SENATE FLOOR VERSION - SB571 SFLR Page 1 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 SENATE FLOOR VERSION February 16, 2023 SENATE BILL NO. 571 By: Montgomery An Act relating to long-term care; amending 63 O.S. 2021, Section 1-1923, which relates to the Long-Term Care Facility Advisory Board; changing name; extending termination date of Long-Term Care Facility Advisory Council; decreasing and modifying membership; fixing appointment lengths; permitting limited reappointment; modifying terminology; modifying and removing powers and duties; 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 -1923, is amended to read as follow s: Section 1-1923. A. There is hereby re -created, to continue until July 1, 2023 July 1, 2025, in accordance with the provisions of the Oklahoma Sunset Law, a Long -Term Care Facility Advisory Board Council which shall be composed as follows: 1. The Governor shall appoint a twenty-seven-member thirteen- member Long-Term Care Facility Advis ory Board Council which shall advise the State Commissioner of Health. The Advisory Board Council shall be comprised of the following persons: SENATE FLOOR VERSION - SB571 SFLR Page 2 (Bold face denotes Committee Amendments) 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. one representative from the Office of the State Fire Marshal, designated by the State Fire Marshal, b. one representative from the Oklahoma Health Care Authority, designated by the Administrator, c. b. one representative from the Department of Mental Health and Substance Ab use Services, designated by the Commissioner of Mental Health and Substance Abuse Services, d. c. one representative from the Department of Human Services, designated by the Director of Human Services, e. d. one member who shall be a licensed general practitioner of the medical or osteopathic profession, f. one member who shall be a general prac titioner of the osteopathic profession , g. e. one member who shall be a registered pharmacist, h. f. one member who shall be a licensed registered nurse or licensed practical nurse, i. one member who shall be a licensed practical nurse, j. three members who shall be of reputable and responsible character and sound physical and mental health and g. one member who shall be operator-administrators an operator-administrator of a nursing homes which have SENATE FLOOR VERSION - SB571 SFLR Page 3 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 current licenses home which has a current license issued pursuant to the Nursing Home Care Act and who shall have had five (5) y ears’ experience in the nursing home profession as operator-administrators an operator-administrator, k. three members h. one member who shall be an operator-administrator of a residential care home operator-administrators licensed pursuant to the provisions of the Residential Care Act, l. three members i. one member who shall be an owner-operator of an adult day care facility owner-operators licensed pursuant to the provisions of the Adu lt Day Care Act, m. three members j. one member who shall be an owner-operator of a continuum of care facility or assisted living center owner-operators licensed pursuant to the provisions of the Continuum of Care an d Assisted Living Act, and n. six k. two members who shall be over the age of sixty -five (65) who shall represent the general public and have no long-term care professional work history , and SENATE FLOOR VERSION - SB571 SFLR Page 4 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 l. one member who shall be over the age of sixty-five (65) who shall represent the general public and who advocates for individuals receiving long-term care services; and 2. The designated representative from the Office of the State Fire Marshal, the designated represe ntative from the Department of Mental Health and Substance Abuse Services, the designated representative from the Department of Human Services, and the designated representative from the State Department of Health shall serve at the pleasure of their desig nators; 3. The initial appointments of the Governor Appointments shall be for the following two-year terms: a. the initial term of the member of the medical profession shall be for a three -year term, b. the initial term of the member of the osteopathic profession shall be for a three-year term, c. the initial term of the registered pharmacist s hall be for a two-year term, d. the initial term of the licensed registered nurse shall be for a two-year term, e. the initial term of the licensed practical nurse s hall be for a one-year term, f. of the initial terms for the twelve members who are licensed operator-administrators for facilities SENATE FLOOR VERSION - SB571 SFLR Page 5 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 pursuant to the Nursing Home Care Act, residential care homes pursuant to the Residential Care Act, adult day care facilities pursuant to the Adult Day Care Act, and continuum of care facilities and assisted living centers pursuant to the Continuum of Care and Assisted Living Act, four shall be for one -year terms, four shall be for two -year terms, and four shall be for three-year terms; provided that representatives for each of the terms shall include one individual representing facilities subject to the provisions of the Nursing Home Care Act, one individual representing residential care homes subject to the Residential Care Act, one individual representing facilities subject to the provisions of the Adult Day Care A ct, and one individual representing continuum of care facilities and assisted living centers subject to the provisions of the Continuum of Care and Assisted Living A ct, and g. the initial terms for the six members of the general public over the age of sixt y-five (65) shall be for one-, two-, three-, four-, five- and six-year terms respectively; and 4. After the initial designations or appointments, the designated representative from the Office of the State Fire Marsha l, the designated representative of the Oklahoma Health Care Authority, SENATE FLOOR VERSION - SB571 SFLR Page 6 (Bold face denotes Committee Amendments) 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 designated representative of the Department of Human Services and the designated representative of the Department of Mental Healt h and Substance Abuse Services shall each. Members shall serve at the pleasure of their designators. All other terms shall be for a three-year period. Members may be reappointed not to exceed two terms. In case of a vacancy, the Governor shall appoint in dividuals to fill the remainder of the term. B. The State Department of Health shall pr ovide a clerical staff worker administrative support to perform designated duties of the Advisory Board Council. The Department shall also provide space for meetings of the Advisory Board Council. C. The Advisory Board Council shall annually elect a chai r, vice-chair and secretary-treasurer, shall meet at least quarterly, and may hold such special meetings as may be necessary. The members of the Advisory Board Council shall be reimbursed as provided for by the State Travel Reimbursement Act. D. The Advisory Board Council shall have the power and duty to: 1. Serve as an advisory body to the Dep artment for the development and improvement of services to and care and tr eatment of residents of facilities subject to the provisions of the Nursing Home Care Act, homes subject to the provisions of the Residential Care Act and facilities subject to the p rovisions of the Adult Day Care Act; SENATE FLOOR VERSION - SB571 SFLR Page 7 (Bold face denotes Committee Amendments) 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. Review, and make recommendations regarding, and approve in its advisory capacity the system of standards developed by the Department quality of services, care, and treatment provided to individuals receiving services from entities that are subject to the Nursing Home Care Act, the Residen tial Care Act and the Adult Day Care Act; and 3. Evaluate and review the standards, prac tices, and procedures of the Department regarding the administration and enforcement of the provisions of the Nursing Home Care Act, the Residential Care Act and the Adult Day Care Act, and the quality of services and care and treatment provided to residen ts of facilities and residential care homes and participants in adult day care centers. The Board may make recommendations to the Department as necessary and appropriate; 4. Evaluate and review financial accountability standards, policies and practices o f residential care facilities regarding residents’ funds for which the facility is the payee, and evaluate and review expenditures made on behalf of the resident by th e facility to ensure that such funds are managed appropriately and in the best interests of the resident; and 5. Publish and distr ibute an annual report of its activities and any recommendations for the improvement of services and care and treatment to residents of facilities and residential care homes and participants in adult day care cente rs on or before January 1 of SENATE FLOOR VERSION - SB571 SFLR Page 8 (Bold face denotes Committee Amendments) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 each year to the Governor, the State Commissioner of Health, the State Board of Health, the Speaker of the House of Representatives, the President Pro Tempore of the Senate, and the chief administrative officer of each agency a ffected by the report. SECTION 2. This act shall be come effective November 1, 2023. COMMITTEE REPORT BY: COMMITTEE ON HEALTH AND HUMAN SERVICES February 16, 2023 - DO PASS