HOUSE BILL No. 4466


     March 14, 2001, Introduced by Reps. Waters, Bernero, Williams, Kolb, Kilpatrick, Jacobs, Thomas, Hale, Woodward,
Murphy, Reeves, Hardman, Phillips and Lemmons and referred to the Committee on Senior Health, Security and Retirement.


        A bill to amend 1978 PA 368, entitled

   "Public health code,"

   by amending sections 21751 and 21786 (MCL 333.21751 and

   333.21786).

               THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

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           Sec.  21751.  (1) When the department has concluded a pro-

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      ceeding under sections 71 to 106 of the administrative procedures

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      act of 1969,  as amended, being sections 24.271 to 24.306 of the

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      Michigan Compiled Laws  MCL 24.271 TO 24.306, or  when  IF
   the

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      department has suspended or revoked the license of a nursing

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      home, the department, a patient in the  facility  NURSING HOME,

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      or a patient's representative may file an emergency petition with

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      the circuit court to place the nursing home under the control of

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      a receiver if necessary to protect the health or safety of



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      patients in the nursing home.  The court may grant the petition

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      upon a finding that the health or safety of the patients in the

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      nursing home would be seriously threatened if a condition exist-

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      ing at the time the petition was filed is permitted to continue.

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           (2)  The  IF A PETITION IS FILED UNDER SUBSECTION (1), THE

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      court shall appoint as receiver the director of the  department

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      of social services  FAMILY INDEPENDENCE AGENCY, the director of

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      the department of  public health  CONSUMER AND INDUSTRY SERVICES,

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      or another state agency or person designated by the director of

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       public health  THE DEPARTMENT OF CONSUMER AND INDUSTRY

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      SERVICES.  The receiver appointed by the court shall use the

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      income and assets of the nursing home AND, EXCEPT AS OTHERWISE

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      PROVIDED BY LAW, THE PERSONAL INCOME AND ASSETS OF EACH OWNER OF

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      THE NURSING HOME to maintain and operate the NURSING home and to

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      attempt to correct the conditions  which  THAT constitute a

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      threat to the patients IN THE NURSING HOME.  A  THE RECEIVER

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      SHALL NOT MAKE A major structural alteration  shall not be made 

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      to the nursing home, unless the alteration is necessary to bring

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      the nursing home into compliance with licensing requirements.

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           (3) To assist in the implementation of the mandate of the

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      court, the receiver APPOINTED UNDER SUBSECTION (2) may request

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      and receive reasonable consultation from the available personnel

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      of the department.

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           (4) The COURT SHALL TERMINATE A receivership  shall be

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      terminated  ORDERED UNDER THIS SECTION when the receiver and the

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      court certify that the conditions  which  THAT prompted the

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      appointment OF THE RECEIVER have been corrected, when the NURSING



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      HOME'S license is restored, when a new license is issued, or, in

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      the case of a discontinuance of operation OF THE NURSING HOME,

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      when the patients are safely placed in other facilities, which-

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      ever occurs first.

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           (5) Upon the termination of the receivership, the receiver

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      shall render a complete accounting to the court and shall dispose

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      of surplus funds as the court directs.

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           Sec.  21786.  (1) In the case of an emergency closing of a

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      nursing home, or  when it is determined by  IF the department

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      DETERMINES that a nursing home is suddenly no longer able to pro-

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      vide adequate patient care, the department shall do both of the

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      following:

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           (a) Assure that the  department of social services  FAMILY

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      INDEPENDENCE AGENCY has been notified to make arrangements for

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      the orderly and safe discharge and transfer of the NURSING HOME'S

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      patients to another facility.

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           (b) Place a representative of the department in  a facility 

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      THE NURSING HOME on a daily basis to do each of the following:

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           (i) Monitor the discharge AND TRANSFER of patients to other

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      facilities or locations.

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           (ii) Ensure that the rights of patients are protected.

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           (iii) Discuss the discharge and relocation with each patient

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      and next of kin or legal guardian, person, or agency responsible

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      for the patient's placement, maintenance, and care in the

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       facility  NURSING HOME.  The DEPARTMENT REPRESENTATIVE SHALL

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      PRODUCE A WRITTEN SUMMARY OF THE content of  the  EACH

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      explanation and discussion  shall be summarized in writing  and



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      shall  be made  MAKE THE WRITTEN SUMMARY a part of the patient's

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      clinical record.

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           (2) IF THE DEPARTMENT DETERMINES THAT A NURSING HOME IS NO

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      LONGER ABLE TO PROVIDE ADEQUATE PATIENT CARE AND ORDERS THE NURS-

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      ING HOME TO DISCONTINUE OPERATION, OR IF THE DEPARTMENT REVOKES A

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      NURSING HOME'S LICENSE AND AS A RESULT THE NURSING HOME DISCON-

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      TINUES OPERATION, THE DEPARTMENT SHALL FILE A PETITION WITH THE

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      CIRCUIT COURT UNDER THIS SUBSECTION.  THE DEPARTMENT SHALL PETI-

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      TION THE COURT FOR AN ORDER FREEZING THE ASSETS AND INCOME OF THE

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      NURSING HOME AND THE PERSONAL ASSETS AND INCOME OF EACH OWNER OF

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      THE NURSING HOME.  THE DEPARTMENT SHALL FURTHER PETITION THE

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      COURT FOR AN ORDER ALLOWING THE DEPARTMENT TO USE THOSE ASSETS

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      AND INCOME TO PAY THE COST OF DISCHARGING AND TRANSFERRING THE

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      NURSING HOME'S PATIENTS AS DESCRIBED IN THIS SECTION AND OTHER

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      COSTS INCURRED BY THE DEPARTMENT UNDER THIS SECTION.



























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