Kentucky
General Assembly

02/29/12	introduced in House
03/01/12	to Health & Welfare (H)
03/05/12	posted in committee
03/15/12	reported favorably, 1st reading, to Consent Calendar with Committee Substitute
03/16/12	2nd reading, to Rules
03/20/12	posted for passage in the Consent Orders of the Day for Wednesday, March 21, 2012
03/21/12	3rd reading, passed 97-0 with Committee Substitute
03/22/12	received in Senate
03/26/12	to Health & Welfare (S)
03/28/12	taken from Health & Welfare (S) 1st reading returned to Health & Welfare (S)
03/29/12	reported favorably, 2nd reading, to Rules with committee amendments (1-title) (2) and (3) floor amendments (1) (2) (3) and (4) filed
03/30/12	recommitted to Health & Welfare (S)
04/12/12	reported favorably, to Rules with Committee Substitute as a Consent Bill posted for passage in the Consent Orders (2) of the Day for Thursday, April 12, 2012 3rd reading committee amendments (1-title) (2) and (3) withdrawn floor amendments (1) (2) (3) and (4) withdrawn passed 37-0 with Committee Substitute received in House to Rules (H) posted for passage for concurrence in Senate Committee Substitute House concurred in Senate Committee Substitute passed 94-0 enrolled, signed by each presiding officer delivered to Governor
04/18/12	signed by Governor (Acts ch. 147)

Amendment	House Committee Substitute 1
Impact Statements	Fiscal Note
Summary	Retain original provisions except require that the pilot program be subject to approval by the Centers for Medicare and Medicaid Services.
Index Headings	Fiscal Note - Oral health, preventive care in nursing homes, pilot program Health and Medical Services - Oral health, preventive care in nursing homes, pilot program Hospitals and Nursing Homes - Oral health, preventive care in nursing homes, pilot program Physicians and Practitioners - Oral health, preventive care in nursing homes, pilot program Public Health - Oral health, preventive care in nursing homes, pilot program Medicaid - Oral health, preventive care in nursing homes, pilot program Disabilities and the Disabled - Oral health, preventive care in nursing homes, pilot program

Amendment	Senate Committee Substitute 1
Summary	Retain original provisions, except clarify a reference to the collection of federal funds.
Index Headings	Fiscal Note - Oral health, preventive care in nursing homes, pilot program Health and Medical Services - Oral health, preventive care in nursing homes, pilot program Hospitals and Nursing Homes - Oral health, preventive care in nursing homes, pilot program Physicians and Practitioners - Oral health, preventive care in nursing homes, pilot program Public Health - Oral health, preventive care in nursing homes, pilot program Medicaid - Oral health, preventive care in nursing homes, pilot program Disabilities and the Disabled - Oral health, preventive care in nursing homes, pilot program

Amendment	Senate Committee Amendment 1
Sponsor	J. Denton
Summary	Make title amendment.
Index Headings	Fiscal Note - Oral health, preventive care in nursing homes, pilot program Health and Medical Services - Oral health, preventive care in nursing homes, pilot program Hospitals and Nursing Homes - Oral health, preventive care in nursing homes, pilot program Physicians and Practitioners - Oral health, preventive care in nursing homes, pilot program Public Health - Oral health, preventive care in nursing homes, pilot program Medicaid - Oral health, preventive care in nursing homes, pilot program Disabilities and the Disabled - Oral health, preventive care in nursing homes, pilot program

Amendment	Senate Committee Amendment 2
Sponsor	J. Denton
Summary	Retain original provisions, except clarify a reference to the collection of federal funds.
Index Headings	Fiscal Note - Oral health, preventive care in nursing homes, pilot program Health and Medical Services - Oral health, preventive care in nursing homes, pilot program Hospitals and Nursing Homes - Oral health, preventive care in nursing homes, pilot program Physicians and Practitioners - Oral health, preventive care in nursing homes, pilot program Public Health - Oral health, preventive care in nursing homes, pilot program Medicaid - Oral health, preventive care in nursing homes, pilot program Disabilities and the Disabled - Oral health, preventive care in nursing homes, pilot program

Amendment	Senate Committee Amendment 3
Sponsor	J. Denton
Summary	Delete original provisions, create within KRS Chapter 216C various new sections establishing a medical review panel system for use in civil litigation relating to long-term-care facilities, including sections setting out definitions, delineating covered health care facilities and providers, panel membership and formation, functions and deliberations of the panel, and utilization of panel results in civil actions; create a new section of KRS Chapter 216 to define terms; require that the Cabinet for Health and Family Services collaborate with the UK and UL schools of dentistry to design and implement a pilot program to improve daily access to oral health care for nursing home residents; state funding mechanism; state activities that the pilot program shall fund; permit two nursing homes to share one aide depending on need; allow the cabinet to promulgate regulations; require a periodic evaluation and report.
Index Headings	Fiscal Note - Oral health, preventive care in nursing homes, pilot program Health and Medical Services - Oral health, preventive care in nursing homes, pilot program Hospitals and Nursing Homes - Oral health, preventive care in nursing homes, pilot program Physicians and Practitioners - Oral health, preventive care in nursing homes, pilot program Public Health - Oral health, preventive care in nursing homes, pilot program Medicaid - Oral health, preventive care in nursing homes, pilot program Disabilities and the Disabled - Oral health, preventive care in nursing homes, pilot program

