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Senior Citizen Politics

Bill to Stop Nursing Homes from Forcing Mandatory Arbitration Gets Senate Hearing

Sen. Kohl brings aging committee and judiciary subcommittee together on his bill

   
 

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June 19, 2008 - Senator Herb Kohl (D-WI) yesterday chaired a joint hearing on S. 2838, the Fairness in Nursing Home Arbitration Act of 2008, which is aimed at preventing nursing homes from forcing new patients to sign contracts agreeing to mandatory arbitration in the event of any disputes. He is chairman of both senate panels.

 

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The legislation, introduced in April by Kohl and Senator Mel Martinez (R-FL), is a narrowly targeted measure that would protect nursing home residents, one of our nation’s most vulnerable populations, from losing the right to hold long-term care facilities accountable in court for negligent and abusive care, according to a statement from Kohl.

Currently, many facilities require residents or their responsible family members to sign contracts that include pre-dispute mandatory arbitration agreements, meaning that any dispute between the resident and the facility will automatically be subject to arbitration.

By agreeing to the contract before a dispute ever arises, they are unwittingly signing away their constitutional right to have their case heard by an impartial judge or jury, Kohl says.

Additionally, arbitration agreements require that all parts of the legal process remain confidential. As a result, long-term care facilities are often not held publicly accountable for their substandard care.

Kohl is Chairman of both the Judiciary Subcommittee on Antitrust, Competition and Consumer Rights and the Special Committee on Aging.

Following is a list of those who testified. Click the names to read their presentations.

  ● David Kurth, Burlington, WI
  ● Alison Hirschel, President, National Citizen's Coalition for Nursing Home Reform, East Lansing, MI
  ● Kelley C. Rice-Schild, CNHA, Executive Director, Floridean Nursing and Rehabilitation Center, Miami, FL
  ● Ken Connor, Esq., Wilkes and McHugh, PA, Washington, DC
  ● Stephen J. Ware, Professor of Law, University of Kansas

Below are reports from earlier today and yesterday by KaiserNetwork.org on this hearing.

Joint Hearing on Nursing Home Bill

 

Daily Reports

KaiserNetwork.org

 

The Senate Judiciary Committee Antitrust, Competition Policy and Consumer Rights Subcommittee and the Senate Special Committee on Aging on Wednesday held a joint hearing that focused on a bill (S 2838) under which nursing homes could not require new patients to agree to settle any quality-of-care disputes through arbitration.

During the hearing, Aging Committee Chair Herb Kohl (D-Wis.) said that "we must protect the right of those who receive inadequate care to hold poor-performing facilities publicly accountable." Bill sponsor Mel Martinez (R-Fla.) said that such arbitration requirements are "removing the one incentive the industry has to self-regulate."

A nursing home industry representative said that such arbitration requirements help reduce liability costs for the facilities, as well as the time required to settle quality-of-care disputes. Sen. Orrin Hatch (R-Utah) said that a ban on such arbitration requirements would increase liability costs for nursing homes and force many of the facilities to close (Reichard, CQ HealthBeat, 6/19).

Editor’s Note: The following was reported yesterday on the nursing home bill

Lawmakers Push for Legislation That Would Make Binding Arbitration Agreements at Nursing Homes Unenforceable [Jun 18, 2008]

Several Senate lawmakers are pushing legislation that would make binding arbitration agreements by nursing homes unenforceable, the AP/San Francisco Chronicle reports. Nursing homes say that arbitration agreements are voluntary and typically offer a quicker, less costly way than court to settle legal disputes. Bruce Yarwood, president of the American Health Care Association, said that arbitration "is something that's a lot more fair" because the court structure is "not necessarily an unbiased structure," as juries are inclined to hold nursing homes responsible for injuries regardless if they are actually at fault.

However, Senate Aging Committee Chair Herb Kohl (D-Wis.) said, "Many incoming residents lack the capacity to make even simple decisions, much less judge the legal significance of an arbitration agreement."

Legislation sponsored by Sen. Mel Martinez (R-Fla.), supported by AARP and the Alzheimer's Association, would make arbitration agreements for nursing home patients unenforceable. According to the committee, more than 100 lawsuits have been filed in the last five years challenging such agreements.

The committee will hear testimony on Wednesday from a family who tried to file a lawsuit against a nursing home alleging that negligent care led to a family member's death. The case was dismissed because the wife of the patient had signed an arbitration agreement as a condition of his admission.

Stephen Ware, a law professor at the University of Kansas, in written testimony urged lawmakers not to ban arbitration for nursing homes, noting that the Federal Arbitration Act in some cases allows courts to invalidate unconscionable arbitration agreements. "And this is not just a theoretical protection," Ware wrote. "Each year, there are many cases in which courts hold particular arbitration agreements unconscionable. Among these are cases involving nursing homes."

Lawmakers are not looking to ban arbitration as an option to settle disputes with nursing homes, Kohl said, but rather they want to mandate that a decision to enter arbitration be made by both parties after a dispute occurs (Freking, AP/San Francisco Chronicle, 6/17).

 

"Reprinted with permission from kaisernetwork.org You can view the entire Kaiser Daily Health Policy Report, search the archives, and sign up for email delivery at www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation. © 2006 Advisory Board Company and Kaiser Family Foundation. All rights reserved.”

 

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