HF 4573 Summary

• Prohibits nursing home licenses from being transferred; requires a new license application when ownership changes by 50% or more within 24 months, when the legal entity structure changes, or when the licensee dissolves or merges.

• Redefines "controlling individual" terminology and expands the definition to clarify ownership interest thresholds at 5% or more of equity, capital, stock, or profits in the licensee.

• Bars controlling individuals and managerial officials from nursing homes if they previously controlled or managed another facility with two or more uncorrected violations or one or more repeated violations creating imminent risk to residents within the prior two years.

• Requires nursing home license applications to include organizational charts identifying all owners with 5% or greater ownership interest, background study documentation, lease agreements, management agreements, and comprehensive information about criminal convictions and licensing history.

• Creates new section 144A.32 establishing grounds for the commissioner to deny, revoke, suspend, or restrict nursing home licenses based on applicant compliance history, incomplete information, false statements, or interference with regulatory investigations; effective August 1, 2022.