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Committee holds residential care administrators rule rewrite for committee follow-up; board in six-figure deficit

2766252 · January 22, 2025
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Summary

The committee held Docket 24-1901-2401 (residential care facility administrators) for further information on the board’s finances and a plan to return to a positive cash balance; the board reported a negative cash balance of $109,271.24 and said consolidation and fee changes are being considered.

The Idaho House Health and Welfare Committee voted to hold for further review the pending rules rewrite for the Idaho Board of Examiners of Residential Care Facility Administrators (Docket 24-1901-2401) and set a time certain for the committee to revisit the matter. Presenters and committee members discussed rule changes, continuing-education alignments and a sizable board deficit.

Cecily Metcalfe, Board Services Program Manager for the Division of Occupational and Professional Licenses and executive officer for the Residential Care Facility Administrators board, summarized the rewrite as a 0-based regulation reorganization that condensed and simplified qualifications, removed the jurisprudence exam where inconsistent with statute and aligned continuing education with biennial renewal. "Substantive changes include updating the continuing education cycle to align with biennial renewal, accepting basic first aid, CPR, medical assistance and fire safety courses for continuing education," Metcalfe said.

The committee focused on the board’s finances. Representative Redmond asked about cash; Metcalfe reported, "The cash balance for this board as of September 30 is negative $109,271.24." Representatives asked whether consolidation would occur; Metcalfe confirmed the board is one slated for consolidation under pending legislation, which would combine two five-member boards into a single five-member board.

Committee members pressed for an action plan to remedy the deficit. Metcalfe said the division is considering fee increases allowed by statute, operational efficiencies from consolidation and other measures; she said the proposed fee changes in the pending rule would move the board’s cash balance from a projected negative position to about 31% of the five-year rolling average of expenditures by the end of fiscal year 2028. "With these fee changes in the pending rule, this puts the board at 31% by the end of fiscal year 28," she said.

Representative Vandewaag moved to hold the docket pending receipt of a plan; Representative McCann later offered an amended substitute motion to hold the docket until March 15 to give staff time to produce additional information. After further discussion the committee adopted an amended substitute motion to hold the docket until February 12; the motion carried on a voice vote. Committee members instructed staff to prioritize producing a written plan showing how the board will return to a positive cash balance and to share historical financial information explaining how the deficit developed.

The rules themselves remove duplicative statutory language, specify continuing-education content and clarify licensure pathways; fees in the pending rule were increased to align with statutory authority and the division’s cash-balance target. Committee members said they would expect to revisit the docket prior to the end of the session and monitor any consolidation legislation and fee proposals.