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S1395.................................................by HEALTH AND WELFARE NURSING HOME ADMINISTRATORS - Amends and repeals existing law relating to nursing home administrators to delete obsolete language and references relating to registration and provisional licensure, to provide for an administrator-in-training program for applicants for licensure, with certain exceptions, and to provide a sunset date for certain requirements for licensure. 02/05 Senate intro - 1st rdg - to printing 02/06 Rpt prt - to Health/Wel
S1395|||| LEGISLATURE OF THE STATE OF IDAHO |||| Fifty-fourth Legislature Second Regular Session - 1998IN THE SENATE SENATE BILL NO. 1395 BY HEALTH AND WELFARE COMMITTEE 1 AN ACT 2 RELATING TO THE IDAHO BOARD OF NURSING HOME ADMINISTRATORS; AMENDING SECTION 3 54-1601, IDAHO CODE, TO DELETE OBSOLETE REFERENCES, TO ALPHABETIZE DEFINI- 4 TIONS AND TO MAKE A TECHNICAL CORRECTION; AMENDING SECTION 54-1602, IDAHO 5 CODE, TO DELETE OBSOLETE REFERENCES; AMENDING SECTION 54-1604, IDAHO CODE, 6 TO DELETE OBSOLETE REFERENCES, TO PROVIDE FOR RENEWAL OF LICENSES AND TO 7 INCREASE THE MAXIMUM FEE FOR LICENSES AND RENEWAL OF LICENSES TO ONE HUN- 8 DRED DOLLARS; AMENDING SECTION 54-1605, IDAHO CODE, TO DELETE OBSOLETE 9 LANGUAGE RELATING TO EDUCATIONAL REQUIREMENTS FOR LICENSURE, TO REQUIRE 10 THAT APPLICANTS COMPLETE AN ADMINISTRATOR-IN-TRAINING PROGRAM, TO PROVIDE 11 FOR ACCEPTANCE OF MANAGEMENT EXPERIENCE IN A HEALTH CARE FACILITY IN LIEU 12 OF EDUCATIONAL REQUIREMENTS AND TO PROVIDE A SUNSET DATE FOR APPLICATION 13 OF THE SECTION; AMENDING SECTION 54-1607, IDAHO CODE, TO ELIMINATE PROVI- 14 SIONAL LICENSURE, TO PROVIDE FOR TEMPORARY LICENSES AND TO MAKE TECHNICAL 15 CORRECTIONS; AMENDING SECTION 54-1608, IDAHO CODE, TO DELETE OBSOLETE REF- 16 ERENCES, TO PROVIDE FOR RENEWAL OF LICENSES, TO PROVIDE FOR CANCELLATION 17 OF LICENSES NOT TIMELY RENEWED, TO ELIMINATE THE REQUIREMENT THAT A REGIS- 18 TER OF APPLICATIONS FOR LICENSING BE MAINTAINED AND TO MAKE A TECHNICAL 19 CORRECTION; AMENDING SECTION 54-1610, IDAHO CODE, TO CORRECT A CODE REFER- 20 ENCE, TO PROVIDE THE REQUIREMENTS FOR COMPLETION OF AN ADMINISTRATOR-IN- 21 TRAINING PROGRAM FOR EVERY APPLICANT FOR LICENSURE, TO PROVIDE EXCEPTIONS, 22 TO DELETE OBSOLETE REFERENCES AND TO MAKE A TECHNICAL CORRECTION; AMENDING 23 SECTION 54-1611, IDAHO CODE, TO DELETE OBSOLETE REFERENCES; AMENDING SEC- 24 TION 54-1612, IDAHO CODE, TO DELETE OBSOLETE REFERENCES; AMENDING SECTION 25 54-1613, IDAHO CODE, TO DELETE OBSOLETE REFERENCES; AND REPEALING SECTION 26 54-1615, IDAHO CODE. 27 Be It Enacted by the Legislature of the State of Idaho: 28 SECTION 1. That Section 54-1601, Idaho Code, be, and the same is hereby 29 amended to read as follows: 30 54-1601. DEFINITIONS.(1)As used in this act, unless other- 31 wise stated, the following terms shall have the respective meanings hereinaf- 32 ter set forth or indicated: 33 (21 ) "Board" means the board of examiners of 34 nursing home administrators of the state of Idaho. 35 (32 ) "Examiner" means a member of the board of 36 examiners of nursing home administrators of the state of Idaho. 37 (43 ) "Executive secretary" means the secretary 38 of the board of examiners of nursing home administrators of the state of 39 Idaho. 40 (4) "Health care facility" means any institution or facility which 41 supplies all of the functional needs of an individual in need of residence 42 care and defined as such for licensing purposes under state law or pursuant to 43 the rules for nursing homes, hospitals, residential care homes, whether pro- 2 1 prietary or nonprofit, and shall include, but not be limited to, health care 2 facilities owned or administered by the state government or any agency or 3 political subdivisions thereof. 4 (5) "Nursing home administrator" means any individual responsible for 5 planning, organizing, directing, and controlling the operation of a nursing 6 home, or who in fact performs such functions, whether or not such functions 7 are shared by one (1) or more other persons. 8 (6)"Provisional license" means a temporary license issued to a9provisional nursing home administrator under and pursuant to the provisions of10this act.11(7) "Provisional nursing home administrator" means an individual who has12been licensed as such under and pursuant to the provisions of this act.13(8)"Nursing home administrator-in-training" means an individual 14 registered as such under and pursuant to the provisions of this act. 15 (97 ) "Practice of nursing home administration" 16 means that planning, organizing, directing, and control of the operation of a 17 nursing home. 18(10) "Health care facility" means any institution or facility which19supplies all of the functional needs of an individual in need of residence20care and defined as such for licensing purposes under state law or pursuant to21the rules for nursing homes, hospitals, residential care homes, whether pro-22prietary or nonprofit, and shall include, but not be limited to, health care23facilities owned or administered by the state government or any agency or24political subdivisions thereof.25 SECTION 2. That Section 54-1602, Idaho Code, be, and the same is hereby 26 amended to read as follows: 27 54-1602. SUPERVISION BY LICENSED ADMINISTRATOR REQUIRED -- PRACTICE BY 28 UNLICENSED PERSON PROHIBITED .