Req. No. 2592 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 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) SENATE BILL 1155 By: Garvin AS INTRODUCED An Act relating to long-term care; amending 63 O.S. 2021, Section 1-860.6, which relates to hospice license; prohibiting certain distance requirement; specifying licensure requirement; and declari ng an emergency. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 63 O.S. 202 1, Section 1-860.6, is amended to read as follows: Section 1-860.6. A. No public or private agency or person shall establish, conduct or maintain a hospice program or hold itself out to the public as a hospice program without first obtaining a first-year or permanent license from the State Department of Health. B. An application for a hospice program first-year or permanent license shall be filed on a form prescribed by the Depa rtment and shall be accompanied by: 1. The first-year or permanent license fee required by Section 1-860.15 of this title; Req. No. 2592 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2. Documentation of complete disclosure for the applicant which shall include, but not be limited to, the name, mailing address and finding address of every stockholder with at least five percent (5%) ownership interest in the hospice program; 3. Satisfactory proof that the hospice program is in compliance with the provisions of the Oklahoma Hospice Licensing Act and any rules and minimum standards promulgated by the State Board of Health pursuant to the Oklahom a Hospice Licensing Act; and 4. Proof of sufficie nt financial ability to operate and conduct the hospice program in accordance with the requirements of the Oklahoma Hospice Licensing Act. C. The initial application shall be accompanied by a plan for the delivery of home and inpatient hospice services to patients and their families. Such plan shall contain, but not be limited to: 1. The estimated average number of patients to be served monthly; 2. The geographic area in which hospice services will be available; 3. A listing of services which are or wi ll be provided, either directly by the applicant or through contractual arrangements with existing health care providers; 4. Provisions for the implementation of hospice home care within three (3) months o f licensure; Req. No. 2592 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 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. The name and qualifications of an y existing or potential health care provider with whom the hospice program may enter into a contract; 6. The projected annual operating cost of the hospice program; and 7. The location and proposed constr uction drawings for any hospice inpatient facility operated by the hospice program. A licensed hospice program shall not operate more than one hospice inpatient facility. D. Unless suspended or revoked, a first -year license issued for the operation of a hospice program shall expire automatically one (1) year from the date of i ssuance; provided, this provision shall not apply if the Department has not completed a follow -up survey of the hospice program. The Department may renew a first -year license for up to one (1) additional year beyond the expiration date if the applicant has complied with the provisions of the Oklahoma Hospice Licensing Act and the rules promulgated by the Board for the operation of a hospice program under a first -year license. E. Unless suspended or revoked, a permanent license issued for the operation of a hospice program shall expire automatically one (1) year from the date of issuance. At least sixty ( 60) days prior to the expiration date, an application for license renewal shall be submitted to the Department on forms furnished by the Department. The license shall be renewed if the applicant has complied with the Req. No. 2592 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 provisions of the Oklahoma Hospice Lic ensing Act and all rules promulgated by the Board pursuant to the provisions of the Oklahoma Hospice Licensing Act. The applicati on for license renewal s hall be accompanied by an update of the plan for delivery of hospice services only if information cont ained in the plan submitted pursuant to subsection C of this section is no longe r applicable. F. A hospice program for which a revocation or suspension proceeding is pending at the time of license renewal may be issued a conditional license effective unti l final disposition by the Department of such proceeding. If judicial relief is sought from the final disposition, the court havi ng jurisdiction may issu e a conditional permit for the duration of the judicial proceeding. G. The license shall: 1. Be displayed in a conspicuous place inside the hospice program office; 2. Be valid only in the possession of the person or public agency to which it is issued; 3. Not be subject to sale, assignment, or other tran sfer, voluntary or involuntary; 4. Not be valid for any hospice program other than the hospice program for which the license was originally issued; and 5. Restrict the number of patients in a hospice i npatient facility to the Department -approved occupancy level for each facility. Req. No. 2592 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 H. Any person who, prior to January 1, 1991, provided hospice services to any patient shall be entitl ed to operate as a hospice program pursuant to the provisions of the Oklah oma Hospice Licensing Act without making application and obtaining a license pursuant to the provisions of the Oklahoma Hospice Licensing Act for one (1) year after September 1, 1991 , provided such person otherwise complies with the provisions of the Oklah oma Hospice Licensing Act and all rules promulgated by the Board pursuant to the act. Thereafter any person providing hospice services shall make application, obtain a license, and comply with the provisions of the Oklahoma Hospice Licensing Act and all r ules promulgated by the Board pursuant to the act. I. There shall be no limit on the distance between facilities or other property owned or leased by a hospice ; provided, that any facility or other property owned or leased by the hospice shall be licensed by the State Department of Health and shall be subject to the Oklahoma Hospice Licensing Act and a pplicable rules. SECTION 2. It being immediately necessary for the preservation of the public peace, health or safet y, an emergency is hereby declared to exist, by reason whereof this act shall take effect and be in full force from and after its passage and approval. 58-2-2592 DC 1/3/2022 10:35:53 AM