This is in spot 6 tomorrow on the Senate Side.   This is the famous bill were the Board did not approve the Governor’s recommendation, and he replaced them,  getting the vote he needed.

This bill is solely to allow an Alabama firm to come into Delaware and perform health care and be the exception that never gets licensed, never gets inspected, and never gets a citation.   If this wasn’t America, and the building wasn’t in Middletown just under the flight path of Summit Airport, with the tiniest bit of imagination, this could be a concentration camp and we’d never know.  A place to take kidnapped school board officials, kidnapped in the dead of night, feed them truth serum then throw their bodies into the Appoquinimink marsh.

it is extremely bizarre, really.  The company is legit in Alabama, they own rehabilitation homes down there,  but if this were new with no track record,  I would almost think it were to become the top secret detention center.   Now I’m joking for those who can’t tell the difference, but that joke is brought on by these lines in the bill.  …   HB 89.

In definitions….

(4) “Health care facility” shall include hospital, nursing home, freestanding birthing center, freestanding surgical center and freestanding emergency center, whether or not licensed or required to be licensed by the State, whether operated for profit or nonprofit and whether privately owned or operated or owned or operated by a unit of State or local government. The term also includes continual care communities and any other nontraditional, long-term care facilities identified by the Department of Health and Social Services or the Delaware Health Care Commission. …………. The term also shall not include any freestanding inpatient rehabilitation hospital. 

What?  WHat!  WHAT?

If this bill passes a freestanding inpatient hospital is not a medical facility… 

If it is not a hospital, then what is it…. (here is the fun part…)

c. “Freestanding inpatient rehabilitation hospital” shall mean a facility that satisfies, or is expected by the person who will construct, develop or establish the facility to satisfy, the requirements of 42 C.F.R. § 412.23(b); provided that, if such facility is not paid under the prospective payment system specified in 42 C.F.R. § 412.1(a)(3) within 24 months after accepting its first patient, then it shall not be considered a freestanding inpatient rehabilitation hospital under this section. No freestanding inpatient rehabilitation hospital is subject to the Certificate of Review process, and thus no such hospital shall have any license or authority to operate denied, revoked or restricted on the grounds that a Certificate of Public Review has not been obtained.

This bill allows the Alabama firm to build a facility with no inspections, and if found they are killing patients to feed to other patients, their authority to operate still cannot be denied, revoked or restricted….

Is this wise?

Delaware is being held hostage. The firm is stating that they won’t come unless they can get no inspections and no state agency can shut them down.  Quentin Johnson and  Jack Markell want the business so much, they are catering to this one companies demands.

Meanwhile all other IRF’s get inspected,  injected, detected, neglected, and all kinds of stuff that they gotta do….

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