Resolve, Directing the Nursing Home Administrators Licensing Board To Amend Its Rules To Permit Certain Registered Nurses To Serve as Administrators of Nursing Facilities and To Change Provisions Governing Continuing Education Requirements
Maine Legislature, Session 126, LD 0555
Committee Amendment CA_A_H241 (House)
Committee: Labor, Commerce, Research and Economic Development

COMMITTEE AMENDMENT" ft, to H.P. 374, L.D. 555, "Resolve, Directing the 
Nursing Home Administrators Licensing Board To Amend Its Rules To Permit Certain 
Registered Nurses To Serve as Administrators of Nursing Facilities and To Change 
Provisions Governing Continuing Education Requirements" 
Amend the resolve by striking out the title and substituting the following: 
'Resolve, Directing the Commissioner of Professional and Financial Regulation To 
Convene a Working Group To Consider Reforms of the Practices ofthe Nursing 
Home Administrators Licensing Board' 
Amend the resolve by striking out everything after the title and before the summary 
and inserting the following: 
'Sec. 1. Nursing Home Administrators Licensing Board working group. 
Resolved: 
That the Commissioner of Professional and Financial Regulation shall 
convene a working group to consider reforms of the practices of the Nursing Home 
Administrators Licensing Board, as established in the Maine Revised Statutes, Title 5, 
section 12004-A, subsection 23 and referred to in this resolve as "the board," regarding 
the licensure of nursing home administrators and report on any recommended legislation 
or proposed rules to the Joint Standing Committee on Labor, Commerce, Research and 
Economic Development. The working group must include at least 2 licensed nursing 
home administrators and must include representatives of the board, the Maine Health 
Care Association, the Maine chapter of the American College of Health Care 
Administrators, the State's long-term care ombudsman program under Title 22, section 
5106, subsection 11-C, the division of licensing and regulatory services within the 
Department of Health and Human Services and any other affected parties or interest 
groups identified by the commissioner; and be it further 
Sec. 2. Reform objectives. Resolved: 
That the working group convened 
pursuant to section 1 shall consider how to accomplish the following reform objectives, 
including consideration of amendments to the board's rules if necessary to achieve these 
objectives, and the recommendation of enabling legislation if any is required. 
COMMITTEE AMENDMENT 
COMMITTEE AMENDMENT "Ii" to H.P. 374, L.D. 555 
1. The working group shall consider the refonns necessary to allow a person with 
substantial experience at a licensed nursing facility, including but not limited to 
experience as a director of nursing or a director of clinical services, the opportunity to 
obtain a license as a nursing home administrator, if that person is pursuing a course of 
action to fulfill the educational requirements established by the board and has fulfilled all 
other applicable requirements for licensure established by the board, including without 
limitation a satisfactory score on the licensing examination and satisfactory completion of 
the administrator-in-training program; and 
2. With regard to the board's administration of continuing education requirements, the 
working group shall consider the refonns necessary: 
A. 
To allow licensed nursing home administrators to obtain as many continuing 
education credits as are offered at a conference or program of education with no limit 
on the total number of hours of course work actually completed as long as each hour 
has been approved for credit in accordance with the board's process for administering 
continuing education credits; 
B. 
To ensure that the board provides detenninations regarding the approval and 
allowability of continuing education credits within a reasonable time after the 
submission of a request by a licensed nursing home administrator; 
C. 
To allow an opportunity for board approval of online seminars for continuing 
education credits; and 
D. 
To allow a licensed nursing home administrator who is denied approval of 
continuing education credits by board staff to seek review of the denial by the board; 
and be it further 
Sec. 3. Report of working group. Resolved: That the Commissioner of 
Professional and Financial Regulation shall convene the working group as soon as 
possible in order to provide a final report by November 30, 2013 to the Joint Standing 
Committee on Labor, Commerce, Research and Economic Development that summarizes 
the findings and recommendations of the working group. The Joint Standing Committee 
on Labor, Commerce, Research and Economic Development is authorized to introduce a 
bill in the Second Regular Session of the 126th Legislature concerning the objectives, 
findings and recommendations of the working group.' 
SUMMARY 
This amendment replaces the resolve. It requires the Commissioner of Professional 
and Financial Regulation to establish a working group to consider reforms of the Nursing 
Home Administrators Licensing Board's practices regarding the licensure of nursing 
home administrators and administration of continuing education requirements and report 
its findings to the Joint Standing Committee on Labor, Commerce, Research and 
Economic Development. 
It also enables the committee to introduce legislation in the 
recommendations ofthe working group. 
FISCAL NOTE REQlJlRED 
. . (See attache~). 
COMMITTEE AMENDMENT 
Approved: 05123/13 frac. 
LD555 
LR979(02) 
Resolve, Directing the Nursing Home Administrators Licensing Board To Amend Its Rules To Permit 
Certain Registered Nurses To Serve as Administrators of Nursing Facilities and To Change Provisions 
Governing Continuing Education Requirements 
Fiscal Note for Bill as Amended by Committee Amendment~' (f/-d.lfl 
Committee: Labor, Commerce, Research and Economic Development 
Fiscal Note Required: Yes 
Fiscal Note 
Minor cost increase - Other Special Revenue Funds 
Fiscal Detail and Notes 
Additional costs to the Department of Professional and Financial Regulation associated with establishing the required 
workgroup to consider reforms of the Nursing Home Administrators Licensing Board's practices regarding the 
licensure of nursing home administrators and issuing the required report can be absorbed within existing budgeted 
resources. 
LR0979(02) - Fiscal Note - Page 1 of 1