Chief Sponsor: Karen Kwan

Senate Sponsor: Curtis S. Bramble

6     Cosponsors:
7     Patrice M. Arent
8     Joel K. Briscoe
9     Rebecca Chavez-Houck
10     Kim F. Coleman
11     Susan Duckworth
Gage Froerer
Sandra Hollins
Brian S. King
Derrin R. Owens
Val K. Potter
Marie H. Poulson
Tim Quinn
Mike Schultz
Elizabeth Weight
Mark A. Wheatley
Brad R. Wilson


14     General Description:
15          This bill enacts provisions related to the transfer or discharge of a resident from an
16     assisted living facility.
17     Highlighted Provisions:
18          This bill:
19          ▸     renames a part;
20          ▸     provides notice requirements when an assisted living facility transfers or discharges
21     a resident;
22          ▸     requires the ombudsman to gather information regarding assisted living facility
23     transfers or discharges and annually report that information to the Health and
24     Human Services Interim Committee; and
25          ▸     makes technical changes.
26     Money Appropriated in this Bill:
27          None

28     Other Special Clauses:
29          None
30     Utah Code Sections Affected:
31     AMENDS:
32          26-21-301, as enacted by Laws of Utah 2016, Chapter 141
33          26-21-302, as enacted by Laws of Utah 2016, Chapter 141
34          63I-1-262, as last amended by Laws of Utah 2017, Chapter 459
35     ENACTS:
36          26-21-305, Utah Code Annotated 1953
37          62A-3-209, Utah Code Annotated 1953

39     Be it enacted by the Legislature of the state of Utah:
40          Section 1. Section 26-21-301 is amended to read:
Part 3. Assisted Living Facilities

42          26-21-301. Title.
43          This part is known as [the] "Assisted Living [Facility Surveillance Act] Facilities."
44          Section 2. Section 26-21-302 is amended to read:
45          26-21-302. Definitions.
46          As used in this part:
47          (1) "Facility" means an assisted living facility.
48          (2) "Legal representative" means an individual who is legally authorized to make
49     health care decisions on behalf of another individual.
50          (3) (a) "Monitoring device" means:
51          (i) a video surveillance camera; or
52          (ii) a microphone or other device that captures audio.
53          (b) "Monitoring device" does not include:
54          (i) a device that is specifically intended to intercept wire, electronic, or oral
55     communication without notice to or the consent of a party to the communication; or

56          (ii) a device that is connected to the Internet or that is set up to transmit data via an
57     electronic communication.
58          (4) "Ombudsman" means the same as that term is defined in Section 62A-3-202.
59          [(4)] (5) "Resident" means an individual who receives health care from a facility.
60          (6) "Responsible person" means an individual who:
61          (a) is designated in writing by a resident to receive communication on behalf of the
62     resident; or
63          (b) a legal representative.
64          [(5)] (7) "Room" means a resident's private or shared primary living space.
65          [(6)] (8) "Roommate" means an individual sharing a room with a resident.
66          Section 3. Section 26-21-305 is enacted to read:
67          26-21-305. Transfer or discharge.
68          When a facility initiates the transfer or discharge of a resident, the facility shall:
69          (1) notify the resident and the resident's responsible person, if any, in writing and in a
70     language and a manner that is most likely to be understood by the resident and the resident's
71     responsible person, of:
72          (a) the reasons for the transfer or discharge;
73          (b) the effective date of the transfer or discharge;
74          (c) the location to which the resident will be transferred or discharged, if known; and
75          (d) the name, address, email, and telephone number of the ombudsman;
76          (2) send a copy, in English, of the notice described in Subsection (1)(a) to the
77     ombudsman on the same day on which the facility delivers the notice described in Subsection
78     (1)(a) to the resident and the resident's responsible person;
79          (3) provide the notice described in Subsection (1)(a) at least 30 days before the day on
80     which the resident is transferred or discharged, unless:
81          (a) notice for a shorter period of time is necessary to protect:
82          (i) the safety of individuals in the facility from endangerment due to the medical or
83     behavioral status of the resident; or

84          (ii) the health of individuals in the facility from endangerment due to the resident's
85     continued residency;
86          (b) an immediate transfer or discharge is required by the resident's urgent medical
87     needs; or
88          (c) the resident has not resided in the facility for at least 30 days;
89          (4) update the transfer or discharge notice as soon as practicable before the transfer or
90     discharge if information in the notice changes before the transfer or discharge;
91          (5) orally explain to the resident:
92          (a) the services available through the ombudsman; and
93          (b) the contact information for the ombudsman;
94          (6) provide and document the provision of preparation and orientation, in a language
95     and manner the resident is most likely to understand, for a resident to ensure a safe and orderly
96     transfer or discharge from the facility; and
97          (7) in the event of a facility closure, provide written notification of the closure to the
98     ombudsman, each resident of the facility, and each resident's responsible person.
99          Section 4. Section 62A-3-209 is enacted to read:
100          62A-3-209. Assisted living facility transfers.
101          (1) After the ombudsman receives a notice described in Subsection 26-21-305(1)(a),
102     the ombudsman shall:
103          (a) review the notice; and
104          (b) contact the resident or the resident's responsible person to conduct a voluntary
105     interview.

106          (2) The voluntary interview described in Subsection (1)(b) shall:
107          (a) provide the resident with information about the services available through the
108     ombudsman;

109          (b) confirm the details in the notice described in Subsection 26-21-305(1)(a),
110     including:

111          (i) the name of the resident;

112          (ii) the reason for the transfer or discharge;
113          (iii) the date of the transfer or discharge; and
114          (iv) a description of the resident's next living arrangement; and
115          (c) provide the resident an opportunity to discuss any concerns or complaints the
116     resident may have regarding:

117          (i) the resident's treatment at the assisted living facility; and
118          (ii) whether the assisted living facility treated the resident fairly when the assisted
119     living facility transferred or discharged the resident.

120          (3) On or before November 1 of each year, the ombudsman shall provide a report to the
121     Health and Human Services Interim Committee regarding:

122          (a) the reasons why assisted living facilities are transferring residents;
123          (b) where residents are going upon transfer or discharge; and
124          (c) the type and prevalence of complaints that the ombudsman receives regarding
125     assisted living facilities, including complaints about the process or reasons for a transfer or
126     discharge.
127          Section 5. Section 63I-1-262 is amended to read:
128          63I-1-262. Repeal dates, Title 62A.
129          (1) Section 62A-3-209 is repealed July 1, 2023.
130          [(1)] (2) Section 62A-4a-213 is repealed July 1, 2019.
131          [(2)] (3) Section 62A-4a-202.9 is repealed December 31, 2019.
132          [(3)] (4) Subsection 62A-15-1101(5) is repealed July 1, 2018.