Req. No. 2110 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 1st Session of the 59th Legislature (2023) COMMITTEE SUBSTITUTE FOR ENGROSSED HOUSE BILL 2824 By: Kendrix of the House and Bergstrom of the Senate COMMITTEE SUBSTITUTE An Act relating to long-term care; creating the Long- Term Care Administrator Licensing Act; providing short title; directing transfer of employees, powers, duties, monies, and contractual rights from the Oklahoma State Board of Examiners for Long -Term Care Administrators to the State Department of Health; requiring the Director of the Office of Management and Enterprise Servic es to coordinate certain transfers; directing transfer of certain administrative rules from the Board to the State Commissioner of Health; abolishing the Board upon completion of transfers; amending 63 O.S. 2021, Section 330.51, which relates to definition s; removing and modifying certain definitions; amending 63 O.S. 2021, Section 330.52, which relates to the Oklahoma State Board of Examiners for Long -Term Care Administrators; extending termination date; abolishing the Board when certain conditions are met ; amending 63 O.S. 2021, Section 330.53, which relates to licensure of long -term care administrators; transferring duties to the Department and the Commissioner; granting certain authority to the Commissioner; requiring promulgation of certain rules; modifying applicability of certain provisions; stipulating certain licensure and certification qualifications; requiring and authorizing certain fees; directing deposit of fees; prohibiting certain unlicensed activity; amending 63 O.S. 2021, Section 330.58, which relates to duties; transferring duties Req. No. 2110 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 to the Department and the Commissioner; adding, modifying, and removing certain duties; modifying applicability of certain provisions ; amending 63 O.S. 2021, Section 330.62, which relates to the Oklahoma State Board of Examiners for Long -Term Care Administrators Revolving Fund; renaming and transferring fund; modifying applicability of certain provisions; amending 63 O.S. 2021, Section 330.64, which relates to complaints; pr oviding complaint procedures; transferring duties to the Department and the Commissioner; requiring certain notice to be provided to administrator found to be in violation of act; providing for certain appeals; authorizing the Department to order summary s uspension under certain conditions; requiring certain notice; granting certain right to suspended licensee; providing for confidentiality; excluding certain information from specified definition and certain proceeding s; authorizing certain disclosures; est ablishing and requiring the Department to offer independent informal dispute resolution process ; allowing the Department to contract with a third -party vendor for specified purpose; stipulating procedures for request for and conduct of informal dispute res olution; specifying composition of imparti al decision-making panel; providing for submission of evidence and presentation of arguments; limiting length of arguments; specifying certain procedures for production of evidence; prohibiting and authorizing certain recording of informal dispute resoluti on; specifying allowed participants; prohibiting legal representation; limiting inclusion of evidence in certain written statement; requiring panel to issue and provide written statement of findings; stipulating contents of statement; requiring the Department to consider findings when making certain determination; directing promulgation of rules; amending 51 O.S. 2021, Section 24A.3, as amended by Section 1, Chapter 402, O.S.L. 2022 (51 O.S. Supp. 2022, Section 24A.3), which relates to the Oklahoma Open Records Act; modifying certain definition; updating statutory references and language; renumbering 63 O.S. 20 21, Sections 330.51, 330.53, 330.58, 330.62, and 330.64, as amended by Sections 3, 5, 6, 7, and 8 of this act, which relate to the Oklahoma State Board of Examiners for Long -Term Care Administrators; repealing 63 O.S. 20 21, Sections Req. No. 2110 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 24 330.54, 330.56, 330.57, 330.59, 330.60, 330.61 , and 330.65, which relate to the Oklahoma Sta te Board of Examiners for Long-Term Care Administrators; providing for codification; providing for recodification; providing e ffective dates; and declaring an emergency . BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1-1949.1 of Title 63, unless there is created a duplication in numbering, reads as follows: This act shall be known and may be cited as the “Long-Term Care Administrator Licensing Act”. SECTION 2. NEW LAW A n ew section of law to be codified in the Oklahoma Statu tes as Section 330.52a of Title 63, unless there is created a duplication in numbering, reads as follows: A. On November 1, 2023, all employees, powers, duties, functions, and responsibilities of the O klahoma State Board of Examiners for Long-Term Care Administrators shall be transferred to the State Department of Health. The transfer shall include all equipment, supplies, records, assets, current and future liabilities, fund balances, encumbrances, ob ligations, and indebtedness associated with the Oklaho ma State Board of Examiners for Long-Term Care Administrators. B. Any monies accruing to or in the name of the Oklahoma State Board of Examiners for Long-Term Care Administrators on and after Req. No. 2110 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 November 1, 2023, or any monies that accrue in any funds or acc ounts or are maintained for the benefit of the Oklahoma State Board of Examiners for Long-Term Care Administrators on and after November 1, 