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                                                      PRINTER'S NO. 4297

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 154 Session of 2008


        INTRODUCED BY DERMODY, MELIO, READSHAW, THOMAS, WALKO,
           CALTAGIRONE, CONKLIN, KORTZ, BRENNAN, BLACKWELL, SIPTROTH,
           McILVAINE SMITH, STABACK, LONGIETTI, MURT, GALLOWAY, FRANKEL,
           MAHONEY AND CURRY, SEPTEMBER 12, 2008

        REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
           SEPTEMBER 12, 2008

                                     AN ACT

     1  Providing for joint training and continuing education of nursing
     2     care providers and nursing facility surveyors, assisted
     3     living service providers and assisted living residence
     4     surveyors and for joint training and continuing education of
     5     personal care providers and personal care home surveyors.

     6     The General Assembly of the Commonwealth of Pennsylvania
     7  hereby enacts as follows:
     8                             CHAPTER 1
     9                       PRELIMINARY PROVISIONS
    10  Section 101.  Short title.
    11     This act shall be known and may be cited as the Joint
    12  Provider and Surveyor Training and Continuing Education Act.
    13  Section 102.  Purpose.
    14     The purpose of this act is to provide joint training and
    15  continuing education opportunities to nursing care providers and
    16  nursing facility surveyors, joint training and continuing
    17  education to assisted living providers and assisted living
    18  residence surveyors and joint training and continuing education

