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S06767 Summary:
BILL NO | S06767 |
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SAME AS | SAME AS A07517 |
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SPONSOR | RIVERA |
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COSPNSR | |
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MLTSPNSR | |
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Amd §§2801-a & 2803-x, add §2829, Pub Health L; amd §3, Chap of 2021 (as proposed in S.4893-A & A.5684-A) | |
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Relates to disclosure requirements for nursing homes as well as the requirements for incorporation of nursing homes and residential health care facilities. |
S06767 Actions:
BILL NO | S06767 | |||||||||||||||||||||||||||||||||||||||||||||||||
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05/14/2021 | REFERRED TO RULES | |||||||||||||||||||||||||||||||||||||||||||||||||
05/24/2021 | ORDERED TO THIRD READING CAL.1304 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/01/2021 | PASSED SENATE | |||||||||||||||||||||||||||||||||||||||||||||||||
06/01/2021 | DELIVERED TO ASSEMBLY | |||||||||||||||||||||||||||||||||||||||||||||||||
06/01/2021 | referred to health | |||||||||||||||||||||||||||||||||||||||||||||||||
06/07/2021 | substituted for a7517 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/07/2021 | ordered to third reading rules cal.481 | |||||||||||||||||||||||||||||||||||||||||||||||||
06/07/2021 | passed assembly | |||||||||||||||||||||||||||||||||||||||||||||||||
06/07/2021 | returned to senate | |||||||||||||||||||||||||||||||||||||||||||||||||
06/11/2021 | DELIVERED TO GOVERNOR | |||||||||||||||||||||||||||||||||||||||||||||||||
06/11/2021 | SIGNED CHAP.141 |
S06767 Committee Votes:
Go to topS06767 Floor Votes:
Yes
Abbate
Yes
Clark
Yes
Frontus
Yes
Lalor
Yes
Paulin
Yes
Sillitti
Yes
Abinanti
Yes
Colton
Yes
Galef
Yes
Lavine
Yes
Peoples-Stokes
Yes
Simon
Yes
Anderson
Yes
Conrad
Yes
Gallagher
Yes
Lawler
Yes
Perry
Yes
Simpson
Yes
Angelino
Yes
Cook
Yes
Gallahan
Yes
Lemondes
Yes
Pheffer Amato
Yes
Smith
Yes
Ashby
Yes
Cruz
Yes
Gandolfo
Yes
Lunsford
Yes
Pichardo
Yes
Smullen
Yes
Aubry
Yes
Cusick
Yes
Giglio JA
Yes
Lupardo
Yes
Pretlow
Yes
Solages
Yes
Barclay
Yes
Cymbrowitz
Yes
Giglio JM
Yes
Magnarelli
Yes
Quart
Yes
Steck
Yes
Barnwell
Yes
Darling
Yes
Glick
Yes
Mamdani
Yes
Ra
Yes
Stern
Yes
Barrett
Yes
Davila
Yes
Gonzalez-Rojas
Yes
Manktelow
Yes
Rajkumar
Yes
Stirpe
Yes
Barron
Yes
De La Rosa
Yes
Goodell
Yes
McDonald
Yes
Ramos
Yes
Tague
Yes
Benedetto
Yes
DeStefano
Yes
Gottfried
Yes
McDonough
Yes
Reilly
Yes
Tannousis
Yes
Bichotte Hermel
Yes
Dickens
Yes
Griffin
Yes
McMahon
Yes
Reyes
Yes
Taylor
Yes
Blankenbush
Yes
Dilan
Yes
Gunther
Yes
Meeks
Yes
Richardson
Yes
Thiele
Yes
Brabenec
Yes
Dinowitz
Yes
Hawley
Yes
Mikulin
Yes
Rivera J
Yes
Vanel
Yes
Braunstein
No
DiPietro
Yes
Hevesi
Yes
Miller B
Yes
Rivera JD
Yes
Walczyk
Yes
Bronson
Yes
Durso
Yes
Hunter
Yes
Miller M
Yes
Rodriguez
Yes
Walker
Yes
Brown
Yes
Eichenstein
Yes
Hyndman
Yes
Mitaynes
Yes
Rosenthal D
Yes
Wallace
Yes
Burdick
Yes
Englebright
Yes
Jackson
Yes
Montesano
Yes
Rosenthal L
Yes
Walsh
Yes
Burgos
Yes
Epstein
Yes
Jacobson
Yes
Morinello
Yes
Rozic
Yes
Weinstein
Yes
Burke
Yes
Fahy
Yes
Jean-Pierre
Yes
Niou
Yes
Salka
Yes
Weprin
Yes
Buttenschon
Yes
Fall
Yes
Jensen
Yes
Nolan
Yes
Santabarbara
Yes
Williams
Yes
Byrne
Yes
Fernandez
Yes
Jones
Yes
Norris
Yes
Sayegh
Yes
Woerner
Yes
Byrnes
Yes
Fitzpatrick
Yes
Joyner
Yes
O'Donnell
Yes
Schmitt
Yes
Zebrowski
Yes
Cahill
ER
Forrest
Yes
Kelles
Yes
Otis
Yes
Seawright
Yes
Zinerman
Yes
Carroll
Yes
Friend
Yes
Kim
Yes
Palmesano
Yes
Septimo
Yes
Mr. Speaker
‡ Indicates voting via videoconference
S06767 Text:
Go to top STATE OF NEW YORK ________________________________________________________________________ 6767 2021-2022 Regular Sessions IN SENATE May 14, 2021 ___________ Introduced by Sen. RIVERA -- read twice and ordered printed, and when printed to be committed to the Committee on Rules AN ACT to amend the public health law, in relation to nursing homes and residential health care facilities; and to amend a chapter of the laws of 2021 amending the public health law relating to requirements for residential health care facilities and nursing homes, as proposed in legislative bills numbers S. 4893-A and A. 5684-A, in relation to the effectiveness thereof The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. Subdivisions 2-b and 3-b of section 2801-a of the public 2 health law, as added by a chapter of the laws of 2021, amending the 3 public health law relating to requirements for residential health care 4 facilities and nursing homes, as proposed in legislative bills numbers 5 S. 4893-A and A. 5684-A, are amended to read as follows: 6 2-b. (a) This subdivision applies with respect to an application under 7 this section relating to the incorporation or establishment of any nurs- 8 ing home, in addition to subdivision two of this section. 