Bill Text: NY S08770 | 2023-2024 | General Assembly | Introduced


Bill Title: Establishes a continuing care retirement community bill of rights; requires the commissioner of health to designate a county ombudsman to monitor such bill of rights.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Introduced) 2024-03-08 - REFERRED TO AGING [S08770 Detail]

Download: New_York-2023-S08770-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          8770

                    IN SENATE

                                      March 8, 2024
                                       ___________

        Introduced  by  Sen.  RYAN  --  read twice and ordered printed, and when
          printed to be committed to the Committee on Aging

        AN ACT to amend the public health law, in  relation  to  establishing  a
          continuing care retirement community bill of rights

          The  People of the State of New York, represented in Senate and Assem-
        bly, do enact as follows:

     1    Section 1. The public health law is amended by adding  a  new  section
     2  4625 to read as follows:
     3    §  4625. Continuing care retirement community bill of rights. 1. Every
     4  continuing care retirement community (CCRC) shall adopt,  implement  and
     5  distribute  to residents the following continuing care retirement commu-
     6  nity bill of rights. All residents of CCRCs shall have the right to:
     7    a. expect full, prompt and complete fulfillment by the CCRC's  manage-
     8  ment  of  those  services delineated in their contracts and other affil-
     9  iated contracts. An annual survey of such services with an evaluation of
    10  their fulfillment shall be implemented  by  the  residents'  association
    11  with results distributed to residents. Contracts approved by the manage-
    12  ment of the CCRC shall be available for inspection by residents or their
    13  designated representatives;
    14    b. establish, organize, fund, develop by-laws for, and operate a resi-
    15  dents'  association  whose  purposes  include,  but  are not limited to,
    16  representing the interests of the residents to  the  administration  and
    17  the CCRC's corporate governing board;
    18    c.  freely  assemble,  with or without the participation of management
    19  and staff as the residents in their judgment deem advisable, to  enhance
    20  communication  and  information-sharing  among  the  residents,  and  to
    21  promote active learning and discussion of issues facing the CCRC  commu-
    22  nity;
    23    d.  select  and appoint, in accordance with the resident association's
    24  own by-laws, at least three members of the  CCRC's  corporate  governing
    25  board,  who  have  rights  and  duties commensurate with the other board
    26  members;
    27    e. receive regularly scheduled reports from the  association-appointed
    28  governing  board  members  about  the board's deliberations, actions and

