Kentucky 2024 2024 Regular Session

Kentucky House Bill HB493 Chaptered / Bill

                    CHAPTER 57 
Legislative Research Commission PDF Version 
 
1 
CHAPTER 57 
( HB 493 ) 
AN ACT relating to assisted living communities. 
Be it enacted by the General Assembly of the Commonwealth of Kentucky: 
Section 1.   KRS 194A.705 is amended to read as follows: 
(1) The assisted living community shall provide each resident with access to the following services according to 
the lease agreement: 
(a) Assistance with activities of daily living and instrumental activities of daily living; 
(b) Three (3) meals and snacks made available each day, with flexibility in a secured dementia care unit to 
meet the needs of residents with cognitive impairments who may eat outside of scheduled dining hours; 
(c) Scheduled daily social activities that address the general preferences of residents; 
(d) Assistance with self-administration of medication; and 
(e) Housing. 
(2) (a) The assisted living community may provide residents with access to basic health and health-related 
services. 
(b) If an assisted living community chooses to provide basic health and health-related services, the assisted 
living community shall supervise the residents. 
(c) Notwithstanding KRS 194A.700(4)(e), in an assisted living community or nursing home as defined in 
KRS 205.510 and licensed under KRS Chapter 216B[a long-term care facility] that provides basic 
health and health-related services[health related-services] or dementia care services, a certified 
medication aide or an unlicensed staff person who has successfully completed a medication aide 
training and skills competency evaluation program approved by the Kentucky Board of Nursing may 
administer oral or topical medication, or preloaded injectable insulin to a resident under the authority of 
an available licensed practical nurse, registered nurse, or advanced practice registered nurse. 
(d) Unlicensed personnel who administer oral or topical medications to residents of an apartment-style 
personal care home required by KRS 194A.704 to convert to a licensed assisted living community shall 
comply with the medication aide requirements of paragraph (c) of this subsection no later than six (6) 
months from June 29, 2023. 
(3) (a) Residents of an assisted living community may arrange for additional services under direct contract or 
arrangement with an outside agent, professional, provider, or other individual designated by the resident 
if permitted by the policies of the assisted living community. 
(b) Permitted services for which a resident may arrange or contract include but are not limited to health 
services, hospice services provided by a hospice program licensed under KRS Chapter 216B, and other 
end-of-life services. 
(4) Upon entering into a lease agreement, an assisted living community shall inform the resident in writing about 
policies relating to the provision of services by the assisted living community and the contracting or arranging 
for additional services. 
(5) A resident issued a move-out notice shall receive the notice in writing and the assisted living community shall 
assist each resident upon a move-out notice to find appropriate living arrangements. Each assisted living 
community shall share information provided from the cabinet regarding options for alternative living 
arrangements at the time a move-out notice is given to the resident. 
(6) An assisted living community shall complete and provide to the resident: 
(a) Upon move-in, a copy of a functional needs assessment pertaining to the resident's ability to perform 
activities of daily living and instrumental activities of daily living and any other topics the assisted 
living community determines to be necessary; and  ACTS OF THE GENERAL ASSEMBLY 2 
(b) After move-in, a copy of an updated functional needs assessment pertaining to the resident's ability to 
perform activities of daily living and instrumental activities of daily living, the service plan designed to 
meet identified needs, and any other topics the assisted living community determines to be necessary. 
Signed by Governor April 4, 2024.