| 1 | 1 | | FIRSTREGULARSESSION |
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| 2 | 2 | | HOUSEBILLNO.598 |
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| 3 | 3 | | 103RDGENERALASSEMBLY |
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| 4 | 4 | | INTRODUCEDBYREPRESENTATIVECROSSLEY. |
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| 5 | 5 | | 0971H.01I DANARADEMANMILLER,ChiefClerk |
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| 6 | 6 | | ANACT |
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| 7 | 7 | | Torepealsections198.022,198.525,and198.526,RSMo,andtoenactinlieuthereofthree |
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| 8 | 8 | | newsectionsrelatingtoinspectionsoffacilitieslicensedbythedepartmentofhealth |
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| 9 | 9 | | andseniorservices. |
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| 10 | 10 | | BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: |
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| 11 | 11 | | SectionA.Sections198.022,198.525,and198.526,RSMo,arerepealedandthree |
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| 12 | 12 | | 2newsectionsenactedinlieuthereof,tobeknownassections198.022,198.525,and198.526, |
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| 13 | 13 | | 3toreadasfollows: |
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| 14 | 14 | | 198.022.1.Uponreceiptofanapplicationforalicensetooperateafacility,the |
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| 15 | 15 | | 2departmentshallreviewtheapplication,investigatetheapplicantandthestatementsswornto |
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| 16 | 16 | | 3intheapplicationforlicenseandconductanynecessaryinspections.Alicenseshallbeissued |
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| 17 | 17 | | 4ifthefollowingrequirementsaremet: |
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| 18 | 18 | | 5 (1)Thestatementsintheapplicationaretrueandcorrect; |
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| 19 | 19 | | 6 (2)Thefacilityandtheoperatorareinsubstantialcompliancewiththeprovisionsof |
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| 20 | 20 | | 7sections198.003to198.096andthestandardsestablishedthereunder; |
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| 21 | 21 | | 8 (3)Theapplicanthasthefinancialcapacitytooperatethefacility; |
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| 22 | 22 | | 9 (4)Theadministratorofanassistedlivingfacility,askillednursingfacility,oran |
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| 23 | 23 | | 10intermediatecarefacilityiscurrentlylicensedundertheprovisionsofchapter344; |
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| 24 | 24 | | 11 (5)Neithertheoperatornoranyprincipalsintheoperationofthefacilityhaveever |
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| 25 | 25 | | 12beenconvictedofafelonyoffenseconcerningtheoperationofalong-termhealthcarefacility |
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| 26 | 26 | | 13orotherhealthcarefacilityoreverknowinglyactedorknowinglyfailedtoperformanyduty |
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| 27 | 27 | | 14whichmateriallyandadverselyaffectedthehealth,safety,welfareorpropertyofaresident, |
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| 28 | 28 | | 15whileactinginamanagementcapacity.Theoperatorofthefacilityoranyprincipalinthe |
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| 29 | 29 | | EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis |
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| 30 | 30 | | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 16operationofthefacilityshallnotbeunderexclusionfromparticipationintheTitleXVIII |
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| 31 | 31 | | 17(Medicare)orTitleXIX(Medicaid)programofanystateorterritory; |
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| 32 | 32 | | 18 (6)Neithertheoperatornoranyprincipalsinvolvedintheoperationofthefacility |
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| 33 | 33 | | 19haveeverbeenconvictedofafelonyinanystateorfederalcourtarisingoutofconduct |
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| 34 | 34 | | 20involvingeithermanagementofalong-termcarefacilityortheprovisionorreceiptofhealth |
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| 35 | 35 | | 21care;and |
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| 36 | 36 | | 22 (7)Allfeesduetothestatehavebeenpaid. |
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| 37 | 37 | | 23 2.Upondenialofanyapplicationforalicense,thedepartmentshallsonotifythe |
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| 38 | 38 | | 24applicantinwriting,settingforththereinthereasonsandgroundsfordenial. |
