LD 2195
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Page 1 of 2 An Act to Implement the Recommendations of the Commission to Study Assisted Liv... LD 2195 Title Page
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bodily functions, including bed mobility, transfers, locomotion,
dressing, eating, toileting, bathing and personal hygiene.

 
2.__Assisted housing program.__"Assisted housing program"
means an independent housing with services program, an assisted
living program or a program of housing and services provided by a
residential care facility.

 
3.__Assisted housing services.__"Assisted housing services"
means the provision by an assisted housing program of housing,
assistance with activities of daily living and instrumental
activities of daily living, personal supervision, protection from
environmental hazards, meals, diet care, care management and
diversional or motivational activities.

 
4.__Assisted living program.__"Assisted living program" means
a program of assisted living services provided to residents in
private apartments in buildings that include a common dining
area, either directly by the provider or indirectly through
contracts with persons, entities or agencies.

 
5.__Assisted living services.__"Assisted living services"
means the provision by an assisted housing program, either
directly by the provider or indirectly through contracts with
persons, entities or agencies, of assisted housing services with
the addition of medication administration or medication
administration and nursing services.

 
6.__Independent housing with services program.__"Independent
housing with services program" means a program of assisted
housing services provided to residents in private apartments in
buildings that include a common dining area, either directly by
the provider or indirectly through contracts with persons,
entities or agencies.

 
7.__Instrumental activities of daily living.__"Instrumental
activities of daily living" includes, but is not limited to,
preparing or receiving of a main meal, taking medication, using
the telephone, handling finances, banking, shopping, routine
housework, laundry and getting to appointments.

 
8.__Life Safety Code.__"Life Safety Code" means the current
edition of the National Fire Protection Association Life Safety
Code 101.

 
9.__Long-term care facility.__"Long-term care facility" means
any assisted housing program licensed pursuant to chapter 1663 or
this chapter and any nursing facility or unit licensed pursuant
to chapter 405.

 
10.__Mobile nonambulatory.__"Mobile nonambulatory," as applied
to a resident of a residential care facility with 6 or fewer
beds, means being able to transfer independently and able to
evacuate a facility in less than 2 1/2 minutes with the
assistance of another person throughout the evacuation procedure.

 
11.__Nursing services.__"Nursing services" means services
provided by professional nurses defined in Title 32, section
2102, subsection 2.__"Nursing services" includes coordination and
oversight of resident care services provided by unlicensed health
care assistive personnel in assisted living programs.

 
12.__Private apartment.__"Private apartment" means a private
dwelling unit with an individual bedroom, an individual bathroom
and an individual food preparation area.

 
13.__Resident.__"Resident" means any person 18 years of age or
older who is not related by blood or marriage to the owner or
person in charge of the facility or building in which the
resident lives and who receives assisted housing services.

 
14.__Residential care facility.__"Residential care facility"
means a house or other place that, for consideration, is
maintained wholly or partly for the purpose of providing
residents with assisted living services.__Residential care
facilities provide housing and services to residents in private
or semi-private bedrooms in buildings with common living areas
and dining areas.__"Residential care facility" does not include a
licensed nursing home or a supported living arrangement certified
by the Department of Behavioral and Developmental Services.

 
§7853.__Rules

 
The commissioner shall adopt rules for assisted housing
programs.__Rules adopted pursuant to this section are major
substantive rules as defined in Title 5, chapter 375, subchapter
II-A.

 
1.__Consultation.__The rules must be developed in consultation
with the long-term care ombudsman program established pursuant to
section 5106, subsection 11-C, consumer representatives and
providers of the type of assisted housing program to which the
rules will apply.

 
2.__Subject matter.__The rules must include, but are not
limited to, administration, quality of care and treatment, if
applicable, level and qualifications of staff, rights of
residents, contracts, administration of medication, available
public and private sources of payment, health and safety of
residents and staff, community relations and licensing
procedures.

 
3.__Administration of medication rules.__In adopting the rules
for administration of medication, the commissioner shall
consider, among other factors, the general health of the persons
likely to receive medication and the numbers of persons served
and employed by the assisted housing program facility.__The
department may require unlicensed personnel to have successfully
completed a program of training and instruction, approved by the
department for the administration of medication, that is not
limited to in-service training.

