SP0179, LD 447, item 1, An Act To Increase Patient Choice in Health Care Facilities and Health Care Settings

An Act To Increase Patient Choice in Health Care Facilities and Health Care Settings

Be it enacted by the People of the State of Maine as follows:

Sec. 1. 22 MRSA §1833 is enacted to read:

§ 1833. Information disclosure and patient choice

The following provisions apply to hospitals, nursing facilities, hospice providers, home health agencies and physicians licensed in the State in order to improve disclosure of information to patients and increase patients' choices.

1. Discharge from hospitals. A hospital that is preparing to discharge a patient to a nursing facility, hospice provider or home health agency shall provide to the patient or to a representative of the patient information on the nursing facilities, hospice providers and home health agencies available to the patient that are able to serve the patient’s needs. The information must include which physicians provide health care services in each nursing facility, hospice provider and home health agency and any business connections between those entities and the physicians.

2. Nursing facility, hospice provider and home health agency information. A nursing facility, hospice provider or home health agency that accepts patients upon discharge from a hospital shall on a regular basis provide information to the hospital on physicians that provide health care services in the nursing facility, hospice provider or home health agency and whether the physicians are accepting new patients. The information must include the health care qualifications of the physicians and any business connections the physicians have with each nursing facility, hospice provider, home health agency or hospital, including ownership of the physicians' practices.

3. Physician information. A physician who accepts new patients upon discharge from a hospital and admission to a nursing facility, hospice provider or home health agency shall on a regular basis provide information to the hospital, nursing facility, hospice provider or home health agency regarding whether the physician is accepting new patients. The information must include the health care qualifications of the physician and any business connections the physician has with each nursing facility, hospice provider, home health agency or hospital, including ownership of the physician's practice.

Sec. 2. Rules regarding the responsibilities of medical directors in nursing facilities. The Department of Health and Human Services shall amend its rules regarding licensure of nursing facilities, Rule Chapter 110, chapter 16, to require that the responsibilities of a facility's medical director meet the requirements of the guidelines for nursing facilities issued by the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services. Rules adopted pursuant to this section are routine technical rules as defined by the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A.

summary

This bill requires the disclosure of information to a patient who is being discharged from a hospital to a nursing facility, hospice provider or home health agency regarding the patient's health care options. It requires information sharing among physicians, nursing facilities, hospice providers, home health agencies and hospitals to facilitate this disclosure. It requires the information to include business connections among hospitals, nursing facilities, hospice providers and home health agencies and physicians. The bill also requires the Department of Health and Human Services to amend its rules on medical directors in nursing facilities to make the rules consistent with federal requirements and designates the rules as routine technical rules.

SP0179 LD 447	Session - 126th Maine Legislature		LR 1360 Item 1
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