2019 -- H 5141 SUBSTITUTE A

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2019

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A N   A C T

RELATING TO HEALTH AND SAFETY -- ASSISTED LIVING RESIDENCE LICENSING

ACT

     Introduced By: Representatives McNamara, Bennett, Edwards, Canario, and Lyle

     Date Introduced: January 17, 2019

     Referred To: House Health, Education & Welfare

     It is enacted by the General Assembly as follows:

     SECTION 1. Section 23-17.4-16.2 of the General Laws in Chapter 23-17.4 entitled

"Assisted Living Residence Licensing Act" is hereby amended to read as follows:

     23-17.4-16.2. Special care unit and limited health services disclosure by residences.

     (a) Any assisted living residence which offers to provide or provides services to residents

with Alzheimer's disease or other dementia by means of an Alzheimer's special care unit and/or

limited health services shall be required to disclose the type of services provided, in addition to

those services required by the rules and regulations for the licensing of assisted living residences.

Disclosures shall be made to the licensing agency and to any person seeking placement in an

Alzheimer's special care unit and/or any person receiving limited health services from an assisted

living residence. The information disclosed shall explain that additional care is provided in each

of the following areas:

     (1) Philosophy. The Alzheimer's special care unit and/or delivery of limited health

services shall develop a written statement of its overall philosophy and mission which reflects the

needs of residents afflicted with dementia and/or needing limited health services.

     (2) Pre-occupancy, occupancy, and termination of residence. The process and criteria for

occupancy, transfer, or termination of residency from the unit and/or the termination of limited

health services.

     (3) Assessment, service planning, and implementation. The process used for assessment

and establishing the plan of service and its implementation, including the method by which the

plan of service evolves and is responsive to changes in condition.

     (4) Staffing patterns and training ratios. Staff training and continuing education practices.

     (5) Physical environment. The physical environment and design features appropriate to

support the functioning of cognitively impaired adult residents.

     (6) Resident activities. The frequency and types of resident activities.

     (7) Family role in providing support and services. The involvement in families and family

support programs.

     (8) Program costs. The cost of care and any additional fees.

     (b) The licensing agency shall develop a standard disclosure form and shall review the

information provided on the disclosure form by the residential care and assisted living facility to

verify the accuracy of the information reported on it. Any significant changes in the information

provided by the residential care and assisted living facility will be reported to the licensing

agency at the time the changes are made.

     (c) Upon completion of the disclosures required pursuant to this section, a person who

does not otherwise meet the requirements for the special care unit or program, may choose to

reside in the unit or area in accordance with § 23-17.4-16.

     SECTION 2. This act shall take effect upon passage.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO HEALTH AND SAFETY -- ASSISTED LIVING RESIDENCE LICENSING

ACT

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     This act would allow those individuals who do not otherwise meet the requirements, to

reside in an Alzheimer's special care unit or program.

     This act would take effect upon passage.

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