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Oklahoma Legislature· HB 1835Policy recommendation to the Judiciary and Public Safety Oversight committee; Do Pass, amended by committee substitute Civil Judiciary

An act relating to abuse of elderly and disabled adults, the official text

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1                   STATE OF OKLAHOMA

2   1st Session of the 60th Legislature (2025)

3 HOUSE BILL 1835                 By: Hefner

4

5

6                               AS INTRODUCED

7   An Act relating to abuse of elderly and disabled

    adults; amending 43A O.S. 2021, Section 10-103, which

8   relates to definitions in the Protective Services for

    Vulnerable Adults Act; defining term; amending 43A

9   O.S. 2021, Section 10-104, which relates to persons

    required to report abuse, neglect, or exploitation,

10  penalty, immunity, civil liability for false reports,

    disclosure of health information, reporting of

11  suspicious deaths, impairment of employment

    prohibited; directing notification of investigation

12  and reporting to Oklahoma's Protection and Advocacy

    System; amending 63 O.S. 2021, Section 1-1902, as

13  amended by Section 8, Chapter 339, O.S.L. 2024 (63

    O.S. Supp. 2024, Section 1-1902), which relates to

14  definitions in the Nursing Home Care Act; defining

    term; amending 63 O.S. 2021, Section 1-1939, which

15  relates to liability to residents, injunctive and

    declaratory relief, damages, waiver of rights, jury

16  trial, retaliation against residents, immunity,

    report of abuse or neglect and other serious

17  incidents; directing reports be furnished with

    Oklahoma's Protection and Advocacy System; and

18  providing an effective date.

19

20

21 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:

22  SECTION 1.      AMENDATORY  43A O.S. 2021, Section 10-103, is

23 amended to read as follows:

24

    Req. No. 10177                                         Page 1
1   Section 10-103. A. When used in the Protective Services for

2 Vulnerable Adults Act:

3   1. "Protective services" means services which are necessary to

4 aid a vulnerable adult in meeting the essential requirements for

5 mental or physical health and safety that the vulnerable adult is

6 unable to provide or obtain without assistance. The term

7 "protective services" includes, but is not limited to, services

8 provided to or obtained for such person in order to prevent or

9 remedy the abuse, neglect, or exploitation of such person;

10  2. "Services which are necessary to aid an individual to meet

11 essential requirements for mental or physical health and safety"

12 include, but shall not be limited to:

13  a. the identification of vulnerable adults in need of the

14  services,

15  b. the provision of medical care for physical and mental

16  health needs,

17  c. the provision of social services assistance in

18  personal hygiene, food, clothing, and adequately

19  heated and ventilated shelter,

20  d. protection from health and safety hazards,

21  e. protection from physical mistreatment,

22  f. guardianship referral,

23  g. outreach programs, and

24

    Req. No. 10177                                                Page 2
1   h. the transportation necessary to secure any of such

2   services.

3 The term shall not include taking the person into physical custody

4 without the consent of the person except as provided for in Sections

5 10-107 and 10-108 of this title, and the evaluation, monitoring, and

6 provision of protective placements;

7   3. "Meet essential requirements for mental or physical health

8 and safety" means those actions necessary to provide the health

9 care, food, shelter, clothing, personal hygiene and other care

10 without which physical injury or illness to the vulnerable adult is

11 likely to occur;

12  4. "Incapacitated person" means:

13  a. any person eighteen (18) years of age or older:

14  (1) who is impaired by reason of mental or physical

15                   illness or disability, dementia or related

16                   disease, developmental or intellectual disability

17                   or other cause, and

18  (2) whose ability to receive and evaluate information

19                   effectively or to make and to communicate

20                   responsible decisions is impaired to such an

21                   extent that such person lacks the capacity to

22                   manage his or her financial resources or to meet

23                   essential requirements for his or her mental or

24

    Req. No. 10177                                                 Page 3
1                   physical health or safety without assistance from

2                   others, or

3   b. a person for whom a guardian, limited guardian, or

4   conservator has been appointed pursuant to the

5   Oklahoma Guardianship and Conservatorship Act;

6   5. "Vulnerable adult" means an individual who is an

7 incapacitated person or who, because of physical or mental

8 disability, including persons with Alzheimer's disease or other

9 dementias, incapacity, or other disability, is substantially

10 impaired in the ability to provide adequately for the care or

11 custody of himself or herself, or is unable to manage his or her

12 property and financial affairs effectively, or to meet essential

13 requirements for mental or physical health or safety, or to protect

14 himself or herself from abuse, verbal abuse, neglect, or

15 exploitation without assistance from others;