 
4.__Residential care rules.__The commissioner shall adopt
rules for the various levels of residential care facilities.__In
addition to the subject matter of the rules listed in subsection
2, the rules must include criteria for placement of residents who
qualify for services as minors, as adults and as persons with
disabilities.

 
5.__Independent housing with services program and assisted
living program rules.__The commissioner shall adopt rules for
independent housing with services programs and assisted living
programs.__In addition to the subject matter of rules listed in
subsection 2, the rules must recognize and promote the
efficiencies inherent in providing services in the applicable
setting with respect to staffing and other responsibilities,
while ensuring quality of care and safety.__The rules must set
requirements and standards for services rendered in the
applicable settings that recognize the differences between those
settings and private homes served pursuant to chapter 419.__The
rules must permit staff in assisted housing programs to be shared
in accordance with section 1812-C, subsection 6-A and section
7914.

 
6.__Applicability of residents' rights rules.__Any rules
adopted pursuant to this section pertaining to residents' rights
are applicable to independent housing with services programs and
assisted living programs.

 
§7854.__Fees for licensure

 
The department shall charge annual fees for licensure of
residential care facilities and assisted living programs as
follows:

 
1.__Fees for residential care facility.__Ten dollars per
licensed bed for a residential care facility; and

 
2.__Fees for assisted living programs.__Two hundred dollars
for an assisted living program.

 
§7855.__Fire safety inspection for residential care facilities

 
1.__Inspection required.__A license may not be issued by the
department to a residential care facility until the department
has received from the Commissioner of Public Safety a written
statement signed by one of the officials designated under Title
25, section 2360, 2391 or 2392 to make fire safety inspections.__
This statement, which must indicate that the residential care
facility has complied with applicable fire safety provisions
referred to in Title 25, section 2452.

 
2.__Fees.__The department shall establish and pay reasonable
fees to the Commissioner of Public Safety or a municipal official
for each inspection under subsection 1.

 
3.__Local regulations.__A local regulation that affects the
life-safety requirements of a residential care facility and that
is more stringent than those referred to in this section takes
precedence.

 
4.__Requirements for residential care facilities.__Residential
care facilities must comply with the following provisions of the
National Fire Protection Association Life Safety Code adopted by
the Department of Public Safety, Office of the State Fire
Marshal.

 
A.__A residential care facility that has one to 3 beds must
comply with the one-family and 2-family dwelling chapter of
the Life Safety Code.

 
B.__A residential care facility with 4 to 16 beds must
comply with the sections of the Life Safety Code that apply
to small facilities and with the new residential board and
care occupancy chapter if that facility is a new facility or
with the existing residential board and care occupancy
chapter if that facility is an existing facility.

 
C.__A residential care facility with more than 16 beds must
comply with the sections of the Life Safety Code that apply
to large facilities and with the new residential board and
care occupancy chapter if that facility is a new facility or
with the existing residential board and care occupancy
chapter if that facility is an existing facility.

 
5.__Fire safety inspection and certificate of compliance
required for licensure.__A fire safety inspection must be
performed and a certificate of compliance must be provided to the
department before a license to a residential care facility is
issued.__Inspections must be scheduled to coincide with the term
of the license.

 
6.__Timed drills.__Timed drills, as described in the
applicable chapters of the National Fire Protection Association
Life Safety Code, must be used to determine a residential care
facility's capability to evacuate its residents, unless the
facility has elected to complete evacuation scores in lieu of
timed drills in accordance with the standards described in the
National Fire Protection Association Life Safety Code 101A or
when timed drills are not required pursuant to the Life Safety
Code.__When a new resident has participated in a timed drill in
another residential care facility within the previous 2 months,
the results of that drill may be used to determine evacuation
capability in the resident's new facility for a period of up to 4
months.__A person who violates or fails to comply with this
subsection commits a civil violation for which a forfeiture of
not more than $25 per bed for each occurrence of failure to
comply may be adjudged.

 
7.__Requirement for manual fire alarm activation may be
waived.__For a residential care facility with 4 to 8 beds, the
requirement for manual fire alarm activation may be waived at the
discretion of the Commissioner of Public Safety.

 
§7856.__Fire safety inspection for assisted living programs

 
In accordance with this section, the department shall adopt
rules pursuant to Title 5, chapter 375 for the inspection of
assisted living programs as defined in section 7852, subsection
4, by the Commissioner of Public Safety or the commissioner's
designee and the fees for that inspection.__Rules regarding fees
adopted pursuant to this section are major substantive rules as
defined in Title 5, chapter 375, subchapter II-A.