-- PROVISIONAL LICENSE.29Effective July 1, 1970, no nursing home in the state shall be operated 30 unless it is under the supervision of an administrator who holds a currently 31 valid nursing home administrator's licenseand registration, or provi-32sional license,issued pursuant to this act. No person shall practice 33 or offer to practice nursing home administration in this state or use any 34 title, sign, card, or device to indicate that he is a nursing home administra- 35 tor unless such person shall have been duly licensed and registered as a nurs- 36 ing home administratoror licensed as a provisional nursing home admin-37istratoras required by this act. 38 SECTION 3. That Section 54-1604, Idaho Code, be, and the same is hereby 39 amended to read as follows: 40 54-1604. FUNCTIONS AND DUTIES OF BOARD -- FEE FOR LICENSE APPLICANTS -- 41 RULES AND REGULATIONS. (1) It shall be the functions and duties of such board 42 to: 43 (a) Develop, impose, and enforce standards consistent with this act which 44 shall be met by individuals in order to receive and retain a license as a 45 nursing home administrator which standard shall be designed to insure that 46 nursing home administrators will be individuals who are of good character 47 and are otherwise suitable, and who, by training or experience in the 48 field of institutional administration, are qualified to serve as nursing 49 home administrators; 50 (b) Develop and apply appropriate techniques, including examinations and 51 investigations, for determining whether an individual meets such stan- 3 1 dards; 2 (c) Issue licensesand registrationsto individuals deter- 3 mined, after application of such techniques, to meet such standards, and 4 revoke or suspend licensesand registrationspreviously 5 issued by the board in any case where the individual holding any such 6 licenseor registrationis determined substantially to have 7 failed to conform to the requirements of such standards; 8 (d) Establish and carry out procedures designated to insure that individ- 9 uals licensed as nursing home administrators will, during any period that 10 they serve as such, comply with the requirements of such standards; 11 (e) Receive, investigate, and take appropriate action with respect to any 12 charge or complaint filed with the board charging that any individual 13 licensed as a nursing home administrator has failed to comply with the 14 requirements of such standards; 15 (f) Conduct a continuing study and investigation of administrators of 16 nursing homes within the state with a view to the improvement of the stan- 17 dards imposed for the licensing of such administrators and of procedures 18 and methods for the enforcement of such standards with respect to adminis- 19 trators of nursing homes who have been licensed as such; 20 (g) The fee to be paid by applicants for licenses,recertification21of registrationrenewal of licenses and applicants 22 seeking a reciprocal endorsement of a license issued by the proper author- 23 ities in another state, shall be set by board rule in an amount not to 24 exceedeighty-fiveone hundred dollars ($2585.1 00). 26 (2) The board or any committee or member thereof or any hearing officer 27 designated by such board, acting in an official capacity, shall have powers 28 and duties as provided by law. 29 Such board shall not be bound by the strict rules of evidence in the con- 30 duct of its proceedings but any determinations made shall be founded upon suf- 31 ficient legal evidence to sustain them. 32 (3) The board shall also have the authority to make rules not inconsis- 33 tent with law as may be necessary for the proper performance of its duties, 34 and to take such other actions as may be necessary to enable the state to meet 35 the requirements set forth in section 1908 of the "Social Security Act," the 36 federal rules promulgated thereunder, and other pertinent federal require- 37 ments. 