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2 | 2 | | HOUSE DOCKET, NO. 1687 FILED ON: 1/18/2023 |
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3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 628 |
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4 | 4 | | The Commonwealth of Massachusetts |
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5 | 5 | | _________________ |
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6 | 6 | | PRESENTED BY: |
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7 | 7 | | Kenneth I. Gordon |
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8 | 8 | | _________________ |
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9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
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10 | 10 | | Court assembled: |
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11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
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12 | 12 | | An Act relative to certified medical directors at skilled nursing facilities. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | NAME:DISTRICT/ADDRESS :DATE ADDED:Kenneth I. Gordon21st Middlesex1/11/2023Aaron L. Saunders7th Hampden2/15/2023 1 of 3 |
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16 | 16 | | HOUSE DOCKET, NO. 1687 FILED ON: 1/18/2023 |
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17 | 17 | | HOUSE . . . . . . . . . . . . . . . No. 628 |
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18 | 18 | | By Representative Gordon of Bedford, a petition (accompanied by bill, House, No. 628) of |
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19 | 19 | | Kenneth I. Gordon and Aaron L. Saunders relative to certified medical directors at skilled |
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20 | 20 | | nursing facilities. Elder Affairs. |
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21 | 21 | | The Commonwealth of Massachusetts |
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22 | 22 | | _______________ |
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23 | 23 | | In the One Hundred and Ninety-Third General Court |
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24 | 24 | | (2023-2024) |
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25 | 25 | | _______________ |
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26 | 26 | | An Act relative to certified medical directors at skilled nursing facilities. |
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27 | 27 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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28 | 28 | | of the same, as follows: |
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29 | 29 | | 1 SECTION 1. For the purposes of this act the following terms shall, unless the context |
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30 | 30 | | 2requires otherwise, have the following meanings:- |
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31 | 31 | | 3 “Certified medical director”, an individual who has been certified as a certified medical |
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32 | 32 | | 4director by the American Board of Post-Acute and Long-Term Care Medicine or an equivalent |
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33 | 33 | | 5organization, as determined by the department of public health. |
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34 | 34 | | 6 “Department”, the department of public health. |
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35 | 35 | | 7 “Skilled nursing facility”, a facility that is licensed pursuant to section 71 of chapter 111 |
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36 | 36 | | 8of the General Laws, which primarily provides inpatient skilled nursing care and related services |
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37 | 37 | | 9to patients who require medical, nursing or rehabilitative services but does not provide the level |
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38 | 38 | | 10of care or treatment available in a hospital, including any skilled nursing facility that is operated |
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39 | 39 | | 11as a distinct part of an acute care hospital. 2 of 3 |
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40 | 40 | | 12 SECTION 2. (a) No skilled nursing facility shall contract with a person as a medical |
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41 | 41 | | 13director if the person is not, or will not be within 5 years of the date of initial hire as the facility’s |
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42 | 42 | | 14medical director, a certified medical director, except as set forth in subsection (b). |
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43 | 43 | | 15 (b) A medical director already employed in a skilled nursing facility as of January 1, |
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44 | 44 | | 162023 shall have until January 1, 2028 to become a certified medical director. |
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45 | 45 | | 17 SECTION 3. (a) Skilled nursing facilities seeking licensure pursuant to said section 71 of |
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46 | 46 | | 18said chapter 111 shall submit to the department all of the following information on its medical |
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47 | 47 | | 19director upon its initial application for licensure: |
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48 | 48 | | 20 (1) the criminal history of the medical director; |
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49 | 49 | | 21 (2) the medical director’s resume; and |
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50 | 50 | | 22 (3) proof of the medical director’s certification as a certified medical director or, if the |
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51 | 51 | | 23medical director is not yet certified, the expected date of certification. |
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52 | 52 | | 24 (c) Skilled nursing facilities shall notify the department of any changes in its medical |
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53 | 53 | | 25director by submitting the information required in subsection (a) within 10 calendar days of said |
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54 | 54 | | 26changes. |
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55 | 55 | | 27 (d) All skilled nursing facilities shall submit to the department the information required in |
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56 | 56 | | 28subsection (a) no later than June 30, 2024. |
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57 | 57 | | 29 SECTION 4. Whoever acts as a certified medical director or represents themselves to be |
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58 | 58 | | 30a certified medical director without having been duly certified shall be punished by a fine of not |
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59 | 59 | | 31less than $500 or by imprisonment in a house of correction for not more than 6 months, or both. 3 of 3 |
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60 | 60 | | 32 SECTION 5. No later than January 1, 2031, the department shall submit a report to the |
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61 | 61 | | 33clerks of the senate and house of representatives and the joint committee on public health. The |
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62 | 62 | | 34report shall include a recommendation on a permanent requirement for skilled nursing facilities |
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63 | 63 | | 35to contract with certified medical directors. The report may also include any other recommended |
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64 | 64 | | 36legislation, regulations, policies or procedures related to certified medical directors. |
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65 | 65 | | 37 SECTION 6. Sections 1 through 4, inclusive, are hereby repealed. |
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66 | 66 | | 38 SECTION 7. Section 6 shall take effect on January 1, 2033. |
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