 
1.__Permits; inspection.__Construction and renovation of
assisted living programs require a construction permit from the
Commissioner of Public Safety.__Prior to licensure all assisted
living programs must be inspected by the Commissioner of Public
Safety or the commissioner's designee at the request of the
department.__All assisted living programs must be inspected upon
performing renovations and must be reinspected every 2 years.

 
2.__Certificate of compliance.__The Commissioner of Public
Safety shall issue a certificate of compliance with the
provisions of this section to the department.

 
3.__Requirements.__All assisted living programs must be
inspected using the chapter pertaining to new apartment buildings
of the National Fire Protection Association Life Safety Code
adopted by the Department of Public Safety, Office of the State
Fire Marshal and must be protected throughout by a supervised,

 
automatic sprinkler system approved by the Commissioner of Public
Safety.

 
§7857.__Personal funds of residents

 
1.__Permission to manage personal funds.__An operator or agent
of an assisted housing program may not manage, hold or deposit in
a financial institution the personal funds of a resident of the
facility unless the operator or agent has received written
permission from:

 
A.__The resident if the resident does not have a guardian,
trustee or conservator;

 
B.__The resident's guardian, trustee or conservator if that
person exists and can be reached; or

 
C.__The department if a guardian, trustee or conservator
exists but can not be reached.

 
2.__Itemized accounting.__An operator or agent of an assisted
housing program who, after receiving written permission pursuant
to subsection 1, manages or holds the personal funds of a
resident shall maintain an account for these funds, which must
include for each resident a separate, itemized accounting for the
use of that resident's personal funds with supporting
documentation for every expenditure in excess of $2.

 
3.__Depositing personal funds.__The department may require an
operator or agent of an assisted housing program to deposit in a
financial institution the personal funds of a resident if the
resident has a guardian, trustee or conservator who can not be
reached.

 
4.__Use of personal funds by operator prohibited.__Under no
circumstances may an operator or agent of an assisted housing
program use the personal funds of a resident for the operating
costs of the facility or for services or items that are
reimbursed by a 3rd party.__The personal funds of a resident may
not be commingled with the business funds of the facility or with
the personal funds or accounts of the owner, a member of the
owner's family or an employee of the facility.

 
§7858.__Certain residential care payments

 
The department shall:

 
1.__Facilities with 4 or fewer beds.__Reimburse all
residential care facilities of up to 4 beds at a rate of at least
$433 per month; and

 
2.__Facilities with 5 or 6 beds.__Reimburse all residential
care facilities of 5 or 6 beds whose residents do not have severe
mental or physical dysfunction or disability on a flat rate basis
of at least $601 per month.

 
§7859.__Residents' records

 
Whenever there are pertinent and available health and other
records about a person who seeks admission as a resident to a
residential care facility, those records must be provided to the
administrator of the facility at least 7 days prior to the date
of admission, unless there are compelling reasons that make this
impossible or impractical.__If there are compelling reasons,
including, but not limited to, emergency situations, the
administrator must receive, by not later than the date of
admission, a written note that:

 
1.__Reasons explained.__Explains the compelling reasons why
the records could not be provided 7 days prior to the date of
admission; and

 
2.__When records will be provided.__If the records have not
yet been received, states by when the records will be provided.

 
This section may not be construed to mean that a resident who
is not a client of the department or the Department of Behavioral
and Developmental Services is required, as a condition of
admission, to provide records to the administrator of the
residential care facility.

 
§7860.__Shared staffing

 
The department shall permit shared staffing between
residential care facilities and other levels of assisted housing
on the same premises as long as there is a clear, documented
audit trail and the staffing in the residential care facilities
remains adequate to meet the needs of residents.__Staffing to be
shared may be based on the average number of hours used per week
or month within the assisted housing program.__For the purposes
of this section, "shared staffing" means the use of licensed and
unlicensed personnel who are employed, directly or under a
contract, by a long-term care facility in more than one level of
care provided by a single entity on the same premises.