38 SECTION 4. That Section 54-1605, Idaho Code, be, and the same is hereby 39 amended to read as follows: 40 54-1605. QUALIFICATIONS FOR EXAMINATION FOR LICENSE. (1) The board shall 41 admit to examination for licensure as a nursing home administrator any candi- 42 date who pays a fee as determined by the board,andsubmits evi- 43 dence of good moral character and suitability prescribed by the board, 44 and is at least twenty-one (21) years old except:45(a) That on and after July 1, 1970, no applicant for license as a46nursing home administrator shall be admitted to such licensing examination47nor shall such applicant be entitled to or be granted a license as a nurs-48ing home administrator unless such applicant shall submit written evi-49dence, on forms provided for such purpose by the board, that he has suc-50cessfully completed a course of study and has been graduated from a high51school approved and recognized by the educational authorities of the state52in which such school is located, or a political division thereof or has53submitted a certificate indicating that he has obtained high school or4 1secondary school equivalency, such certificate being duly certified by a2state educational authority or a political division thereof, and except3that he shall have complied with the provisions of subsection (2) of this4section.5(b) That on or after January 1, 1975, no applicant for license as a nurs-6ing home administrator shall be admitted to such licensing examination,7nor shall such applicant be entitled to or be granted a license as a nurs-8ing home administrator, unless such applicant shall submit written evi-9dence, on forms provided for such purpose by the board, that he has suc-10cessfully completed two (2) years of college level study after high school11study in an accredited institution of higher learning and except that he12shall have complied with the provisions of subsection (2) of this section.13(c) That on or after January 1, 1980,that no appli- 14 cant for license as a nursing home administrator shall be admitted to such 15 licensing examination nor shall such applicant be entitled to or be 16 granted a license as a nursing home administrator unless such applicant 17 shall submit written evidence, on forms provided for such purpose by the 18 board, that he has successfully completed a course of study for a bacca- 19 laureate degree and has been awarded such degree from an accredited insti- 20 tution of higher learning or its equivalent as provided in subsection (3) 21 of this section ., and except that he shall have com-22plied with the provisions of subsection (2) of this section.23 (2)On and after July 1, 1970, each applicant who has not completed24a regular course of study or program in an accredited institution of higher25learning, which course of study or program shall have been approved by the26board as being adequate academic preparation for nursing home administration,27shall in addition to meeting the requirements of subsection (1)(a) of this28section submit evidence satisfactory to the board that he has successfully29completed specialized courses or a program of study in the area of nursing30home administration as required and approved by the rules of the board31 Additionally, the applicant shall have completed an administrator-in- 32 training program as described in section 54-1610, Idaho Code . 33 (3) A candidate who applies for examination under and pursuant to subsec- 34 tion (1)(b) or (c)of this section, in lieu of the educational 35 requirements provided for therein, may submit evidence satisfactory to the 36 board that such applicant has obtained two (2) years of satisfactory practical 37 experience innursing home administration or in a related health admin-38istration areamanagement in a health care facility for 39 each year of required posthigh school education. Upon implementation of 40 the omnibus budget reconciliation act (OBRA), 42 USC section 1396, but no 41 later than January 1, 2000, subsection (3) shall be null and void and of no 42 further force and effect. 43 SECTION 5. That Section 54-1607, Idaho Code, be, and the same is hereby 44 amended to read as follows: 45 54-1607. ISSUANCE OF LICENSE -- EXEMPTION -- EDUCATIONAL PROGRAMS -- 46 ADMINISTRATION OF FEDERAL FUNDS BY BOARD. (1) An applicant for a license as a 47 nursing home administrator who has successfully complied with the requirements 48 of section 54-1605 , Idaho Code, and the standards provided for 49 therein, has passed the examination provided for in section 54-1606 , 50 Idaho Code, and, where applicable, has complied with the requirements 51 of section 54-1610, Idaho Code, shall be issued a license, on a 52 form provided for that purpose by the board, certifying that such applicant 53 has met the requirements of the laws and rules entitling him to serve, act, 5 1 practice, and otherwise hold himself out as a duly licensed nursing home 2 administrator; provided, however, nothing in this act or the rulesand3regulationsthereunder shall be construed to require an applicant for a 4 license as a nursing home administrator ,or a provisional5license,who is certified by a recognized church or religious denomina- 6 tion which teaches reliance on spiritual means alone for healing as having 7 been approved to administer institutions certified by such church or denomina- 8 tion for the care and treatment of the sick in accordance with its teachings, 9 to demonstrate proficiency in any medical techniques or to meet any medical 10 educational qualifications or medical standards not in accord with the reme- 11 dial care and treatment provided in such institutions. 