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| 39 | 39 | | 25 3.Thedepartmentmayinspectanyfacilityandanyrecordsandmaymakecopiesof |
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| 40 | 40 | | 26records,atthefacility,atthedepartment'sownexpense,requiredtobemaintainedbysections |
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| 41 | 41 | | 27198.003to198.096orbytherulesandregulationspromulgatedthereunderatanytimeifa |
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| 42 | 42 | | 28licensehasbeenissuedtooranapplicationforalicensehasbeenfiledbytheoperatorofsuch |
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| 43 | 43 | | 29facility.Copiesofanyrecordsrequestedbythedepartmentshallbepreparedbythestaffof |
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| 44 | 44 | | 30suchfacilitywithintwobusinessdaysorasdeterminedbythedepartment.Thedepartment |
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| 45 | 45 | | 31shallnotremoveordisassembleanymedicalrecordduringanyinspectionofthefacility,but |
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| 46 | 46 | | 32mayobservethephotocopyingormaymakeitsowncopiesifthefacilitydoesnothavethe |
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| 47 | 47 | | 33technologytomakethecopies.Inaccordancewiththeprovisionsofsection198.525,the |
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| 48 | 48 | | 34departmentshallmakeatleast[oneinspection] twoinspectionsperyear,whichshallbe |
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| 49 | 49 | | 35unannouncedtotheoperator.Thedepartmentmaymakesuchotherinspections,announced |
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| 50 | 50 | | 36orunannounced,asitdeemsnecessarytocarryouttheprovisionsofsections198.003to |
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| 51 | 51 | | 37198.136. |
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| 52 | 52 | | 38 4.Wheneverthedepartmenthasreasonablegroundstobelievethatafacilityrequired |
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| 53 | 53 | | 39tobelicensedundersections198.003to198.096isoperatingwithoutalicense,andthe |
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| 54 | 54 | | 40departmentisnotpermittedaccesstoinspectthefacility,orwhenalicensedoperatorrefuses |
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| 55 | 55 | | 41topermitaccesstothedepartmenttoinspectthefacility,thedepartmentshallapplytothe |
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| 56 | 56 | | 42circuitcourtofthecountyinwhichthepremisesislocatedforanorderauthorizingentryfor |
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| 57 | 57 | | 43suchinspection,andthecourtshallissuetheorderifitfindsreasonablegroundsfor |
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| 58 | 58 | | 44inspectionorifitfindsthatalicensedoperatorhasrefusedtopermitthedepartmentaccessto |
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| 59 | 59 | | 45inspectthefacility. |
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| 60 | 60 | | 46 5.Wheneverthedepartmentisinspectingafacilityinresponsetoanapplicationfrom |
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| 61 | 61 | | 47anoperatorlocatedoutsideofMissourinotpreviouslylicensedbythedepartment,the |
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| 62 | 62 | | 48departmentmayrequestfromtheapplicantthepastfiveyearsofcompliancehistoryofall |
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| 63 | 63 | | 49facilitiesownedbytheapplicantlocatedoutsideofthisstate. |
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| 64 | 64 | | 198.525.1.Inordertocomplywithsections198.012and198.022,thedepartmentof |
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| 65 | 65 | | 2healthandseniorservicesshallinspectresidentialcarefacilities,assistedlivingfacilities, |
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| 66 | 66 | | HB598 2 3intermediatecarefacilities,andskillednursingfacilities,includingthosefacilitiesattachedto |
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| 67 | 67 | | 4acutecarehospitalsatleast[once] twiceayear. |
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| 68 | 68 | | 5 2.Thedepartmentshallnotassignanindividualtoinspectorsurveyalong-termcare |
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| 69 | 69 | | 6facilitylicensedunderthischapter,foranypurpose,inwhichtheinspectororsurveyorwasan |
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| 70 | 70 | | 7employeeofsuchfacilitywithintheprecedingtwoyears. |
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| 71 | 71 | | 8 3.Foranyinspectionorsurveyofafacilitylicensedunderthischapter,regardlessof |
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| 72 | 72 | | 9thepurpose,thedepartmentshallrequireeverynewlyhiredinspectororsurveyoratthetime |