16  6. "Caretaker" means a person who has:

17  a. the responsibility for the care of a vulnerable adult

18  or the financial management of the resources of a

19  vulnerable adult as a result of a family relationship,

20  b. assumed the responsibility for the care of a

21  vulnerable adult voluntarily, by contract, or as a

22  result of the ties of friendship, or

23

24

    Req. No. 10177                                                 Page 4
1   c. been appointed a guardian, limited guardian, or

2   conservator pursuant to the Oklahoma Guardianship and

3   Conservatorship Act;

4   7. "Department" means the Department of Human Services;

5   8. "Abuse" means causing or permitting:

6   a. the infliction of physical pain, injury, sexual abuse,

7   sexual exploitation, unreasonable restraint or

8   confinement, mental anguish or personal degradation,

9   or

10  b. the deprivation of nutrition, clothing, shelter,

11  health care, or other care or services without which

12  serious physical or mental injury is likely to occur

13  to a vulnerable adult by a caretaker or other person

14  providing services to a vulnerable adult;

15  9. "Exploitation" or "exploit" means an unjust or improper use

16 of the resources of a vulnerable adult for the profit or advantage,

17 pecuniary or otherwise, of a person other than the vulnerable adult

18 through the use of undue influence, coercion, harassment, duress,

19 deception, false representation or false pretense;

20  10. "Financial neglect" means repeated instances by a

21 caretaker, or other person, who has assumed the role of financial

22 management, of failure to use the resources available to restore or

23 maintain the health and physical well-being of a vulnerable adult,

24 including, but not limited to:

    Req. No. 10177                                           Page 5
1   a. squandering or negligently mismanaging the money,

2   property, or accounts of a vulnerable adult,

3   b. refusing to pay for necessities or utilities in a

4   timely manner, or

5   c. providing substandard care to a vulnerable adult

6   despite the availability of adequate financial

7   resources;

8   11. "Neglect" means:

9   a. the failure to provide protection for a vulnerable

10  adult who is unable to protect his or her own

11  interest,

12  b. the failure to provide a vulnerable adult with

13  adequate shelter, nutrition, health care, or clothing,

14  or

15  c. negligent acts or omissions that result in harm or the

16  unreasonable risk of harm to a vulnerable adult

17  through the action, inaction, or lack of supervision

18  by a caretaker providing direct services;

19  12. "Personal degradation" means a willful act by a caretaker

20 intended to shame, degrade, humiliate or otherwise harm the personal

21 dignity of a vulnerable adult, or where the caretaker knew or

22 reasonably should have known the act would cause shame, degradation,

23 humiliation or harm to the personal dignity of a reasonable person.

24 Personal degradation includes the taking, transmitting, or display

    Req. No. 10177                                                Page 6
1 of an electronic image of a vulnerable adult by a caretaker, where

2 the caretaker's actions constitute a willful act intended to shame,

3 degrade, humiliate or otherwise harm the personal dignity of the

4 dependent adult, or where the caretaker knew or reasonably should

5 have known the act would cause shame, degradation, humiliation or

6 harm to the personal dignity of a reasonable person. Personal

7 degradation does not include:

8   a. the taking, transmission or display of an electronic

9   image of a vulnerable adult for the purpose of

10  reporting vulnerable adult abuse to law enforcement,

11  the Department of Human Services or other regulatory

12  agency that oversees caretakers or enforces abuse or

13  neglect laws or rules,

14  b. the taking, transmission or display of an electronic

15  image of a vulnerable adult for the purpose of

16  treatment or diagnosis, or

17  c. the taking, transmission or display of an electronic

18  image of a vulnerable adult as part of an ongoing

19  investigation;

20  13. "Sexual abuse" means:

21  a. oral, anal, or vaginal penetration of a vulnerable

22  adult by or through the union with the sexual organ of

23  a caretaker or other person providing services to the

24  vulnerable adult, or the anal or vaginal penetration

    Req. No. 10177                                               Page 7
1             of a vulnerable adult by a caretaker or other person

2             providing services to the vulnerable adult with any

3             other object, or

4   b. for the purpose of sexual gratification, the touching,

5             feeling or observation of the body or private parts of

6             a vulnerable adult by a caretaker or other person

7             providing services to the vulnerable adult, or

8   c. indecent exposure by a caretaker or other person

9             providing services to the vulnerable adult;