12 (2)(a) The board shall issue a provisional license to any individ-13ual applying therefor who has served as a nursing home administrator for14all of the calendar year immediately preceding July 1, 1970, meets the15standards of the board and of this article relating to good character,16suitability, age, and citizenship, and has paid the fee as set by the17board. No license shall be issued under this section prior to April 1,181970.19(b) Such provisional license shall terminate two (2) years from date of20issuance or at midnight, June 30, 1972, whichever is earlier, but shall be21subject to the payment of the annual fee, and shall be canceled and be of22no legal force or effect thereafter; except that if, prior to the expira-23tion of such provisional license, such provisional nursing home adminis-24trator shall have passed a qualifying examination and otherwise complied25with the provisions of section 54-1605, as required by the board, a nurs-26ing home administrator license shall be issued to him.27(c) A provisional license may not be issued to any person after June 30,281972.29(3)Any license issued by the board under or pursuant to the pro- 30 visions of this section shall be under the hand and seal of the chairman and 31 executive secretary of the board. 32 (43 ) If the board finds that programs of train- 33 ing and instruction conducted within the state are not sufficient in number or 34 content to enable applicants for nursing home administrators' licenses and 35 nursing home administrators to meet requirements established pursuant to this 36 act, it shall institute and conduct or arrange with others to conduct one (1) 37 or more such programs, and shall make provision for their accessibility to 38 appropriate residents of this state. The board may approve programs conducted 39 within and without this state as sufficient to meet education and training 40 requirements established pursuant to this act. For purposes of this subsec- 41 tion, the board shall have the authority to receive and disburse federal funds 42 received pursuant to requirements of the "social security act." 43 (4) Pending issuance of a license, the board may issue a temporary 44 license for a period not exceeding one (1) year, without examination, to an 45 applicant who files a written application, who is otherwise qualified, and who 46 is applying to fill a vacancy on an emergency basis. 47 SECTION 6. That Section 54-1608, Idaho Code, be, and the same is hereby 48 amended to read as follows: 49 54-1608.CERTIFICATE OF REGISTRATION --ATTENDANCE AT CON- 50 TINUING EDUCATION PROGRAM -- REVOCATION OR SUSPENSION -- RENEWAL OF LAPSED 51REGISTRATIONS -- REGISTER OF APPLICATIONSLICENSES . 52 (1) Every individual who holds a valid license as a nursing home administrator 53 issued by the board under section 54-1607 (1), Idaho Code, shallimmedi-6 1ately upon issuance thereof be deemed registered with the board and be issued2a certificate of registration. Thereafter, such individual shallannu- 3 ally be required to apply to the board for arecertification of regis-4trationrenewal of license and report any facts requested 5 by the board on forms provided for such purpose. A license not timely 6 renewed will be cancelled immediately. 7 (2) Upon making an application for arecertification of registra-8tionrenewal of license , such individual shall pay an 9 annualregistrationlicense fee, and at the same 10 time shall submit evidence satisfactory to the board that during the twelve- 11(12)month period immediately preceding such application for 12recertification of registrationrenewal of license 13 he has successfully attended a continuing education program or course of study 14 as may be provided in the rules of the board. 15 (3) Upon receipt of such application forrecertification of regis-16trationrenewal of license , theregistration17 license fee, and the evidence required with respect to continuing 18 education, the board shall issue arecertification of registration19renewal of license to such nursing home administrator. 