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53	53	STATE OF OKLAHOMA
54	54
55	55	1st Session of the 58th Legislature (2021)
56	56
57	57	SENATE BILL 470 By: Bergstrom
58	58
59	59
60	60
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63	63	AS INTRODUCED
64	64
65	65	An Act relating to persons with disabilities;
66	66	creating the “Independence and Opport unity for
67	67	Persons with Disabilities Pilot Program A ct”;
68	68	providing short title; directin g creation of and
69	69	describing pilot program; providing for application
70	70	and selection process; stating selection criter ia;
71	71	allowing Oklahoma Health Care Authority and
72	72	Department of Human Services to share certain
73	73	information; describing application and selection
74	74	process; requiring certain informed conse nt; stating
75	75	application criteria; requiring submission and
76	76	approval of certain add endum; providing certain
77	77	transfer process; requiring certain assessment and
78	78	approval for services; requiring certain continuity
79	79	of services and funding; specifying applicability of
80	80	certain process; requiring compliance with certain
81	81	laws and rules; providin g for licensure; providing
82	82	for completion of facility conversion; authorizing
83	83	certain conversion under certain conditions;
84	84	requiring certain program evaluation; stating
85	85	criteria of evaluation; directing Authority to seek
86	86	certain federal approval ; directing promulgation of
87	87	rules; providing for codification; and providing an
88	88	effective date.
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93	93	BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
94	94	SECTION 1. NEW LAW A new section of law to be codified
95	95	in the Oklahoma Statutes as S ection 1431 of Title 10, unless there
96	96	is created a duplication in numbering, reads as fol lows:
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148	148	A. This section shall be known and may be cited as the
149	149	“Independence and Opportunity for Persons with Disabilities Pilot
150	150	Program Act”.
151	151	B. There is hereby creat ed the Independence and Opportunity fo r
152	152	Persons with Disabilities Pilot Program. Under the pilot program,
153	153	fifteen intermediate care facilit ies for individuals with
154	154	intellectual disabilities with twelve or fewer beds (ICF s/IID-12),
155	155	shall be selected by the Oklahoma Health Care Authority a nd the
156	156	Department of Human Services to convert to group homes for persons
157	157	with developmental or physical disabilities.
158	158	C. The Authority and the Department shall create an application
159	159	and selection process for the pilot program that ensures the
160	160	compliance of the selected facilities with applicable federal and
161	161	state laws and rules. For the Department, the selection criteria
162	162	and process shall, at a minimum, consist of a ll applicable licensing
163	163	or contracting requirements of group homes, and requirements relat ed
164	164	to minimum standards as provided in Section 1430.11 o f Title 10 of
165	165	the Oklahoma Statutes and rules promulgated pursuant thereto . In
166	166	selecting the pilot program participants, the Authority and the
167	167	Department shall compare services offered by each applic ant and
168	168	consider the desires, capabilities and needs of residents based on
169	169	all available information including, but not limited to, the
170	170	individual habilitation plan of each resident . The Authority and
171	171	the Department may share information as necessary in a ccordance with
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223	223	applicable federal and state laws and rul es to carry out the
224	224	provisions of this section. The Authority and the Department shall
225	225	begin accepting applications ninety (90) calendar days , after the
226	226	Authority receives federal approval for the pi lot program, and the
227	227	application period shall close nine ty (90) calendar days thereafter.
228	228	Not more than ninety (90) calendar days after the end of the
229	229	application period, the Authority and the Department shall select
230	230	the fifteen most qualified applic ants to participate in the pilot
231	231	program.
232	232	D. The Authority shall create and publish on the Authority ’s
233	233	website a consent form that must be signed by each resident or, if
234	234	the resident is incap acitated, the guardian of the resident of an
235	235	applying ICF/IID-12, who intends to continue to reside in the
236	236	facility if it is selected for the pilot program . The form shall
237	237	signify the informed consent of the resident or guardian to the
238	238	facility conversion and the understanding of the resident or
239	239	guardian that the facility conversion will not take effect unless
240	240	and until the facility is selected for the pilot program . In its
241	241	application submission, the ICF/IID-12 shall:
242	242	1. Include a copy of the signed consent form of each resident
243	243	who intends to reside in the group h ome;
244	244	2. Identify any current residents :
245	245	a. who did not, or if incapacitated whose guardian did
246	246	not, consent to the facility conversion, or
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298	298	b. who may need to remain in intermediate care facility -
299	299	level care. The Developmental Disability Services
300	300	Division of the Department of Human Services (DDS D)
301	301	shall make the final determination for the appropriate
302	302	level of care;
303	303	3. Include a plan to transfer to another intermediate care
304	304	facility for individuals with intellectual disab ilities (ICF/IID)
305	305	each resident who did not, or if incapacitated whose guardian did
306	306	not, consent to the facility conversion, or who the applying
307	307	facility identifies as possibly needing to remain in intermediate
308	308	care facility-level care; and
309	309	4. Provide any additional information or document ation required
310	310	by the Authority or the Department .
