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Committee recommends due-pass for bill allowing mild hyperbaric oxygen in assisted-living homes

2213757 · January 29, 2025

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Summary

The Senate committee advanced SB 1054 with a due-pass recommendation after testimony on whether assisted-living homes can safely offer mild hyperbaric oxygen therapy for residents under physician supervision.

The Senate Health and Human Services Committee gave SB 1054 a due-pass recommendation after testimony from assisted-living operators, industry representatives and state health officials about whether assisted living facilities may provide mild hyperbaric oxygen therapy (HBOT) to residents.

Sponsor remarks (presented by counsel) described the bill as allowing assisted living homes and centers to provide HBOT; proponents said the therapy offers benefits for common conditions among residents such as wound care and arthritis. An owner/operator who runs four assisted-living group homes in the Phoenix area described mild HBOT as a ‘‘15-foot pool’’-equivalent pressurization (approximately 1.3–1.5 atmospheres) and said staff training and physician prescriptions would be part of any program.

Carly Fleage, chief legislative liaison for the Department of Health Services, told the committee that assisted living is defined as a residential care setting and not a clinical medical setting under current law, and urged clarity on whether the proposed services fall within existing statutory authority. Marie Isaacson, representing Arizona LeadingAge, said members viewed the activity as permissible when supported by appropriate medical supervision and a care team.

Committee members pressed witnesses on safety risks such as oxygen toxicity and lung complications; proponents answered that mild HBOT carries substantially lower pressure than hospital-grade systems and that manufacturer training and medical oversight would be used. Witnesses said the cost for a unit that could accommodate wheelchair patients could be around $10,000 and that HBOT would be cash-pay rather than an insured benefit under their model.

Committee action and vote: the committee moved SB 1054 with a due-pass recommendation. The roll call recorded 4 ayes and 3 noes. Supporters said the bill would not create an insured entitlement and would rely on physician prescriptions and caregiver training. The Department of Health Services’ liaison asked for clarifying discussion about the statute’s scope and oversight.

Ending: SB 1054 advanced from committee with a due-pass recommendation; committee members and stakeholders signaled plans for further clarification on training, scope and safety before floor consideration.