10  14. "Indecent exposure" means forcing or requiring a vulnerable

11 adult to:

12  a. look upon the body or private parts of another person

13            or upon sexual acts performed in the presence of the

14            vulnerable adult, or

15  b. touch or feel the body or private parts of another;

16  15. "Self-neglect" means the action or inaction of a vulnerable

17 adult which causes that person to fail to meet the essential

18 requirements for physical or mental health and safety due to the

19 vulnerable adult's lack of awareness, incompetence or incapacity;

20  16. "Sexual exploitation" includes, but is not limited to, a

21 caretaker's causing, allowing, permitting or encouraging a

22 vulnerable adult to engage in prostitution or in the lewd, obscene,

23 or pornographic photographing, filming or depiction of the

24 vulnerable adult as those acts are defined by state law; and

    Req. No. 10177                                               Page 8
1      17. "Verbal abuse" means the use of words, sounds, or other

2 communication including, but not limited to, gestures, actions or

3 behaviors, by a caretaker or other person providing services to a

4 vulnerable adult that are likely to cause a reasonable person to

5 experience humiliation, intimidation, fear, shame, or degradation;

6 and

7      18. "Oklahoma's Protection and Advocacy System" means a

8 protection and advocacy system established in accordance with

9 Section 143 of the Developmental Disabilities Assistance and Bill of

10 Rights Act of 2000.

11     B. Nothing in this section shall be construed to mean a

12 vulnerable adult is abused or neglected for the sole reason the

13 vulnerable adult, in good faith, selects and depends upon spiritual

14 means alone through prayer, in accordance with the practices of a

15 recognized religious method of healing, for the treatment or cure of

16 disease or remedial care, or a caretaker or other person

17 responsible, in good faith, is furnishing such vulnerable adult

18 spiritual means alone through prayer, in accordance with the tenets

19 and practices of a recognized church or religious denomination, for

20 the treatment or cure of disease or remedial care in accordance with

21 the practices of or express consent of the vulnerable adult.

22     SECTION 2.   AMENDATORY  43A O.S. 2021, Section 10-104, is

23 amended to read as follows:

24

    Req. No. 10177                                                  Page 9
1   Section 10-104. A. Any person having reasonable cause to

2 believe that a vulnerable adult is suffering from abuse, neglect, or

3 exploitation shall make a report as soon as the person is aware of

4 the situation to:

5   1. The Department of Human Services; or

6   2. The municipal police department or sheriff's office in the

7 county in which the suspected abuse, neglect, or exploitation

8 occurred.

9   B. Persons required to make reports pursuant to this section

10 shall include, but not be limited to:

11  1. Physicians;

12  2. Operators of emergency response vehicles and other medical

13 professionals;

14  3. Social workers and mental health professionals;

15  4. Law enforcement officials;

16  5. Staff of domestic violence programs;

17  6. Long-term care facility personnel, including staff of

18 nursing facilities, intermediate care facilities for individuals

19 with intellectual disabilities (ICFs/IID), assisted living

20 facilities, and residential care facilities;

21  7. Other health care professionals;

22  8. Persons entering into transactions with a caretaker or other

23 person who has assumed the role of financial management for a

24 vulnerable adult;

    Req. No. 10177                                                Page 10
1   9. Staff of residential care facilities, group homes, or

2 employment settings for individuals with intellectual disabilities;

3   10. Job coaches, community service workers, and personal care

4 assistants; and

5   11. Municipal employees.

6   C. 1. If the report is not made in writing in the first

7 instance, as soon as possible after it is initially made by

8 telephone or otherwise, the report shall be reduced to writing by

9 the Department of Human Services, in accordance with rules

10 promulgated by the Director of Human Services, or the local

11 municipal police or sheriff's department whichever entity received

12 the initial report. The report shall contain the following

13 information:

14  a. the name and address of the vulnerable adult,

15  b. the name and address of the caretaker, guardian, or

16               person having power of attorney over the vulnerable

17               adult's resources if any,

18  c. a description of the current location of the

19               vulnerable adult,

20  d. a description of the current condition of the

21               vulnerable adult, and

22  e. a description of the situation which may constitute

23               abuse, neglect, or exploitation of the vulnerable

24               adult.

