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Oklahoma House Bill HB3238

Oklahoma 2024 Regular Session

Oklahoma House Bill HB3238 Compare Versions

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1-An Act
2-ENROLLED HOUSE
3-BILL NO. 3238 By: Lawson, Waldron, Hefner,
4-and Pittman of the House
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3+ENGR. S. A. TO ENGR. H. B. NO. 3238 Page 1 1
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28+ENGROSSED SENATE AMENDMENT
29+TO
30+ENGROSSED HOUSE
31+BILL NO. 3238 By: Lawson of the House
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33+ and
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35+ Garvin of the Senate
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37+
38+
39+
40+An Act relating to poor persons; defining terms;
41+designating the Oklahoma Health Care Authority as the
42+state administering agency for PA CE program
43+agreements; authorizing the Authority to enter into
44+PACE program agreements; requiring enforcement of
45+certain federal laws and regulations; authorizing the
46+Authority to enter into certain agreements with the
47+State Department of Health; directing the Department
48+to create and issue certain license; stating minimum
49+licensure requirements; directing monitoring of PACE
50+organizations; prohibiting certain regulation;
51+authorizing certain action for noncompliance;
52+directing promulgation of rules; amending 63 O.S.
53+2021, Section 1-872, which relates to the Adult Day
54+Care Act; modifying definition ; amending 63 O.S.
55+2021, Section 1-1961, which relates to the Home Care
56+Act; modifying definition; updating statutory
57+language; providing for codification; and provi ding
58+an effective date.
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62+AUTHOR: Add the following House Coauthor: Waldron
63+
64+AMENDMENT NO. 1. Page 1, strike the title, enacting clause and
65+entire bill and insert
66+
67+
68+“An Act relating to long -term care; defining terms;
69+designating the Oklahoma Health Care Authority as the
70+state administering agency for programs of all -
71+inclusive care for the elderly (PACE) agreements;
72+requiring enforcement of certain federal regulations;
73+providing certain powers and duties; exempting PACE
74+organizations from certain licensure ; providing
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101+certain construction; authorizing certain interagency
102+agreement; authorizing promulgation of rules;
103+amending 63 O.S. 2021, Section 1 -872, which relates
104+to definitions used in the Adult Day Care Act;
105+modifying definition; amending 63 O.S. 2021, Section
106+1-1961, which relates to definitions used in the Home
107+Care Act; modifying definition; updating statutory
108+language; providing for codification; and declaring
109+an emergency.
110+
111+
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113+BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
114+SECTION 1. NEW LAW A new section of law to be codified
115+in the Oklahoma Statutes as Section 1017.7 of Title 56, unless there
116+is created a duplication in numbering, reads as follows:
117+A. As used in this section:
118+1. “PACE” stands for programs of all -inclusive care for the
119+elderly; and
120+2. The terms “PACE program agreement ”, “PACE organization”,
121+“participant” and “state administering agency ” have the same meaning
122+as provided by 42 C.F.R., Section 460.6.
123+B. The Oklahoma Health Care Authority shall serve as the state
124+administering agency responsible for administering PACE program
125+agreements under 42 C.F.R., Part 460, Subpart C.
126+C. The Authority shall enforce the federal regulations of the
127+Centers for Medicare and Medicaid Services governing PACE codified
128+at 42 C.F.R., Part 460. The Authority shall have all the powers and
129+duties provided to the state administering agency under 42 C.F.R.,
130+Part 460.
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157+D. PACE organizations shall be exempt from licensure by the
158+State Department of Health under the Home Care Act, the Adult Day
159+Care Act, or any other act that governs a different type of facility
160+or provider. This subsection shall not be construed to prevent the
161+Department from enforcing such acts with respect to facilities or
162+providers contracted by the PACE organ ization to provide services to
163+PACE program participants.
164+E. The Authority may, as necessary, execute an interagency
165+agreement with the State Department of Health to carry out any of
166+the functions of the state administering agency under 42 C.F.R.,
167+Part 460.
168+F. The Oklahoma Health Care Authority Board may promulgate
169+rules as necessary to implement this section.