2023, shall be transferred to the State Department of Health. C. The State Department of Health shall succeed to an y contractual rights and responsibilities incurred by the Oklahoma State Board of Examiners for Long -Term Care Administrators. D. The Director of the Office of Management and Enterprise Services is hereby directed to coordinate the transfer of funds, allotments, purchase orders , and outstanding financial obligations or encumbrances as provided for in this section. E. On November 1, 2023, all administrative rules promulgated by the Oklahoma State Board of Examin ers for Long-Term Care Administrators shall b e transferred to and become a part of the administrative rules of the State Department of Health. The Office of Administrative Rul es in the Secretary of State ’s office shall provide adequate notice in the Oklah oma Register of the transfer of such rules and shall place the transferred rules under the Oklahoma Administrative Code title of the State Department of Health. Such rules shall continue in force and effect as rules of the State Department of Health from and after November 1, 2023, and any amendment, repeal, or addition to the transferred rules shall be under the jurisdiction of the State Commissioner of Health. Req. No. 2110 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 F. The state agency known as the Oklahoma State Board of Examiners for Long-Term Care Administrators shall be abolished after all the transfers desc ribed in this section have been completed. SECTION 3. AMENDATORY 63 O.S. 20 21, Section 330.51, is amended to read as follows: Section 330.51 For the purposes of Section 330.51 et seq. of this title, and as used herein this act: 1. “Board” means the Oklahoma State Board of Examiners for Long-Term Care Administrators; 2. “Long-term care administrato r” means a person licensed or certified as a nursing facility administrator, an assisted living facility administrator, a residential care facility administrator , or an adult day care center administrato r pursuant to Section 330.51 et seq. of this title this act. A long-term care administrator must devote at least one-half (1/2) of such person’s working time to on - the-job supervision of a long -term care facility; pro vided that this requirement shall not apply to an administrator of an intermediate care facility for individuals with intellectual disabilities with sixteen or fewer beds (ICF/IID-16), in which case the person licensed by the state may be in charge of more than one ICF/IID-16, if such facilities are located within a circle that has a radius of not more than fifteen (15) miles, and the total number of f acilities and beds does not exceed six facilities and sixty -four beds. The facilities may be free -standing in a community or may be on campus Req. No. 2110 Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 with a parent institution. The ICF/IID -16 may be independently owned and operated or may be part of a larger ins titutional ownership and operation; 3. 2. “Nursing facility administrator ” means a person licensed by the State of Oklahoma this state to perform the duties of an administrator serving in a skilled nursing or nursing or ICF/IID facility; 4. 3. “Assisted living faci lity administrator” means a person licensed or certified by the State of Oklahoma this state to perform the duties of an administrator serving in an assisted living facility; 5. 4. “Residential care facility administrator ” means a person licensed or certified by the State of Oklahoma this state to perform the duties of an administrator serving in a residential care facility; 6. 5. “Adult day care center administrator ” means a person licensed or certified by the State of Oklahoma this state to perform the duties of an administrator servin g in an adult day care center; and 7. 6. “Nursing home”, “rest home” and “specialized home” shall have the same meaning as the term “nursing facility” as such term is defined in the Nursing Home Care Act; “assisted living center ” and “continuum of care fa cility” shall have the same meaning as such terms are defined in the Continuum of Care and Assisted Living Act; Req. No. 2110 Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 “home” and “residential care home ” shall have the same meaning as the terms are used in the Residential Care Act; and “adult day care center” and “center” shall have the same meaning as such terms are used in the Adult Day Care Act. SECTION 4. AMENDATORY 63 O.S. 2021, Sec tion 330.52, is amended to read as follows: Section 330.52 A. There is hereby re-created, to continue until July 1, 2022, in accordance with the provisions of the Oklahoma Sunset Law November 1, 2023, the Oklahoma State Board of Examiners for Long-Term Care Administrators. The Oklahoma State Board of Examiners for Long -Term Care Administrators shall be abolished when the conditions of subsection F of Section 2 of this act have been met. B. The Oklahoma State Board of Examiners for Long -Term Care Administrators shall consist of fifteen (15) members, eight of whom shall be representatives of the professio ns and institutions of long-term care, with representation from each type of administrat or defined in Section 330.51 of this title. In order to be eligib le to serve as a member, such administrators shall be licensed or certified in their defined facility type, and be in good standing and have at least three (3) years of experience as an admi nistrator in the facility type they represent, except a nursing fa cility administrator as defined in Section 330.51 of this title, who shall have at least five (5) year s of experience as a nursing facility Req. No. 2110 Page 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 