1 | 1 | | Session of 2025 |
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2 | 2 | | HOUSE BILL No. 2370 |
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3 | 3 | | By Committee on Health and Human Services |
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4 | 4 | | Requested by Representative Buehler on behalf of the Alzheimer's Association |
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5 | 5 | | 2-7 |
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6 | 6 | | AN ACT concerning health and healthcare; relating to assisted living |
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7 | 7 | | facilities; requiring additional certification for assisted living facilities |
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8 | 8 | | with dementia care. |
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9 | 9 | | Be it enacted by the Legislature of the State of Kansas: |
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10 | 10 | | Section 1. (a) This section shall apply only to assisted living facilities |
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11 | 11 | | that offer dementia care services. If assisted living facilities choose to |
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12 | 12 | | apply for the special dementia care certification, then such facilities shall |
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13 | 13 | | follow the requirements in this section. A facility that chooses to opt out of |
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14 | 14 | | following such requirements, shall not publicize that it offers specialized |
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15 | 15 | | dementia care, memory care, use the special dementia care designation or |
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16 | 16 | | the assisted living facility with dementia care certification. |
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17 | 17 | | (b) There is hereby created the assisted living facility with dementia |
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18 | 18 | | care certification. An applicant seeking certification as an assisted living |
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19 | 19 | | facility with dementia care shall have the ability to provide services in a |
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20 | 20 | | manner consistent with the requirements in this section. In determining |
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21 | 21 | | whether or not to award this certification to an applicant, the secretary of |
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22 | 22 | | the department for aging and disability services shall consider the |
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23 | 23 | | following criteria, including, but not limited to: |
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24 | 24 | | (1) The applicant's assisted living director, managerial official and |
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25 | 25 | | clinical nurse supervisor's experience with managing residents with |
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26 | 26 | | dementia or previous long-term care experience; and |
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27 | 27 | | (2) completion of a state-approved dementia care certification |
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28 | 28 | | program by the applicant's leadership. |
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29 | 29 | | (c) Facilities seeking such certification shall maintain staffing levels |
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30 | 30 | | sufficient to meet the care needs of residents, that shall be demonstrated |
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31 | 31 | | through periodic quality-of-care assessments. |
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32 | 32 | | (d) Prior to providing memory care services, all employees or |
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33 | 33 | | contract staff working with residents receiving memory care services shall |
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34 | 34 | | complete a department-approved, standardized dementia care training |
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35 | 35 | | program that is available online. |
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36 | 36 | | (1) Assisted living facilities that offer dementia care may use existing |
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37 | 37 | | training programs that meet state standards, which shall be established by |
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38 | 38 | | the department in rules and regulations. Training programs shall include |
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39 | 39 | | the following: |
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74 | 74 | | 35 HB 2370 2 |
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75 | 75 | | (A) Communicating and interacting with individuals with Alzheimer's |
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76 | 76 | | disease or other forms of dementia; |
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77 | 77 | | (B) the psychological, social and physical needs of individuals with |
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78 | 78 | | Alzheimer's disease or other forms of dementia; |
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79 | 79 | | (C) the benefits of non-pharmacological approaches to treatment; and |
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80 | 80 | | (D) safety measures necessary for individuals with Alzheimer's |
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81 | 81 | | disease or other forms of dementia. |
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82 | 82 | | (e) Employees or contract staff working with residents receiving |
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83 | 83 | | memory care services shall receive annual, evidence-based memory care |
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84 | 84 | | services training as determined by the department for aging and disability |
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85 | 85 | | services biennially. |
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86 | 86 | | (f) (1) The facility shall provide an activity services program to |
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87 | 87 | | residents who receive memory care services. The activity services program |
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88 | 88 | | shall: |
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89 | 89 | | (A) Involve the resident in an ongoing program of activities that are |
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90 | 90 | | designed to appeal to individual resident needs; and |
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91 | 91 | | (B) include a combination of large and small group, one-to-one and |
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92 | 92 | | self-directed activities. |
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93 | 93 | | (2) Facilities shall provide access to activities tailored to the needs of |
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94 | 94 | | residents with dementia, that can be provided by trained care staff rather |
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95 | 95 | | than dedicated activity staff. |
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96 | 96 | | (3) Group activities may substitute for one-on-one activities when |
