Legislature(2001 - 2002)

04/30/2002 03:15 PM House HES

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
SB 342 - LONG TERM CARE OMBUDSMAN                                                                                             
                                                                                                                                
CHAIR DYSON announced  that the first order of  business would be                                                               
CS FOR  SENATE BILL NO.  342(HES), "An  Act relating to  the long                                                               
term care ombudsman."                                                                                                           
                                                                                                                                
Number 0088                                                                                                                     
                                                                                                                                
JERRY  BURNETT,  Staff  to  Senator   Lyda  Green,  Alaska  State                                                               
Legislature, chair, Senate Health,  Education and Social Services                                                               
Standing Committee, sponsor,  presented SB 342.   He informed the                                                               
members  that  SB  342  was  introduced at  the  request  of  the                                                               
executive director of  Alaska Mental Health Trust  Authority.  It                                                               
was introduced to  bring Alaska's law in  compliance with federal                                                               
law  regarding  the  long  term  care ombudsman.    He  gave  the                                                               
following testimony:                                                                                                            
                                                                                                                                
     Each  state  is  required  to have  a  long  term  care                                                                    
     ombudsman under  the Older  [Americans] Act.   Alaska's                                                                    
     long  term  care ombudsman  is  located  in the  Alaska                                                                    
     Mental  Health Trust  Authority.    Recently, the  long                                                                    
     term  care ombudsman  resigned and  was replaced.   The                                                                    
     one  that resigned  cited frustration  with the  Alaska                                                                    
     statutes.  It's one of his reasons [for] leaving.                                                                          
                                                                                                                                
     [SB]  342 directs  that the  long  term care  ombudsman                                                                    
     visits  long   term  care  facilities   and  identifies                                                                    
     problems, rather  than assuming  the more  passive role                                                                    
     of  responding to  complaints; provides  that no  long-                                                                    
     term  care facility  may deny  immediate  access to  an                                                                    
     employee or volunteer.                                                                                                     
                                                                                                                                
MR. BURNETT requested that the committee adopt Version P.                                                                       
                                                                                                                                
Number 0206                                                                                                                     
                                                                                                                                
REPRESENTATIVE WILSON made  a motion to adopt  the proposed House                                                               
committee  substitute (HCS)  for CSSB  342, version  22-LS1591\P,                                                               
Lauterbach, 4/30/02, as a work  draft.  There being no objection,                                                               
Version P was before the committee.                                                                                             
                                                                                                                                
MR. BURNETT explained  the changes in the proposed CS  on page 3,                                                               
Section  2.   The  new version  allows  immediate access  granted                                                               
between  the  hours  of  8:00   a.m.  and  8:00  p.m.  under  any                                                               
circumstances.   Between the  hours of 8:00  p.m. and  8:00 a.m.,                                                               
immediate access will  be granted if there is  a scheduled visit,                                                               
if  there's  a  complaint  that's being  investigated,  or  if  a                                                               
resident in  the long-term  care facility  has requested  a visit                                                               
during  that time.    He  noted that  this  was  worked out  with                                                               
representatives  of the  nursing homes  who were  concerned about                                                               
having immediate access at all times.                                                                                           
                                                                                                                                
MR. BURNETT  explained that Version  P clarified that  the duties                                                               
of the long  term care ombudsman are [performed by  the long term                                                               
care  ombudsman  himself]  or through  a  representative  of  the                                                               
office,  which would  include employees  and  volunteers who  are                                                               
certified.    There  is  a   separation  between  volunteers  and                                                               
employees on page  2, (b), so only the ombudsman  or employees of                                                               
the office  may subpoena witnesses,  compel their  attendance, et                                                               
cetera,  and volunteers  are  not  given all  the  powers of  the                                                               
ombudsman.                                                                                                                      
                                                                                                                                
MR.  BURNETT explained  that  SB  342 gives  the  long term  care                                                               
ombudsman  guaranteed  access  to  deal  with  any  conflicts  in                                                               
access,  gives the  ombudsman  an active  role  in providing  the                                                               
technical support  to volunteer  organizations and  in protecting                                                               
the health and safety of the most vulnerable older Alaskans.                                                                    
                                                                                                                                
Number 0428                                                                                                                     
                                                                                                                                
CHAIR DYSON asked if there have been problems.                                                                                  
                                                                                                                                
MR. BURNETT  answered that there  have been reports of  a problem                                                               
in  getting access  or cases  where complaints  were perhaps  not                                                               
investigated in a timely manner.                                                                                                
                                                                                                                                
CHAIR DYSON  asked what the  remedy is  if one of  the facilities                                                               
denies access according to this new law.                                                                                        
                                                                                                                                
MR.  BURNETT  replied  that  the   ombudsman  has  the  power  to                                                               
subpoena, compel  attendance, et cetera.   He suggested  that the                                                               
long  term care  ombudsman or  executive director  of the  Alaska                                                               
Mental Health Trust Authority be asked that question.                                                                           
                                                                                                                                
REPRESENTATIVE COGHILL pointed  out to Chair Dyson  page 2, lines                                                               
28 to 29,  which reads, "The powers described  in this subsection                                                               
shall be enforced by the superior court."                                                                                       
                                                                                                                                
Number 0580                                                                                                                     
                                                                                                                                
RON COWAN, Long  Term Care Ombudsman, Alaska  Mental Health Trust                                                               
Authority, Department  of Revenue, testified  via teleconference.                                                               
He endorsed  everything Mr. Burnett  indicated about  the purpose                                                               
of  these  amendments   to  the  existing  statute.     From  his                                                               
experience in  health care  in Alaska, he  noted that  there have                                                               
been various points  of confusion regarding the  authority of the                                                               
long   term    care   ombudsman   but   also    the   ombudsman's                                                               
responsibilities.                                                                                                               
                                                                                                                                
MR. COWAN  said he believes  that the proposed changes  will help                                                               
clarify  both of  those issues.   It  will further  delineate the                                                               
responsibilities of  the office, which  are to be  more proactive                                                               
advocates rather  than persons  who respond  to complaints.   His                                                               
office has  made an effort to  respond to what it  has heard from                                                               
the industry and smaller assisted  living facilities.  His office                                                               
has no  problems with  those hours  from 8:00  a.m. to  8:00 p.m.                                                               
being  identified for  reasonable  visits.   He  said his  office                                                               
would not come in without good  cause outside of those hours.  He                                                               
urged the committee to support the SB 342.                                                                                      
                                                                                                                                
REPRESENTATIVE WILSON moved  to report HCS CSSB  342, version 22-                                                               
LS1591\P, Lauterbach,  4/30/02, out of committee  with individual                                                               
recommendations and  the accompanying fiscal notes.   There being                                                               
no  objection, HCS  CSSB 342(HES)  moved from  the House  Health,                                                               
Education and Social Services Standing Committee.                                                                               
                                                                                                                                

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