SB 804: Long-term care; directing promulgation of specified rules; requiring assisted living centers to establish internal quality assurance committee. Effective date. - Oklahoma

Floor (House) → Floor (Senate) · 4 edits

MODERATE

The bill was revised to move from the House version to the Senate floor version, incorporating additional amendments that expand the bill's scope and requirements. The Senate version adds new provisions regarding penalties, employment requirements for certain professionals, and clarifies the application of the Continuum of Care and Assisted Living Act to various facility types.

Scope change

The bill's scope was expanded to include amendments to Section 1-890.6 (penalties) and new requirements for employing certain professionals in specified circumstances.

REQUIREMENT

Added requirements for employing certain professionals in specified circumstances to ensure adequate staffing and oversight.

ENFORCEMENT

Expanded the bill to include amendments to Section 1-890.6, which relates to penalties for non-compliance with the Continuum of Care and Assisted Living Act.

ELIGIBILITY

Clarified exclusions from the Act, specifying that it does not apply to residential care homes, adult companion homes, certain VA-operated facilities, or facilities not charging periodic compensation.

TECHNICAL

Changed the header from 'HOUSE OF REPRESENTATIVES' to 'SENATE FLOOR VERSION' and updated the legislative session information.

SB804 (3-24-25) (PUGH) FS FA1.PDF → Floor (House) · 3 edits

MINOR

The bill was amended from a Senate floor substitute to a House floor version, primarily changing the document type from 'FLOOR SUBSTITUTE' to 'COMMITTEE SUBSTITUTE FOR ENGROSSED' and updating the header information. The substantive policy content regarding assisted living regulations appears largely unchanged, with only minor formatting and page number adjustments.

TECHNICAL

Changed document designation from 'FLOOR SUBSTITUTE' to 'COMMITTEE SUBSTITUTE FOR ENGROSSED SENATE BILL NO. 804'

Updated header information to reflect House of Representatives floor version instead of Senate floor substitute

Page numbers and formatting markers were adjusted to reflect House floor version pagination

House Committee Substitute for Senate Bill → SB804 (3-24-25) (PUGH) FS FA1.PDF · 2 edits

MINOR

This bill changes SB 804 from a committee substitute to a floor substitute version, updating the bill title and page numbering. The substantive policy content remains unchanged, with no new requirements, funding, or eligibility criteria added or removed.

TECHNICAL

Bill title changed from 'COMMITTEE SUBSTITUTE FOR ENGROSSED SENATE BILL' to 'FLOOR SUBSTITUTE FOR SENATE BILL', indicating the bill has moved from committee review to floor consideration.

Page numbering and reference numbers updated from 'Req. No. 13514' to 'Req. No. 1875' throughout the document.

Proposed Committee Substitute (full committee) 1 → House Committee Substitute for Senate Bill · 4 edits

MODERATE

The bill was substantially rewritten to replace the original proposed oversight committee substitute with a new committee substitute version. The substantive policy content regarding long-term care regulations, including resident screening requirements, medication administration records, and quality assurance committee composition, remains largely unchanged from the original version. The primary changes are technical formatting updates, including updated committee amendment headers, revised page numbering, and adjusted requirement numbers from 13494 to 13514.

TECHNICAL

Updated bill header information from 'Proposed Oversight Committee Substitute' to 'Committee Substitute for Engrossed Senate Bill No. 804'

Changed requirement number from 13494 to 13514 in footer page references

Adjusted spacing and formatting of section headers and amendment text

Added new line items 12-13 regarding quality assurance committee duties and expanded committee composition requirements in section 1-890.9

Enrolled (final version) → Proposed Committee Substitute (full committee) 1 · 3 edits

MINOR

The bill was amended in committee to replace the entire original text with a new version that retains the same core purpose of regulating long-term care and assisted living facilities in Oklahoma. The substantive policy content appears largely unchanged, with the main differences being formatting, page numbering, and committee markup rather than actual policy modifications.

TECHNICAL

Formatting and page structure were reorganized from an enrolled Senate bill format to a proposed committee substitute format, including updated headers, page numbers, and committee adoption language.

Line numbers and section numbering were adjusted to reflect the committee's markup process, though the actual statutory language remains substantially the same.

Original enrolled bill signatures, dates, and official approval stamps from the Senate, House, and Governor were removed as this is now a committee substitute version.

Engrossed → Enrolled (final version) · 3 edits · May 22, 2025

MINOR

The bill was finalized and enrolled after passing both legislative chambers, with minor formatting updates to the title page and sponsor information. The substantive policy content regarding long-term care regulations, quality assurance committees, and resident rights remained unchanged from the engrossed version.

TECHNICAL

Title page updated to reflect 'Enrolled' status with final sponsor names (Pugh, Stinson, and Pittman) and official passage dates from both Senate and House.

Added 'OFFICE OF THE GOVERNOR' and 'OFFICE OF THE SECRETARY OF STATE' signature blocks to indicate final approval and filing procedures.

Minor formatting adjustments to spacing and line breaks throughout the document to meet enrolled bill standards.

Amended And Engrossed → Engrossed · 3 edits · May 21, 2025

MINOR

This bill was amended to transition from a House amendment to a Senate bill version, updating the title and authorship information. The substantive policy content regarding long-term care regulations, quality assurance committees, and resident rights remained unchanged, with only minor formatting adjustments to the bill text structure.

TECHNICAL

Bill title changed from "ENGROSSED HOUSE AMENDMENT" to "ENGROSSED SENATE BILL NO. 804" to reflect Senate sponsorship.

Authorship information updated to list only Senate sponsor Pugh and House sponsor Stinson, removing House Coauthor Pittman reference.

Page numbering and formatting adjusted to align with Senate bill standards rather than House amendment format.

Introduced → Amended And Engrossed · 3 edits · May 21, 2025

MINOR

SB 804 was amended to add a new requirement for assisted living centers to establish an internal quality assurance committee that meets quarterly. The amendment also updated medication administration standards to include monthly reviews by a registered nurse or pharmacist and quarterly reviews by a consultant pharmacist. Additionally, the bill was restructured to clarify its scope and add a coauthor.

Scope change

The bill's scope remains focused on long-term care regulations, but the amendment adds new mandatory requirements for quality assurance committees and strengthens medication oversight protocols.

REQUIREMENT

Added a new Section 2 requiring each assisted living center to establish and maintain an internal quality assurance committee that meets at least quarterly to monitor trends, customer satisfaction, and document quality efforts.

Modified medication administration standards to require monthly reviews by a registered nurse or pharmacist and quarterly reviews by a consultant pharmacist, in addition to existing requirements.

TECHNICAL

Restructured the bill text to add a House coauthor and clarified the amendment process, though this does not change substantive policy.

Long-term care; directing promulgation of specified rules; requiring assisted living centers to establish internal quality assurance committee. Effective date.

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