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<section article="ghg" article_name="Health - General" number="19-1409" title_number="19" title_name="Health Care Facilities" subtitle_number="14" subtitle_name="Nursing Homes">
  <level label="a">
    <text>There is an Oversight Committee on Quality of Care in Nursing Homes and Assisted Living Facilities.</text>
  </level>
  <level label="b">
    <text>The Oversight Committee shall consist of the following members:</text>
    <level label="1">
      <text>One member of the Senate Finance Committee, appointed by the President of the Senate;</text>
    </level>
    <level label="2">
      <text>One member of the House Health Committee, appointed by the Speaker of the House;</text>
    </level>
    <level label="3">
      <text>The Secretary of Aging, or the Secretary’s designee;</text>
    </level>
    <level label="4">
      <text>The Director of the Office of Health Care Quality, or the Director’s designee;</text>
    </level>
    <level label="5">
      <text>The Deputy Secretary for Behavioral Health, or the Deputy Secretary’s designee;</text>
    </level>
    <level label="6">
      <text>The Secretary of Human Services, or the Secretary’s designee;</text>
    </level>
    <level label="7">
      <text>The Secretary of Disabilities, or the Secretary’s designee;</text>
    </level>
    <level label="8">
      <text>The State Long–Term Care Ombudsman;</text>
    </level>
    <level label="9">
      <text>Two representatives of area agencies on aging, one of which shall be a member of a local long–term care ombudsman program established under Title 10, Subtitle 9 of the Human Services Article, selected by the President of the Maryland Association of Area Agencies on Aging;</text>
    </level>
    <level label="10">
      <text>One representative of a local long–term care ombudsman entity, selected by the State Long–Term Care Ombudsman;</text>
    </level>
    <level label="11">
      <text>Three consumer members, selected by the State Long–Term Care Ombudsman, all of whom shall be consumers living in an assisted living facility or a nursing home or have a family member living in an assisted living facility or a nursing home;</text>
    </level>
    <level label="12">
      <text>The following representatives, selected by the organizations the individual represents:</text>
      <level label="i">
        <text>One representative from the Mid–Atlantic LifeSpan;</text>
      </level>
      <level label="ii">
        <text>One representative of the Hospice Network of Maryland;</text>
      </level>
      <level label="iii">
        <text>One representative of the Maryland Hospital Association;</text>
      </level>
      <level label="iv">
        <text>One representative of 1199SEIU United Health Workers East;</text>
      </level>
      <level label="v">
        <text>One representative of the Maryland Chapter of AARP;</text>
      </level>
      <level label="vi">
        <text>One representative of United Seniors of Maryland;</text>
      </level>
      <level label="vii">
        <text>One representative of the Mental Health Association of Maryland knowledgeable in issues of aging;</text>
      </level>
      <level label="viii">
        <text>One representative of the Greater Maryland Chapter of the Alzheimer’s Association;</text>
      </level>
      <level label="ix">
        <text>One representative of the Maryland Association for Medical Adult Day Services; and</text>
      </level>
      <level label="x">
        <text>One representative of LeadingAge Maryland; and</text>
      </level>
    </level>
    <level label="13">
      <text>Three representatives from the assisted living industry, of which, to the extent practicable, one shall represent a program that cares for one to four residents, one shall represent a program that cares for five to nine residents, and one shall represent a program that cares for more than 10 residents.</text>
    </level>
  </level>
  <level label="c">
    <text>The Secretary of Aging, or the Secretary’s designee, shall chair the Oversight Committee.</text>
  </level>
  <level label="d">
    <text>The Oversight Committee shall evaluate the progress in improving nursing home care quality and assisted living facility quality statewide, which may include consideration of:</text>
    <level label="1">
      <text>Quality of care standards for nursing homes and assisted living facilities;</text>
    </level>
    <level label="2">
      <text>Standards for the identification of the onset of dementia and Alzheimer’s disease;</text>
    </level>
    <level label="3">
