LCO No. 3401 1 of 3 General Assembly Raised Bill No. 930 January Session, 2023 LCO No. 3401 Referred to Committee on AGING Introduced by: (AGE) AN ACT REQUIRING NOTICE OF A PROPOSED TRANSFER OR DISCHARGE OF A NURSING HOME FACILITY RESIDENT TO THE STATE OMBUDSMAN. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Subsection (c) of section 19a-535 of the general statutes is 1 repealed and the following is substituted in lieu thereof (Effective from 2 passage): 3 (c) (1) Before effecting any transfer or discharge of a resident from the 4 facility, the facility shall notify, in writing, the resident and the resident's 5 guardian or conservator, if any, or legally liable relative or other 6 responsible party if known, of the proposed transfer or discharge, the 7 reasons therefor, the effective date of the proposed transfer or discharge, 8 the location to which the resident is to be transferred or discharged, the 9 right to appeal the proposed transfer or discharge and the procedures 10 for initiating such an appeal as determined by the Department of Social 11 Services, the date by which an appeal must be initiated in order to 12 preserve the resident's right to an appeal hearing and the date by which 13 an appeal must be initiated in order to stay the proposed transfer or 14 Raised Bill No. 930 LCO No. 3401 2 of 3 discharge and the possibility of an exception to the date by which an 15 appeal must be initiated in order to stay the proposed transfer or 16 discharge for good cause, that the resident may represent himself or 17 herself or be represented by legal counsel, a relative, a friend or other 18 spokesperson, and information as to bed hold and nursing home 19 readmission policy when required in accordance with section 19a-537. 20 The notice shall also include the name, mailing address and telephone 21 number of the State Long-Term Care Ombudsman. If the resident is, or 22 the facility alleges a resident is, mentally ill or developmentally 23 disabled, the notice shall include the name, mailing address and 24 telephone number of the nonprofit entity designated by the Governor in 25 accordance with section 46a-10b to serve as the Connecticut protection 26 and advocacy system. The notice shall be given at least thirty days and 27 no more than sixty days prior to the resident's proposed transfer or 28 discharge, except where the health or safety of individuals in the facility 29 are endangered, or where the resident's health improves sufficiently to 30 allow a more immediate transfer or discharge, or where immediate 31 transfer or discharge is necessitated by urgent medical needs or where 32 a resident has not resided in the facility for thirty days, in which cases 33 notice shall be given as many days before the transfer or discharge as 34 practicable. 35 (2) The resident may initiate an appeal pursuant to this section by 36 submitting a written request to the Commissioner of Social Services not 37 later than sixty calendar days after the facility issues the notice of the 38 proposed transfer or discharge, except as provided in subsection (h) of 39 this section. In order to stay a proposed transfer or discharge, the 40 resident must initiate an appeal not later than twenty days after the date 41 the resident receives the notice of the proposed transfer or discharge 42 from the facility unless the resident demonstrates good cause for failing 43 to initiate such appeal within the twenty-day period. 44 (3) On the date that the facility provides notice of the proposed 45 transfer or discharge of a resident pursuant to the provisions of 46 subdivision (1) of this subsection, the facility shall notify the State 47 Ombudsman, appointed pursuant to section 17a-405, in a manner 48 Raised Bill No. 930 LCO No. 3401 3 of 3 prescribed by the State Ombudsman, of such proposed transfer or 49 discharge. Failure to provide notice to the State Ombudsman pursuant 50 to the provisions of this subdivision shall invalidate any notice of the 51 proposed transfer or discharge of a resident submitted provided 52 pursuant to the provisions of subdivision (1) of this subsection. 53 This act shall take effect as follows and shall amend the following sections: Section 1 from passage 19a-535(c) Statement of Purpose: To require nursing home facilities to notify the State Ombudsman of a proposed transfer or discharge of a resident. [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]