    Req. No. 10177                                              Page 11
1   2. If federal law specifically prohibits the disclosure of any

2 of the information required by this subsection, that information may

3 be excluded from the report.

4   D. If the initial report is made to the local municipal police

5 department or sheriff's office, such police department or sheriff's

6 office shall notify, as soon as possible, the Department of Human

7 Services of its investigation.

8   E. The Department of Human Services shall forward a copy of all

9 initial reports to Oklahoma's Protection and Advocacy System.

10  F. Any person who knowingly and willfully fails to promptly

11 report any abuse, neglect, or exploitation as required by the

12 provisions of subsection A of this section, upon conviction, shall

13 be guilty of a misdemeanor punishable by imprisonment in the county

14 jail for a term not exceeding one (1) year or by a fine of not more

15 than One Thousand Dollars ($1,000.00), or by both such fine and

16 imprisonment.

17  F. G. 1. Any person participating in good faith and exercising

18 due care in the making of a report pursuant to the provisions of

19 this section shall have immunity from any civil or criminal

20 liability that might otherwise be incurred or imposed. Any such

21 participant shall have the same immunity with respect to

22 participation in any judicial proceeding resulting from the report.

23  2. The same immunity from any civil or criminal liability shall

24 also be extended to previous employers of a person employed to be

    Req. No. 10177                                                Page 12
1 responsible for the care of a vulnerable adult, who in good faith

2 report to new employers or prospective employers of such caretaker

3 any misconduct of the caretaker including, but not limited to,

4 abuse, neglect or exploitation of a vulnerable adult, whether

5 confirmed or not.

6   G. H. Any person who willfully or recklessly makes a false

7 report shall be civilly liable for any actual damages suffered by

8 the person being reported and for any punitive damages set by the

9 court or jury which may be allowed in the discretion of the court or

10 jury.

11  H. I. 1. Every physician or other health care professional

12 making a report concerning the abuse, neglect or exploitation of a

13 vulnerable adult, as required by this section, or examining a

14 vulnerable adult to determine the likelihood of abuse, neglect or

15 exploitation, and every hospital in which a vulnerable adult is

16 examined or treated for abuse, neglect or exploitation shall

17 disclose necessary health information related to the case and

18 provide, upon request by either the Department of Human Services or

19 the local municipal police or sheriff's department receiving the

20 initial report, copies of the results or the records of the

21 examination on which the report was based, and any other clinical

22 notes, x-rays or photographs and other health information which is

23 related to the case if:

24

    Req. No. 10177                                                Page 13
1   a. the vulnerable adult agrees to the disclosure of the

2   health information, or

3   b. the individual is unable to agree to the disclosure of

4   health information because of incapacity;, and

5   (1) the requesting party represents that the health

6                   information for which disclosure is sought is not

7                   intended to be used against the vulnerable adult

8                   in a criminal prosecution but to provide

9                   protective services pursuant to the Protective

10                  Services for Vulnerable Adults Act,

11  (2) the disclosure of the information is necessary to

12                  conduct an investigation into the alleged abuse,

13                  neglect or exploitation of the vulnerable adult

14                  subject to the investigation, and

15  (3) immediate enforcement activity that depends upon

16                  the disclosure:

17                  (a) is necessary to protect the health, safety

18                  and welfare of the vulnerable adult because

19                  of incapacity, or

20                  (b) would be materially and adversely affected

21                  by waiting until the vulnerable adult is

22                  able to agree to the disclosure.

23

24

    Req. No. 10177                                            Page 14
1   2. If federal law specifically prohibits the disclosure of any

2 of the information required by this subsection, that information may

3 be excluded from the disclosed health information.

4   I. J. After investigating the report, either the county office

5 of the Department of Human Services or the municipal police

6 department or sheriff's office, as appropriate, shall forward its

7 findings to the office of the district attorney in the county in

8 which the suspected abuse, neglect, or exploitation occurred.

9 Unsubstantiated findings shall be labeled as such before

10 transmission to the office of the district attorney. Findings of

11 self-neglect shall not be forwarded to the office of the district

12 attorney unless similar findings were reported within six (6) months

13 prior. The Department of Human Services shall forward all findings

14 to Oklahoma's Protection and Advocacy System.