administrator. Four members shall represent the g eneral public, of which at least two shall be licensed medical pro fessionals concerned with the care and treatment of critically ill or infirm eld erly patients. The preceding twelve members shall be appointed by the Governor, with the advice and consent o f the Senate. The final three members shall constitute the State Commissioner of Health, the Director of the Department of Human Services, and th e Director of the Department of Mental Health and Substance Abuse Services, or their designees. B. C. No members other than the eight licensed or certified administrators shall have a direct or indirect financial interest in long-term care facilities. C. D. Effective November 1, 2011, all appointed positions of the current Board shall be deemed vacant. The Gove rnor shall make initial appointments pursuant to the provisions of this subsection. Initial appointments shall become effective on November 1, 20 11. The new members of the Board shall be initially appointed as follows: 1. Four of the members representin g each administrator type, two members representing the general pu blic and two other members shall be appointed for a term of two (2) years to exp ire on October 31, 2013; and 2. Four of the members representing each administrator type, two members representing the general public and one other member Req. No. 2110 Page 9 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 shall be appointed f or a term of three (3) years to expire on October 31, 2014. D. E. After the initial terms, the terms of all appointive members shall be three (3) years. Any vacancy occurring in the position of an appointive member shall be filled by the Governor, with the advice and consent of the Senate, for the unexpired term. E. F. Any member of the Board shall recu se himself or herself from voting on any matter that originated from or involves an enti ty with which the Board member is affiliated. SECTION 5. AMENDATORY 63 O.S. 20 21, Section 330.53, is amended to read as follows: Section 330.53 A. The Oklahoma State Board of Examiners for Long-Term Care Administrators State Department of Health shall have authority to issue licenses or certif ications to qualified persons as long-term care administrators , and shall establish in accordance with qualification criteria for each type of long -term care administrator established by the State Commissioner of Health . B. No license or certification sha ll be issued to a person as a long-term care administrator unless: 1. The person shall have submitted evidence satisfactory to the Board Department that the person is: a. not less than twenty -one (21) years of age, and b. of reputable and responsible char acter; and Req. No. 2110 Page 10 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. The person shall have submitted evidence satisfactor y to the Board Department of the person’s ability to supervise the defined facility type in which he or she is licensed or certified to serve as a long-term care administrator. C. The Commissioner shall have the authority to determine the qualifications, skill , and fitness of any person to serve as a long- term care administrator under the applicable provisions of the Nursing Home Care Act, the Continuum of Care and Assisted Living Act, the Residential Care Act, and the Adult Day Care Act. The Commissioner shall promulgate rules to determin e the qualifications for licensure or certification for each of the long-term care administrator types as defined in Section 330.51 of this title. Such rules may, at the discretion of the Commissioner, include a requirement for licensure instead of certif ication for one or more long-term care administrator types. D. 1. All persons currently licensed or certified or lawfully serving as an administrator in their defined facility type shall be permitted to continue to serve in their cu rrent capacity under t heir current terms of authorization. The Board Commissioner may promulgate rules pursuant to Section 330.57 of this title to address future certification and licensure requirements for all long-term care administrator types without e ffect on the licensure or certification status of those currently certified or licensed . Req. No. 2110 Page 11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Until such rules are promulgated, current licensure and certification processes and st andards shall remain in place. 2. To be eligible for licensure or certification as any type of long-term care administrator, the applicant shall have successfully completed a training and education program approved by the Commissioner. 3. The Board Commissioner shall not include a requirement for a four-year degree in any future licensing or certificatio n requirements for assisted living, residential care or adult day care administrators. Until such rules are promulgated, current licensure and certification processes and standards shall remain in place . 