Bill Text: MI HB5031 | 2017-2018 | 99th Legislature | Introduced


Bill Title: Senior citizens; housing; assisted living facilities; require licensure. Amends secs. 20102, 20106 & 20161 of 1978 PA 368 (MCL 333.20102 et seq.) & adds pt. 212.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2017-09-28 - Bill Electronically Reproduced 09/27/2017 [HB5031 Detail]

Download: Michigan-2017-HB5031-Introduced.html

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOUSE BILL No. 5031

 

 

September 27, 2017, Introduced by Reps. Hammoud, Sabo, Green, Lucido, Brann, Sowerby, Pagan, Maturen, Wittenberg, Ellison, Noble, Liberati, Chang, Yaroch, Farrington, Lasinski, Geiss, Camilleri and Schor and referred to the Committee on Law and Justice.

 

      A bill to amend 1978 PA 368, entitled

 

"Public health code,"

 

by amending sections 20102, 20106, and 20161 (MCL 333.20102,

 

333.20106, and 333.20161), section 20102 as amended by 2010 PA 381,

 

section 20106 as amended by 2015 PA 104, and section 20161 as

 

amended by 2016 PA 189, and by adding part 212.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

 1        Sec. 20102. (1) "Advisory commission" means the health

 

 2  facilities and agencies advisory commission created in section

 

 3  20121.

 

 4        (2) "Aircraft transport operation" means that term as defined

 

 5  in section 20902.

 

 6        (3) "Ambulance operation" means that term as defined in

 

 7  section 20902.

 


 1        (4) "Assisted living facility" means a housing facility for

 

 2  older adults or people with disabilities that may provide

 

 3  supervision or assistance with activities of daily living,

 

 4  coordination of services by outside health care providers, and

 

 5  monitoring of resident activities to help to ensure their health,

 

 6  safety, and well-being.

 

 7        (5) (4) "Attending physician" means the physician selected by,

 

 8  or assigned to, the patient and who has primary responsibility for

 

 9  the treatment and care of the patient.

 

10        (6) (5) "Authorized representative" means the individual

 

11  designated in writing by the board of directors of the corporation

 

12  or by the owner or person with legal authority to act on behalf of

 

13  the company or organization on licensing matters. The authorized

 

14  representative who is not an owner or licensee shall not sign the

 

15  original license application or amendments to the application.

 

16        Sec. 20106. (1) "Health facility or agency", except as

 

17  provided in section 20115, means:

 

18        (a) An ambulance operation, aircraft transport operation,

 

19  nontransport prehospital life support operation, or medical first

 

20  response service.

 

21        (b) A county medical care facility.

 

22        (c) A freestanding surgical outpatient facility.

 

23        (d) A health maintenance organization.

 

24        (e) A home for the aged.

 

25        (f) A hospital.

 

26        (g) A nursing home.

 

27        (h) An assisted living facility.


 1        (i) (h) A hospice.

 

 2        (j) (i) A hospice residence.

 

 3        (k) (j) A facility or agency listed in subdivisions (a) to (g)

 

 4  located in a university, college, or other educational institution.

 

 5        (2) "Health maintenance organization" means that term as

 

 6  defined in section 3501 of the insurance code of 1956, 1956 PA 218,

 

 7  MCL 500.3501.

 

 8        (3) "Home for the aged" means a supervised personal care

 

 9  facility, other than a hotel, adult foster care facility, hospital,

 

10  nursing home, or county medical care facility that provides room,

 

11  board, and supervised personal care to 21 or more unrelated,

 

12  nontransient, individuals 60 years of age or older. Home for the

 

13  aged includes a supervised personal care facility for 20 or fewer

 

14  individuals 60 years of age or older if the facility is operated in

 

15  conjunction with and as a distinct part of a licensed nursing home.

 

16  Home for the aged does not include an area excluded from this

 

17  definition by section 17(3) of the continuing care community

 

18  disclosure act, 2014 PA 448, MCL 554.917.

 

19        (4) "Hospice" means a health care program that provides a

 

20  coordinated set of services rendered at home or in outpatient or

 

21  institutional settings for individuals suffering from a disease or

 

22  condition with a terminal prognosis.

