State Regulatory Resources

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​States establish and enforce licensing and certification requirements for assisted living communities. While some federal rules and regulations may apply to assisted living communities, state-level regulation of assisted living services and operations ensures a coordinated, comprehensive licensure system. States have been successful in taking into account their full range of housing and service programs available to seniors and people with intellectual or developmental disabilities in their geographic area and communities.

Furthermore, different state philosophies regarding the role of assisted living in the long term care spectrum enable providers to innovate and create new models of housing plus services that are responsive to local consumer demands.​

 NCAL's State Regulatory Review

al_reg_review.png​​Each year, NCAL publishes the "Assisted Living State Reg​ulatory Review," to summarize key selected state requirements for assisted living licensure or certification. For every state and the District of Columbia, this report includes information on preselected topics such as which state agency licenses assisted living, recent legislative and regulatory updates affecting assisted living, scope of care, limitations of services, staffing, and training - to name a few.

States use several different terms to refer to assisted living, such as residential care and personal care homes. This report includes requirements for those types of communities that offer seniors housing, supportive services, personal-centered assistance with activities of daily living, and some level of health care.​


​   

 Latest Report (2023)

Three new topics areas were included in this year's report, including infection control, emergency preparedness, and quality requirements.

2023 State AL Regulatory Summaries


  
  
Alabama.pdfAlabama
Alaska.pdfAlaska
Arizona.pdfArizona
Arkansas.pdfArkansas
California.pdfCalifornia
Colorado.pdfColorado
Connecticut.pdfConnecticut
Delaware.pdfDelaware
District of Columbia.pdfDistrict of Columbia
Florida.pdfFlorida
Georgia.pdfGeorgia
Hawaii.pdfHawaii
Idaho.pdfIdaho
Illinois.pdfIllinois
Indiana.pdfIndiana
Iowa.pdfIowa
Kansas.pdfKansas
Kentucky.pdfKentucky
Louisiana.pdfLouisiana
  
  
Maine.pdfMaine
Maryland.pdfMaryland
Massachusetts.pdfMassachusetts
Michigan.pdfMichigan
Minnesota.pdfMinnesota
Mississippi.pdfMississippi
Missouri.pdfMissouri
Montana.pdfMontana
Nebraska.pdfNebraska
Nevada.pdfNevada
New Hampshire.pdfNew Hampshire
New Jersey.pdfNew Jersey
New Mexico.pdfNew Mexico
New York.pdfNew York
North Carolina.pdfNorth Carolina
North Dakota.pdfNorth Dakota
Ohio.pdfOhio
Oklahoma.pdfOklahoma
Oregon.pdfOregon
  
  
Pennsylvania.pdfPennsylvania
Rhode Island.pdfRhode Island
South Carolina.pdfSouth Carolina
South Dakota.pdfSouth Dakota
Tennessee.pdfTennessee
Texas.pdfTexas
Utah.pdfUtah
Vermont.pdfVermont
Virginia.pdfVirginia
Washington.pdfWashington
West Virginia.pdfWest Virginia
Wisconsin.pdfWisconsin
Wyoming.pdfWyoming