20 (4) Thelicense of alicensed nursing home 21 administrator who fails to comply with the provisions of this section, and who 22 continues to act as a nursing home administrator, shall besuspended or23revokedsubject to discipline by the board, in accordance 24 with the provisions of this act. 25 (5) A nursing home administrator who has been duly licensedand26registeredin this state and whose license shall not have been revoked 27 or suspended, and whoseregistrationlicense has 28 expired for a period of not longer than five (5) years, mayreregister29renew his license within the state upon complying with the 30 provisions of this section forrecertification of registration31 renewal of license and also filing with the board an affidavit in 32 accordance with the rules of the board, and payment of a twenty-five dollar 33 ($25.00) reinstatement fee together with fees for back years. 34 (6) A nursing home administrator whose license has been expired for five 35 (5) or more years, must reapply for licensure under the provisions of section 36 54-1605, Idaho Code. 37(7) The board shall maintain a register of all applications for38licensing and registration of nursing home administrators, which register39shall show: The place of residence, name and address of each applicant, the40name and address of employer or business connection of each applicant, the41date of application, complete information of educational and experiential42qualifications, the action taken by the board, the serial number of the43license and of registration certificates issued to the applicant, the date on44which the board reviewed and acted upon the application, and such other perti-45nent information as the board may deem necessary.46 SECTION 7. That Section 54-1610, Idaho Code, be, and the same is hereby 47 amended to read as follows: 48 54-1610. ADMINISTRATORS-IN-TRAINING -- TEMPORARY PERMITS -- EXAMINATION 49 AFTER ONE YEAR -- QUARTERLY REPORTS -- EXCEPTIONS .-- EMER-50GENCY PERMITS.(1)After July 1, 1972, eE very 51 applicant for a nursing home administrator license who shall have otherwise 52 qualified under the provisions of section 54-1606535 , Idaho Code,shall be granted a temporary permit7 1upon application to the board andshall serve for a one (1) year period 2 under the direct supervision of a duly licensedand regis-3terednursing home administrator in accordance with the rules of the 4 board. At the expiration of the one-year-in-training period said applicant 5 shall be eligible to take the examination. 6 (2) The nursing home administrator-in-training shall submit quarterly 7 reports on forms provided therefor by the board. 8 (3) This section shall not apply to any individual who has successfully 9 completed a course of study for a master ' s degree in health 10 administrationor in arelatedhealth care field11 to long-term care, or who has successfully completed a course of study 12 for a master's degree in health administration and has one (1) year of manage- 13 ment experience in long-term care and who has been awarded such degree 14 from an accredited institution of higher learning. 15 (4) Every nursing home administrator-in-training shall register the fact 16 of such training with the board in accordance with the rules and on forms pro- 17 vided therefor by the board. 18(5) Pending issuance of a license, the board may issue a temporary19permit for a period not exceeding one (1) year, without examination to an20applicant who files a written application for a temporary permit and who is21otherwise qualified but does not meet the experience requirements or who is22applying to fill a vacancy on an emergency basis.23 SECTION 8. That Section 54-1611, Idaho Code, be, and the same is hereby 24 amended to read as follows: 25 54-1611. MISDEMEANORS LISTED -- PENALTIES. (1) It shall be a misdemeanor 26 for any person to: 27 (a) Sell or fraudulently obtain or furnish any license or aid or abet 28 therein; or 29 (b) Practice as a nursing home administrator under cover of any license 30or registrationillegally or fraudulently obtained or unlaw- 31 fully issued; or 32 (c) Practice as a nursing home administrator or use in connection with 33 his or her name any designation tending to imply that he or she is a nurs- 34 ing home administrator unless duly licensedand registeredto 35 so practice under the provisions of this act; or 36 (d) Practice as a nursing home administrator during the time his or her 37 license or registration issued under the provisions of this article shall 38 be suspended or revoked; or 39 (e) Otherwise violate any of the provisions of this act. 40 (2) Such misdemeanor shall be punishable by a fine of not more than five 41 hundred dollars ($500) or by imprisonment in the county jail for not more than 42 ninety (90) days, or by both such fine and imprisonment. 