STATE OF NEW YORK ________________________________________________________________________ 2984 2023-2024 Regular Sessions IN SENATE January 26, 2023 ___________ Introduced by Sens. KAVANAGH, SEPULVEDA -- read twice and ordered print- ed, and when printed to be committed to the Committee on Health AN ACT to amend the public health law, in relation to the closure of nursing homes The People of the State of New York, represented in Senate and Assem- bly, do enact as follows: 1 Section 1. The public health law is amended by adding a new section 2 2831 to read as follows: 3 § 2831. Closure of nursing homes. 1. In the event that an operator of 4 a nursing home elects to close the facility, the following shall apply: 5 (a) The operator shall notify the department in writing at least nine- 6 ty days prior to the anticipated date of closure of the nursing home. 7 (b) The written notice shall include a proposed plan for closure of 8 the nursing home. The plan shall be subject to approval by the commis- 9 sioner, include timetables for all steps in the closure process and 10 describe the procedures and actions the operator will take to: 11 (i) notify residents of the closure, including provisions for termi- 12 nation of admission agreements and involuntary discharge; 13 (ii) assess the needs and preferences of individual residents; 14 (iii) assist residents in locating and transferring to appropriate 15 alternative settings; and 16 (iv) maintain compliance with these regulations until all residents 17 have relocated. 18 (c) Copies of the written notice shall be concurrently delivered to 19 the chief executive officer and the presiding officer of the local 20 legislative body of each county, except a county wholly contained within 21 a city, town or village in which the nursing home is located, the facil- 22 ity's residents' council and, in a city of a million or more population, 23 also to the community board in whose district the nursing home is 24 located. EXPLANATION--Matter in italics (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD07204-01-3

S. 2984 2 1 (d) If such officer, legislative body or board has cause to suspect or 2 believe that an operator of a nursing home is electing to close a facil- 3 ity for reasons other than the health and safety of the residents, such 4 officer, legislative body or board may: 5 (i) convene closed or public meetings, upon notice to the department 6 and the nursing home operator, that must conclude within forty-five days 7 of the operator's notice; 8 (ii) examine any information relevant to needs of the community and 9 the impact of the closure on stakeholders; and 10 (iii) recommended to the commissioner as to whether the application 11 for closure should be approved, modified or rejected. 12 (e) The closure plan shall be made available to the public. 13 2. (a) The operator shall take no action to close the nursing home 14 prior to approval by the commissioner of the plan for closure. 15 (b) The operator shall not close the nursing home until all residents 16 of the nursing home have transferred to appropriate alternative 17 settings. 18 (c) The operator shall not increase the amount of any fees or charges 19 charged to the residents of the nursing home, their families or their 20 insurance companies, if any, prior to approval of the plan for closure. 21 The operator shall not institute any new fees or charges to the resi- 22 dents of the nursing home, their families or their insurance companies, 23 if any, prior to approval of the plan for closure. 24 (d) The operator shall not accept new residents, admissions, or trans- 25 fers for the nursing home, after the operator has notified the depart- 26 ment that the operator intendeds to close the nursing home, unless (i) 27 each such new resident, admission or transfer is notified prior to 28 acceptance of the intended date of closure, or (ii) the operator's 29 election to close the nursing home has been abandoned. 30 3. As part of the approval of the closure plan, the commissioner and 31 operator shall: 32 (a) create a plan for the maintenance, storage and safekeeping, and 33 ultimate disposition of its patient medical records and provide for the 34 transfer or access to such records to the patients, their treating 35 health care providers, or lawful representatives; 36 (b) create a plan to insure that arrangements for continued care which 37 meet each resident's social, emotional and health needs, to be effectu- 38 ated sixty days prior to closure; 39 (c) implement the approved plans and prompt surrender of the operating 40 certificate upon closure; and 41 (d) make a full copy of such plans available to the public on the 42 department's website and shall update the posting should the plans 43 change. 44 4. Failure of a nursing home operator to comply with any provision of 45 this section or the terms of any agreement with or conditions imposed by 46 the commissioner under this section shall result in the imposition of 47 penalties under this chapter. 48 § 2. This act shall take effect on the first of April after it shall 49 become a law, and shall apply to all closures of nursing homes occurring 50 on or after such effective date and to all closures of nursing homes 51 pending such effective date. Effective immediately, the addition, 52 amendment and/or repeal of any rule or regulation necessary for the 53 implementation of this act on its effective date are authorized to be 54 made and completed on or before such effective date.

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