CS/HB 111 Summary

• Creates comprehensive licensure framework: Establishes Part XI of Chapter 400 to regulate transitional living facilities serving persons with brain or spinal cord injuries under the Agency for Health Care Administration, requiring license fees ($4,588 plus $90 per bed per biennium) and accreditation within 12 months.

• Sets admission and treatment standards: Requires facilities to admit only individuals with documented brain or spinal cord injuries with specific functional deficits, maintain physician oversight, develop comprehensive treatment plans within 30 days, and provide specialized therapies including physical, occupational, and speech therapy.

• Establishes client protections and rights: Mandates safe environments free from abuse, unrestricted communication, financial management protections, grievance procedures, and prohibits retaliation for complaints; requires posting of toll-free hotline numbers.

• Regulates medications and restraints: Limits physical and chemical restraints to emergency situations only, requires physician orders and documentation, restricts emergency treatment orders to 24 hours, and allows unlicensed staff to administer prepackaged medications under registered nurse supervision.

• Implements enforcement and penalties: Classifies violations into four categories (Class I-IV) with escalating administrative fines ranging from $100-$10,000 and effective July 1, 2015, with transition period for existing facilities until July 1, 2016.