 

23        (5) "Hospital" means a facility offering inpatient, overnight

 

24  care, and services for observation, diagnosis, and active treatment

 

25  of an individual with a medical, surgical, obstetric, chronic, or

 

26  rehabilitative condition requiring the daily direction or

 

27  supervision of a physician. Hospital does not include a mental


 1  health psychiatric hospital licensed or operated by the department

 

 2  of community health and human services or a hospital operated by

 

 3  the department of corrections.

 

 4        (6) "Hospital long-term care unit" means a nursing care

 

 5  facility, owned and operated by and as part of a hospital,

 

 6  providing organized nursing care and medical treatment to 7 or more

 

 7  unrelated individuals suffering or recovering from illness, injury,

 

 8  or infirmity.

 

 9        Sec. 20161. (1) The department shall assess fees and other

 

10  assessments for health facility and agency licenses and

 

11  certificates of need on an annual basis as provided in this

 

12  article. Until October 1, 2019, except as otherwise provided in

 

13  this article, fees and assessments shall be paid as provided in the

 

14  following schedule:

 

 

15

     (a) Freestanding surgical

16

outpatient facilities................$500.00 per facility

17

                                     license.

18

     (b) Hospitals...................$500.00 per facility

19

                                     license and $10.00 per

20

                                     licensed bed.

21

     (c) Nursing homes, county

22

medical care facilities, and

23

hospital long-term care units........$500.00 per facility

24

                                     license and $3.00 per

25

                                     licensed bed over 100

26

                                     licensed beds.

27

     (d) Homes for the aged..........$6.27 per licensed bed.


 1

     (e) Hospice agencies............$500.00 per agency license.

 2

     (f) Hospice residences..........$500.00 per facility

 3

                                     license and $5.00 per

 4

                                     licensed bed.

 5

     (g) Assisted living facilities..$1,000.00 per facility

 6

                                     license.

 7

     (h) (g) Subject to subsection

 8

(11), quality assurance assessment

 9

for nursing homes and hospital

10

long-term care units.................an amount resulting

11

                                     in not more than 6%

12

                                     of total industry

13

                                     revenues.

14

     (i) (h) Subject to subsection

15

(12), quality assurance assessment

16

for hospitals........................at a fixed or variable

17

                                     rate that generates

18

                                     funds not more than the

19

                                     maximum allowable under

20

                                     the federal matching

21

                                     requirements, after

22

                                     consideration for the

23

                                     amounts in subsection

24

                                     (12)(a) and (i).

25

     (j) (i) Initial licensure

26

application fee for subdivisions


 1

(a), (b), (c), (e), and (f), and (g).$2,000.00 per initial

 2

                                     license.

 

 

 3        (2) If a hospital requests the department to conduct a

 

 4  certification survey for purposes of title XVIII or title XIX of

 

 5  the social security act, the hospital shall pay a license fee

 

 6  surcharge of $23.00 per bed. As used in this subsection, "title

 

 7  XVIII" and "title XIX" mean those terms as defined in section

 

 8  20155.

 

 9        (3) All of the following apply to the assessment under this

 

10  section for certificates of need:

 

11        (a) The base fee for a certificate of need is $3,000.00 for

 

12  each application. For a project requiring a projected capital

 

13  expenditure of more than $500,000.00 but less than $4,000,000.00,

 

14  an additional fee of $5,000.00 is added to the base fee. For a

 

15  project requiring a projected capital expenditure of $4,000,000.00

 

16  or more but less than $10,000,000.00, an additional fee of

 

17  $8,000.00 is added to the base fee. For a project requiring a

 

18  projected capital expenditure of $10,000,000.00 or more, an

 

19  additional fee of $12,000.00 is added to the base fee.

 

20        (b) In addition to the fees under subdivision (a), the

 

21  applicant shall pay $3,000.00 for any designated complex project

 

22  including a project scheduled for comparative review or for a

 

23  consolidated licensed health facility application for acquisition

 

24  or replacement.

 

25        (c) If required by the department, the applicant shall pay

 

26  $1,000.00 for a certificate of need application that receives

 

27  expedited processing at the request of the applicant.


 1        (d) The department shall charge a fee of $500.00 to review any

 

 2  letter of intent requesting or resulting in a waiver from

 

 3  certificate of need review and any amendment request to an approved

 

 4  certificate of need.

 

 5        (e) A health facility or agency that offers certificate of

 

 6  need covered clinical services shall pay $100.00 for each

 

 7  certificate of need approved covered clinical service as part of

 

 8  the certificate of need annual survey at the time of submission of

 

 9  the survey data.

