Req. No. 7816 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 HOUSE BILL NO. 2830 By: Blancett COMMITTEE SUBSTITUTE An Act relating to health; amending 63 O.S. 2021, Section 1-879.2c, which relate s to the Alzheimer's Dementia and Other Forms of Dementia Special Care Disclosure Act; adding type of care; providing that certain individuals may be held liable for penalties and charged with a misdemeanor; 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 -879.2c, is amended to read as follows: Section 1-879.2c A. 1. Pursuant to rules promulgated under the provisions of the Alzheimer 's Dementia and Other Forms of Dementia Special Care Disclosure Act, any nursing facility, residential care facility, assisted living facility, adult day care center, continuum of care facility , or special care facility that publicly advertises, intentionally markets, or otherwise engages in promotional campaigns for the purpose of communicating that said facility offers care, memory care, or treatment methods within the facility that distinguish it as being especially applicable to or Req. No. 7816 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 especially suitable to for persons with Alzheimer's dementia or other forms of dementia diagnoses shall disclose the type of care, memory care, or treatment provided that d istinguishes it as being especially applicable to or suitable for such pe rsons. 2. The disclosure shall be made using a form developed by the State Department of Health and shall be made to: a. the Department, b. any representative of a person with Alzhei mer's dementia or other form of dementia who is considering placement within a special care unit, program, or facility, and c. the State Long-Term Care Ombudsman. 3. The facility shall submit the disclosure form to the Department prior to entering into an y agreement to provide care or services. 4. The Department shall examine each disclosure for completeness and accuracy at the time the disclosure is submitted to the Department. 5. The Department shall review the most recent disclosure in the Department's records during the facility's regular inspection to verify that the disclosure is current and that the ser vices described in the disclosure are provided to r esidents as described in the disclosure. Req. No. 7816 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 B. The information disclosed as required by this sectio n shall include the following areas: 1. A written description of th e special care unit, program, or facility's overall philosophy and mission as it relates to the needs of residents with Alzh eimer's dementia or other forms of dementia ; 2. The process and criteria for placement in, or transfer or discharge from, the unit , program, or facility; 3. The process used for assessment, establishment, and implementation of a resident plan of care, as it relates to Alzheimer's dementia and other forms of dementia, including the method by which the plan evolves, the frequency of assessm ent, and how the facility will resp ond to changes in the condition of the resident; 4. Staff-to-resident ratios, staff training and continuing education that are in addition to all r egularly prescribed training and are commensurate with the need for increased care and supervision for residents with Alzheimer's dementia and other forms of dementia; 5. The physical environment and design features appropriate to support the functioning of cognitively impaired residents; 6. The types and frequency of residen t activities designed for residents with Alzheimer's dementia or other forms of dement ia and descriptions of those therapeutic activities designed to address Req. No. 7816 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 cognitive function and en gage residents with varying stages of dementia; 7. The involvement of fa milies in care planning and other aspects of care, and the availability of family supp ort programs; 8. The fees for care and any additional fees; and 9. Any accreditations or certif ications issued to the facility related to the care and services provided to residents with Alzheimer's dementia or other forms of dementia. C. Any individual employed or contracted by a registered long- term care facility who publicly advertises, inten tionally markets, or otherwise engages in promotional campaigns for the purpose of communicating that said fac ility offers memory care, Alzheimer's care, or dementia care if said facility does not meet the criteria of a memory care, Alzheimer's care, or dementia care facility may be liable for civil penalties , as determined by the State Commissioner of Health, and charged with a misdemeanor. D. The Department, with input from the Alzheimer-Dementia Disclosure Act Advisory Cou ncil, shall develop a standardized disclosure form. Any change in the information initially submitted by the facility or other entity shall be reported to the Department at the time the change is made. D. E. The provisions of this section shall not be co nstrued to preclude a facility without a special care unit or program from Req. No. 7816 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 admitting a person with Alzhei mer's dementia or other forms of dementia. E. F. The State Commissioner of Health , with input from the Alzheimer-Dementia Disclosure Act Advisory Council, shall promulgate rules to effectuate the provisions of the Alzheimer's Dementia and Other Forms of Dementia Special Care Disclosure Act . F. G. There is hereby created the Alzheimer -Dementia Disclosure Act Advisory Council. The Council shall make recommendations to the State Commissioner of Health regarding t he disclosure form and rules promulgated pursuant t o the Alzheimer's Dementia and Other Forms of Dementia Special Care Disclosure A ct. 1. The Council shall consist of nine (9) m embers to be appointed by the State Commissioner of Health for such terms as he or she chooses. The members shall be individuals who have knowledge and expertise in the field of memory care or individuals who are consumer representatives directly impacted by memory-care services, provided that neither the members with knowledge an d expertise in the field nor the members who are con sumer representatives shall comprise more than two-thirds (2/3) of the total mem bership. The members who are consumer represen tatives shall be individuals with immediate family members who have received or are currently receiving memory-care services in Oklahoma and shall not be employees or board members of any facilities or entitie s subject to Req. No. 7816 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 the Alzheimer's Dementia and Other Forms of Dementia Special Care Disclosure Act. 2. The members of the Council shall serve without compensation. 3. The Council shall conduct an organization al meeting at a date and location to be chosen by t he Commissioner and as frequently thereafter as necessary to perform the duties imposed upon it . A majority of the members present shall constitute a quorum. 4. Staff assistance for the Council shall be provided by the staff of the State Department of Health. G. H. Violation of any of the provisions of this act the Alzheimer's Dementia and Other Form s of Dementia Special Care Disclosure Act or the rules issued pursuant to this act shall subject the offending facility to the notice and enforcement provisions established for the facility's license by the Department. H. I. Any facility that offers s pecialized memory or dementia care through a specific unit or program shall post the disclosure form, including the information required to be included by this section, on the facility's website. I. J. The Department shall establish a website with a list of those facilities that have filed a di sclosure form pursuant to this act the Alzheimer's Dementia and Other Forms of Dementia Special Care Disclosure Act. The website shall contain a link to the submitted disclosure form and a table containing items from the Req. No. 7816 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 disclosure form, including staffing ratios, staff training, special programming and activities, and accreditations or certifications. SECTION 2. This act shall become effective November 1, 2023. 59-1-7816 TJ 02/28/23