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 transitioned from the House version to the Senate version, which includes substantive policy additions. The Senate version expands the scope of the bill to include penalties for non-compliance, mandates the employment of specific professionals in certain situations, and adds a new section to the Oklahoma Statutes. These changes strengthen the regulatory framework for long-term care facilities by introducing enforcement mechanisms and broadening the legal authority of the State Commissioner of Health.

Scope change

The bill's scope was expanded to include provisions for penalties, mandatory professional employment, and a new statutory section (1-890.9) that codifies additional requirements for assisted living centers and continuum of care facilities.

ENFORCEMENT

Added a new section (Section 2) that grants the State Commissioner of Health the authority to ban admissions, deny, suspend, refuse to renew, or revoke licenses of facilities that fail to comply with the Act or its rules.

REQUIREMENT

Added a requirement for the employment of certain professionals in specified circumstances to ensure adequate care standards.

SCOPE

Added a new statutory section (1-890.9) to the Oklahoma Statutes, codifying additional rules and procedures for assisted living centers and continuum of care facilities.

TECHNICAL

Updated the header and introductory text to reflect the Senate Floor Version, including a specific date (February 17, 2025) and revised the summary of the Act to reflect the new additions.

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

MINOR

The bill was converted from a Senate floor substitute to a House floor version, resulting in the removal of the requirement for a new Section 2 establishing an internal quality assurance committee. While the formatting and page numbers were updated to reflect House procedures, the substantive policy content regarding resident care standards and committee duties remains consistent between the two versions.

REQUIREMENT

The specific mandate requiring assisted living centers to establish and maintain an internal quality assurance committee was removed from the text.

TECHNICAL

Page headers and footers were updated to reflect 'House of Representatives' and 'Committee Substitute' status instead of 'Senate' and 'Floor Substitute'.

Line numbers and text alignment were adjusted to match the House bill formatting standards.

House Committee Substitute for Senate Bill → SB804 (3-24-25) (PUGH) FS FA1.PDF · 4 edits

MODERATE

The bill was reclassified from a 'Committee Substitute' to a 'Floor Substitute,' indicating it has moved from committee review to the full legislative floor for final consideration. Substantive changes include renumbering the list of required rules and adding a new requirement for assisted living centers to establish an internal quality assurance committee that meets quarterly to monitor incidents, customer satisfaction, and care policies.

Scope change

The scope of the bill remains focused on long-term care and assisted living regulations, but the specific requirements for facility operations have been expanded to include a new internal oversight committee.

TECHNICAL

The document title and header were changed from 'Committee Substitute' to 'Floor Substitute,' reflecting the bill's progression in the legislative process.

REQUIREMENT

The list of rules the State Board Commissioner must promulgate was renumbered and updated, shifting from a 10-item list to a 13-item list with new numbering sequences.

A new requirement mandates that every assisted living center establish and maintain an internal quality assurance committee that meets at least quarterly to monitor trends, incidents, and customer satisfaction.

The new quality assurance committee must include specific members such as a registered nurse or physician, the administrator, a direct care staff member, a pharmacist consultant, and an owner or their designee.

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

MODERATE

The bill was completely rewritten to replace the previous 'Proposed Oversight' version with a new 'Committee Substitute' text. The primary substantive change is the addition of a new Section 2, which mandates that quality assurance committees for assisted living centers must include specific members, such as a registered nurse or physician, a pharmacist consultant, and an owner representative, to ensure comprehensive oversight of resident care and medication administration.

Scope change

The bill's scope remains focused on long-term care regulations in Oklahoma, but the requirements for internal oversight committees have been expanded to include specific medical and ownership expertise.

REQUIREMENT

Added a new requirement for assisted living centers to form quality assurance committees that must include at least five specific members, including a registered nurse or physician, a pharmacist consultant, a direct care staff member, and an owner representative.

Added a specific duty for the quality assurance committee to perform other functions directed by the State Commissioner of Health through rule.

TECHNICAL

Replaced the entire bill text, changing the document title from 'Proposed Oversight Committee Substitute' to 'Committee Substitute' and updating the requirement number from 13494 to 13514.

Adjusted the formatting and indentation of existing sections regarding resident screening and surety bonds to align with the new text structure.

Enrolled (final version) → Proposed Committee Substitute (full committee) 1 · 2 edits

MINOR

The bill was completely rewritten by the House committee, replacing the original text with a new version that retains the core requirement for assisted living centers to establish an internal quality assurance committee but removes the specific mandate for that committee to meet at least quarterly. The committee's duties and membership composition remain largely similar, though the text is reorganized. No substantive changes were made to the rules governing resident screening, physical plant requirements, staffing, medication administration, or the new section regarding the quality assurance committee's existence.

REQUIREMENT

The requirement for the internal quality assurance committee to meet at least quarterly was removed from the text.

TECHNICAL

The entire bill text was replaced with a committee substitute version, reformatting the language while keeping the substantive policy provisions regarding assisted living regulations largely intact.

Engrossed → Enrolled (final version) · 2 edits · May 22, 2025

MINOR

The bill transitioned from an 'Engrossed' draft to its final 'Enrolled' version, adding signatures from the House sponsors and official dates for passage by the Senate and House. The substantive policy content regarding long-term care regulations, quality assurance committees, and effective dates remains identical between the two versions.

TECHNICAL

Added signatures for the House sponsors (Stinson and Pittman) and updated the Senate passage date to May 21, 2025, reflecting the final legislative approval process.

Added the standard signature blocks for the Governor and Secretary of State, indicating the bill is ready for codification into state law.

Amended And Engrossed → Engrossed · 4 edits · May 21, 2025

MODERATE

The bill was amended to transition from a House version to the final Senate version, which includes substantive policy changes requiring assisted living centers to establish internal quality assurance committees. These committees must monitor resident care trends, document quality efforts, and include specific members like a registered nurse, administrator, and a staff member responsible for medication administration. The amendment also updates the list of required rules to include individualized services and consumer guides.

Scope change

The bill's scope expanded to explicitly require the formation of internal quality assurance committees within assisted living centers, with specific mandates for their duties and membership composition.

REQUIREMENT

Mandates that every assisted living center establish an internal quality assurance committee that meets at least quarterly.

Defines specific duties for the quality assurance committee, including monitoring trends, customer satisfaction, and recommending internal policies.

Specifies required committee membership, including a registered nurse or physician, the center administrator, a direct care staff member, a pharmacist consultant, and an owner or designee.

Updated the list of rules the State Board Commissioner of Health must promulgate to include individualized services, consumer guides, and specific medication administration standards.

Introduced → Amended And Engrossed · 2 edits · May 21, 2025

MINOR

The bill was amended to add a new requirement for assisted living centers to establish an internal quality assurance committee that meets quarterly to monitor resident care and satisfaction. Additionally, the rules for medication administration were updated to require monthly reviews by a registered nurse or pharmacist and quarterly reviews by a consultant pharmacist.

REQUIREMENT

Mandated creation of an internal quality assurance committee at each assisted living center to monitor trends, incidents, and customer satisfaction.

Updated medication administration standards to include specific frequency requirements for reviews by nursing and pharmacy professionals.

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

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