H. B. 2171

(By Delegates Gallagher, Douglas, Compton, Linch, Faircloth,

and Riggs)

[Introduced January 23, 1995; referred to the

Committee on Health and Human Resources

then the Judiciary.]




A BILL to amend and reenact section one, article five, chapter sixty-four of the code of West Virginia, one thousand nine hundred thirty-one, as amended, relating to authorizing the department of health and human resources to promulgate legislative rules relating to behavioral health patient rights.

Be it enacted by the Legislature of West Virginia:

That section one, article five, chapter sixty-four of the code of West Virginia, one thousand nine hundred thirty-one, as amended, be amended and reenacted, to read as follows:
ARTICLE 5. AUTHORIZATION FOR DEPARTMENT OF HEALTH AND HUMAN RESOURCES TO PROMULGATE LEGISLATIVE RULES.

§64-5-1. Department of health and human resources.

(a) The legislative rules filed in the state register on the twenty-second day of January, one thousand nine hundred ninety, modified by the secretary of the department of health and human resources to meet the objections of the legislative rule-making review committee and refiled in the state register on the twenty- fifth day of January, one thousand nine hundred ninety, relating to the secretary of the department of health and human resources (implementation of omnibus health care act), are authorized.
(b) The legislative rules filed in the state register on the twenty-second day of January, one thousand nine hundred ninety, modified by the secretary of the department of health and human resources to meet the objections of the legislative rule-making review committee and refiled in the state register on the twenty- fifth day of January, one thousand nine hundred ninety, relating to the secretary of the department of health and human resources (implementation of omnibus health care act payment provisions), are authorized.
(c) The legislative rules filed in the state register on the twentieth day of March, one thousand nine hundred ninety-two, modified by the department of health and human resources to meet the objections of the legislative rule-making review committee and refiled in the state register on the seventeenth day of November, one thousand nine hundred ninety-two, relating to the department of health and human resources (infectious medical waste), are authorized with the amendments set forth below:
"On page seventeen, subsection 8.2, after the words '(45) days.' by inserting the following language: 'Facilities that treat infectious medical waste on-site shall not store the infectious medical waste more than thirty (30) days.';
On page twenty-one, subdivision 10.1.2., after the words 'disposed of' striking out the words 'as solid waste' and inserting in lieu thereof the words 'in the same manner as ash from solid waste incineration and as provided in subdivision 10.2.5. of this rule.';
On page twenty-six, subsection 11.7., after the words 'permit to' inserting the words 'own, operate and';
On page twenty-six, subsection 11.7., by striking out the word 'publish' and inserting in lieu thereof the words 'announce the public hearing required by subsection 11.9. of this rule by publishing';
On page twenty-six, by further amending subsection 11.7. by adding thereto a new subdivision, designated subdivision 11.7.1.4. to read as follows: 'The announcement of the date, time and place where the hearing is to be conducted, shall be made at least fourteen (14) but not more than forty-five (45) days prior to the hearing';
And,
On page twenty-six, subsection 11.9, by after the words 'proposing to' inserting the words 'own, construct and'."
(d) The legislative rules filed in the state register on the third day of September, one thousand nine hundred ninety-two, modified by the department of health and human resources to meet the objections of the legislative rule-making review committee and refiled in the state register on the twenty-seventh day of January, one thousand nine hundred ninety-three, relating to the department of health and human resources (residential board and care homes), are authorized.
(e) The legislative rules filed in the state register on the third day of May, one thousand nine hundred ninety-three, modified by the department of health and human resources to meet the objections of the legislative rule-making review committee and refiled in the state register on the eighth day of July, one thousand nine hundred ninety-three, relating to the department of health and human resources (public water systems), are authorized.
(f) The legislative rules filed in the state register on the ninth day of September, one thousand nine hundred ninety-three, modified by the department of health and human resources to meet the objections of the legislative rule-making review committee and refiled in the state register on the twenty-fourth day of January, one thousand nine hundred ninety-four, relating to the department of health and human resources (distribution of state aid funds to local boards of health), are authorized.
(g) The legislative rules filed in the state register on the seventh day of January, one thousand nine hundred ninety-four, modified by the department of health and human resources to meet the objections of the legislative rule-making review committee and refiled in the state register on the twenty-fourth day of January, one thousand nine hundred ninety-four, relating to the department of health and human resources (hospital licensure), are authorized with the amendments set forth below:
"On page 4, section 3.20, by striking out all of section 3.20 and inserting in lieu thereof the following: "Section 6a Hospital -- A nonprofit hospital, as identified in W. Va. Code §16-5-B-6a, whether governed by an in-state or out-of-state board of directors, or a hospital owned by a county, city or other political subdivision of the State of West Virginia, except for existing nonprofit hospitals which are owned or operated by a corporation which was incorporated in another state prior to March 9, 1983: Provided, however, this definition does not include the corporation defined in W. Va. Code §18-11C-1(d) and";
On page 16, section 8.3.2. by striking the comma after the word "safety" and inserting in lieu thereof the word "or";
On page 16, section 8.3.2. after the word "et seq.," by striking out the words "or involves a cost in excess of two hundred thousand dollars ($200,000)";
On page 17, section 8.4.2. by striking the comma after the word "safety" and inserting in lieu thereof the word "or";
On page 17, section 8.4.2. after the word "et seq.," by striking out the words "or involves a cost in excess of two hundred thousand dollars ($200,000)"; and
On page 45, section 12, by striking all of subdivision 12.2.1 and inserting in lieu thereof a new subdivision 12.2.1 to read as follows:
12.2.1. All general acute care hospitals shall provide emergency services: Provided, That the Director may grant exceptions to this requirement based upon (a) the need to avoid an unnecessary duplication of services, (b) a recognition of practical economies of scale within the community, or (c) other such appropriate factors relating to the optimum delivery of emergency services within available resources and deemed by the director to be substantial. The requirement of this subdivision for the provision of emergency services shall be waived by the director in the case of a rural primary care hospital if such hospital has entered into an appropriate patient transfer agreement with another referral hospital to provide for emergency services. If the hospital provides emergency services, it shall have an emergency room which is located so as to permit easy access from automobiles and ambulances. The emergency service shall be of a size comparable to the need imposed upon it and shall be adequately equipped to provide whatever life-saving measures may be needed for patients admitted to this service."
(h) The legislative rules filed in the state register on the fifteenth day of August, one thousand nine hundred ninety-four, modified by the department of health and human resources to meet the objections of the legislative rule-making review committee and refiled in the state register on the sixteenth day of January, one thousand nine hundred ninety-five, relating to the department of health and human resources (behavioral health patient rights), are authorized.

NOTE: The purpose of this bill is to authorize the Department of Health and Human Resources to promulgate legislative rules relating to behavioral health patient rights.

Strike-throughs indicate language that would be stricken from the present law, and underscoring indicates new language that would be added.