9 (b) The [council] department shall provide notice, in writing or elec- 10 tronically, of [the] an application [to the public on the department's11website] for establishment to the state office of long-term care ombuds- 12 man, within thirty days of [receipt of it and provide it to the state13office of the long-term care ombudsman and the regional office having14geographical jurisdiction of the area where the nursing home is to be or15is located. In the case of an application relating to an existing nurs-16ing home, the notice shall also be provided in writing or electronically17to residents of the nursing home and their representatives, and the18staff of the nursing home and their representatives] acknowledgement of 19 the application by the department. Thereafter, the state office of the 20 long-term care ombudsman shall submit its recommendation to the depart- 21 ment and to the public health and health planning council for consider- EXPLANATION--Matter in italics (underscored) is new; matter in brackets [] is old law to be omitted. LBD07696-06-1S. 6767 2 1 ation about such application. At the time members of such council are 2 notified that an application is scheduled for consideration by a commit- 3 tee designated by the public health and health planning council, the 4 department shall also notify the state office of the long-term care 5 ombudsman, in writing or electronically. 6 (c) [The council shall provide a mechanism for submitting written7comments electronically on the application to the council; and provide8at least ninety days for the comment period. The terms of the written9comment process shall be included in the notice under paragraph (a) of10this subdivision] In the case of an application for establishment relat- 11 ing to an existing nursing home, the established operator and applicant 12 shall provide notice of the application, in writing or electronically, 13 to residents of the nursing home and their representatives and the staff 14 of the nursing home, including their union representatives, within thir- 15 ty days of acknowledgment of the application by the department. The 16 established operator and applicant shall also immediately notify resi- 17 dents of the nursing home and their representatives and the staff of the 18 nursing home, including their union representatives, when the estab- 19 lished operator and applicant is notified that its application is sched- 20 uled for consideration by a committee designated by the public health 21 and health planning council. 22 [(d) The council shall forward a copy of the application, and accompa-23nying documents, to the state office of the long-term care ombudsman and24the regional office having geographical jurisdiction of the area where25the nursing home is or is to be located within thirty days of receipt of26the application. The council shall not act upon such application until27after the state office of the long-term care ombudsman, regional office28and the parties entitled to notice have had a reasonable time, but not29less than ninety days, to submit their recommendations. At the time30members of the council are notified that an application is scheduled for31consideration, the applicant, and the parties entitled to the notice32under paragraph (a) of this subdivision shall be so notified in writing33or electronically. The council shall afford the applicant an opportunity34to present information in person concerning the application to a commit-35tee designated by the council. The council shall not take any action36contrary to the advice of the state office of the long-term care ombuds-37man or the regional office until it affords the state or regional office38an opportunity to request a public hearing and, if so requested, the39public hearing is held. If the council proposes to disapprove the appli-40cation it shall afford the applicant an opportunity to request and41testify at a public hearing. The council may hold a public hearing on42the application on its own motion or upon the written request of any43person.44(e) Where this subdivision is inconsistent with subdivision two of45this section, this subdivision shall prevail.] 46 3-b. (a) This subdivision applies to an application under this section 47 relating to a nursing home, and applies in addition to subdivision three 48 of this section. 49 (b) The application shall provide information as to the character, 50 competence and standing in the community of every [present or proposed] 51 individual and entity of the applicant and specify the identity of every 52 nursing home in which each of those individuals and entities is, or in 53 the preceding seven years has held a controlling interest or has been a 54 controlling person, principal stockholder or principal member [of the55applicant, the identity of every nursing home in which each of those56individuals or entities is, or in the preceding five years has been, aS. 6767 3 1controlling person, principal stockholder or principal member]; and the 2 nature of that interest. As used in this subdivision, "individual and 3 entity of the applicant" shall include but not be limited to an individ- 4 ual or entity that is a controlling person, principal stockholder, or 5 principal member of the applicant. The council shall not approve the 6 application unless it finds that each [of those individuals and enti-7ties] individual and entity, in relation to [each such] ownership of a 8 nursing