HOUSE BILL No. 5375

February 27, 2014, Introduced by Rep. Haines and referred to the Committee on Health Policy.

 

     A bill to amend 1978 PA 368, entitled

 

"Public health code,"

 

by amending sections 20109 and 21715 (MCL 333.20109 and 333.21715),

 

section 20109 as amended by 1996 PA 224.

 

THE PEOPLE OF THE STATE OF MICHIGAN ENACT:

 

     Sec. 20109. (1) "Nursing home" means a nursing care facility,

 

including a county medical care facility, that provides organized

 

nursing care and medical treatment to 7 or more unrelated

 

individuals suffering or recovering from illness, injury, or

 

infirmity. As used in this subsection, "medical treatment" includes

 

treatment by an employee or independent contractor of the nursing

 

home who is an individual licensed or otherwise authorized to

 


engage in a health profession under article 15. Nursing home does

 

not include a any of the following:

 

     (a) A unit in a state correctional facility. Nursing home does

 

not include 1 or more of the following:

 

     (b) (a) A hospital.

 

     (c) (b) A veterans facility created under Act No. 152 of the

 

Public Acts of 1885, being sections 1885 PA 152, MCL 36.1 to 36.12.

 

of the Michigan Compiled Laws.

 

     (d) (c) A hospice residence that is licensed under this

 

article.

 

     (e) (d) A hospice that is certified under 42 C.F.R. CFR

 

418.100.

 

     (2) "Person" means a person that term as defined in section

 

1106 or a governmental entity.

 

     (3) "Public member" means a member of the general public who

 

is not a provider; who does not have an ownership interest in or

 

contractual relationship with a nursing home other than a patient

 

contract; who does not have a contractual relationship with a

 

person who does substantial business with a nursing home; and who

 

is not the spouse, parent, sibling, or child of an individual who

 

has an ownership interest in or contractual relationship with a

 

nursing home, other than a patient contract.

 

     (4) "Skilled nursing facility" means a hospital long-term care

 

unit, nursing home, county medical care facility, or other nursing

 

care facility, or a distinct part thereof, certified by the

 

department to provide skilled nursing care.

 

     Sec. 21715. (1) A nursing home shall provide :

 


     (a) A program of planned and continuing nursing care under the

 

charge of a registered nurse in a skilled facility and a licensed

 

practical nurse with a registered nurse consultant in an

 

intermediate care facility. This subdivision shall expire December

 

31, 1979.

 

     (b) A a program of planned and continuing medical nursing care

 

and medical treatment under the charge of physicians. A nursing

 

home, regardless of its status as a legal entity, may employ or

 

contract with an individual licensed or otherwise authorized to

 

engage in a health profession under article 15 to provide the

 

program of planned and continuing nursing care and medical

 

treatment under this subsection, which care and treatment include

 

direct clinical services to patients.

 

     (2) Nursing A nursing home shall provide nursing care and

 

medical care shall consist treatment that consist of services given

 

to individuals patients who are subject to prolonged suffering from

 

illness or injury or who are recovering from illness or injury. The

 

services shall be A nursing home shall provide the care and

 

treatment within the ability of the nursing home to provide and

 

shall include the functions of medical care such as treatment

 

including the diagnosis and treatment of an illness; nursing care

 

via assessment, planning, and implementation; evaluation of a

 

patient's health care needs; and the carrying out of required

 

treatment prescribed by a physician.