House Bill 2260

Bill overview az.leg.gov

(How a Bill becomes Law in Arizona)

UPDATE

The Bill has been revised

Committee Hearing (please watch) House Health & Human Services

  • Adult Foster Care Homes has been removed from the Bill
  • Group Homes has been removed from the Bill
  • Adopted Amendment 2/20/20
  • Arizona Family News did not air AALHA’s video
  • Arizona Family News did not air Resident testimony who resides in Assisted Living
  • AALHA and all the those registered to speak were reduced to 1 min each, and limited only to 3 speakers.

Most resources found at Az.leg.gov

Arizona House of Representative Anthony Kern akern@azleg.gov has sponsored a bill affecting all SKILLED NURSING FACILITIES, ASSISTED LIVING CENTERS, ASSISTED LIVING FACILITIES, ASSISTED LIVING HOMES, ADULT FOSTER CARE HOMES, GROUP HOMES, RESIDENTIAL CARE INSTITUTIONS AND OTHER SIMILAR HEALTH CARE INSTITUTIONS. (affecting 40,000+ Older Adults in Arizona)

Members of the Committee attending February 20, 2020 (feel free to email any of them regarding your opinion about HB2260

Mr. Allen, John JALLEN@AZLEG.GOV
Ms. Hernandez, Alma AHERNANDEZ@AZLEG.GOV
Mr. Shah, Amish ASHAH@AZLEG.GOV
Ms. Butler, Kelli KBUTLET@AZLEG.GOV
Ms. Nutt, Becky BNUTT@AZLEG.GOV
Mr. Lawrence, Jay JLAWRENCE@AZLEG.GOV
Ms. Griffin, Gail GGRIFFIN@AZLEG.GOV

Ms. Powers Hannley, Pamela PPOWERSHANNLEY@AZLEG.GOV
Mrs. Barto, Nancy NBARTO@AZLEG.GOV

Supporting Documents

2019 Arizona Cost of Care

AZLEG.GOV VOTES (updated 2/24/20)

