Req. No. 9016 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 2nd Session of the 58th Legislature (2022) HOUSE BILL 3710 By: Bush AS INTRODUCED An Act relating to the Program of All-Inclusive Care for the Elderly (PACE); amending 63 O.S. 2021, Sections 1-872 and 1-1961, which relate to definitions; modifying terms; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 63 O.S. 2021, Section 1-872, is amended to read as follows : Section 1-872. As used in the Adult Day Care Act : 1. "Adult day care center " or "center" means a facility which provides basic day care services to unrelated impaired adults for more than four (4) hours in a twenty -four-hour period. A center shall be a distinct entity, either freestanding or a separat e program of a larger organization. A center shall have a separately verifiable staff, space, budget and participant record system. The terms "adult day care center" or "center" may include providers of Program of All-Inclusive Care for the Elderly (PACE) services as determined by the State Department of Health. The terms "adult day Req. No. 9016 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 care center" or "center" shall not include retirement centers and senior citizen centers; 2. "Basic day care services " means supervised healt h, social supportive, and recrea tional services in a structured daytime program which serves functionally impaired adults who continue to live in their own homes, usually with the aid of family care givers caregivers; 3. "Department" means the State Depar tment of Health; and 4. "Participant" means any person attending an adult day care center. SECTION 2. AMENDATORY 63 O.S. 2021, Section 1-1961, is amended to read as follows : Section 1-1961. As used in the Home Care Act: 1. "Board" means the State Board of Healt h; 2. "Certification" means verification of appropriate training and competence established by the State Commissioner of Health by rules promulgated pursuan t to the Home Care Act for home health aides and home care agency a dministrators; 3. "Department" means the State Department of Health; 4. "Healthcare Health care provider" means a physician, physician assistant or Advanced Practice Registered Nurse recognized by the Oklahoma Board of Nursing as a Certified Nur se Practitioner or a Clinical Nurse Specialist; Req. No. 9016 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 5. "Home care agency" means any sole proprietors hip, partnership, association, corporation or other organization which administers, offers or provides home care services, for a fee or pursuant to a contract for such services, to clients in their place of residence. The term "home care agency" shall not include: a. individuals who contract with the Department of Human Services to provide personal care services, pr ovided such individuals shall not be exempt fr om certification as home health aides, b. organizations that contract with the Oklahoma Health Care Authority as Intermediary Services Organizations (ISO) to provide federal Internal Revenue Service fiscal and supportive services to Consumer -Directed Personal Assistance Supports and Services (CD -PASS) waiver program participants who have employer responsibility for hiring, training, directing and managing an individual personal care attendant, or c. CD-PASS waiver program employer participants , or d. providers of Program of All-Inclusive Care for the Elderly (PACE) services; 6. "Home care services" means skilled or personal care services provided to clients in their place of residence for a fee; Req. No. 9016 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 7. "Home health aide" means an individual who provides person al care to clients in their temporar y or permanent place of residence for a fee; 8. "Home care agency administrator" means a person who operates, manages, or supervises, or is in charge of a home care agency; 9. "Personal care" means assistance with dres sing, bathing, ambulation, exercise or other personal needs; 10. "Skilled care" means home care services performed on a regular basis by a trained respiratory therapist/technician or by a person currently licensed by this state including but not limited t o a Licensed Practical Nurse, Regist ered Nurse, physical therapist, occupational therapist, speech therapist, or social worker; 11. "Standby assistance" means supervision of client -directed activities with verbal prompting and infrequent, incidental hands -on intervention only; and 12. "Supportive home assistant" means an individual employed by a home care agency who provides standby assistance to ambulatory clients, in conjunction with other companionship or homemaker services, in the temporary or permane nt place of residence of the client for a fee. SECTION 3. This act shall become effective November 1, 2022. 58-2-9016 KN 01/03/22