 
§7861.__Administration of assisted housing programs funded by the

 
State; eligible clients

 
The Department of Human Services, Bureau of Elder and Adult
Services, with advice from the Maine State Housing Authority, the

 
Rural Housing Services or any other housing agency financing
assisted housing programs, shall administer state-funded assisted
housing programs.__Administration must include, but is not
limited to:

 
1.__Rules; payment for assisted housing programs.__Adopting
rules governing the services to be provided under assisted
housing programs paid for with state funds.__Rules adopted
pursuant to this subsection are__routine technical rules as
defined in Title 5, chapter 375, subchapter II-A;

 
2.__Compliance with standards and guidelines.__Reviewing the
compliance of assisted housing programs with standards and
guidelines established for the programs; and

 
3.__Awarding of grants.__Awarding of grants, when available
and necessary, to subsidize the cost of assisted housing programs
for eligible clients.

 
For the purposes of this subsection, "eligible clients" means
adults who have been determined through an approved assessment by
the department to be functionally or cognitively impaired and in
need of financial assistance to access assisted housing programs.

 
Sec. A-2. 22 MRSA c. 1665, as amended, is repealed.

 
PART B

 
Sec. B-1. 12 MRSA §7076, sub-§8, ¶D, as repealed and replaced by PL
1989, c. 502, Pt. D, §7, is repealed.

 
Sec. B-2. 18-A MRSA §5-311, sub-§(c), as amended by PL 1995, c. 51, §1,
is further amended to read:

 
(c) No owner, proprietor, administrator, employee or other
person with a substantial financial interest in a facility or
institution licensed under Title 22, sections 1817 and 7801, may
act as guardian of an incapacitated person who is a resident, as
defined in Title 22, section 7901-A 7852, subsection 13, unless
the person requesting to be appointed guardian is one of the
following:

 
(1) The spouse of the incapacitated person;

 
(2) An adult child of the incapacitated person;

 
(3) A parent of the incapacitated person or a person
nominated by the will of a deceased parent; or

 
(4) A relative of the incapacitated person with whom the
incapacitated person has resided for more than 6 months
prior to the filing of the petition for appointment.

 
Sec. B-3. 22 MRSA §1714-A, sub-§1, ¶A, as enacted by PL 1991, c. 9, Pt.
G, §4, is amended to read:

 
A. "Boarding home" means any facility that meets the
definition of former section 7901-A, subsection 4 or the
definition of residential care facility in section 7852,
subsection 14.

 
Sec. B-4. 22 MRSA §1714-A, sub-§2, as amended by PL 1991, c. 568, §1,
is further amended to read:

 
2. Establishment of debt. A debt is established by the
department when it notifies a provider of debt, or when the Maine
Health Care Finance Commission notifies a hospital that the
hospital that the provider owes the department pursuant to a
final reconciliation decision and order. A debt is collectible
by the department 31 days after exhaustion of all administrative
appeals and any judicial review available under Title 5, chapter
375.

 
Sec. B-5. 22 MRSA §1812-G, sub-§3, as amended by PL 1995, c. 670, Pt.
B, §2 and affected by Pt. D, §5, is further amended to read:

 
3. Eligibility requirements for listing. The State Board of
Nursing shall adopt rules pursuant to the Maine Administrative
Procedure Act defining eligibility requirements for listing on
the Maine Registry of Certified Nursing Assistants, including
rules regarding temporary listing of nursing assistants who have
received training in another jurisdiction. The rules must permit
nursing assistants to work under the supervision of a registered
professional nurse in a facility providing assisted living
services as defined in chapter 1665 1664 and must recognize work
in those facilities for the purpose of qualifying for and
continuing listing on the registry. Rules adopted regarding the
work of nursing assistants in facilities providing assisted
living services are routine technical rules as defined by Title
5, chapter 375, subchapter II-A.

 
Sec. B-6. 22 MRSA §1824, as enacted by PL 1975, c. 719, §4, is
amended to read:

 
§1824. Personal funds of residents

 
The operator or agent of any skilled nursing or intermediate
care facility, licensed pursuant to this chapter, who manages,

 
holds or deposits the personal funds of any resident of the
facility shall be is subject to all the procedures and provisions
included in section 7905 7857.

 
Sec. B-7. 22 MRSA §2053, sub-§3-A, as amended by PL 1995, c. 670, Pt.
C, §2 and affected by Pt. D, §5, is further amended to read:

 
3-A. Health care facility. "Health care facility" means a
nursing home that is, or will be upon completion, licensed under
chapter 405; a residential care facility that is, or will be upon
completion, licensed under chapter 1663; a continuing care
retirement community that is, or will be upon completion,
licensed under Title 24-A, chapter 73; an assisted living
facility that is, or will be upon completion, licensed under
chapter 1665 1664; a hospital; a community mental health
facility; or a community health center.