311	311	E. Upon selection of the fifteen pilot program participants,
312	312	the Department shall notify each selected facility of which, if any,
313	313	of the facility’s residents have been determined by DDSD as needing
314	314	to remain in intermediate care facility-level care. If any of the
315	315	residents identified by DDSD were not previously identified by the
316	316	facility in the application submission, the facility shall, not more
317	317	than fourteen (14) calendar days after receipt of the notification,
318	318	submit to the Authority and the Dep artment an addendum to the
319	319	facility’s application submission of a plan to transfer each such
320	320	resident. The Authority and the Department must approve the
321	321	addendum before the facility may execute the transfer . All
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373	373	transfers of residents shall occur in a ti me period to be determined
374	374	by the Authority and the Department. For any current resident as of
375	375	the date of the application submission who did not, or if
376	376	incapacitated whose guardian did not, consent to the facility
377	377	conversion or who DDSD determines should remain in interme diate care
378	378	facility-level care, the facility may fill the spot with another
379	379	prospective resident that the facility reasonably believes will be
380	380	determined by DDSD to meet the criteria of a group home setting.
381	381	The prospective resident must be assessed by DDSD and approved for
382	382	the group home setting in the same manner as all other residents
383	383	prior to the completion of the facility conversion .
384	384	F. Prior to the completion of the facility conversion, all
385	385	residents of the ICF/IID-12 who are SoonerCare members shal l be
386	386	assessed and approved for appropriate services through the
387	387	Developmental Disability Services Division of the Department of
388	388	Human Services (DDSD). No later than the date of completio n of the
389	389	facility conversion, DDSD shall begin providing appropriate services
390	390	to SoonerCare members. The Authority and the Department shall
391	391	ensure there is no interruption in appropriate services for each
392	392	SoonerCare member and no interruption in appropria te funding for the
393	393	facility. The Authority and the Department shall coordinate with
394	394	the Centers for Medicare and Medicaid Services to ensure , to the
395	395	extent practicable, there is no interruption in appropriate services
396	396	for SoonerCare members who also recei ve services through Medicare
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448	448	and no interruption in appropriate fundi ng for the facility. The
449	449	process outlined in this subsection shall only apply to current
450	450	residents of the ICF/IID -12 and prospective residents as provide d in
451	451	subsection E of this section. All future residents of the group
452	452	home shall be subject to the sta ndard DDSD approval process.
453	453	G. Once the facility conversion is complete , the group home
454	454	shall comply with all applicable state and federal laws and rule s
455	455	including, but not limited to, the Group Homes for Persons with
456	456	Developmental or Physical Disabiliti es Act and shall be subject to
457	457	all provisions of the act. The Department shall grant a group home
458	458	license to each facility selected for the pilot progr am in
459	459	accordance with the Group Hom es for Persons with Developmental or
460	460	Physical Disabilities Act and shall enter into a contract with each
461	461	group home. The facility conversion shall be considered complete
462	462	when:
463	463	1. All necessary or authorized transfers h ave been executed;
464	464	2. All residents of each selected facility have been assessed
465	465	and approved for approp riate services as provided in subsection F of
466	466	this section;
467	467	3. The Department certifies that the facility is in compliance
468	468	with all applicable federal and state laws and rules governing group
469	469	homes; and
470	470	4. The Department has granted a license to the grou p home and
471	471	has entered into a contract with the group home .
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523	523	H. A facility selected for the pilot program may , with the
524	524	approval of the Authority and t he Department, convert back to an
525	525	ICF/IID-12. However, the ICF/IID-12 shall not be permitted to
526	526	convert to a group home more than once. In the event the pilot
527	527	program is not expanded into an unrestricted program or is
528	528	considered unsuccessful, the group home shall not be required to
529	529	convert back to an ICF/IID.
530	530	I. One year following implementation of the pil ot program, the
531	531	Department shall evaluate the effectiveness of the pilot program and
532	532	submit a report to the President Pro Tempore of the Senate, the
533	533	Speaker of the House of Representativ es and the Governor. Criteria
534	534	for the evaluation shall include, but n ot be limited to:
535	535	1. A questionnaire created by the Department to be administered
536	536	by the facility before and after the conversion to each resident or,
537	537	if applicable, guardian of the resident, gauging the following
538	538	criteria: perceived independ ence, vocational opportunity, and
539	539	feelings of inclusion;
540	540	2. A scaled numerical rating by residents, guardians and staff
541	541	on whether the facility conversion has increased the res ident’s
542	542	ability to function autonomo usly and independently;
543	543	3. A fiscal analysis of the pilot program including whether
544	544	cost savings were achieved; and
545	545	4. A survey created by the Department to be administered to
546	546	residents and guardians of residents, gauging the following criteria
547	547
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598	598	regarding services received relative to services received before the
599	599	facility conversion and services that the resident or guardian of
600	600	the resident expected to receive after the facility conversion :
601	601	a. vocational services,
602	602	b. physical therapy,
603	603	c. occupational therapy,
604	604	d. speech and communication,
605	605	e. nutritional services,
606	606	f. psychological services,
607	607	g. family counseling,
608	608	h. habilitation training services, and
609	609	i. case management services.
610	610	J. The Authority shall seek any federal approval necessary to
611	611	implement the provisions of this section. The Oklahoma Health Care
612	612	Authority Board and the Director of the Department of Human Services
613	613	shall promulgate such rules as are necessary to implement the
614	614	provisions of this section.
615	615	SECTION 2. This act shall be come effective November 1, 2021.
616	616
617	617	58-1-92 DC 1/19/2021 1:39:21 PM

Oklahoma 2022 Regular Session

Oklahoma Senate Bill SB470 Compare Versions