Counsel’s l’s R Report Fall F Full ll Me Membe mbersh ship Me Meeting Saratoga Sp Sar Springs, Ne New Y w Yor ork Ap April 28, 28, 20 2014 -JED B B. WOLKENBR BREIT EIT, C COUNSEL EL 1
REGU EGULATIONS 2
OMH PROPOSED Part 5 509 09 - Pr Prevent entio ion o n of Inf Influenz uenza T a Trans ansmis issio ion • Parts 2 27, 7, 526 526 a and 58 587 - Restraint aint and and Sec eclusio ion n • Part 50 501 - Ment ental al H Heal ealth Ser ervic ices es - Gener neral al • Provisions o DSM o or IC ICD m means eans m most r rec ecent ent ver ersio ion o Inc Incid ident ent m manag anagem ement ent f for Jus ustic ice C e Cent enter er 3
OMH ADOPTED Pa Parts 1 s 10, 5 , 51,7 ,71 a and 103- Repeal ealed ed some o e out utdat ated ed • provisions o pr of Part 1 14 Part 57 577-Rat ates o of Reim eimbursem ement ent- el elim iminat inate t e trend end • factor f from Article cle 3 31 f 1 facili lities Part 57 578- Med edic ical al A Assis istanc ance R e Rat ates es- el elim iminat inate e • trend nd for R RTFs Fs 4
OPWDD PROPOSED Parts 635 635-10 & & 635 635-99 99 a and d Section 686. 86.99 99- • Pathway t y to E Employm yment t Service ce Par art 6 641 and and Sub ubpar art 6 641-Ra Rate S Setti ting f for IRA/CR R • res esid ident ential ial h hab abil ilit itat atio ion n and and day habilitation Part 6 641-2 R 2 Rate Setting f for Non-Stat ate Pr e Provid ider ers – • Int Inter ermed ediat iate C e Car are e Fac acil ilit ities ies f for Per ersons ns wit ith Development ental al D Dis isab abil ilit ities ies (IC (ICFs Fs/DD) 5
OPWDD ADOPTED Pa Part 635 35-10 10.5- Reim imbursement ent o of Pr Prevocat atio ional nal • Ser ervic ices es in in Shel elter ered ed W Workshops Part 671.7 7 AND 6 686. 86.17- Rent nt A Allowan ance e Offset (S (SSI I • up updat ate) and e) and Sup upplem ement ental al N Nut utrit itio ion n Assis istanc ance e Pr Program B Benef enefit it Offse set 6
OPWDD IN THE WORKS 1. Legal representative regulations/Enrollment in DISCOs Will establish a mechanism for individuals without legal capacity to choose among DISCOs and establish a process for the appointment of a legal representative for individuals receiving services. Target effective date is Oct. 1, 2014. 2. Community Transition Services – Regulations are in development for this new HCBS waiver service. No firm target date. 7
OPWDD IN THE WORKS -2 3. Governance – Requirements concerning boards of directors of voluntary agencies. No firm target effective date. 4. SEMP – Regulations for supported employment services concerning rates, unit of service and other features of this program. Target effective date is Oct. 1, 2014. 5. Changes to regulations concerning representative payees – (Chapter 111 of the Laws of 2010)– repeal of requirements related to the Personal Expenditure Plan and new regulations regarding use of debit cards. No firm target date. 8
OPWDD IN THE WORKS- 3 6. OPWDD renaming and reorganization –change references to DDSOs and OMRDD. 7. DISCO - No firm target effective date. 8. Implement 2014-15 Budget language regarding performance of nursing procedures in non-certified settings. No firm target effective date. MOU between SED & OPWDD must be completed Oct. 2014. 9. HCBS settings –regulations that are needed to implement new federal HCBS regulations. No firm target effective date. 9
OASAS • Repeal eal of Par arts 1 10, 5 51, , 71 and and 103 • Rene newal al of sever eral R Regul egulat atio ions ns am amend ended ed to im implem ement ent J Jus ustic ice e Cent enter er La Law Par arts 3 368 and and 831; R Rep epeal ealed ed Pa Part 368 368 • (“ (“Dec eclar arat atory R Rul uling ings”) and and inc incorporated ed provis isio ions ns int into the e sec ectio ion n of Par art 8 831 ent entit itled ed “Appeal eals and and Hear earing ings”. Adopted J Januar anuary 2 29, , 201 014 10
