Req. No. 12993 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 60th Legislature (2025) COMMITTEE SUBSTITUTE FOR HOUSE BILL NO. 1832 By: Hefner and Lawson of the House and Alvord of the Senate COMMITTEE SUBSTITUTE An Act relating to intermediate care faciliti es; amending 63 O.S. 2021, Sections 1 -1956.1, 1-1956.2, 1-1956.3, 1-1956.5, and 1-1956.6, which relate to electronic monitoring in long -term care facilities; defining term; modifying to include intermediate care facilities; updating statutory references; a nd providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 63 O.S. 2021, Section 1 -1956.1, is amended to read as follows: Section 1-1956.1. As used in Section 1-1953.1 1-1956.1 et seq. of this title: 1. "Assisted living center " shall have the same meaning as provided by Section 1 -890.2 of this title; 2. "Authorized electronic monitoring " means the placement of electronic monitoring devices only in the common areas or for Req. No. 12993 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 intermediate care facilities and both the common areas or room of a resident of a nursing facility, assisted living center or continuum of care facility and the tapes or recordings from such devices pursuant to the provisions of Section 1-1953.1 1-1956.1 et seq. of this title; 3. "Authorized electronic monitoring devices " means: a. video surveillance cameras installed only in the common areas or for intermediate care facilities and both the common areas or resident's room under the provisions of Section 1-1953.1 et seq. of this title in a nursing facility, assisted living center, or continuum of care facility , or b. audio devices installed in the room of a resident under the provisions of Section 1-1953.1 1-1956.1 et seq. of this title that are designed to acquire communications or other sounds occurring in the room; 4. "Continuum of care facility " shall have the same meaning as provided by Section 1 -890.2 of this title; 5. "Intermediate care facility " means an institution that is primarily for the diag nosis, treatment, or rehabilitation of the intellectually disabled or persons with related conditions, and provides in a protected residential setting, ongoing evaluation, planning, twenty-four-hour supervision, coordination, and Req. No. 12993 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 integration of health or r ehabilitative services to help each individual function at his or her greatest ability; 5. 6. "Nursing facility" means the term as defined in Section 1-1902 of Title 63 of the Oklahoma Statutes; 6. 7. "Representative of a resident " means a court-appointed guardian or, if there is no court-appointed guardian, the parent of a minor, a relative or other person, designated in writing by the resident; provided, that any owner, operator, administrator or employee of a facility subject to the provisions of the N ursing Home Care Act, the Continuum of Care and Assisted Living Act, the Residential Care Act or the Group Homes for the Developmentally Disabled or Physically Handicapped Persons Act shall not be appointed guardian or limited guardian of a resident of the nursing facility, assisted living center , intermediate care facility, or continuum of care facility unless the owner, operator, administrator or employee is the spouse of the resident or a relative of the resident within the second degree of consanguinity and is otherwise eligible for appointment; 7. 8. "Resident" means a person residing in a nursing facility, assisted living center , intermediate care facility, or continuum of care facility; and 8. 9. "Unauthorized electronic monitoring " means electronic, mechanical, or other devices that do not meet the provisions of Section 1-1953.1 1-1956.1 et seq. of this title and that are Req. No. 12993 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 specifically used for the nonconsensual interception of wire or electronic communications. SECTION 2. AMENDATORY 63 O.S. 2021, Section 1 -1956.2, is amended to read as follows: Section 1-1956.2. A. A nursing facility, assisted living center, or continuum of care facility shall provide written notice to each resident, or to the representative of a resident, that authorized electronic monitoring of a resident 's room conducted under the provisions of Section 1-1953.1 1-1956.1 et seq. of this title is not compulsory and shall only be conducted with the written consent of the resident or the representative of th e resident. B. A nursing facility, assisted living center , or continuum of care facility shall not refuse to admit an individual to residency in the facility or center and shall not remove a resident from a facility or center because of authorized electro nic monitoring of a resident's room. C. A nursing facility, assisted living center , intermediate care facility, or continuum of care facility shall post at or near its main entrances a sign that clearly states that electronic monitoring and audio devices may be in use in the facility or center. SECTION 3. AMENDATORY 63 O.S. 2021, Section 1 -1956.3, is amended to read as follows: Req. No. 12993 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 Section 1-1956.3. A. No person or entity shall intentionally hamper, obstruct, tamper with, or destroy an electronic monitoring device installed in a nursing facility, assisted living center , intermediate care facility, or continuum of care facility. B. Any person or entity that intentionally