Regards shared bathrooms under the assisted living program

hb876_00_IN

As Introduced

136th
General Assembly

Regular
Session
H. B. No. 876

2025-2026

Representative Craig

To
amend sections 173.39 and 173.391 and to enact section 173.394 of the
Revised Code
regarding
shared bathrooms under the assisted living program.

BE
IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:

Section
1.
That
sections 173.39 and 173.391 be amended and section 173.394 of the
Revised Code be enacted to read as follows:

Sec.
173.39.
(A)
As used in sections 173.39 to
173.393

173.394

of
the Revised Code:

(1)
"Provider" means a person or government entity that
provides any services, including community-based long-term care
services, under a program the department of aging administers.
"Provider" includes a person or government entity that
provides home and community-based services to older adults through
the PASSPORT program or assisted living program.

(2)
"Community-based long-term care services" has the same
meaning as in section 173.14 of the Revised Code.

(3)
"PASSPORT program" and "assisted living program"
have the same meanings as in section 173.51 of the Revised Code.

(B)
The department of aging shall not pay a provider for providing any
service, including community-based long-term care services, under the
PASSPORT program or assisted living program unless the provider is
certified under section 173.391 of the Revised Code and the service
is in fact provided.

The
department may require a provider under any other program the
department administers to be certified under section 173.391 of the
Revised Code. If the department requires this certification, the
department shall not pay the provider for providing any service under
that program unless the provider is certified under section 173.391
of the Revised Code and the service is in fact provided. If the
department does not require this certification, the department shall
not pay the provider for providing any service under that program
unless the provider complies with section 173.392 of the Revised
Code.

Sec.
173.391.
(A)
Subject to section 173.381 of the Revised Code and except as provided
in division (I) of this section, the department of aging or its
designee shall do all of the following in accordance with Chapter
119. of the Revised Code:

(1)
Certify a provider to provide services, including community-based
long-term care services, under a program the department administers
if the provider satisfies the requirements for certification
established by rules adopted under division (B) of this section and
pays the fee, if any, established by rules adopted under division (G)
of this section;

(2)
When required to do so by rules adopted under division (B) of this
section, take one or more of the following disciplinary actions
against a provider certified under division (A)(1) of this section:

(a)
Issue a written warning;

(b)
Require the submission of both of the following: a plan of correction
and evidence of compliance with requirements identified by the
department;

(c)
Suspend referrals;

(d)
Remove clients;

(e)
Impose a fiscal sanction such as a civil monetary penalty or an order
that unearned funds be repaid;

(f)
Suspend the certification;

(g)
Revoke the certification;

(h)
Impose another sanction.

(3)
Except as provided in division (E) of this section, hold hearings
when there is a dispute between the department or its designee and a
provider concerning actions the department or its designee takes
regarding a decision not to certify the provider under division
(A)(1) of this section or a disciplinary action under divisions
(A)(2)(e) to (h) of this section.

(B)

The

Subject
to section 173.394 of the Revised Code, the
director
of aging shall adopt rules in accordance with Chapter 119. of the
Revised Code establishing certification requirements and standards
for determining which type of disciplinary action to take under
division (A)(2) of this section in individual situations. The rules
shall establish procedures for all of the following:

(1)
Ensuring that providers comply with sections 173.38 and 173.381 of
the Revised Code;

(2)
Evaluating the services provided by the providers to ensure that the
services are provided in a quality manner advantageous to the
individual receiving the services;

(3)
In a manner consistent with section 173.381 of the Revised Code,
determining when to take disciplinary action under division (A)(2) of
this section and which disciplinary action to take;

(4)
Determining what constitutes another sanction for purposes of
division (A)(2)(h) of this section.

(C)
The procedures established in rules adopted under division (B)(2) of
this section shall require that all of the following be considered as
part of an evaluation described in division (B)(2) of this section:

(1)
The provider's experience and financial responsibility;

(2)
The provider's ability to comply with standards for the services,
including community-based long-term care services, that the provider
provides under a program the department administers;

(3)
The provider's ability to meet the needs of the individuals served;

(4)
Any other factor the director considers relevant.

(D)
The rules adopted under division (B)(3) of this section shall specify
that the reasons disciplinary action may be taken under division
(A)(2) of this section include good cause, including misfeasance,
malfeasance, nonfeasance, confirmed abuse or neglect, financial
irresponsibility, or other conduct the director determines is
injurious, or poses a threat, to the health or safety of individuals
being served.

(E)
Subject to division (F) of this section, the department is not
required to hold hearings under division (A)(3) of this section if
any of the following conditions apply:

(1)
Rules adopted by the director of aging pursuant to this chapter
require the provider to be a party to a provider agreement; hold a
license, certificate, or permit; or maintain a certification, any of
which is required or issued by a state or federal government entity
other than the department of aging, and either of the following is
the case:

(a)
The provider agreement has not been entered into or the license,
certificate, permit, or certification has not been obtained or
maintained.

(b)
The provider agreement, license, certificate, permit, or
certification has been denied, revoked, not renewed, or suspended or
has been otherwise restricted.

