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Chapter 410 — Senior and Disability Services
Note: Section 1, chapter 900, Oregon Laws 2001, provides:
Sec. 1. (1) The following named divisions, offices, programs and organizational units of the Department of Human Services are abolished:
(a) The Adult and Family Services Division;
(b) The State Office for Services to Children and Families;
(c) The Mental Health and Developmental Disability Services Division;
(d) The Vocational Rehabilitation Division;
(e) The Health Division;
(f) The Senior and Disabled Services Division;
(g) The Alcohol and Drug Abuse Programs;
(h) The Office of Medical Assistance Programs; and
(i) The Office of the Director.
(2) The positions of assistant directors of the divisions, offices, programs and organizational units listed in subsection (1) of this section are abolished. On the effective date of this 2001 Act [August 2, 2001], the tenure of the assistant directors shall cease.
(3) All of the duties, functions and powers of the Adult and Family Services Division, the State Office for Services to Children and Families, the Mental Health and Developmental Disability Services Division, the Vocational Rehabilitation Division, the Health Division, the Senior and Disabled Services Division, the Alcohol and Drug Abuse Programs, the Office of Medical Assistance Programs and the Office of the Director are transferred to the Department of Human Services.
(4) Notwithstanding the abolishment of the divisions, offices, programs and organizational units of the Department of Human Services by subsection (1) of this section and the transfer of duties, functions and powers by subsection (3) of this section, the lawfully adopted rules of the Adult and Family Services Division, the State Office for Services to Children and Families, the Mental Health and Developmental Disability Services Division, the Vocational Rehabilitation Division, the Health Division, the Senior and Disabled Services Division and the office of Alcohol and Drug Abuse Programs in effect on the effective date of this 2001 Act continue in effect until lawfully superseded or replaced by the rules of the Department of Human Services. [2001 c.900 §1]
SERVICES FOR SENIORS AND PEOPLE WITH DISABILITIES
410.010 State policy for seniors and people with disabilities. (1) The Legislative Assembly finds and declares that, in keeping with the traditional concept of the inherent dignity of the individual in our democratic society, the older citizens of this state are entitled to enjoy their later years in health, honor and dignity, and disabled citizens are entitled to live lives of maximum freedom and independence.
(2) The Legislative Assembly declares that the policy of this state is to provide and encourage programs necessary to fulfill the commitment stated in subsection (1) of this section and that the purpose of policies stated in this section and ORS 410.020 is to provide a guide for the establishment and implementation of programs for older citizens and disabled citizens in this state. It further declares that the programs shall be initiated, promoted and developed through:
(a) Volunteers and volunteer groups;
(b) Partnership with local governmental agencies;
(c) Coordinated efforts of state agencies;
(d) Coordination and cooperation with federal programs;
(e) Partnership with private health and social service agencies;
(f) A designated state agency that will encourage and work with older citizens and their organizations, that will coordinate state and local programs, that will encourage and monitor federal programs and that will act as an advocate for older Oregon citizens; and
(g) A designated state agency that will encourage and work with disabled citizens and their organizations, that will coordinate state and local programs, that will encourage and monitor federal programs and that will act as an advocate for disabled Oregon citizens.
(3) The Legislative Assembly declares that it shall be the policy of this state to give special attention to the special concerns of our most frail and vulnerable older citizens. Furthermore, it shall be the policy of this state to support strongly the full development and participation of disabled citizens in all aspects of social, political and community life.
(4) Recognizing the diversity in geography, economy and life styles in Oregon and the diversity of local senior citizen networks, the Legislative Assembly declares that it is the policy of this state to avoid complete uniformity in planning and administering programs for older citizens and to encourage and emphasize local control to achieve the most effective blend of state and local authority, not precluding the ability of the state to perform its mandated responsibilities for planning and administration. Multipurpose senior centers may be considered as focal points for the delivery of services to older citizens in each community where practicable. Disability services should also be consolidated where possible to provide efficient and convenient delivery of services to disabled citizens. [1981 c.191 §1; 1985 c.180 §1; 1989 c.224 §70]
410.020 Implementation of state policy. In carrying out the policies stated in ORS 410.010, the state shall:
(1) Coordinate the effective and efficient provision of community services to older citizens and disabled citizens so that the services will be readily available to the greatest number over the widest geographic area; assure that information on these services is available in each locality, utilizing whenever possible existing information services; and assure that each new service receives maximum publicity at the time it is initiated.
(2) Assure that older citizens and disabled citizens retain the right of free choice in planning and managing their lives; by increasing the number of options in life styles available to older citizens and disabled citizens; by aiding older citizens and disabled citizens to help themselves; by strengthening the natural support system of family, friends and neighbors to further self-care and independent living; and by encouraging all programs that seek to maximize self-care and independent living within the mainstream of life.
(3) Assure that health and social services be available that:
(a) Allow the older citizen and disabled citizen to live independently at home or with others as long as the citizen desires without requiring inappropriate or premature institutionalization.
(b) Encourage, by expansion of existing programs for older citizens and disabled citizens, by school programs, by meals-on-wheels, by counseling or by other means, public and private development of nutrition programs for older citizens and disabled citizens that prevent or minimize illness or social isolation.
(c) Assure that if institutionalization is necessary, the institution should be of the highest quality where the older citizen and disabled citizen may live in dignity.
(d) Protect the older citizen and disabled citizen from physical and mental abuse and from fraudulent practices.
(4) Foster both preventive and primary health care, including mental and physical health care, to keep older citizens and disabled citizens active and contributing members of society; and encourage full restorative services for those older citizens and disabled citizens who require institutional care to increase the possibility of their return to independent living.
(5) Encourage public and private development of suitable housing for older citizens and disabled citizens, designed and located consistent with their special needs and available at costs they can afford.
(6) In implementing subsections (1) to (5) of this section, develop and seek support for plans to assure access to information, counseling and screening, as appropriate, by persons potentially in need of long term care without regard to the person’s income.
(7) Recognize the necessity for a variety of ways to help older citizens and disabled citizens maintain sufficient income to meet their needs.
(8) Encourage local transportation systems and volunteer groups to meet the daily transportation needs of older citizens and disabled citizens and to make accessible to them a broad range of services and programs, including social, health and religious services and programs.
(9) Encourage and develop meaningful employment opportunities for older citizens and disabled citizens in positions commensurate with their abilities; eliminate discrimination to such employment; and whenever possible, employ older citizens in programs that affect older citizens and disabled citizens in programs that affect disabled citizens.
(10) Involve older citizens and disabled citizens in the decision-making process for programs affecting their lives. Recognizing the ability of older citizens and disabled citizens to be advisors to the Legislative Assembly, agencies and professional staff, the Legislative Assembly intends that whenever possible older citizens and disabled citizens should assist in the development of policies affecting their lives.
(11) Assure to older citizens and disabled citizens the right to pursue activities within the widest range of civic, cultural, entertainment and recreational opportunities by opening such opportunities to participation by older citizens and disabled citizens, by encouraging older citizens and disabled citizens to utilize their capabilities by participating in government and by assuring them the right to serve.
(12) Make public educational facilities available to older citizens and disabled citizens and their organizations so older citizens and disabled citizens may pursue their educational interests; and encourage all institutions of learning and other appropriate agencies to develop and provide by outreach as well as by traditional means special education programs to meet the needs and interests of older citizens by addressing the problems and opportunities of aging and by responding to older citizens’ interests in liberal arts as well as their interests in hobby and recreation courses.
(13) Encourage the development of barrier-free construction and the removal of architectural barriers so that more facilities are accessible to older citizens and disabled citizens.
(14) Promote development of programs to educate persons who work with older citizens in gerontology and geriatrics and encourage qualified persons to seek such education.
(15) Encourage immediate application by both public and private agencies of knowledge acquired from research that can sustain and improve the health and happiness of older citizens and disabled citizens.
(16) Recognize that older citizens who retire should be able to do so in honor and dignity.
(17) Encourage and support:
(a) Distribution of literature which accurately presents facts concerning aging and disabilities of citizens.
(b) Efforts of schools, churches and other institutions, in teaching children and youth about the process of aging and disabilities of citizens so as to correct fallacies handed down from one generation to another.