home located in the United States, for at least the previous 9 [three] seven years, demonstrated satisfactory character, competence and 10 standing in the community and the nursing home provided a consistently 11 high level of care. The council shall adopt rules and regulations, 12 subject to the approval of the commissioner, to establish the criteria 13 to be used to determine whether a consistently high level of care has or 14 has not been rendered by an applicant [where one or more controlling15persons, principal stockholders or principal members of the applicant is16a controlling person, principal stockholder or principal member of a] at 17 such nursing home [located in the United States]. The council shall 18 [not] consider [that], at a minimum, the following occurrences to deter- 19 mine whether a consistently high level of care has been delivered at a 20 facility [in the United States that], and shall require the applicant to 21 disclose and provide an explanation for any of the following occur- 22 rences: (i) a facility that has earned a two-star rating or less by the 23 federal [center] centers for Medicare and Medicaid [Services'] Services 24 (CMS) (or a comparable rating under a successor CMS rating system) 25 [or];(ii) where there have been violations of the state or federal nurs- 26 ing home code, or other applicable rules and regulations, that threat- 27 ened to directly affect the health, safety or welfare of any patient or 28 resident, including but not limited to a finding of immediate jeopardy, 29 or actual harm, and were recurrent or were not promptly corrected, 30 including but not limited to repeat deficiencies for the same or similar 31 violations over a three year period or during the entire duration of 32 ownership if less than three years, or any facility which has been in 33 receivership; (iii) where a facility has closed as a result of a settle- 34 ment agreement from a decertification action or licensure revocation; or 35 (iv) has been involuntarily terminated from the Medicare or Medicaid 36 program in the prior five years, provided however, that where an appli- 37 cant has taken over a facility and promptly corrected such deficiencies, 38 the council may consider the application. 39 [(c) Where this subdivision is inconsistent with subdivision three of40this section, this subdivision shall prevail.] 41 § 2. Section 2803-x of the public health law, as amended by a chapter 42 of the laws of 2021, amending the public health law relating to require- 43 ments for residential health care facilities and nursing homes, as 44 proposed in legislative bills numbers S. 4893-A and A. 5684-A, is 45 amended to read as follows: 46 § 2803-x. Requirements related to nursing homes and related assets and 47 operations. 1. The operator of a nursing home shall notify the commis- 48 sioner of any common or familial ownership of any corporation, other 49 entity or individual providing services to the operator or the facility. 50 Such information shall also be included in the residency agreement for 51 prospective residents and as addendums for residents currently residing 52 in the residential health care facility nursing home. The operator shall 53 notify the department at least ninety days prior to entering into any 54 new common or familial ownership of any corporation, or other entity or 55 individual providing services to the operator of the facility. The oper- 56 ator shall also provide notification to all residents and their repre-S. 6767 4 1 sentatives, staff and their representatives, and the state office of the 2 long-term care ombudsman. 3 2. The operator of a nursing home shall, on an annual basis, attest to 4 the department, in a form determined by the department, to the accuracy 5 of the information provided to the department under this section. 6 3. The operator of a nursing home may not enter into any arrangement 7 to guarantee the debt or other obligation of a party which has not 8 received establishment approval. 9 4. The operator of a nursing home shall notify the department and the 10 state office of the long-term care ombudsman at least ninety days prior 11 to executing a letter of intent or other contractual agreement related 12 to: 13 a. the sale, mortgaging, encumbrance, or other disposition of the real 14 property of the facility; and 15 b. the [management] consulting, operations, staffing agency or other 16 entity to be involved in the operations of the facility. 17 5. [The department, shall, within ten days after receipt of a notifi-18cation required under subdivision four of this section, notify the state19office of the long-term care ombudsman of an operator of nursing home's20intent to execute a binding letter of intent or other contractual agree-21ment related to:22a. the sale, mortgaging, encumbrance, or other disposition of the real23property of the facility; and24b. the management, operations, staffing agency or other entity to be25involved in the operations of the facility.266.] The operator of a nursing home shall notify all residents and 27 their representatives, staff and their representatives, and the state 28 office of the long-term care ombudsman within five days of executing a 29 binding letter of intent or other contractual agreement as described in 30 paragraphs a and b of subdivision four of this section. 