The Camera Bill, or the Authorized Electronic Monitoring in Long-Term Care Facilities Act, affects electronic monitoring of resident rooms.

What’s Authorized Electronic Monitoring?

Authorized electronic monitoring refers to any device used to monitor what is happening inside a resident room. These devices may record audio, visuals, or both. Allowing electronic monitoring inside resident rooms allows those living outside the facility to check on their loved ones and ensure that they are being cared for adequately.

About the Law

The law was passed by the Missouri legislature in July 2020 and went into effect as law in August 2020. As of September 3, residents may install electronic monitoring devices in their rooms. 

In summary, the Authorized Electronic Monitoring in Long-Term Care Facilities Act permits Skilled Nursing, Assisted Living, and Residential Care residents to install cameras in their rooms. This allows someone outside the facility – a family member, friend, guardian, or other designated person – to better understand the care their loved one is receiving in a facility. The “camera bill” was signed into law in Missouri on August 28, 2020. 

The Rules

There are many rules involving the use of personal electronic monitoring devices inside long-term care facilities. These rules are in place to protect the other people living in the facility, staff, visitors, and the resident themselves. This summary of the electronic monitoring rules gives details on where to place cameras, who pays for the devices, and how roommate privacy is protected. 

One of the most important rules for utilizing electronic monitoring is roommate consent. A resident MUST gain the consent of all roommates before installing and operating a camera! Equally as important – a roommate can take back their consent at any time. Of course, the facility should provide every reasonable option to allow the resident to place a camera in their room, such as moving rooms. Residents interested in installing a camera should fill out the Electronic Monitoring Device Acknowledgement and Consent Form.

While there are many rules about the use of cameras, there are sure to be some specific questions that are not covered – please reach out to your ombudsman if you need more information!


Webinar For Professionals

Authorized Electronic Monitoring for LTC Facilities with Nicole Lynch, MSW and Missouri State Representative Jim Murphy – Presented on August 18, 2020

Webinar For Families

Community Crash Course: Cameras for Nursing Homes with Chien Hung and Nicole Lynch – Presented on September 8 and September 14, 2020

Additional Resources


  1. 1

    […] offered a Crash Course in Cameras in Nursing Homes for families, and we received a lot of excellent questions from participants. The following are all the […]

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    […] To learn more about what this law actually does and how it affects residents, families, and long-term care communities, check out our blog post: What Does this Camera Bill Mean for You? […]

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    Angela R Luedke on April 27, 2021

    Camera in nursing home means a lot me and my husband feels our mom is being abuse a lack of attention.a few times she has fallen she’s in WHEELCHAIR she can’t remember anything she has pee pee numerous times on herself while being on the phone and call for help nobody comes i just need a camera in here room to look after here find out what’s going on she’s being neglected.

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      lsykes on April 28, 2021

      Angela, I am sorry to hear that you are having concerns for your mom. Cameras in nursing homes are a great way to have accountability for the nursing home. The video in this blog post does a great job of talking about this subject as it relates to families. I would highly recommend watching it. In addition, if you have other questions, you can reach out to an ombudsman here:

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