(c) Intergenerational programming and participation by community organizations and institutions to promote better understanding and warm social interaction and to counteract the tendency to isolation of individuals who are elderly or disabled.
(d) Correction of stereotyping of individuals who are elderly or disabled in school texts and other books, newspapers, magazines, radio and television by encouraging review and analysis of these media by publishers, company ownership or other appropriate agencies.
(e) Efforts which show that many misconceptions and stereotypes have no basis in fact so older citizens and disabled citizens will be freed from the destructive tendency to socially conform by embracing these fallacies. [1981 c.191 §2; 1983 c.312 §2; 1985 c.180 §2; 1989 c.224 §71]
410.030 Legislative findings on long term care options. The Legislative Assembly of the State of Oregon finds the following regarding older citizens and disabled citizens:
(1) That there are many older or disabled Oregonians who face difficulties in maintaining self-care and independent living within the mainstream of life, and who have not yet exhausted their financial resources. These persons are often dependent upon providers of care for advice regarding 24-hour care. These persons and providers are not always aware of options to, or within, such care;
(2) That inappropriate or premature institutionalization of persons who have not exhausted their financial resources often leads to exhaustion of those resources, and to the expectation by these persons and providers that continued financing of inappropriate institutional care shall be available under Title XIX. However, under these circumstances, transfer of the person to appropriate, less costly noninstitutional or alternative institutional care, if available, is necessary in order that limited public funds can be utilized to provide appropriate care to as many persons in need as possible; and
(3) That to minimize the need for such disruptive transfers, it is in the interest of older or disabled Oregonians and of providers of care that the Department of Human Services, or any designated state agency, develop plans for assuring access to information, counseling and screening, as appropriate, by persons potentially in need of long term care without regard to the person’s income. [1983 c.312 §1; 1985 c.180 §3; 1989 c.224 §72]
410.040 Definitions for ORS 410.040 to 410.320. As used in ORS 409.010, 410.040 to 410.320, 411.590 and 441.630:
(1) "Appropriate living arrangement" means any arrangement for an elderly citizen or disabled citizen in a residential setting which is appropriate for the individual considering, in order of priority, the following criteria:
(a) Personal desires and goals of the individual;
(b) The right of the individual to live as independently as possible, in the least restrictive environment; and
(c) The cost of the living arrangement compared to other types of living arrangements, based on the criteria in paragraphs (a) and (b) of this subsection.
(2) "Area agency" means:
(a) An established or proposed type A or type B Area Agency on Aging within a planning and service area designated under Section 305 of the Older Americans Act; or
(b) Any public or nonprofit private agency which is designated as a type A or type B Area Agency on Aging under Section 305 of the Older Americans Act.
(3) "Area agency board" means the local policy-making board which directs the actions of the area agency within state and federal laws and regulations.
(4) "Department" means the Department of Human Services.
(5) "Disabled person" means a person with a physical or mental disability:
(a) Who is eligible for Supplemental Security Income or for general assistance; and
(b) Who meets one of the following criteria:
(A) Is mentally retarded, developmentally disabled or mentally or emotionally disturbed and resides in or needs placement in a residential program administered by the department.
(B) Is an alcohol or drug abuser and resides in or needs placement in a residential program administered by the department.
(C) Has a physical or mental disability other than those described in subparagraphs (A) and (B) of this paragraph.
(6) "Elderly" or "elderly persons" means persons who are served by type A area agencies or type B area agencies or by the department and who are 60 years of age or older.
(7) "Local government" means a political subdivision of the state whose authority is general or a combination of units of general purpose local governments.
(8) "Preadmission screening" means a professional program within the department or type B area agencies, with staff that includes registered nurses and social workers, that assesses the needs of clients and recommends appropriate placements in residential programs administered by the department or type B area agencies.
(9) "Protective services" means a service to be provided by the department directly or through type B area agencies, in response to the need for protection from harm or neglect to elderly persons and disabled persons.
(10) "Title XIX" means long term care and health services programs in Title XIX of the Social Security Act available to elderly persons and disabled persons.
(11) "Type A area agency" means an area agency:
(a) For which either the local government or the area agency board does not agree to accept local administrative responsibility for Title XIX; and
(b) That provides a service to elderly persons.
(12) "Type B area agency" means an area agency:
(a) For which the local government agrees to accept local administrative responsibility for Title XIX;
(b) That provides a service to elderly persons or to elderly persons and disabled persons who require services similar to those required by elderly persons; and
(c) That uses the term "disabled services" or "disability services" in its title to communicate the fact that it provides services to both populations described in paragraph (b) of this subsection. [1981 c.784 §1; 1985 c.180 §4; 1989 c.224 §73; 1993 c.116 §2; 2001 c.900 §75]
410.050 General policy. The State of Oregon finds that the needs of the elderly population can be best served and planned for at the local community level; that a longer life expectancy and a growing elderly population demands services be provided in a coordinated manner and a single local agency system for such services be instituted; that local resources and volunteer help will augment state funds and needed manpower; that local flexibility in providing services should be encouraged; and that a single state agency should regulate and provide leadership to insure that the elderly citizens of Oregon will receive the necessary care and services at the least cost and in the least confining situation. The State of Oregon further finds that within budgetary constraints, it is appropriate that savings in nursing home services allocations within a planning and service area be reallocated to alternative care services under Title XIX and Oregon Project Independence in that area. [1981 c.784 §2; 1993 c.116 §3]
410.060 Policy for disabled persons served by department. (1) It is the policy of the State of Oregon that disabled persons served by the Department of Human Services shall also receive necessary services, as appropriate for their needs, from other state agencies.
(2) In carrying out the provisions in subsection (1) of this section, the Department of Human Services shall negotiate interagency agreements and coordinate services with the Employment Department and the Department of Education for the provision of appropriate services to disabled clients of the Department of Human Services.
(3)(a) Prior to approval of an appropriate living arrangement, as defined in ORS 410.040, administered by the Department of Human Services, all disabled persons shall be assessed by preadmission screening to insure the appropriateness of the living arrangement.
(b) If a disabled person is diagnosed as, or is reasonably believed to be, mentally retarded or developmentally disabled, preadmission screening shall include an assessment by the Developmental Disability Diagnosis and Evaluation Service established under ORS 427.104.
(4) The Department of Human Services in coordination with the Department of Education shall work with nursing homes which have one or more residents under 18 years of age to develop a program appropriate to the needs of such residents. [1981 c.784 §4; 1985 c.180 §5; 1989 c.224 §74; 2001 c.900 §76]
410.070 Duties of Department of Human Services; elderly and disabled persons. (1) The Department of Human Services shall:
(a) Serve as the central state agency with primary responsibility for the planning, coordination, development and evaluation of policy, programs and services for elderly persons and disabled persons in Oregon.
(b) Function as the designated state unit on aging, as defined in the Older Americans Act of 1965.
(c) With the advice of the Governor’s Commission on Senior Services and the Oregon Disabilities Commission, develop long-range state plans for programs, services and activities for elderly persons and disabled persons. State plans should be revised biennially and should be based on area agency plans, statewide priorities and state and federal requirements.
(d) Have the authority to transfer state and federal funds, except Title III of the Older Americans Act funds, from one area agency to another area agency or from one program or service to another program or service after consultation with the area agencies involved in the transfer. However, no area agency shall suffer a reduction in state or federal funds due to increased local funds.
(e) Receive and disburse all federal and state funds allocated to the department and solicit, accept and administer grants, including federal grants or gifts made to the department or to the state and enter into contracts with private entities for the purpose of providing or contracting for case management services for long term care insurance for the benefit of elderly persons and disabled persons in this state.
(f) Provide technical, training and program assistance to area agencies and assist them to provide such assistance to public and private agencies and organizations.
(g) Assist area agencies to stimulate more effective use of existing resources and services for elderly persons and develop programs, opportunities and services which are not otherwise provided for elderly persons, with the aim of developing a comprehensive and coordinated system for the delivery of social services to elderly persons.