 
Sec. B-8. 22 MRSA §2147, sub-§11, as amended by PL 1989, c. 119, §2,
is further amended to read:

 
11. Licensed residential care facilities. Boarding
Residential care facilities licensed pursuant to chapters 1663
and 1665 1664 when the services are provided to clients residing
in those facilities;

 
Sec. B-9. 22 MRSA §5107-A, first ¶, as amended by PL 1995, c. 670, Pt.
B, §3 and affected by Pt. D, §5, is further amended to read:

 
In accordance with the program established pursuant to section
5106, subsection 11-C, the ombudsman may enter onto the premises
of any residential care facility, as defined in section 7901-C
7852, subsection 14, licensed according to section 7801, any
assisted living facility licensed pursuant to chapter 1663 or
1665 1664 and any nursing facility licensed according to section
1817 to investigate complaints concerning those facilities or to
perform any other functions authorized by this section or other
applicable law or rules. The ombudsman shall investigate
complaints received on behalf of individuals receiving long-term
care services provided by home-based care programs, the Medicaid
waiver program, licensed home health agencies, assisted living
services providers, certified homemaker agencies and licensed
adult day care agencies. To carry out this function, any staff
member or volunteer authorized by the ombudsman may enter onto
the premises of any residential care facility, assisted living
facility or nursing facility during the course of an
investigation, speak privately with any individual in the
facility who consents to the conversation and inspect and copy
all records pertaining to a resident as long as the resident or

 
the legal representative of the resident consents in writing to
that inspection. The consent, when required and not obtainable
in writing, may be conveyed orally or otherwise to the staff of
the facility. When a resident is not competent to grant consent
and has no legal representative, the ombudsman may inspect the
resident's records and may make copies without the written
consent of a duly appointed legal representative. The ombudsman
may authorize as many individuals as necessary, in addition to
staff, to carry out this function except that these individuals
may not make copies of confidential client information.
Appropriate identification must be issued to all such persons.
In accordance with the federal 1987 Older Americans Act, 42
United States Code, as amended, a person may not serve as an
ombudsman without training as to the rights and responsibilities
of an ombudsman or without a specific plan of action under
direction of the ombudsman. The ombudsman shall renew the
authorization and issue identification annually. The findings of
the ombudsman must be available to the public upon request.

 
Sec. B-10. 22 MRSA §7302, sub-§6, as enacted by PL 1981, c. 511, §1,
is amended to read:

 
6. Institutional settings. "Institutional settings" means
boarding residential care facilities, licensed pursuant to
chapter 1665 1664; intermediate care and skilled nursing
facilities and units and hospitals, licensed pursuant to chapter
405; and state institutions for individuals who are mentally ill
or mentally retarded or who have related conditions.

 
Sec. B-11. 22 MRSA §7703, sub-§2, ¶F, as amended by PL 1989, c. 502,
Pt. A, §81, is further amended to read:

 
F. Any information about the private life of any person who
has applied for a license or approval or is or has been
licensed or approved as an adult foster home, as defined in
section 7901-A, subsection 3 licensed pursuant to chapter
1663, and family foster home as defined in section 8101,
subsection 3, in which there is no legitimate public
interest and which would be offensive to a reasonable
person, if disclosed.

 
Sec. B-12. 22 MRSA §7801, sub-§1, ¶A-1, as enacted by PL 1995, c. 670,
Pt. B, §5 and affected by Pt. D, §5, is amended to read:

 
A-1. In accordance with subparagraphs (1) and (2), a
congregate an assisted housing services program either
directly or by contract providing to its residents any of
the following services: personal care assistance, the
administration of medication or nursing services.

 
(1) A congregate assisted housing services program may
directly provide to its residents meals, housekeeping
and chore assistance, case management and personal care
assistance delivered on the site of congregate housing
without obtaining a separate license to do so.

