STATEMENT OF ESTIMATED REGULATORY COSTS JANUARY 2017 PROPOSED RULE 58M-2.009, FLORIDA ADMINISTRATIVE CODE

Size: px
Start display at page:

Download "STATEMENT OF ESTIMATED REGULATORY COSTS JANUARY 2017 PROPOSED RULE 58M-2.009, FLORIDA ADMINISTRATIVE CODE"

Transcription

1 STATEMENT OF ESTIMATED REGULATORY COSTS JANUARY 2017 PROPOSED RULE 58M-2.009, FLORIDA ADMINISTRATIVE CODE Executive Summary During the 2016 Legislative Session, Governor Scott signed Senate Bill 232, concerning guardianship, into law. The bill expanded and renamed the Statewide Public Guardianship Office within the Department of Elder Affairs ( Department ) as the Office of Public and Professional Guardians ( OPPG ). The impetus behind the passage of Senate Bill 232 occurred in December of 2014 when the Sarasota Herald Tribune published a series of articles titled The Kindness of Strangers Inside Elder Guardianship in Florida, which detailed abuses occurring in guardianships. In response, Senate Bill 232 assigned the OPPG the additional responsibility of regulating professional guardians, who have not previously been closely regulated by the state. Senate Bill 232 directed the OPPG to adopt rules to establish standards of practice for public and professional guardians, receive and investigate complaints, establish procedures for disciplinary oversight, conduct hearings, specify penalties, and take administrative action pursuant to chapter 120, Florida Statutes. The Department initiated rulemaking in April 2016 to develop standards of practice for professional guardians with the goal of providing the level of accountability for Professional Guardians envisioned by Senate Bill 232 without creating unnecessary regulatory cost increases. This Statement of Estimated Regulatory Costs ( SERC ) reflects the costs associated with the Department s proposed rule containing standards of practice for public and professional guardians. I. Introduction Guardianship is a concept whereby a guardian acts for another, called a ward, whom the law regards as incapable of managing his or her own affairs due to age or incapacity. In Florida, a professional guardian means any guardian who has, at any time, rendered services to three or more wards as their guardian. Pursuant to section (1), Florida Statutes, all individuals seeking to serve as a professional guardian must first register with the OPPG prior to providing guardianship services to three or more wards. Section (2)(b), Florida Statutes, as amended by Senate Bill 232, tasks the Executive Director of the OPPG with establishing standards of practice for professional guardians by rule, in consultation with professional guardianship associations and other interested stakeholders. The OPPG s proposed standards of practice address the following subject matters: 1. THE PROFESSIONAL GUARDIAN S RELATIONSHIP TO THE COURT; 2. THE PROFESSIONAL GUARDIAN S PERSONAL RELATIONSHIP WITH THE WARD; 3. THE PROFESSIONAL GUARDIAN S RELATIONSHIP WITH FAMILY MEMBERS AND FRIENDS; Page 1 of 11

2 4. THE PROFESSIONAL GUARDIAN S RELATIONSHIP WITH OTHER PROFESSIONALS AND PROVIDERS OF SERVICES TO THE WARD; 5. INFORMED CONSENT; 6. STANDARDS FOR DECISION-MAKING; 7. LEAST RESTRICTIVE ALTERNATIVE; 8. SELF-DETERMINATION OF THE WARD; 9. THE PROFESSIONAL GUARDIAN S DUTIES REGARDING DIVERSITY AND PERSONAL PREFERENCES OF THE WARD; 10. CONFIDENTIALITY; 11. DUTIES OF THE PROFESSIONAL GUARDIAN OF THE PERSON; 12. INITIAL AND ONGOING RESPONSIBILITIES OF THE PROFESSIONAL GUARDIAN OF THE PERSON; 13. DECISION-MAKING CONCERNING MEDICAL TREATMENT BY GUARDIANS OF THE PERSON; 14. DECISION-MAKING CONCERNING WITHHOLDING AND WITHDRAWAL OF MEDICAL TREATMENT; 15. CONFLICT OF INTEREST: ANCILLARY AND SUPPORT SERVICES; 16. DUTIES OF THE PROFESSIONAL GUARDIAN OF THE PROPERTY; 17. PROFESSIONAL GUARDIAN OF THE PROPERTY: INITIAL AND ONGOING RESPONSIBILITES; 18. PROPERTY MANAGEMENT; 19. CONFLICT OF INTEREST: ESTATE, FINANCIAL, AND BUSINESS SERVICES; 20. TERMINATION AND LIMITATION OF PROFESSIONAL GUARDIANSHIP; 21. PROFESSIONAL GUARDIANSHIP SERVICE FEES; and 22. MANAGEMENT OF MULTIPLE PROFESSIONAL GUARDIANSHIP CASES. II. Summary and Effect of the Proposed Rule The standards of practice contained in the proposed rule are intended to provide a level of accountability for professional guardians, while at the same time avoiding the imposition of unnecessary regulations on an industry that serves the state s growing elder and vulnerable adult populations. The subject areas addressed in the proposed standards of practice include a variety of topics, including requirements pertaining to: decision making; the professional guardian s relationship with the courts, their wards, friends and family members of their wards, and other service providers; confidentiality, record keeping; and the professional guardian s duties and obligations to their wards. The Department has determined that the main economic impact of the proposed rule is likely generated through the rule s requirement that professional guardians receive court approval of their guardianship fees and through increased record keeping requirements contained in the rule. Page 2 of 11

3 It is important to note that, as discussed in section IV, (f), below, the true economic impact of the proposed rule will ultimately be borne by the wards being serviced by the professional guardians to whom the rule applies, as professional guardians are expected to bill the wards they serve for any additional work necessary to comply with the rule s requirements. The proposed rule would, therefore, not have a true adverse impact on small businesses. III. Ratification The Department has determined that the proposed rule will increase regulatory costs (which include transactional costs necessary to comply with the proposed rule) in excess of $1 million in the aggregate within five years after the implementation of the rule. Pursuant to Section (3), Florida Statutes, the Department shall submit the rule for ratification by the legislature during the next legislative session. IV. Required Components Section , Florida Statutes, sets forth the requirements that agencies must follow in preparing SERCs. Specifically, section (2)(a) through (f), Florida Statutes, provides that certain information must be addressed in any SERC. (a) An economic analysis showing whether the rule directly or indirectly: (1) Is likely to have an adverse impact on economic growth, private sector job creation or employment, or private sector investment in excess of $1 million in the aggregate within 5 years after the implementation of the rule; (2) Is likely to have an adverse impact on business competitiveness, including the ability of persons doing business in the state to compete with persons doing business in other states or domestic markets, productivity, or innovation in excess of $1 million in the aggregate within 5 years after the implementation of the rule; or (3) Is likely to increase regulatory costs, including any transactional costs, in excess of $1 million in the aggregate within 5 years after the implementation of the rule. After careful analysis of all available economic data, the Department has determined it is likely that the proposed rule will increase regulatory costs, including transactional costs directly and indirectly related to the proposed rule. A full discussion of the estimated direct and indirect regulatory impact of the proposed rule follows. (b) Provide a good faith estimate of the number of individuals and entities likely to be required to comply with this rule, together with a general description of the types of individuals likely to be affected by the rule. The proposed increases related to court approval of guardianship fees and record keeping is expected to impact professional guardians in the State of Florida. (c) Provide a good faith estimate of the cost to the agency, and to any other state and local government entities, of implementing and enforcing the proposed rule, and any anticipated effect on state or local revenues. Page 3 of 11