(h) Assist local Department offices and area agencies which have assumed responsibility for disabled services to stimulate more effective use of existing resources and to develop programs, opportunities and services which are not otherwise provided for disabled persons, with the aim of developing a comprehensive and coordinated system for the delivery of social services to disabled persons.
(i) Serve within government and in the state at large as an advocate for elderly persons and disabled persons by holding hearings and conducting studies or investigations concerning matters affecting the health, safety and welfare of elderly persons and disabled persons and by assisting elderly persons and disabled persons to assure their rights to apply for and receive services and to be given fair hearings when such services are denied.
(j) Process fiscal and client data for all area agencies.
(k) Conduct regulatory functions with regard to program operation, by adopting rules for providing social services, including protective services, to elderly persons and disabled persons who need services that the department or area agencies are authorized to provide and rules for standard rate setting and quality assurance.
(L) Provide information and technical assistance to the Governor’s Commission on Senior Services, the Oregon Disabilities Commission and the Medicaid Long Term Care Quality and Reimbursement Advisory Council and keep the commissions and the council continually informed of the activities of the department.
(m) Make recommendations for legislative action to the Governor and to the Legislative Assembly, after consultation with the Governor’s Commission on Senior Services, the Oregon Disabilities Commission and the Medicaid Long Term Care Quality and Reimbursement Advisory Council.
(n) Conduct research and other appropriate activities to determine the needs of elderly persons and disabled persons in this state, including, but not limited to, their needs for social and health services, and to determine what existing services and facilities, private and public, are available to elderly persons and disabled persons to meet those needs.
(o) Maintain a clearinghouse for information related to the needs and interests of elderly persons and disabled persons.
(p) Provide area agencies with assistance in applying for federal, state and private grants and identifying new funding sources.
(2) In addition to the requirements of subsection (1) of this section, the department shall:
(a) Determine type A and type B area agencies annual budget levels for Oregon Project Independence and Title III of the Older Americans Act expenditures.
(b) For type B area agencies:
(A) Determine annual budget levels for planning Title XIX reimbursed services. In determining the budget levels, the department shall retain contingency reserves against overruns and transfers in use of Title XIX funds.
(B) Provide timely management information so the area agencies and the department’s disability services units can manage Title XIX reimbursements within budgeted levels.
(C) Determine annual budget levels for planning and administering programs relating to social, health, independent living and protective services for disabled persons for the department’s disability services units and type B area agencies which have assumed local responsibility for the programs and clients transferred under section 2 (2), chapter 787, Oregon Laws 1989.
(c) Make payments for services within a central processing system for:
(A) A type A area agency, at the request of the agency, for Oregon Project Independence or Title III of the Older Americans Act expenditures, or both.
(B) A type B area agency, for Title XIX and Oregon Project Independence expenditures, and at the request of the agency, for Title III of the Older Americans Act expenditures.
(d) Assume program responsibility for Title XIX programs in areas served by type A area agencies and in areas where no area agency is designated.
(e) Assume planning and program responsibilities for disabled persons in areas served by type A area agencies, in areas served by type B agencies that serve only elderly persons and in areas where no area agency exists.
(3) When developing programs affecting elderly persons, the department shall consult with the Governor’s Commission on Senior Services.
(4) When developing programs affecting disabled persons, the department shall consult with the Oregon Disabilities Commission. [1981 c.784 §3; 1989 c.224 §75; 1989 c.787 §1; 1991 c.122 §12; 1993 c.116 §4; 1995 c.667 §4; 2001 c.900 §77]
410.075 Authority of department to hold title to property; rulemaking. The Department of Human Services may take title to real and personal property in performing its duties under ORS 411.630, 411.795, 412.600, 413.200, 414.105 and 416.310. Title shall be taken in the name of the department. The department may convey the property by deed or other appropriate conveyance under procedures adopted by rule of the department. [1993 c.249 §2]
410.080 Department of Human Services as single state agency for federal programs. (1) The Department of Human Services is the designated single state agency for all federal programs under ORS 327.525, 409.010, 410.040 to 410.320, 411.590 and 441.630.
(2) Except as provided in ORS 410.070 (2)(d) and 410.100, the administration of services to clients under ORS 327.525, 409.010, 410.040 to 410.320, 411.590 and 441.630 shall be through area agencies, and shall comply with all applicable federal regulations. [1981 c.784 §7; 2001 c.900 §246]
410.090 Department of Human Services to implement supportive social services for persons age 60 and older; rulemaking. (1) The Department of Human Services is directed to develop and place in effect a program of supportive social services for persons age 60 or older.
(2) The Department of Human Services is authorized to develop and adopt such rules as necessary for the sound, efficient and economical administration of the provisions of this section and ORS 410.320 to 410.340, including the implementation of a fee for service schedule based upon ability to pay, and to assure that no eligible person, resident in a skilled nursing home or intermediate care facility, shall be removed and placed in an alternative care program unless such services are determined to be more appropriate for the individual citizen based upon appropriate, individual, service considerations. [Formerly 184.865]
410.100 When department to administer area agency programs. (1) In the event that a local government withdraws the designation of an area agency, or the Department of Human Services withdraws the area agency designation in accordance with the Older Americans Act, the department shall administer the services to clients previously performed by the area agency until a new area agency is designated.
(2) The department may withdraw any particular program or service, except Title III of the Older Americans Act programs, from the area agency, and administer such programs and services. Before such action is taken, the department must consult with the director of the area agency and the chief elected official of the affected local government. Such action shall be taken by the department only when it can be shown the federal or state laws or rules have not been complied with, state or federal funds are not being expended for the purposes for which they were intended, or the elderly are not receiving appropriate services within available resources. Withdrawal of any particular program or service is appealable to the Governor after requesting a reconsideration by the Director of Human Services. [1981 c.784 §10; 2001 c.900 §78]
410.110 Revolving fund. (1) On written request of the Department of Human Services, the Oregon Department of Administrative Services shall draw warrants on amounts appropriated to the Department of Human Services for operating expenses for use by the Department of Human Services as a revolving fund. The revolving fund shall not exceed the aggregate sum of $50,000 including unreimbursed advances. The revolving fund shall be deposited with the State Treasurer to be held in a special account against which the Department of Human Services may draw checks.
(2) The revolving fund may be used by the Department of Human Services to pay for travel expenses for employees of the Department of Human Services and for any consultants or advisers for whom payment of travel expenses is authorized by law, or advances therefor, or for purchases required from time to time or for receipt or disbursement of federal funds available under federal law.
(3) All claims for reimbursement of amounts paid from the revolving fund shall be approved by the Department of Human Services and by the Oregon Department of Administrative Services. When such claims have been approved, a warrant covering them shall be drawn in favor of the Department of Human Services and charged against the appropriate fund or account, and shall be used to reimburse the revolving fund. [1981 c.784 §24]
410.120 Senior and Disabled Services Account. (1) There is established in the General Fund of the State Treasury an account to be known as the Senior and Disabled Services Account. All moneys in the Senior and Disabled Services Account are continuously appropriated for and shall be used by the Department of Human Services for the respective purposes authorized by law. The moneys in the Senior and Disabled Services Account and all appropriations for the Department of Human Services shall be subject to allotment made by the Oregon Department of Administrative Services.
(2) The Department of Human Services shall keep a record of all moneys credited to and deposited in the Senior and Disabled Services Account. The record shall indicate by separate cumulative accounts the source from which the moneys are derived and the individual activity or program against which each withdrawal is charged.