     1  to personal care providers and personal care home surveyors. The
     2  joint training and continuing education opportunities shall be
     3  designed to allow providers and surveyors to interact with one
     4  another and to promote a common understanding of applicable laws
     5  and regulations.
     6                             CHAPTER 3
     7       NURSING CARE PROVIDERS AND NURSING FACILITY SURVEYORS
     8  Section 301.  Definitions.
     9     The following words and phrases when used in this chapter
    10  shall have the meanings given to them in this section unless the
    11  context clearly indicates otherwise:
    12     "Department."  The Department of Health of the Commonwealth.
    13     "Nursing care provider."  An individual who owns, operates or
    14  staffs a nursing facility.
    15     "Nursing facility."  A long-term care nursing facility, as
    16  defined under section 802.1 of the act of July 19, 1979
    17  (P.L.130, No.48), known as the Health Care Facilities Act.
    18     "Nursing facility surveyor."  An agent of the Department of
    19  Health authorized to conduct a survey of a nursing facility.
    20     "Region."  A geographic area composed of counties, as
    21  determined by the Department of Health.
    22     "Survey."  Inspection of a nursing facility conducted in
    23  accordance with section 1919(g)(2) of the Social Security Act
    24  (49 Stat. 620, 42 U.S.C. § 1396r(g)(2)).
    25  Section 302.  Joint provider-surveyor program.
    26     (a)  Training.--The department shall semiannually in each
    27  region provide for joint training for nursing care providers and
    28  nursing facility surveyors, to be conducted at the same time,
    29  place and by the same instructor that shall:
    30         (1)  Outline the ten most frequently issued citations in
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     1     this Commonwealth during the previous calendar year.
     2         (2)  Substantively analyze at least one of the ten most
     3     frequently issued citations in this Commonwealth during the
     4     previous year and how to avoid, correct or remediate the
     5     conditions that would result in the citation.
     6         (3)  Review any regulation, regulatory guideline,
     7     interpretation, program letter, memorandum or any other
     8     material that could be used as a reference by nursing
     9     facility surveyors during the survey process that has been
    10     published since the most recent joint training session in
    11     each region or has been approved to be published within the
    12     next six months.
    13     (b)  Consultation.--The department shall consult with nursing
    14  care providers and other experts in long-term care to design the
    15  curriculum for each joint training session.
    16  Section 303.  Continuing education credit application.
    17     Joint training sessions provided by the department shall be
    18  approved by the Department of State and its respective licensing
    19  boards for application toward continuing education requirements
    20  for professionals and clinicians in long-term care, including,
    21  but not limited to, nursing home administrators, registered
    22  nurses and other direct care workers.
    23  Section 304.  Report by department.
    24     The department shall submit a report no later than February 1
    25  of each year to the Governor and the General Assembly that
    26  summarizes the joint training and continuing education program
    27  under this chapter for the prior calendar year.
    28  Section 305.  Funding.
    29     The department shall identify and, to the fullest extent
    30  possible, utilize funds collected as civil monetary penalties
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     1  from nursing facilities in accordance with section 817 of the
     2  act of July 19, 1979 (P.L.130, No.48), known as the Health Care
     3  Facilities Act to offset costs associated with the development
     4  and implementation of the joint training and continuing
     5  education program under this chapter.
     6                             CHAPTER 5
     7   PERSONAL CARE HOME AND ASSISTED LIVING PROVIDERS AND SURVEYORS
     8  Section 501.  Definitions.
     9     The following words and phrases when used in this chapter
    10  shall have the meanings given to them in this section unless the
    11  context clearly indicates otherwise:
    12     "Assisted living service provider."  An individual who owns,
    13  operates or staffs an assisted living residence.
    14     "Assisted living residence."  As defined under section 1001
    15  of the act of June 13, 1967 (P.L.31, No.21), known as the Public
    16  Welfare Code.
    17     "Assisted living residence surveyor."  An agent of the
    18  Department of Public Welfare authorized to conduct a survey of
    19  an assisted living residence.
    20     "Department."  The Department of Public Welfare of the
    21  Commonwealth.
    22     "Personal care home."  As defined under section 1001 of the
    23  act of June 13, 1967 (P.L.31, No.21), known as the Public
    24  Welfare Code.
    25     "Personal care provider."  An individual who owns, operates
    26  or staffs a personal care home.
    27     "Personal care home surveyor."  An agent of the Department of
    28  Public Welfare authorized to conduct a survey of a personal care
    29  home.
    30     "Region."  A geographic area composed of counties, as
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     1  determined by the Department of Public Welfare.
     2     "Survey."  Inspection of a personal care home conducted in
     3  accordance with section 211 of the act of June 13, 1967 (P.L.31,
     4  No.21), known as the Public Welfare Code.
     5  Section 502.  Personal care home joint provider-surveyor
     6                 program.
     7     (a)  Training.--The department shall semiannually in each
     8  region provide for joint training for personal care providers
     9  and personal care home surveyors, to be conducted at the same
    10  time, place and by the same instructor that shall:
    11         (1)  Outline the ten most frequently issued citations in
    12     this Commonwealth during the previous calendar year.
    13         (2)  Substantively analyze at least one of the ten most
    14     frequently issued citations in this Commonwealth during the
    15     previous year and how to avoid, correct or remediate the
    16     conditions that would result in the citation.
    17         (3)  Review any regulation, regulatory guideline,
    18     licensing measurement instrument, interpretation, program
    19     letter, memorandum or any other material that could be used
    20     as a reference by personal care home surveyors during the
    21     survey process that has been published since the most recent
    22     joint training session in each region or has been approved to
    23     be published within the next six months.
    24     (b)  Consultation.--The department shall consult with
    25  personal care providers and experts in long-term care to design
    26  the curriculum for each joint training session.
    27  Section 503.  Assisted living joint provider-surveyor program.
    28     (a)  Training.--The department shall semiannually in each
    29  region provide for joint training for assisted living service
    30  providers and assisted living residence surveyors, to be
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     1  conducted at the same time, place and by the same instructor
     2  that shall:
     3         (1)  Outline the ten most frequently issued citations in
     4     this Commonwealth during the previous calendar year.
     5         (2)  Substantively analyze at least one of the ten most
     6     frequently issued citations in this Commonwealth during the
     7     previous year and how to avoid, correct or remediate the
     8     conditions that would result in the citation.
     9         (3)  Review any regulation, regulatory guideline,
    10     licensing measurement instrument, interpretation, program
    11     letter, memorandum or any other material that could be used
    12     as a reference by assisted living residence surveyors during
    13     the survey process that has been published since the most
    14     recent joint training session in each region or has been
    15     approved to be published within the next six months.
    16     (b)  Consultation.--The department shall consult with
    17  assisted living service providers and experts in long-term care
    18  to design the curriculum for each joint training session.
    19  Section 504.  Continuing education credit application.
    20     Joint training sessions provided by the department shall be
    21  approved by the Department of State and its respective licensing
    22  boards and, when necessary, the Department of Public Welfare,
    23  for application toward continuing education requirements for
    24  professionals and clinicians in long-term care, including, but
    25  not limited to, nursing home administrators, assisted living
    26  residence administrators, personal care home administrators,
    27  registered nurses and other direct care workers.
    28  Section 505.  Report by department.
    29     The department shall submit an annual report no later than
    30  February 1 of each year to the Governor and the General Assembly
    20080H0154B4297                  - 6 -     

     1  that summarizes the personal care home joint training and
     2  continuing education program and the assisted living residence
     3  joint training and continuing education program under this
     4  chapter for the prior calendar year.
     5                             CHAPTER 21
     6                      MISCELLANEOUS PROVISIONS
     7  Section 2101.  Effective date.
     8     This act shall take effect in 60 days.















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