68th OREGON LEGISLATIVE ASSEMBLY--1995 Regular Session NOTE: Matter within { + braces and plus signs + } in an amended section is new. Matter within { - braces and minus signs - } is existing law to be omitted. New sections are within { + braces and plus signs + } . LC 1438 B-Engrossed House Bill 2345 Ordered by the Senate May 25 Including House Amendments dated April 25 and Senate Amendments dated May 25 Sponsored by Representative MANNIX SUMMARY The following summary is not prepared by the sponsors of the measure and is not a part of the body thereof subject to consideration by the Legislative Assembly. It is an editor's brief statement of the essential features of the measure. Creates lien for long term care facilities. Defines terms. Provides for lien for amount of unpaid contracted costs of care plus interest in favor of long term care facility. Specifies contents of notice of lien. Provides procedure for claiming and foreclosing lien. { + Provides procedure for filing certificate that notice of lien is discharged. + } A BILL FOR AN ACT Relating to liens for services provided by long term care facilities. Be It Enacted by the People of the State of Oregon: **************************** SECTION 1. { + As used in this Act, unless the context requires otherwise: (1) 'Authorized representative' means a person appointed under authority of ORS 126.103 or 126.157 as a guardian or conservator of an individual and any other person holding funds or receiving benefits or income on behalf of an individual. (2) 'Care' means all the services rendered in a long term care facility, including but not limited to medical care, room and board, nursing care, administrative costs, supplies, equipment and ancillary services such as therapies. (3) 'Decedent' means an individual who has died leaving property that is subject to administration. (4) 'Decedent's estate' means the real and personal property of a decedent, as from time to time changed in form by sale, reinvestment or otherwise, and augmented by any accretions or additions thereto and substitutions therefor or diminished by any decreases and distributions therefrom. The term does not include assets placed in trust for the decedent by other persons. (5) 'Long term care facility' means facilities licensed as skilled nursing facilities, as defined in ORS 442.015, and residential care facilities and adult foster homes licensed under ORS chapter 443. (6) 'Personal estate' means all the real and personal property of a living individual. The term includes real and personal property held by an authorized representative of an individual and all real and personal property held by any other person on behalf of an individual. (7) 'Personal property' includes any object or item, other than real property, that by itself is valued at more than $2,000 and for which a certificate of title is required by the laws of this state. + } **************************** SECTION 2. { + (1) When an individual receives care at a long term care facility under a written contract that does not violate state or federal law, the individual receiving the care, the personal estate of that individual or the decedent's estate of that individual is liable for the contracted costs of care. The individual receiving care and any authorized representative shall be given an itemized statement of goods and services provided as each payment becomes due. If the individual or an authorized representative of that individual refuses to pay for the costs of care, the unpaid amount plus interest shall be a lien in favor of the long term care facility. The lien shall arise as each payment becomes due and shall continue until the liability is satisfied. The lien shall attach to the title to and interest in the real and personal property of the personal estate of the individual receiving care. (2) Upon the death of an individual receiving care at a long term care facility, the decedent's estate of that individual is liable for any unpaid contracted costs of care. The unpaid amount plus interest shall be a lien in favor of the long term care facility. Collection of any amount from a decedent's estate shall be made in accordance with ORS chapter 115 and with the same priorities as provided in ORS 115.125. The cost of care may be included with the medical and hospital expenses of the last illness as set forth in ORS 115.125 (1)(e). If the cost of care does not qualify as medical and hospital expenses of the last illness, the cost of care shall have the same priority under ORS 115.125 as all other claims against the decedent's estate. (3) At the time of signing a written contract for care at the facility, a long term care facility shall provide to the individual who will receive care under the contract or to the authorized representative of the individual a written statement describing the provisions of this Act and the procedures, process and rights and responsibilities of the individual receiving care and the long term care facility under this Act. Notwithstanding sections 3 and 6 of this Act, if a long term care facility does not provide such written statement as required by this subsection to an individual or an authorized representative, the lien created by this section for the contracted costs of care provided to the individual may not be perfected and may not be foreclosed. (4) Notwithstanding section 1 (6) of this Act and subsection (1) of this section, real and personal property held in trust by a trustee for an individual receiving care are subject to the laws of this state applicable to trusts. + } **************************** SECTION 3. { + (1) In order to perfect a lien created by section 2 of this Act, a long term care facility shall: (a) File a notice of lien with the recording officer of the county in which the individual who received care from the long term care facility resides; and (b) Serve a certified copy of the notice of lien by registered or certified mail upon the individual or the authorized representative of the individual. (2) A person claiming a lien under this Act shall perfect the lien no sooner than 60 days or later than 120 days after the date on which payment becomes due. + } **************************** SECTION 4. { + The notice of lien required under section 3 of this Act shall be a written statement verified by the oath of