(3) The unobligated balance in the Senior and Disabled Services Account on June 30 of each odd-numbered year shall be determined by the Department of Human Services as of September 30 following the close of each biennium and certified to the Oregon Department of Administrative Services. The amount certified pursuant to this subsection shall revert to the General Fund and become available for general governmental purposes. [1981 c.784 §25; 1989 c.787 §11]
410.130 [1981 c.784 §26; repealed by 2001 c.900 §261]
410.140 Records; rulemaking. The Department of Human Services shall make and enforce rules governing the custody, use and preservation of the records, papers, files and communications by any other agency or Department of government or person to which the records may be furnished. Use shall be limited to the purposes for which the records are furnished and by the provisions of the law under which they may be furnished. [1981 c.784 §27]
410.150 Use of files; confidentiality; privileged communications. For the protection of applicants for and recipients of services, the Department of Human Services shall not disclose or use the contents of any records, files, papers or communications for purposes other than those directly connected with the administration of the laws of Oregon, and these records, files, papers and communications are considered confidential subject to the rules of the Department of Human Services, except as otherwise provided in ORS 411.320. In any judicial proceedings, except proceedings directly connected with the administration of public assistance laws, their contents are considered privileged communications. [1981 c.784 §28; 1997 c.581 §2]
410.160 Limitation on estate claims. Nothing in ORS 327.525, 409.010, 410.040 to 410.320, 411.590 and 441.630 extends estate claims requirements and procedures related to certain Title XIX services under current Oregon statutes and federal regulations to other services. [1981 c.784 §36; 1993 c.116 §5]
410.180 Long term care reimbursement audit manual. In carrying out the reimbursement system stated in the state policy on long term care reimbursement, the Department of Human Services shall develop, publish and make available an audit manual. The audit manual shall include clear guidelines on costs that are approved for reimbursement. [1983 c.406 §2]
Note: 410.180 and 410.190 were enacted into law by the Legislative Assembly and were added to and made a part of ORS chapter 410 but not to any series therein by legislative action. See Preface to Oregon Revised Statutes for further explanation.
410.190 Representation of corporation in contested case proceedings before department. (1) Notwithstanding ORS 8.690, 9.160, 9.320, ORS chapter 180, ORS 203.145 or other law, in any contested case proceeding before the Department of Human Services, a corporation may be represented by an attorney or by any officer or authorized agent or employee of the corporation.
(2) As used in this section, "corporation" includes a public or private corporation, whether or not organized for profit. [1987 c.428 §34b]
Note: See note under 410.180.
410.210 Area agency advisory councils; membership; duties. (1) Each area agency shall have an area agency advisory council, with members appointed by the area agency board.
(a) For a type A area agency, membership of the council shall include consumers of services provided primarily to elderly persons under Department of Human Services programs, including low income and minority persons.
(b) A type B area agency that serves elderly and disabled persons shall have two advisory councils. One shall include persons described in paragraph (a) of this subsection. The second shall be a disability services advisory council. That council shall have as a majority of its members disabled persons and shall include consumers of services and other interested persons. Any disability services advisory council in existence at the time the area agency assumes responsibility for providing services to disabled persons shall become the disability services advisory council for the area agency.
(2) Each area agency advisory council shall:
(a) Recommend basic policy guidelines for the administration of the activities of the area agencies on behalf of elderly persons or disabled persons, and advise the area agency on questions of policy.
(b) Advise the area agency with respect to development of the area plan and budget, and review and comment on the completed area plan and budget before its transmittal to the Director of Human Services.
(c) Review and evaluate the effectiveness of the area agency in meeting the needs of elderly persons or disabled persons in the planning and service area.
(d) Meet at least quarterly. The meetings are subject to ORS 192.610 to 192.690. [1981 c.784 §11; 1989 c.224 §76; 1991 c.67 §101; 1993 c.116 §1; 2001 c.900 §79]
410.220 Use of state and local resources. Each area agency may use, with the consent of state and municipal departments and agencies, their services, equipment, facilities and personnel, and pay therefor, within the limits of its resources, as agreed between the agencies and cooperate with other public and private agencies as to the use of services, equipment and facilities. [1981 c.784 §14]
410.230 Expenditure of local funds not required. Nothing in ORS 327.525, 409.010, 410.040 to 410.320, 411.590 and 441.630 requires an area agency or local governmental unit to expend local funds for the purpose of maintaining or expanding services to elderly and disabled persons. [1981 c.784 §37; 1989 c.224 §77]
(Type A Agencies)
410.240 Operation of type A agencies. On and after October 1, 1981, a type A area agency shall operate in the same manner as it operated with local administrative responsibility for Title III of the Older Americans Act and Oregon Project Independence before October 1, 1981. Nothing in ORS 327.525, 409.010, 410.040 to 410.320, 411.590 and 441.630 requires a type A area agency to become a type B area agency. [1981 c.784 §8]
410.250 Duties of type A agencies. Each type A area agency shall:
(1) Conduct local planning functions for Title III of the Older Americans Act and Oregon Project Independence.
(2) Develop a local plan for service delivery that complies with federal and state requirements and is in accord with locally determined objectives consistent with the state policy on aging. This plan shall be reviewed and approved by the Department of Human Services.
(3) Assess the needs of elderly persons within the planning and service delivery area for service for social and health services, and determine what resources are currently available to meet those needs.
(4) Assume the responsibility of determining services required to meet the needs of elderly persons, assure that such services are provided within the resources available and determine when such services are no longer needed.
(5) Endeavor to coordinate and expand existing resources in order to develop within its planning and service area a comprehensive and coordinated system for the delivery of social and health services to elderly persons.
(6) Serve as an advocate within government and within the community at large for the interests of elderly persons within its planning and service area.
(7) Make grants to or enter into contracts with any public or private agency for the provision of social or health services not otherwise sufficiently available to elderly persons within the planning and service area.
(8) Monitor and evaluate the activities of its service providers to insure that the services being provided comply with the terms of the grant or contract. Where a provider is found to be in breach of the terms of its grant or contract, the area agency shall enforce the terms of the grant or contract.
(9) Conduct research, evaluation, demonstration or training activities appropriate to the achievement of the goal of improving the quality of life for elderly persons within its planning and service area.
(10) Comply with department requirements that have been developed in consultation with the area agencies for client and fiscal information and provide to the department information necessary for federal and state reporting, program evaluation, program management, fiscal control and research needs. [1981 c.784 §12]
(Type B Agencies)
410.270 Operation of type B agencies. (1) A local government shall be responsible for all actions of a type B area agency in its jurisdiction, including but not limited to the accountability for funds and compliance with federal and state laws and rules. Such responsibility shall include all geographic areas in which the type B area agency is designated to operate.
(2) The respective local government shall appoint a director of the type B area agency in its jurisdiction who must meet minimum qualifications established by the Department of Human Services. The director shall serve with the continuing approval of the Director of Human Services. Continuing approval may be withdrawn by the Director of Human Services only when it can be shown that the state or federal rules have not been complied with by the type B area agency, state or federal funds are not being expended for the purposes for which they were intended or the elderly are not receiving appropriate services within available funds. Withdrawal of continuing approval is appealable to the Governor by the local government after requesting a reconsideration by the Director of Human Services. [1981 c.784 §9; 1991 c.67 §102; 2001 c.900 §80]
410.280 Duties of type B agencies. Each type B area agency shall:
(1) Comply with the provisions of ORS 410.250 (1) and (3) to (10).
(2) Conduct local planning functions for Title XIX of the Social Security Act.
(3) Develop a local plan for service delivery subject to review and approval by the Department of Human Services and the responsible unit of local government that complies with federal and state requirements and in accord with locally determined objectives consistent with the state policy on aging.
(4) Provide protective services within available resources. [1981 c.784 §13; 1993 c.116 §6]
410.290 Conditions to designation as type B agency; plan of operation. (1) Prior to the designation of an area agency as a type B area agency, the area agency, the responsible unit of local government and the Department of Human Services must jointly agree upon a plan under which the area agency will operate.
(2) The plan described in subsection (1) of this section shall:
(a) Establish an administrative structure and qualifications for key personnel that reflect the population to be served.
(b) Be developed in coordination with the appropriate local mental health authority.
(c) Include any necessary interagency agreements regarding which agency is to have responsibility for each specific group of clients under 60 years of age.
(d) Address necessary transfers of staff, available equipment and administrative and service funds.
(e) Be prepared with the participation of potentially affected clients, staff and other individuals at the local level, including but not limited to physically disabled individuals. [1981 c.784 §16; 1989 c.224 §78]
410.300 Transfer of state employees to type B agency; conditions. (1) A type B area agency may contract with the Department of Human Services for services of state employees or have such employees transferred to employment by the area agency by transfer agreement.
(2) State employees whose services have been contracted to a type B area agency shall be supervised for program purposes by the area agency.