170+SECTION 2. AMENDATORY 63 O.S. 2021, Section 1 -872, is
171+amended to read as follows:
172+Section 1-872. As used in the Adult Da y Care Act:
173+1. “Adult day care center” or “center” means a facility which
174+provides basic day care services to unrelated impaired adults for
175+more than four (4) hours in a twenty -four-hour period. A center
176+shall be a distinct entity, either freestanding or a separate
177+program of a larger organization. A center shall have a separately
178+verifiable staff, space, budget and participant record system. The
179+terms “adult day care center” adult day care center or “center”
180+center shall not include retirement centers and, senior citizen
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207+centers, or PACE organizations as defined by 42 C.F.R., Section
208+460.6;
209+2. “Basic day care services” means supervised health, social
210+supportive, and recreational services in a structured daytime
211+program which serves functionally impaire d adults who continue to
212+live in their own homes, usually with the aid of family care givers;
213+3. “Department” means the State Department of Health; and
214+4. “Participant” means any person attending an adult day care
215+center.
216+SECTION 3. AMENDATORY 63 O.S. 2021, Section 1 -1961, is
217+amended to read as follows:
218+Section 1-1961. As used in the Home Care Act:
219+1. “Board” means the State Board of Health;
220+2. “Certification” means verification of appropriate training
221+and competence establish ed by the State Commissioner of Health by
222+rules promulgated pursuant to the Home Care Act for home health
223+aides and home care agency administrators;
224+3. “Department” means the State Department of Health;
225+4. “Healthcare “Health care provider” means a physi cian,
226+physician assistant or Advanced Practice Registered Nurse recognized
227+by the Oklahoma Board of Nursing as a Certified Nurse Practitioner
228+or a Clinical Nurse Specialist;
229+5. “Home care agency” means any sole proprietorship,
230+partnership, association, co rporation or other organization which
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257+administers, offers or provides home care services, for a fee or
258+pursuant to a contract for such services, to clients in their place
259+of residence. The term “home care agency” home care agency shall
260+not include:
261+a. individuals who contract with the Department of Human
262+Services to provide personal care services, provided
263+such individuals shall not be exempt from
264+certification as home health aides,
265+b. organizations that contract with the Oklahoma Health
266+Care Authority as Intermediary Services Organizations
267+(ISO) to provide federal Internal Revenue Service
268+fiscal and supportive services to Oklahoma Consumer-
269+Directed Personal Assistance Supports and Support
270+Services (CD-PASS) waiver program participants who
271+have employer responsibility for hiring, training,
272+directing and managing an individual personal care
273+attendant, or
274+c. CD-PASS waiver program employer participants , or
275+d. PACE organizations as defined by 42 C.F.R., Section
276+460.6;
277+6. “Home care services” means skilled or p ersonal care services
278+provided to clients in their place of residence for a fee;
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305+7. “Home health aide” means an individual who provides personal
306+care to clients in their temporary or permanent place of residence
307+for a fee;
308+8. “Home care agency administra tor” means a person who
309+operates, manages, or supervises, or is in charge of a home care
310+agency;
311+9. “Personal care” means assistance with dressing, bathing,
312+ambulation, exercise or other personal needs;
313+10. “Skilled care” means home care services perform ed on a
314+regular basis by a trained Respiratory Therapist/Technician
315+respiratory therapist/technician or by a person currently licensed
316+by this state including but not limited to a Licensed Practical
317+Nurse, Registered Nurse, Physical Therapist, Occupational Therapist,
318+Speech Therapist physical therapist, occupational therapist, speech
319+therapist, or Social Worker social worker;
320+11. “Standby assistance” means supervision of client directed
321+activities with verbal prompting and infrequent, incidental hands -on
322+intervention only; and
323+12. “Supportive home assistant” means an individual employed by
324+a home care agency who provides standby assistance to ambulatory
325+clients, in conjunction with other companionship or homemaker
326+services, in the temporary or permanent pl ace of residence of the
327+client for a fee.
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354+SECTION 4. It being immediately necessary for the preservation
355+of the public peace, health or safety, an emergency is hereby
356+declared to exist, by reason whereof this act shall take effect and
357+be in full force from and after its passage and approval. ”
358+Passed the Senate the 22nd day of April, 2024.
359+
360+
361+
362+ Presiding Officer of the Senate
363+
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365+Passed the House of Representatives the ____ day of __________,
366+2024.
