HB 2262: Alzheimer's Dementia and Other Forms of Dementia Special Care Disclosure Act; imposing certain duties; broadening applicability of certain penalties; effective date. - Oklahoma

Floor (House) → Floor (Senate) · 5 edits

MODERATE

The bill was amended to add a new sponsor (Senator Hill) and revised the title to clarify its purpose. The substantive changes focus on expanding the disclosure requirements for facilities that market dementia care, adding specific details that must be included in disclosures, and creating a new advisory council to oversee implementation.

Scope change

The bill's scope was expanded to require disclosures from facilities that publicly advertise or market dementia care services, and new requirements were added for referral agencies to provide disclosure forms to families considering placement.

REQUIREMENT

Added a new requirement for referral agencies to provide disclosure forms to representatives of persons with dementia who are considering placement in a facility.

Added new disclosure requirements including staff-to-resident ratios, staff training, physical environment design features, resident activities, family involvement, fees, and accreditations.

Created a new Alzheimer-Dementia Disclosure Act Advisory Council consisting of nine members to make recommendations on disclosure forms and rules.

Added a provision clarifying that facilities without special care units can still admit persons with dementia, preventing penalties for general facilities.

Revised the disclosure form requirements to include more specific information about care processes and facility capabilities.

Senate Committee Substitute for House Bill → Floor (House) · 5 edits

MODERATE

This version of HB 2262 was revised from a committee substitute to the House floor version, incorporating amendments that clarify the bill's title, expand the scope of required disclosures, and modify how facilities must provide information to consumers. The changes aim to improve transparency for individuals seeking memory care by ensuring facilities clearly disclose their capabilities and any limitations.

Scope change

The bill's scope was broadened to include facilities that market memory care, Alzheimer's care, or dementia care even if they do not fully meet the criteria for such facilities, requiring them to disclose their limitations.

REQUIREMENT

The bill title and description were updated to explicitly mention the Alzheimer-Dementia Disclosure Act Advisory Council and website listing requirements, clarifying the advisory structure.

Facilities must now disclose not only their care offerings but also any limitations if they do not fully meet memory care or dementia care criteria.

ENFORCEMENT

Added provisions for penalties when facilities fail to provide required disclosure forms or post complaint information conspicuously.

DEFINITION

Clarified that facilities advertising memory care services must disclose their actual capabilities and any gaps in service provision.

TECHNICAL

Formatting changes include updated page headers, removal of committee-specific markings, and reorganization of section numbering for floor version presentation.

House Committee Substitute → Senate Committee Substitute for House Bill · 4 edits

MODERATE

The bill text was amended from a House Committee Substitute to a Senate Committee Substitute, primarily updating the bill title to reflect 'Engrossed' status and renumbering sections to align with Senate formatting. The substantive policy content regarding Alzheimer's dementia disclosure requirements remains unchanged, though minor text corrections were made to fix formatting inconsistencies and update section numbering.

TECHNICAL

Bill title updated from 'Committee Substitute' to 'Engrossed House Bill' to reflect Senate approval and final passage status.

Section numbering and formatting were adjusted to match Senate Committee Substitute standards, including renumbering sections 1-24 to 1-24 with proper spacing and alignment.

Minor text corrections made to fix inconsistent apostrophe usage (e.g., 'Alzheimer's' vs 'Alzheimer\'s') and remove duplicate section headers.

Page numbering and request numbers were updated from 'Req. No. 13184' to 'Req. No. 2009' to reflect new Senate processing.

House Conference Committee Substitute → House Committee Substitute · 3 edits

MINOR

The bill was converted from a Conference Committee Substitute to a Committee Substitute, removing the joint conference language and restoring the original House Committee version. The substantive policy content regarding dementia care disclosure requirements remains largely unchanged, with only minor formatting adjustments and line number updates.

Scope change

No substantive change to the bill's scope or applicability; the document type changed from Conference Committee to Committee Substitute, indicating the bill did not require conference committee reconciliation.

TECHNICAL

Removed Conference Committee designation and joint sponsor language (Miller, Fugate, Blancett, and Hill of the House; Stanley of the Senate), reverting to House Committee Substitute format.

Adjusted line numbering and page references throughout the document to reflect the Committee Substitute version rather than the Conference Committee version.

Deleted the Conference Committee Substitute preamble and replaced it with the standard Committee Substitute preamble for House Bill No. 2262.

Proposed Policy Committee Substitute 1 → House Conference Committee Substitute · 4 edits

MODERATE

The bill was revised from a policy committee substitute to a conference committee substitute, incorporating final amendments that clarify the disclosure requirements for facilities serving persons with Alzheimer's dementia and other forms of dementia. The changes include renumbering of sections, minor text refinements for clarity, and adjustments to the advisory council composition and responsibilities.

Scope change

The scope remains focused on facilities that advertise or market care for persons with Alzheimer's dementia, requiring them to disclose specific information about their care capabilities. No substantive changes to applicability or eligibility criteria were made.

TECHNICAL

Section numbering was reorganized and corrected throughout the document to align with standard legislative formatting.

Minor text refinements were made to improve clarity and consistency in describing disclosure requirements and facility obligations.

Formatting and layout changes were made to conform to conference committee substitute standards, including header updates and page numbering.