4. In addition to the requir ement provided by para graph 2 of this subsection, to be eligible for licensure or certification as a nursing facility administrator , the applicant shall : a. hold a baccalaureate degree from an institution of higher education, b. hold an associate degree in a health- or business- related field or other relevant field as determined by the Commissioner, c. have not less than five (5) years of experience in upper-level management of a long-term care facility as determined by the Commissioner, d. be currently licensed as an assisted living facility administrator or residential care facility Req. No. 2110 Page 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 administrator and have not less than three (3) years of experience acting in such capacity, or e. have not less than five (5) years of experience working in a long-term care setting. D. The Oklahoma State Board of Examiners for Long -Term Care Administrators shall, on or before July 1, 2017, promulgate rules permitting eligible applicants to E. Eligible applicants may sit for the state standards examination at a testing facilit y using procedures app roved by the National Association of Long -Term Care Administrator Board, Boards including, but not limited to, the use of electronic or online methods for examination. E. The Oklahoma State Board of Examiners for Long -Term Care Administrators shall promul gate rules to implement the provisions of this section. F. 1. Each person licensed or certified as a long -term care administrator under the provisions of this act shall pay an annual license or certification fee whic h shall be deposited in the Long- Term Care Administrator Revolving Fund created in Section 330.62 of this title. Such fee shall be determined by the Commissioner. Each such license or certif ication shall expire on the thirty-first day of December following its issuance, and shall be renewable fo r a calendar year, upon meeting the renewal requirements and upon payment of the annual licens ure or certification fee. Req. No. 2110 Page 13 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. In addition to licensure and certification fees, the Commissioner may impose fees for training and education programs approved by the Commissioner. 3. All revenues collected as a result of fees authorized in this section and imposed by the Commissioner shall be deposited into the Long-Term Care Administrator Revolving Fund created in Section 330.62 of this title. G. It shall be unlaw ful for any person to act or serve in the capacity of a long-term care administrator unless the person is the holder of a license or certificate as a long-term care administrator, issued in accordance with the prov isions of this act. A person found guilty of a violation of this subsection shall, upon conviction, be guilty of a misdemeanor . SECTION 6. AMENDATORY 63 O.S. 20 21, Section 330.58, is amended to read as follows: Section 330.58 The Oklahoma State Board of Examiners for Long - Term Care Administrators shall State Department of Health or, as appropriate, the State Commissioner of Health shall : 1. Develop and apply standar ds for approval of trainin g and education programs for long -term care administra tors that meet the accreditation standards of the National Association of Long-Term Care Administrator Boards ; 2. Develop, impose, and enforce standards which must be met by individuals in order to rec eive a license or certification as a Req. No. 2110 Page 14 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 long-term care administrator, which standards shall be designed to ensure that long-term care administrators will be individuals who are of good character and are other wise suitable, and who, b y training or experience i n the field of institutional administration, are qualified to serve as long -term care administrators; 2. 3. Develop and apply appropriate techniques , including examinations and investigations, for determi ning whether an individual meets such standards; 3. 4. Issue licenses or certifications to individuals determined, after the application of such techniques, to meet such standards. The Board Department may deny an initial application, deny a renewal application, and revoke or su spend licenses or certifications previously issued by the Board Department in any case where the individual holding any such license or certification is determined substantially to have failed to conform to the requirements of such standards. The Board Department may also warn, censure, impose administrative fines or use other remedi es that may be considered to be less than revocation and suspension. Administrative fines imposed pursuant to this section shall not exceed One Thousand Dollars ($1,000.00) pe r violation. The Board Department shall consider the scope, severity and repeti tion of the violation and any additional factors deemed appropriate by the Board Department when issuing a fine. The Department may utilize one or Req. No. 2110 Page 15 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 more administrative law judg es to conduct administrative proceedings; 4. 5. Establish and carry out pro cedures designed to ensure that individuals licensed or certified as long -term care administrators will, during any period that they serve as such, comply with the requirements of such standards; 5. 6. Receive, investigate , and take appropriate action wit h respect to any charge or complaint filed with the Board Department to the effect that any individual licensed as a long -term care administrator has failed to comply with the requ irements of such standards. The long -term care ombudsman program of the Agi ng Services Division of th e Department of Human Services shall be notified of all complaint investigations of the Board Department so that they may be present at any such complaint investigation for the purpose of representing lon g-term care facility consu mers; 6. 7. Receive and take appropriate action on any complaint or referral received by the Board Department from the Department of Human Services or any other regulatory agency . Complaints may also be generated by the Board or staff . A complaint shall not be published on the web site website of the Oklahoma State Board of Examiners for Long-Term Care Administrator s Department unless there is a finding by the Board Department that the complaint has merit. The Board Commissioner shall promulgate rules t hat include, but are not limited to, provisions for: Req. No. 2110 Page 16 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 a. establishing a complaint review process, b. creating a formal complaint file, and c. establishing a protocol for investigati on of complaints, and d. establishing an independent informal dispute resolution process in accordance with Section 9 of this act; 7. 