Kansas 2023-2024 Regular Session

Kansas Senate Bill SB191 Compare Versions

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11 Session of 2023
22 SENATE BILL No. 191
33 By Committee on Judiciary
44 2-7
55 AN ACT concerning the adult care home licensure act; relating to
66 involuntary transfer or discharge of residents from an adult residential
77 care facility; creating a right to appeal an involuntary transfer or
88 discharge; requiring the secretary for aging and disability services to
99 review notices and preside over appeals.
1010 Be it enacted by the Legislature of the State of Kansas:
1111 Section 1. (a) The administrator or operator of each adult residential
1212 care facility shall ensure that a resident is not involuntarily transferred or
1313 discharged from the adult residential care facility unless one or more of the
1414 following conditions are met:
1515 (1) The transfer or discharge is necessary for the resident's welfare
1616 and the resident's needs cannot be met by the current adult residential care
1717 facility;
1818 (2) the health or safety of other individuals in the adult residential
1919 care facility is endangered;
2020 (3) the resident has failed, after reasonable and appropriate notice, to
2121 pay the rates and charges imposed by the adult residential care facility; or
2222 (4) the adult residential care facility ceases to operate.
2323 (b) Before a resident may be transferred or discharged involuntarily,
2424 the administrator or operator, or designee, shall:
2525 (1) Notify the resident, and, if known, a representative or designated
2626 family member, of the transfer or discharge and the reason for the transfer
2727 or discharge;
2828 (2) if the reason for transfer or discharge is specified in subsection (a)
2929 (1) through (a)(3), record and substantiate in the resident's clinical record
3030 as follows:
3131 (A) The resident's physician shall document the rationale for transfer
3232 or discharge in the resident's clinical record if the transfer or discharge is
3333 necessary for the resident's welfare and the resident's needs cannot be met
3434 by the adult residential care facility;
3535 (B) the resident's physician shall document the rationale for transfer
3636 or discharge in the resident's clinical record if the transfer or discharge is
3737 appropriate because the resident's health has improved sufficiently so that
3838 the resident no longer needs the services provided by the adult residential
3939 care facility; or
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7676 (C) a physician shall document the rationale for transfer or discharge
7777 in the resident's clinical record if the transfer or discharge is necessary
7878 because the health or safety of other individuals in the adult residential
7979 care facility is endangered; and
8080 (3) provide a written transfer or discharge notice that shall include the
8181 following:
8282 (A) The reason for the transfer or discharge;
8383 (B) the effective date of the transfer or discharge;
8484 (C) the contact information for the state long-term care ombudsman;
8585 (D) the resident's right to appeal an involuntary transfer or discharge
8686 established under this section and information as designated by the
8787 secretary to assist the resident in exercising such right;
8888 (E) for a resident with an intellectual or developmental disability,
8989 dementia or another cognitive-limiting condition, the contact information
9090 for the agency responsible for the protection and advocacy of individuals
9191 with such conditions; and
9292 (F) for a resident with a mental disorder or related disability, the
9393 contact information for the agency responsible for protection and advocacy
9494 of individuals with a mental disorder or related disability.
9595 (c) The administrator or operator, or designee, shall provide the
9696 notice of transfer or discharge required by subsection (b) to the resident, or
9797 the resident's representative, at least 30 days in advance of the resident's
9898 transfer or discharge, unless:
9999 (1) The safety of other individuals in the adult residential care facility
100100 would be endangered; or
101101 (2) the resident's urgent medical needs require an immediate transfer
102102 to another healthcare facility.
103103 (d) The administrator or operator, or designee, shall provide sufficient
104104 preparation and orientation to each resident before a resident's discharge,
105105 including development of a discharge plan, with involvement of the
106106 resident, the resident's representative and designated family and subject to
107107 approval of the resident's physician, if practicable.
108108 (e) (1) If a resident of an adult residential care facility receives notice
109109 of a pending involuntary transfer or discharge in violation of this section,
110110 such resident, or such resident's representative, may appeal the adult
111111 residential care facility's determination to involuntarily transfer or
112112 discharge the resident to the secretary for aging and disability services by
113113 filing a notice of appeal in the office of administrative hearings within 15
114114 days after the date of such notice. A presiding officer from the office of
115115 administrative hearings shall hold a hearing, in accordance with the
116116 provisions of the Kansas administrative procedure act, within 30 days after
117117 the receipt of the notice of appeal.