 
(2) A congregate housing services An assisted housing
program licensee may hold at any one time only one
license under section 7901-B, subsection 2 this
subsection. A qualified congregate housing services
assisted housing program may obtain a license for a
different category under section 7901-B, subsection 2
this subsection, upon application and surrender of the
previous license;

 
Sec. B-13. 22 MRSA §7922, sub-§1, as amended by PL 1995, c. 670, Pt.
B, §7 and affected by Pt. D, §5, is further amended to read:

 
1. Long-term care facility. "Long-term care facility" means
any facility program of assisted living licensed pursuant to
chapters 1663 and 1665 1664, and any nursing facility or unit
licensed pursuant to chapter 405.

 
Sec. B-14. 22 MRSA §7924, sub-§1, as amended by PL 1997, c. 260, §2
and PL 2001, c. 354, §3, is further amended to read:

 
1. Alleged violations reported and investigated. Any person
who believes that any of those rules governing the licensure of
long-term care facilities or the operation of assisted living
programs and services authorized pursuant to section 7901-B 7853
adopted by the Department of Human Services pertaining to
residents' rights and conduct of resident care has been violated
may report the alleged violation to the protection and advocacy
agency designated pursuant to Title 5, section 19501; the long-
term care ombudsman pursuant to section 5106, subsection 11-C and
section 5107-A; the Office of Advocacy pursuant to Title 34-A,
section 1203; and any other agency or person whom the
Commissioner of Human Services and the Commissioner of Behavioral
and Developmental Services may designate.

 
Sec. B-15. 22 MRSA §7932, sub-§2, as amended by PL 1999, c. 384, §8,
is further amended to read:

 
2. Facility. "Facility" means any assisted living facility,
residential care facility or congregate assisted housing services
program subject to licensure pursuant to chapters 1663 and 1665
1664, any nursing facility or unit subject to licensure pursuant

 
to chapter 405 and any private psychiatric hospital subject to
licensure pursuant to chapter 405.

 
Sec. B-16. 22 MRSA §7942, sub-§3, as amended by PL 1999, c. 384, §17,
is further amended to read:

 
3. Long-term care facility. "Long-term care facility" means
an assisted living facility or congregate housing services
assisted living program subject to licensure pursuant to chapters
1663 and 1665 1664 and a nursing or intermediate care facility or
unit subject to licensure pursuant to chapter 405.

 
Sec. B-17. 22 MRSA §7948, sub-§1, as amended by PL 1997, c. 260, §3,
is further amended to read:

 
1. Generally. Any resident whose rights have been violated
as described in this section may commence a civil action in the
Superior Court on that resident's own behalf for injunctive and
declaratory relief against any long-term care facility or
provider of assisted living programs and services that is alleged
to be in violation of any rule described in section 7853 or 7924
or 7902-A or in violation of the rights enumerated in 42 United
States Code, Section 1396r, Subsection (c). In order to grant a
preliminary or permanent injunction under this section, the
Superior Court must find that:

 
A. The plaintiff will suffer irreparable injury if the
injunction is not granted;

 
B. The irreparable injury outweighs any harm that granting
the injunctive relief would inflict on the defendant;

 
C. The plaintiff has exhibited a likelihood of success on
the merits of the case; and

 
D. The public interest will not be adversely affected by
granting the injunction.

 
Sec. B-18. 22 MRSA §8004, as amended by PL 1989, c. 502, Pt. A,
§84, is further amended to read:

 
§8004. Fire safety

 
All procedures and other provisions included in section 7904-A
7855, subsections 1 and 2, for boarding residential care
facilities shall also apply to drug treatment centers.

 
Sec. B-19. 22 MRSA §8103, sub-§1, as amended by PL 1997, c. 728, §12,
is further amended to read:

 
1. Procedures. All procedures and other provisions included
in section 7904-A 7855, subsections 1 and 2, for boarding
residential care facilities also apply to children's homes,
except that the written statement referred to in section 7904-A
7855, subsection 1 need not be furnished annually by the
Commissioner of Public Safety to the department when a children's
home serves only one or 2 children.