(3) If state employees are transferred to a type B area agency, the provisions of ORS 236.610 to 236.640 shall apply.
(4) Prior to transfer of any state employee to any other public employer under ORS 327.525, 409.010, 410.040 to 410.320, 411.590 and 441.630, at a date to be determined by the Director of Human Services, each type B area agency shall prepare a plan in coordination with local staff of the department for implementation of ORS 327.525, 409.010, 410.040 to 410.320, 411.590 and 441.630. The plan shall show how statutory responsibilities are to be met and how all staff are to be utilized. [1981 c.784 §15; 1993 c.18 §98; 2001 c.900 §81]
GOVERNOR’S COMMISSION ON SENIOR SERVICES
410.320 Governor’s Commission on Senior Services. (1) The Governor’s Commission on Senior Services is created. The commission shall consist of at least 21 members appointed by the Governor for terms of three years.
(2) Prior to making appointments, the Governor shall request and consider recommendations from the area agencies on aging and other interested senior organizations. The Governor shall designate a member to serve at the pleasure of the Governor as chairperson for a term of two years with such duties as the Governor shall prescribe. The membership of the commission shall be composed of persons broadly representative of major public and private agencies who are experienced in or have demonstrated particular interest in the special needs of elderly persons, including persons who have been active in organizations and advocates on behalf of elderly persons. Additionally, membership shall include persons who are active in advocacy organizations representing the interests of disabled persons who are served in programs under the Department of Human Services and consumers of services provided primarily to elderly persons and disabled persons under department programs, including low income, minority and disabled persons. At least a majority of members shall be 60 years of age or older.
(3) The Governor’s Commission on Senior Services shall advise the Governor and the Director of Human Services on needs of elderly persons, and recommend actions by the Governor, the Department of Human Services, other governmental entities and the private sector, appropriate to meet such needs.
(4) The commission shall have authority to study programs and budgets of all state agencies that affect elderly persons. After such study, the commission shall make recommendations to the Governor and to the agencies involved. Such recommendations shall be designed to provide coordination of programs for elderly persons, to avoid unnecessary duplication in provision of services, and to point out gaps in provision of services. The commission shall also recommend development of a comprehensive plan for delivery of services to elderly persons. In carrying out these tasks, the commission shall coordinate its efforts with other advisory groups within the Department of Human Services to avoid duplication of effort.
(5) The commission shall promote responsible statewide advocacy for elderly persons.
(6) Members of the commission, other than legislators, shall be entitled to compensation and expenses as provided in ORS 292.495. [Formerly 184.900; 1983 c.740 §130; 1989 c.224 §79; 1991 c.67 §103; 2001 c.900 §82]
410.330 Legislator members; expenses. (1) In addition to the members of the Governor’s Commission on Senior Services appointed under ORS 410.320, the President of the Senate shall appoint one member from the Senate and the Speaker of the House of Representatives shall appoint one member from the House of Representatives. If the Speaker of the House of Representatives or the President of the Senate is a member, either may designate from time to time an alternate from among the members of the appropriate house to exercise powers as a member of the commission except that the alternate shall not preside if the Speaker or President is chairperson.
(2) The members of the commission appointed under subsection (1) of this section shall be entitled to payment of compensation and expenses under ORS 171.072 from funds appropriated to the Legislative Assembly. [Formerly 184.905; 1983 c.740 §131; 1987 c.879 §15]
410.340 Appointments to fill vacancies. In case of a vacancy on the Governor’s Commission on Senior Services, the appointing authority shall appoint a successor for the remainder of the unexpired term. [Formerly 184.910; 1983 c.740 §132]
OREGON PROJECT INDEPENDENCE
410.410 Definitions for ORS 410.410 to 410.480. As used in ORS 410.410 to 410.480:
(1) "Authorized agency" means any organization designated by the Department of Human Services as an area agency on aging.
(2) "Authorized service" means any service designated by the department pursuant to rule to be eligible for Oregon Project Independence funding.
(3) "Department" means the Department of Human Services.
(4) "Home health service" means items and services furnished to an individual by a home health agency, or by others under arrangement with such agency, on a visiting basis in a place of temporary or permanent residence used as the individual’s home for the purpose of maintaining that individual at home.
(5) "Service provider" means any agency or program that provides one or more authorized services under Oregon Project Independence. [1981 c.186 §1; 1983 c.740 §133]
410.420 Use of funds; rulemaking. (1) Funds appropriated for Oregon Project Independence shall only be expended for the following authorized services:
(e) Home health;
(f) Personal care service;
(g) Elderly day care; and
(h) Other services authorized by the Department of Human Services.
(2) The department shall adopt rules to implement ORS 410.410 to 410.480. [1981 c.186 §2; 1983 c.740 §134; 2001 c.900 §83]
410.425 Separate accounts for persons age 60 and over and for persons with Alzheimer’s disease or related disorders. The funds available for purposes of ORS 410.410 to 410.480 shall be kept in separate accounts in the General Fund. One account shall be used for funds appropriated for persons otherwise eligible who are 60 years of age or older. The other account shall be used for funds appropriated for persons otherwise eligible who have Alzheimer’s disease or a related disorder. [1987 c.692 §3]
410.430 Eligibility for services under ORS 410.410 to 410.480. (1) In order to qualify for services from an authorized agency or service provider, each client or recipient must:
(a) Be 60 years old or older or have been diagnosed as having Alzheimer’s disease or a related disorder;
(b) Not be receiving financial assistance from the Department of Human Services, except food stamp benefits and limited medicare reimbursement benefits administered by the department; and
(c) Be assessed to be at the risk of entering an institution.
(2) Eligibility determination shall be required before any client may receive services from an authorized agency or service provider. [1981 c.186 §3; 1987 c.692 §1; 1997 c.581 §3; 1999 c.59 §105; 2001 c.900 §84]
410.440 Priorities for services. (1) Eligible clients shall receive authorized services on a priority basis, with highest priorities receiving services first.
(2) Priority for receipt of authorized services shall be:
(a) Clients already receiving authorized service as long as their condition indicates services are needed.
(b) Clients who are to be placed immediately in an institution if needed authorized services are not provided.
(c) Clients who are probably to be placed in an institution if needed authorized services are not provided. [1981 c.186 §4]
410.450 Determinations of eligibility. (1) Eligibility determinations and determinations of services for Oregon Project Independence shall be made in accordance with rules of the Department of Human Services.
(2) Determination of services shall be based on each client’s financial, physical, functional, medical and social need for such services.
(3) Clients who appear eligible for services provided by the department because of disability or age and income shall be encouraged to apply to that department for service. [1981 c.186 §5; 1983 c.740 §135]
410.460 Computation of allowable costs. Allowable costs by authorized agencies are those associated with the direct provision of services to clients and such administrative costs as may be required to assure adequate services and to provide information to the Department of Human Services. [1981 c.186 §6; 1983 c.740 §136]
410.470 Fees for service schedules; revision; collection; records; use. (1) The Department of Human Services shall establish fees for service schedules after consultation with area agencies on aging. The schedules may differ for different areas and for different income levels.
(2) A minimum income level and fees for service schedule shall be established and reviewed annually by the department after consulting with the Governor’s Commission on Senior Services.
(3) Fees for service are to be charged to clients whose annual income exceeds the minimum, as established by rule of the department.
(4) A record of all fees for service shall be kept by each authorized agency and made available upon request to the department.
(5) Nothing prevents any client of Oregon Project Independence from making a contribution.
(6) Fees for service and any contribution must be used to expand services. [1981 c.186 §7; 1983 c.740 §137]
410.480 Required record keeping. (1) Each authorized agency and service provider shall maintain books, records, documents and accounting procedures which reflect costs and such other activities as the Department of Human Services may require. The books, records and documents shall be made available to the department upon request.
(2) Each authorized agency shall submit to the department an audit of its financial records annually. Such audits shall be conducted by an individual holding a permit issued by the Oregon Board of Accountancy under ORS 673.010 to 673.457.
(3) Fiscal and program reports shall be completed on forms provided by the department and be submitted to the department by the specified due dates.