367+
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370+ Presiding Officer of the House
371+ of Representatives
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398+ENGROSSED HOUSE
399+BILL NO. 3238 By: Lawson of the House
5400
6401 and
7402
8403 Garvin of the Senate
9404
10405
11406
12407
13408
14-An Act relating to long -term care; defining terms;
409+
410+
411+An Act relating to poor persons; defining terms;
15412 designating the Oklahoma Health Care Authority as the
16-state administering agency for programs of all-
17-inclusive care for the elderly (PACE) agreements;
18-requiring enforcement of certain federal regulations;
19-providing certain powers and duties; exempting PACE
20-organizations from certain licensure ; providing
21-certain construction; authorizing ce rtain interagency
22-agreement; authorizing promulgation of rules;
23-amending 63 O.S. 2021, Section 1 -872, which relates
24-to definitions used in the Adult Day Care Act;
25-modifying definition; amending 63 O.S. 2021, Section
26-1-1961, which relates to definitions use d in the Home
27-Care Act; modifying definition s; providing for
28-codification; and declaring an emergency.
413+state administering agency for P ACE program
414+agreements; authorizing the Authority to enter into
415+PACE program agreements ; requiring enforcement of
416+certain federal laws and regulations; authorizing the
417+Authority to enter into certain agreements with the
418+State Department of Health; directing the Department
419+to create and issue certain license; stating minimum
420+licensure requirements; directing monitoring of PACE
421+organizations; prohibiting certain regulation;
422+authorizing certain action for nonc ompliance;
423+directing promulgation of rules; amending 63 O.S.
424+2021, Section 1-872, which relates to the Adult Day
425+Care Act; modifying definition; amending 63 O.S.
426+2021, Section 1-1961, which relates to the Home Care
427+Act; modifying definition; updating statutory
428+language; providing for codification; and providing
429+an effective date.
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33-SUBJECT: Long-term care
34-
35434 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
36-
37-SECTION 1. NEW LAW A new section of law to be codified
435+SECTION 5. NEW LAW A new section of law to be codified
38436 in the Oklahoma Statutes as Section 1017.7 of Title 56, unless there
39437 is created a duplication in numbering, reads as follows:
40-
41438 A. As used in this section :
42439
43-1. “PACE” stands for programs of all -inclusive care for the
440+ENGR. H. B. NO. 3238 Page 2 1
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465+1. “PACE” shall mean the program of all-inclusive care for the
44466 elderly; and
45- ENR. H. B. NO. 3238 Page 2
46-2. The terms “PACE program agreement ”, “PACE organization”,
47-“participant” and “state administering agency ” have the same meaning
48-as provided by 42 C.F.R., Section 460.6.
467+2. The terms “PACE program agreement”, “PACE organization”, and
468+“state administering agency” shall have the same meaning as pro vided
469+by 42 C.F.R., Section 460.6.
470+B. 1. The Oklahoma Health Care Authority shall serve as the
471+state administering agency responsible for administering PACE
472+program agreements under 42 C.F.R., Part 460, Subpart C. The
473+Authority may enter into PACE program agreements with PACE
474+organizations and the Centers for Medicare and M edicaid Services.
475+2. The Authority shall enforce applicable federal laws and
476+regulations governing PACE organizations, including, but not limited
477+to, regulations of the Centers for Me dicare and Medicaid Services
478+codified at 42 C.F.R. , Part 460. The Authority may enter into an
479+agreement with the State Depart ment of Health to carry out any
480+duties or functions of the state administering agenc y under 42
481+C.F.R., Part 460 or other applicable federal laws or regulations.
482+C. 1. The State Department of H ealth shall create and issue to
483+qualifying applicants a license for PACE organizations. Qualifying
484+PACE organizations shall at a minimum meet all requirements of 42
485+C.F.R., Part 460, Subpart B.
486+2. The Department shall perform onsite visits and other
487+necessary monitoring of PACE organizations under 42 C.F.R., Part
49488
50-B. The Oklahoma Health Care Authority shall serve as the state
51-administering agency res ponsible for administering PACE program
52-agreements under 42 C.F.R., Part 460, Subpart C.
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54-C. The Authority shall enforce the federal regulations of the
55-Centers for Medicare and Medicaid Services governing PACE codified
56-at 42 C.F.R., Part 460. The Authori ty shall have all the powers and
57-duties provided to the state administering agency under 42 C.F.R.,
58-Part 460.
