Bill Text: FL S0316 | 2014 | Regular Session | Comm Sub
Bill Title: Certification of Assisted Living Facility Administrators
Spectrum: Slight Partisan Bill (? 2-1)
Status: (Failed) 2014-05-02 - Died in Appropriations [S0316 Detail]
Download: Florida-2014-S0316-Comm_Sub.html
Florida Senate - 2014 CS for CS for SB 316 By the Committees on Health Policy; and Children, Families, and Elder Affairs; and Senator Bean 588-03597-14 2014316c2 1 A bill to be entitled 2 An act relating to certification of assisted living 3 facility administrators; amending s. 429.52, F.S.; 4 requiring assisted living facility administrators to 5 meet the training and education requirements 6 established by a third-party credentialing entity or 7 by the Department of Elderly Affairs; requiring the 8 department to establish a competency test; requiring a 9 third-party credentialing entity to develop a 10 competency test and a minimum required score to 11 indicate successful completion of the training and 12 educational requirements; revising requirements for 13 facility administrators who are hired on or after a 14 specified date; authorizing the department to require 15 additional training and education of any personal care 16 staff in the facility, except for certain assisted 17 living facility administrators; requiring training to 18 be conducted by an entity recognized by a third-party 19 credentialing entity under s. 429.55, F.S.; 20 authorizing the department to adopt rules to establish 21 staff training requirements; creating s. 429.55, F.S.; 22 providing legislative intent; defining terms; 23 authorizing the department to approve third-party 24 credentialing entities for the purpose of developing 25 and administering a professional credentialing program 26 for assisted living facility administrators; requiring 27 the department to approve a third-party credentialing 28 entity that documents compliance with certain minimum 29 standards; authorizing an administrator to be 30 certified by a third-party credentialing entity; 31 providing that an administrator who fails to be 32 certified under s. 429.55, F.S., or fails to complete 33 training and educational requirements under s. 429.55, 34 F.S., is subject to an administrative fine; providing 35 an exemption for an administrator licensed under part 36 II of ch. 468, F.S.; requiring a third-party 37 credentialing entity to allow certain persons to 38 enroll in its certification program for a specified 39 time after the department approves the third-party 40 credentialing entity; requiring an approved third 41 party credentialing entity to establish the core 42 competencies for administrators according to the 43 nationally recognized professional psychometric 44 standards; requiring a certification program of a 45 third-party credentialing entity to meet certain 46 requirements; authorizing an individual adversely 47 affected by the decision of a third-party 48 credentialing entity to appeal the decision under 49 certain circumstances; requiring a third-party 50 credentialing entity to establish fees; providing an 51 effective date. 52 53 Be It Enacted by the Legislature of the State of Florida: 54 55 Section 1. Section 429.52, Florida Statutes, is amended to 56 read: 57 429.52 Staff training and educational programs; core 58 educational requirement.— 59 (1) Effective July 1, 2014, administrators shall meet the 60 minimum training and education requirements established by a 61 third-party credentialing entity pursuant to s. 429.55 or by the 62 Department of Elderly Affairs by rule.andOther assisted living 63 facility staff shallmustmeet minimum training and education 64 requirements established by the departmentof Elderly Affairsby 65 rule. This training and education is intended to assist 66 facilities to appropriately respond to the needs of residents, 67 to maintain resident care and facility standards, and to meet 68 licensure requirements. 69 (2) The department shall establish a competency test and a 70 minimum required score to indicate successful completion of the 71 training and educational requirements. The department shall 72 develop the competency testmust be developed by the department73 in conjunction with the agency and providers. A third-party 74 credentialing entity approved under s. 429.55 must also develop 75 a competency test and a minimum required score to indicate 76 successful completion of the training and educational 77 requirements. The required training and education must cover at 78 least the following topics: 79 (a) State law and rules relating to assisted living 80 facilities. 81 (b) Resident rights and identifying and reporting abuse, 82 neglect, and exploitation. 83 (c) Special needs of elderly persons, persons with mental 84 illness, and persons with developmental disabilities and how to 85 meet those needs. 86 (d) Nutrition and food service, including acceptable 87 sanitation practices for preparing, storing, and serving food. 88 (e) Medication management, recordkeeping, and proper 89 techniques for assisting residents with self-administered 90 medication. 91 (f) Firesafety requirements, including fire evacuation 92 drill procedures and other emergency procedures. 93 (g) Care of persons who havewithAlzheimer’s disease and 94 related disorders. 