4 The proposed rule does not impose costs related to implementation or enforcement of the rule on either the Department or any other state agency, and it does not affect state or local revenues. The proposed rule requirements regarding court approval of guardianship fees will have a minimal impact on circuit courts around the state as well as clerk and comptrollers offices around the state which have to file, review and maintain all court filings. However, any impact on the circuit courts and clerk and comptrollers offices will be de minimis as 96.47% of professional guardians surveyed by the OPPG report that it is their current practice to seek court approval of their guardianship fees and circuit courts around the state routinely review and approve submitted guardianship fees. (d) Provide a good faith estimate of the transactional costs likely to be incurred by individuals and entities, including local government entities, required to comply with the requirements of the rule. As used in this section, transactional costs are direct costs that are readily ascertainable based upon standard business practices, and include filing fees, the cost of obtaining a license, the cost of equipment required to be installed or used or procedures required to be employed in complying with the rule, additional operating costs incurred, the cost of monitoring and reporting, and any other costs necessary to comply with the rule. The Department has determined that the main economic impact of the proposed rule is likely generated through the rule s requirement that professional guardians receive court approval of their guardianship fees and through the rule s record keeping requirements, as discussed in further detail below. Proposed Increase Related to Guardianship Service Fees The Department conducted a survey of all 506 registered professional guardians in the state to determine the economic impact of subsection (22) (titled Professional Guardianship Service Fees ) of the proposed rule which requires professional guardians to receive court approval of their guardianship fees. Of the 506 registered professional guardians in the state, 83 professional guardians (16%) responded to the survey. Of the respondents, 96.47% indicated that receiving court approval of their guardianship fees is currently part of their standard practices and procedures. This response rate can be explained in part by the statutory interpretation of section , Florida Statutes, which has led many judicial circuits around the state to decree judicial approval of guardianship fees is required by statute. While section , Florida Statutes, does not explicitly refer to the professional guardian s requirement to submit billings prior to receiving funds from the estate of the ward, section , Florida Statutes, provides that guardians are entitled to a reasonable fee (with no indication it is entirely up to the guardian as to what amount is reasonable under the circumstances) and then outlines the criteria considered by the courts when reviewing a guardian s reimbursement request for services rendered and costs incurred on behalf of the ward. Additionally, section , Florida Statutes, prohibits professional guardians from having any interest, financial or otherwise, in any activity in the guardianship unless prior approval is obtained by the court. Page 4 of 11

5 Of the 3.53% of respondents who answered that they do not currently seek court approval of their guardianship fees, an increase of approximately three hours per ward, annually, would be necessary to meet the requirement. Pursuant to section , Florida Statutes, there is no statutory limitation for professional guardian fees; however, some judicial circuit probate courts have implemented a maximum hourly fee for professional guardians as determined by probate court judges. The Department has determined the average professional guardian hourly fee to be $65. 1 The Department has also determined that, for the 506 registered professional guardians in the state, it is not feasible to provide a precise tally for the number of wards affected by the rule, as there are no statutory or rule prohibitions that limit the amount of wards served by a private professional guardian. 2 Additionally, the range of wards served by professional guardians varies if the registration is on behalf of a professional guardian agency with case management staff, or a sole practitioner. According to the Department s survey of all 506 registered professional guardians in the state, the average number of wards served by professional guardians is As stated above, assuming (1) that 96.47% of the 506 registered professional guardians in this state (488 professional guardians) are presently submitting their guardianship fees for approval with the courts and 3.53% of professional guardians in the state are not currently meeting this requirement (18 professional guardians); (2) it will take the estimated 18 professional guardians who are not currently meeting this requirement approximately 3.08 hours per ward annually to comply; (3) the average hourly rate charged by a professional guardians is $65 an hour; and (4) the average ward caseload amongst professional guardians is 13, the Department believes that the proposed rule s requirement that professional guardians receive court approval of their guardianship fees will increase private sector costs by approximately $46, in the first year of implementation. Based upon a projected annual increase in registered professional guardians of 5% (average increase from ) and carrying forward the estimated first year costs in each of the years to follow -- the Department believes that this requirement will increase private sector costs by approximately $516, over the first five years of implementation of the proposed rule. See attached Appendix. 1 Survey data was collected from 106 registered professional guardians statewide to determine the average hourly fee for professional guardianship services. Additional information used to determine the average hourly fee for professional guardians included a report prepared by Judge Belvin Perry, Jr., Chief Judge for the Ninth Judicial Circuit Court of Florida and Dr. Mark Dickie of the University of Central Florida entitled Economic Analysis of Hourly Earnings in Relation to Statutory Criteria for determining Fees of Professional Guardians. 2 Public guardians appointed by the Department to serve indigent wards with no friends or family willing or able to serve may not exceed the ratio of forty (40) wards per one (1) public guardian staff person without prior department approval, pursuant to s (7), F.S. 3 Survey data was collected from 83 registered professional guardians statewide to determine the average amount of wards served by respondents. Page 5 of 11

6 Proposed Increase Related to Informed Consent The Department conducted a survey of all 506 registered professional guardians in the state to determine the economic impact of subsection (6) of the proposed rule concerning Informed Consent. Specifically, the Department evaluated the provision of subsection (6) (titled Informed Consent ) which requires professional guardians to obtain written documentation, if possible, of reports from a ward s family, friends, medical service providers or other professionals relevant to a decision made on behalf of a ward. The preservation of reports submitted to guardians by third parties is necessary to document the basis upon which professional guardians make decisions on behalf of their wards. Of the 506 registered professional guardians in the state, 83 professional guardians (16%) responded to the survey. Of the respondents, 85.71% indicated that this requirement is consistent with their current practices. Of the 14.29% of respondents that stated that they were not maintaining this documentation, an increase of approximately 3.95 hours per ward, annually, would be necessary to meet the requirement. The Department has determined the average professional guardian hourly fee to be $65 and the average number of wards served by professional guardians to be 13. While 85.71% of professional guardians responding to the Department s survey indicated the record keeping requirements contained in the proposed rule related to Informed Consent is currently part of their practice, it is also important to note that the maintenance of any advanced directives containing the preferences of wards concerning healthcare decisions is already required by statute. Specifically, section , Florida Statutes, requires the court to determine whether wards, prior to incapacity, have executed any advance directives. For the purposes of informed consent, advance directives include, but are not limited to, a living will, power of attorney or durable power of attorney, trust, and healthcare surrogate. While the proposed rule would require an expansion of reporting requirements for professional guardians, it is the responsibility of the professional guardian by statute to ensure that the ward is involved to the greatest extent possible with decision-making, including any previously executed advance directives. As stated above, assuming (1) that 85.71% of the 506 registered professional guardians in this state (approximately 437 professional guardians) are currently meeting the documentation requirements contained in section (6) of the proposed rule concerning Informed Consent while 14.29% of professional guardians (approximately 69 professional guardians) are not meeting this requirement; (2) it will take the estimated 69 professional guardians that are not currently meeting this requirement approximately 3.95 hours per ward annually to comply; (3) the average hourly rate charged by professional guardians is $65 an hour; and (4) the average ward caseload amongst professional guardians is 13, the Department believes that the documentation requirements contained in section (6) of the proposed rule concerning Informed Consent will increase private sector costs by approximately $241, in the first year of implementation. Based upon a projected annual increase in registered professional guardians of 5% (average increase from ) and carrying forward the estimated first year costs in each of the years to follow -- the Department believes that this requirement will Page 6 of 11