8. Enforce the provisions of Sections 330.51 through 330.65 of this title this act against all persons who are in violati on thereof including, but not limited to, individuals who are practicing or attempting to practice as long -term care administrators without proper authoriza tion from the Board Department; 8. 9. Conduct a continuing study and investigation of long -term care facilities and administrators of long -term care facilities within the state with a view toward the improvement of the standards imposed for the licensing or certifying of such administrators a nd of procedures and methods for the enforcement of such stand ards with respect to administrators of long -term care facilities who have been licensed or certified; 9. 10. Cooperate with and provide assistance when nec essary to state regulatory agencies in investigations of complaints; 10. 11. Develop a code of ethi cs for long-term care administrators which includes, but is not limited to, a statement Req. No. 2110 Page 17 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 that administrators h ave a fiduciary duty to the facility and cannot serve as guardian of the person or of the estate, or hold a durable power of attorney or power of a ttorney for any resident of a facility of which they are an admi nistrator; 11. 12. Report a final adverse ac tion against a long-term care administrator to the Healthcare Integrity and Protection Data Bank pursuant to federal regulatory requirements; 12. 13. Refer completed investigations to the proper law enforcement authorities for prosecution of criminal acti vities; 13. 14. Impose administrative fines, i n an amount to be determined by the Board Commissioner, against persons who do not comply with the provisions of this act or the rules adopted by the Board Commissioner. Administrative fines imposed pursuant to this section shall not exceed One Thousand D ollars ($1,000.00) per violation. The Board Department shall consider the scope, severity and repetition of the violation and any additional factors deemed appropriate by the Board Department when issuing a fine; 14. 15. Assess the costs of the hearing p rocess, including attorney fees; 15. 16. Grant short-term provisional licenses to individuals who do not meet all of the licensing requirements , provided the individual obtains the services of a currently licensed administrator to act as a consultant and meets any additional Req. No. 2110 Page 18 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 criteria for a provi sional license established by the Board Commissioner; 16. Order a summary suspension of an administrator ’s license or certification or an Administrator in Training (AIT) permit, if, in the course of an investigatio n, it is determined that a licensee, certificate holder or AIT candidate for licensure has engaged i n conduct of a nature that is detrimental to the health, safety or welfare of the public, and which conduct necessitates immediate action to prevent further harm; and 17. Promulgate rules governing the employment of assistant administrators for nursing an d skilled nursing facilities including, but not limited to, minimum qualific ations. SECTION 7. AMENDATORY 63 O.S. 20 21, Section 330.62, is amended to read as follows: Section 330.62 There is hereby created in the State Treasury a revolving fund for the Oklahoma State Board of Examiners for Long - Term Care Administrators State Department of Health to be designated the “Oklahoma State Board of Examiners for Long-Term Care Administrators Administrator Revolving Fund”. The fund shall be a continuing fund, not subject to fiscal year limitations, and shall consist of such sources of income as are provided by law. All monies accruing to th e credit of said the fund are hereby appropriated and may be budgeted and expended by the Oklahoma State Board of Examiners for Long-Term Care Administrators Department to Req. No. 2110 Page 19 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 carry out the duties established by law this act. Expenditures from said the fund shall be made upon warrants issued by the State Treasurer against claims filed a s prescribed by law w ith the Director of the Office of Management and Enterprise Services for approval and payment. SECTION 8. AMENDATORY 63 O.S. 20 21, Section 330.64, is amended to read as follows: Section 330.64 A. Any person or agency may submit to the State Department of Health a complaint against a long -term care administrator. Complaints may also be generated by the Department. Each investigation of a complaint received by the Oklahoma State Board of Examiners for Long -Term Care Administrator s Department shall be initiated within ninety (90) days from the date the complaint is received by the Board Department. Each complaint investigation shall be completed within twelve (12) months of initiation. The time period may be extended by the Board Department for good cause. B. Upon conclusion of an investigation, if the Department determines that an administrator has violated this act, the Department shall promptly serve a notice of violat ion upon the administrator. The notice of violation shall be prepared in writing and shall specify the nature of the violation or violations and the provision or provisions of state law or rule alleged to have been violated. The notice of violation shall inform the administrator of Req. No. 2110 Page 20 