Revise laws relating to category D assisted living facilities

Clarified that Category D Assisted Living Facilities are not required to use seclusion, chemical restraints, or physical restraints.

Added a requirement for Category D facilities to receive prior authorization before using restraints or seclusion.

Amended existing statutes (50-5-226, 53-21-127, and 53-21-199) to reflect these new operational and care standards.

Allowed Category D facilities to operate as independent facilities or be colocated with other licensed facilities.

Established a process to commit an individual to a Category D Assisted Living Facility, including diversion from the Montana State Hospital.

The bill number was changed from SB0524.2 to SB0524.3.

A duplicate word 'AND' was removed from the list of amended sections to fix a grammatical error.

Punctuation was adjusted by moving a semicolon to a new line for formatting consistency.

Added a provision for a termination date to the bill's scope.

Reformatted the bill header and bill number from SB 524.1 to SB0524.2.

Reorganized the text for Category D facility requirements, changing the numbering structure and merging subsections.

Updated eligibility criteria for Category A facilities to explicitly allow the use of safety devices if the resident consents, while prohibiting physical or chemical restraints.

Revised Category B requirements to allow for skilled nursing care for more than 30 days or up to 120 days a year, provided it is arranged by the facility or resident.

Adjusted Category D admission rules to specifically include residents who have been assessed or adjudged as a danger to self or others, allowing these individuals to be placed in this category under court-ordered diversion.

Introduced new requirements for Category D facilities, mandating monthly health care assessments and written care orders that detail behavioral patterns and conditions for temporary restraint.

Added a termination date provision to the bill's summary description.

Updated bill version number from SB 524.1 to SB0524.2 and adjusted line numbering and formatting.

Removed the original header and footer text associated with the previous version number.

Establishes a new 'Category D' assisted living license specifically for residents with severe cognitive impairment or those posing a danger to self or others.

Caps the number of Category D residents at 15 per facility and requires monthly health assessments and written care orders by a practitioner.

Clarifies that Category D facilities may use protective restraints, medications, or confinement only as a last resort to prevent harm, subject to specific conditions.

Updates criteria for Category A, B, and C facilities to explicitly prohibit certain conditions like stage 3/4 pressure ulcers, gastrostomy tubes, and consistent dependence in four or more daily activities.

Added a provision for a termination date to the bill's summary of purposes.

Updated the bill identifier from SB 524.1 to SB0524.2.

Removed the original version text and replaced it with the amended version.

Added a mandatory requirement for assisted living facilities to list the specific conditions under which they elect to use protective restraints, medications, or confinement on category D residents.

Updated the bill number from LC 0470 to SB 524 and added the sponsor's name, D. Lenz.