59-
60-D. PACE organizations shall be exempt from licensure by the
61-State Department of Health under the Home Care Act, the Adult Day
62-Care Act, or any other act that governs a different type of facility
63-or provider. This subsection shall not be construed to prevent the
64-Department from enforcing such acts with respect to facilities or
65-providers contracted by the PACE organ ization to provide services to
66-PACE program participants.
67-
68-E. The Authority may, as necessary, execute an interagency
69-agreement with the State Department of Health to carry out any of
70-the functions of the state administering agency under 42 C.F.R.,
71-Part 460.
72-
73-F. The Oklahoma Health Care Authority Board may promulgate
74-rules as necessary to implement this section.
75-
76-SECTION 2. AMENDATORY 63 O.S. 2021, Section 1 -872, is
514+460, Subpart K and as provided by the agreement with the Authority
515+described in paragraph 2 of subsection B of this section.
516+3. The Department shall not license or regulate PACE
517+organizations under the Home Care Act, the Adult Day Care Act, or
518+any other act that governs a different type of facility or provider.
519+4. The Department may, in cooperation with the Centers for
520+Medicare and Medicaid Services and as provided by the agreement with
521+the Authority described in paragraph 2 of subsection B of this
522+section, take action against noncompliant PACE organizations under
523+42 C.F.R., Part 460, Subpart D.
524+D. The Oklahoma Health Care Authority Board and the State
525+Commissioner of Health shall promulgate rules to imple ment this
526+section.
527+SECTION 6. AMENDATORY 63 O.S. 2021, Section 1-872, is
77528 amended to read as follows:
78-
79529 Section 1-872. As used in the Adult Day Care Act:
80-
81530 1. “Adult day care center” or “center” means a facility which
82531 provides basic day care services to unrelated impaired adults for
83532 more than four (4) hours in a twenty-four-hour period. A center
84533 shall be a distinct entity, either freestanding or a separate
85534 program of a larger organization. A center shal l have a separately
86535 verifiable staff, space, budge t and participant record system . The
87-terms “adult day care center” adult day care center or “center”
88-center shall not include retirement centers and, senior citizen
89-centers, or PACE organizations as defined by 42 C.F.R., Section
90-460.6; ENR. H. B. NO. 3238 Page 3
536+terms “adult day care center” or "center" shall not include
91537
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563+retirement centers and, senior citizen centers, or PACE
564+organizations as defined by 42 C.F.R., Section 460.6;
92565 2. “Basic day care services ” means supervised hea lth, social
93566 supportive, and recreational services in a st ructured daytime
94567 program which serves functionally impaired adults who continue to
95-live in their own homes, usually with the aid of family care givers
96-caregivers;
97-
568+live in their own homes, usually with the aid of family care givers;
98569 3. “Department” means the State Department of Health; and
99-
100570 4. “Participant” means any person attending an adult day care
101571 center.
102-
103-SECTION 3. AMENDATORY 63 O.S. 2021, Section 1-1961, is
572+SECTION 7. AMENDATORY 63 O.S. 2021, Section 1-1961, is
104573 amended to read as follows:
105-
106574 Section 1-1961. As used in the Home Care Act:
107-
108575 1. “Board” means the State Board of Health;
109-
110576 2. “Certification” means verification of appropriate training
111577 and competence established by the Sta te Commissioner of Health by
112578 rules promulgated pursuant to the Home Care Act for home health
113579 aides and home care agency administ rators;
114-
115580 3. “Department” means the State Department of He alth;
116-
117-4. “Healthcare provider” “Health care provider” means a
118-physician, physician assistant or Advanced Practice Registered Nurse
119-recognized by the Oklahoma Board of Nursing as a Certified Nurse
120-Practitioner or a Clinical Nurse Specialist;
121-
581+4. “Healthcare provider” means a physician, physician assistant
582+or Advanced Practice Registered Nurse recognized by the Oklahoma
583+Board of Nursing as a Certified Nurse Practitioner or a Clinica l
584+Nurse Specialist;
122585 5. “Home care agency” means any sole proprietorship,
123586 partnership, association, corporation or other organiz ation which
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124613 administers, offers or provides home care services, for a fee or
125614 pursuant to a contract for such services, to client s in their place
126-of residence. The term “home care agency” home care agency shall
127-not include:
128-
615+of residence. The term "home care agency" shall not include:
129616 a. individuals who contract with the Department o f Human
130617 Services to provide per sonal care services, provided
131618 such individuals shall not be exempt from
132619 certification as home health aides,
133-
134620 b. organizations that contract wit h the Oklahoma Health
135-Care Authority as Intermediary Services Organizations ENR. H. B. NO. 3238 Page 4
621+Care Authority as Intermediary Services Organizations
136622 (ISO) to provide federal Internal Reve nue Service
137-fiscal and supportive services to Oklahoma Consumer-
138-Directed Personal Assistance Supports and Services and
139-Supports (CD-PASS) waiver program participants who
140-have employer responsibility for hiring, training,
141-directing and managing an individual personal care
142-attendant, or
143-
623+fiscal and supportive services to Consumer -Directed
624+Personal Assistance Supports and Services (CD -PASS)
625+waiver program participant s who have employer
626+responsibility for hiring, training, directing and
627+managing an individual personal care attend ant, or
144628 c. CD-PASS waiver program employer participants , or
145-
146629 d. PACE organizations as defined by 42 C.F.R. , Section
147630 460.6;
148-
149631 6. “Home care services” means skilled or personal care services
150632 provided to clients in their pl ace of residence for a fee;
151-
152633 7. “Home health aide” means an individual who provides personal
153634 care to clients in their temporary or permanent place of r esidence
154635 for a fee;
155636
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156662 8. “Home care agency administrator” means a person who
157663 operates, manages, or supervi ses, or is in charge of a home care
158664 agency;
159-
160665 9. “Personal care” means assistance with dressing, bathing,
161666 ambulation, exercise or other personal needs;
162-
163667 10. “Skilled care” means home care services performed on a
164-regular basis by a trained Respiratory Therapist/Technician
165-respiratory therapist/technician or by a person currently licensed
166-by this state including but not limited to a Licensed Practical
167-Nurse, Registered Nurse, Physical Therapist, Occup ational Therapist,
168-Speech Therapist physical therapist, occupational therapist, speech
169-therapist, or Social Worker social worker;
170-
668+regular basis by a trained Respiratory Therap ist/Technician or by a
669+person currently licensed by this state including but not limited to
670+a Licensed Practical Nurse , Registered Nurse, Physical Ther apist,
671+Occupational Therapist , Speech Therapist, or Social Worker;
171672 11. “Standby assistance” means supervision of client directed
172673 activities with verbal prompting and infrequent, incidental hands -on
173674 intervention only; and
174-
175675 12. “Supportive home assistant ” means an individual employed b y
176676 a home care agency who provides standby assistance to ambulatory
177677 clients, in conjunction with other companionshi p or homemaker
178678 services, in the temporary or permanent place of residence of the
179679 client for a fee.
180- ENR. H. B. NO. 3238 Page 5
181-SECTION 4. It being immediately necessary for the preservation
182-of the public peace, health or safety, an emergency is hereby
183-declared to exist, by reason whereof this act shall take effec t and
184-be in full force from and after its passage and approval.
185- ENR. H. B. NO. 3238 Page 6
186-Passed the House of Representatives the 7th day of May, 2024.
680+SECTION 8. This act shall become effective November 1, 2024.
681+
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688+6
689+7
690+8
691+9
692+10
693+11
694+12
695+13
696+14
697+15
698+16
699+17
700+18
701+19
702+20
703+21
704+22
705+23
706+24
707+
708+
709+Passed the House of Representatives the 5th day of March, 2024.
710+
187711
188712
189713
190714 Presiding Officer of the House
191715 of Representatives
192716
193717
194718
195-Passed the Senate the 22nd day of April, 2024.
719+Passed the Senate the ___ day of __________, 2024.
720+
196721
197722
198723
199724 Presiding Officer of the Senate
200725
201726
202727
203-OFFICE OF THE GOVERNOR
204-Received by the Office of the Governor this ____________________
205-day of ___________________, 20_______, at _______ o'clock _______ M.
206-By: _________________________________
207-Approved by the Governor of the State of Ok lahoma this _________
208-day of ___________________, 20_______, at _______ o'clock _______ M.
209-
210-
211- _________________________________
212- Governor of the State of Oklahoma
213-
214-OFFICE OF THE SECRETARY OF STATE
215-Received by the Office of the Secretary of State this _____ _____
216-day of ___________________, 20_______, at _______ o'clock _______ M.
217-By: _________________________________