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 his or her right to an independent informal dispute resolution process conducted in accordance with Section 9 of this act or a hearing conducted under subsection C of this section, or both. C. If the case is not resolved through the independent informal dispute resolution process pres cribed by Section 9 of this act, the administrator shall be afforded notice and a hearing in accordance with the provisions of Article II of the Administrat ive Procedures Act. Any party aggrieved by a decision of the Department following a hearing may appeal directly to district court under Section 318 of Title 75 of the Oklahoma Statutes. D. Notwithstanding any other provision of this section, the Department may order a summary suspension of an a dministrator’s license or certification or an Administrator in Training (AIT) permit if, in the course of an investigation, it is deter mined that a licensee, certificate holder, or AIT candidate for licensure has engaged in conduct of a nature that is detr imental to the health, safety, or welfare of the public, an d which conduct necessitates immediate action to prevent further harm . The Department shall immediately notify the licensee, certificate holder , or AIT candidate upon issuance of the order. The licensee, certificate holder, or AIT candidate shall have the right to contest the order at a hearing as provided by subsection C of this section. E. To ensure the confidentiality of an investigative file obtained during the investigation, the information in the Req. No. 2110 Page 21 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 investigative file shall not be deemed to be a recor d as that term is defined in the Oklahoma Open Records Act nor shall the information be subject to subpo ena or discovery in any civil or criminal proceeding, except that the Department may give the information to law enforcement and other state licensing a gencies as necessary and appropriate in the discharge of the duties of that agency and only under circum stances that will ensure against unauthorized access to the information. The respondent may acquire information obtained during an investigation, unles s the disclosure of the information is otherwise prohibited, except for the investigative report, if the respondent signs a protective order whereby the respondent agrees to use the information sol ely for the purpose of defense in the proceeding s of the Department and in any appeal therefrom and agrees not to otherwise disclose th e information. F. Effective May 13, 2005, the Board The Department shall create and maintain a registry of all complaint s or referrals, found by the Board Department to have merit, complaining of acts or omissions of licensed administrators. The registry shall be maintained in both electronic and paper formats and shall be available for inspection by the public. Such regi stry shall be organized both in chronological order by the date of the complaint and by the name of the licensed administrator. The re gistry shall contain information about the nature of the complaint and the Req. No. 2110 Page 22 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 action, if any, taken by the Board Department. The registry shall also contain the number of complaints made against an individual administrator. SECTION 9. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1-1949.7 of Title 63, unless there is created a duplication in numbering, reads as follows: A. The Department shall give an administrator who the Department has determined, upon investigation, has violated the Long-Term Care Administrator Licensing Act an opportunity to participate in an indepe ndent informal dispute resolution process of the case in accordance with this section . The Department may contract with a thir d-party vendor to provide the independent informal dispute resolution. B. The administrator shall make a written request to the Department to participate in an informal dispute resolution . Upon receipt of such request, the Department shall : 1. Refer the case to the informal dispute resolution provider , if the Department contracts with a th ird-party vendor as described in subsection A of this section, and the informal dispute resolution provider shall: a. schedule a time and date for an informal dispute resolution meeting and inform the parties of such time and date, and Req. No. 2110 Page 23 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 b. appoint an impartial decision-making panel to conduct the informal dispute resolution as provided by subsection C of this section; or 2. If the Department does not contract with a thir d-party vendor as described in subsection A of this section, the Department shall: a. schedule a time and date for an informal di spute resolution meeting and inform the parties of such tim e and date, and b. appoint an impartial decision -making panel to conduct the informal dispute resolution as provided by subsection C of this section. C. The impartial decision -making panel shall b e a group of five (5) individuals who meet the following cr iteria: 1. Two members shall be impartial volunteers who have experience in the operation of the same type of long-term facility as the administrator who i s the subject of the complaint. Such volunteers may include, but not be limited to, an administrato r, owner, operator, or director of nursing of an appropriate long -term care facility, but shall not include any person with a direct financial interest in a ny facility that employs or contracts wit h the administrator who is the subject of the complaint ; 2. One member shall be an employee of the Department who has no current involvement in the long-term