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                                                      PRINTER'S NO. 2281

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1850 Session of 1999


        INTRODUCED BY SNYDER, SEPTEMBER 27, 1999

        REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
           SEPTEMBER 27, 1999

                                     AN ACT

     1  Amending the act of June 13, 1967 (P.L.31, No.21), entitled "An
     2     act to consolidate, editorially revise, and codify the public
     3     welfare laws of the Commonwealth," providing for the
     4     requirements for discharge or transfer from personal care
     5     home.

     6     The General Assembly of the Commonwealth of Pennsylvania
     7  hereby enacts as follows:
     8     Section 1.  The act of June 13, 1967 (P.L.31, No.21), known
     9  as the Public Welfare Code, is amended by adding a section to
    10  read:
    11     Section 213.1.  Requirements for Discharge or Transfer From
    12  Personal Care Home.--(a)  If a personal care home initiates a
    13  discharge or transfer of a resident or the licensee chooses to
    14  close the personal care home, the personal care home
    15  administrator shall give a thirty-day prior written notice to
    16  the resident, the designated person and the referral agent
    17  citing the reasons for the discharge or transfer.
    18     (b)  If the licensee chooses to voluntarily close the
    19  personal care home, the department, in conjunction with

     1  appropriate local authorities, shall offer relocation assistance
     2  to each resident. This assistance shall include, but not be
     3  limited to, each resident's involvement in planning the
     4  transfer, except in the case of an emergency. A resident shall
     5  have the right to choose among the available alternatives after
     6  an opportunity to visit the alternative personal care homes.
     7  These procedures shall occur even if the resident is placed in a
     8  temporary living situation.
     9     (c)  The administrator may require a thirty-day prior written
    10  notice from a resident who chooses to leave a personal care
    11  home. Except as provided in subsection (d), the resident may be
    12  charged for up to thirty days of rent and personal care services
    13  after the date of the notice whether or not the resident remains
    14  in the personal care home for the entire time period.
    15     (d)  (1)  If a delay in discharge or transfer would
    16  jeopardize the health or safety of the resident or others in a
    17  personal care home, as certified by a physician, hospital or the
    18  department, the time periods required in subsection (a), (b) or
    19  (c) need not be observed. This may occur when the resident needs
    20  psychiatric or long-term care or is abused in the personal care
    21  home or a closure of the personal care home is initiated by the
    22  department.
    23     (2)  When a resident is transferred under this subsection,
    24  the date of discharge shall be the date upon which the
    25  resident's personal belongings are physically removed from the
    26  personal care home. Verification of the resident's need for a
    27  higher level of care or to transfer the patient for the health
    28  and safety of the resident or others at the personal care home
    29  may be made orally and followed up in writing on the forms
    30  normally used by the physician, hospital or department
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     1  certifying such need.
     2     (3)  Nothing in this subsection shall be construed to
     3  authorize a personal care home to impose a written verification
     4  process on specific forms. A certification stating the
     5  resident's name, the purpose for which the transfer is needed
     6  and containing the signature of a medical doctor or other person
     7  duly authorized by the physician, hospital or department shall
     8  suffice.
     9     (4)  A personal care home may not impose additional charges
    10  for rent or personal care services after the date upon which the
    11  resident and the resident's belongings are removed from the
    12  personal care home.
    13     (e)  The date and reason for the discharge or transfer, and
    14  the destination of the resident, if known, shall be recorded in
    15  the resident's records.
    16     Section 2.  All regulations and parts of regulations are
    17  abrogated insofar as they are inconsistent with this act.
    18     Section 3.  This act shall take effect in 60 days.








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