(4) The use or disclosure by any party of any information concerning a recipient or client of authorized services described in ORS 410.410 to 410.480 for any purpose not directly connected with the administration of the responsibilities of the department, or an authorized agency or a service provider is prohibited except with written consent of the recipient, or the legal representative thereof. [1981 c.186 §8; 1983 c.740 §138; 1999 c.322 §39]
ADULT DAY CARE SERVICE
410.485 Legislative findings. The Legislative Assembly finds that there is a need for the Department of Human Services to promote the availability of adult day care services and that flexibility in the combination of adult day care with other community-based services gives individuals who would otherwise be placed in restrictive care settings a greater variety of choices. [1991 c.787 §1]
410.490 Duties of department; rulemaking. (1) To provide greater flexibility and availability of services, the Department of Human Services shall apply for waiver of federal statutory and regulatory requirements to make adult day care services available under ORS chapter 414.
(2) The Department of Human Services shall adopt rules consistent with the rules adopted under ORS 410.495, that include a provision identifying adult day care as a service available for recipients eligible for medical assistance.
(3) As used in ORS 410.485 and this section, "adult day care" means community-based group programs designed to meet the needs of functionally and cognitively impaired adults through individual plans of care that are structured, comprehensive and provide a variety of health, social and related support services in protective settings during part of the day but provide less than 24-hour care. [1991 c.787 §§2,3]
410.495 Registry for adult day care programs in state. (1) The Department of Human Services shall develop a registry of all adult day care programs in Oregon.
(2) The department shall adopt rules, to be followed voluntarily, substantially consistent with standards established by the Oregon Association of Adult Day Care Services regarding adult day care programs. Each program in the registry shall indicate for inclusion in the registration data the extent to which the program agrees to operate in conformity with the rules adopted under this section.
(3) As used in this section, "adult day care" means a community-based group program designed to meet the needs of functionally or cognitively impaired adults through an individual plan of care. "Adult day care" means a structured, comprehensive program that provides a variety of health, social and related support services in a protective setting during part of a day but for less than 24 hours. [1991 c.788 §1]
LONG TERM CARE
(Assessment of Needs)
410.505 Definitions for ORS 410.505 to 410.545. As used in ORS 410.505 to 410.545:
(1) "Admission assessment" means a professional program that provides an assessment of the long term care needs of persons applying for or considering admission to an intermediate care facility or who have remained in a skilled nursing facility for more than 30 days, and who are not or do not appear to be Medicaid eligible. The program includes providing information regarding appropriate service and placement alternatives, including nursing facilities and community-based options. The program includes all services necessary to comply with the minimum federal criteria for preadmission screening established by the Health Care Financing Administration under the Omnibus Budget Reconciliation Act of 1987. The admission assessment shall provide the applicant with appropriate options but the recommendation of the admission assessment team is not binding; the applicant has the right to choose from any options which are available.
(2) "Intermediate care facility" means a facility as defined in ORS 442.015 and which is Medicaid certified.
(3) "Skilled nursing facility" means a facility as defined in ORS 442.015 and which is Medicaid certified. [1989 c.912 §2]
410.510 Establishment of procedure for assessment. For reasons stated in ORS 410.030 (2), the Department of Human Services shall establish a procedure for assessment of the long term care needs of each person making application for admission to an intermediate care facility and for each person who remains in a skilled nursing facility for more than 30 days. [1989 c.912 §3]
410.515 Notice of availability of admission assessment services; disclosure form; department to provide services; maximum fees. (1) Prior to admission to an adult foster home, as defined in ORS 443.705, a residential care facility, as defined in ORS 443.400, an assisted living facility or a nursing facility that is not Medicaid certified, the person seeking admission shall be advised by the facility of the availability of admission assessment services at the person’s own expense and shall sign a disclosure form indicating that the person has been so advised.
(2) The Department of Human Services shall establish a fee and provide assessment services to such persons upon request. The department shall establish a maximum fee that certified programs may charge such persons.
(3) Adult foster homes, residential care facilities, assisted living facilities and nursing facilities that are not Medicaid certified shall maintain a record of such disclosure forms and shall make them available to the department or area agencies on aging upon request. [1989 c.912 §10]
410.520 When assessment to occur; exceptions. (1) Subject to subsection (2) of this section, admission screening shall occur:
(a) Before admission to an intermediate care facility; and
(b) Within seven days following the 30th day from admission to a skilled nursing facility.
(2) Subsection (1) of this section does not apply for the following:
(a) Patients transferred from one facility to another providing the same level of care;
(b) Patients who are returning to an intermediate care facility after having entered acute care facilities from such facilities;
(c) Patients who are being admitted to an intermediate care facility for less than 30 days. If a patient is admitted under this paragraph and is to remain in the facility for more than 30 days, the patient shall receive an assessment within seven days following the 30th day from admission;
(d) Patients who must be admitted immediately to a nursing facility. Patients admitted under this paragraph shall receive an assessment within seven days of admission;
(e) Patients who are entering a nursing home that is part of a continuing care retirement community; and
(f) Patients discharged from an acute care facility who opt to receive assessment services beyond the minimum federal criteria from the Department of Human Services or an area agency on aging rather than from a certified program may receive these additional assessment services within seven days of admission. [1989 c.912 §4]
410.525 Disclosure of fees; waiver of assessment; additional assessment services. (1) If the admission assessment is performed by a certified program, the program shall disclose to the person receiving the assessment any portion of the fee that may be charged to that person, and shall inform the person of the right of the person to receive an assessment from the Department of Human Services or an area agency on aging at no charge.
(2) The department or area agencies on aging shall not charge any portion of the fee to the person receiving the assessment.
(3) Once the person or persons performing the assessment have met the minimum federal criteria, the person receiving the assessment shall have the option to receive additional assessment services and information regarding appropriate placement alternatives. The person shall sign a form to be developed by the department indicating the person’s preference. [1989 c.912 §6]
410.530 Department authority; delegation; advisory committee; rulemaking. (1) The Department of Human Services has the following authority which it may delegate to any program certified by the department to provide assessment services:
(a) To provide information and education to the general public, hospitals, nursing facilities and physicians regarding availability of the assessment program.
(b) To accept referrals from individuals, families, physicians, human service professionals, nursing home professionals, social service agencies or other organizations.
(c) To assess the long term care needs of referred persons.
(d) To identify available noninstitutional services to meet the needs of referred persons, including public and private case management services.
(e) To prepare, explain and document recommendations for persons receiving assessment program services as to the need for skilled nursing care, for intermediate care as provided in a facility or for other care which is available in the community.
(f) To inform referred persons of the extent to which home and community-based services are available, and of their right to choose among the appropriate alternatives that may be available, in consultation with an attending physician and a family member.
(g) To provide public education targeted at older persons, care givers and families regarding alternative long term care services.
(h) To determine and publish minimum qualifications for members of the admission assessment team.
(2)(a) After consultation with the committee appointed under subsection (3) of this section, the Department of Human Services shall adopt by rule criteria and procedures for certifying and decertifying public or private admission assessment programs and contracting with certified programs. The department shall establish a maximum fee that a certified program may charge for assessment services. The rules shall specify that a certified program may not charge the person receiving assessment services for any portion of the fee associated with the services necessary to meet the minimum federal criteria.
(b) In certifying a program, the department shall determine that the program includes:
(A) Adequately trained personnel;
(B) Information regarding appropriate service and placement alternatives, including nursing facilities and community-based options;
(C) Provisions to the applicant of information about appropriate options; and
(D) Prohibition of an assessment being provided by any certified program which has any financial interest in the facility to which placement is recommended.
(c) The program shall not require the recommendation of the admission team be binding and the applicant has the right to choose from any options that are available.