118118 (2) If a resident files an appeal pursuant to this section, the resident
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162162 shall remain or be permitted to return and resume residence in the adult
163163 residential care facility while the appeal is pending.
164164 (f) As used in sections 1 through 10, and amendments thereto, "adult
165165 residential care facility" means an assisted living facility, a residential
166166 healthcare facility, home plus or a boarding care home as such terms are
167167 defined in K.S.A. 39-923, and amendments thereto.
168168 Sec. 2. (a) The secretary for aging and disability services shall make
169169 available to all adult residential care facilities a 30-day involuntary transfer
170170 or discharge notice form that shall include, but not be limited to, the
171171 information in subsection (c).
172172 (b) The administrator or operator of an adult residential care facility,
173173 or designee, shall not be required to use the 30-day involuntary transfer or
174174 discharge notice form prescribed by the secretary, but any form used by
175175 the facility shall include, but not be limited to, the information in
176176 subsection (c).
177177 (c) A 30-day involuntary transfer or discharge notice shall be written
178178 and include, but not be limited to:
179179 (1) The reason for the transfer or discharge;
180180 (2) facts and evidence supporting each reason for the transfer or
181181 discharge, actions taken to avoid the transfer or discharge and the timing
182182 of those actions;
183183 (3) the name and contact information of the facility issuing the notice;
184184 (4) the name and contact information of the person employed by the
185185 facility with whom the resident or resident's representative may discuss the
186186 notice;
187187 (5) the issue date of the notice;
188188 (6) the effective date of the transfer or discharge;
189189 (7) the location where the resident will be transferred or discharged, if
190190 known;
191191 (8) a statement that the resident or resident's representative has the
192192 right to appeal the involuntary transfer or discharge within 15 days after
193193 the issue date contained in the notice;
194194 (9) the procedure for the resident or resident's representative to file
195195 the notice of appeal;
196196 (10) a copy of the 30-day involuntary transfer or discharge notice of
197197 appeal form;
198198 (11) a list of the names and contact information of each recipient of
199199 the notice and how the notice is being given to each recipient;
200200 (12) the contact information for the state long-term care ombudsman;
201201 (13) a section where the recipient of the notice signs the form to
202202 acknowledge receipt of the form if receiving the form in person;
203203 (14) for a resident with an intellectual or developmental disability,
204204 dementia or another cognitive-limiting condition, the contact information
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248248 for the agency responsible for the protection and advocacy of individuals
249249 with such conditions; and
250250 (15) for a resident with a mental disorder or related disability, the
251251 contact information for the agency responsible for protection and advocacy
252252 of individuals with a mental disorder or related disability.
253253 (d) The form required by subsection (c) shall include a 30-day
254254 involuntary transfer or discharge notice of appeal form that shall include,
255255 but not be limited to, the information in subsection (e). Such form shall be
256256 provided to all adult residential care facilities.
257257 (e) The administrator or operator of an adult residential care facility
258258 shall not be required to use the 30-day involuntary transfer or discharge
259259 notice of appeal form prescribed by the secretary, but any form used by the
260260 facility shall include, but not be limited to:
261261 (1) The name and contact information of the resident;
262262 (2) the name and contact information of the person appealing the 30-
263263 day involuntary transfer or discharge notice and the person's relationship
264264 to the resident;
265265 (3) the name of the facility issuing the 30-day involuntary transfer or
266266 discharge notice;
267267 (4) the date the 30-day involuntary transfer or discharge notice was
268268 issued;
269269 (5) the date of the transfer or discharge listed on the 30-day
270270 involuntary transfer or discharge notice; and
271271 (6) whether the person appealing the 30-day involuntary transfer or
272272 discharge notice requests the secretary to facilitate an informal conference
273273 before the administrative hearing.