hampers, obstructs, tampers with, or destroys a recording or an electronic monitoring device installed in a nursing facility, assisted living center , intermediate care facility, or continuum of care facility shall be subject to the penalties prescribed in Section 1993 of Title 21 of the Oklahoma Statutes. C. No person or entity shall intercept a communication or disclose or use an intercepted communication of an electronic monitoring device placed or installed in a common area of a nursing facility, assisted living center , intermediate care facility, or continuum of care facility without the express written consent of the facility, or, for an electronic monitoring device installed in a resident's room, the express written consent of the resident or the representative of the resident. SECTION 4. AMENDATORY 63 O.S. 2021, Section 1-1956.5, is amended to read as follows: Section 1-1956.5. A. A resident or the representative of a resident may conduct authorized electronic monitoring of the resident's room through the use of authorized electronic m onitoring devices placed in the room pursuant to the provisions of Section 1- Req. No. 12993 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 1953.1 1-1956.1 et seq. of this title at the expense of such person or representative of the resident and with the written consent of any other resident living in the room. B. A resident who conducts authorized electronic monitoring or the representative of the resident may post and maintain a notice at the entrance to the resident 's room stating that the room is being monitored by an electronic monitoring device. C. Nothing in Section 1-1953.1 1-1956.1 et seq. of this title shall be construed to prevent a resident or the representative of the resident from placing an electronic monitoring device in the resident's room at the expense of such person; however, if such resident is sharing a room with any other resident, the resident or the representative of the resident shall obtain written consent from such other resident or the representative of the resident living in the room and such consent shall be on a form prescribed by the St ate Department of Health and shall be placed on file with the administrator of the facility. D. If a resident residing in a shared room, or the representative of a resident residing in a shared room, desires to utilize an authorized electronic monitoring device and another resident living in such shared room refuses to consent to the use of an authorized electronic monitoring device, the nursing facility, assisted living center , or continuum of care facility shall accommodate the resident or the representa tive of the resident Req. No. 12993 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 desiring to utilize an authorized electronic monitoring device to move to another room if the resident or resident 's representative requests such a room change within a reasonable amount of time. SECTION 5. AMENDATORY 63 O.S. 2021, Section 1-1956.6, is amended to read as follows: Section 1-1956.6. A. A resident or representative of a resident who wishes to conduct authorized electronic monitoring shall be required to notify the nursing facility, assisted livi ng center, or continuum of care facility on the consent form prescribed by the State Department of Health. B. The consent form prescribed by the Department shall require the resident or the representative of a resident to obtain the consent of any other r esident in the room or the representative of a resident, using the consent form prescribed for this purpose by the Department, if the resident resides in a room with another resident. C. Consent may be given only: 1. By the resident or any other resident in the room; or 2. By the representative of the resident or representative of any other resident in the room. D. Another resident in the room may: 1. When the proposed electronic monitoring device is a video surveillance camera, condition consent on th e camera being pointed away from the consenting resident; and Req. No. 12993 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 2. Condition consent on the use of an audio electronic monitoring device being limited or prohibited. E. Except as provided for in Section 1-1953.7 1-1956.7 of this title, authorized electroni c monitoring may begin only after the required consent forms specified in Section 1-1953.1 1-1956.1 et seq. of this title have been completed and returned to the nursing facility, assisted living center , or continuum of care facility and placed on file with the administrator of such facility or center. F. If authorized electronic monitoring is being conducted in the room of a resident, another resident may not be moved into the room unless the resident or representative of the resident has consented to the use of existing electronic monitoring, in accordance with Section 1-1953.1 1-1956.1 et seq. of this title. G. The Department may include other information that it considers to be appropriate on any form it is required to prescribe under the provisions of Section 1-1953.1 1-1956.1 et seq. of this title. H. The Department shall prescribe the forms required by Section 1-1953.1 1-1956.1 et seq. of this title no later than November 1, 2013, and shall make such forms available on its website. SECTION 6. This act shall become effective November 1, 2025. 60-1-12993 TJ 02/27/25 Req. No. 12993 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