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ACA Now

6113 - Notification of Facility Closure

 
Implementation Status 
Statutory Text 

Summary

Effective March 23, 2011, directs nursing home facility administrators to provide written notification regarding an impending closure to the Secretary of HHS, the state long-term care ombudsman, residents of the facility, and the legal representatives of such residents or other responsible parties at least 60 days prior to the date of such closure.  Stipulates sanctions (via CMPs and otherwise) in the case of any facility administrator who fails to comply with this requirement.

Implementation Status

 
Summary 
Statutory Text 

Prior to January 2013, CMS in February 2011 issued an interim final rule with comment to effectuate this provision.

On March 15, 2013, CMS issued a final rule that adopts, with technical changes, the above-referenced interim rule.

On a related note, on June 18, CMS issued guidance to state Medicaid directors clarifying the availability of Medicaid funding for certain administrative costs incurred by state long-term care ombudsman programs.  Also, on June 14, the Administration on Aging (AoA) issued a proposed rule regarding the State Long-Term Care Ombudsman program under the Older Americans Act, replacing a 1994 proposed rule that had never been finalized.   Comments are due August 19, 2013.

Statutory Text

 
Implementation Status 
Summary 

SEC. 6113. NOTIFICATION OF FACILITY CLOSURE. (a) IN GENERAL.—Section 1128I of the Social Security Act, as added and amended by this Act, is amended by adding at the end the following new subsection: ‘‘(h) NOTIFICATION OF FACILITY CLOSURE.— ‘‘(1) IN GENERAL.—Any individual who is the administrator of a facility must— ‘‘(A) submit to the Secretary, the State long-term care ombudsman, residents of the facility, and the legal representatives of such residents or other responsible parties, written notification of an impending closure— ‘‘(i) subject to clause (ii), not later than the date that is 60 days prior to the date of such closure; and ‘‘(ii) in the case of a facility where the Secretary terminates the facility’s participation under this title, not later than the date that the Secretary determines appropriate; ‘‘(B) ensure that the facility does not admit any new residents on or after the date on which such written notification is submitted; and ‘‘(C) include in the notice a plan for the transfer and adequate relocation of the residents of the facility by a specified date prior to closure that has been approved by the State, including assurances that the residents will be transferred to the most appropriate facility or other setting in terms of quality, services, and location, taking into consideration the needs, choice, and best interests of each resident. ‘‘(2) RELOCATION.— ‘‘(A) IN GENERAL.—The State shall ensure that, before a facility closes, all residents of the facility have been successfully relocated to another facility or an alternative home and community-based setting. ‘‘(B) CONTINUATION OF PAYMENTS UNTIL RESIDENTS RE- LOCATED.—The Secretary may, as the Secretary determines appropriate, continue to make payments under this title with respect to residents of a facility that has submitted a notification under paragraph (1) during the period beginning on the date such notification is submitted and ending on the date on which the resident is successfully relocated. ‘‘(3) SANCTIONS.—Any individual who is the administrator of a facility that fails to comply with the requirements of paragraph (1)— ‘‘(A) shall be subject to a civil monetary penalty of up to $100,000; ‘‘(B) may be subject to exclusion from participation in any Federal health care program (as defined in section 1128B(f)); and ‘‘(C) shall be subject to any other penalties that may be prescribed by law. ‘‘(4) PROCEDURE.—The provisions of section 1128A (other than subsections (a) and (b) and the second sentence of subsection (f)) shall apply to a civil money penalty or exclusion under paragraph (3) in the same manner as such provisions apply to a penalty or proceeding under section 1128A(a).’’. (b) CONFORMING AMENDMENTS.—Section 1819(h)(4) of the Social Security Act (42 U.S.C. 1395i–3(h)(4)) is amended— (1) in the first sentence, by striking ‘‘the Secretary shall terminate’’ and inserting ‘‘the Secretary, subject to section 1128I(h), shall terminate’’; and (2) in the second sentence, by striking ‘‘subsection (c)(2)’’ and inserting ‘‘subsection (c)(2) and section 1128I(h)’’. (c) EFFECTIVE DATE.—The amendments made by this section shall take effect 1 year after the date of the enactment of this Act.

Browse ACA Titles

  • I-Quality, Affordable Health Care for all Americans
  • II-Role of Public Programs
  • III-Improving the Quality and Efficiency of Health Care
  • IV-Prevention of Chronic Disease and Improving Public Health
  • V-Health Care Workforce
  • VI-Transparency and Program Integrity
  • VII-Improving Access to Innovative Medical Therapies
  • VIII-Community Living Assistance Services and Supports (CLASS ACT)
  • IX-Revenue Provisions

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