(3) The Director of Human Services shall appoint an advisory committee to advise the department in certifying and decertifying programs that provide or fail to provide the service described in this section. The director shall appoint representatives from the Oregon Association of Hospitals, the Oregon Health Care Association, the Oregon Association of Homes for the Aging and representatives of organizations of seniors. [1989 c.912 §5; 1991 c.67 §104]
410.535 Rulemaking. The Department of Human Services shall adopt rules to carry out the provisions of ORS 410.505 to 410.545, including, but not limited to:
(1) Granting exceptions to ORS 410.540; and
(2) Insuring confidentiality of all client information gathered during the admission assessment process. [1989 c.912 §8]
410.540 Compliance as condition for licensure. Compliance with the provisions of ORS 410.505 to 410.545 shall be a condition for licensure as a nursing facility. [1989 c.912 §7]
410.545 Implementation of ORS 410.505 to 410.545 requires federal funding. Implementation of ORS 410.505 to 410.545 is subject to federal fund participation of the admission assessment activities specified in ORS 410.510 to 410.530. [1989 c.912 §12]
410.550 Medicaid Long Term Care Quality and Reimbursement Advisory Council; membership; duties. (1) The Medicaid Long Term Care Quality and Reimbursement Advisory Council is created, to consist of 12 members. Appointed members shall be residents of the State of Oregon and representative of the geographic locations of all long term care facilities and community-based care facilities in this state. The members shall include:
(a) The Long Term Care Ombudsman, who shall serve as a standing member of the council;
(b) A representative of the Governor’s Commission on Senior Services, to be appointed by the commission;
(c) A representative of the Oregon Disabilities Commission, to be appointed by the commission;
(d) A representative of the Oregon Association of Area Agencies on Aging and Disabilities, to be appointed by the Governor;
(e) A representative of a senior or disabilities advocacy organization or an individual who advocates on behalf of seniors or persons with disabilities, to be appointed by the Governor;
(f) A nursing home administrator licensed under ORS 678.710 to 678.840 who has practiced continuously in Oregon in long term care for three years immediately preceding appointment, to be appointed by the Speaker of the House of Representatives;
(g) Two consumers of long term care facilities or community-based care facilities or family members of such residents, to be appointed by the Speaker of the House of Representatives;
(h) A director of nurses of an Oregon long term care facility who has practiced in this state in long term care for three years preceding appointment, to be appointed by the Speaker of the House of Representatives;
(i) A representative of an assisted living facility or a residential care facility, to be appointed by the President of the Senate;
(j) A representative of an adult foster home, to be appointed by the President of the Senate; and
(k) An in-home care agency provider, to be appointed by the President of the Senate.
(2) The term of office for each member appointed under this section shall be three years or until a successor has been appointed and qualified.
(3) Members of the council shall receive no compensation for their services but unpaid volunteers not otherwise compensated shall be allowed actual and necessary travel expenses incurred in the performance of their duties.
(4) The council shall:
(a) Elect a chairperson from among its members and elect or appoint a secretary, each of whom shall hold office for one year or until successors are elected;
(b) Hold an annual meeting and hold other meetings at such times and places as the Department of Human Services or the chairperson of the council may direct;
(c) Keep a record of its proceedings that is open to inspection at all times; and
(d) Act in an advisory capacity to the department on matters pertaining to quality of long term care facilities and community-based care facilities and reimbursement for long term care services and community-based care services. [1995 c.667 §1; 2001 c.104 §142]
410.555 Submission of changes to Medicaid reimbursement system to council; advisory recommendation; approval; report; budget review; rulemaking. (1) The Department of Human Services shall submit to the Medicaid Long Term Care Quality and Reimbursement Advisory Council, for the council’s review and recommendation, any proposed change or modification to the Oregon Medicaid reimbursement system for long term care services and community-based care services.
(2) Upon review of any proposed change or modification under subsection (1) of this section, the council shall issue a written advisory recommendation to the department. The recommendation shall state whether the council supports or opposes the proposed change or modification and whether the council believes the proposed change or modification will have an adverse or positive effect on the quality of long term care services and community-based care services provided under the Oregon Medicaid program.
(3) Prior to implementing any change or modification to the reimbursement system for long term care services and community-based care services, the Department of Human Services shall submit the council’s written recommendation to the Legislative Assembly or to the Emergency Board if the Legislative Assembly is not in session. Before instituting the proposed change or modification, the department shall obtain the approval of the Legislative Assembly or the Emergency Board if the Legislative Assembly is not in session. A proposed change or modification with an estimated fiscal impact of $100,000 or less shall be exempt from the provisions of this subsection.
(4) At the beginning of each legislative session, the Medicaid Long Term Care Quality and Reimbursement Advisory Council shall review the Governor’s proposed budget for the Department of Human Services.
(5) The Department of Human Services shall adopt such rules as are reasonably necessary for the enforcement of this section. The department shall submit to the council any proposed rule that directly or indirectly affects payment rates prior to proceeding with the notice requirements provided for in ORS 183.335. The department shall consider the comments of the council that pertain to the proposed rule. [1995 c.667 §2]
HOME CARE COMMISSION
410.600 Definitions for ORS 410.600 to 410.614. As used in ORS 410.600 to 410.614:
(1) "Activities of daily living" includes but is not limited to the following:
(a) Bathing and personal hygiene;
(b) Dressing and grooming;
(e) Bowel and bladder management; and
(2) "Area agency" has the meaning given that term in ORS 410.040.
(3) "Commission" means the Home Care Commission established and operated pursuant to the Constitution of the State of Oregon and ORS 410.600 to 410.614.
(4) "Disabled person" has the meaning given that term in ORS 410.040.
(5) "Elderly" has the meaning given that term in ORS 410.040.
(6) "Home care services" means assistance with activities of daily living and self-management provided by a home care worker in the home of an elderly or disabled person.
(7) "Home care worker" means a person:
(a) Who is hired directly by an elderly person or disabled person that receives moneys from the department for that purpose;
(b) Whose compensation is paid in whole or in part by the Department of Human Services, an area agency or other public agency that receives moneys from the department for that purpose; and
(c) Who provides either hourly or live-in home care services.
(8) "Self-management" includes but is not limited to the following activities, other than activities of daily living, required by an individual to continue living independently in the individual’s own home:
(a) Medication and oxygen management;
(c) Meal preparation;
(d) Shopping; and
(e) Client focused general household work. [2001 c.901 §1]
410.602 Home Care Commission; membership; rulemaking. (1) The Home Care Commission is created, consisting of nine members appointed by the Governor and confirmed by the Senate as provided in ORS 171.562 and 171.565. Five members shall be elderly or disabled persons who are receiving or who have received home care services. One member shall be appointed to represent each of the following entities, or a successor entity, for as long as a comparable entity exists:
(a) Governor’s Commission on Senior Services;
(b) Department of Human Services;
(c) Oregon Disabilities Commission; and
(d) Oregon Association of Area Agencies on Aging and Disabilities.
(2) The members shall be appointed for terms of three years. A member is eligible for reappointment and may serve no more than three consecutive terms. When making appointments to the commission, the Governor may consider recommendations from the entities listed in subsection (1) of this section and other organizations representing the interests of elderly and disabled persons.
(3) If there is a vacancy for any cause, the Governor shall make an appointment to become immediately effective for the unexpired term.
(4) The commission shall exercise all powers necessary to effectuate the purposes of ORS 410.600 to 410.614.
(5) The Governor shall select annually from the membership of the commission a chairperson who serves at the pleasure of the Governor. The chairperson or majority of the members of the commission then in office shall have the power to call regular or special meetings of the commission. The commission shall meet at a place, date and hour determined by the commission.
(6) Members of the commission shall be paid compensation and expenses as provided in ORS 292.495 from such funds as may be available to the commission.
(7) Meetings of the commission shall be open and public in accordance with ORS 192.610 to 192.690. Records of the commission shall be open and available to the public in accordance with ORS 192.410 to 192.505. The commission shall meet regularly with the executive director of the Home Care Commission to make recommendations and set policy, to approve or reject reports of the director, to adopt rules and to transact other business.
(8) A quorum of the commission shall consist of a majority of the members of the commission then in office. All decisions of the commission shall be made by a majority of all the members then in office.