43 SECTION 9. That Section 54-1612, Idaho Code, be, and the same is hereby 44 amended to read as follows: 45 54-1612. REVOCATION OR SUSPENSION OF LICENSE ,OR REG-46ISTRATION,REPRIMAND, CENSURE, OR OTHER DISCIPLINE. (1) The license 47or registrationof any person practicing or offering to practice 48 nursing home administration,or the license of a provisional nursing49home administrator,may be revoked or suspended, or such licensee may 50 be reprimanded, censured, or otherwise disciplined in accordance with the pro- 51 visions of this section upon decision and after due hearing in any of the fol- 8 1 lowing cases: 2 (a) Upon proof that such licensee is reasonably unfit to operate a nurs- 3 ing home. 4 (b) Upon proof that such licensee has wilfully or repeatedly violated any 5 of the provisions of this act or the rules enacted in accordance with, or 6 wilfully or repeatedly acted in a manner inconsistent with the health and 7 safety of the patients of the home in which he is the administrator. 8 (c) Upon proof that such licensee is guilty of fraud or deceit in the 9 practice of nursing home administration or related activities, or in his 10 or her admission to such practice. 11 (2) The board, or a hearing officer designated by it shall have jurisdic- 12 tion to hear all charges brought under the provisions of this section against 13 persons licensedand registeredas nursing home administrators, 14or licensed as provisional nursing home administrators,and upon 15 such hearings shall determine such charges upon their merits. If the board 16 determines that such person is guilty of the charges, the board may revoke his 17 or her license ,and registration,suspend him or her 18 from practice, or reprimand, censure, or otherwise discipline such licensee. 19 (3) Proceedings under this section shall be initiated by filing with the 20 board, charges in writing and under oath. The board on its own motion may con- 21 duct an investigation and initiate charges. The procedures for notification 22 and the hearing on such charges, unless dismissed by the board as unfounded or 23 trivial, shall be conducted pursuant to the provisions of chapter 52, title 24 67, Idaho Code. 25 SECTION 10. That Section 54-1613, Idaho Code, be, and the same is hereby 26 amended to read as follows: 27 54-1613. REISSUANCE OF REVOKED LICENSE .OR REGISTRA-28TION.(1) The board may, in its discretion, reissue a licenseor29registrationto any person whose licenseor registration30 has been revoked. 31 (2) Application for the reissuance of a licenseor registration32shall be made in such manner as the board may direct in accordance with 33 its rules. 34 SECTION 11. That Section 54-1615, Idaho Code, be, and the same is hereby 35 repealed.
STATEMENT OF PURPOSE
RS 07341C2
Amend existing statute to delete references to provisional
license; delete references to registration and
recertification and replace with renewal license, and
increasing cap for license fee and renewal fee to $100.00;
delete obsolete requirements for licensure, add applicant
must complete an administrator in training program, add
practical experience must be in management in a health care
facility, add expiration date for this section of the law;
delete reference to provisional license, and add temporary
permit may be issued pending issuance of a license; delete
reference to registration and recertification and replace
with renewal of license, add if license is not timely renewed
it will be canceled immediately, delete that failure to
comply with the provisions of this section license shall be
suspended or revoked and add shall be subject to discipline;
delete emergency permits, add that a nursing home
administrator shall serve one year under the direct
supervision of a licensed nursing home administrator, delete
acceptance of a degree in a related health care field and add
related to long term care, or successful completion of a
course of study for a masters degree in health administration
and has one year management experience in long term care and
delete temporary permit may be issued pending issuance of a
license; delete reference to registration and licensed
provisional nursing home administrator; delete reference to
registration; and delete section 54 - 1615.
FISCAL NOTE
There is no fiscal impact to the General Fund. The board
intends to make a rule establishing a renewal fee for
$85.00 not the requested cap of $100.00. The current fee
is set at $65.00. The impact would be $20.00 X 146 active
licensees. The impact would be $2,920.
CONTACT: Carmen Westberg
Bureau of Occupational Licenses; Idaho Board of
Nursing
Home Administrators
334 -3233
STATEMENT OF PURPOSE/FISCAL NOTE
Bill No S1395