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| 2 | 2 | | SENATE DOCKET, NO. 1194 FILED ON: 1/19/2023 |
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| 3 | 3 | | SENATE . . . . . . . . . . . . . . No. 378 |
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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 | | Patricia D. Jehlen |
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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 small house nursing homes. |
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| 13 | 13 | | _______________ |
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| 14 | 14 | | PETITION OF: |
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| 15 | 15 | | NAME:DISTRICT/ADDRESS :Patricia D. JehlenSecond Middlesex 1 of 2 |
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| 16 | 16 | | SENATE DOCKET, NO. 1194 FILED ON: 1/19/2023 |
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| 17 | 17 | | SENATE . . . . . . . . . . . . . . No. 378 |
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| 18 | 18 | | By Ms. Jehlen, a petition (accompanied by bill, Senate, No. 378) of Patricia D. Jehlen for |
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| 19 | 19 | | legislation relative to regulations for small house nursing homes. Elder Affairs. |
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| 20 | 20 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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| 21 | 21 | | SEE SENATE, NO. 406 OF 2021-2022.] |
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| 22 | 22 | | The Commonwealth of Massachusetts |
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| 23 | 23 | | _______________ |
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| 24 | 24 | | In the One Hundred and Ninety-Third General Court |
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| 25 | 25 | | (2023-2024) |
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| 26 | 26 | | _______________ |
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| 27 | 27 | | An Act relative to small house nursing homes. |
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| 28 | 28 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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| 29 | 29 | | of the same, as follows: |
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| 30 | 30 | | 1 SECTION 1. Notwithstanding any general or special law to the contrary, the Department |
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| 31 | 31 | | 2of Public Health shall amend 105 CMR 150.000: Standards for Long Term Care Facilities, |
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| 32 | 32 | | 3establishing regulations for the operation of small house nursing homes. The amendments shall |
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| 33 | 33 | | 4include a definition of small house nursing homes as 1 or more units of a nursing home designed |
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| 34 | 34 | | 5and modeled as a private home including residential kitchen and living area. Small house nursing |
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| 35 | 35 | | 6homes shall house no more than 14 individuals per unit, in resident rooms that accommodate not |
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| 36 | 36 | | 7more than 2 residents per room, which are shared only at the request of a resident to |
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| 37 | 37 | | 8accommodate a spouse, partner, family member or friend. All resident rooms shall contain a full |
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| 38 | 38 | | 9private and accessible bathroom. 2 of 2 |
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| 39 | 39 | | 10 Regulations for small house nursing homes shall, to the extent practicable, prohibit the |
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| 40 | 40 | | 11use of institutional features, including but not limited to nursing stations, medication carts, room |
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| 41 | 41 | | 12numbers and wall-mounted licenses or certificates that could appropriately be accessed through |
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| 42 | 42 | | 13other means. |
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| 43 | 43 | | 14 Regulations for construction and physical plant standards should be based on the smaller |
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| 44 | 44 | | 15size and limited number of residents served in small house nursing homes in comparison with |
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| 45 | 45 | | 16traditional nursing facility units. In addition to development of construction and physical plant |
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| 46 | 46 | | 17standards that support small house nursing homes, regulations shall support a staffing model in |
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| 47 | 47 | | 18small house nursing homes that allow for a universal worker approach to resident care that is |
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| 48 | 48 | | 19organized to support and empower all staff to respond to the needs and desires of residents |
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| 49 | 49 | | 20including cooking and meal preparation, and provides for consistent staff in each small house. |
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| 50 | 50 | | 21 SECTION 2. The Department of Public Health is hereby directed to accept applications |
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| 51 | 51 | | 22for new long-term care beds that will be operated under a small house model of care as defined |
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| 52 | 52 | | 23in section 1 above. |
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| 53 | 53 | | 24 SECTION 3. The executive office of health and human services is hereby directed to |
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| 54 | 54 | | 25establish standard rates of payment for nursing facilities that fully reimburse for capital costs of |
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| 55 | 55 | | 26small house nursing homes. |
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