Supporting Opposing
Jon Amores, AZ MEDICAL ASSN(02/19/2020);    Brendon Blake, AARP(02/20/2020);    Dan Daley, Self(02/20/2020);    John Flynn, AZ FIRE DISTRICT ASSN(02/19/2020);    Janice Goldstein, Arizona Trial Lawyers Association(02/19/2020);    Stephen Jennings, Self(02/20/2020);    Dana Kennedy, AARP(02/20/2020);    Dana Kennedy, Self(02/17/2020);    Leonard Kirschner, Self(02/20/2020);    Paul Kozak, Self(02/20/2020);    Nathaniel Nickele, Self(02/20/2020);    alexandra petersen, Self(02/20/2020);    Victor Peterson, Self(02/16/2020);    Robert Rowley, Self(02/22/2020);    Ruth Simmons, Self(02/20/2020);    alan stephens, Self(02/20/2020);    John Thomas, AZ CHAPTER AMERICAN COLLEGE EMERGENCY PHYSICIANS (AZACEP)(02/16/2020);    Chandler Wagner, Self(02/20/2020);    Steve Wagner, RIGHT CARE FOUNDATION INC(02/19/2020);    Steve Wagner, Self(02/19/2020);    Tina Wagner, Self(02/20/2020);    Marquetta White, Self(02/20/2020);    Robert White, Self(02/20/2020);    Laurence Wittig, Self(02/22/2020
Barry Aarons, AZ TRIAL LAWYERS ASSOCIATION(02/20/2020); Melissa Al-Rifai, Self(02/18/2020); rodica ani, Self(02/20/2020); Susan Archer, Self(02/20/2020); Michael Baker, Self(02/14/2020); Sylvia Balistreri, Self(02/18/2020); Stephen Barkley, Self(02/20/2020); Karen Barno, Self(02/18/2020); dorina blidar, Self(02/20/2020); diana boanta, Self(02/20/2020); ashley bora, Self(02/20/2020); james bora, Self(02/20/2020); john bora, Self(02/20/2020); marinela bora, Self(02/20/2020); nicol bora, Self(02/20/2020); nadia borodi, Self(02/20/2020); adelina briciu, Self(02/19/2020); kathyrn busby, Arizona Council Of Human Services Providers(02/18/2020); lidia calini, Self(02/20/2020); Frank Caruso, Self(02/12/2020); ev catuna, Self(02/20/2020); ofelia catuna, Self(02/20/2020); amalia cimpean, Self(02/20/2020); daniela cosma, Self(02/19/2020); raluca covaci, Self(02/20/2020); leonica crisan, Self(02/20/2020); lida cubillos, Self(02/20/2020); Janna Day, AZ ASSISTED LIVING FEDERATION OF AMERICA(02/19/2020); Rachel De Jesus, Self(02/20/2020); Victor De Jesus, Self(02/19/2020); Chandriga Dela Vega, Self(02/16/2020); Gaile Dixon, Self(02/10/2020); Laurel Emrick, Self(02/20/2020); cristina estrate, Self(02/20/2020); crisy estrate, Self(02/20/2020); Sam Ferreri, Self(02/19/2020); PK Fields, Self(02/19/2020); Ryan Fincha, Self(02/20/2020); Maribel Gamboa, Self(02/19/2020); angela gavrilas, Self(02/20/2020); daniela Grace Hill Assisted Living, Self(02/19/2020); daniela Grace Hill Ranch, Self(02/19/2020); Ken Green, Self(02/20/2020); Henry GrosJean, Self(02/19/2020); Sarah Gwee, Self(02/20/2020); Kerry Halcomb, Self(02/18/2020); Matt Ham, Self(02/18/2020); Elizabeth Harris, Self(02/20/2020); Rachelle Haviland, Self(02/20/2020); Shelia Hershey, Self(02/17/2020); Shelbe Hunsaker, AZ ASSISTED LIVING FEDERATION OF AMERICA(02/19/2020); lidia iamchimciuc, Self(02/20/2020); adelina igna, Self(02/20/2020); samuel igna, Self(02/20/2020); Susana Ilea, Self(02/19/2020); Ligia Ilea (INtouch Assisted Living), Self(02/19/2020); Ligia Ilea-Naik, Self(02/10/2020); Ligia Ilea-Naik, Self(02/20/2020); Ligia Naik INtouch Senior Services, Self(02/19/2020); Don Isaacson, ARIZONA LEADINGAGE(02/16/2020); Marie Isaacson, ARIZONA LEADINGAGE(02/16/2020); Pam Koester, ARIZONA LEADINGAGE(02/14/2020); Debera Kopp, Self(02/17/2020); mARIE lAWRENCE, Self(02/20/2020); kelly lazau, Self(02/20/2020); visele lazau, Self(02/20/2020); LINDA LAZORCHAK, Self(02/20/2020); Cynthia Leach, Self(02/19/2020); Marco Lorenzana, Self(02/20/2020); adrian lupea, Self(02/20/2020); brian lupea, Self(02/20/2020); julia lupea, Self(02/20/2020); leanna lupea, Self(02/20/2020); lucian lupea, Self(02/20/2020); bianca Marc, Self(02/20/2020); razvan marc, Self(02/20/2020); claudia margau, Self(02/20/2020); arthur marking, Self(02/21/2020); Sue McCarthy, Self(02/18/2020); Rocky McKay, Self(02/10/2020); Mimi medinger, Self(02/19/2020); Randy Medinger , Self(02/19/2020); Elena Mic, Self(02/19/2020); Nastasia Miron, Self(02/19/2020); Sean Mockbee, Self(02/19/2020); Anamaria Moruz, Self(02/19/2020); Rick Murray, AZ CHAPTER NATIONAL SAFETY COUNCIL(02/20/2020); Nihal Naik (INtouch Medical Supply), Self(02/19/2020); Chip Neiculescu, Self(02/16/2020); rodica nicula, Self(02/20/2020); sebastian nicula, Self(02/20/2020); sorin nicula, Self(02/20/2020); Kevin Nijjar, Self(02/16/2020); Rebecca Nimz, Self(02/19/2020); alina novac, Self(02/20/2020); Lidia Olari, Self(02/20/2020); claudia onut, Self(02/20/2020); ion pacurar, Self(02/20/2020); lucia pacurar, Self(02/20/2020); lucia pacurar, Self(02/20/2020); Kathleen Pagels, Self(02/18/2020); Lavinia Petras, Self(02/20/2020); Christine Piska, Self(02/19/2020); dana pop, Self(02/20/2020); emy pop, Self(02/20/2020); Andi Popescu, Self(02/17/2020); Sophia Qendro, Self(02/19/2020); DOMINIC REGORGO, Self(02/20/2020); Veoderick Reguyal, Self(02/17/2020); david ross, Self(02/19/2020); Jenny Ross, Self(02/19/2020); jacki ruiz, Self(02/19/2020); Aleksandra Salkic, Self(02/19/2020); Christina Sanda, Self(02/20/2020); ruben sanda, Self(02/20/2020); Emee Sarmiento, Self(02/20/2020); cristina saulescu, Self(02/20/2020); Analyn Serenio, Self(02/17/2020); Rebecca Siddiqui, Self(02/18/2020); diana slavin, Self(02/20/2020); pia slavin, Self(02/20/2020); Jenelle smith, Self(02/19/2020); tabita stanciu, Self(02/20/2020); adriana stremciuc, Self(02/20/2020); Dana Tate, Self(02/19/2020); Donna Taylor, Self(02/20/2020); Helen Tea, Self(02/19/2020); Jennifer Tonna, Self(02/20/2020); Susie Trask, Self(02/17/2020); Lim Ung, Self(02/18/2020); mary vaida, Self(02/20/2020); samuel vatamaniuc, Self(02/19/2020); adriana vicovan, Self(02/20/2020); David Voepel, AZ HEALTH CARE ASSOCIATION(02/18/2020); Jeremy Wassermann, Self(02/19/2020); Jon Scott Williams, Self(02/10/2020); Victoria Wint, Self(02/19/2020); Tiffany Wright, Self(02/17/2020); marcela zaharia, Self(02/20/2020);

