PROPOSED
HOUSE OF REPRESENTATIVES AMENDMENTS TO S.B. 1157
(Reference to Senate engrossed bill)
Page 1, line 6, strike "checklist" insert "discharge document"
Between lines 35 and 36, insert:
"9. A copy of the resident's advance directives, if any, on file at the assisted living center or assisted living home."
Line 43, after the period insert "Each assisted living center and assisted living home shall periodically update this form for each resident as necessary."
Page 2, line 11, after "shall" insert "coordinate with the health care institution from which the patient has been transferred or the health care institution to which the patient will be discharged and shall"; after "provide" insert "A"; strike "plans for patients"
Strike lines 12 and 13
Line 14, strike "by the hospital's urgent care facility" insert "plan for each inpatient"; strike "plans must" insert "plan shall"
Line 15, after "staff" insert a period strike remainder of line
Strike line 16
Line 18, after "NUMBER" insert "and, if available"; strike "and, if"
Strike line 19
Line 20, strike "twenty-four hours a day, seven days a week"; after the period insert "The hospital's point of contact shall monitor the telephone and, if available, the email address provided and shall promptly respond to any inquiry. For forty-eight hours after discharge,"
Line 21, strike "consult with" insert "respond to"
Page 2, line 24, after "plan" insert a period strike remainder of line
Strike lines 25 through 30, insert "Hospitals shall have a qualified hospital representative respond to discharge plan questions received from the assisted living center or assisted living home."
Strike lines 43 and 44
Page 3, strike lines 1 through 19, insert:
"(g) Follow-up health care services and other services recommended for the patient."
Renumber to conform
Line 20, strike the first "the" insert "any"; after "prescription" strike remainder of line
Line 21, strike "prescription" insert ", if applicable, that"
Line 22, after the period insert "The copy of the prescription shall include the patient's name, medication administration instructions and the electronic signature of the prescriber. The copy of the prescription may be provided electronically."
Line 24, strike "the name and location of the"
Line 25, strike "pharmacy for"; strike "prescription drug or"
Line 29, after "G." insert "The discharging hospital shall contact the assisted living center or assisted living home from which the patient entered the hospital, after initial inpatient assessment, to discuss an evaluation of the patient's likely postdischarge health care needs. The hospital shall reevaluate and discuss with the assisted living center or assisted living home from which the patient entered the hospital the patient's condition, as appropriate, to identify changes to the patient's condition that may impact the patient's postdischarge health care needs, including, if any, recommendations by the hospital to transfer the patient to a different facility other than the facility from which the patient entered the hospital to address the patient's higher care needs."
Line 33, after "of" insert "or discussion about"
Line 36, after the period strike remainder of line
Strike lines 37 and 38
Page 3, line 39, strike "facility."
Strike lines 41 through 43, insert "promptly. If the assisted living center or assisted living home from which the patient entered the hospital can no longer meet the patient's needs, the facility shall provide documentation to the hospital demonstrating the reasons why the facility cannot accept the patient back to the facility.
H. For patients being transferred from a hospital to an assisted living center or assisted living home who have not previously been admitted to the assisted living center or assisted living home, the hospital shall coordinate with the assisted living center or assisted living home to allow time to expeditiously obtain documentation from a physician, registered nurse practitioner, registered nurse or physician assistant coordinating the level of care needed in the assisted living center or assisted living home."
Reletter to conform
Page 4, line 1, after "H." insert "For emergency department or observation patients, the hospital shall provide the patient's assisted living center or assisted living home from which the patient entered the hospital with a point of contact, including a telephone number and, if available, an email address. The hospital's point of contact shall monitor the telephone and, if available, the email address provided and promptly respond to any inquiry. For forty-eight hours after discharge, the discharging hospital's designated point of contact must be available to respond to the receiving assisted living center or assisted living home to assist in returning or admitting the patient to the assisted living center or assisted living home and to clarify any needed information in the discharge plan. Hospitals shall have a qualified hospital representative respond to discharge plan questions received from the assisted living center or assisted living home. The hospital shall also provide the patient's assisted living center or assisted living home with a copy of any prescription orders as prescribed in subsection F, paragraph 4 of this section and any identified follow-up care services recommended for the patient. The hospital shall provide the additional information outlined in subsection F, paragraph 3 of this section if the hospital determines it is applicable."
Page 4, line 2, strike "after hospital"
Line 3, strike "discharge"; strike "that" insert "the"
Strike lines 5 through 13
Reletter to conform
Lines 14 and 15, strike "checklist to be used during the discharge planning process" insert "discharge document"
Line 16, strike "G" insert "F"; after "section" insert "for inpatient discharges"; strike "checklist" insert "discharge document"
Amend title to conform