SOME OME REC RECENT ENT CASE ASES 11
The e fail ailur ure e of t the t e treat eating ing physician t ian to t tes estif ify at at a a hear earing o ing on n an an ap applic icat atio ion t n to m med edic icat ate e over er o obje jectio ion n allows t al the e court t to rel ely o on n the e ab absent ent w wit itnes ness r rul ule and and d den eny t the e appl pplication “ The due process clause of the New York State Constitution affords involuntarily committed mental patients a fundamental right to refuse antipsychotic medication.” (In the Matter of A Ada dam K m K. (A (Anonymous) v v. K Kathleen Iver erson, Di Direc ector of Creedm eedmoor Psychiatric Center) 12
In Involunt ntar ary c commit itment ent, as , as par art of a a SIS IST plan, an, depr de prives a a de defenda dant o of t the s statutorily ly pr proscr cribed d proced edures es mand andat ated ed f for c conf nfinem inement ent und under er ar artic icle 1 e 10 of t the M e Ment ental al H Hygiene La iene Law. Mental Hygiene Law article 10 provides that only • “dangerous sex offender(s) requiring confinement” can legally be placed in secure facilities . . . all other patients must be released for outpatient treatment and supervision The two are mutually exclusive • (In n the Mat Matter of Stat ate of New York, v Nelson D D., NY Cou ourt of Appe ppeals) 13
Even en when a en a hospi pital l fa fails to tim imel ely init initiat iate a e a retent entio ion n pr proce ceedi ding u unde der MHL§ 9.33, 33, the co court s should ld s still ll exam amine t ine the f e fac acts c concer erning ning the p e per erson' n's al alleg eged ed ment ental al d dis isab abil ilit ity and and detent entio ion and n and no not sim imply o order the pat atient ient’s ’s r rel eleas ease - Required by M HL § 33.15 (b) - "Upon the return of such a writ of habeas corpus, the court shall examine the facts concerning the person's alleged mental disability and detention .” (The People o e of t the e St State e of N New York, ex rel. Rober ert Seppanen en, o on beh ehalf of Stephen n S. (An Anonymous us), v Doug uglas Mun unse sey, etc tc., (Appell llat ate Division on, Secon cond Department) 14
EO O 38’s c confli lict cts-of-is issue and e and us use-of-funds/a /anti ti- exces ess r regul gulat atio ions ns, s strayed ed f from the e ad adminis inistrat ativ ive e field d into t the legislative f field d by c crossing g the l line from a adm dministrative rule m making i g into legi gislative po policy cy-making. (Agencies es f for Childr dren en's Ther erapy Services, Inc., v. New York State e Depar artment o of He Heal alth an and Andrew M. M. Cuom omo) o) • To be distinguished from Concerned ed Home me Care e Provide ders, Inc.) 15
FEDERAL AL ISSU ISSUES 16
Sheltered W d Workshop p and d Facility b based d da day pr progr grams segr egregat egatio ion n vio iolat ates es O Olmstead ead Req equir irem ement ents April 8, 2014-nation’s first statewide settlement agreement resolves findings as part of an ADA Olmstead investigation provides relief to approximately 3,250 individuals with ID/DD over ten years Clients will receive sufficient services to support a normative 40 hour work week 17
Rhode Island will provide supported employment placements to approximately 2,000 individuals including: 700 people currently in sheltered workshops 950 people currently in facility-based non-work programs State will provide transition services to approximately 1,250 youth between the ages of 14 and 21, (U. U.S. v. Rhode Isl sland nd ) 18
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