Lets Break it Down

The Bill

Section 1

All Caregivers in Arizona are Certified to provide Cardiopulmonology & First Aid, which is already  mandated by the Arizona Department of Health Services  R9-10-806A-10, and NCIA Board R4-33-403B-3. CPR & First Aid Certification covers the Good Samaritan Law, Cardiopulmonary Resuscitation, AED, First Aid, Wounds, Heart, Fractures, Burns, Poisoning, Hemorrhages, Chocking, Injuries and Shock and instructs all students to Call 911 then perform CPR until the person exhibits signs of life or a trained Medical Responder arrives on scene. If a medical professional does not assess someone after a fall, facilities get blamed for not calling 911.

Section 2

“To provide recovery assistance” that isn’t already trained through the CPR & First Aid Certification is beyond the scope of practice for Caregivers to access if a fallen resident is injured or noninju­red “before the arrival of Emergency Medical Services.” A RN, NP or Doctor are the only medical professionals licensed to do medical assessments. The Arizona Department of Health Services requires all Assisted Living Homes to immediately call the Residents Representative and Primary Care Physician R9-10-818D. “To be certified in Fall Recovery”, falls under the existing CPR & First Aid Certification. Or is it asking the state of Arizona to create and implement a new certification? Is this Bill asking the Assisted Living Industry to put Older Adults health and Safety at risk and certify caregivers to do medical assessments?

Section 3

We are unaware of any Assisted Living Homes implementing policies to prevent employee’s from performing CPR or Emergency Care Services. The Arizona Department of Health Services requires each facility to have policies and procedures on emergency services and train staff on these policies. R9-10-803C, The NCIA requires the Curriculum for Assisted Living Facility Caregiver Training Programs to have at least 2 classroom hours on Fire, safety, and emergency procedures, a. Emergency planning, b. Medical emergencies, c. Environmental emergencies, d. Fire safety, e. Fire drills and evacuations, and f. Fire-code requirements;  R4-33-703-C-8a-f

PAST

HB2260 Committee Meeting February 20, 2020
8am
Room HHR 4
1700 W Washington St
Phoenix, Arizona 85007
An Emergency Stakeholders Meeting!AALHA
Event Organizer:
Arizona Assisted Living Homes Association
Location:
Co+Hoots 221 E Indianola Ave Phx, Az 85012
Time: 10:30am
Link
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Stakeholders Meeting: February 7, 2020 (stakeholders meeting passed to committee)

Stakeholders Meeting: January 31, 2020 (canceled and rescheduled)

Who INtouch has contacted regarding this Bill

AARP, AHCCCS, Arizona ALTCS: Mercy Care & Banner, Arizona Department of Health Services, Arizona Governor’s office (meeting 2/10/20), Attorney General’s Office, AZ Board of Occupational Therapy Examiners, AZ Central, AZ Commerce, AZ Corporation Commission, AZ Hospital & Healthcare Association, AZ State Board of Physical Therapy, AzCEP, Board of Behavioral Health Examiners, Board of Nursing, Department of Emergency and Military Affairs-Legislative Affairs, Dispatch Health (Mobile Urgent Care), Every local news channel, Foundation of Senior Living, Governor’s Regulatory Review Council, Kyrsten Sinema’s office, Naturopathic Physicians and Medical Board, National CPR Association, NCIA Board, Networking Arizona on KNFIX, NFIB, Office of Individual and Family Affairs, Ombudsman Citizens’ Aide, Public Safety Personnel Retirement System, Rep Anthony Kern (many industry professionals sent emails), Rep Nancy Barto, Scheduled Meeting with Martha McSally’s Office, Solace Hospice, Solving Life’s Next Chapter podcast, The White House, US Dept of Labor…