15  J. K. Any state or county medical examiner or physician who has

16 reasonable cause to suspect that the death of any vulnerable adult

17 may be the result of abuse or neglect as defined by Section 10-103

18 of this title shall make a report to the district attorney or other

19 law enforcement official of the county in which the death occurred

20 and Oklahoma's Protection and Advocacy System. The report shall

21 include the name of the person making the report, the name of the

22 deceased person, the facts or other evidence supporting such

23 suspicion, and any other health information that may be of

24

    Req. No. 10177                                               Page 15
1 assistance to the district attorney in conducting an investigation

2 into the matter.

3   K. L. No employer shall terminate the employment, prevent or

4 impair the practice or occupation of or impose any other sanction on

5 any employee solely for the reason that the employee made or caused

6 to be made a report or cooperated with an investigation pursuant to

7 the Protective Services for Vulnerable Adults Act. A court, in

8 addition to other damages and remedies, may assess reasonable

9 attorney fees against an employer who has been found to have

10 violated the provisions of this subsection.

11  SECTION 3.      AMENDATORY  63 O.S. 2021, Section 1-1902, as

12 amended by Section 8, Chapter 339, O.S.L. 2024 (63 O.S. Supp. 2024,

13 Section 1-1902), is amended to read as follows:

14  Section 1-1902. As used in the Nursing Home Care Act:

15  1. "Abuse" means the willful infliction of injury, unreasonable

16 confinement, intimidation, or punishment, with resulting physical

17 harm, impairment, or mental anguish;

18  2. "Access" means the right of a person to enter a facility to

19 communicate privately and without unreasonable restriction when

20 invited to do so by a resident. A representative of the Office of

21 the State Long-Term Care Ombudsman and a case manager employed by

22 the Department of Mental Health and Substance Abuse Services or one

23 of its contract agencies shall have right of access to enter a

24 facility, communicate privately and without unreasonable restriction

    Req. No. 10177                                                 Page 16
1 with any resident who consents to the communication, to seek consent

2 to communicate privately and without restriction with any resident,

3 and to observe all areas of the facility that directly pertain to

4 the patient care of the resident without infringing upon the privacy

5 of the other residents without first obtaining their consent;

6   3. "Administrator" means the person licensed by the State of

7 Oklahoma who is in charge of a facility. An administrator must

8 devote at least one-third (1/3) of such person's working time to on-

9 the-job supervision of the facility; provided, that this requirement

10 shall not apply to an administrator of an intermediate care facility

11 for individuals with intellectual disabilities with sixteen or fewer

12 beds (ICF/IID-16), in which case the person licensed by the state

13 may be in charge of more than one such ICF/IID-16 facility, if such

14 facilities are located within a circle that has a radius of not more

15 than fifteen (15) miles, the total number of facilities and beds

16 does not exceed six facilities and sixty-four beds, and each such

17 ICF/IID-16 facility is supervised by a qualified professional. The

18 facilities may be free-standing in a community or may be on campus

19 with a parent institution. The ICF/IID-16 facility may be

20 independently owned and operated or may be part of a larger

21 institutional operation;

22  4. "Advisory Board" means the Long-Term Care Facility Advisory

23 Board;

24

    Req. No. 10177                                               Page 17
1   5. "Adult companion home" means any home or establishment,

2 funded and certified by the Department of Human Services, which

3 provides homelike residential accommodations and supportive

4 assistance to three or fewer adults with intellectual or

5 developmental disabilities;

6   6. "Board" means the State Board of Health;

7   7. "Commissioner" means the State Commissioner of Health;

8   8. "Department" means the State Department of Health;

9   9. "Facility" means a nursing facility and a specialized home;

10 provided, this term shall not include a residential care home or an

11 adult companion home;

12  10. "Nursing facility" means a home, an establishment, or an

13 institution, a distinct part of which is primarily engaged in

14 providing:

15  a. skilled nursing care and related services for

16             residents who require medical or nursing care,

17  b. rehabilitation services for the rehabilitation of

18             injured, disabled, or sick persons, or

19  c. on a regular basis, health-related care and services

20             to individuals who because of their mental or physical

21             condition require care and services beyond the level

22             of care provided by a residential care home and which

23             can be made available to them only through a nursing

24             facility.