 

10        (f) The department shall use the fees collected under this

 

11  subsection only to fund the certificate of need program. Funds

 

12  remaining in the certificate of need program at the end of the

 

13  fiscal year shall not lapse to the general fund but shall remain

 

14  available to fund the certificate of need program in subsequent

 

15  years.

 

16        (4) A license issued under this part is effective for no

 

17  longer than 1 year after the date of issuance.

 

18        (5) Fees described in this section are payable to the

 

19  department at the time an application for a license, permit, or

 

20  certificate is submitted. If an application for a license, permit,

 

21  or certificate is denied or if a license, permit, or certificate is

 

22  revoked before its expiration date, the department shall not refund

 

23  fees paid to the department.

 

24        (6) The fee for a provisional license or temporary permit is

 

25  the same as for a license. A license may be issued at the

 

26  expiration date of a temporary permit without an additional fee for

 

27  the balance of the period for which the fee was paid if the


 1  requirements for licensure are met.

 

 2        (7) The cost of licensure activities shall be supported by

 

 3  license fees.

 

 4        (8) The application fee for a waiver under section 21564 is

 

 5  $200.00 plus $40.00 per hour for the professional services and

 

 6  travel expenses directly related to processing the application. The

 

 7  travel expenses shall be calculated in accordance with the state

 

 8  standardized travel regulations of the department of technology,

 

 9  management, and budget in effect at the time of the travel.

 

10        (9) An applicant for licensure or renewal of licensure under

 

11  part 209 shall pay the applicable fees set forth in part 209.

 

12        (10) Except as otherwise provided in this section, the fees

 

13  and assessments collected under this section shall be deposited in

 

14  the state treasury, to the credit of the general fund. The

 

15  department may use the unreserved fund balance in fees and

 

16  assessments for the criminal history check program required under

 

17  this article.

 

18        (11) The quality assurance assessment collected under

 

19  subsection (1)(g) (1)(h) and all federal matching funds attributed

 

20  to that assessment shall be used only for the following purposes

 

21  and under the following specific circumstances:

 

22        (a) The quality assurance assessment and all federal matching

 

23  funds attributed to that assessment shall be used to finance

 

24  Medicaid nursing home reimbursement payments. Only licensed nursing

 

25  homes and hospital long-term care units that are assessed the

 

26  quality assurance assessment and participate in the Medicaid

 

27  program are eligible for increased per diem Medicaid reimbursement


 1  rates under this subdivision. A nursing home or long-term care unit

 

 2  that is assessed the quality assurance assessment and that does not

 

 3  pay the assessment required under subsection (1)(g) (1)(h) in

 

 4  accordance with subdivision (c)(i) or in accordance with a written

 

 5  payment agreement with this state shall not receive the increased

 

 6  per diem Medicaid reimbursement rates under this subdivision until

 

 7  all of its outstanding quality assurance assessments and any

 

 8  penalties assessed under subdivision (f) have been paid in full.

 

 9  This subdivision does not authorize or require the department to

 

10  overspend tax revenue in violation of the management and budget

 

11  act, 1984 PA 431, MCL 18.1101 to 18.1594.

 

12        (b) Except as otherwise provided under subdivision (c),

 

13  beginning October 1, 2005, the quality assurance assessment is

 

14  based on the total number of patient days of care each nursing home

 

15  and hospital long-term care unit provided to non-Medicare patients

 

16  within the immediately preceding year, shall be assessed at a

 

17  uniform rate on October 1, 2005 and subsequently on October 1 of

 

18  each following year, and is payable on a quarterly basis, with the

 

19  first payment due 90 days after the date the assessment is

 

20  assessed.