7 increase private sector costs by approximately $1,570, over the first five years of implementation of the proposed rule. See attached Appendix. Proposed Increase Related to Initial and Ongoing Responsibilities The Department conducted a survey of all 506 registered professional guardians in the state to determine the economic impact of subsection (13) of the proposed rule concerning Initial and Ongoing Responsibilities. Specifically, the Department evaluated the provisions of subsection (13) which requires professional guardians to maintain a separate file for each ward including the following documentation: (1) the ward s name, date of birth, address, telephone number, Social Security number, medical coverage information, physician diagnoses, medications, and allergies to medications; (2) all legal documents involving the ward; (3) advance directives; (4) a list of key contacts; (5) a list of service providers, with contact information, descriptions of the services provided, and any related progress/status reports; (6) a list of all medication the ward is taking, along with dosage information, name of prescribing physician, and a description of the reason(s) the medication is being taken; (7) the ward s initial guardianship plan, and all annual plans; (8) any initial inventories and accountings, when applicable; (9) documentation of the ward s known values, lifestyle preferences, and known wishes regarding medical and other care and service; and (10) documentation of any goals or preferences expressed by the ward that have been made known to the professional guardian and would require the expenditure of the ward s assets in excess of $1,000.00, and the time, date, location and individuals present when said goal or preference was expressed by the ward. Of the 506 registered professional guardians in the state, 83 professional guardians (16%) responded to the survey. Of the respondents, 84.34% indicated that these requirements are consistent with their current practices. Of the 15.66% of respondents that stated that they were not maintaining this documentation, an increase of approximately 4.96 hours per ward annually would be necessary to meet the requirement. The Department has determined the average professional guardian hourly fee to be $65 and the average number of wards served by professional guardians to be 13. As stated above, assuming (1) that 84.34% of the 506 registered professional guardians in this state (approximately 427 professional guardians) are currently meeting the documentation requirements contained in section (13) of the proposed rule concerning Initial and Ongoing Responsibilities, while 15.66% of professional guardians (approximately 79 professional guardians) are not meeting this requirement; (2) it will take the estimated 79 professional guardians that are not currently meeting this requirement approximately 4.96 hours per ward annually to comply; (3) the average hourly rate charged by professional guardians is $65 an hour; and (4) the average ward caseload amongst professional guardians is 13, the Department believes that the documentation requirements contained in section (13) of the proposed rule concerning Initial and Ongoing Responsibilities will increase private sector costs by approximately $332, in the first year of implementation. Based upon a projected annual increase in registered professional guardians of 5% (average increase from ) and carrying forward the estimated first year costs in each of the years to follow -- the Department believes that this Page 7 of 11

8 requirement will increase private sector costs by approximately $2,117, over the first five years of implementation of the proposed rule. See attached Appendix. In accordance with section (3), Florida Statutes, the annual guardianship report of a guardian of the property must consist of an annual accounting, and the annual report of a guardian of the person must consist of an annual guardianship plan. While there is no current standardization for annual plan and annual accounting requirements within the judicial circuits, section (3), Florida Statutes, requires guardians of the property to account for, at a minimum, the following: income and disbursements; assets and liabilities; real property; encumbrances; sales; trusts; annuities; life insurance policies; disability policies; long term care policies; and information regarding estate agents, address of property, information on the sale or purchase of any property, and any secured or unsecured liabilities. Section (3), Florida Statutes, also requires guardians of the person to account for, at a minimum, the following: information and location of the ward, including all places of residence during the past 12 months; the professional guardian s assessment for the best residential setting for the ward; attendance at care plan meetings; the number of visits to the ward by the professional guardian (by quarter); a description of the medical and/or mental health treatment provided to the ward during the preceding 12 months; medications, personal care, social recreation, doctors visits, and Baker Acts of the ward; a rating for the functioning of the ward in activities of daily living (ADL); any insurance, governmental benefits, private benefits, etc. that the guardian utilized to meet the costs for treatment of the ward; recommendations for rights restoration; and an annual report from a treating physician. While the proposed rule will have an economic impact on professional guardians, documentation of the aforementioned areas is, at a minimum, necessary for guardians to meet the statutory requirements for reporting. (e) Provide an analysis of the impact on small businesses as defined by section , Florida Statutes, and an analysis of the impact on small counties and small cities as defined in section , Florida Statutes. The impact analysis for small businesses must include the basis for the agency s decision not to implement alternatives that would reduce adverse impacts on small businesses. Section (6), Florida Statutes, defines small business as an independently owned and operated business concern that employs 200 or fewer permanent full-time employees and that, together with its affiliates, has a net worth of not more than $5 million or any firm based in this state which has a Small Business Administration 8(a) certification. As applicable to sole proprietorships, the $5 million net worth requirement shall include both personal and business investments. Data made available to the Department indicates that the vast majority of professional guardians qualify as small businesses pursuant to Part IV, Chapter 288, Florida Statutes, which means that the cost associated with the proposed increases related to the requirement that professional guardians receive court approval of their guardianship fees and the rule s record keeping requirements would primarily be borne by small businesses. After holding two rule workshops and a rule hearing, the Department has concluded that Page 8 of 11

9 there are no alternative approaches to the proposed rulemaking that would reduce the adverse impact on small businesses. There will be no impact on small counties or small cities as defined in section , Florida Statutes. (f) Provide any additional information that the agency determines may be useful. While the Department has determined that the proposed rule will have an economic impact on small business; it is important to note that professional guardians are expected to bill wards served for the additional work necessary to meet the proposed rule s requirements. As such, the proposed rule would not have an adverse impact on small business, rather a direct cost to wards served. Additionally, while the cost to individual wards will increase as a direct result of the proposed rule, the legislative intent of the creation of the Office of Public and Professional Guardians is to ensure the health, safety, and wellbeing of wards under guardianship. As such, it is necessary for the Department to impose rule requirements for standardization of record keeping and reporting by professional guardians. The Department anticipates that the professional guardians that stated that the proposed rule requirements are not currently part of their practice will have a higher cost of meeting the requirements during the first year, but the cost will decrease with the implementation of guardianship filing and documentation practices. It is also important to note that while the Department has projected a 5% increase in registered professional guardians over the next 5 years, the yearly registration of professional guardians has not been growing consistently at a constant rate. From , the Statewide Public Guardianship Office noted a decrease in registrations by 1.5% from the previous year. Furthermore, the Department also anticipates a decrease in registered professional guardians from the statutory authority to implement disciplinary action for professional guardians not meeting statutory or rule requirements. (g) Provide a description of any regulatory alternatives submitted under paragraph (1)(a), Florida Statutes, and a statement adopting the alternative or a statement of the reasons for rejecting the alternative in favor of the proposed rule. No lower cost regulatory alternative to the proposed rule has been submitted to the Department. Page 9 of 11

10 Appendix Rule Citation 2017 Estimated Implementation Costs Is this currently part of your Practice Yes%/No% Average Hours to Complete # of Guardians Affected * Total Cost to Implement Per Guardian ** (6)(d) Informed Consent - See section IV(d), above (13)(3)(b) Initial & Ongoing Responsibilities - See section IV(d), above (22)(a) Professional Guardianship Service Fees -- See section IV(d) above 85.71% 14.29% $241, % 15.66% $332, % 3.53% $46, Total $619, * # of Guardians Affected = [Total Florida Guardian Population]*[% of Population Not Currently Implementing Rule] ** Total Cost to Implement = [Average Case Load]*[Average Guardian Hourly Rate]*[Hours to Complete Rule Per Ward]*[# Of Guardians Affected] Calculation Factors Total Florida Guardian Population 506 Average case load 13 Avg. Hourly Rate. $65.00 Page 10 of 11

11 Five-Year Projection Projected Estimated Cost Per Guardian Per Year * Total for (6)(d) Informed Consent - See section IV(d), above $241, $325, $330, $334, $339, $1,570, (13)(3)(b) Initial & Ongoing Responsibilities - See section IV(d), above (22)(a) Professional Guardianship Service Fees - - See section IV(d), above 332, , , , , ,117, , , , , , , Total Cost Per Year $619, $876, $889, $902, $916, $4,204, * Projected costs of implementation by new registered guardians = [Average Case Load]*[Average Guardian Hourly Rate]*[Hours to Complete Rule Per Ward]*[# Of New Guardians] Projected Registered Guardian Population # of New Registered Guardians per year ** ** Assumes a 5% increase in guardians per year. Rule Citation (6)(d) Informed Consent - PG's shall have a clear understanding of the issue, the options, expected outcomes, risks & benefits of each alternative. (13)(3)(b) Initial & Ongoing Responsibilities - File for each Ward with their personal, medical, legal & collateral info.; progress notes, lifestyle preferences, etc. Avg Hrs to Complete 3.95 Calculation Factors Total Florida Guardian Population 4.96 Average case load (22)(a) Professional Guardianship Service Fees 3.08 Avg. Hourly Rate. $65.00 Page 11 of 11

79th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled. Senate Bill 58

79th OREGON LEGISLATIVE ASSEMBLY Regular Session. Enrolled. Senate Bill 58 79th OREGON LEGISLATIVE ASSEMBLY--2017 Regular Session Enrolled Senate Bill 58 Printed pursuant to Senate Interim Rule 213.28 by order of the President of the Senate in conformance with presession filing

More information

(2) acknowledged before a notary public at a place in this state.