31 [7.] 6. Where the operator of a nursing home provides or purports to 32 provide, by any contract, agreement or arrangement, for any party to 33 carry out or be delegated any activity or responsibility relating to the 34 nursing home, that shall not diminish any responsibility or liability 35 that the operator would otherwise have for any such activity or respon- 36 sibility or for the operation of the nursing home. 37 [8.] 7. Any new owner[,] or operator [or management company] of a 38 nursing home shall retain all employees of the nursing home for at least 39 a sixty-day transition period, except for cause, and except for the 40 nursing home administrator [and], the director of nursing and any other 41 supervisors, or any controlling person, principal stockholder or princi- 42 pal member, and shall not reduce the wages or benefits, or modify any 43 other terms and conditions of employment, economic or otherwise during 44 the transition period[, and except for cause]. Nothing herein shall 45 require any owner or operator to discontinue any pending disciplinary 46 actions, including but not limited to termination, that were initiated 47 before the sale of the nursing home. Nothing herein shall prevent an 48 owner or operator from determining the overall size of the workforce at 49 the facility, except as provided otherwise in this section or other 50 applicable law. 51 [9.] 8. In any instance where a nursing home is sold or otherwise 52 transferred and used for a purpose which is not a health care purpose, 53 the operator shall remit to the department an amount equivalent to the 54 undepreciated value of capital assets for which the provider has been 55 funded or reimbursed through Medicaid rate adjustments or otherwiseS. 6767 5 1 funded or reimbursed with resources provided by the state for the 2 purpose of improvement or transformation. 3 § 3. Section 3 of a chapter of the laws of 2021, amending the public 4 health law relating to requirements for residential health care facili- 5 ties and nursing homes, as proposed in legislative bills numbers S. 6 4893-A and A. 5684-A, is amended to read as follows: 7 § 3. This act shall take effect [immediately] on the one hundred 8 eightieth day after it shall have become a law. 9 § 4. The opening paragraph of subdivision 11 of section 2801-a of the 10 public health law, as amended by section 57 of part A of chapter 58 of 11 the laws of 2010, is amended and a new paragraph (e) is added to read as 12 follows: 13 Any person filing a proposed certificate of incorporation, articles of 14 organization or an application for establishment of a residential health 15 care facility for approval of the public health and health planning 16 council shall file with the commissioner such information [on the owner-17ship of the property interests in such facility] as [shall] may be 18 prescribed by regulation, including, but not limited to, the following: 19 (e) Information pertaining to staffing, the source of staffing, and 20 staff skill mix. 21 § 5. The public health law is amended by adding a new section 2829 to 22 read as follows: 23 § 2829. Nursing homes; disclosure requirements. 1. A nursing home 24 shall post maximum rates to be charged for residency and services on a 25 publicly accessible website. Such posting shall be updated on an annual 26 basis no later than April first of each year. Such posting shall detail 27 rates for each non-governmental payer source. 28 2. A nursing home shall: 29 (a) publicly list all owners on a website maintained by the facility 30 and shall submit such list to the department for posting on its website 31 and update such information within thirty days of any change or trans- 32 action affecting ownership; 33 (b) publicly disclose on such facility's website and regularly update 34 the name and business address of any landlord of such facility's prem- 35 ises; and 36 (c) publicly provide a summary of all contracts for provision of goods 37 or services for which such facility pays with any portion of Medicaid or 38 Medicare funds or other agreements entered into by the nursing home on 39 its website within thirty days of execution of such agreement or 40 contract. 41 3. The commissioner may make regulations necessary or appropriate to 42 implement this section. 43 § 6. Severability. If any provision of this act, or any application of 44 any provision of this act, is held to be invalid, or to violate or be 45 inconsistent with any federal law or regulation, that shall not affect 46 the validity or effectiveness of any other provision of this act or any 47 other application of any provision of this act. 48 § 7. This act shall take effect immediately, provided, however, that 49 sections one, two, four, five and six of this act shall take effect on 50 the same date and in the same manner as a chapter of the laws of 2021, 51 amending the public health law relating to the requirements for residen- 52 tial health care facilities and nursing homes, as proposed in legisla- 53 tive bills numbers S. 4893-A and A. 5684-A, takes effect.