once the new rules are adopted, s. 429.178 is repealed.

What must AHCA's memory care rules cover?

The statute tells AHCA to set admission criteria, minimum services and activities, staff training at or above the dementia training required by s. 430.5025, physical environment standards, required contract terms and at least one awake staff member at all times.

Those are minimums. Families comparing Lee County memory care should still ask about the staffing on the unit itself at night, how residents who exit-seek are handled, and how a resident whose needs keep rising is assessed before a move is proposed.

Which words will be reserved for licensed memory care providers in Florida?

The law lists memory care, memory care facility, memory care services, memory care residents, dementia care, dementia care facility, Alzheimer's care and Alzheimer's care facility as terms AHCA's rules must reserve for licensees.

An unlicensed ALF can still describe help it gives residents with dementia, so long as it avoids those terms, claims no memory care services, and keeps copies of its ads for AHCA's review at renewal.

What happens to a Lee County resident if the facility does not get the license?

A facility already serving memory care residents when the rules take effect may continue only if it shows AHCA it cannot reasonably obtain the license, notifies residents and caregivers in writing that they may move to a licensed facility, helps them find one on request, stops admitting memory care residents and amends each contract to describe the services it will provide.

32 of Lee County's 84 licensed ALFs report a memory care program on their AHCA profiles; together they hold 3,189 licensed beds, though not every one of those beds is in a memory care unit. The AHCA memory care flag is self-reported program data, not a license. Before signing in 2026, ask in writing whether the community intends to apply.

The short version

Under s. 429.076, memory care isUnder s. 429.076, memory care is not
StatusA license that sits on top of the ALF licenseA separate kind of facility
TimingRequired once AHCA's rules take effect (due June 1, 2027)Already required in 2026
AdvertisingRestricted to licensees for the listed termsA free-to-use marketing phrase

Built from Chapters 400, 408, 429 and 651 of the Florida Statutes, Fla. Admin. Code chapters 59A-4, 59A-36 and 65A-2, and AHCA, DCF, OIR, Elder Affairs, CMS, VA and CareScout publications cited on the page; see our editorial standards.

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