REQUIREMENT

The advisory council composition was adjusted to specify nine members appointed by the State Commissioner of Health, with expertise in memory care or consumer representation.

Proposed Committee Substitute (full committee) 1 → Proposed Policy Committee Substitute 1 · 3 edits

MINOR

The bill was renamed from 'Proposed Oversight Committee Substitute' to 'Proposed Policy Committee Substitute' and updated with a new policy committee date. The substantive content of the Alzheimer's Dementia disclosure requirements remains largely unchanged, though some text was reorganized and renumbered.

Scope change

No substantive change to the bill's scope or applicability; the changes are primarily administrative and formatting.

TECHNICAL

Bill title changed from 'Proposed Oversight Committee Substitute' to 'Proposed Policy Committee Substitute' with updated committee date.

Reference number changed from 'Req. No. 13074' to 'Req. No. 12377' on multiple pages.

Minor text reorganization and renumbering of sections, particularly in the disclosure requirements and advisory council provisions.

Enrolled (final version) → Proposed Committee Substitute (full committee) 1 · 6 edits

MODERATE

The bill was completely rewritten from its original version to expand its scope and add new requirements. The new version adds provisions for an Advisory Council, requires facilities to post complaint posters, and creates penalties for facilities that misrepresent their dementia care capabilities. It also clarifies referral agency responsibilities and expands the types of facilities subject to disclosure requirements.

Scope change

The bill's scope was significantly broadened to include additional requirements for facilities, referral agencies, and staff members who market dementia care services. The new version adds oversight mechanisms through an Advisory Council and strengthens enforcement through penalty provisions.

REQUIREMENT

New requirement for facilities to post complaint posters in designated areas informing consumers about their right to file complaints with the Attorney General's Consumer Protection Unit.

Creation of an Alzheimer-Dementia Disclosure Act Advisory Council to provide input on disclosure forms and rules.

Referral agency responsibilities were simplified and clarified to require providing disclosure forms to representatives of persons considering placement.

New requirement that facilities conspicuously display information about complaint procedures for consumers who were not given disclosure forms.

ENFORCEMENT

New penalty provisions for staff members who publicly advertise dementia care services when their facility does not actually meet the required care criteria.

DEFINITION

Expanded definition of who is subject to disclosure requirements to include any individual employed or contracted by a facility who markets dementia care services.

Engrossed → Enrolled (final version) · 5 edits · May 30, 2025

MODERATE

The bill was finalized and enacted into law with several substantive changes. The most significant change is the addition of a searchable database requirement for the Department of Health to maintain disclosure forms, and a new exemption clause protecting facilities and referral agencies from liability when sharing information. The bill's scope was broadened to include referral agencies more explicitly, and the applicability of penalties was expanded. Several sections were renumbered and reorganized for clarity, and the effective date provision was updated.

Scope change

The bill's scope was expanded to explicitly include referral agencies in the disclosure process and added a searchable database requirement for the Department of Health. The applicability of penalties was broadened to cover more situations.

REQUIREMENT

Added requirement for the Department of Health to maintain a public searchable database of disclosure forms, with an exception if no form is available from the Department.

ENFORCEMENT

Added liability protection clause stating that neither facilities nor referral agencies shall be liable for the actions or inactions of the other when sharing disclosure information.

ELIGIBILITY

Modified referral agency requirements to specifically require providing forms to representatives of persons who have notified the agency of an Alzheimer's dementia diagnosis.

DEFINITION

Updated the definition of who receives disclosure forms to include those who have notified referral agencies of their diagnosis, rather than just those considering placement.

MODIFIED

Bill was converted from Engrossed to Enrolled status, with sponsors updated to include additional House members (Hill, Culver, and Pittman) and formatting changes for final passage.

Amended And Engrossed → Engrossed · 3 edits · May 28, 2025

MINOR

The bill was amended to correct formatting inconsistencies and standardize the language between the Senate and House versions. The substantive policy content regarding Alzheimer's dementia disclosure requirements remains unchanged, with only minor text adjustments for consistency.

Scope change

No substantive change to the bill's scope or applicability; changes are primarily formatting and text standardization.

TECHNICAL

Corrected inconsistent line numbering and formatting between Senate and House versions to ensure uniformity.

Standardized spelling of 'Alzheimer's' and 'dementia' throughout the document for consistency.

Adjusted section numbering and layout to align the Senate amendment with the House bill structure.

Introduced → Amended And Engrossed · 4 edits · May 28, 2025

MODERATE

The bill was amended to clarify its purpose, add a complaint process, update penalties, and require facilities to post specified information. The amendment also broadens applicability of penalties and imposes certain duties on referral agencies.

Scope change

The bill's scope was broadened to include referral agencies and updated statutory references to ensure consistency across related sections.

REQUIREMENT

Added requirements for facilities to post specified information and updated the act's purpose statement to reflect these new obligations.

Imposed certain duties on referral agencies to provide disclosure forms to individuals considering placement in special care facilities.

ENFORCEMENT

Added a complaint process and updated penalties to broaden their applicability for non-compliance.

TECHNICAL

Updated statutory language and references to align with current legal terminology and ensure consistency throughout the bill.

Alzheimer's Dementia and Other Forms of Dementia Special Care Disclosure Act; imposing certain duties; broadening applicability of certain penalties; effective date.

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