hb1044_LC_33_2422S_hcs_5.html
08 LC 33 2422S
House Bill 1044 (COMMITTEE SUBSTITUTE)
By: Representatives Walker of the 107th, Cooper of the 41st, Everson of the 106th, Heard of the 104th, Smyre of the 132nd, and others

A BILL TO BE ENTITLED
AN ACT


To amend Article 7 of Chapter 6 of Title 49 of the Official Code of Georgia Annotated, relating to licensure of adult day centers, so as to provide that a respite care services program shall not be required to be licensed as an adult day center; to provide for certain requirements for respite care services programs; to require licensure as such; to provide for inspection of such; to provide for a license requirement; to provide for sanctioning authority; to provide for applicability; to provide for related matters; to repeal conflicting laws; and for other purposes.

BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:

SECTION 1.
Article 7 of Chapter 6 of Title 49 of the Official Code of Georgia Annotated, relating to licensure of adult day centers, is amended by revising Code Section 49-6-82, relating to definitions, as follows:
"49-6-82.
As used in this article, the term:
(1) 'Adult day care' means the provision of a comprehensive plan of services that meets the needs of aging adults, as defined in paragraph (4) of this Code section, under a social model, as defined in paragraph (7) (9) of this Code section.
(2) 'Adult day center' means a facility serving aging adults that provides adult day care or adult day health services, as defined in paragraphs (1) and (3) of this Code section, for compensation, to three or more persons. This term shall not include a respite care services program.
(3) 'Adult day health services' means the provision of a comprehensive plan of services that meets the needs of aging adults under a medical model, as defined in paragraph (6) of this Code section.
(4) 'Aging adults' means persons 60 years of age or older or mature adults below the age of 60 whose needs and interests are substantially similar to persons 60 years of age or older who have physical or mental limitations that restrict their abilities to perform the normal activities of daily living and impede independent living.
(5) 'Department' means the Department of Human Resources.
(6) 'Medical model' means a comprehensive program that provides aging adults with the basic social, rehabilitative, health, and personal care services needed to sustain essential activities of daily living and to restore or maintain optimal capacity for self-care. Such program of care shall be based on individual plans of care and shall be provided for less than 24 hours per day.
(7) 'Primary caregiver' means the one identified relative or other person in a relationship of responsibility, such as an agent under a valid durable power of attorney for health care or health care agent under a valid advance directive for health care, who has assumed the primary responsibility for the provision of care needed to maintain the physical or mental health of an aging adult, who lives in the same residence with such individual, and who does not receive financial compensation for the care provided.
(8) 'Respite care services program' means a program for aging adults who can function in a group setting and who can feed and toilet themselves with or without the assistance of a personal aide accompanying them which:
(A) Is operated by a nonprofit organization;
(B) Provides no more than 25 hours of services per week;
(C) Is managed by a director who has completed an adult day care services training and orientation program approved by the department;
(D) Is staffed primarily by volunteers; and
(E) Has as its sole purpose to provide primary caregivers of aging adults with relief from normal caregiving duties and responsibilities.
(7)(9) 'Social model' means a program that addresses primarily the basic social and recreational activities needed to be provided to aging adults, but also provides, as required, limited personal care assistance, supervision, or assistance essential for sustaining the activities of daily living. Such programs of care shall be based on individual plans of care and shall be provided for less than 24 hours per day."

SECTION 2.
Said article is further amended by adding a new Code section to read as follows:
"49-6-83.1.
(a) A respite care services program shall:
(1) Maintain accurate emergency contact information for the primary caregiver, contact information of the aging adult´s physician, and any known drug allergies of the aging adult;
(2) Contact local law enforcement authorities if an aging adult who requires supervision for safety leaves the premises unescorted and is not located within 30 minutes of knowledge of such departure;
(3) Deliver services in accordance with the following rights of aging adults:
(A) The right to be treated as an adult with respect and dignity;
(B) The right to be free from physical, mental, sexual, and verbal abuse and from neglect and abuse;
(C) The right to privacy and confidentiality; and
(D) The right to file a complaint with the department´s Office of Regulatory Services if the aging adult or primary caregiver believes that the program is not providing services in accordance with this Code section; and
(4) Provide contact information, including the phone number and complete address, of the department´s Office of Regulatory Services to the aging adult and his or her caregiver for purposes of filing a complaint pursuant to subparagraph (D) of paragraph (3) of this subsection.
(b) The department shall be authorized to issue a license to a respite care services program which meets the requirements of this Code section. The department shall be authorized to assess an initial fee of $200.00 to an applicant for a license under this Code section and an annual renewal fee of $50.00.
(c) The department shall be authorized to conduct periodic inspections and other inspections as determined necessary by the department of respite care services programs to ensure compliance with the provisions of this Code section and department rules and regulations.
(d) No person, business entity, corporation, or association, whether operated for profit or not for profit, shall operate a respite care services program without first obtaining a license or a provisional license from the department. A license issued under this article shall not be assignable or transferable.

(e) Code Section 31-2-6 shall be applicable to respite care services programs and the department shall have the authority to take any of the actions enumerated in Code Section 31-2-6 with respect to respite care services programs.
(f) This Code section shall not apply to respite care services programs established prior to January 1, 2008."

SECTION 3.
All laws and parts of laws in conflict with this Act are repealed.