2021 Kentucky Revised Statutes Chapter 222 - Kentucky alcohol and other drug abuse prevention, intervention, and treatment law 222.231 Licensing of treatment programs -- Administrative regulations regarding standards -- Revocation or suspension -- Emergency order -- Inspection by cabinet.
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222.231 Licensing of treatment programs -- Administrative regulations regarding
standards -- Revocation or suspension -- Emergency order -- Inspection by
cabinet.
(1)
(2)
(3)
(4)
(5)
(6)
The cabinet shall issue for a term of one (1) year, and may renew for like terms, a
license, subject to revocation by it for cause, to any persons, other than a substance
use disorder program that has been issued a license by the cabinet entitled
"Chemical Dependency Treatment Services" pursuant to KRS 216B.042 or a
department, agency, or institution of the federal government, deemed by it to be
responsible and suitable to establish and maintain a program and to meet applicable
licensure standards and requirements.
The cabinet shall promulgate administrative regulations pursuant to KRS Chapter
13A establishing requirements and standards for licensing agencies and approving
programs. The requirements and standards shall include:
(a) The health and safety standards to be met by a facility housing a program;
(b) Patient care standards and minimum operating, training, and maintenance of
patient records standards;
(c) Licensing fees, application, renewal and revocation procedures, and the
procedures for evaluation of the substance use disorder programs; and
(d) Classification of substance use disorder programs according to type, range of
services, and level of care provided.
The cabinet may establish different requirements and standards for different kinds
of programs, and may impose stricter requirements and standards in contracts with
agencies made pursuant to KRS 222.221.
Each agency shall be individually licensed or approved.
Each agency shall file with the cabinet from time to time, the data, statistics,
schedules, or information the cabinet may reasonably require for the purposes of
this section.
(a) The cabinet shall have authority to deny, revoke, or modify a license in any
case in which it finds that there has been a substantial failure to comply with
the provisions of this chapter or the administrative regulations promulgated
thereunder. The denial, revocation, or modification shall be effected by
providing to the applicant or licensee, by certified mail or other method of
delivery, which may include electronic service, a notice setting forth the
particular reasons for the action. The denial, revocation, or modification shall
become final and conclusive thirty (30) days after notice is given, unless the
applicant or licensee, within this thirty (30) day period, files a request in
writing for a hearing before the cabinet.
(b) If the cabinet has probable cause to believe that there is an immediate threat to
public health, safety, or welfare, the cabinet may issue an emergency order to
suspend the license. The emergency order to suspend the license shall be
provided to the licensee, by certified mail or other method delivery, which
may include electronic service, a notice setting forth the particular reasons for
the action.
(7)
Any person required to comply with an emergency order issued under subsection (6)
of this section may request an emergency hearing within five (5) calendar days of
receipt of the notice to determine the propriety of the order. The cabinet shall
conduct an emergency hearing within ten (10) working days of the request for a
hearing. Within five (5) working days of completion of the hearing, the cabinet's
hearing officer shall render a written decision affirming, modifying, or revoking the
emergency order. The emergency order shall be affirmed if there is substantial
evidence of a violation of law that constitutes an immediate danger to public health,
safety, or welfare. The decision rendered by the hearing officer shall be a final order
of the cabinet on the matter, and any party aggrieved by the decision may appeal to
the Franklin Circuit Court.
(8) If the cabinet issues an emergency order, the cabinet shall take action to revoke the
facility's license if:
(a) The facility fails to submit a written request for an emergency hearing within
five (5) calendar days of receipt of the notice; or
(b) The decision rendered under subsection (7) of this section affirms that there is
substantial evidence of an immediate danger to public health, safety, or
welfare.
(9) (a) The cabinet, after holding a hearing conducted by a hearing officer appointed
by the secretary and conducted in accordance with KRS Chapter 13B, may
refuse to grant, suspend, revoke, limit, or restrict the applicability of or refuse
to renew any agency license or approval of programs for any failure to meet
the requirements of its administrative regulations or standards concerning a
licensed agency and its program.
(b) Within five (5) working days of completion of a hearing on an emergency
suspension or within thirty (30) calendar days from the conclusion of a
hearing on the denial, revocation or modification of a license, the findings and
recommendations of the hearing officer shall be transmitted to the cabinet,
with a synopsis of the evidence contained in the record and a statement of the
basis of the hearing officer's findings.
(c) A petition for judicial review shall be made to the Franklin Circuit Court in
accordance with KRS Chapter 13B.
(10) No person, excepting a substance use disorder program that has been issued a
license by the cabinet entitled "Chemical Dependency Treatment Services" pursuant
to KRS 216B.042 or a department, agency, or institution of the federal government,
shall operate a program without a license pursuant to this section.
(11) Each program operated by a licensed agency shall be subject to visitation and
inspection by the cabinet and the cabinet shall inspect each agency prior to granting
a license. The cabinet shall inspect each nonaccredited agency at least annually
thereafter. If an agency is fully accredited by the Joint Commission, Commission on
Accreditation of Rehabilitation Facilities, Council on Accreditation, or other
nationally recognized accrediting organization with comparable standards, the
cabinet shall inspect the agency at least every two (2) years. The cabinet may
examine the books and accounts of any program if it deems the examination
necessary for the purposes of this section.
(12) The director may require agencies that contract with the Commonwealth pursuant to
KRS 222.221 to admit as an inpatient or outpatient any person to be afforded
treatment pursuant to this chapter, subject to service and bed availability and
medical necessity.
(13) The cabinet shall promulgate administrative regulations pursuant to KRS Chapter
13A governing the extent to which programs may be required to treat any person on
an inpatient or outpatient basis pursuant to this chapter, except that no licensed
hospital with an emergency service shall refuse any person suffering from acute
alcohol or other drug intoxication or severe withdrawal syndrome from emergency
medical care.
(14) All narcotic treatment programs shall be licensed under this section prior to
operation. The cabinet shall promulgate administrative regulations pursuant to KRS
Chapter 13A to establish additional standards of operation for narcotic treatment
programs. The administrative regulations shall include minimum requirements in
the following areas:
(a) Compliance with relevant local ordinances and zoning requirements;
(b) Submission of a plan of operation;
(c) Criminal records checks for employees of the narcotic treatment program;
(d) Conditions under which clients are permitted to take home doses of
medications;
(e) Drug screening requirements;
(f) Quality assurance procedures;
(g) Program director requirements;
(h) Qualifications for the medical director for a narcotic treatment program, who
at a minimum shall:
1.
Be a board-eligible psychiatrist licensed to practice in Kentucky and
have three (3) years' documented experience in the provision of services
to individuals with a substance use disorder; or
2.
Be a physician licensed to practice in Kentucky and be board certified as
an addiction medicine specialist;
(i) Security and control of narcotics and medications;
(j) Program admissions standards;
(k) Treatment protocols;
(l) Treatment compliance requirements for program clients;
(m) Rights of clients; and
(n) Monitoring of narcotic treatment programs by the cabinet.
Effective: July 15, 2020
History: Amended 2020 Ky. Acts ch. 36, sec. 38, effective July 15, 2020. -- Amended
2019 Ky. Acts ch. 128, sec. 13, effective June 27, 2019. -- Amended 2012 Ky. Acts
ch. 146, sec. 110, effective July 12, 2012. -- Amended 2004 Ky. Acts ch. 116, sec.
12, effective July 13, 2004. -- Amended 1996 Ky. Acts ch. 242, sec. 2, effective July
15, 1996; and ch. 318, sec. 135, effective July 15, 1996. -- Created 1994 Ky. Acts ch.
334, sec. 4, effective July 15, 1994.
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