care facility survey process ; Req. No. 2110 Page 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 3. One member shall be a person representing the aging or disabled community; and 4. One member shall be an impartial person who is not employed by the State Department of Health . D. Each party shall submit to the impartial decision -making panel all documentary evidence that the party believes has a bearing on or relevance to the violation or violations alleged by the Department in the complaint. E. The Department shall present initia l arguments. The administrator shall then present his or her arguments. The informal dispute resolution shall be limited to no more tha n two (2) hours in length, with each party being permitted one (1) hour to present its arguments; however, the impartia l decision-making panel may grant each party additional equal time for good cause as determined by the impartial decision making -panel. F. Rules of evidence or procedure shall not apply to the informal dispute resolution except as provided in this section . The impartial decision-making panel may: 1. Accept any information that the impartial decisi on-making panel deems material to the iss ue being presented; and 2. Reject any information that the impartial decision-making panel deems immaterial to the iss ue being presented. Req. No. 2110 Page 25 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 G. The informal dispute resolution may not be recorded; however, the impartial decision-making panel may make writte n or recorded notes of the arguments. H. Only employees of or health care providers contracted by the facility where the administrator who is the subject of the complaint is employed may appear or participate in th e informal dispute resolution on behalf o f the administrator. Only employees of the Department may appear or participate at the meeting for, or on behalf of, the Department. The State Long-Term Care Ombudsman or designee may appear at or participate in t he meeting. No party may be represented by an attorney. I. The informal dispute resolution process is limited to violations alleged by the Department in the complaint. If th e impartial decision-making panel finds that matters not subject to the informal dispute resolution are presented, the impart ial decision-making panel shall strike all documentary evidence related to or presented for the purpose of disputing the matter not subject to the informal dispute resolution. The impartial decision -making panel may not include in the statement of findings de scribed in subsection J of this section any matter not subject to the informal dispute resolution. J. Upon the conclusion of a ll arguments by the parties at the informal dispute resolution, the impartial de cision-making panel Req. No. 2110 Page 26 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 shall issue a written statement o f findings, which shall be provided to all parties and which shall include: 1. A summary of any alleged violations ; 2. A statement of whether the impartial decision -making panel agrees that the alleged violation or violations occurred ; 3. The facts and persuasive arguments that support the finding of the impartial decision -making panel for each alleged violation ; and 4. A recommendation on appropriate disciplinary action against the administrator, if any. K. The Department shall review the findings of the impartial decision-making panel and shall t ake such findings into consideration when determining whether to pursue furt her disciplinary action against the administrator. SECTION 10. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1-1949.8 of Title 63, unless there is created a duplication in numbering, reads as follows : The State Commissioner of Health shall promulgate rules to implement the provisions of the Long-Term Care Administrator Licensing Act. SECTION 11. AMENDATORY 51 O.S. 2021, Section 24A.3, as amended by Section 1, Chapter 402, O.S. L. 2022 (51 O.S. Supp. 2022, Section 24A.3), is amended to read as follows: Section 24A.3 As used in the Oklahoma Open Records Act: Req. No. 2110 Page 27 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. “Record” means all documents including, but not limited to, any book, paper, photograph, microfilm, data files created by or used with computer software, computer tape, disk, record, sound recording, film recording, video record or other material regar dless of physical form or characteristic, creat ed by, received by, under the authority of, or coming into the custody, cont rol or possession of public officials, public bodies or their representatives in connection with the transaction of public business, the expenditure of public funds or the administ ering of public property. “Record” Record does not mean: a. computer software, b. nongovernment personal effects, c. unless public disclosure is required b y other laws or regulations, vehicle movement records of the Oklahoma Transportation Authority obtai ned in connection with the Authority’s electronic toll collection system, d. personal financial information, credit reports or other financial data obtained by or submitted to a public body for the purpose of evaluat ing credit worthiness, obtaining a licen se, permit or for the purpose of becoming qualified to contract with a public body, Req. No. 2110 Page 28 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 e. any digital audio/video recordings of the toll collection and safegua rding activities of the Oklahoma Transportation Authority, f. any personal information provided by a guest at any facility owned or operated by the Oklahoma Tourism and Recreation Department to obtain any service at the facility or by a purchaser of a prod uct sold