HB 141 — Regards prescribed pediatric extended care centers

As ReportedPassed by the House Health Committee 136th General Assembly Regular Session Sub.

Representatives Schmidt, Deeter, Brownlee, Grim, White, A.A., Abdullahi, Barhorst, Brennan, Brent, Brewer, Cockley, Creech, Daniels, Denson, Dovilla, Fischer, Glassburn, Hall, D., Isaacsohn, Jarrells, Johnson, King, Kishman, Klopfenstein, LaRe, Lawson-Rowe, Lear, Lett, Manning, Mathews, A., Mathews, T., Miller, J., Mohamed, Odioso, Peterson, Piccolantonio, Plummer, Rader, Richardson, Ritter, Robb Blasdel, Robinson, Rogers, Russo, Salvo, Sigrist, Sims, Sweeney, Synenberg, Thomas, C., Tims, Troy, Upchurch, White, E., Williams, Willis, Young To enact sections 3724.01, 3724.02, 3724.03, 1 3724.04, 3724.05, 3724.06, 3724.07, 3724.08, 2 3724.09, 3724.10, 3724.99, 5164.27, and 5166.111 3 of the Revised Code regarding prescribed 4 pediatric extended care centers.

To enact sections 3724.01, 3724.02, 3724.03, 1 3724.04, 3724.05, 3724.06, 3724.07, 3724.08, 2 3724.09, 3724.10, 3724.99, 5164.27, and 5166.111 3 of the Revised Code regarding prescribed 4 pediatric extended care centers.

14 (C)Sub. "Medically dependent or technologically dependent 15 child" means an individual who is less than twenty-one years of 16 age and requires, as a result of a medical condition, continuous 17 therapeutic interventions or skilled nursing supervision.

18 Sub.

141 Page 2 As ReportedPassed by the House Health(C) Committee"Medically (D)dependent "Owner or operator"technologically dependent 15 child" means anyan individual who ownsis orless 19than hastwenty-one generalyears administrativeof charge16 age and requires, as a result of a prescribedmedical pediatriccondition, 20continuous extended17 caretherapeutic center.interventions or skilled nursing supervision.

18 (D) "Owner or operator" means any individual who owns or 19 has general administrative charge of a prescribed pediatric 20 extended care center.

42 (B) To be eligible to receive a license to operate a 43 prescribedSub. pediatric extended care center, an applicant shall 44 satisfy all of the following requirements:

45 (1) Hold a current, valid child care center license issued 46 under Chapter 5104.

of the Revised Code and operate the child 47 Sub.

141 Page 3 As ReportedPassed by the House Healthprescribed Committeepediatric extended care centercenter, atan theapplicant sameshall address44 atsatisfy whichall of the prescribedfollowing 48requirements: pediatric extended care center will operate;

45 (1) Hold a current, valid child care center license issued 46 under Chapter 5104.

of the Revised Code and operate the child 47 care center at the same address at which the prescribed 48 pediatric extended care center will operate;

68 (B) The license shall be valid for three years, unless 69 revoked or suspended, shall expire on the date that is three 70 years after the date of issuance, and may be renewed for 71 additional three-year periods in accordance with division (C) of 72 thisSub. section and rules adopted under section 3724.05 of the 73 Revised Code.

74 (C) To renew a license issued under this section, a 75 prescribed pediatric extended care center shall, on or before 76 Sub.

141 Page 4 As ReportedPassed by the House Healththis Committeesection theand license'srules expirationadopted date,under applysection to3724.05 the director of healththe 7773 forRevised renewal.Code.

74 (C) To renew a license issued under this section, a 75 prescribed pediatric extended care center shall, on or before 76 the license's expiration date, apply to the director of health 77 for renewal.

101 (4)Sub. Establish standards to ensure that the center's 102 conditions and physical surroundings are healthy, safe, and 103 sanitary;

104 (5) Establish minimum qualifications for employment as an 105 Sub.

