Amended
IN
Senate
June 13, 2022 |
Amended
IN
Assembly
May 19, 2022 |
Amended
IN
Assembly
April 28, 2022 |
Amended
IN
Assembly
April 20, 2022 |
Amended
IN
Assembly
March 23, 2022 |
Introduced by Assembly Member Nazarian |
February 17, 2022 |
Existing law provides for the licensure and regulation of health facilities, including skilled nursing facilities and intermediate care facilities, by the State Department of Public Health. Existing law provides for the licensure and regulation of residential care facilities for the elderly by the State Department of Social Services.
Existing law establishes the Office of the State Long-Term Care Ombudsman, under the direction of the State Long-Term Care Ombudsman, in the California Department of Aging. Under existing law, the office has the responsibility of protecting and advocating for the rights and health and safety of
long-term care facility residents, and in providing leadership, direction, and support to local long-term care ombudsman programs.
Existing law sets forth the conditions for declaring a state of emergency by the Governor, a local emergency by the governing body of a local government, a health emergency by the State Public Health Officer, or a local health emergency by a local health officer, and the powers resulting from those declarations.
This bill would require the State Department of Public Health, the State Department of Social Services, and the State Long-Term Care Ombudsman, or their designee, to convene a working group, with a specified composition, no later than May 1, 2023. The bill would require the working group to develop recommendations regarding best practices for public health officials and long-term care facilities, as defined, when developing policies, including certain visitation policies involving
designated support persons, related to long-term care facilities during public health emergencies, as defined. The bill would require the working group to provide the recommendations to the Assembly Committee on Aging and Long-Term Care no later than November 30, 2023.
For the purposes of this chapter, the following definitions apply:
(a)“Designated support person” means an individual designated by a resident or resident representative to provide in-person, onsite support for a resident.
(b)“Long-term care facility” means any of the facilities listed in Section 1418 of this code or subdivision (b) of Section 9701 of the Welfare and Institutions Code, unless excluded by either of those provisions.
(c)“Public health emergency” means a public health-related condition that results in the declaration of a state of emergency or local emergency, as defined in Section 8558 of the Government Code, or
the declaration of a health emergency or local health emergency, as described in Section 101080. A public health-related condition may include, but is not limited to, a natural disaster, an outbreak of an infectious disease, or a bioterrorist attack, if within the scope of Section 101080 of this code or Section 8558 of the Government Code.
(d)“Resident” means a resident or patient of a long-term care facility.
(e)“Resident representative” means an individual who has authority to act on behalf of the resident, including, but not limited to, a conservator, guardian, person authorized as agent in the resident’s advance health care directive, the resident’s spouse, registered domestic partner, or family member, a person designated by the resident to act as a representative, or other surrogate decisionmaker designated in accordance with statutory and case
law.
(a)The State Department of Public Health, the State Department of Social Services, and the State Long-Term Care Ombudsman, or their designee, shall convene a working group comprised of stakeholders representing long-term care facility residents, consumer advocates, and long-term care facilities no later than May 1, 2023.
(b)The working group shall develop recommendations regarding best practices for public health officials and long-term care facilities when developing policies related to long-term care facilities during public health emergencies. The recommendations shall include, but not be limited to, best practices for family and designated support person visitation policies, including the effects of limiting visitation on the
health of long-term care residents.
(c)The working group shall provide the recommendations to the Assembly Committee on Aging and Long-Term Care no later than November 30, 2023.