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                                                      PRINTER'S NO. 1295

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1119 Session of 2001


        INTRODUCED BY VANCE, SCHULER, MICOZZIE, DeWEESE, ADOLPH,
           ARMSTRONG, BARD, BEBKO-JONES, BELARDI, BELFANTI, BROWNE,
           BUNT, BUXTON, CALTAGIRONE, CAPPABIANCA, CLARK, L. I. COHEN,
           COLAFELLA, CORRIGAN, CRUZ, CURRY, DAILEY, DeLUCA, EGOLF,
           FAIRCHILD, FLICK, FRANKEL, FREEMAN, GEIST, GEORGE, GRUCELA,
           HALUSKA, HARHAI, HENNESSEY, HERMAN, HESS, HORSEY, JAMES,
           JOSEPHS, KELLER, KENNEY, LAUGHLIN, LEDERER, LEH, MACKERETH,
           MAHER, MANDERINO, MANN, MARKOSEK, MARSICO, McNAUGHTON, MELIO,
           R. MILLER, S. MILLER, MUNDY, NAILOR, NICKOL, ORIE, PETRARCA,
           READSHAW, ROEBUCK, ROHRER, ROSS, RUBLEY, SAINATO, SANTONI,
           SATHER, SAYLOR, SCHRODER, SHANER, B. SMITH, SOLOBAY, STABACK,
           STAIRS, STEELMAN, SURRA, E. Z. TAYLOR, THOMAS, TIGUE,
           TRAVAGLIO, TRELLO, TRICH, WALKO, WATSON, J. WILLIAMS, WILT,
           WOJNAROSKI, YEWCIC, YOUNGBLOOD, YUDICHAK AND ZUG,
           MARCH 21, 2001

        REFERRED TO COMMITTEE ON AGING AND OLDER ADULT SERVICES,
           MARCH 21, 2001

                                     AN ACT

     1  Requiring public notices relating to certain matters affecting
     2     long-term care facilities; and providing for compliance and
     3     enforcement.

     4     The General Assembly of the Commonwealth of Pennsylvania
     5  hereby enacts as follows:
     6  Section 1.  Short title.
     7     This act shall be known and may be cited as the Long-Term
     8  Care Facility Public Notice Act.
     9  Section 2.  Definitions.
    10     The following words and phrases when used in this act shall
    11  have the meanings given to them in this section unless the