    Req. No. 10177                                                Page 18
1 Nursing facility does not mean, for purposes of Section 1-851.1 of

2 this title, a facility constructed or operated by an entity

3 described in paragraph 7 of subsection B of Section 6201 of Title 74

4 of the Oklahoma Statutes or the nursing care component of a

5 continuum of care facility, as such term is defined under the

6 Continuum of Care and Assisted Living Act, to the extent that the

7 facility constructed or operated by an entity described in paragraph

8 7 of subsection B of Section 6201 of Title 74 of the Oklahoma

9 Statutes contains such a nursing care component;

10  11. "Specialized facility" means any home, establishment, or

11 institution which offers or provides inpatient long-term care

12 services on a twenty-four-hour basis to a limited category of

13 persons requiring such services, including, but not limited to, a

14 facility providing health or habilitation services for individuals

15 with intellectual or developmental disabilities, but does not mean,

16 for purposes of Section 1-851.1 of this title, a facility

17 constructed or operated by an entity described in paragraph 7 of

18 subsection B of Section 6201 of Title 74 of the Oklahoma Statutes or

19 the nursing care component of a continuum of care facility, as such

20 term is defined under the Continuum of Care and Assisted Living Act,

21 to the extent that the facility constructed or operated by an entity

22 described in paragraph 7 of subsection B of Section 6201 of Title 74

23 of the Oklahoma Statutes contains such a nursing care component;

24

    Req. No. 10177                                                Page 19
1   12. "Residential care home" means any home, establishment, or

2 institution licensed pursuant to the provisions of the Residential

3 Care Act other than a hotel, motel, fraternity or sorority house, or

4 college or university dormitory, which offers or provides

5 residential accommodations, food service, and supportive assistance

6 to any of its residents or houses any resident requiring supportive

7 assistance. The residents shall be persons who are ambulatory and

8 essentially capable of managing their own affairs, but who do not

9 routinely require nursing care; provided, the term residential care

10 home shall not mean a hotel, motel, fraternity or sorority house, or

11 college or university dormitory, if the facility operates in a

12 manner customary to its description and does not house any person

13 who requires supportive assistance from the facility in order to

14 meet an adequate level of daily living;

15  13. "Licensee" means the person, a corporation, partnership, or

16 association who is the owner of the facility which is licensed by

17 the Department pursuant to the provisions of the Nursing Home Care

18 Act;

19  14. "Maintenance" means meals, shelter, and laundry services;

20  15. "Neglect" means failure to provide goods and/or services

21 necessary to avoid physical harm, mental anguish, or mental illness;

22  16. "Oklahoma's Protection and Advocacy System" means a

23 protection and advocacy system established in accordance with

24

    Req. No. 10177                                                 Page 20
1 Section 143 of the Developmental Disabilities Assistance and Bill of

2 Rights Act of 2000;

3   17. "Owner" means a person, corporation, partnership,

4 association, or other entity which owns a facility or leases a

5 facility. The person or entity that stands to profit or lose as a

6 result of the financial success or failure of the operation shall be

7 presumed to be the owner of the facility. Notwithstanding the

8 foregoing, any nonstate governmental entity that has acquired and

9 owns or leases a facility and that has entered into an agreement

10 with the Oklahoma Health Care Authority to participate in the

11 nursing facility supplemental payment program (UPL Owner) shall be

12 deemed the owner of such facility and shall be authorized to obtain

13 management services from a management services provider (UPL

14 Manager), and to delegate, allocate, and assign as between the UPL

15 Owner and UPL Manager, compensation, profits, losses, liabilities,

16 decision-making authority, and responsibilities, including

17 responsibility for the employment, direction, supervision, and

18 control of the facility's administrator and staff;

19  17. 18. "Personal care" means assistance with meals, dressing,

20 movement, bathing or other personal needs or maintenance, or general

21 supervision of the physical and mental well-being of a person, who

22 is incapable of maintaining a private, independent residence, or who

23 is incapable of managing his or her person, whether or not a

24 guardian has been appointed for such person;

    Req. No. 10177                                                Page 21
1       18. 19. "Resident" means a person residing in a facility due to

2 illness, physical or mental infirmity, or advanced age;

3       19. 20. "Representative of a resident" means a court-appointed

4 guardian or, if there is no court-appointed guardian, the parent of

5 a minor, a relative, or other person, designated in writing by the

6 resident; provided, that any owner, operator, administrator, or

7 employee of a facility subject to the provisions of the Nursing Home

8 Care Act, the Residential Care Act, or the Group Homes for Persons

9 with Developmental or Physical Disabilities Act shall not be

10 appointed guardian or limited guardian of a resident of the facility

11 unless the owner, operator, administrator, or employee is the spouse

12 of the resident, or a relative of the resident within the second

13 degree of consanguinity and is otherwise eligible for appointment;

14 and

15      20. 21. "Supportive assistance" means the service rendered to

16 any person which is less than the service provided by a nursing

17 facility but which is sufficient to enable the person to meet an

18 adequate level of daily living. Supportive assistance includes, but

19 is not limited to, housekeeping, assistance in the preparation of

20 meals, assistance in the safe storage, distribution, and

21 administration of medications, and assistance in personal care as is

22 necessary for the health and comfort of such person. Supportive

23 assistance shall not include medical service services.