95 (3)Effective January 1, 2004,Anewfacility administrator 96 hired on or after July 1, 2014, must: 97 (a) Complete the required training and education, including 98 the competency test, within a reasonable time after being 99 employed as an administrator, as determined by the department; 100 or 101 (b) Earn and maintain certification as an assisted living 102 facility administrator from a third-party credentialing entity 103 that is approved by the department as provided in s. 429.55. 104 105 Failure of a facility administrator to comply with paragraph (a) 106 or paragraph (b)do sois a violation of this part and subjects 107 the violator to an administrative fine as prescribed in s. 108 429.19. Administrators licensed in accordance with part II of 109 chapter 468 are exempt from this requirement.Other licensed110professionals may be exempted, as determined by the department111by rule.112 (4) Administrators shallare required toparticipate in 113 continuing education for a minimum of 12 contact hours every 2 114 years. 115 (5) Staff involved with the management of medications and 116 assisting with the self-administration of medications under s. 117 429.256 must complete a minimum of 4 additional hours of 118 training provided by a registered nurse, licensed pharmacist, or 119 department staff. The department shall establish by rule the 120 minimum requirements of this additional training. 121 (6) Other facility staff shall participate in training 122 relevant to their job duties as specified by rule of the 123 department. 124 (7) If the departmentor the agencydetermines that there 125 is a need forare problems in a facility that could be reduced126throughspecific staff training or education beyond that already 127 required under this section, the departmentor the agencymay 128 require,and provide, or cause to be provided, the training or 129 education ofanypersonal care staff in the facility. However, 130 this subsection does not apply to an assisted living facility 131 administrator certified under s. 429.55. 132 (8) The department shall adopt rules related to these 133 training requirements, the competency test, necessary 134 procedures, and competency test fees and shall adopt or contract 135 with another entity to develop a curriculum, which shall be used 136 as the minimum core training requirements. The department shall 137 consult with representatives of stakeholder associations and 138 agencies in the development of the curriculum. 139 (9) The training required by this section mustshallbe 140 conducted by a person who ispersonsregistered with the 141 department as having the requisite experience and credentials to 142 conduct the training or by a training entity recognized by a 143 third-party credentialing entity under s. 429.55(7)(f). A person 144 seeking to register as a trainer must provide the department 145 with proof of completion of the minimum core training education 146 requirements, successful passage of the competency test 147 established under this section, and proof of compliance with the 148 continuing education requirement in subsection (4). 149 (10) A person seeking to register as a trainer must also: 150 (a) Provide proof of completion of a 4-year degree from an 151 accredited college or university and must have worked in a 152 management position in an assisted living facility for 3 years 153 after being core certified; 154 (b) Have worked in a management position in an assisted 155 living facility for 5 years after being core certified and have 156 1 year of teaching experience as an educator or staff trainer 157 for persons who work in assisted living facilities or other 158 long-term care settings; 159 (c) Have been previously employed as a core trainer for the 160 department; or 161 (d) Meet other qualification criteria as defined in rule, 162 which the department mayis authorized toadopt. 163 (11) The department mayshalladopt rules to establish 164 staff trainingtrainer registrationrequirements. 165 Section 2. Section 429.55, Florida Statutes, is created to 166 read: 167 429.55 Assisted living facility administrator; 168 certification.— 169 (1) LEGISLATIVE INTENT.—It is the intent of the Legislature 170 that each assisted living facility administrator have the option 171 to earn and maintain professional certification from a third 172 party credentialing entity that is approved by the Department of 173 Elderly Affairs. The Legislature further intends that 174 certification ensure that an administrator has the competencies 175 necessary to appropriately respond to the needs of residents, to 176 maintain resident care and facility standards, and to meet 177 licensure requirements for a facility. The Legislature 178 recognizes professional certification by a professional 179 credentialing organization as an equivalent alternative to a 180 state-run licensure program and, therefore, intends that 181 certification pursuant to this section is sufficient as an 182 acceptable alternative to the training and educational 183 requirements of s. 429.52. 184 (2) DEFINITIONS.—As used in this section, the term: 185 (a) “Assisted living facility administrator certification” 186 means a professional credential awarded by a department-approved 187 third-party credentialing entity to a person who meets core 188 competency requirements in assisted living facility practice 189 areas. 190 (b) “Core competency” means the minimum knowledge and 191 skills necessary to carry out work responsibilities. 