Req. No. 567 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 1st Session of the 58th Legislature (2021) SENATE BILL 746 By: Garvin AS INTRODUCED An Act relating to long-term care; defining t erms; directing State Department of Health to create and maintain certain database for speci fied purposes; requiring database to be searchable by name; limiting entering of information to Department; authorizing use of certain regis try under certain condit ion; providing certain exemption and conf identiality; providing for investigation and recording of substantiated claims; providing penalties for certain offenses; requiring recording of certain information; providing for reapplication of certification; providing for appeals; allowing administrator to require certain reimbursement; directing reporting of certain information; providing for codification; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new s ection of law to be codified in the Oklahoma Statut es as Section 1-1981 of Title 63, unless there is created a duplication in numbering, reads as follows: A. As used in this section: 1. “Home care agency”, “home care agency administrator” and “home health aide” shall have the same meaning as provided by Section 1-1961 of Title 63 of the Oklahoma Statutes; Req. No. 567 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. “Long-term care administrator ” shall have the same meaning as provided by Section 330.51 of Title 63 of the Oklahoma Statutes; 3. “Long-term care facility” means: a. a nursing facility, specialized facility or residential care home as defined by Section 1 -1902 of Title 63 of the Oklahoma Statutes , b. an adult day care center as defi ned by Section 1-872 of Title 63 of the Oklahoma Statutes , c. skilled nursing care provided in a distinct part of a hospital as defined by Section 1-701 of Title 63 of the Oklahoma Statutes , d. an assisted living center as defined by Section 1 - 890.2 of Title 63 of the Oklaho ma Statutes, e. the nursing care component of a continuum of care facility as defined under the Conti nuum of Care and Assisted Living Act, f. the nursing care compone nt of a life care community as defined by the Long-term Care Insurance Act, or g. a residential care home as defined by Section 1 -820 of Title 63 of the Oklahoma Statutes ; 3. “No call/no show” means the absence of an employee from work without notifying the employer; and 4. “Nurse aide” means any person who provides, for compensation, nursing care or health-related services to residents Req. No. 567 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 in a nursing facility, a special ized facility, a reside ntial care home, continuum of care facility, assisted living center or an adult day care center and who is not a licensed health professional. Such term also means any person who provides such services to individuals in their own homes as an employee or c ontract provider of a home health or home care agency, or as a contract provider of the Medicaid State Plan Personal Care Program . B. The State Department of Health shall create, maintain and make available to long-term care administrators, home care agency administrators, hospice administrators, hospital administrators and designees of such administrators an electronic database for looking up occurrences of no call/no show by certified nurse aides and hom e health aides, disciplinary action imposed including, but not limited to, disciplinary action imposed under subsection C of this section and occurrences of refusal to reimburse the costs described in subsection D of this section . The database shall be se archable by name of the employee. The database shall be read-only for administrators and designees, and all information contained in the database shall be entered by the Department. If allowed under federal law and regulation, the Department may use the registry created under Section 1-1951 of Title 63 of the Oklahoma Statutes to implement the provisions of this section. The database shall not be subject to the Oklahoma Open Records Act and shall, except for the purposes of this section and, if applicable, such other purposes as Req. No. 567 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 are authorized for the re gistry created under Section 1 -1951 of Title 63 of the Oklahoma Statutes , be confidential. C. When a long-term care administrator, home care agency administrator, hospice administrator, hospital administr ator or designee of such administrator reports an occurrence of no call/no show to the Department, the Department shall investigate the claim. If the claim is substantiated, the De partment shall record the occurrence of no call/no show in the file of the certified nurse aide or home health aide in the dat abase. The Department shall issue a warning to a certified nurse aide or h ome health aide who commits a first no call/no show. The Department shall suspend for a period not to exceed ninety (90) calendar days the certification of a certified nurse aide o r home health aide if he or she commits a second no call/no show within three (3) years after the first occurrence. The Department shall revoke the certification of a certified nurse aide or home health a ide if he or she commits a third no call/no show within the same three-year period. The Department shall record all disciplinary action imposed by the Department in the database created under this section. The Department may allow a certified nurse aide or home health aide whose certification has been revoked under this subsection to reapply for certification afte r a period to be determined by the Department. The Department may permanently revoke certification upon the second revo cation. Any certified nurse aide or home health Req. No. 567 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 aide who is aggrieved by a disciplinary action taken by the Department under this subsection may appeal the action as provided by the Administrative Procedures Act . D. A long-term care administrator , home care agency administrator, hospice administrator or hospital admin istrator may require a certified nurse aide or home health aide whose certification was or is currently being financed by the long-term care facility, home care agency, hospice agency or hospital at which the certified nurse aide or home health aide is currently employed who commits a no call/no show to reimburse the facility or agency that financed or is financing the cer tification for any costs incurred by the facility or agency related to the certification. If the certified nurse aide or home health aide refuses to reimburse such costs, the administrator or designee may report such refusal to the Department and the Department shall record such informatio n in the file of the certified nurse aide or home health aide in the database created under this section. SECTION 2. This act shall become effective November 1, 2021. 58-1-567 DC 1/21/2021 1:47:06 PM