SB 919 — AN ACT REMOVING THE TERM "HOMEMAKER" IN REFERENCE TO HOME HEALTH AIDE AGENCIES AND SERVICES.

In no case shall any such rate exceed the eightieth percentile of rates in effect January 31, LCO 4096 \\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00919-R1 of 13 SB.docx Raised Bill No.

4096919 1 of 13 Raised Bill No.919 such rate exceed the eightieth percentile of rates in effect January 31, 1991, nor shall any rate exceed the charge to the general public for similar services.

A home health care agency or [homemaker-home] home health aide agency which, due to any material change in LCO 4096 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0092 of 13 R01-SB.docx } Raised Bill No.

4096919 2 of 13 Raised Bill No.919 health aide agency which, due to any material change in circumstances, is aggrieved by a rate determined pursuant to this subsection may, within ten days of receipt of written notice of such rate from the Commissioner of Social Services, request in writing a hearing on all items of aggrievement.

Before implementing such change, the Commissioner of Social Services shall consult with the chairpersons of the joint standing committees of the General Assembly LCO 4096 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0093 of 13 R01-SB.docx } Raised Bill No.

4096919 3 of 13 Raised Bill No.919 having cognizance of matters relating to public health and human services.

(f) If the electronic record or signature that has been transmitted to a home health care agency or [homemaker-home] home health aide LCO 4096 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0094 of 13 R01-SB.docx } Raised Bill No.

4096919 4 of 13 Raised Bill No.919 agency is illegible or the department is unable to determine the validity of such electronic record or signature, the department shall review additional evidence of the accuracy or validity of the record or signature, including, but not limited to, (1) the original of the record or signature, or (2) a written statement, made under penalty of false statement, from (A) the licensed physician or licensed practitioner of a health care profession who signed such record, or (B) if such licensed physician or licensed practitioner of a health care profession is unavailable, the medical director of the agency verifying the accuracy or validity of such record or signature, and the department shall make a determination whether the electronic record or signature is valid.

LCO 4096 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0095 of 13 R01-SB.docx } Raised Bill No.

4096919 5 of 13 Raised Bill No.919 (a) "Institution" means a hospital, short-term hospital special hospice, hospice inpatient facility, residential care home, nursing home facility, home health care agency, [homemaker-home] home health aide agency, behavioral health facility, assisted living services agency, substance abuse treatment facility, outpatient surgical facility, outpatient clinic, an infirmary operated by an educational institution for the care of students enrolled in, and faculty and employees of, such institution;

(e) ["Homemaker-home health aide agency"] "Home health aide agency" means a public or private organization, except a home health LCO 4096 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0096 of 13 R01-SB.docx } Raised Bill No.

4096919 6 of 13 Raised Bill No.919 care agency, which provides in the patient's home or a substantially equivalent environment supportive services which may include, but are not limited to, assistance with personal hygiene, dressing, feeding and incidental household tasks essential to achieving adequate household and family management.

In LCO 4096 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0097 of 13 R01-SB.docx } Raised Bill No.

4096919 7 of 13 Raised Bill No.919 the event the commissioner requires such agencies to meet minimum service quality standards as a condition of their licensure, the commissioner shall adopt regulations, in accordance with the provisions of chapter 54, to define such minimum service quality standards, which shall (1) allow for training of [homemaker-home] home health aides by adult continuing education, (2) require a registered nurse to visit and assess each patient receiving [homemaker- home] home health aide services as often as necessary based on the patient's condition, but not less than once every sixty days, and (3) require the assessment prescribed by subdivision (2) of this subsection to be completed while the [homemaker-home] home health aide is providing services in the patient's home.

For purposes of this section, LCO 4096 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0098 of 13 R01-SB.docx } Raised Bill No.

4096919 8 of 13 Raised Bill No.919 "nurse" means an advanced practice registered nurse, registered nurse or practical nurse licensed under chapter 378.

(2) The regulations shall establish certification and recertification LCO 4096 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0099 of 13 R01-SB.docx } Raised Bill No.

4096919 9 of 13 Raised Bill No.919 requirements for medication administration and the criteria to be used by home health care agencies that provide services for clients requiring assistance with medication administration in determining (A) which [homemaker-home] home health aides shall obtain such certification and recertification, and (B) education and skill training requirements, including ongoing training requirements for such certification and recertification.

(1) Documented in the patient's care plan that the medication administration could be properly and safely performed by the [homemaker-home] home health aide to whom it is delegated, (2) provided initial direction to the [homemaker-home] home health aide, and (3) provided ongoing supervision of the [homemaker-home] home health aide, including the periodic assessment and evaluation of the patient's health and safety related to LCO 4096 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0010 of 13 R01-SB.docx } Raised Bill No.

4096919 10 of 13 Raised Bill No.919 medication administration.

Subsection (a) of section 19a-495 of the general statutes is LCO 4096 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0011 of 13 R01-SB.docx } Raised Bill No.

4096919 11 of 13 Raised Bill No.919 repealed and the following is substituted in lieu thereof (Effective July 1, 2019):

(7) "Homemaker-companion agency" means (A) any public or private organization that employs one or more persons and is engaged in the business of providing companion services or homemaker services,LCO or4096 (B){\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0012 anyof registry.13 R01-SB.docx } Raised Bill No.

"Homemaker-companion919 agency"services, shallor LCO(B) No.any registry.

4096"Homemaker-companion 12agency" shall not include a home health care agency, as defined in subsection (d) of 13section Raised19a-490, Billas No.amended by this act, or a [homemaker-home] home health aide agency, as defined in subsection (e) of section 19a-490.

919 not include a home health care agency, as defined in subsection (d) of section 19a-490, as amended by this act, or a [homemaker-home] home health aide agency, as defined in subsection (e) of section 19a-490.

7 July 1, 2019 19a-492d July 1, 2019 Sec.

8 July 1, 2019 19a-492e Sec.

11 July 1, 2019 20-670(7) StatementPH Joint Favorable LCO 4096 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00919- 13 of Purpose:13 R01-SB.docx }

To remove the term "homemaker" in reference to home health aide agencies and services.

[Proposed deletions are enclosed in brackets.

Proposed additions are indicated by underline, not underlined.] the entire text of a bill or resolution or a section of a bill or resolution is new, it is LCO No.

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