Amend the bill by striking out everything after the enacting clause and before the summary and inserting the following:
‘Sec. 1. 22 MRSA §1831, as enacted by PL 1997, c. 337, §1, is amended to read:
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 include ongoing guidance in the development and implementation of resident care policies, including review and revision of existing policies as required in the guidelines for nursing facilities issued by the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services. The rules must require all facilities, including those that are corporately owned, to be able to demonstrate that the development, review and approval of resident care policies or procedures provide opportunity for medical director input. Rules adopted pursuant to this section are routine technical rules as defined by the Maine Revised Statutes, Title 5, chapter 375, subchapter 2-A.’
This amendment replaces the bill. The amendment adds hospital swing beds, acute rehabilitation care and hospice providers to the list of providers covered by the Maine Revised Statutes, Title 22, section 1831. The amendment requires distribution of a standardized list of licensed providers and physicians in the relevant settings and notice of patient rights and of how to contact the long-term care ombudsman program. The amendment requires the Department of Health and Human Services to amend its rules on medical directors in nursing facilities to include among the responsibilities of the medical director ongoing guidance in the development and implementation of resident care policies, including review and revision of existing policies. The amended rules must require that the facility, including a facility that is corporately owned, be able to show that its development, review and approval of resident care policies or procedures include the opportunity for the medical director's input.
FISCAL NOTE REQUIRED