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Bill to allow resident-placed cameras in nursing-home rooms draws split testimony; sponsor pulls for amendment

3091089 · April 2, 2025
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Summary

A bill to allow resident-placed cameras in long-term care residents’ rooms drew emotional testimony from family members and objections from facility and behavioral-health groups over privacy and implementation; the sponsor pulled the bill to negotiate amendments.

Senators heard contested testimony on Senate Bill 587, which would permit residents or a resident’s representative to place audio/video monitoring devices in a resident’s private room, provided consent requirements are met. The sponsor’s delegation and family members described cameras as a tool for peace of mind, safety and transparency; industry groups and behavioral-health stakeholders raised privacy, dignity and operational concerns. The sponsor asked the committee to consider amendments and pulled the bill for further work.

Supporters: Deborah Stewart and Rhonda Finley, relatives of a nursing home resident, described using a family-placed camera to maintain contact and vigilance for an 87‑year-old resident. A sponsor’s representative said similar legislation exists in multiple other states and argued cameras reduce liability and improve care by creating an additional oversight mechanism.

Opponents: Rachel Bunch, executive director of the Arkansas Healthcare Association (AHA), testified the association opposes the bill as written. She said many facilities already allow family-placed cameras but that other facilities restrict them; AHA expressed concerns about resident privacy (bedrooms are distinct from common areas) and the bill’s definition of a “resident representative,” which the association said could allow third parties to authorize monitoring even over a resident who retains decision-making capacity. Joel Landrieu of the Arkansas Council for Behavioral Health also opposed the bill, warning that if facility types are reclassified (a separate bill on the committee calendar), the bill could unintentionally require cameras in sensitive settings such as psychiatric residential treatment bedrooms for teenagers.

Roommate and relocation issues: Testimony highlighted that approximately 80% of nursing-facility rooms in Arkansas are semi-private, meaning consent disputes could force a resident to be moved; the bill text requires facilities to accommodate relocation if a roommate or their representative does not consent. Opponents said that requirement could coerce residents and present operational challenges for small facilities.

Sponsor action: The sponsor stated willingness to consider amendments and pulled the bill to work with industry stakeholders on revisions. The committee did not vote on final passage at this hearing.