141 Page 5 As ReportedPassed by the House Health(4) CommitteeEstablish operator,standards registeredto nurse,ensure licensedthat practicalthe nurse,center's or102 otherconditions 106and staffphysical membersurroundings asare wellhealthy, assafe, trainingand requirements103 forsanitary; such 107 employees;

104 (5) Establish minimum qualifications for employment as an 105 operator, registered nurse, licensed practical nurse, or other 106 staff member as well as training requirements for such 107 employees;

(A)(1) A prescribed pediatric extended care 129 center licensed under this chapter may provide and deliver at 130 the center, for a part of the day, any of the following 131 nonresidential services to medically dependent or 132 technologically dependent children who are not related to the 133 Sub.

141 Page 6 As ReportedPassed by the House Healthcenter Committeelicensed under this chapter may provide and deliver at 130 the center, for a part of the day, any of the following 131 nonresidential services to medically dependent or 132 technologically dependent children who are not related to the 133 center's owner or operator by blood, marriage, or adoption:

154 InSub. allowing for the services, supports, and therapies 155 described in this division to be provided for at the center, the 156 center may contract with another entity to provide those 157 services, supports, and therapies.

158 Sub.

141 Page 7 As ReportedPassed by the House HealthIn Committeeallowing Sec.for the services, supports, and therapies 155 described in this division to be provided for at the center, the 156 center may contract with another entity to provide those 157 services, supports, and therapies.

158 Sec.

daily assessments, 182 medicationSub. lists, and reports of medications administered, 183 medication errors, and therapeutic interventions.

The center 184 shall ensure that the system allows for periodic audits and 185 assists the center in implementing internal compliance programs.

186 Sub.

141 Page 8 As ReportedPassed by the House Healthmedication Committeelists, (D)and Thereports center shall assist the department of healthmedications inadministered, 187183 anymedication auditserrors, the department conducts of the center, including 188 those related to the center's delivery of and billingtherapeutic forinterventions. 189 services.

The center 184 shall ensure that the system allows for periodic audits and 185 assists the center in implementing internal compliance programs.

186 (D) The center shall assist the department of health in 187 any audits the department conducts of the center, including 188 those related to the center's delivery of and billing for 189 services.

The 211 center's nurse manager shall coordinate the implementation of 212 the child's treatment plan, with the plan's interventions and 213 skilled nursing to be administered by either a registered nurse 214 employed by the center or a licensed practical nurse employed by 215 Sub.

141 Page 9 As ReportedPassed by the House Healthcenter's Committeenurse manager shall coordinate the implementation of 212 the child's treatment plan, with the plan's interventions and 213 skilled nursing to be administered by either a registered nurse 214 employed by the center or a licensed practical nurse employed by 215 the center and under the direct supervision of the registered 216 nurse.

(A) As used in this section, "medically 240 dependentSub. or technologically dependent child" and "prescribed 241 pediatric extended care center" have the same meanings as in 242 section 3724.01 of the Revised Code.

243 (B) The medicaid director shall seek approval from the 244 Sub.

141 Page 10 As ReportedPassed by the House Healthdependent Committeeor Unitedtechnologically Statesdependent centerschild" for medicare and medicaid"prescribed services241 to 245 cover services provided by a prescribed pediatric extended care 246center" center,have asthe describedsame inmeanings divisionas (A)(1)in of242 section 3724.063724.01 of 247 the Revised Code,Code. to medically dependent or technologically 248 dependent children in this state as part of the early and 249 periodic screening, diagnostic, and treatment program.

243 (B) The medicaid director shall seek approval from the 244 United States centers for medicare and medicaid services to 245 cover services provided by a prescribed pediatric extended care 246 center, as described in division (A)(1) of section 3724.06 of 247 the Revised Code, to medically dependent or technologically 248 dependent children in this state as part of the early and 249 periodic screening, diagnostic, and treatment program.