274274 Sec. 3. Before issuing a 30-day involuntary transfer or discharge
275275 notice in accordance with section 1, and amendments thereto, the
276276 administrator or operator of an adult residential care facility, or designee,
277277 shall:
278278 (a) Notify the resident and the resident's representative in writing of
279279 the transfer or discharge and the reason;
280280 (b) hold a meeting with the resident and the resident's representative
281281 regarding the reason for the involuntary transfer or discharge and attempt
282282 to resolve the reason for the involuntary transfer or discharge;
283283 (c) notify the resident and the resident's representative in writing that
284284 the resident or the resident's representative may invite family members,
285285 relevant health professionals, the state long-term care ombudsman, or
286286 other persons of the resident's or the resident's representative's choosing to
287287 participate in such meeting with the resident and the resident's
288288 representative; and
289289 (d) record the reason for the transfer or discharge under any of the
290290 circumstances specified in section 1(a)(1) through (3), and amendments
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334334 thereto, in the resident's clinical record and shall be substantiated as
335335 follows:
336336 (1) The resident's physician shall document the reason for transfer or
337337 discharge in the resident's clinical record if the transfer or discharge is
338338 necessary for the resident's welfare and the resident's needs cannot be met
339339 by the adult residential care facility; or
340340 (2) a physician shall document the reason for transfer or discharge in
341341 the resident's clinical record if the transfer or discharge is necessary
342342 because the health or safety of other individuals in the adult residential
343343 care facility is endangered.
344344 Sec. 4. (a) The administrator or operator of an adult residential care
345345 facility, or designee, shall deliver the notice to the resident in person and
346346 place a copy in the resident's record. On the same day, the administrator or
347347 operator, or designee, shall send the notice to:
348348 (1) The resident's representative in person, by return receipt delivery,
349349 or by email, read receipt requested; and
350350 (2) the state long-term care ombudsman in person or by email.
351351 (b) The administrator or operator, or designee, shall document
352352 acknowledgment of receipt of the 30-day involuntary transfer or discharge
353353 notice by all required recipients by obtaining and maintaining:
354354 (1) The recipient's signature on the 30-day involuntary transfer or
355355 discharge notice form;
356356 (2) the return receipt affirming delivery of the notice; or
357357 (3) an electronic read receipt from the recipient's email.
358358 (c) If the recipient refuses receipt of the notice, the administrator or
359359 operator, or designee, shall give the document to the recipient through a
360360 different method of delivery. The administrator or operator, or designee,
361361 shall document the refusal. After attempting delivery by two different
362362 methods, if the recipient refuses delivery through both methods, the notice
363363 is deemed to be received by the recipient.
364364 Sec. 5. (a) Except when a facility had its license revoked or not
365365 renewed by the secretary for aging and disability services or voluntarily
366366 surrendered a license, a resident who receives a 30-day involuntary
367367 transfer or discharge notice shall be entitled to an administrative hearing if
368368 the resident or the resident's representative requests an administrative
369369 hearing in a timely manner.
370370 (b) A resident who receives a 30-day involuntary transfer or discharge
371371 notice, the resident's representative or the state long-term care
372372 ombudsman, if requested and on behalf of the resident or the resident's
373373 representative, may appeal such transfer or discharge by filing a notice of
374374 appeal with the office of administrative hearings within 15 calendar days
375375 after the issue date printed on the notice. The secretary may extend the
376376 time allowed for requesting an administrative hearing if the secretary
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420420 determines that good cause exists for the failure to make a timely request.
421421 (c) If the resident is incapacitated and does not have a representative,
422422 the state long-term care ombudsman may file a notice of appeal on behalf
423423 of the resident.
424424 (d) If the resident or the resident's representative files the notice of
425425 appeal form to the office of administrative hearings, on the same day the
426426 resident files the notice of appeal to the office of administrative hearings,
427427 the resident shall give a copy of the completed notice of appeal to the
428428 administrator or operator, or designee, and the state long-term care
429429 ombudsman.
430430 (e) If the state long-term care ombudsman completes or files the
431431 notice of appeal form at the request of the resident or the resident's
432432 representative, at the same time the state long-term care ombudsman files
433433 the notice of appeal to the office of administrative hearings, the state long-
434434 term care ombudsman shall give a copy of the completed notice of appeal
435435 to the resident, and the administrator or operator, or designee, and with
436436 resident's consent, to the resident's representative.
437437 (f) Within 15 calendar days after the receipt of the notice of appeal,
438438 the office of administrative hearings shall hold a hearing in accordance
439439 with the provisions of the Kansas administrative procedure act.
440440 (g) The office of administrative hearings shall issue a written decision
441441 within 10 business days after the completion of the administrative hearing.