 
Sec. B-20. 22 MRSA §8551, sub-§1, ¶A, as enacted by PL 1995, c. 205,
§1, is amended to read:

 
A. A residential care facility subject to licensure
pursuant to chapter 1663 or 1665 1664;

 
Sec. B-21. 22 MRSA §8702, sub-§4, as amended by PL 1999, c. 353, §1,
is further amended to read:

 
4. Health care facility. "Health care facility" means a
public or private, proprietary or not-for-profit entity or
institution providing health services, including, but not limited
to, a radiological facility licensed under chapter 160, a health
care facility licensed under chapter 405 or certified under
chapter 405-D, a federally qualified health center or rural
health clinic certified by the Division of Licensing and
Certification within the Department of Human Services, a home
health care provider licensed under chapter 419, a residential
care facility licensed under chapter 1665 1664, a hospice
provider licensed under chapter 1681, a community rehabilitation
program licensed under Title 20-A, chapter 701, a state
institution as defined under Title 34-B, chapter 1 and a mental
health facility licensed under Title 34-B, chapter 1.

 
Sec. B-22. 25 MRSA §2452, last ¶, as amended by PL 1997, c. 728, §25,
is further amended to read:

 
Existing boarding care facilities licensed pursuant to Title
22, subtitle 6, must comply with the applicable fire safety
requirements of the Life Safety Code adopted by the Commissioner
of Public Safety pursuant to Title 22, section 7904-A 7856.

 
Sec. B-23. 36 MRSA §652, sub-§1, ¶A, as amended by PL 1997, c. 668, §20
and PL 2001, c. 354, §3, is further amended to read:

 
A. The real estate and personal property owned and occupied
or used solely for their own purposes by benevolent and
charitable institutions incorporated by this State. Such an
institution may not be deprived of the right of exemption by
reason of the source from which its funds are derived or by
reason of limitation in the classes of persons for whose
benefit such funds are applied.

 
For the purposes of this paragraph, "benevolent and
charitable institutions" include, but are not limited to,
nonprofit nursing homes and nonprofit boarding homes and
boarding care facilities licensed by the Department of Human
Services pursuant to Title 22, chapter 1665 1664 or its
successor, nonprofit community mental health service
facilities licensed by the Commissioner of Behavioral and
Developmental Services pursuant to Title 34-B, chapter 3 and
nonprofit child care centers incorporated by this State as
benevolent and charitable institutions. For the purposes of
this paragraph, "nonprofit" means a facility exempt from
taxation under Section 501(c)(3) of the Code;

 
Sec. B-24. 36 MRSA §652, sub-§1, ¶C, as amended by PL 1997, c. 442, §3
and PL 2001, c. 354, §3, is further amended by amending
subparagraph (6), division (b) subdivision (i), to read:

 
(i) Property used as a nonprofit nursing
home, boarding home or boarding residential
care facility licensed by the Department of
Human Services pursuant to Title 22, chapter
1665 1663 or a community living arrangement
as defined in Title 30-A, section 4357-A or
any property owned by a nonprofit
organization licensed or funded by the
Department of Behavioral and Development
Services to provide services to or for the
benefit of persons with mental illness or
mental retardation;

 
Sec. B-25. Effective date; transition provisions. This Act takes effect
October 1, 2002. Rules adopted by the Department of Human
Services regarding assisted living programs and services that are
in effect on October 1, 2002 remain in effect as to the assisted
living programs and services until replaced by rules adopted
pursuant to the provisions of this Act.

 
FISCAL NOTE

 
The additional workload and administrative costs associated
with the minimal number of new cases filed in the court system
can be absorbed within the budgeted resources of the Judicial
Department. The collection of additional fines may increase
General Fund revenue by minor amounts.

 
The Maine State Housing Authority will incur some minor
additional costs to advise the Bureau of Elder and Adult Services
within the Department of Human Services on administering

 
state-funded assisted housing programs. These costs can be
absorbed within the authority's existing budgeted resources.

 
The Bureau of Elder and Adult Services in the Department of
Human Services will incur some minor additional costs to modify
its assisted living programs and services. These costs can be
absorbed within the department's existing budgeted resources.

 
SUMMARY

 
This bill repeals the Maine Revised Statutes, Title 22,
chapter 1665 on assisted living programs and reenacts it as
chapter 1664. It changes the name of the chapter to Assisted
Housing Programs, dividing the programs into independent housing
with services, assisted living and residential care facilities.
It updates the definitions of "activities of daily living" and
"instrumental activities of daily living." It changes the law on
fire safety for residential care and assisted living. It updates
the chapter to
reflect the 3 categories of assisted housing programs. This bill
provides for an effective date of October 1, 2002 and provides
for the continuation of rules applicable to assisted living
programs and services until new rules are adopted by the
Department of Human Services.


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