(2) acknowledged before a notary public at a place in this state. Alaska Statute Chapter 13.52. HEALTH CARE DECISIONS ACT Sec. 13.52.010. Advance health care directives. (a) Except as provided in AS 13.52.170 (a), an adult may give an individual instruction. Except as

More information

Regulatory Council for Community Association Managers Telephone Conference Meeting Wednesday, December 6, 9:00 A.M. EST.

Regulatory Council for Community Association Managers Telephone Conference Meeting Wednesday, December 6, 9:00 A.M. EST. Regulatory Council for Community Association Managers Telephone Conference Meeting Wednesday, December 6, 2007 @ 9:00 A.M. EST. CALL TO ORDER The meeting was called to order at 9:10 a.m. by Mr. Millard

More information

STATE OF RHODE ISLAND

STATE OF RHODE ISLAND ======= LC01 ======= 00 -- S STATE OF RHODE ISLAND IN GENERAL ASSEMBLY JANUARY SESSION, A.D. 00 A N A C T RELATING TO HEALTH AND SAFETY Introduced By: Senators Perry, and C Levesque Date Introduced: February

More information

CHAPTER Committee Substitute for Committee Substitute for Senate Bill No. 202

CHAPTER Committee Substitute for Committee Substitute for Senate Bill No. 202 CHAPTER 2016-30 Committee Substitute for Committee Substitute for Senate Bill No. 202 An act relating to the Florida Association of Centers for Independent Living; amending s. 413.402, F.S.; requiring

More information

AN ACT authorizing the provision of health care services through telemedicine and telehealth, and supplementing various parts of the statutory law.

AN ACT authorizing the provision of health care services through telemedicine and telehealth, and supplementing various parts of the statutory law. Title. Subtitle. Chapter. Article. (New) Telemedicine and Telehealth - - C.:- to :- - C.0:D-k - C.:S- C.:-.w C.:-..h - Note (CORRECTED COPY) P.L.0, CHAPTER, approved July, 0 Senate Substitute for Senate

More information

CHAPTER Committee Substitute for Committee Substitute for House Bill No. 1411

CHAPTER Committee Substitute for Committee Substitute for House Bill No. 1411 CHAPTER 2016-150 Committee Substitute for Committee Substitute for House Bill No. 1411 An act relating to termination of pregnancies; amending s. 390.011, F.S.; defining the term gestation and revising

More information

Page 1 CHAPTER 31 SCREENING OUTREACH PROGRAM. 10: Screening process and procedures

Page 1 CHAPTER 31 SCREENING OUTREACH PROGRAM. 10: Screening process and procedures Page 1 CHAPTER 31 SCREENING OUTREACH PROGRAM 10:31-2.3 Screening process and procedures (a) The screening process shall involve a thorough assessment of the client and his or her current situation to determine

More information

CHAPTER Council Substitute for Council Substitute for House Bill No. 83

CHAPTER Council Substitute for Council Substitute for House Bill No. 83 CHAPTER 2007-189 Council Substitute for Council Substitute for House Bill No. 83 An act relating to venture capital investments; creating s. 288.9621, F.S.; providing a short title; creating s. 288.9622,

More information

CHAPTER Senate Bill No. 400

CHAPTER Senate Bill No. 400 CHAPTER 98-91 Senate Bill No. 400 An act relating to state financial accountability; creating the Florida Single Audit Act; providing intent and findings; creating s. 216.3491, F.S.; providing purposes

More information

THE GENERAL ASSEMBLY OF PENNSYLVANIA SENATE BILL AN ACT

THE GENERAL ASSEMBLY OF PENNSYLVANIA SENATE BILL AN ACT PRINTER'S NO. THE GENERAL ASSEMBLY OF PENNSYLVANIA SENATE BILL No. INTRODUCED BY LEACH AND FERLO, JUNE, REFERRED TO JUDICIARY, JUNE, Session of AN ACT 1 1 1 1 Amending Title (Decedents, Estates and Fiduciaries)

More information

PATIENT RIGHTS TO ACCESS PERSONAL MEDICAL RECORDS California Health & Safety Code Section

PATIENT RIGHTS TO ACCESS PERSONAL MEDICAL RECORDS California Health & Safety Code Section PATIENT RIGHTS TO ACCESS PERSONAL MEDICAL RECORDS California Health & Safety Code Section 123100-123149. 123100. The Legislature finds and declares that every person having ultimate responsibility for

More information

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION SENATE DRS15110-MGx-29G (01/14) Short Title: HealthCare Cost Reduction & Transparency.

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION SENATE DRS15110-MGx-29G (01/14) Short Title: HealthCare Cost Reduction & Transparency. S GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 01 SENATE DRS-MGx-G (01/1) FILED SENATE Mar, 01 S.B. PRINCIPAL CLERK D Short Title: HealthCare Cost Reduction & Transparency. (Public) Sponsors: Referred to:

More information

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2015 HOUSE DRH20205-MG-112 (03/24) Short Title: Enact Death With Dignity Act. (Public)

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2015 HOUSE DRH20205-MG-112 (03/24) Short Title: Enact Death With Dignity Act. (Public) H GENERAL ASSEMBLY OF NORTH CAROLINA SESSION HOUSE DRH-MG-1 (0/) H.B. Apr, HOUSE PRINCIPAL CLERK D Short Title: Enact Death With Dignity Act. (Public) Sponsors: Referred to: Representatives Harrison and

More information

Mandatory Reporting Requirements: The Elderly Oklahoma

Mandatory Reporting Requirements: The Elderly Oklahoma Mandatory Reporting Requirements: The Elderly Oklahoma Question Who is required to report? When is a report required and where does it go? What definitions are important to know? Answer Any person. Persons

More information

HB 254 AN ACT. The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows:

HB 254 AN ACT. The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows: PUBLIC WELFARE CODE - DEPARTMENT OF PUBLIC WELFARE POWERS, DETERMINING WHETHER APPLICANTS ARE VETERANS, MEDICAL ASSISTANCE PAYMENTS FOR INSTITUTIONAL CARE AND STATEWIDE QUALITY CARE ASSESSMENT Act of Jul.

More information

Title 18-A: PROBATE CODE. Article 5: PROTECTION OF PERSONS UNDER DISABILITY AND THEIR PROPERTY

Title 18-A: PROBATE CODE. Article 5: PROTECTION OF PERSONS UNDER DISABILITY AND THEIR PROPERTY Title 18-A: PROBATE CODE Article 5: PROTECTION OF PERSONS UNDER DISABILITY AND THEIR PROPERTY Part 8: UNIFORM HEALTH-CARE DECISIONS ACT HEADING: PL 1995, C. 378, PT. A, 1 (NEW) 5-801. Definitions As used

More information

Public Service Commission

Public Service Commission state of Florida m Public Service Commission Capital Circle Office Center 2540 Siiumard Oak Boulevard Tallahassee, Florida 32399-0850 -M-E-M-O-R-A-N-D-U-M- DATE: TO: February 23, 2017 Office of Commission

More information

24-7B-1. Short title. This act may be cited as the "Mental Health Care Treatment Decisions Act".

