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| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
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| SENATE BILL |
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| INTRODUCED BY VANCE, EARLL, BAKER, O'PAKE, ORIE, RAFFERTY, WASHINGTON AND WONDERLING, FEBRUARY 20, 2009 |
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| REFERRED TO BANKING AND INSURANCE, FEBRUARY 20, 2009 |
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| AN ACT |
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1 | Amending the act of June 18, 1984 (P.L.391, No.82), entitled "An |
2 | act regulating continuing-care facilities; imposing duties |
3 | upon the Insurance Commissioner; requiring certificate of |
4 | authority; revocation of certificates; regulating disclosure |
5 | statements; advertisement; regulating financial reserves; |
6 | requiring escrows; regulating residents' agreements; |
7 | establishing an advisory council; granting right of |
8 | organization; regulating liquidation and rehabilitation; |
9 | imposing civil liability; providing for the right to |
10 | investigate and subpoena, liens, cross-collateralization, |
11 | cease and desist orders and audits; imposing fees and |
12 | regulations; and making criminal penalties," further |
13 | providing for investigations and subpoenas and for audits. |
14 | The General Assembly of the Commonwealth of Pennsylvania |
15 | hereby enacts as follows: |
16 | Section 1. Sections 18 and 19 of the act of June 18, 1984 |
17 | (P.L.391, No.82), known as the Continuing-Care Provider |
18 | Registration and Disclosure Act, are amended to read: |
19 | Section 18. Investigations and subpoenas. |
20 | (a) The department may make such public or private |
21 | investigations or examinations within or outside of this |
22 | Commonwealth as the commissioner deems necessary to determine |
23 | whether any person has violated or is about to violate any |
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1 | provision of this act or any rule or order hereunder, or to aid |
2 | in the enforcement of this act or in the prescribing of rules |
3 | and forms hereunder and may publish information concerning any |
4 | violation of this act or any rule or order hereunder. |
5 | (b) For the purpose of any investigation, examination or |
6 | proceeding under this act, the commissioner or any officer |
7 | designated by the commissioner may administer oaths and |
8 | affirmations, subpoena witnesses, compel their attendance, take |
9 | evidence and require the production of any books, papers, |
10 | correspondence, memoranda, agreements or other documents or |
11 | records which the commissioner deems relevant or material to the |
12 | inquiry, all of which may be enforced in any court of this |
13 | Commonwealth which has appropriate jurisdiction. |
14 | Section 19. [Audits] Authority, scope and scheduling of |
15 | examinations. |
16 | [The commissioner or his designee shall visit each facility |
17 | offering continuing care in this Commonwealth to examine its |
18 | books and records at least once every four years.] |
19 | (a) Every provider subject to examination in accordance with |
20 | this act must keep all books, records, accounts, papers, |
21 | documents and any or all computer or other recordings relating |
22 | to its property, assets, business and affairs in such manner and |
23 | for such time periods as the department, in its discretion, may |
24 | require in order that its authorized representatives may readily |
25 | verify the financial condition of the company or person and |
26 | ascertain whether the company or person has complied with the |
27 | laws of this Commonwealth. A multifacility provider may be |
28 | required to provide the financial statements of the component |
29 | parts at the request of the commissioner or his designee. [The] |
30 | Unless specifically directed otherwise by regulations |
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1 | promulgated by the department, the financial statements need not |
2 | be certified audited reports. |
3 | (b) The department or any of its examiners may conduct an |
4 | examination of the books and records of each provider offering |
5 | continuing care in this Commonwealth as often as the |
6 | commissioner, in the commissioner's sole discretion, deems |
7 | appropriate, but shall conduct an examination at least once in |
8 | the first five-year period and once in the second five-year |
9 | period following a provider's receipt of a certificate of |
10 | authority under this act. |
11 | (c) In scheduling and determining the nature, scope and |
12 | frequency of examinations under subsection (b), the commissioner |
13 | shall consider matters including all of the following: |
14 | (1) The results of financial statement analyses. |
15 | (2) Changes in management or ownership. |
16 | (3) Reports of independent certified public accountants. |
17 | (4) The volume or nature of complaints by residents. |
18 | (5) The length of time a provider or a facility has been |
19 | furnishing continuing care. |
20 | (6) Changes to disclosure statements or resident |
21 | agreements. |
22 | (7) The expansion of existing facilities or addition of |
23 | new facilities. |
24 | (8) Other information or criteria, which in the sole |
25 | discretion of the commissioner, is relevant to the provider's |
26 | financial condition or compliance with regulatory |
27 | requirements. |
28 | (d) For purposes of completing an examination of a provider, |
29 | the department may examine or investigate any person or the |
30 | business of any person insofar as the examination or |
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1 | investigation is, in the sole discretion of the commissioner, |
2 | necessary or material to the examination of the provider. |
3 | (e) Examinations under this section shall be conducted |
4 | pursuant to the procedures set forth under sections 904, 905, |
5 | 906, 907 and 908 of the act of May 17, 1921 (P.L.789, No.285), |
6 | known as The Insurance Department Act of 1921, and 31 Pa. Code |
7 | Ch. 12 (relating to cost of insurance department examinations). |
8 | Section 2. This act shall apply to examinations instituted |
9 | on or after the effective date of this act. |
10 | Section 3. This act shall take effect in 60 days. |
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