SB 1537 Initials AG Page 1 Caucus & COW ARIZONA HOUSE OF REPRESENTATIVES Fifty-seventh Legislature First Regular Session Senate: HHS DP 5-0-2-0 | 3rd Read 22-5-3-0 House: HHS DP 8-2-1-1 SB 1537: transitional housing; reentry programs; licensure Sponsor: Senator Carroll, LD 28 Caucus & COW Overview Creates a regulatory framework for the licensing and operation of transitional housing facilities to provide temporary living arrangements and basic living necessities to individuals transitioning from incarceration to independent living. History Under current law, the Arizona Department of Health Services (DHS) is responsible for the licensure and regulation of Arizona health care institutions. These institutions are defined as every place, institution, building or agency, whether organized for profit or not, that provides facilities with medical, nursing, behavioral health, health screening, supervisory care, personal care, directed care or any other health-related services, including home health agencies, outdoor behavioral health care programs and hospice service agencies. DHS responsibilities include but are not limited to: 1) promoting the development, maintenance, efficiency and effectiveness of local health departments or districts; 2) conducting a statewide health education program; 3) conducting continual evaluations of state, local and district public health programs; and 4) licensing and regulating health care institutions (A.R.S. §§ 36-132 and 36-401). Statute requires the Department of Corrections (DOC) to: 1) establish a transition program that provides eligible inmates with transition services in the community for up to 90 days; 2) administer the transition program and contract with private or nonprofit entities to provide eligible inmates with transition services; and 3) procure transition services. The rules for implementation of the transition program include: 1) eligibility criteria for inmates; 2) a requirement that each contracted entity train mentors or certify the mentors are trained; 3) a requirement that services offered to an inmate include psychoeducational counseling and case management services; and 4) a requirement that an inmate may only be released to the transition program after the victim has been provided notice and an opportunity to be heard. DOC must: 1) conduct annual studies on recidivism rates for inmates who receive transition services; 2) evaluate inmates and provide the information to the contracted entity; 3) submit a report of its recidivism findings that contains prescribed information; and 4) provide information about transition services to all inmates who may be eligible. An inmate must meet the following criteria to be eligible for transition services: 1) not be convicted of sexual offenses or violent crimes as outlined; 2) not have any felony detainers; 3) agree in writing to provide specific information after the inmate is released to be used for recidivism reports; 4) have made satisfactory progress by complying with all programming on the inmate's ☐ Prop 105 (45 votes) ☐ Prop 108 (40 votes) ☐ Emergency (40 votes) ☐ Fiscal Note SB 1537 Initials AG Page 2 Caucus & COW individualized corrections plan; 5) be classified as minimum or medium custody; and 6) not have been found in violation of any major violent rule during the inmate's current period of incarceration or in violation of any other major rule within the previous six months (A.R.S. § 31-281). Provisions DHS Minimum Standards for Transitional Housing Facilities 1. Requires the DHS Director to adopt rules to establish minimum standards and requirements for the licensure of transitional housing facilities in Arizona as necessary to ensure the public health, safety and welfare. (Sec. 3) 2. Requires DHS's minimum standards for transitional housing facilities to include: a) a requirement that each transitional housing facility develop policies and procedures to promote reentry of individuals into society after incarceration by requiring participation in treatment, self-help groups or other community support; b) a requirement that each transitional housing facility develop policies and procedures to allow individuals or are on medication or medication-assisted treatment to continue to receive the medication or treatment while living in the facility; c) a requirement that each transitional housing facility post a statement of individual rights that includes the right to file a complaint about the transitional housing facility or provider and information about how to file a complaint; and d) requirements for notifying an individual’s family member or other emergency contact as designated by the individual under certain circumstances, including death. (Sec. 3) 3. Requires DHS's minimum standards for transitional housing facilities to include policies and procedures: a) requiring abstinence from alcohol and illicit drugs; b) ensuring individuals are informed of all transitional housing facility rules and agreements; c) requiring residents to complete a housing agreement outlining the rules of the living arrangement within the transitional housing facility, including the length of stay and reasons the individual can be discharged from the facility; d) requiring transitional housing facilities to maintain an environment that promotes the safety of the surrounding neighborhood and the community at large; e) for discharge planning of persons living in the transitional housing facility that do not negatively impact the surrounding community; f) for a good neighbor policy to address neighborhood concerns and complaints; g) for the maintenance of transitional housing facilities, including the installation of functioning smoke detectors, carbon monoxide detectors and fire extinguishers and compliance with local fire codes; h) prohibiting a transitional housing facility owner, employee or administrator from requiring and individual to sign any document for purposes of relinquishing the individual’s public assistance benefits, including medical assistance benefits, cash assistance and supplemental nutrition assistance program benefits; and i) managing complaints about transitional housing facilities. (Sec. 3) 4. Subjects a person or organization operating a transitional housing facility without attaining or maintaining licensure to a civil penalty of up to $1,000. (Sec. 3) 5. Requires a transitional housing facility to comply with all federal, state and local laws to receive and maintain licensure. (Sec. 3) SB 1537 Initials AG Page 3 Caucus & COW 6. Permits treatment facilities that are licensed by DHS to treat behavioral health, mental health, substance use or co-occurring disorders to be located on the same campus as a transitional housing facility. (Sec. 3) 7. Requires the transitional housing facility to be separately licensed. (Sec. 3) 8. Prohibits, after the adoption of related DHS rules, a person or organization from establishing or maintaining a transitional housing facility unless that person or organization holds a current and valid license. (Sec. 3) 9. Declares a transitional housing facility license valid only for the establishment, operation and maintenance of a transitional housing facility. (Sec. 3) 10. Prohibits a transitional housing facility licensee from implying by advertising or directory listing that the licensee is authorized to perform services that are more specialized or of a higher degree of care than is otherwise authorized by law for transitional housing facilities. (Sec. 3) 11. Prohibits a transitional housing facility licensee from transferring or assigning the license. (Sec. 3) 12. Specifies that a transitional housing facility license is valid only for the premises occupied by the transitional housing facility at the time of issuance. (Sec. 3) 13. Directs DHS to establish by rule annual continuing education and training requirements for employees, volunteers and contractors who work in a transitional housing facility. (Sec. 3) Fees 14. Requires the DHS Director to establish fees for initial and annual licensure and the late payment of licensing fees, including a grace period. (Sec. 3) 15. Directs DHS to deposit 90% of the fees collected from the licensure of transitional housing facilities in the Health Services Licensing Fund and 10% to be deposited in the state General Fund. (Sec. 1, 3) 16. Stipulates that transitional housing facility licenses do not expire and remain valid unless: a) DHS subsequently revokes or suspends the license; or b) the license is voided because the licensee did not pay the licensing fee, civil penalties or provider agreement fees before the due date or did not enter into an agreement with DHS before the relevant due date and pay all outstanding fees or civil penalties. (Sec. 3) Inspections 17. Directs DHS to conduct annual inspections to verify transitional housing facility compliance with related statutes and DHS rules. (Sec. 3) 18. Permits the DHS Director or their designee, upon a determination that there is reasonable cause to believe a transitional housing facility is not adhering to licensure, to enter the premises of the facility at any reasonable time for purposes of determining compliance with statute, DHS rules and local fire ordinances or rules. (Sec. 3) 19. Stipulates that a transitional housing facility license application constitutes permission for and complete acquiescence in any entry or inspection of the premises during the pendency of the application and, if licensed, during the term of licensure. (Sec. 3) SB 1537 Initials AG Page 4 Caucus & COW 20. Allows the DHS Director to act against a transitional housing facility found not to be in adherence with licensing requirements. (Sec. 3) 21. Subjects any transitional housing facility whose license has been revoked or suspended to inspection on application for relicensure or reinstatement. (Sec. 3) 22. Prohibits a transitional housing facility from reapplying for any license for a period of five years if the license was revoked in Arizona or another state. (Sec. 3) 23. Permits DHS to contract with a third-party to assist with transitional housing facility licensure and inspections. (Sec. 3) Civil Penalties 24. Subjects a transitional housing facility that knowingly operates in Arizona without a license to a class 6 felony and a daily civil penalty of no more than $1,000 for each violation. (Sec. 3) 25. Constitutes each day the transitional housing facility operates without a license as a separate violation. (Sec. 3) 26. Allows the Director to impose a daily civil penalty on a person that violates transitional housing facility statutes or rules in an amount of up to $1,000 for each violation. (Sec. 3) 27. Constitutes each day that a violation occurs as a separate violation. (Sec. 3) 28. Requires the DHS Director to issue a notice including the proposed amount of the penalty assessment. (Sec. 3) 29. Prohibits the DHS Director from taking action to enforce and collect an assessment on any person who requests an appeal hearing on the assessment until the hearing process is complete. (Sec. 3) 30. Instructs the DHS Director to impose a civil penalty only for days in which a violation was documented by DHS. (Sec. 3) 31. Permits DHS to impose sanctions and commence disciplinary actions against a licensed transitional housing facility, including revoking the license. (Sec. 3) 32. Forbids a transitional housing facility license from being suspended or revoked without affording the licensee notice and an opportunity for a hearing. (Sec. 3) Notification Requirements 33. Directs transitional housing facility staff to notify DHS, in a DHS-provided format, immediately and no more than one business day after: a) the death of an individual residing in the facility, if statutorily required, including whether the death may have been drug related; b) a sex-related crime may have been committed at the facility; or c) any other incident specified by DHS rules. (Sec. 3) 34. Prohibits transitional housing facility staff from having a personal or intimate relationship with any individual residing in the facility. (Sec. 3) 35. Requires transitional housing facility staff to contact law enforcement if informed that an individual residing in the facility may have been involved in a sex-related crime. (Sec. 3) SB 1537 Initials AG Page 5 Caucus & COW 36. Tasks transitional housing facility licensees to ensure that any individual residing in the facility that is required to register as a sex offender does so within the statutorily required time frame after admission to the facility. (Sec. 3) Miscellaneous 37. Excludes transitional housing facilities from the definition of sober living home. (Sec. 2) 38. Directs DHS to post the following information on its website for each licensed transitional housing facility in Arizona, to be updated quarterly: a) the name and telephone number; b) the license number; c) the local jurisdiction business license number; and d) licensure status. (Sec. 3) 39. Defines terms. (Sec. 3) 40. Makes technical and conforming changes. (Sec. 1-2)