24-7B-1. Short title. This act may be cited as the Mental Health Care Treatment Decisions Act. 24-7B-1. Short title. This act may be cited as the "Mental Health Care Treatment Decisions Act". 24-7B-2. Purpose. The purpose of the Mental Health Care Treatment Decisions Act [ 24-7B-1 NMSA 1978] is

More information

REQUEST FOR PROPOSAL FOR AUDIT SERVICE FOR FACC SERVICES GROUP, LLC

REQUEST FOR PROPOSAL FOR AUDIT SERVICE FOR FACC SERVICES GROUP, LLC REQUEST FOR PROPOSAL FOR AUDIT SERVICE FOR FACC SERVICES GROUP, LLC FACC Services Group, LLC d/b/a CiviTek (CiviTek), is seeking a nationally or regionally recognized independent accounting firm to provide

More information

Duties of a Guardian

Duties of a Guardian Duties of a Guardian A guardian is a legally appointed surrogate decision maker and advocate who helps the ward -- an individual who has been determined to be incompetent or is a minor -- make and communicate

More information

Medical Records Chapter (1) The documentation of each patient encounter should include:

Medical Records Chapter (1) The documentation of each patient encounter should include: Texas State Board of Medical Examiners 165.1. Medical Records. Medical Records Chapter 165.1-165.5 (a) Contents of Medical Record. Each licensed physician of the board shall maintain an adequate medical

More information

Grants to States for Low-Income Housing Projects in Lieu of Low-Income Housing Credits for 2009 GRANTEE TERMS AND CONDITIONS

Grants to States for Low-Income Housing Projects in Lieu of Low-Income Housing Credits for 2009 GRANTEE TERMS AND CONDITIONS Grants to States for Low-Income Housing Projects in Lieu of Low-Income Housing Credits for 2009 GRANTEE TERMS AND CONDITIONS 1. Authority a. Section 1602 of the American Recovery and Reinvestment Tax Act

More information

A PERSONAL DECISION

A PERSONAL DECISION A PERSONAL DECISION Practical information about determining your future medical care including declaration, powers of attorney for health care and organ donation Determining Your Medical Care is Your

More information

Clerk of the Circuit Court Board of County Commissioners Marion County

Clerk of the Circuit Court Board of County Commissioners Marion County Clerk of the Circuit Court Board of County Commissioners Marion County Internal Audit Division David R. Ellspermann Clerk of the Circuit Court Post Office Box 1030, Ocala, Florida 34478-1030 Telephone:

More information

TITLE 47: HOUSING AND COMMUNITY DEVELOPMENT CHAPTER II: ILLINOIS HOUSING DEVELOPMENT AUTHORITY PART 385 FORECLOSURE PREVENTION PROGRAM

TITLE 47: HOUSING AND COMMUNITY DEVELOPMENT CHAPTER II: ILLINOIS HOUSING DEVELOPMENT AUTHORITY PART 385 FORECLOSURE PREVENTION PROGRAM TITLE 47: HOUSING AND COMMUNITY DEVELOPMENT CHAPTER II: ILLINOIS HOUSING DEVELOPMENT AUTHORITY PART 385 FORECLOSURE PREVENTION PROGRAM SUBPART A: GENERAL RULES 385.101 Authority 385.102 Purpose and Objectives

More information

How to Protect our Nation's Most Vulnerable Adults through Effective Guardianship Practices

How to Protect our Nation's Most Vulnerable Adults through Effective Guardianship Practices National Association for Court Management How to Protect our Nation's Most Vulnerable Adults through Effective Guardianship Practices Committed to Excellence Located at: nacmnet.org Located at: Center

More information

CHAPTER Committee Substitute for Senate Bill No. 954

CHAPTER Committee Substitute for Senate Bill No. 954 CHAPTER 2015-67 Committee Substitute for Senate Bill No. 954 An act relating to involuntary examinations of minors; amending s. 381.0056, F.S.; revising the definition of the term emergency health needs

More information

ASSEMBLY HEALTH AND SENIOR SERVICES COMMITTEE STATEMENT TO. ASSEMBLY, No STATE OF NEW JERSEY DATED: JUNE 13, 2011

ASSEMBLY HEALTH AND SENIOR SERVICES COMMITTEE STATEMENT TO. ASSEMBLY, No STATE OF NEW JERSEY DATED: JUNE 13, 2011 ASSEMBLY HEALTH AND SENIOR SERVICES COMMITTEE STATEMENT TO ASSEMBLY, No. 4098 STATE OF NEW JERSEY DATED: JUNE 13, 2011 The Assembly Health and Senior Services Committee reports favorably Assembly Bill

More information

Notice of Proposed Rule

Notice of Proposed Rule Notice of Proposed Rule AGENCY FOR HEALTH CARE ADMINISTRATION Health Facility and Agency Licensing RULE NO.: RULE TITLE: 59A-4.1265: Emergency Environmental Control for Nursing Homes PURPOSE AND EFFECT:

More information

DECLARATIONS FOR MENTAL HEALTH TREATMENT

DECLARATIONS FOR MENTAL HEALTH TREATMENT DECLARATIONS FOR MENTAL HEALTH TREATMENT 127.700 Definitions for ORS 127.700 to 127.737. As used in ORS 127.700 to 127.737: (1) Attending physician shall have the same meaning as provided in ORS 127.505.

More information

EXHIBIT A SPECIAL PROVISIONS

EXHIBIT A SPECIAL PROVISIONS EXHIBIT A SPECIAL PROVISIONS The following provisions supplement or modify the provisions of Items 1 through 9 of the Integrated Standard Contract, as provided herein: A-1. ENGAGEMENT, TERM AND CONTRACT

More information

Senior Citizens. Government Programs for Senior Citizens. Home and Community Care Block Grant. Medicaid. Senior Cares Prescription Drug Access Program

Senior Citizens. Government Programs for Senior Citizens. Home and Community Care Block Grant. Medicaid. Senior Cares Prescription Drug Access Program 20 Senior Citizens In the face of the continuing state budget crisis, the General Assembly reduced funding for the state s Division of Aging, mandated additional cost-containment measures in the state

More information

THE REHABILITATION ACT OF 1973, AS AMENDED (by WIOA in 2014) Title VII - Independent Living Services and Centers for Independent Living

THE REHABILITATION ACT OF 1973, AS AMENDED (by WIOA in 2014) Title VII - Independent Living Services and Centers for Independent Living THE REHABILITATION ACT OF 1973, AS AMENDED (by WIOA in 2014) Title VII - Independent Living Services and Centers for Independent Living Chapter 1 - INDIVIDUALS WITH SIGNIFICANT DISABILITIES Subchapter

More information

CHAPTER Committee Substitute for Committee Substitute for Committee Substitute for House Bill No. 865

CHAPTER Committee Substitute for Committee Substitute for Committee Substitute for House Bill No. 865 CHAPTER 2017-42 Committee Substitute for Committee Substitute for Committee Substitute for House Bill No. 865 An act relating to the Department of Transportation; creating s. 316.0898, F.S.; requiring

More information

REQUEST FOR PROPOSALS ACCOUNTING AND AUDITING SERVICES

REQUEST FOR PROPOSALS ACCOUNTING AND AUDITING SERVICES LOWER MANHATTAN DEVELOPMENT CORPORATION REQUEST FOR PROPOSALS ACCOUNTING AND AUDITING SERVICES The Lower Manhattan Development Corporation, a subsidiary of the New York State Urban Development Corporation

More information

term does not include services provided by a religious organization for the purpose of providing services exclusively to clergymen or consumers in a

term does not include services provided by a religious organization for the purpose of providing services exclusively to clergymen or consumers in a HEALTH CARE FACILITIES ACT - LICENSURE OF HOME CARE AGENCIES AND HOME CARE REGISTRIES, CONSUMER PROTECTIONS, INSPECTIONS AND PLANS OF CORRECTION AND APPLICABILITY OF ACT Act of Jul. 7, 2006, P.L. 334,

More information

The District of Columbia Death with Dignity Act (Patient Request for Medical Aid-in-Dying)

The District of Columbia Death with Dignity Act (Patient Request for Medical Aid-in-Dying) Office of Origin: I. PURPOSE II. A. authorizes medical aid in dying and allows an adult patient with capacity, who has been diagnosed with a terminal disease with a life expectancy of six months or less,

More information

HEALTH CARE POWER OF ATTORNEY

HEALTH CARE POWER OF ATTORNEY HEALTH CARE POWER OF ATTORNEY NOTE: YOU SHOULD USE THIS DOCUMENT TO NAME A PERSON AS YOUR HEALTH CARE AGENT IF YOU ARE COMFORTABLE GIVING THAT PERSON BROAD AND SWEEPING POWERS TO MAKE HEALTH CARE DECISIONS

More information

Hospice Program Integrity Recommendations

Hospice Program Integrity Recommendations Hospice Program Integrity Recommendations Projected increases in the elderly population and the number of Medicare beneficiaries will likely result in continued growth in utilization of hospice services.