(2)
The provider's certification under this section has been denied,
suspended, or revoked for any of the following reasons:

(a)
A government entity of this state, other than the department of
aging, has terminated or refused to renew any of the following held
by, or has denied any of the following sought by, a provider: a
provider agreement, license, certificate, permit, or certification.
Division (E)(2)(a) of this section applies regardless of whether the
provider has entered into a provider agreement in, or holds a
license, certificate, permit, or certification issued by, another
state.

(b)
The provider or a principal owner or manager of the provider who
provides direct care has entered a guilty plea for, or has been
convicted of, an offense materially related to the medicaid program.

(c)
The provider or a principal owner or manager of the provider who
provides direct care has entered a guilty plea for, been convicted
of, or been found eligible for intervention in lieu of conviction for
an offense listed or described in divisions (A)(3)(a) to (e) of
section 109.572 of the Revised Code, but only if the provider,
principal owner, or manager does not meet standards specified by the
director in rules adopted under section 173.38 of the Revised Code.

(d)
The department or its designee is required by section 173.381 of the
Revised Code to deny or revoke the provider's certification.

(e)
The United States department of health and human services has taken
adverse action against the provider and that action impacts the
provider's participation in the medicaid program.

(f)
The provider has failed to enter into or renew a provider agreement
with either of the following: the department or the PASSPORT
administrative agency, as that term is defined in section 173.42 of
the Revised Code, that administers programs on behalf of the
department of aging in the region of the state in which the provider
is certified to provide services.

(g)
The provider has not billed or otherwise submitted a claim to the
department for payment under the medicaid program in at least two
years.

(h)
The provider denied or failed to provide the department or its
designee access to the provider's facilities during the provider's
normal business hours for purposes of conducting an audit or
structural compliance review.

(i)
The provider has ceased doing business.

(j)
The provider has voluntarily relinquished its certification for any
reason.

(3)
The provider's provider agreement with the department of medicaid has
been suspended under section 5164.36 of the Revised Code.

(4)
The provider's provider agreement with the department of medicaid is
denied or revoked because the provider or its owner, officer,
authorized agent, associate, manager, or employee has been convicted
of an offense that caused the provider agreement to be suspended
under section 5164.36 of the Revised Code.

(F)
If the department does not hold hearings when any condition described
in division (E) of this section applies, the department shall send a
notice to the provider describing a decision not to certify the
provider under division (A)(1) of this section or the disciplinary
action the department is taking under divisions (A)(2)(e) to (h) of
this section. The notice shall be sent to the provider's address that
is on record with the department and may be sent by regular or
electronic mail.

(G)
The director of aging may adopt rules in accordance with Chapter 119.
of the Revised Code establishing a fee to be charged by the
department of aging or its designee for certification issued under
division (A) of this section.

(H)
Any amounts collected by the department or its designee under this
section shall be deposited in the state treasury to the credit of the
provider certification fund, which is hereby created. Money credited
to the fund shall be used to pay for services, including
community-based long-term care services, to pay for administrative
costs associated with provider certification under this section, and
to pay for administrative costs related to the publication of the
Ohio long-term care consumer guide.

(I)
The director shall certify a provider in accordance with Chapter
4796. of the Revised Code if either of the following applies:

(1)
The provider is licensed or certified in another state.

(2)
The provider has satisfactory work experience, a government
certification, or a private certification as described in that
chapter as a provider of community-based long-term care services
under a state program in a state that does not issue that license or
certificate.

Sec.
173.394.
(A)
As used in this section:

(1)
"Full bathroom" means a bathroom that includes a toilet,
sink, and shower or bathtub.

(2)
"Fully enclosed shared bathroom facilities" means a shared
bathroom that is not accessible directly from a resident's living
quarters.

(3)
"Half bathroom" means a bathroom that includes a toilet and
sink.

(4)
"Residential care facility" has the same meaning as in
section 3721.01 of the Revised Code.

(B)
The department of aging shall not deny certification to a residential
care facility that seeks to participate in the assisted living
program on the basis of either of the following:

(1)
The residential care facility's resident units are such that two
residents share a full bathroom, so long as all of the following are
satisfied:

(a)
The shared full bathroom satisfies either of the following:

(i)
It is accessible from the living quarters of each resident's unit,
does not require one resident to pass through the living quarters of
another resident, and allows each resident to lock both bathroom
doors to prevent access to the bathroom while it is in use;

(ii)
The residential care facility's resident units include a shared
common space, and the full bathroom is accessible only from that
shared common space.

(b)
In addition to the shared bathroom, the residential care facility
also offers the use of at least one other half bathroom to its
residents that is located on the same floor as the resident's unit
and that is not connected to any resident's individual unit.

(c)
The shared bathrooms and other accessible bathrooms meet the
accessibility requirements of the "Americans with Disabilities
Act of 1990," 42 U.S.C. 12101.

(d)
The residential care facility informs residents of the shared
bathroom arrangement prior to admission to the residential care
facility, and residents sign a written consent form acknowledging the
arrangement.

(2)
When providing memory care services to residents in the portion of a
residential care facility that serves as a memory care unit, the
facility utilizes fully enclosed shared bathroom facilities.

Section
2.
That
existing sections 173.39 and 173.391 of the Revised Code are hereby
repealed.