      <text>Standards for the identification of conditions appropriate for hospice services;</text>
    </level>
    <level label="4">
      <text>Staffing patterns and staffing standards;</text>
    </level>
    <level label="5">
      <text>Policies and procedures for inspecting nursing homes and assisted living facilities, and responding to quality of care complaints;</text>
    </level>
    <level label="6">
      <text>A comparison of Maryland standards, policies, and procedures to those in other states;</text>
    </level>
    <level label="7">
      <text>The labor pool available to fill nursing and nursing aide jobs;</text>
    </level>
    <level label="8">
      <text>State funding mechanisms for nursing homes and assisted living facilities, including the Medicaid Nursing Home Reimbursement System, potential barriers to eligibility in the Maryland Medical Assistance Program, potential barriers to the timely payment of claims submitted to the Maryland Medical Assistance Program, and regulation of nursing homes;</text>
    </level>
    <level label="9">
      <text>The provision and quality of dementia care and behavioral health supports and services to meet the needs of nursing home and assisted living facility residents;</text>
    </level>
    <level label="10">
      <text>Staff training and development;</text>
    </level>
    <level label="11">
      <text>The rights of residents;</text>
    </level>
    <level label="12">
      <text>Data on resident satisfaction;</text>
    </level>
    <level label="13">
      <text>Resident assessments;</text>
    </level>
    <level label="14">
      <text>Resident care planning;</text>
    </level>
    <level label="15">
      <text>The monitoring of residents; and</text>
    </level>
    <level label="16">
      <text>The change of resident status.</text>
    </level>
  </level>
  <level label="e">
    <text>The Office of Health Care Quality in the Maryland Department of Health shall submit a report to the Oversight Committee annually on the status of quality of care in nursing homes and assisted living facilities.</text>
  </level>
  <level label="f">
    <text>The Deputy Secretary of Health Care Financing, or the Deputy Secretary’s designee, shall report annually to the Oversight Committee on the status of the Medicaid Nursing Home Reimbursement System, which shall include but not be limited to:</text>
    <level label="1">
      <text>Elements of the existing methodology that are no longer relevant;</text>
    </level>
    <level label="2">
      <text>Elements of the existing methodology that can be revised;</text>
    </level>
    <level label="3">
      <text>The appropriateness of redesigning the system given changing demographics of the target population; and</text>
    </level>
    <level label="4">
      <text>General Fund and federal fund savings from a system redesign that may be redirected to nursing home staff development in the nursing cost center.</text>
    </level>
  </level>
  <level label="g">
    <text>The Oversight Committee shall review the reports of the Office of Health Care Quality and the Deputy Secretary of Health Care Financing and develop recommendations to continue improvement in nursing home and assisted living facility care.</text>
  </level>
  <level label="h">
    <text>The Oversight Committee may:</text>
    <level label="1">
      <text>Review legislation introduced in the General Assembly that may affect nursing home and assisted living facility care; and</text>
    </level>
    <level label="2">
      <text>Make recommendations about the legislation to the General Assembly.</text>
    </level>
  </level>
  <level label="i">
    <text>The Oversight Committee may:</text>
    <level label="1">
      <text>Review proposed regulations that may affect nursing home and assisted living facility care; and</text>
    </level>
    <level label="2">
      <text>Make recommendations about the regulations to the departments proposing the regulations and to the Joint Committee on Administrative, Executive, and Legislative Review.</text>
    </level>
  </level>
  <level label="j">
    <text>The Oversight Committee shall report its findings and recommendations to the Governor and, subject to § 2–1257 of the State Government Article, to the General Assembly on or before December 1 of each year.</text>
  </level>
  <level label="k">
    <text>The Department of Aging, with assistance from the Maryland Department of Health, the Department of Human Services, and the Department of Legislative Services, shall provide staff support for the Oversight Committee.</text>
  </level>
</section>
