Adult day care facilities; provide for licensure by State Department of Health.
The bill outlines three levels of care within adult day care facilities—Basic Level I, Basic Level II, and Enhanced Level III—determined by the need for services provided. It mandates that facilities operating under these levels comply with specific ratios of staff to clients, ensuring adequate oversight, especially for clients with significant medical needs. Moreover, it sets out Medicaid reimbursement rates for services rendered, which heightens accessibility to healthcare for elderly and disabled clients dependent on these services.
House Bill 48 aims to amend the Mississippi Code of 1972 to formally define 'adult day care facility' and introduce licensure requirements managed by the State Department of Health. The bill seeks to standardize standards, rules, and regulations connected to the operation of these facilities, to ensure a high level of care and services according to current guidelines established by the National Adult Day Services Association (NADSA). This regulation aims to enhance safety and quality for adults in need of daily supervision and care.
One point of contention regarding HB 48 is the introduction of a criminal history verification system (RAP-Back) for employees at licensed adult care facilities. While supporters argue that this measure strengthens the quality and safety of care by ensuring employees do not have disqualifying backgrounds, critics express concerns over privacy implications and the administrative burdens it places on facilities. Some stakeholders warn that this additional layer of regulation could limit the number of available staff, particularly in smaller organizations that might struggle with compliance costs.