More information

Opp Health and Rehabilitation, LLC 115 Paulk Avenue P.O. Box 730 Opp, AL Phone Number: (334)

Opp Health and Rehabilitation, LLC 115 Paulk Avenue P.O. Box 730 Opp, AL Phone Number: (334) Opp Health and Rehabilitation, LLC 115 Paulk Avenue P.O. Box 730 Opp, AL 36467-1695 Phone Number: (334) 493-4558 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW

More information

STATE OF MINNESOTA CAPITAL GRANTS MANUAL. A step-by-step guide that describes what grantees need to do to receive state capital grant payments

STATE OF MINNESOTA CAPITAL GRANTS MANUAL. A step-by-step guide that describes what grantees need to do to receive state capital grant payments STATE OF MINNESOTA CAPITAL GRANTS MANUAL A step-by-step guide that describes what grantees need to do to receive state capital grant payments Revised March 2010 The State of Minnesota Capital Grants Manual

More information

Rhode Island Commerce Corporation. Rules and Regulations for the Innovation Voucher Program

Rhode Island Commerce Corporation. Rules and Regulations for the Innovation Voucher Program Rules and Regulations for the Innovation Voucher Program Effective Date: November 25, 2015 Table of Contents Page Rule 1. Purpose.... 2 Rule 2. Authority.... 2 Rule 3. Scope.... 2 Rule 4. Severability....

More information

Assembly Bill No. 199 Assemblywomen Woodbury and Titus. Joint Sponsor: Senator Hardy

Assembly Bill No. 199 Assemblywomen Woodbury and Titus. Joint Sponsor: Senator Hardy Assembly Bill No. 199 Assemblywomen Woodbury and Titus Joint Sponsor: Senator Hardy CHAPTER... AN ACT relating to health care; authorizing a physician assistant or advanced practice registered nurse to

More information

WATERFRONT COMMISSION OF NEW YORK HARBOR

WATERFRONT COMMISSION OF NEW YORK HARBOR WATERFRONT COMMISSION OF NEW YORK HARBOR An Instrumentality of the States of New York and New Jersey Request for Proposal Group 79037Audit Services Classification Code(s): 84-Financial and Financial Related

More information

65-1,201. Definitions. As used in the residential childhood lead poisoning prevention act: History: L. 1999, ch. 99, 2; Apr. 22

65-1,201. Definitions. As used in the residential childhood lead poisoning prevention act: History: L. 1999, ch. 99, 2; Apr. 22 65-1,200. Citation of act. K.S.A. 65-1,200 to 65-1,214, inclusive, of this act shall be known and may be cited as the residential childhood lead poisoning prevention act. History: L. 1999, ch. 99, 2; Apr.

More information

Patient s Bill of Rights (Revised April 2012)

Patient s Bill of Rights (Revised April 2012) Patient s Bill of Rights (Revised April 2012) TIRR Memorial Hermann recognizes the rights of human beings for independence of expression, decision, and action and will protect these rights of all patients,

More information

TEXAS GENERAL LAND OFFICE COMMUNITY DEVELOPMENT & REVITALIZATION PROCUREMENT GUIDANCE FOR SUBRECIPIENTS UNDER 2 CFR PART 200 (UNIFORM RULES)

TEXAS GENERAL LAND OFFICE COMMUNITY DEVELOPMENT & REVITALIZATION PROCUREMENT GUIDANCE FOR SUBRECIPIENTS UNDER 2 CFR PART 200 (UNIFORM RULES) TEXAS GENERAL LAND OFFICE COMMUNITY DEVELOPMENT & REVITALIZATION PROCUREMENT GUIDANCE FOR SUBRECIPIENTS UNDER 2 CFR PART 200 (UNIFORM RULES) The Texas General Land Office Community Development & Revitalization

More information

SUMMARY OF THE CIRCUMSTANCES AND PURPOSES FOR WHICH YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED

SUMMARY OF THE CIRCUMSTANCES AND PURPOSES FOR WHICH YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED 374 Hudlow Road, Post Office Box 336 Forest City, NC 28043 Phone: (828) 245-0095 FAX: (828) 248-1035 Toll Free: 1-800-218-CARE (2273) HOSPICE OF RUTHERFORD COUNTY PRIVACY PRACTICES THIS NOTICE DESCRIBES

More information

Elder Resolution Partners, LLC (626) and (310) Elder Resolution Partners, LLC

Elder Resolution Partners, LLC (626) and (310) Elder Resolution Partners, LLC Definitions Elder care mediation is a voluntary way for people to talk and listen to each with the help of a mediator as a neutral facilitator. The participants attempt to resolve their conflicts during

More information

NATIONAL ASSOCIATION FOR STATE CONTROLLED SUBSTANCES AUTHORITIES (NASCSA) MODEL PRESCRIPTION MONITORING PROGRAM (PMP) ACT (2016) COMMENT

NATIONAL ASSOCIATION FOR STATE CONTROLLED SUBSTANCES AUTHORITIES (NASCSA) MODEL PRESCRIPTION MONITORING PROGRAM (PMP) ACT (2016) COMMENT 1 NATIONAL ASSOCIATION FOR STATE CONTROLLED SUBSTANCES AUTHORITIES (NASCSA) MODEL PRESCRIPTION MONITORING PROGRAM (PMP) ACT (2016) SECTION 1. SHORT TITLE. This Act shall be known and may be cited as the

More information

Statewide Medicaid Managed Care Long-term Care Program Coverage Policy

Statewide Medicaid Managed Care Long-term Care Program Coverage Policy Statewide Medicaid Managed Care Long-term Care Program Coverage Policy Coverage Policy Review June 16, 2017 Today s Presenters D.D. Pickle, AHC Administrator 2 Objectives Provide an overview of the changes

More information

SEC UNIFORM STANDARDS FOR THE INTERROGATION OF PERSONS UNDER THE DETENTION OF THE DEPARTMENT OF DEFENSE.

SEC UNIFORM STANDARDS FOR THE INTERROGATION OF PERSONS UNDER THE DETENTION OF THE DEPARTMENT OF DEFENSE. 109TH CONGRESS Report HOUSE OF REPRESENTATIVES 1st Session 109-359 --MAKING APPROPRIATIONS FOR THE DEPARTMENT OF DEFENSE FOR THE FISCAL YEAR ENDING SEPTEMBER 30, 2006, AND FOR OTHER PURPOSES December 18,

More information

(Signed original copy on file)

(Signed original copy on file) CFOP 155-10 / CFOP 175-40 STATE OF FLORIDA DEPARTMENT OF CF OPERATING PROCEDURE CHILDREN AND FAMILIES NO. 155-10 / 175-40 TALLAHASSEE, November 15, 2017 Family Safety Mental Health/Substance Abuse SERVICES

More information

Mental Health. Notice of Privacy Practices

Mental Health. Notice of Privacy Practices Effective June 2017 Notice of Privacy Practices Mental Health This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review

More information

(4) "Health care power of attorney" means a durable power of attorney executed in accordance with this section.

(4) Health care power of attorney means a durable power of attorney executed in accordance with this section. SOUTH CAROLINA STATUTES SECTION 62-5-504. Definitions. (A) As used in this section: (1) "Agent" or "health care agent" means an individual designated in a health care power of attorney to make health care

More information

Department of Health

Department of Health O f f i c e o f t h e N e w Y o r k S t a t e C o m p t r o l l e r Division of State Government Accountability Department of Health Enhanced Medicaid Payment Rates To Selected Nursing Service Agencies

More information

A Bill Regular Session, 2017 SENATE BILL 356

A Bill Regular Session, 2017 SENATE BILL 356 Stricken language would be deleted from and underlined language would be added to present law. Act 0 of the Regular Session 0 0 0 State of Arkansas st General Assembly A Bill Regular Session, 0 SENATE

More information

ADVANCE DIRECTIVE FOR A NATURAL DEATH ("LIVING WILL")

ADVANCE DIRECTIVE FOR A NATURAL DEATH (LIVING WILL) ADVANCE DIRECTIVE FOR A NATURAL DEATH ("LIVING WILL") NOTE: YOU SHOULD USE THIS DOCUMENT TO GIVE YOUR HEALTH CARE PROVIDERS INSTRUCTIONS TO WITHHOLD OR WITHDRAW LIFE-PROLONGING MEASURES IN CERTAIN SITUATIONS.