 

21        (c) Within 30 days after September 30, 2005, the department

 

22  shall submit an application to the federal Centers for Medicare and

 

23  Medicaid Services to request a waiver according to 42 CFR 433.68(e)

 

24  to implement this subdivision as follows:

 

25        (i) If the waiver is approved, the quality assurance

 

26  assessment rate for a nursing home or hospital long-term care unit

 

27  with less than 40 licensed beds or with the maximum number, or more


 1  than the maximum number, of licensed beds necessary to secure

 

 2  federal approval of the application is $2.00 per non-Medicare

 

 3  patient day of care provided within the immediately preceding year

 

 4  or a rate as otherwise altered on the application for the waiver to

 

 5  obtain federal approval. If the waiver is approved, for all other

 

 6  nursing homes and long-term care units the quality assurance

 

 7  assessment rate is to be calculated by dividing the total statewide

 

 8  maximum allowable assessment permitted under subsection (1)(g)

 

 9  (1)(h) less the total amount to be paid by the nursing homes and

 

10  long-term care units with less than 40 licensed beds or with the

 

11  maximum number, or more than the maximum number, of licensed beds

 

12  necessary to secure federal approval of the application by the

 

13  total number of non-Medicare patient days of care provided within

 

14  the immediately preceding year by those nursing homes and long-term

 

15  care units with more than 39 licensed beds, but less than the

 

16  maximum number of licensed beds necessary to secure federal

 

17  approval. The quality assurance assessment, as provided under this

 

18  subparagraph, shall be assessed in the first quarter after federal

 

19  approval of the waiver and shall be subsequently assessed on

 

20  October 1 of each following year, and is payable on a quarterly

 

21  basis, with the first payment due 90 days after the date the

 

22  assessment is assessed.

 

23        (ii) If the waiver is approved, a continuing care retirement

 

24  centers are center is exempt from the quality assurance assessment

 

25  if the continuing care retirement center requires each center

 

26  resident to provide an initial life interest payment of

 

27  $150,000.00, on average, per resident to ensure payment for that


 1  resident's residency and services and the continuing care

 

 2  retirement center utilizes all of the initial life interest payment

 

 3  before the resident becomes eligible for medical assistance under

 

 4  the state's Medicaid plan. As used in this subparagraph,

 

 5  "continuing care retirement center" means a nursing care facility

 

 6  that provides independent living services, assisted living

 

 7  services, and nursing care and medical treatment services, in a

 

 8  campus-like setting that has shared facilities or common areas, or

 

 9  both.

 

10        (d) Beginning May 10, 2002, the department shall increase the

 

11  per diem nursing home Medicaid reimbursement rates for the balance

 

12  of that year. For each subsequent year in which the quality

 

13  assurance assessment is assessed and collected, the department

 

14  shall maintain the Medicaid nursing home reimbursement payment

 

15  increase financed by the quality assurance assessment.

 

16        (e) The department shall implement this section in a manner

 

17  that complies with federal requirements necessary to ensure that

 

18  the quality assurance assessment qualifies for federal matching

 

19  funds.

 

20        (f) If a nursing home or a hospital long-term care unit fails

 

21  to pay the assessment required by subsection (1)(g), (1)(h), the

 

22  department may assess the nursing home or hospital long-term care

 

23  unit a penalty of 5% of the assessment for each month that the

 

24  assessment and penalty are not paid up to a maximum of 50% of the

 

25  assessment. The department may also refer for collection to the

 

26  department of treasury past due amounts consistent with section 13

 

27  of 1941 PA 122, MCL 205.13.


 1        (g) The Medicaid nursing home quality assurance assessment

 

 2  fund is established in the state treasury. The department shall

 

 3  deposit the revenue raised through the quality assurance assessment

 

 4  with the state treasurer for deposit in the Medicaid nursing home

 

 5  quality assurance assessment fund.

 

 6        (h) The department shall not implement this subsection in a

 

 7  manner that conflicts with 42 USC 1396b(w).

 

 8        (i) The quality assurance assessment collected under

 

 9  subsection (1)(g) (1)(h) shall be prorated on a quarterly basis for

 

10  any licensed beds added to or subtracted from a nursing home or

 

11  hospital long-term care unit since the immediately preceding July

 

12  1. Any adjustments in payments are due on the next quarterly

 

13  installment due date.

 

14        (j) In each fiscal year governed by this subsection, Medicaid

 

15  reimbursement rates shall not be reduced below the Medicaid

 

16  reimbursement rates in effect on April 1, 2002 as a direct result

 

17  of the quality assurance assessment collected under subsection

 

18  (1)(g).(1)(h).

 

19        (k) The state retention amount of the quality assurance

 

20  assessment collected under subsection (1)(g) (1)(h) shall be equal

 

21  to 13.2% of the federal funds generated by the nursing homes and

 

22  hospital long-term care units quality assurance assessment,

 

23  including the state retention amount. The state retention amount

 

24  shall be appropriated each fiscal year to the department to support

 

25  Medicaid expenditures for long-term care services. These funds

 

26  shall offset an identical amount of general fund/general purpose

 

27  revenue originally appropriated for that purpose.


