The act authorizes the department of public health and environment to require each operator of an assisted living residence (operator) to require each direct care worker who provides direct care services to residents of an assisted living residence (direct care worker) to: Take a tuberculosis test; and Undergo fit testing for a respiratory mask. The act requires each operator to require each direct care worker to complete direct care training to provide specific services to residents. The individual or entity that provides training is required to provide each trained direct care worker with a certificate of completion of training that may be presented to another assisted living residence to consider for the purposes of satisfying the residence's training requirements. For a direct care worker who has been issued a certificate of completion, an operator may require an employee to complete new training or may require the completion of a competency test prior to the employee providing direct care services. APPROVED by Governor June 6, 2024 EFFECTIVE January 1, 2025(Note: This summary applies to this bill as enacted.)