FIRSTREGULARSESSION HOUSEBILLNO.390 103RDGENERALASSEMBLY INTRODUCEDBYREPRESENTATIVEAMATO. 0278H.01I DANARADEMANMILLER,ChiefClerk ANACT Toamendchapter198,RSMo,byaddingtheretoonenewsectionrelatingtoreferralstolong- termcarefacilities,withpenaltyprovisions. BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: SectionA.Chapter198,RSMo,isamendedbyaddingtheretoonenewsection,tobe 2knownassection198.700,toreadasfollows: 198.700.1.Asusedinthissection,thefollowingtermsmean: 2 (1)"Long-termcarefacility",anyfacilitylicensedunderthischapter; 3 (2)"Referralagency",anindividualorentitythatprovidesreferralstoalong- 4termcarefacilityforafeethatiscollectedfromthelong-termcarefacility.Theterm 5"referralagency"shallnotincludealong-termcarefacilityoritsemployees,afamily 6memberofaresidentofalong-termcarefacility,oraresidentofalong-termcare 7facilityregardlessofwhethertheresidentwhorefersaprospectiveresidenttoalong- 8termcarefacilityreceivesadiscountorotherremunerationfromthelong-termcare 9facility. 10 2.Areferralagencyshalldiscloseorprovide,asapplicable,toaprospective 11residentortherepresentativeoftheprospectiveresidentreferredtoalong-termcare 12facility: 13 (1)Writtenorelectronicdocumentationoftheexistenceofanyrelationships 14betweenthereferralagencyandthelong-termcarefacility,includingcommon 15ownershiporcontrolofthelong-termcarefacilityandfinancial,business,management, 16orfamilialrelationshipsbetweenthereferralagencyandthelong-termcarefacility; EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17 (2)Thatthereferralagencyreceivesafeefromthelong-termcarefacilityforthe 18referral;and 19 (3)Writtenorelectronicdocumentationoftheagreementbetweenthereferral 20agencyandtheprospectiveresidentorrepresentativeoftheprospectiveresident.The 21agreementshallinclude: 22 (a)Therightoftheprospectiveresidentorrepresentativeoftheprospective 23residenttoterminatethereferralagency'sservicesforanyreasonatanytime; 24 (b)Arequirementthatthereferralagencycommunicatethecancellationofthe 25agreementtoalllong-termcarefacilitiestowhichtheprospectiveresidenthasbeen 26referred; 27 (c)Therightoftheprospectiveresidentorrepresentativeoftheprospective 28residenttorequestnottobecontactedinthefuturebythereferralagency;and 29 (d)Therightoftheprospectiveresidentorrepresentativeoftheprospective 30residenttoreceivethereferralagency'sprivacypolicyuponrequesttothereferral 31agency. 32 3.(1)Thereferralagencyandtheprospectiveresidentorrepresentativeofthe 33prospectiveresidentshallsignanddate,inwritingorelectronically,theagreement 34requiredinsubsection2ofthissection.Thereferralagencyshallprovideawrittenor 35electroniccopyofthesignedagreementtothelong-termcarefacilityonorbeforethe 36datetheresidentisadmittedtothelong-termcarefacility. 37 (2)Thelong-termcarefacilityshall: 38 (a)Notpaythereferralagencyafeeuntilsuchfacilityreceivesthewrittenor 39electronicagreementrequiredinsubsection2ofthissection; 40 (b)Maintainawrittenorelectroniccopyoftheagreementrequiredin 41subsection2ofthissectionatthelong-termcarefacilityforatleastoneyearafterthe 42datethatthenewresidentisadmitted;and 43 (c)Notsellortransfertheprospectiveresident'sorprospectiveresident's 44representative'scontactinformationtoathirdpartywithoutthewrittenconsentofthe 45prospectiveresidentorrepresentativeoftheprospectiveresident. 46 4.Areferralagencythatviolatesthissectionissubjecttoacivilpenaltyofupto 47fivehundreddollarsperviolation. 48 5.Theattorneygeneraloracircuitattorneymaybringacivilactiononbehalfof 49thestatetoseektheimpositionofacivilpenaltyforaviolationofthissectionorto 50enjointhecontinuanceoftheviolationbythereferralagency. ✔ HB390 2