 1        (l) Beginning October 1, 2019, the department shall not assess

 

 2  or collect the quality assurance assessment or apply for federal

 

 3  matching funds. The quality assurance assessment collected under

 

 4  subsection (1)(g) (1)(h) shall not be assessed or collected after

 

 5  September 30, 2011 if the quality assurance assessment is not

 

 6  eligible for federal matching funds. Any portion of the quality

 

 7  assurance assessment collected from a nursing home or hospital

 

 8  long-term care unit that is not eligible for federal matching funds

 

 9  shall be returned to the nursing home or hospital long-term care

 

10  unit.

 

11        (12) The quality assurance dedication is an earmarked

 

12  assessment collected under subsection (1)(h). (1)(i). That

 

13  assessment and all federal matching funds attributed to that

 

14  assessment shall be used only for the following purpose and under

 

15  the following specific circumstances:

 

16        (a) To maintain the increased Medicaid reimbursement rate

 

17  increases as provided for in subdivision (c).

 

18        (b) The quality assurance assessment shall be assessed on all

 

19  net patient revenue, before deduction of expenses, less Medicare

 

20  net revenue, as reported in the most recently available Medicare

 

21  cost report and is payable on a quarterly basis, with the first

 

22  payment due 90 days after the date the assessment is assessed. As

 

23  used in this subdivision, "Medicare net revenue" includes Medicare

 

24  payments and amounts collected for coinsurance and deductibles.

 

25        (c) Beginning October 1, 2002, the department shall increase

 

26  the hospital Medicaid reimbursement rates for the balance of that

 

27  year. For each subsequent year in which the quality assurance


 1  assessment is assessed and collected, the department shall maintain

 

 2  the hospital Medicaid reimbursement rate increase financed by the

 

 3  quality assurance assessments.

 

 4        (d) The department shall implement this section in a manner

 

 5  that complies with federal requirements necessary to ensure that

 

 6  the quality assurance assessment qualifies for federal matching

 

 7  funds.

 

 8        (e) If a hospital fails to pay the assessment required by

 

 9  subsection (1)(h), (1)(i), the department may assess the hospital a

 

10  penalty of 5% of the assessment for each month that the assessment

 

11  and penalty are not paid up to a maximum of 50% of the assessment.

 

12  The department may also refer for collection to the department of

 

13  treasury past due amounts consistent with section 13 of 1941 PA

 

14  122, MCL 205.13.

 

15        (f) The hospital quality assurance assessment fund is

 

16  established in the state treasury. The department shall deposit the

 

17  revenue raised through the quality assurance assessment with the

 

18  state treasurer for deposit in the hospital quality assurance

 

19  assessment fund.

 

20        (g) In each fiscal year governed by this subsection, the

 

21  quality assurance assessment shall only be collected and expended

 

22  if Medicaid hospital inpatient DRG and outpatient reimbursement

 

23  rates and disproportionate share hospital and graduate medical

 

24  education payments are not below the level of rates and payments in

 

25  effect on April 1, 2002 as a direct result of the quality assurance

 

26  assessment collected under subsection (1)(h), (1)(i), except as

 

27  provided in subdivision (h).


 1        (h) The quality assurance assessment collected under

 

 2  subsection (1)(h) (1)(i) shall not be assessed or collected after

 

 3  September 30, 2011 if the quality assurance assessment is not

 

 4  eligible for federal matching funds. Any portion of the quality

 

 5  assurance assessment collected from a hospital that is not eligible

 

 6  for federal matching funds shall be returned to the hospital.