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD14783-01-4

        S. 8770                             2

     1  policies. Residents have a right to a corporate  governing  board  every
     2  member of which acknowledges their fiduciary responsibility to the resi-
     3  dents.  All corporate board and corporate board committee meetings shall
     4  be  open to any resident or their representative wishing to attend with-
     5  out fear of reprisal except for meetings closed in accordance with state
     6  or federal statutes and regulations. Meetings shall be closed  only  for
     7  discussion of personnel or personal health issues;
     8    f.  be  kept  informed  by  the administration, on a semiannual basis,
     9  about all significant issues of management which directly  affect  resi-
    10  dents'  well-being  or  their  financial investment, or any issues about
    11  which residents are concerned, limited only by necessary and  explicitly
    12  defined policies of confidentially and privacy;
    13    g.  full  disclosure  of the finances of the corporation, presented at
    14  least on an annual basis. In cases where a community is a  member  of  a
    15  consortium of communities, residents have the right to be fully informed
    16  of  the  finances of both their local community and of the parent corpo-
    17  ration. CCRC residents  have  the  right  to  receive  periodic  written
    18  reports  from  a  duly certified actuary affirming that sufficient funds
    19  will be available for the future likely  needs  of  the  resident  popu-
    20  lation.   Residents have the right to be informed in advance if any sale
    21  of the community to another operator or provider comes  under  consider-
    22  ation;
    23    h.  a plain English list of those services guaranteed by the contract,
    24  as well as a list of those services offered by the CCRC but not  guaran-
    25  teed  in  the  contract  (and  which may be modified or withdrawn at the
    26  discretion of the management or corporate governing board), provided  to
    27  all  prospective  residents  prior  to  their  being  asked  to sign the
    28  contract;
    29    i. visit the assisted living and skilled nursing facilities,  as  well
    30  as  all the amenities associated with independent living, before signing
    31  a contract;
    32    j. be informed in advance of, and be given an opportunity  to  comment
    33  on,  changes  in the delivery of services, including changes in staffing
    34  levels in its administrative and  service  departments  and  changes  in
    35  staff  credentialing  requirements  in  areas  such as health care, food
    36  service, and facilities maintenance.  Such  notice  shall  be  given  in
    37  advance of implementation with sufficient time for residents to respond;
    38    k.  be  informed, at least a month in advance of implementation, about
    39  any change in fees, and have the opportunities to comment on such chang-
    40  es to management and to the governing board. The CCRC management  and/or
    41  corporate board shall respond with written responses to residents;
    42    l.  participate  directly  in the governance of the residents' associ-
    43  ation through communication, discussion,  and  decision-making  in  open
    44  meetings,  through membership in association committees, and through the
    45  election of officers and members of the resident association's own board
    46  of directors, in accordance with by-laws;
    47    m. raise issues concerning their  own  well-being,  their  quality  of
    48  life,  and  the  sufficiency  of their involvement in community life and
    49  governance, and to advocate openly for issues of concern to them  to  be
    50  discussed  and  dealt  with  by the residents' association, the adminis-
    51  tration, and the governing board as appropriate;
    52    n. establish and operate informal activities of any kind, so  long  as
    53  they  do  not impact negatively on the lives of others, violate the law,
    54  interfere with other activities in community space  and  facilities,  or
    55  require resident association funds;

        S. 8770                             3

     1    o.  organize  and  seek  residents'  association  recognition of a new
     2  committee or other resident activity needing  community  facilities,  or
     3  residents' association funds;
     4    p. all the benefits of living in community, including all the services
     5  and  amenities on offer, and all regulations applying to community life,
     6  provided and enforced impartially and without prejudice, regardless of a
     7  resident's age, gender, religion, race,  economic  status,  professional
     8  background,  sexual  orientation, past or present advocacy of issues and
     9  policies applying to community life  and  governance,  past  or  present
    10  activism  in  the polity outside of the retirement community, or past or
    11  present service on boards or committees;
    12    q. select, based on availability and the resident's  financial  quali-
    13  fications,  an independent living apartment of the resident's choice and
    14  to appoint and furnish it to the resident's taste, within the provisions
    15  of the life-care contract and fire and safety regulations; and
    16    r. participate as fully and meaningfully as possible when the need  to
    17  move  to an assisted living facility or skilled nursing unit comes under
    18  discussion. Family members designated by the  resident  shall  have  the
    19  right  to  be  kept  informed of the resident's condition and care plan.
    20  Residents or their designated medical proxies shall have  the  right  to
    21  refuse medications and treatments.
    22    2.  The  commissioner  shall designate an ombudsman for each county to
    23  monitor the bill of rights established by this  section  and  any  other
    24  regulations  concerning  residence  in independent living at a CCRC. The
    25  commissioner shall promulgate regulations providing direction and  regu-
    26  latory authority to the ombudsman. Residents and/or their family members
    27  or  representatives shall have the right to contact their county ombuds-
    28  man with complaints, compliments, and/or comments without  prejudice  or
    29  recrimination.  Records of the contacts made under the ombudsman program
    30  shall be a matter of public record and available on request.
    31    § 2. This act shall take effect on the ninetieth day  after  it  shall
    32  have become a law. Effective immediately, the addition, amendment and/or
    33  repeal  of  any  rule  or regulation necessary for the implementation of
    34  this act on its effective date are authorized to be made  and  completed
    35  on or before such effective date.
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