CS/HB 7105 – Health Care Services Rulemaking Summary

• Removes or revises rulemaking authority for numerous health care regulatory areas, transferring rule-setting from agencies to statutory requirements for topics including nursing home minimum staffing (3.6 hours combined nursing staff per resident daily), bed space requirements, and emergency management plans.

• Exempts certain home health agencies not certified by Medicare/Medicaid and not providing skilled nursing care from accreditation documentation requirements.

• Creates statutory limitations on prescribed pediatric extended care (PPEC) centers, establishing that children cannot attend more than 12 hours within 24 hours and centers can only serve medically or technologically dependent children.

• Revises administrative penalty amounts for nursing home deficiencies, with Class I penalties of $10,000-$15,000, Class II penalties of $2,500-$7,500, and Class III penalties of $1,000-$3,000, with potential doubling for repeat violations.

• Modifies organ procurement program standards to allow flexibility in relying on nationally recognized accreditation organizations rather than listing specific organizations, and extends Medicaid managed care enrollment exemptions to include certain children under 21 in group homes.

• Effective date: July 1, 2014.