 

 7        (i) The state retention amount of the quality assurance

 

 8  assessment collected under subsection (1)(h) (1)(i) shall be equal

 

 9  to 13.2% of the federal funds generated by the hospital quality

 

10  assurance assessment, including the state retention amount. The

 

11  13.2% state retention amount described in this subdivision does not

 

12  apply to the Healthy Michigan plan. In the fiscal year ending

 

13  September 30, 2016, there is a 1-time additional retention amount

 

14  of up to $92,856,100.00. Beginning in the fiscal year ending

 

15  September 30, 2017, and for each fiscal year thereafter, after

 

16  that, there is a retention amount of $105,000,000.00 for each

 

17  fiscal year for the Healthy Michigan plan. The state retention

 

18  percentage shall be applied proportionately to each hospital

 

19  quality assurance assessment program to determine the retention

 

20  amount for each program. The state retention amount shall be

 

21  appropriated each fiscal year to the department to support Medicaid

 

22  expenditures for hospital services and therapy. These funds shall

 

23  offset an identical amount of general fund/general purpose revenue

 

24  originally appropriated for that purpose. By May 31, 2019, the

 

25  department, the state budget office, and the Michigan Health and

 

26  Hospital Association shall identify an appropriate retention amount

 

27  for the fiscal year ending September 30, 2020 and each fiscal year


 1  thereafter.after that.

 

 2        (13) The department may establish a quality assurance

 

 3  assessment to increase ambulance reimbursement as follows:

 

 4        (a) The quality assurance assessment authorized under this

 

 5  subsection shall be used to provide reimbursement to Medicaid

 

 6  ambulance providers. The department may promulgate rules to provide

 

 7  the structure of the quality assurance assessment authorized under

 

 8  this subsection and the level of the assessment.

 

 9        (b) The department shall implement this subsection in a manner

 

10  that complies with federal requirements necessary to ensure that

 

11  the quality assurance assessment qualifies for federal matching

 

12  funds.

 

13        (c) The total annual collections by the department under this

 

14  subsection shall not exceed $20,000,000.00.

 

15        (d) The quality assurance assessment authorized under this

 

16  subsection shall not be collected after October 1, 2019. The

 

17  quality assurance assessment authorized under this subsection shall

 

18  no longer be collected or assessed if the quality assurance

 

19  assessment authorized under this subsection is not eligible for

 

20  federal matching funds.

 

21        (14) The quality assurance assessment provided for under this

 

22  section is a tax that is levied on a health facility or agency.

 

23        (15) As used in this section:

 

24        (a) "Healthy Michigan plan" means the medical assistance plan

 

25  described in section 105d of the social welfare act, 1939 PA 280,

 

26  MCL 400.105d, that has a federal matching fund rate of not less

 

27  than 90%.


 1        (b) "Medicaid" means that term as defined in section 22207.

 

 2                   PART 212. ASSISTED LIVING FACILITIES

 

 3        Sec. 21201. Article 1 contains general definitions and

 

 4  principles of construction applicable to all articles in this code

 

 5  and part 201 contains definitions applicable to this part.

 

 6        Sec. 21203. (1) Beginning 1 year after the effective date of

 

 7  the amendatory act that added this part, an assisted living

 

 8  facility must be licensed under this article.

 

 9        (2) "Assisted living facility" or similar term or abbreviation

 

10  shall not be used to describe or refer to a health facility or

 

11  agency unless it is licensed by the department under this article.

 

12        Sec. 21205. (1) The owner, operator, and governing body of an

 

13  assisted living facility are responsible for all phases of the

 

14  operation of the facility and shall ensure that the facility

 

15  maintains an organized program to provide room and board,

 

16  protection, supervision, assistance, and supervised personal care

 

17  for its residents.

 

18        (2) The owner, operator, and governing body shall ensure the

 

19  availability of emergency medical care required by a resident.

 

20        (3) The owner, operator, or member of the governing body of an

 

21  assisted living facility and the authorized representative shall be

 

22  of good moral character.

 

23        (4) The department shall not issue a license to or renew the

 

24  license of an owner, operator, or member of the governing body, who

 

25  has regular direct access to residents or who has on-site facility

 

26  operational responsibilities, or an applicant, if an individual or

 

27  the authorized representative, if any of those individuals have


 1  been convicted of 1 or more of the following:

 

 2        (a) A felony under this act or under chapter XXA of the

 

 3  Michigan penal code, 1931 PA 328, MCL 750.145m to 750.145r.

 

 4        (b) A misdemeanor under this act or under chapter XXA of the

 

 5  Michigan penal code, 1931 PA 328, MCL 750.145m to 750.145r, within

 

 6  the 10 years immediately preceding the application.

 

 7        (c) A misdemeanor involving abuse, neglect, assault, battery,

 

 8  or criminal sexual conduct or involving fraud or theft against a

 

 9  vulnerable adult as that term is defined in section 145m of the

 

10  Michigan penal code, 1931 PA 328, MCL 750.145m, or a state or

 

11  federal crime that is substantially similar to a misdemeanor

 

12  described in this subdivision within the 10 years immediately

 

13  preceding the application.

