Small house skilled nursing facilities.

Existing law provides for the licensure and regulation of health facilities, including skilled nursing facilities, as defined, by the State Department of Public Health. Violation of these provisions is a crime. Existing law, until January 1, 2020, establishes the Small House Skilled Nursing Facilities Pilot Program within the department for the purposes of providing skilled nursing care in a homelike, noninstitutional setting. Existing law requires pilot facilities, as defined, to meet specified requirements and pay specified fees. Existing law required the department, by July 1, 2013, to issue one or more all-facility letters to provide the standards for the development and operation of all pilot facilities. This bill would extend operation of the pilot program to January 1, 2026, and would delete the obsolete July 1, 2013, deadline for the department's issuance of the all-facility letters. By extending the operation of the pilot program, the bill would expand the scope of a crime, and thus would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.