Chapter 171

2011 -- S 0471 SUBSTITUTE A AS AMENDED

Enacted 06/30/11

 

A N A C T

RELATING TO BEHAVIORAL HEALTHCARE, DEVELOPMENTAL DISABILITIES AND HOSPITALS - LICENSING OF FACILITIES AND PROGRAMS FOR PEOPLE WHO ARE MENTALLY ILL AND/OR DEVELOPMENTALLY DISABLED

          

     Introduced By: Senators Miller, Perry, Cote, Picard, and Crowley

     Date Introduced: March 10, 2011

 

It is enacted by the General Assembly as follows:

 

     SECTION 1. The title of Chapter 40.1-24 of the General Laws entitled "Licensing of

Facilities and Programs for People who are Mentally Ill and/or Developmentally Disabled" is

hereby amended to read as follows:

 

     CHAPTER 40.1-24

Licensing of Facilities and Programs for People who are Mentally Ill and/oor Developmentally

Disabled

     CHAPTER 40.1-24

PERSONS WITH MENTAL ILLNESS, ADDICTION/SUBSTANCE ABUSE DISORDERS

AND DEVELOPMENTAL DISABILITIES

 

     SECTION 2. Section 40.1-24-1 of the General Laws in Chapter 40.1-24 entitled

"Licensing of Facilities and Programs for People who are Mentally Ill and/or Developmentally

Disabled" is hereby amended to read as follows:

 

     40.1-24-1. Definitions. -- As used in this chapter:

      (1) "Adult foster home" means a private family living arrangement which, through

financial support from the parent deinstitutionalization subsidy aid program, provides housing

and supervision to two (2) or more adults who are alcoholic, drug abusers, mentally ill persons

with mental illness, addiction/substance abuse disorders or who are persons with developmental

disabilities or otherwise eligible under section 40.1-1-10.1. Foster homes serving fewer than two

(2) adults, foster home situations wherein the foster parents are natural or adoptive parent(s) or

grandparents, and any facility licensed by the department of children, youth, and families shall be

excluded for the purposes of this chapter.

      (2) "Community residence" means any home or other living arrangement which is

established, offered, maintained, conducted, managed, or operated by any person for a period of

at least twenty-four (24) hours, where, on a twenty-four (24) hour basis, direct supervision is

provided for the purpose of providing rehabilitative treatment, habilitation, psychological support,

and/or social guidance for three (3) or more persons who are alcoholic, drug abusers, mentally ill

with mental illness, addiction/substance abuse disorders or who are persons with developmental

disabilities or cognitive disabilities such as brain injury. The facilities shall include, but not be

limited to, group homes, halfway houses, and fully supervised apartment programs. Semi-

independent living programs, foster care, and parent deinstitutionalization subsidy aid programs

shall not be considered community residences for the purposes of this chapter.

      (3) "Day treatment program" means any nonresidential facility which is established,

offered, maintained, conducted, managed, or operated by any person for a period of less than

twenty-four (24) hours to provide therapeutic intervention to persons who are alcoholic, drug

abusers, mentally ill with mental illness, addiction/substance abuse disorders, or who are persons

with developmental disabilities or cognitive disabilities such as brain injury. These shall include,

but not be limited to, outpatient programs for persons who are alcoholic, drug abusers, mentally

ill with mental illness, addiction/substance abuse disorders or who are persons with

developmental disabilities or cognitive disabilities such as brain injury.

     (4) "Deemed status" means acceptance by the department of accreditation granted by a

national accreditation organization which has been recognized and approved by the department,

including, but not limited to, the joint commission, the commission on accreditation of

rehabilitation facilities, or the council on accreditation. Accreditation by a national accreditation

organization that has been approved by the department shall serve as evidence of compliance with

some or all of the department's rules and regulations for license renewal, as promulgated under

section 40.1-24-9.

      (5) (4) "Department" means the department of mental health, retardation, and hospitals

behavioral healthcare, developmental disabilities and hospitals.

      (6) (5) "Facility" means any community residence, day treatment program, rehabilitation

program, public or private, excluding hospitals or units within hospitals for persons who are

alcoholic, drug abusers, mentally ill with mental illness, addiction/substance abuse disorders or

who are persons with developmental disabilities or cognitive disabilities such as brain injury

providing program services which do not constitute medical or custodial care, but do offer

rehabilitation, habilitation, psychological support, and social guidance.

      (7)(6) "Habilitation program" means any nonresidential facility which is established,

offered, maintained, conducted, managed, or operated by any person for a period of less than

twenty-four (24) hours to provide training in basic daily living skills and developmental activities,

prevocational skills and/or vocational training and placement, and follow up for people who are

alcoholic, drug abusers, mentally ill with mental illness, addiction/substance abuse disorders or

who are persons with developmental disabilities or cognitive disabilities such as brain injury.