More information

NEBRASKA ENVIRONMENTAL TRUST BOARD RULES AND REGULATIONS GOVERNING ACTIVITIES OF THE NEBRASKA ENVIRONMENTAL TRUST

NEBRASKA ENVIRONMENTAL TRUST BOARD RULES AND REGULATIONS GOVERNING ACTIVITIES OF THE NEBRASKA ENVIRONMENTAL TRUST NEBRASKA ENVIRONMENTAL TRUST BOARD TITLE 137 RULES AND REGULATIONS GOVERNING ACTIVITIES OF THE NEBRASKA ENVIRONMENTAL TRUST February 2005 1 TITLE 137 RULES AND REGULATIONS GOVERNING ACTIVITIES OF THE NEBRASKA

More information

1 HB By Representative Clouse. 4 RFD: Ways and Means General Fund. 5 First Read: 30-JAN-18. Page 0

1 HB By Representative Clouse. 4 RFD: Ways and Means General Fund. 5 First Read: 30-JAN-18. Page 0 1 HB321 2 189973-1 3 By Representative Clouse 4 RFD: Ways and Means General Fund 5 First Read: 30-JAN-18 Page 0 1 189973-1:n:01/16/2018:LSA-ML/jmb 2 3 4 5 6 7 8 SYNOPSIS: Under existing law, a privilege

More information

NOTICE OF PRIVACY PRACTICES

NOTICE OF PRIVACY PRACTICES NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. WHY ARE YOU GETTING

More information

SENATE, No STATE OF NEW JERSEY. 216th LEGISLATURE INTRODUCED APRIL 28, 2014

SENATE, No STATE OF NEW JERSEY. 216th LEGISLATURE INTRODUCED APRIL 28, 2014 SENATE, No. STATE OF NEW JERSEY th LEGISLATURE INTRODUCED APRIL, 0 Sponsored by: Senator LORETTA WEINBERG District (Bergen) Senator JOSEPH F. VITALE District (Middlesex) Senator JAMES W. HOLZAPFEL District

More information

DEPARTMENT OF SOCIAL SERVICES OFFICE OF CHILDREN AND YOUTH SERVICES CHILD CARE FUND

DEPARTMENT OF SOCIAL SERVICES OFFICE OF CHILDREN AND YOUTH SERVICES CHILD CARE FUND DEPARTMENT OF SOCIAL SERVICES OFFICE OF CHILDREN AND YOUTH SERVICES CHILD CARE FUND (By authority conferred on the department of social services, in conjunction with the office of children and youth services,

More information

POLICIES, RULES AND PROCEDURES

POLICIES, RULES AND PROCEDURES POLICIES, RULES AND PROCEDURES of the Propane Education and Research Council, Inc. Suite 1075 1140 Connecticut Avenue, NW Washington, DC 20036 As Amended Through February 3, 2011 Table Of Contents SECTION

More information

Notice of Privacy Practices

Notice of Privacy Practices 2269 CHERRY VALLEY ROAD, NEWARK, OH 43055 (740) 788-1400 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW

More information

SUMMARY OF NOTICE OF PRIVACY PRACTICES

SUMMARY OF NOTICE OF PRIVACY PRACTICES LAKE REGIONAL MEDICAL GROUP 54 HOSPITAL DRIVE OSAGE BEACH, MO 65065 SUMMARY OF NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU

More information

PPEA Guidelines and Supporting Documents

PPEA Guidelines and Supporting Documents PPEA Guidelines and Supporting Documents APPENDIX 1: DEFINITIONS "Affected jurisdiction" means any county, city or town in which all or a portion of a qualifying project is located. "Appropriating body"

More information

Title 18-A: PROBATE CODE

Title 18-A: PROBATE CODE Maine Revised Statutes Title 18-A: PROBATE CODE Article : 5-804. OPTIONAL FORM The following form may, but need not, be used to create an advance health-care directive. The other sections of this Part

More information

CHAPTER 29 PHARMACY TECHNICIANS

CHAPTER 29 PHARMACY TECHNICIANS CHAPTER 29 PHARMACY TECHNICIANS 29.1 HOSPITAL PHARMACY TECHNICIANS 1. Proper Identification as Pharmacy Technician 2. Policy and procedures regulating duties of technician and scope of responsibility 3.

More information

IC Chapter 2. State Grants to Counties for Community Corrections and Charges to Participating Counties for Confined Offenders

IC Chapter 2. State Grants to Counties for Community Corrections and Charges to Participating Counties for Confined Offenders IC 11-12-2 Chapter 2. State Grants to Counties for Community Corrections and Charges to Participating Counties for Confined Offenders IC 11-12-2-1 Version a Purpose and availability of grants; funding;

More information

Office of Inspector General

Office of Inspector General Audit Report OIG-17-042 DOMESTIC ASSISTANCE Recovery Act: Audit of Rhode Island Housing s Payment Under 1602 Program May 11, 2017 Office of Inspector General Department of the Treasury This Page Intentionally

More information

Minnesota Patients Bill of Rights

Minnesota Patients Bill of Rights Minnesota Patients Bill of Rights Legislative Intent It is the intent of the Legislature and the purpose of this statement to promote the interests and wellbeing of the patients of health care facilities.

More information

ASSEMBLY BILL No. 214

ASSEMBLY BILL No. 214 AMENDED IN SENATE AUGUST, 00 AMENDED IN SENATE AUGUST, 00 AMENDED IN SENATE AUGUST, 00 AMENDED IN SENATE JULY, 00 AMENDED IN SENATE JUNE, 00 AMENDED IN SENATE JUNE, 00 AMENDED IN SENATE AUGUST 0, 00 california

More information

URBAN VITALITY JOB CREATION PILOT PROGRAM

URBAN VITALITY JOB CREATION PILOT PROGRAM Page 1 of 13 URBAN VITALITY JOB CREATION PILOT PROGRAM Tallahassee-Leon County Office of Economic Vitality 315 S. CALHOUN STREET, SUITE 450, TALLAHASSEE, FL 32301 86 Page 2 of 13 TABLE OF CONTENTS I. Program

More information

CHAPTER House Bill No. 5013

CHAPTER House Bill No. 5013 CHAPTER 2009-89 House Bill No. 5013 An act relating to transportation; amending s. 334.044, F.S.; revising the powers and duties of the Department of Transportation to provide for certain environmental

More information

UNDERSTANDING ADVANCE DIRECTIVES

UNDERSTANDING ADVANCE DIRECTIVES UNDERSTANDING ADVANCE DIRECTIVES If you have questions, call 377-3439 or pager 790-7284. Watch the Advance Directives film on Channel 4 at 9:00 a.m. and 5:30 p.m. NORTH MISSISSIPPI MEDICAL CENTER North

More information

75th OREGON LEGISLATIVE ASSEMBLY Regular Session. House Bill 2933 SUMMARY

75th OREGON LEGISLATIVE ASSEMBLY Regular Session. House Bill 2933 SUMMARY Sponsored by Representative SHIELDS th OREGON LEGISLATIVE ASSEMBLY--00 Regular Session House Bill SUMMARY The following summary is not prepared by the sponsors of the measure and is not a part of the body

More information

Statement of Guidance: Outsourcing Regulated Entities

Statement of Guidance: Outsourcing Regulated Entities Statement of Guidance: Outsourcing Regulated Entities 1. STATEMENT OF OBJECTIVES 1.1 This Statement of Guidance ( Guidance ) is intended to provide guidance to regulated entities on the establishment of

More information

Minnesota Patients Bill of Rights

Minnesota Patients Bill of Rights Minnesota Patients Bill of Rights Legislative Intent It is the intent of the Legislature and the purpose of this statement to promote the interests and well-being of the patients of health care facilities.