Amendment	Senate Floor Amendment 1
Sponsor	R. Jones II
Summary	Retain provisions of the bill, except to create a new section of KRS Chapter 216 to require long-term-care facilities to report to the Office of the Inspector General, Cabinet for Health and Family Services all falls, infections, and decubitus ulcers and the costs associated with all falls, infections, and decubitus ulcers; require the Office of Inspector General to establish a clearinghouse to report the data and costs in all local newspapers quarterly; require the facilities to reimburse Medicaid, Medicare, or private insurance companies for the cost of the care and treatment.
Index Headings	Fiscal Note - Oral health, preventive care in nursing homes, pilot program Health and Medical Services - Oral health, preventive care in nursing homes, pilot program Hospitals and Nursing Homes - Oral health, preventive care in nursing homes, pilot program Physicians and Practitioners - Oral health, preventive care in nursing homes, pilot program Public Health - Oral health, preventive care in nursing homes, pilot program Medicaid - Oral health, preventive care in nursing homes, pilot program Disabilities and the Disabled - Oral health, preventive care in nursing homes, pilot program

Amendment	Senate Floor Amendment 2
Sponsor	R. Jones II
Summary	Delete original provisions; create a new section of KRS Chapter 216 to define terms; require that the Cabinet for Health and Family Services collaborate with the UK and UL schools of dentistry to design and implement a pilot program to improve daily access to oral health care for nursing home residents; state funding mechanism; state activities that the pilot program shall fund; permit two nursing homes to share one aide depending on need; allow the cabinet to promulgate regulations; require a periodic evaluation and report; create new sections of KRS 216B to require staff-to-resident ratios in long-term care facilities as a condition of licensure or relicensure; establish minimum staffing requirements; prohibit long-term care facilities from admitting new residents if the facility fails to comply with the minimum staffing requirements, beginning on the second day of noncompliance and continuing until six days after the required staffing is achieved, with exceptions allowed for weather emergencies and other similar events; require additional staffing based on the needs of the residents; exempt intermediate-care facilities for the mentally retarded, institutions for the treatment of mental illnesses, personal care homes, and family care homes from the minimum staffing requirements; create a 20-member board to review staffing requirements on an annual basis; establish a civil fine of no more than $1,000 for each day that the staffing requirements are not maintained.
Index Headings	Fiscal Note - Oral health, preventive care in nursing homes, pilot program Health and Medical Services - Oral health, preventive care in nursing homes, pilot program Hospitals and Nursing Homes - Oral health, preventive care in nursing homes, pilot program Physicians and Practitioners - Oral health, preventive care in nursing homes, pilot program Public Health - Oral health, preventive care in nursing homes, pilot program Medicaid - Oral health, preventive care in nursing homes, pilot program Disabilities and the Disabled - Oral health, preventive care in nursing homes, pilot program

Amendment	Senate Floor Amendment 3
Sponsor	R. Jones II
Summary	Retain provisions, except to amend KRS 386.093 to provide that an attorney in fact, appointed under a power of attorney to represent a resident in a long-term care facility, shall not have the right to waive the principal's civil or constitutional rights or restrict the principal's freedom.
Index Headings	Fiscal Note - Oral health, preventive care in nursing homes, pilot program Health and Medical Services - Oral health, preventive care in nursing homes, pilot program Hospitals and Nursing Homes - Oral health, preventive care in nursing homes, pilot program Physicians and Practitioners - Oral health, preventive care in nursing homes, pilot program Public Health - Oral health, preventive care in nursing homes, pilot program Medicaid - Oral health, preventive care in nursing homes, pilot program Disabilities and the Disabled - Oral health, preventive care in nursing homes, pilot program

Amendment	Senate Floor Amendment 4
Sponsor	R. Jones II
Summary	Delete original provisions; create a new section of KRS Chapter 216 to define terms; require that the Cabinet for Health and Family Services collaborate with the UK and UL schools of dentistry to design and implement a pilot program to improve daily access to oral health care for nursing home residents; state funding mechanism; state activities that the pilot program shall fund; permit two nursing homes to share one aide depending on need; allow the cabinet to promulgate regulations; require a periodic evaluation and report; create a new section of KRS Chapter 216 to require that employees and administrators of long term care facilities report physical abuse, sexual abuse, rape or neglect of a long term care resident to law enforcement within 24 hours; amend KRS 216B.990 to make a violation of Section 2 a Class D felony.
Index Headings	Fiscal Note - Oral health, preventive care in nursing homes, pilot program Health and Medical Services - Oral health, preventive care in nursing homes, pilot program Hospitals and Nursing Homes - Oral health, preventive care in nursing homes, pilot program Physicians and Practitioners - Oral health, preventive care in nursing homes, pilot program Public Health - Oral health, preventive care in nursing homes, pilot program Medicaid - Oral health, preventive care in nursing homes, pilot program Disabilities and the Disabled - Oral health, preventive care in nursing homes, pilot program