an officer of the long term care facility that asserts a claim for the lien and that contains: (1) A true statement of demand, after deducting all credits and offsets; (2) The name of the individual who received care; (3) An itemized statement of services provided; (4) A statement that the amount claimed is a true and bona fide existing debt as of the date of filing the notice of lien; (5) The date on which payment for services provided by the long term care facility is due; and (6) A statement that the individual or an authorized representative has been informed in writing of the requirements and procedures for establishing eligibility for Medicaid, including the right to an assessment that determines the extent of spouses' nonexempt resources at the time of institutionalization and attributes to the community spouse an equitable share of the resources that can not be considered available for payment of costs for the medical care of the institutionalized spouse in the process of spending down to Medicaid eligibility levels. + } **************************** SECTION 5. { + The recording officer of the county shall record the notices filed under section 3 of this Act in an appropriate lien docket. + } **************************** SECTION 6. { + A lien created by section 2 of this Act may be foreclosed by an action in the district or circuit court in accordance with ORS chapter 88. In a suit to foreclose a lien created by section 2 of this Act, the court, upon entering judgment for the lien claimant, shall allow as part of the lien the moneys paid for the recording of the notice of lien under section 5 of this Act. The court shall also allow reasonable attorney fees at trial and on appeal to the prevailing party. + } **************************** SECTION 7. { + Notwithstanding section 2 (1) and (2) of this Act: (1) A lien created by section 2 of this Act on the home of a living individual who received care may not be foreclosed for as long as any of the following individuals reside in the home: (a) The individual who received care. (b) The spouse of the individual. (c) A minor or disabled child of the individual. (d) A sibling of the individual who has an equity interest in the home, but only when the sibling continuously resided in the home during the calendar year immediately preceding the date on which the individual first received care. (e) Any other child of the individual, but only when the child continuously resided in the home during the two-year period immediately preceding the date on which the individual first received care and provided assistance during that period that delayed the need for care. (2) A lien created by section 2 of this Act on the home of a deceased individual who received care may not be foreclosed for as long as any of the following individuals reside in the home: (a) The surviving spouse of the individual. (b) A minor or disabled child of the individual. (c) A sibling of the individual, but only when the sibling continuously resided in the home during the calendar year immediately preceding the date on which the individual first received care. (d) Any other child of the individual, but only when the child continuously resided in the home during the two-year period immediately preceding the date on which the individual first received care and provided assistance during that period that delayed the need for care. (3) A lien created by section 2 of this Act on other real property of a deceased individual may not be foreclosed while there is a surviving spouse or minor or disabled children of the individual. + } **************************** SECTION 8. { + A lien created by section 2 of this Act shall not be enforced so as to interfere with: (1) Any assets or income allowed to the community spouse or dependent family member under 42 U.S.C. �1396r-5(d) or any rule of the Department of Human Resources. (2) The priority given to the recovery of medical assistance payments under ORS 115.125 (1)(h) or other medical assistance claims under ORS 414.105 (2) and (3). (3) The eligibility of a person for medical assistance or entitlement to Medicaid assistance payments. + } **************************** SECTION 9. { + (1) Except as provided in subsection (2) of this section, if a suit to foreclose a lien created by section 2 of this Act is not commenced in an appropriate court within the 180-day period immediately following the date on which the lien is perfected under section 3 of this Act, the lien shall cease to exist. (2) Any period of time during which a lien created by section 2 of this Act may not be foreclosed under section 7 of this Act shall not be part of the period of time during which the lien exists under subsection (1) of this section. The existence of a lien created by section 2 of this Act shall not be extended in any case for longer than 180 days after a circumstance preventing foreclosure under section 7 of this Act ceases. + } **************************** SECTION 10. { + (1) When a long term care facility receives payment from an individual, an individual's estate, the State of Oregon or any other source for the care claimed in a notice of lien filed under section 3 of this Act, the long term care facility shall file with the recording officer of the county in which the notice of lien was filed a certificate declaring that payment has been received and that the notice of lien is discharged. (2) Within 10 days after being notified that the individual is eligible for Medicaid, the long term care facility shall file with the recording officer of the county in which the notice of lien was filed a certificate releasing the claim of lien upon any property protected under section 8 of this Act. (3) The recording officer of the county shall record the certificate of discharge or release in the appropriate lien docket. (4) If, after receiving payment for the care claimed in a notice of lien filed under section 3 of this Act, a long term care facility fails to discharge the notice of lien or release the claim of lien within 10 days, the long term care facility is liable to the individual or to the spouse or the estate of the individual for the amount of $100 in damages. (5) In all actions brought under this section, the court may allow reasonable attorney fees at trial and on appeal to the prevailing party. + } ----------