More information

St. Elizabeth Healthcare- Financial Assistance Policy

St. Elizabeth Healthcare- Financial Assistance Policy St. Elizabeth Healthcare- Financial Assistance Policy Objective Consistent with its mission to provide comprehensive and compassionate care that improves the health of the people we serve, St. Elizabeth

More information

Texas Equal Access to Justice Foundation BASIC CIVIL LEGAL SERVICES (BCLS) GENERAL GRANT PROVISIONS

Texas Equal Access to Justice Foundation BASIC CIVIL LEGAL SERVICES (BCLS) GENERAL GRANT PROVISIONS Texas Equal Access to Justice Foundation BASIC CIVIL LEGAL SERVICES (BCLS) GENERAL GRANT PROVISIONS SEPTEMBER 1998 Amended 2004 1 TABLE OF CONTENTS Page ARTICLE I GENERAL 1 1.01 INTRODUCTION 1 1.02 DEFINITIONS

More information

Colorado Board of Pharmacy Rules pertaining to Collaborative Practice Agreements

Colorado Board of Pharmacy Rules pertaining to Collaborative Practice Agreements 6.00.00 PHARMACEUTICAL CARE, DRUG THERAPY MANAGEMENT AND PRACTICE BY PROTOCOL. 6.00.10 Definitions. a. "Pharmaceutical care" means the provision of drug therapy and other pharmaceutical patient care services

More information

THE UNIFORM HEALTH CARE DECISIONS ACT:

THE UNIFORM HEALTH CARE DECISIONS ACT: THE UNIFORM HEALTH CARE DECISIONS ACT: GENERAL INFORMATION REGARDING CAPACITY AND THE DESIGNATION OF A SURROGATE HEALTHCARE DECISION MAKER An individual age eighteen (18) years or older is presumed to

More information

65G Definitions. For the purposes of this chapter, the term: (1) Allocation Algorithm: The mathematical formula based upon statistically

65G Definitions. For the purposes of this chapter, the term: (1) Allocation Algorithm: The mathematical formula based upon statistically 65G-4.0213 Definitions. For the purposes of this chapter, the term: (1) Allocation Algorithm: The mathematical formula based upon statistically validated relationships between individual characteristics

More information

Integrated Licensure Background and Recommendations

Integrated Licensure Background and Recommendations Integrated Licensure Background and Recommendations Minnesota Department of Health and Minnesota Department of Human Services Report to the Minnesota Legislature 2014 February 2014 Minnesota Department

More information

Acknowledgement of Notice of Privacy Practices

Acknowledgement of Notice of Privacy Practices OMEGA HEIGHTS FAMILY MEDICINE CLINIC Acknowledgement of Notice of Privacy Practices I have been presented with a copy of the Notice of Privacy Practices for Omega Heights Family Medicine Clinic, detailing

More information

Notice of Health Information Privacy Practices Acknowledgement

Notice of Health Information Privacy Practices Acknowledgement I understand that as part of my healthcare, Sonoma Valley Hospital and its medical staff creates, receives and maintains health records describing my health history, symptoms, examination and test results,

More information

CHAPTER Committee Substitute for House Bill No. 29

CHAPTER Committee Substitute for House Bill No. 29 CHAPTER 2018-7 Committee Substitute for House Bill No. 29 An act relating to military and veterans affairs; providing a short title; creating s. 250.483, F.S.; providing requirements relating to licensure

More information

Interpretive Guidelines (b)(2) Interpretive Guidelines (b)(3)

Interpretive Guidelines (b)(2) Interpretive Guidelines (b)(3) F153 483.10(b)(2) Interpretive Guidelines 483.10(b)(2) The resident or his or her legal representative has the right (i) Upon an oral or written request, to access all records pertaining to himself or

More information

The California End of Life Option Act (Patient s Request for Medical Aid-in-Dying)

The California End of Life Option Act (Patient s Request for Medical Aid-in-Dying) Office of Origin: I. PURPOSE II. III. A. The California authorizes medical aid in dying and allows an adult patient with capacity, who has been diagnosed with a terminal disease with a life expectancy

More information

Legal Services Program

Legal Services Program Legal Services Program Standards and Guidelines May 29, 1998 Revised November 12, 2010 Oregon State Bar Legal Services Program Standards & Guidelines Table of Contents I. Mission Statement... 4 II. Governing

More information

STATE OF MAINE Department of Economic and Community Development Office of Community Development

STATE OF MAINE Department of Economic and Community Development Office of Community Development STATE OF MAINE Department of Economic and Community Development Office of Community Development RFP#201711194 Efficient Delivery of Local and Regional Services RFP Coordinator Submitted Questions Due Proposal

More information

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2017 HOUSE BILL 248 RATIFIED BILL

GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2017 HOUSE BILL 248 RATIFIED BILL GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 2017 HOUSE BILL 248 RATIFIED BILL AN ACT TO MAKE CHANGES TO THE ADULT CARE HOME AND NURSING HOME ADVISORY COMMITTEES TO CONFORM TO THE ADMINISTRATION FOR COMMUNITY

More information

Farm Energy and Agri-Processing Program Terms and Conditions

Farm Energy and Agri-Processing Program Terms and Conditions Farm Energy and Agri-Processing Program Terms and Conditions 1. Purpose The Farm Energy and Agri-Processing Program shares costs with the agriculture and agriprocessing sector on energy efficiency investments.

More information

Province of Alberta HOSPITALS ACT. Revised Statutes of Alberta 2000 Chapter H-12. Current as of December 9, Office Consolidation

Province of Alberta HOSPITALS ACT. Revised Statutes of Alberta 2000 Chapter H-12. Current as of December 9, Office Consolidation Province of Alberta HOSPITALS ACT Revised Statutes of Alberta 2000 Current as of December 9, 2016 Office Consolidation Published by Alberta Queen s Printer Alberta Queen s Printer Suite 700, Park Plaza

More information

OVERVIEW. Surrogate Medical Decision Making. PRESENTATION TO LeadingAge. I. Who can make decisions? II. End of life issues.

OVERVIEW. Surrogate Medical Decision Making. PRESENTATION TO LeadingAge. I. Who can make decisions? II. End of life issues. PRESENTATION TO LeadingAge Kitch Drutchas Wagner Valitutti & Sherbrook One Woodward Avenue, Suite 2400 Detroit, MI 48226 5485 313.965.7900 www.kitch.com Detroit Lansing Mt. Clemens Marquette Toledo Chicago

More information

Town of Orange Park, Florida. Financial Auditing Services

Town of Orange Park, Florida. Financial Auditing Services , Florida Financial Auditing Services Request for Proposal TOWN OF ORANGE PARK, FLORIDA REQUEST FOR FINANCIAL AUDIT SERVICES The Town of Orange Park, Florida is requesting proposals from qualified firms

More information

Discharge Planning for Patients Hospitalized for Mental Health Treatment Interpretative Guidelines for Oregon Hospitals

Discharge Planning for Patients Hospitalized for Mental Health Treatment Interpretative Guidelines for Oregon Hospitals Discharge Planning for Patients Hospitalized for Mental Health Treatment Interpretative Guidelines for Oregon Hospitals May 2016 1 PURPOSE This document is meant to offer interpretative guidance for Oregon

More information

DEPARTM PRACTICES. Effective: Tel: Fax: to protecting. Alice Gleghorn, Page 1

DEPARTM PRACTICES. Effective: Tel: Fax: to protecting. Alice Gleghorn, Page 1 SANTA BARBARA COUNTY DEPARTM MENT BEHAVIORAL WELLNESS NOTICE OF PRIVACY PRACTICES Effective: September 27, 2013 / Revision: January 7, 2015 This notice describes how medical information about you may be

More information