     1  context clearly indicates otherwise:
     2     "Licensing authority."  A Commonwealth department that
     3  licenses long-term care facilities.
     4     "Long-term care."  The provision of assessment, care
     5  management and diagnostic, preventative, therapeutic,
     6  rehabilitative, support and maintenance services for older
     7  adults and other adults with functional limitations.
     8     "Long-term care facility."  A facility that is licensed by
     9  the Commonwealth to provide long-term care. The term includes,
    10  but is not limited to, a long-term care nursing facility,
    11  personal care home, community residential rehabilitation service
    12  provider, community home for individuals with mental
    13  retardation, intermediate care facility for individuals with
    14  mental retardation or adult daily living center.
    15  Section 2.  License and operational postings.
    16     A long term care facility shall:
    17         (1)  Display the license or certificate of compliance
    18     permitting its operation in a public and conspicuous location
    19     where it may be easily observed and read.
    20         (2)  Display all reports of inspections; lists of
    21     citations; statements of deficient operation; notices of
    22     action taken, or to be taken by the licensing authority;
    23     plans for correcting any practice, procedure or other issue
    24     identified by the licensing authority, or its agent, issued
    25     during the preceding 12-month period of time, in a public and
    26     conspicuous location where these documents may be easily
    27     observed and read.
    28         (3)  Maintain a current list of:
    29             (i)  all persons, their addresses and Social Security
    30         numbers, receiving service or enrolled within the
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     1         programs operated by the facility;
     2             (ii)  any orders of court entered regarding the
     3         decisional capacity or service status of any person
     4         receiving service or enrolled within the programs
     5         operated by the facility;
     6             (iii)  the names, addresses and telephone numbers of:
     7         the representative payee or next of kin or responsible
     8         party and person named as power of attorney or guardian,
     9         responsible for any person receiving service or enrolled
    10         within the facility's programs;
    11             (iv)  The name, address, contact person and telephone
    12         number of the agency, organization or person providing
    13         payment, in whole or in part, for the services provided
    14         to the persons enrolled within the programs operated by
    15         the facility.
    16         (4)  Maintain the list identified in paragraph (3) in
    17     current status at all times, keeping it distinct and separate
    18     from, the client service or treatment record and shall
    19     contain in correlated form all of the information in this
    20     section on any and all persons enrolled in the facility's
    21     programs.
    22         (5)  Shall provide the list identified in paragraph (3)
    23     to the issuing authority, its representative or agent,
    24     responsible for issuing the license or certificate of
    25     compliance for the facility, at any time when requested by
    26     the licensing authority.
    27  Section 3.  Notice to long-term care facility.
    28     A licensing authority shall notify a long-term care facility
    29  in writing that the licensing authority plans to take, or has
    30  taken, any of the following actions:
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     1         (1)  Revocation, refusal to reissue or suspension of the
     2     facility's license or certificate of compliance.
     3         (2)  Removal of any, or all, persons receiving service,
     4     or enrolled within the programs operated by the facility,
     5     from the physical location of the facility.
     6         (3)  Refusal to permit the facility to admit, or readmit,
     7     any person, to the service programs operated by the facility
     8     due to health or safety issues posed by the operation of the
     9     facility by the current licensee or holder of the certificate
    10     of compliance, or its agent or appointee.
    11         (4)  Decision to appoint, or seek the appointment of, an
    12     entity, other than the current licensee or holder of the
    13     certificate of compliance, or its agent or appointee, to
    14     operate or maintain the facility due to health or safety
    15     issues posed by the operation of the facility.
    16  Section 4.  Notice to persons receiving services.
    17     A licensing authority notifying any facility of any action
    18  described in section 3 shall notify in writing, and by other
    19  necessary means, all persons receiving long-term care services,
    20  or enrolled in the programs of service of a facility and any
    21  responsible party for any person receiving long-term care
    22  services, or enrolled in programs of service of a facility, as
    23  listed in section 2(3)(iii), of such action. This notification
    24  shall be delivered in person by a representative or agent of the
    25  licensing authority or by the United States Postal Service and
    26  shall be written in clear and specific language so as to clearly
    27  communicate the action being taken by the issuing authority.
    28  Section 5.  Notice on premises.
    29     A licensing authority notifying any long-term care facility
    30  of any action described in section 3 shall post on the entrances
    20010H1119B1295                  - 4 -

     1  to the physical location of the notified facility a public
     2  notice, no smaller in size than 24 inches by 24 inches, and
     3  printed with type no smaller than 18 points, a public notice
     4  specifically stating the action which is being taken pursuant to
     5  section 3. This notice shall be posted no later than 24 hours
     6  after the licensing authority has delivered, or placed in the
     7  United States Postal Service, the notice to the facility as
     8  required by section 3. This notice shall remain posted until
     9  such time that the action taken by the issuing authority has
    10  been resolved. If an appeal is filed of the licensing
    11  authority's action, the notice shall be posted when all issues
    12  on appeal are determined finally.
    13  Section 6.  Newspaper publication.
    14     A licensing authority notifying any long-term care facility
    15  of any action described in section 3 shall place an
    16  advertisement in a newspaper of general circulation, published
    17  at least weekly, for three separate dates of publication. The
    18  public notice shall be no smaller in size than four inches by
    19  four inches stating that the licensing authority is taking, or
    20  has taken, such action and specifying the long-term care
    21  facility, its location, and the operating organization, if other
    22  than the named holder of the license or certificate of
    23  compliance. In the event that any issue leading to the posting
    24  of notices and publication of notices is later reversed or found
    25  invalid, the licensing authority shall publish a retraction in
    26  the same style and manner prescribed in this section.
    27  Section 7.  Compliance and enforcement.
    28     Notwithstanding any other provision of law, compliance with
    29  this act shall operate as a condition of licensure for a long-
    30  term care facility and this act shall be enforced against a
    20010H1119B1295                  - 5 -

     1  long-term care facility in the same manner as provided in the
     2  act under which the facility is licensed.
     3  Section 8.  Regulations.
     4     Each licensing authority shall promulgate rules or
     5  regulations necessary to administer this act within six months
     6  of the effective date of this act.
     7  Section 9.  Effective date.
     8     This act shall take effect in 60 days.















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