MS SB2074

Defines "adult day care facility" as a public or private organization providing Medicaid home- and community-based services under the Elderly and Disabled Waiver, offering nursing services, transportation, meals, supervised activities, medication administration, and other applicable Medicaid standards.

Requires adult day care facilities to obtain a license from the State Department of Health before operation, with application fees and annual renewal fees set by the department to offset costs, with potential fee waivers for facilities serving fewer than seven clients.

Authorizes the State Department of Health to deny, suspend, or revoke licenses for substantial non-compliance with requirements, with notice and hearing procedures, and allows judicial review in chancery court with appeal to the Supreme Court.

Establishes criminal penalties of up to $1,000 per offense for operating an unlicensed facility, with each day of violation counted separately, and authorizes injunctive relief to prevent unlicensed operations.

Authorizes the State Department of Health to implement Rap-Back criminal history monitoring system for employees at adult day care facilities and requires criminal background checks for new employees providing direct care, with disqualifying felonies listed in statute.