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97 | 97 | | appropriate. |
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98 | 98 | | (g) The department of aging and disability services may impose |
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99 | 99 | | additional requirements for any long-term care facility if there are |
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100 | 100 | | unsatisfactory outcomes for a resident in such facility. The department |
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101 | 101 | | shall impose such requirements only after identifying significant |
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102 | 102 | | deficiencies in meeting resident care needs as documented in annual |
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103 | 103 | | inspections or complaint investigations. |
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104 | 104 | | (h) Evidence of a failure to meet the individual needs of residents |
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105 | 105 | | shall be grounds for enforcement action under this section. |
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106 | 106 | | (i) The department for aging and disability shall adopt rules and |
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107 | 107 | | regulations to implement and administer the provisions of sections 1 and 2, |
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108 | 108 | | and amendments thereto. |
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109 | 109 | | (j) The label "assisted living facility with dementia care" shall be |
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110 | 110 | | identified on the facility's license. Such facility providing dementia care |
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111 | 111 | | services may indicate this specialization in their license description if the |
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112 | 112 | | facility has the certification created by this section. |
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113 | 113 | | (k) Facilities that choose to apply for a dementia care certification |
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114 | 114 | | shall comply with the provisions of this section within 12 months of its |
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115 | 115 | | enactment. |
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116 | 116 | | (l) This section shall be a part of and supplemental to article 9 of |
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117 | 117 | | chapter 39 of the Kansas Statutes Annotated, and amendments thereto. |
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160 | 160 | | 43 HB 2370 3 |
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161 | 161 | | Sec. 2. (a) (1) Except as provided in paragraph (2), an assisted living |
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162 | 162 | | facility with a dementia care certification shall notify the secretary of the |
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163 | 163 | | department for aging and disability services in writing at least 60 calendar |
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164 | 164 | | days prior to the voluntary relinquishment. |
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165 | 165 | | (2) If less than 10 residents would be affected by such |
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166 | 166 | | relinquishment, a facility with a dementia care certification shall notify the |
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167 | 167 | | secretary at least 30 days prior to the relinquishment of such certification. |
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168 | 168 | | (b) For voluntary relinquishment, the facility shall: |
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169 | 169 | | (1) Give all residents and their designated and legal representatives |
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170 | 170 | | 60 calendar days notice of voluntary relinquishment. The notice shall |
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171 | 171 | | include: |
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172 | 172 | | (A) The proposed effective date of voluntary relinquishment; |
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173 | 173 | | (B) changes in staffing; |
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174 | 174 | | (C) changes in services, including the elimination or addition of |
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175 | 175 | | services; and |
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176 | 176 | | (D) staff training that shall occur when the voluntary relinquishment |
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177 | 177 | | becomes effective; |
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178 | 178 | | (2) submit a transitional plan to the secretary of the department for |
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179 | 179 | | aging and disability services demonstrating how current residents will be |
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180 | 180 | | evaluated and assessed to reside in other housing settings that are not an |
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181 | 181 | | assisted living facility with memory care that are physically unsecured or |
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182 | 182 | | would require move-out or transfer to other settings; |
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183 | 183 | | (A) Assisted living facilities voluntarily relinquishing such facilities |
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184 | 184 | | dementia care certification may submit a general transition framework |
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185 | 185 | | rather than an individualized plan for each resident; |
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186 | 186 | | (3) change service or care plans as appropriate to address any needs |
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187 | 187 | | the residents may have with such transition; |
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188 | 188 | | (4) notify the secretary of the department for aging and disability |
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189 | 189 | | services when the voluntary relinquishment process has been completed; |
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190 | 190 | | and |
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191 | 191 | | (5) revise advertising materials and disclosure information to remove |
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192 | 192 | | any reference indicating that such facility is an assisted living facility with |
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193 | 193 | | dementia care certification. |
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194 | 194 | | (c) This section shall be a part of and supplemental to article 9 of |
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195 | 195 | | chapter 39 of the Kansas Statutes Annotated, and amendments thereto. |
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196 | 196 | | Sec. 3. This act shall take effect and be in force from and after its |
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197 | 197 | | publication in the Kansas register. |
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