192 (c) “Department” means the Department of Elderly Affairs. 193 (d) “Third-party credentialing entity” means an 194 organization that develops and administers certification 195 programs according to the standards established by the National 196 Commission for Certifying Agencies. 197 (3) THIRD-PARTY CREDENTIALING ENTITIES.—The department 198 shall approve one or more third-party credentialing entities for 199 the purpose of developing and administering a professional 200 credentialing program for administrators. Within 90 days after 201 receiving documentation from a third-party credentialing entity, 202 the department shall approve a third-party credentialing entity 203 that demonstrates compliance with the following minimum 204 standards: 205 (a) Establishment of assisted living facility administrator 206 core competencies, certification standards, testing instruments, 207 and recertification standards according to national psychometric 208 standards. 209 (b) Establishment of a process to administer the 210 certification application, award, and maintenance processes 211 according to national psychometric standards. 212 (c) Demonstrated ability to administer a professional code 213 of ethics and disciplinary process that applies to all certified 214 persons. 215 (d) Establishment of, and ability to maintain a publicly 216 accessible Internet-based database that contains information on 217 each person who applies for and is awarded certification, such 218 as the person’s first and last name, certification status, and 219 ethical or disciplinary history. 220 (e) Demonstrated ability to administer biannual continuing 221 education and certification renewal requirements. 222 (f) Demonstrated ability to administer an education 223 provider program to approve qualified training entities and to 224 provide precertification training to applicants and continuing 225 education opportunities to certified professionals. 226 (g) Establishment of credentialing standards that meet or 227 exceed the department standards for training and education 228 programs for assisted living facility administrators. 229 (4) ASSISTED LIVING FACILITY ADMINISTRATOR CERTIFICATION. 230 Effective July 1, 2014, an assisted living facility 231 administrator may be certified by a third-party credentialing 232 entity that is approved by the department under this section. An 233 assisted living facility administrator who fails to be certified 234 under this section or fails to meet training and educational 235 requirements of s. 429.52 violates this section and is subject 236 to an administrative fine as provided under s. 429.19. This 237 subsection does not apply to an administrator licensed under 238 part II of chapter 468. 239 (5) GRANDFATHER CLAUSE.—A third-party credentialing entity 240 shall allow the following persons to enroll in its certification 241 program, at no cost to the department or the person, in the 12 242 months immediately after the department approves the third-party 243 credentialing entity as provided in subsection (3): 244 (a) A person who is employed as of July 1, 2014, as an 245 assisted living facility administrator and is in compliance with 246 the requirements under s. 429.52. 247 (b) A person who has completed before July 1, 2014, the 248 required training as an administrator, including the competency 249 test and continuing education requirements under s. 429.52. 250 (6) CORE COMPETENCIES.—A third-party credentialing entity 251 that is approved by the department shall establish the core 252 competencies for assisted living facility administrators 253 according to nationally recognized professional psychometric 254 standards. 255 (7) CERTIFICATION PROGRAM REQUIREMENTS.—A certification 256 program of a third-party credentialing entity that is approved 257 by the department must: 258 (a) Be established according to nationally recognized 259 professional psychometric standards. 260 (b) Be directly related to the core competencies. 261 (c) Establish minimum requirements in each of the following 262 categories: 263 1. Formal education. 264 2. Training. 265 3. On-the-job work experience. 266 4. Supervision. 267 5. Testing. 268 6. Biennial continuing education. 269 (d) Administer a professional code of ethics and 270 disciplinary process that applies to all certified persons. 271 (e) Administer and maintain a publicly accessible Internet 272 based database that contains information on each person who 273 applies for certification or is certified. 274 (f) Approve qualified training entities that provide 275 precertification training to applicants and continuing education 276 to certified assisted living facility administrators. 277 (8) APPEAL.—An individual who is adversely affected by the 278 decision of a department-approved, third-party credentialing 279 entity with regard to the denial of initial certification or an 280 adverse action on continued certification may appeal such 281 decision to the department for a final determination. 282 (9) FEES.—A third-party credentialing entity shall 283 establish a fee for application, examination, certification, and 284 biennial certification renewal. The fee for application, 285 examination, and certification may not exceed $200. The fee for 286 biennial certification renewal may not exceed $100. 287 Section 3. This act shall take effect July 1, 2014.