 

14        (5) The applicant for a license for an assisted living

 

15  facility, if an individual, must give written consent at the time

 

16  of license application and the authorized representative must give

 

17  written consent at the time of appointment, for the department of

 

18  state police to conduct both of the following:

 

19        (a) A criminal history check.

 

20        (b) A criminal records check through the Federal Bureau of

 

21  Investigation.

 

22        (6) Unless already submitted under subsection (5), an owner,

 

23  operator, or member of the governing body who has regular direct

 

24  access to residents or who has on-site facility operational

 

25  responsibilities for an assisted living facility must give written

 

26  consent at the time of license application for the department of

 

27  state police to conduct both of the following:


 1        (a) A criminal history check.

 

 2        (b) A criminal records check through the Federal Bureau of

 

 3  Investigation.

 

 4        (7) The department shall require the applicant, authorized

 

 5  representative, owner, operator, or member of the governing body

 

 6  who has regular direct access to residents or who has on-site

 

 7  facility operational responsibilities to submit his or her

 

 8  fingerprints to the department of state police for the criminal

 

 9  history check and criminal records check described in subsections

 

10  (5) and (6).

 

11        (8) Not later than 1 year after the effective date of the

 

12  amendatory act that added this section, all owners, operators, and

 

13  members of the governing body of assisted living facilities who

 

14  have regular direct access to residents or who have on-site

 

15  facility operational responsibilities and all authorized

 

16  representatives must comply with the requirements of this section.

 

17        (9) The department shall request a criminal history check and

 

18  criminal records check in the manner prescribed by the department

 

19  of state police. The department of state police shall conduct the

 

20  criminal history check and provide a report of the results to the

 

21  department. The report shall contain any criminal history

 

22  information on the person maintained by the department of state

 

23  police and the results of the criminal records check from the

 

24  Federal Bureau of Investigation. The department of state police may

 

25  charge the person on whom the criminal history check and criminal

 

26  records check are performed under this section a fee for the checks

 

27  required under this section that does not exceed the actual cost


 1  and reasonable cost of conducting the checks.

 

 2        (10) Beginning the effective date of the amendatory act that

 

 3  added this section, if an applicant, authorized representative,

 

 4  owner, operator, or member of the governing body who has regular

 

 5  direct access to residents or who has on-site facility operational

 

 6  responsibilities applies for a license or to renew a license to

 

 7  operate an assisted living facility and previously underwent a

 

 8  criminal history check and criminal records check required under

 

 9  subsection (5) or (6) or under section 134a of the mental health

 

10  code, 1974 PA 258, MCL 330.1134a, and has remained continuously

 

11  licensed or continuously employed under section 20173a or under

 

12  section 34b of the adult foster care facility licensing act, 1979

 

13  PA 218, MCL 400.734b, after the criminal history check and criminal

 

14  records check have been performed, the applicant, authorized

 

15  representative, owner, operator, or member of the governing body

 

16  who has regular direct access to residents or who has on-site

 

17  facility operational responsibilities is not required to submit to

 

18  another criminal history check or criminal records check upon

 

19  renewal of the license obtained under this section.

 

20        (11) The department of state police shall store and maintain

 

21  all fingerprints submitted under this act in an automated

 

22  fingerprint identification system database that provides for an

 

23  automatic notification at the time a subsequent criminal arrest

 

24  fingerprint card submitted into the system matches a set of

 

25  fingerprints previously submitted in accordance with this act. At

 

26  the time of that notification, the department of state police shall

 

27  immediately notify the department. The department shall take the


 1  appropriate action upon notification by the department of state

 

 2  police under this subsection.

 

 3        (12) An applicant, owner, operator, member of a governing

 

 4  body, or authorized representative of an assisted living facility

 

 5  shall not be present in an assisted living facility if he or she

 

 6  has been convicted of either of the following:

 

 7        (a) Vulnerable adult abuse, neglect, or financial

 

 8  exploitation.

 

 9        (b) A listed offense as defined in section 2 of the sex

 

10  offenders registration act, 1994 PA 295, MCL 28.722.

 

11        Enacting section 1. This amendatory act takes effect 90 days

 

12  after the date it is enacted into law.

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