(b) State
long-term care ombudsman.
(1) The director of
the state office for the aging shall appoint a full-time state long -term care
ombudsman to administer and supervise the office of the state long-term care
ombudsman.
(2) The state ombudsman
shall be selected from among individuals with expertise and experience in
long-term care and advocacy, long-term services and supports or other direct
services for older persons or individuals with disabilities, consumer-oriented
public policy advocacy, leadership and program, management skills, negotiation
and problem resolution skills, and with other qualifications determined by the
director of the state office for the aging to be appropriate for the position.
The state ombudsman must be verified as having completed a certification
training program developed by the state long-term care ombudsman program within
six (6) months of his/her appointment as state ombudsman.
(3) In no circumstance shall the state office
for the aging appoint as state ombudsman an individual who:
(i) has a direct involvement in the licensing
or certification of a long-term care facility or of a provider of a long-term
care service;
(ii) has an ownership
or investment interest (represented by equity, debt, or other financial
relationship) in a long-term care facility or a long-term care service.
Divestment within a reasonable period of time may be considered an adequate
remedy to this conflict;
(iii) has
been employed by, or participated in the management of, a long-term care
facility within the previous twelve months; and
(iv) receives or has the right to receive,
directly or indirectly, remuneration (in cash or in kind) under a compensation
arrangement with an owner or operator of a long-term care facility.
(4) The state ombudsman personally
or through authorized representatives shall:
(i) identify, investigate, and resolve
complaints that are made by, or on behalf of, long -term care residents in this
state and that relate to actions, inactions, or decisions that may adversely
affect the health, safety, and welfare or rights of such residents; the state
ombudsman may refer to the appropriate investigatory agency information
obtained during the investigation of a complaint which suggests the possible
occurrence of physical abuse, mistreatment or neglect or Medicaid fraud, in
accordance with the older americans act of 1965, as amended and the regulations
promulgated there under as well as rules and regulations promulgated by the
state office for the aging. Nothing in this section shall be construed as
authorizing the state ombudsman to assume powers delegated to the commissioner
of health or the department of health pursuant to article twenty-eight of the
public health law or to the commissioner of the office of children and family
services or the office of children and family services pursuant to the social
services law; nor does it authorize the state ombudsman to investigate final
administrative determinations made pursuant to law by such commissioners if
such decisions become the subject of complaints to the state
ombudsman;
(ii) provide services to
assist residents in protecting their health, safety, welfare and rights,
including but not limited to representing the interests of residents before
governmental agencies and seeking appropriate administrative, legal and other
remedies to protect their welfare, safety, health and rights;
(iii) inform the residents about means of
obtaining services provided by the long-term care ombudsman program and other
public agencies;
(iv) analyze,
comment on, and monitor the development and implementation of federal, state
and local laws, regulations, policies, and actions that pertain to the health,
safety, welfare, and rights of the residents of long-term care facilities and
services in the state;
(v) ensure
that residents have regular and timely access to the services provided through
the long-term care ombudsman program and that residents and complainants
receive timely responses to requests for information and complaints;
(vi) recommend changes in federal, state and
local laws, regulations, policies, and actions pertaining to the health,
safety, welfare, and rights of residents;
(vii) develop a certification training
program and continuing education program for ombudsmen which, at a minimum,
shall specify the minimum hours of training, annual number of hours of
in-service training, and the content of the training, including, but not
limited to, training relating to federal, state and local laws, regulations and
policies with respect to long-term care facilities in the state; investigative
and resolution techniques; and such other training-related matters as the state
ombudsman determines to be appropriate;
(viii) provide administrative and technical
assistance to ombudsmen and local ombudsman entities;
(ix) make determinations and establish
positions of the office of the state long -term care ombudsman, without
necessarily representing the determinations or positions of the state office
for the aging;
(x) recommend to
the director of the state office for the aging policies and procedures for the
state long-term care ombudsman program;
(xi) coordinate with and promote the
development of citizen organizations consistent with the interests of
residents;
(xii) promote, provide
technical support for the development of, and provide ongoing support as
requested by resident and family councils to protect the well-being and rights
of residents;
(xiii) provide
leadership to statewide systems advocacy efforts of the office of the state
long-term care ombudsman on behalf of long-term care facility residents,
including coordination of systems advocacy efforts carried out by
representatives of the office of the state long-term care ombudsman;
(xiv) in accordance with applicable state
contracting procedures, coordinate with the state office for the aging in the
review and approval of plans or contracts governing local ombudsman entity
operations;
(xv) carry out such
other activities as the director of the state office for the aging determines
to be appropriate pursuant to the federal older americans act
19651 and other applicable federal and state laws
and related regulations as may, from time to time, be amended; and
(xvi) provide the director of the state
office for the aging with notice consisting of two business days prior to
performing the activities identified in paragraphs (iv), (vi), and (ix) of this
subsection. Such notice shall not give the director of the state office for the
aging or any other state official the right to pre-approve positions or
communications of the state ombudsman.
(5) The state ombudsman, with the approval of
the director of the state office for the aging, may appoint one or more
assistant state long-term care ombudsman to assist the state ombudsman in the
performance of his or her duties under this section. Such assistant state
ombudsmen must be verified as having completed a certification training program
developed by the state ombudsman program within six (6) months of their
appointment as assistant state ombudsmen.
(6) The state ombudsman may appoint as
ombudsmen individuals who have been screened for conflicts of interest and
verified as completing the certification training program developed by the
state ombudsman. In addition, the state long-term care ombudsman may refuse,
suspend, or remove such appointments of ombudsmen.
(7) All files, records, and other information
of the long-term care ombudsman program, including information maintained by
local ombudsman entities pertaining to the cases and activities of the program
are the property of the office of the state long-term care ombudsman. Such
files, records, and information may be disclosed only at the discretion of the
state ombudsman or designee of the state ombudsman for such purpose and in
accordance with the criteria developed by the state ombudsman.