by or through the Oklahoma Tourism and Recreation Department, g. a Department of Defense Fo rm 214 (DD Form 214) filed with a county clerk including any DD Form 214 fil ed before July 1, 2002, h. except as provided for in Section 2 -110 of Title 47 of the Oklahoma Statutes ,: (1) any record in connection with a Motor Vehicle Report issued by the Dep artment of Public Safety, as prescribed in Section 6 -117 of Title 47 of the Oklahoma Statutes, or (2) personal information within driver records, as defined by the Driver’s Privacy Protection Act, 18 United States Code, Sections 2721 through 2725, which are stored and maintained by the Department of Public Safety, or Req. No. 2110 Page 29 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 i. any portion of any document or information provided to an agency or entity of the state or a political subdivision to obtain licensure under the laws of this state or a political subdivision that contains an applicant’s personal address, personal phone number, personal electronic mail address or other contact information. Provided, however, li sts of persons licensed, the existence of a license of a per son, or a business or commercial address , or other business or commercial information disclosable under state law submitted with an application for licensure shall be public record, or j. an investigative file obtained during an investigation conducted by the State Department of Health under this act; 2. “Public body” shall include, but not be limited to, any office, department, board, bureau, commission, agency, trusteeship, authority, council, c ommittee, trust or any entity created by a trust, county, city, village, town, township, district, s chool district, fair board, court, executive office, advisory group, task force, study group or any subdivision thereof, supported in whole or in part by public funds or entruste d with the expenditure of public funds or administering or operating public pr operty, and all committees, or subcommittees thereof. Except for the record s Req. No. 2110 Page 30 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 required by Section 24A.4 of this title, “public body” public body does not mean judges, justices, the Council o n Judicial Complaints, the Legislature or legislators. “Public body” Public body shall not include an organization that is exempt from federa l income tax under Section 501(c)(3) of the Internal Revenue Code of 1986, as am ended, and whose sole beneficiary is a college or university, or an affiliated entity of the college or university, that is a member of The Oklahoma State System of Higher Educ ation. Such organization shall not receive direct appropriations from the Oklah oma Legislature. The following persons shall not be eligible to serve as a voting member of the gov erning board of the organization: a. a member, officer, or employee of the O klahoma State Regents for Higher Education, b. a member of the board of regents or other governing board of the college or uni versity that is the sole beneficiary of the organizati on, or c. an officer or employee of the college or university that is the sole beneficiary of the organization; 3. “Public office” means the physical locat ion where public bodies conduct business or ke ep records; 4. “Public official” means any official o r employee of any public body as defined herein; and 5. “Law enforcement agency” means any public body charged with enforcing state or local criminal laws and initiating criminal Req. No. 2110 Page 31 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 prosecutions including , but not limited to, police departments, county sheriffs, the Department of Public Safety, the Oklahoma State Bureau of Narcotics and Dangerous Drugs Control, the Alcoholic Beverage Laws Enforcement Commission , and the Oklahoma State Bureau of Investigation. SECTION 12. RECODIFICATION 63 O.S. 2021, Section 330.51, as amended by Section 3 of this act, shall be recodified as Section 1-1949.2 of Title 63 of the Oklahoma Statutes, unless ther e is created a duplication in numbering. SECTION 13. RECODIFICATION 63 O.S. 2 021, Section 330.53, as amended by Section 5 of this act, shall be recodifie d as Section 1-1949.3 of Title 63 of the Oklahoma Statutes, unless there is created a duplication in numbering. SECTION 14. RECODIFICATION 63 O.S. 20 21, Section 330.58, as amended by Section 6 of this act, shall be recodified as Sect ion 1-1949.4 of Title 63 of the Oklahoma Statutes, unless there is created a duplication in numbering. SECTION 15. RECODIFICATION 63 O.S. 20 21, Section 330.62, as amended by Section 7 of this act, shall be recodified as Section 1-1949.5 of Title 63 of the Oklahoma Statutes, unless there is created a duplication in numbering. SECTION 16. RECODIFICATION 63 O.S. 20 21, Section 330.64, as amended by Section 8 of this act, shall be recodified as Section Req. No. 2110 Page 32 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 1-1949.6 of Title 63 of the Oklahoma Statutes, unless there is created a duplication in number ing. SECTION 17. REPEALER 63 O.S. 2021, Sections 330.54, 330.56, 330.57, 330. 59, 330.60, 330.61, and 330.65, are hereby repealed. SECTION 18. Sections 1, 2, and 4 of this act shall become effective June 1, 2023. SECTION 19. Sections 3, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, and 17 of this act shall become effective November 1, 2023. SECTION 20. It being immediately necessary for the preservation of the public peace, health or safety, an emergency is hereby declared to exist for Sections 1, 2, and 4 of this act, by reason whereof such sections shall take effect and be in full force from and after its passage and approval. 59-1-2110 DC 4/13/2023 11:02:47 AM