HB 452/FN (BR 153) - R. Damron, R. Crimm
AN ACT relating to continuing care retirement communities.
Amend KRS 216B.015 to define "continuing care retirement community" and "independent living"; amend KRS 216B.020 to exempt health facilities and health services provided to on-campus residents of a certified continuing care retirement community from certificate of need; prohibit continuing care retirement community's nursing facility beds from being certified as Medicaid-eligible unless a certificate of need has been authorized; create new sections of KRS Chapter 216B to require the Cabinet for Health Services to promulgate administrative regulations to establish the procedures and requirements for obtaining a certificate of compliance; require a continuing care retirement community to certify in writing that it will not participate in the Medicaid program or seek Medicaid reimbursement for any of the health facilities or services it provides.
HB 452 - AMENDMENTS
HCS/FN - Retain original provisions; amend the definition of "continuing care retirement community" to permit continuing care retirement communities to include nursing home beds instead of nursing facility beds and remove language regarding the ratio of nursing home beds to living units or personal care beds; amend KRS 216B.020 to exempt on-campus nursing home beds from certificate of need instead of health facilities and health services and to require a continuing care retirement community to obtain a certificate of need prior to changing its nursing home beds to nursing facility beds; amend KRS 216B.040 to prohibit any continuing care retirement community's nursing home beds established under this Act from being considered in the long-term care bed need criteria in the state health plan; amend 216B.095 to prohibit nonsubstantive review of a certificate of need application indicating an intent to apply for Medicaid certification of nursing home beds established within a continuing care retirement community; permit a continuing care retirement community to establish one (1) bed at the nursing home level of care for every four (4) living units or personal care beds that it operates; require residents to be assessed using the Health Care Financing Administration approved long-term care resident assessment instrument; prohibit residents from being admitted to a continuing care retirement community's nursing home bed prior to ninety (90) days residency unless there is a significant change in health status documented by a physician; prohibit a resident admitted to a nursing home bed from being transferred or discharged without a thirty (30) day written notice; require continuing care retirement communities to assist residents upon a move-out notice to find appropriate living arrangements, share any information on alternative living provided by the Office of Aging Services, and include provisions for assisting the resident upon a move-out notice in the written agreement between the resident and the continuing care retirement community; create a new section of KRS 216B to limit the establishment of continuing care retirement community nursing home beds to the period commencing upon the effective date of this Act and ending upon adjournment of the 2002 General Assembly; and create a new section of KRS 216B to require the Cabinet for Health Services to collect data regarding any change in bed numbers, licensure status, or Medicaid certification from the effective date of this Act until October 31, 2001; require the Secretary for the Cabinet for Health Services to issue a report to the President of the Senate and the Speaker of the House of Representatives, the chair of the Senate Standing Committee on Health and Welfare, and the chair of the House Standing Committee on Health and Welfare addressing the impact of this Act on the Medicaid budget, consumer access, and providers of long-term care.
Jan 24-introduced in House
Jan 25-to Health and Welfare (H)
Feb 2-posted in committee
Feb 29-reported favorably, 1st reading, to Calendar with Committee Substitute
Mar 1-2nd reading, to Rules
Mar 6-posted for passage in the Regular Orders of the Day for Tuesday, March 7, 2000
Mar 7-3rd reading, passed 93-1 with Committee Substitute
Mar 8-received in Senate
Mar 10-to Health and Welfare (S)
Mar 16-reported favorably, 1st reading, to Consent Calendar
Mar 17-2nd reading, to Rules
Mar 21-posted for passage in the Consent Orders of the Day for Wednesday, March 22, 2000
Mar 22-3rd reading, passed 38-0
Mar 23-received in House
Mar 24-enrolled, signed by each presiding officer, delivered to Governor
Mar 31-signed by Governor (Acts ch. 264)