AB 323 (Kalra): Long-Term Health Facilities

This bill enhances the state nursing home enforcement system by: 1) increasing the penalties for state citations issued against nursing homes to keep up with inflation and 2) updating the criteria for AA citations (those that cause the death of a resident) from the old “direct proximate cause of death’ standard to the more clear “substantial factor” standard used by courts.

AB 665 (Garcia): Residential Care Facilities for the Elderly: Resident Rights: Internet Access

This bill would amend the rights of residents of RCFEs, in those facilities with existing internet service, to add the right to have available at least one internet access tool with videoconference technology as part of the facility’s activity program. Status: Referred to Senate Appropriations Read the Bill Download Fact Sheet Sample Support Letter

AB 749 (Nazarian): Skilled nursing facilities: medical director certification

This bill would prohibit a skilled nursing facility from contracting with a medical director if the person is not, or will not be within 5 years, certified by the American Board of Post-Acute and Long-Term Care Medicine as a Certified Medical Director. Status: Placed on Senate Appropriations Suspense File Read the Bill Read CANHR Support Letter

AB 849 (Reyes/Stern): Restoring the Enforcement of Nursing Home Resident Rights

Since 1982, California nursing home residents have had a “private right of action” (the ability to sue) for violations of their rights. Last year, the state Supreme Court ruled that nursing homes that violate the rights of residents may only be held liable for $500 maximum, regardless of how many rights a facility violates and how egregious those violations are.

AB 1042 (Jones Sawyer): Related Party Accountability

Nursing homes investors are increasingly setting up “related party” businesses to avoid accountability and hide profits. AB 1042 would help counter that trend by establishing shared standards and liability for entities that have shared ownership and control. Specifically, the bill would make related parties liable for a nursing home’s unpaid State fees and fines. Status: Passed Senate Health and Referred to Appropriations Read the Bill

SB 460 (Pan): Office of Patient Representative

This bill would create the Office of the Patient Representative to train and oversee patient representatives to protect the rights of nursing home residents who allegedly lack capacity to make decisions and have no surrogate decisionmaker available. Status: This bill was ordered to the inactive file, but provisions were included in budget trailer bill language Read the Bill Read CANHR Support Letter

SB 648 (Hurtado): Care Facilities

This bill was ordered to the inactive file, but the provisions were included in budget trailer bill language. The provisions would create a pilot program to permit certain adult residential facilities (ARFs) and residential care facilities for the elderly (RCFEs) to be eligible to receive a stipend of $1,000 per month per resident on SSI.    Status: Ordered to the inactive file Read the Bill Download Fact Sheet Sample Support Letter Read CANHR Support Letter

SB 664 (Allen): Hospice Licensure: Moratorium on New Licenses

This bill responds to a remarkable investigation and series of articles by the Los Angeles Times on audacious, widespread fraud by hospices in Los Angeles County, which has seen explosive growth of for-profit hospices that has given it the highest concentration of hospices in the nation. SB 664 would impose a qualified moratorium on the issuance of new hospice licenses until 365 days after the California State Auditor publishes a report on hospice licensure or when it is repealed on January 1, 2027, whichever is soonest.

AB 499 (Rubio): Referral Source for Residential Care Facilities for the Elderly

This bill would require an RCFE referral agency to provide certain disclosures to seniors, and to maintain a minimum amount of liability coverage, but does not provide oversight or sufficient enforcement mechanisms. Status: Hearing in Senate Judiciary Committee on 7/13/21 Read the Bill Read CANHR Oppose Unless Amended Letter

AB 279 (Muratsuchi): Prohibiting Resident Eviction During the Pandemic

Many residents of California skilled nursing facilities (“SNFs”) and Intermediate Care Facilities (“ICFs”) face a terrible prospect in the ongoing COVID pandemic: involuntary transfer to new facilities, sight unseen, far from their families and support networks. AB 279 would prohibit the owner of an ICF or SNF from ceasing to deliver or making significant changes to residential care services, or from transferring a resident to another facility, during any declared state of emergency relating to the coronavirus disease 2019 (COVID-19), except if the owner files for bankruptcy.

SB 650 (Stern): Corporate Transparency in Elder Care Act of 2021

Californians are paying more for nursing home care, for fewer residents, than ever before and we are not getting our money’s worth. Despite spending nearly six billion dollars a year, complaints against facilities are at record highs and the care provided is often abysmal.  Nursing homes are using complex ownership structures to siphon unprecedented amounts of money to “related parties,” allowing corporate home offices to hide their profits and support facilities’ claims for yet more public money.

Support H.R. 3733: New Federal Legislation to Protect Resident Visitation in Future Pandemics

On June 30, Congressmembers Claudia Tenney and John Larson introduced H.R. 3733, a bipartisan bill that would guarantee nursing home residents’ right to critical in-person support from up to two essential caregivers, even during a pandemic.  The essential caregivers are designated by the resident or the resident’s representative and would have up to 12 hours of access to the resident each day.