24

    Req. No. 10177                                              Page 22
1   SECTION 4.      AMENDATORY  63 O.S. 2021, Section 1-1939, is

2 amended to read as follows:

3   Section 1-1939. A. The owner and licensee are liable to a

4 resident for any intentional or negligent act or omission of their

5 agents or employees which injures the resident. In addition, any

6 state employee that aids, abets, assists, or conspires with an owner

7 or licensee to perform an act that causes injury to a resident shall

8 be individually liable.

9   B. A resident may maintain an action under the Nursing Home

10 Care Act for any other type of relief, including injunctive and

11 declaratory relief, permitted by law.

12  C. Any damages recoverable under this section, including

13 minimum damages as provided by this section, may be recovered in any

14 action which a court may authorize to be brought as a class action.

15 The remedies provided in this section, are in addition to and

16 cumulative with any other legal remedies available to a resident.

17 Exhaustion of any available administrative remedies shall not be

18 required prior to commencement of suit hereunder.

19  D. Any waiver by a resident or the legal representative of the

20 resident of the right to commence an action under this section,

21 whether oral or in writing, shall be null and void, and without

22 legal force or effect.

23  E. Any party to an action brought under this section shall be

24 entitled to a trial by jury and any waiver of the right to a trial

    Req. No. 10177                                                Page 23
1 by a jury, whether oral or in writing, prior to the commencement of

2 an action, shall be null and void, and without legal force or

3 effect.

4   F. A licensee or its agents or employees shall not transfer,

5 discharge, evict, harass, dismiss, or retaliate against a resident,

6 a resident's guardian, or an employee or agent who makes a report,

7 brings, or testifies in, an action under this section, or files a

8 complaint because of a report, testimony, or complaint.

9   G. Any person, institution or agency, under the Nursing Home

10 Care Act, participating in good faith in the making of a report, or

11 in the investigation of such a report shall not be deemed to have

12 violated any privileged communication and shall have immunity from

13 any liability, civil or criminal, or any other proceedings, civil or

14 criminal, as a consequence of making such report. The good faith of

15 any persons required, or permitted to report cases of suspected

16 resident abuse or neglect under this act shall be presumed.

17  H. A facility employee or agent who becomes aware of abuse,

18 neglect, or exploitation of a resident prohibited by the Nursing

19 Home Care Act shall immediately report the matter to the facility

20 administrator. A facility administrator who becomes aware of abuse,

21 neglect, or exploitation of a resident shall immediately act to

22 rectify the problem and shall make a report of the incident and its

23 correction to the Department.

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    Req. No. 10177                                               Page 24
1   I. 1. The facility shall be responsible for reporting the

2 following serious incidents to the Department within twenty-four

3 (24) hours:

4   a. communicable diseases,

5   b. deaths by unusual occurrence, including accidental

6                deaths or deaths other than by natural causes, and

7                deaths that may be attributed to a medical device,

8   c. missing residents. In addition, the facility shall

9                make a report to local law enforcement agencies within

10               two (2) hours if the resident is still missing,

11  d. situations arising where a rape or a criminal act is

12               suspected. Such situations shall also be reported to

13               local law enforcement immediately. The facility shall

14               make every effort to preserve the scene of the

15               suspected rape or crime until local law enforcement

16               has arrived, and

17  e. resident abuse, neglect, and misappropriation of the

18               property of a resident.

19  2. All other incident reports shall be made in accordance with

20 federal law.

21  3. All initial written reports of incidents or situations shall

22 be mailed to the Department and Oklahoma's Protection and Advocacy

23 System within five (5) working days after the incident or situation.

24 The final report shall be filed with the Department and Oklahoma's

    Req. No. 10177                                                Page 25
1 Protection and Advocacy System when the full investigation is

2 complete.

3   SECTION 5. This act shall become effective November 1, 2025.

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5   60-1-10177      TJ  03/25/26

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Every fact on this page links to its source, starting with the official bill record.