442442 (h) The resident who has received a 30-day involuntary transfer or
443443 discharge notice shall be allowed to continue to reside in the facility until
444444 the hearing process is completed. The resident shall be responsible to pay
445445 for any services provided by the facility to the resident until the hearing
446446 process is completed.
447447 Sec. 6. (a) After a notice of appeal has been filed but before the
448448 administrative hearing, the following people may request the secretary to
449449 facilitate an informal conference to discuss the transfer or discharge:
450450 (1) The resident;
451451 (2) the resident's representative;
452452 (3) the administrator or operator of an adult residential care facility,
453453 or designee; or
454454 (4) the state long-term care ombudsman, if requested by the resident
455455 or resident's representative and when applicable.
456456 (b) The secretary shall accept a request for an informal conference
457457 that is submitted by any means.
458458 (c) If an informal conference is requested, the conference shall be
459459 scheduled within five business days of the secretary receiving the request
460460 for the informal conference.
461461 (d) (1) The informal conference shall include:
462462 (A) The secretary, or the secretary's designee;
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506506 (B) the resident or the resident's representative; and
507507 (C) the administrator or operator, or designee.
508508 (2) The informal conference may include:
509509 (A) Healthcare professionals; and
510510 (B) the state long-term care ombudsman.
511511 (e) The party filing the appeal shall provide notice to the office of
512512 administrative hearings that such party is satisfied with the outcome of the
513513 informal conference. Upon receipt of such notice, the office shall cancel
514514 the administrative hearing.
515515 (f) The scheduling or holding of an informal conference shall not
516516 extend the number of days after the receipt of the notice of appeal in which
517517 the office of administrative hearings shall hold a hearing.
518518 Sec. 7. (a) In the case of an emergency transfer or discharge, the
519519 administrator or operator of an adult residential care facility, or designee,
520520 shall provide a notice of emergency involuntary transfer or discharge to
521521 the resident, or the resident's representative, prior to or within 48 hours
522522 following the transfer or discharge. A copy of the notice shall be provided
523523 to the secretary and the state long-term care ombudsman.
524524 (b) If the resident has already been transferred or discharged on an
525525 emergency basis, the administrator or operator, or designee, shall hold a
526526 space available for the resident pending receipt of an administrative
527527 decision. If the resident appeals the transfer or discharge, the resident shall
528528 be responsible to pay for the space held by the administrator or operator, or
529529 designee, pursuant to this subsection.
530530 (c) The secretary for aging and disability services shall adopt rules
531531 and regulations to define an emergency or set criteria that the secretary
532532 shall use to determine such emergency has occurred. Prior to adopting
533533 rules and regulations pursuant to subsection (c), the secretary shall
534534 determine whether an emergency occurred by considering the health,
535535 safety and welfare of the resident being discharged or transferred, other
536536 residents and facility staff.
537537 (d) If the secretary has determined such discharge or transfer is an
538538 emergency pursuant to subsection (c) or (d), sections 8 through 10, and
539539 amendments thereto, shall apply. If the secretary has determined such
540540 discharge or transfer is not an emergency, then sections 1 through 8, and
541541 amendments thereto, shall apply.
542542 Sec. 8. (a) The secretary for aging and disability services shall make
543543 available to all adult residential care facilities an emergency involuntary
544544 transfer or discharge notice form that shall include, but not be limited to,
545545 the information in subsection (c).
546546 (b) The administrator or operator of an adult residential care facility,
547547 or designee, shall not be required to use the emergency involuntary
548548 transfer or discharge notice form prescribed by the secretary, but any form
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592592 used by the facility shall include, but not be limited to, the information in
593593 subsection (c).
594594 (c) An emergency involuntary transfer or discharge notice shall be
595595 written and include, but not be limited to:
596596 (1) A statement that the resident or resident's representative has the
597597 right to appeal the emergency involuntary transfer or discharge within
598598 seven calendar days after the receipt of the notice;
599599 (2) the procedure for the resident or the resident's representative to
600600 file the notice of appeal; and
601601 (3) a copy of the adult residential care facility emergency involuntary
602602 transfer or discharge notice of appeal form.
603603 (d) The form required by subsection (a) shall include an emergency
604604 involuntary transfer or discharge notice of appeal form that shall include,
605605 but not be limited to, the information in subsection (e). Such form shall be
606606 provided to all adult residential care facilities.