These shall include, but not be limited to, early intervention, adult development, work activities,

sheltered workshops, advanced workshops, and job development and training programs.

Sheltered workshops not exclusively for people who are alcoholic, drug abusers, mentally ill with

mental illness, addiction/substance abuse disorders or who are persons with developmental

disabilities or cognitive disabilities such as brain injury shall be excluded for the purposes of this

chapter.

      (8)(7) "Person" means any individual, governmental unit, corporation, company,

association, or joint stock association and the legal successor thereof.

      (9)(8) "Program" means a planned service delivery system structured to provide specific

components, which are responsive to the needs of those served.

     (10)(9) "Rehabilitation program" means any facility, which is established, offered,

maintained, conducted, managed, or operated by any person to provide restorative therapy and/or

training to persons who are mentally ill with mental illness, addiction/substance abuse disorders

or who are persons with developmental disabilities or cognitive disabilities such as brain injury.

These shall include, but not be limited to, community mental health centers. Sheltered workshops

not exclusively for people who are alcoholic, drug abusers, mentally ill with mental illness,

addiction/substance abuse disorders or who are persons with developmental disabilities or

cognitive disabilities such as brain injury shall be excluded for the purposes of this chapter.

 

     SECTION 3. Sections 40.1-24-6, 40.1-24-7 and 40.1-24-11 of the General Laws in

Chapter 40.1-24 entitled "Licensing of Facilities and Programs for People who are Mentally Ill

and/or Developmentally Disabled" are hereby amended to read as follows:

 

     40.1-24-6. Expiration and renewal of license. -- A license, other than a provisional

license, unless sooner suspended or revoked, shall expire by limitation two (2) years from the

date of issuance and may be renewed after inspection, report, and approval by the department.

The inspection shall be made any time prior to the date of expiration of the license. The report

shall contain information in such form as the department shall prescribe by regulation. A license,

other than a provisional license, unless sooner suspended or revoked, shall remain in full force

and effect until renewed by approval of the department in accordance with procedures for renewal

set forth in rules and regulations to be adopted by the department pursuant to section 40.1-24-9;

such procedures must include a process by which a license shall be renewed on the basis of

deemed status as defined in section 40.1-24-1.

 

     40.1-24-7. Denial, suspension, or revocation of license. -- (a) Deemed status shall not

prohibit the department from taking any licensing action it deems necessary.

     (a)(b) The department, after notice and opportunity for a hearing to the applicant or

licensee, is authorized to deny, suspend, or revoke a license in any case in which it finds that

there has been failure to comply with the requirements established under this chapter. The notice

shall be effected by registered or certified mail or by personal service, setting forth the particular

reasons for the proposed action and fixing a date not less than thirty (30) days from the date of the

mailing or service, at which the applicant or licensee shall be given an opportunity for a prompt

and fair hearing.

      (b)(c) On the basis of any hearing, or upon default of the applicant or licensee, the

department shall make a determination specifying its findings of fact and conclusions of law. A

copy of the determination shall be sent by registered or certified mail or served personally upon

the applicant or licensee. The decision denying, suspending, or revoking the license or application

shall become final thirty (30) days after it is so mailed or served, unless the applicant or licensee,

within the thirty (30) day period, appeals the decision to the superior court, pursuant to section

40.1-24-8. The procedure governing hearings authorized by this section shall be in accordance

with rules promulgated by the department.

      (c)(d) A full and complete record shall be kept of all proceedings, and all testimony shall

be reported but need not be transcribed unless the decision is appealed pursuant to section 40.1-

24-8. A copy or copies of the transcript may be obtained by any interested party on payment of

the cost of preparing the copy or copies. Witnesses may be subpoenaed by either party.

 

     40.1-24-11. Inspections and investigations -- Alterations or new construction. -- The

department shall make or cause to be made such inspections and investigations that it deems

necessary. Deemed status shall not prohibit the department from conducting any inspection

and/or investigation it deems necessary. The department may prescribe by regulations that any

licensee or applicant desiring to make a specified type of alteration or addition to its facilities or

to construct new facilities shall, before commencing the alteration, addition, or new construction,

submit plans and specifications thereto to the department for preliminary inspection and approval

or recommendations with respect to compliance with the regulations and standards herein

authorized. Necessary conference and consultations may be provided.

 

     SECTION 4. All general and public laws affected by this chapter shall be revised,

amended, consolidated or conformed by the law revision office. Whenever in general and public

laws reference is made to "people who are mentally ill and/or developmentally disabled and

adults who are alcoholic, drug abusers, and mentally ill" the law revision director shall proceed

according to the provisions set out in section 22-11-3.4 to change these references to "persons

with mental illness, addiction/substance abuse disorders, and/or developmental disabilities."

 

     SECTION 5. This act shall take effect upon passage.

     

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LC01379/SUB A/2

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