HB-4062, As Passed Senate, June 23, 2004                                    

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                          SENATE SUBSTITUTE FOR                                 

                                                                                

                           HOUSE BILL NO. 4062                                  

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1978 PA 368, entitled                                             

                                                                                

    "Public health code,"                                                       

                                                                                

    by amending section 21799a (MCL 333.21799a), as amended by 2003             

                                                                                

    PA 3.                                                                       

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 21799a.  (1) A person who believes that this part, a                   

                                                                                

2   rule promulgated under this part, or a federal certification                

                                                                                

3   regulation applying to a nursing home may have been violated may            

                                                                                

4   request an investigation of a nursing home.  The person  shall              

                                                                                

5   may submit the request for investigation to the department  of              

                                                                                

6   consumer and industry services  as a written complaint, or the              

                                                                                

7   department shall assist  the  a person in reducing an oral                  

                                                                                

8   request made under subsection (2) to a written complaint  within            

                                                                                

9   7 days after the oral request is made  as provided in subsection            

                                                                                

10  (2).  A person filing a complaint under this subsection may file            

                                                                                


                                                                                

1   the complaint on a model standardized complaint form developed              

                                                                                

2   and distributed by the department under section 20194(3) or file            

                                                                                

3   the complaint as provided by the department on the internet.                

                                                                                

4       (2) The department shall provide a toll-free telephone                      

                                                                                

5   consumer complaint line.  The complaint line shall be accessible            

                                                                                

6   24 hours per day and monitored at a level to ensure that each               

                                                                                

7   priority complaint is identified and that a response is initiated           

                                                                                

8   to each priority complaint within 24 hours after its receipt.               

                                                                                

9   The department shall establish a system for the complaint line              

                                                                                

10  that includes at least all of the following:                                

                                                                                

11      (a) An intake form that serves as a written complaint for                   

                                                                                

12  purposes of subsections (1) and (5).                                        

                                                                                

13      (b) The forwarding of an intake form to an investigator not                 

                                                                                

14  later than the next business day after the complaint is                     

                                                                                

15  identified as a priority complaint.                                         

                                                                                

16      (c) Except for an anonymous complaint, the forwarding of a                  

                                                                                

17  copy of the completed intake form to the complainant not later              

                                                                                

18  than 5 business days after it is completed.                                 

                                                                                

19      (3)  (2)  The substance of a complaint filed under subsection               

                                                                                

20  (1) or (2) shall be provided to the licensee no earlier than at             

                                                                                

21  the commencement of the on-site inspection of the nursing home              

                                                                                

22  that takes place  pursuant  in response to the complaint.                   

                                                                                

23      (4)  (3)  A complaint filed under subsection (1) or (2), a                  

                                                                                

24  copy of the complaint, or a record published, released, or                  

                                                                                

25  otherwise disclosed to the nursing home shall not disclose the              

                                                                                

26  name of the complainant or a patient named in the complaint                 

                                                                                

27  unless the complainant or patient consents in writing to the                


                                                                                

1   disclosure or the investigation results in an administrative                

                                                                                

2   hearing or a judicial proceeding, or unless disclosure is                   

                                                                                

3   considered essential to the investigation by the department.  of            

                                                                                

4   consumer and industry services.  If the department considers                

                                                                                

5   disclosure essential to the investigation, the department shall             

                                                                                

6   give the complainant the opportunity to withdraw the complaint              

                                                                                

7   before disclosure.                                                          

                                                                                

8       (5)  (4)  Upon receipt of a complaint under subsection (1) or               

                                                                                

9   (2), the department  of consumer and industry services  shall               

                                                                                

10  determine, based on the allegations presented, whether this part,           

                                                                                

11  a rule promulgated under this part, or a federal certification              

                                                                                

12  regulation for nursing homes has been, is, or is in danger of               

                                                                                

13  being violated.   The  Subject to subsection (2), the department            

                                                                                

14  shall investigate the complaint according to the urgency                    

                                                                                

15  determined by the department.  The initiation of a complaint                

                                                                                

16  investigation shall commence within 15 days after receipt of the            

                                                                                

17  written complaint by the department.                                        

                                                                                

18      (6)  (5)  If, at any time, the department  of consumer and                  

                                                                                

19  industry services  determines that this part, a rule promulgated            

                                                                                

20  under this part, or a federal certification regulation for                  

                                                                                

21  nursing homes has been violated, the department shall list the              

                                                                                

22  violation and the provisions violated on the state and federal              

                                                                                

23  licensure and certification forms for nursing homes.  The                   

                                                                                

24  department shall consider the violations, as evidenced by a                 

                                                                                

25  written explanation, when it makes a licensure and certification            

                                                                                

26  decision or recommendation.                                                 

                                                                                

27      (7)  (6)  In all cases, the department  of consumer and                     


                                                                                

1   industry services  shall inform the complainant of its findings             

                                                                                

2   unless otherwise indicated by the complainant.   Within  Subject            

                                                                                

3   to subsection (2), within 30 days after receipt of the complaint,           

                                                                                

4   the department shall provide the complainant a copy, if any, of             

                                                                                

5   the written determination, the correction notice, the warning               

                                                                                

6   notice, and the state licensure or federal certification form, or           

                                                                                

7   both, on which the violation is listed, or a status report                  

                                                                                

8   indicating when these documents may be expected.  The department            

                                                                                

9   shall include in the final report a copy of the original                    

                                                                                

10  complaint.  The complainant may request additional copies of the            

                                                                                

11  documents described in this subsection and upon receipt shall               

                                                                                

12  reimburse the department for the copies in accordance with                  

                                                                                

13  established policies and procedures.                                        

                                                                                

14      (8)  (7)  The department  of consumer and industry services                 

                                                                                

15  shall make a written determination, correction notice, or warning           

                                                                                

16  notice concerning a complaint available for public inspection,              

                                                                                

17  but the department shall not disclose the name of the complainant           

                                                                                

18  or patient without the complainant's or patient's consent.                  

                                                                                

19      (9)  (8)  The department  of consumer and industry services                 

                                                                                

20  shall report a violation discovered as a result of the complaint            

                                                                                

21  investigation procedure to persons administering sections 21799c            

                                                                                

22  to 21799e.  The department shall assess a penalty for a                     

                                                                                

23  violation, as prescribed by this article.                                   

                                                                                

24      (10)  (9)  A complainant who is dissatisfied with the                       

                                                                                

25  determination or investigation by the department  of consumer and           

                                                                                

26  industry services  may request a hearing.  A complainant shall              

                                                                                

27  submit a request for a hearing in writing to the director within            


                                                                                

1   30 days after the mailing of the department's findings as                   

                                                                                

2   described in subsection  (6)  (7).  The department shall send               

                                                                                

3   notice of the time and place of the hearing to the complainant              

                                                                                

4   and the nursing home.                                                       

                                                                                

5       (11) As used in this section, "priority complaint" means a                  

                                                                                

6   complaint alleging an existing situation that involves physical,            

                                                                                

7   mental, or emotional abuse, mistreatment, or harmful neglect of a           

                                                                                

8   resident that requires immediate corrective action to prevent               

                                                                                

9   serious injury, serious harm, serious impairment, or death of a             

                                                                                

10  resident while receiving care in a facility.