(9) The commission shall, in accordance with ORS 183.310 to 183.550, adopt and enforce rules to carry out the provisions of ORS 410.600 to 410.614. [2001 c.901 §2]
410.604 Duties of commission; executive director. (1) The Home Care Commission shall ensure the quality of home care services by:
(a) Establishing qualifications for home care workers with the advice and consent of the Department of Human Services as the single state Medicaid agency;
(b) Providing training opportunities for home care workers and elderly and disabled persons who employ home care workers;
(c) Establishing and maintaining a registry of qualified home care workers;
(d) Providing routine, emergency and respite referrals of home care workers;
(e) Entering into contracts with public and private organizations and individuals for the purpose of obtaining or developing training materials and curriculum or other services as may be needed by the commission; and
(f) Working cooperatively with area agencies and state and local agencies to accomplish the duties listed in paragraphs (a) to (e) of this subsection.
(2) The commission shall employ an executive director who is appointed by the Governor and who shall serve at the pleasure of the Governor. The commission may employ other staff as may be necessary to carry out its functions. An employee of the commission is not an employee of the State of Oregon for any purpose.
(3) When conducting its activities, and in making decisions relating to those activities, the commission shall first consider the effect of its activities and decisions on:
(a) Improving the quality of service delivered by home care workers; and
(b) Ensuring adequate hours of service are provided to elderly and disabled persons by home care workers.
(4) The commission has the authority to contract, lease, acquire, hold, own, encumber, insure, sell, replace, deal in and with and dispose of real and personal property. [2001 c.901 §3]
410.606 Referral of qualified individuals on commission registry. The Department of Human Services, an area agency or other public agency shall provide to an individual seeking a home care worker the names of qualified individuals, in the appropriate geographic area, who have been placed on the registry maintained by the Home Care Commission. [2001 c.901 §4]
Note: 410.606 becomes operative July 1, 2003. See section 9, chapter 901, Oregon Laws 2001.
410.608 Selection of home care worker; right to terminate employment; eligibility determination made by Department of Human Services. (1) An elderly or disabled person who hires a home care worker has the right to select the elderly or disabled person’s own home care worker, including a family member.
(2) An elderly or disabled person who hires a home care worker has the right to terminate the employment of the home care worker at any time and for any reason.
(3) The Department of Human Services shall determine the eligibility of an elderly or disabled person to receive home care services under the Medicaid program and state-funded long term care services. [2001 c.901 §5]
410.610 [1981 c.183 §1; 1987 c.428 §27; 1989 c.721 §50; renumbered 124.050 in 1995]
410.612 Collective bargaining. (1) For purposes of collective bargaining under ORS 243.650 to 243.782, the Home Care Commission is the employer of record for home care workers.
(2) Notwithstanding subsection (1) of this section, home care workers may not be considered for any purposes to be an employee of the State of Oregon, an area agency or other public agency.
(3) The Oregon Department of Administrative Services shall represent the commission in collective bargaining negotiations with the certified or recognized exclusive representatives of all appropriate bargaining units of home care workers. The department is authorized to agree to terms and conditions of collective bargaining agreements on behalf of the commission and the Department of Human Services. [2001 c.901 §6]
410.614 Rights of home care workers. Notwithstanding ORS 243.650 (19) and (20), the Home Care Commission shall be considered a public employer and home care workers shall be considered public employees governed by ORS 243.650 to 243.782. Home care workers have the right to form, join and participate in the activities of labor organizations of their own choosing for the purpose of representation and collective bargaining with the commission on matters concerning employment relations. These rights shall be exercised in accordance with the rights granted to public employees with mediation and interest arbitration under ORS 243.742 as the method of concluding the collective bargaining process. Home care workers do not have the right to strike. [2001 c.901 §7]
410.620 [1981 c.183 §2; renumbered 124.055 in 1995]
410.630 [1981 c.183 §3; renumbered 124.060 in 1995]
410.640 [1981 c.183 §4; 1983 c.434 §3; renumbered 124.065 in 1995]
410.650 [1981 c.183 §5; 1983 c.434 §1; 1983 c.740 §139; renumbered 124.070 in 1995]
410.660 [1981 c.183 §6; renumbered 124.075 in 1995]
410.670 [1981 c.183 §7; 1987 c.428 §28; renumbered 124.080 in 1995]
410.680 [1981 c.183 §8; 1985 c.651 §1; renumbered 124.085 in 1995]
410.690 [1981 c.183 §9; 1983 c.434 §2; 1985 c.651 §2; renumbered 124.090 in 1995]
410.700 [1981 c.183 §10; renumbered 124.095 in 1995]
STATE POLICY FOR DISABLED PERSONS AND SENIOR CITIZENS
410.710 State policy for disabled persons. (1) The Legislative Assembly finds and declares that it is a policy of this state that:
(a) All persons regardless of any disability have the right to live their lives with dignity and to participate in society and all state programs to the fullest extent possible.
(b) There is a need for education of state employees and the public generally about the capacity of persons with disabilities to participate and compete in the mainstream of society.
(c) Stereotypes and negative labels have no place in state laws and words such as "victim," "afflicted," "crippled" and "handicapped" that have connotations of unclean, unworthy, unproductive and begging are judgmental. Wherever possible, words such as these shall be avoided.
(d) The language of state laws shall reflect a positive outlook about persons with disabilities. The worth and uniqueness of each individual citizen is to be emphasized by using words and phrases which emphasize the person as an individual first and then identify any disability when relevant.
(2) Nothing in this Act is intended to extend entitlements, create or establish benefits or deny or limit benefits existing under state law prior to October 3, 1989. [1989 c.224 §1]
Note: The Legislative Counsel has not, pursuant to 173.160, undertaken to substitute specific ORS references for the words "this Act" in 410.710. Chapter 224, Oregon Laws 1989, enacted into law and amended the ORS sections which may be found by referring to the Comparative Section Table located in Volume 18 of Oregon Revised Statutes.
410.715 Person suffering brain injury to be considered disabled person. It is the policy of the state that any person experiencing an injury defined as an injury to the brain caused by extrinsic forces where the injury results in the loss of cognitive, psychological, social, behavioral or physiological function for a sufficient time to affect that person’s ability to perform activities of daily living shall be considered a person with disabilities. [1991 c.402 §1]
410.720 Policy on mental health services for senior citizens. (1) It is the policy of this state to provide for the mental health needs of all Oregon senior citizens through a comprehensive and coordinated statewide network of local senior mental health services and alcohol and drug abuse education and treatment. These services should involve family and friends and be provided in the least restrictive and most appropriate settings.
(2) In carrying out the provisions of subsection (1) of this section, the Department of Human Services shall develop plans for service coordination and recommend budget provisions for the delivery of needed services. [1991 c.775 §2; 2001 c.104 §143; 2001 c.900 §85]
410.850 [1985 c.647 §2; repealed by 1987 c.523 §1 (410.851 enacted in lieu of 410.850)]
410.851 Policy on patient-based reimbursement system for long term care facilities; rulemaking. (1) The Legislative Assembly finds and declares that patients admitted to and cared for by long term care facilities in Oregon are more impaired than in the past. In keeping with the traditional commitment of the State of Oregon to the care and protection of its frail, elderly and handicapped citizens, as expressed in ORS 410.020 (1) to (6), the Legislative Assembly declares that a patient-based reimbursement system emphasizing quality incentives is appropriate for long term care facilities. Such a system would reward long term care facilities for outcomes, such as maintaining or improving a patient’s condition, and meet the legitimate costs of caring for patients.
(2) "Patient-based reimbursement" means reimbursement for direct patient care according to the needs of the patient, based on multiple levels of patient health, functioning and impairment. Notwithstanding the above, patient-based reimbursement does not require the Department of Human Services to assess each patient and reimburse long term care facilities according to the constantly changing conditions of the patients except for changes between skilled and intermediate levels of care which shall result in prompt readjustment of rates.
(3) The Department of Human Services shall establish by rule definitions of levels of care and the payment rates for the patient-based reimbursement system. [1987 c.523 §2 (enacted in lieu of 410.850)]
410.890 Civil penalty. Violation of ORS 410.520 shall be subject to a civil penalty of not to exceed $5,000, imposed in the manner provided in ORS 441.705 to 441.745. [1989 c.912 §9; 1991 c.67 §105]
410.990 [1981 c.183 §12; 1999 c.1051 §177; renumbered 124.990 in 2001]