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| 73 | 73 | | 10ofhiringor,withrespecttoanycurrentlyemployedinspectororsurveyorasofAugust28, |
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| 74 | 74 | | 112009,todisclose: |
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| 75 | 75 | | 12 (1)ThenameofeveryMissourilicensedlong-termcarefacilityinwhichheorshe |
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| 76 | 76 | | 13hasbeenemployed;and |
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| 77 | 77 | | 14 (2)Thenameofanymemberofhisorherimmediatefamilywhohasbeenemployed |
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| 78 | 78 | | 15oriscurrentlyemployedataMissourilicensedlong-termcarefacility. |
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| 79 | 79 | | 16 |
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| 80 | 80 | | 17Thedisclosuresunderthissubsectionshallbedisclosedtothedepartmentwhenevertheevent |
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| 81 | 81 | | 18givingrisetodisclosurefirstoccurs. |
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| 82 | 82 | | 19 4.Forpurposesofthissection,thephrase"immediatefamilymember"shallmean |
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| 83 | 83 | | 20husband,wife,naturaloradoptiveparent,child,sibling,stepparent,stepchild,stepbrother, |
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| 84 | 84 | | 21stepsister,father-in-law,mother-in-law,son-in-law,daughter-in-law,brother-in-law,sister-in- |
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| 85 | 85 | | 22law,grandparentorgrandchild. |
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| 86 | 86 | | 23 5.Theinformationcalledforinthissectionshallbeapublicrecordunderthe |
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| 87 | 87 | | 24provisionsofsubdivision(6)ofsection610.010. |
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| 88 | 88 | | 25 6.Anypersonmaynotifythedepartmentiffactsexistthatwouldleadareasonable |
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| 89 | 89 | | 26persontoconcludethatanyinspectororsurveyorhasanypersonalorbusinessaffiliationthat |
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| 90 | 90 | | 27wouldresultinaconflictofinterestinconductinganinspectionorsurveyforafacility.Upon |
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| 91 | 91 | | 28receivingthatnotice,thedepartment,whenassigninganinspectororsurveyortoinspector |
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| 92 | 92 | | 29surveyafacility,foranypurpose,shalltakestepstoverifytheinformationand,ifthe |
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| 93 | 93 | | 30departmenthasprobablecausetobelievethatitiscorrect,shallnotassigntheinspectoror |
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| 94 | 94 | | 31surveyortothefacilityoranyfacilitywithinitsorganizationsoastoavoidanappearanceof |
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| 95 | 95 | | 32prejudiceorfavortothefacilityorbiasonthepartoftheinspectororsurveyor. |
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| 96 | 96 | | 198.526.1.Thedepartmentofhealthandseniorservicesshallinspectallfacilities |
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| 97 | 97 | | 2licensedbythedepartmentatleast[once] twiceeachyear.Suchinspectionsshallbe |
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| 98 | 98 | | 3conducted: |
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| 99 | 99 | | 4 (1)Withoutthepriornotificationofthefacility;and |
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| 100 | 100 | | 5 (2)Attimesoftheday,ondatesandatintervalswhichdonotpermitfacilitiesto |
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| 101 | 101 | | 6anticipatesuchinspections. |
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| 102 | 102 | | HB598 3 7 2.Thedepartmentshallannuallyreevaluatetheinspectionprocesstoensurethe |
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| 103 | 103 | | 8requirementsofsubsection1ofthissectionaremet. |
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| 104 | 104 | | 9 3.Informationregardingunannouncedinspectionsshallbedisclosedtoemployeesof |
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| 105 | 105 | | 10thedepartmentonaneed-to-knowbasisonly.Anyemployeeofthedepartmentwho |
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| 106 | 106 | | 11knowinglydisclosesthetimeofanunannouncedinspectioninviolationofthissectionis |
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| 107 | 107 | | 12guiltyofaclassAmisdemeanorandshallhavehisorheremploymentimmediately |
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| 108 | 108 | | 13terminated. |
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| 109 | 109 | | âś” |
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| 110 | 110 | | HB598 4 |
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