607607 (e) The emergency involuntary transfer or discharge notice of appeal
608608 form shall include, but not be limited to:
609609 (1) The name and contact information of the resident;
610610 (2) the name and contact information of the person appealing the
611611 emergency involuntary transfer or discharge notice and the person's
612612 relationship to the resident;
613613 (3) the name of the facility issuing the emergency involuntary transfer
614614 or discharge notice;
615615 (4) the date the emergency involuntary transfer or discharge notice
616616 was issued; and
617617 (5) the date of transfer or discharge listed on the emergency
618618 involuntary transfer or discharge notice.
619619 Sec. 9. (a) Before the administrator or operator of an adult residential
620620 care facility, or designee, issues an emergency involuntary transfer or
621621 discharge notice to the resident, the administrator or operator, or designee,
622622 shall first submit the written notice to the secretary for review and receive
623623 a written response from the secretary stating whether the notice and other
624624 documentation submitted by the administrator or operator, or designee,
625625 complies with the requirements contained in this section.
626626 (b) The administrator or operator, or designee, shall provide to the
627627 secretary a copy of the proposed emergency involuntary transfer or
628628 discharge notice that complies with the requirements listed in section 10,
629629 and amendments thereto.
630630 (c) Within two business days after receiving such copy of the
631631 proposed emergency involuntary transfer or discharge notice, the secretary
632632 shall provide written notice to the administrator or operator, or designee,
633633 with a determination of whether the proposed transfer or discharge notice
634634 complies with the requirements contained in section 8, and amendments
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678678 thereto. If the secretary determines the requirements are not met, the
679679 administrator or operator, or designee, shall not issue the emergency
680680 transfer or discharge notice.
681681 (d) If conditions exist that would immediately endanger the resident,
682682 other residents or staff that cannot be mitigated by the facility, then the
683683 resident may be removed prior to the review required by this section.
684684 (e) Nothing in this section shall prohibit an administrator or operator,
685685 or designee, from submitting or resubmitting an emergency or 30-day
686686 involuntary transfer or discharge notice.
687687 (f) The administrator or operator, or designee, may issue the notice if
688688 the secretary determines the provisions of this section are met.
689689 Sec. 10. (a) A resident who receives an emergency involuntary
690690 transfer or discharge notice shall be entitled to an administrative hearing if
691691 the resident or resident's representative requests an administrative hearing
692692 in a timely manner.
693693 (b) The filing of a notice of appeal or appeal process shall not delay
694694 or change the date of the emergency involuntary transfer or discharge.
695695 (c) A resident who receives an emergency involuntary transfer or
696696 discharge notice, the resident's representative or the state long-term care
697697 ombudsman, if requested and on behalf of the resident or the resident's
698698 representative, may appeal such transfer or discharge by filing a notice of
699699 appeal with the office of administrative hearings within seven calendar
700700 days after receiving the written notice. The secretary may accept a notice
701701 of appeal after seven calendar days if the secretary determines that good
702702 cause exists for failure to make a timely request.
703703 (d) If the resident is incapacitated and does not have a representative,
704704 the state long-term care ombudsman may file a notice of appeal on behalf
705705 of the resident.
706706 (e) If the resident or the resident's representative files the notice of
707707 appeal form to the office of administrative hearings, on the same day the
708708 resident files the notice of appeal to the office of administrative hearings,
709709 the resident shall give a copy of the completed notice of appeal to the
710710 administrator or operator of an adult residential care facility, or designee,
711711 and the state long-term care ombudsman.
712712 (f) If the state long-term care ombudsman completes or files a notice
713713 of appeal form at the request of the resident or the resident's representative,
714714 on the same day the state long-term care ombudsman files the notice of
715715 appeal to the office of administrative hearings, the state long-term care
716716 ombudsman shall give a copy of the completed notice of appeal to the
717717 resident, the administrator or operator, or designee, and with the resident's
718718 consent, to the resident's representative.
719719 (g) Within 14 calendar days after the receipt of the notice of appeal,
720720 the office of administrative hearings shall hold a hearing in accordance
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764764 with the provisions of the Kansas administrative procedure act.
765765 (h) The office of administrative hearings shall issue a written decision
766766 within five business days after the completion of the administrative
767767 hearing.
768768 Sec. 11. This act shall take effect and be in force from and after its
769769 publication in the statute book.
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