The Ohio Caregiving Act (CARE Act): Empowering Hospital Discharge
The Ohio Caregiving Act is a significant law for family caregivers, particularly those assisting individuals over 55. This act requires hospitals to involve a designated lay caregiver in the discharge planning process and provide necessary training. The goal is to better prepare caregivers for providing care at home and potentially reduce hospital re-admissions.
Key Provisions of the Ohio Caregiving Act
The CARE Act includes several important requirements for hospitals:
- Hospitals must offer patients aged 55 or older the chance to designate a lay caregiver and document this in their medical records.
- Hospitals must inform the designated caregiver when the patient is scheduled for discharge or transfer.
- Before discharge, hospitals are required to provide the designated caregiver with instructions and a demonstration of any medical tasks they will need to perform at home.
Designating a lay caregiver does not impact a Health Care Power of Attorney and does not create a legal obligation for the caregiver to provide care.
The Compassionate Caregivers Act: Assuring Visitation Rights
Passed during the COVID-19 pandemic, the Compassionate Caregivers Act (H.B. 120) addresses visitation in long-term care facilities during public health emergencies. It ensures that compassionate caregivers can maintain in-person contact with residents.
Rules for Compassionate Caregiver Visitation
This act includes provisions such as:
- Permitting compassionate caregiver visitation in long-term care facilities during public health emergencies.
- Defining 'compassionate care' to include situations beyond end-of-life, such as emotional distress or the need for encouragement from a loved one.
- Requiring facilities to have a visitation policy for compassionate care visits.
- Requiring caregivers to follow health and safety rules, including potential screening and PPE use.
Understanding Other Relevant Ohio Caregiver Laws
Ohio has other laws affecting different types of caregivers, including kinship caregivers and those assisting with medical marijuana.
Kinship and Grandparent Caregiver Rights
Ohio law offers options for grandparents and relatives raising children to gain temporary authority for care and decision-making.
- Caretaker Authorization Affidavit (CTA): Grandparents can use this affidavit to gain authority for a grandchild's care, education, and medical treatment when parents are unavailable. A parent's decision can override the CTA unless it would harm the child.
- Legal Custody and Guardianship: These are more formal court-ordered arrangements providing broader rights and responsibilities.
Medical Marijuana Caregiver Regulations
Ohio's medical marijuana program has specific rules for designated caregivers.
- Caregivers must be Ohio residents, at least 21 years old (with exceptions), and natural persons.
- A caregiver can serve a maximum of two patients and cannot be compensated beyond reasonable expenses.
Proposed Financial Support for Caregivers
Proposed legislation, the "Caregiver Expenses Tax Credit Act," aims to provide tax credits for out-of-pocket caregiver expenses, though it is not currently law.
Comparison of Major Ohio Caregiver Acts
| Feature | Ohio Caregiving Act (CARE Act) | Compassionate Caregivers Act | Kinship Caretaker Authorization Affidavit |
|---|---|---|---|
| Purpose | To involve designated caregivers in hospital discharge planning and training. | To ensure visitation rights in long-term care facilities during public health emergencies. | To grant temporary medical and educational decision-making authority to grandparents. |
| Applies to | Patients 55+ and their designated lay caregivers during hospitalization. | Residents of long-term care facilities and their compassionate caregivers during a state of emergency. | Grandparents and their minor grandchildren when parents are unavailable or consent. |
| Key Action | Requires hospitals to designate, inform, and train the caregiver. | Requires facilities to allow in-person visits under specific safety conditions. | Grants authority for consent to medical, psychological, and dental treatment, as well as school enrollment. |
| Legal Document | Patient designation in medical records. | Not a standalone document; visitation policy is based on the law. | Notarized affidavit signed by the grandparent. |
| Triggering Event | Hospital admission and discharge. | Public health emergency declared by the state. | Inability to contact or obtain consent from parents. |
Resources for Ohio Caregivers
Ohio offers various resources for caregivers. The Ohio Department of Aging provides programs and information, often through the National Family Caregiver Support Program. Local Area Agencies on Aging (AAAs), like the Central Ohio AAA, offer workshops, support groups, and respite care. Pro Seniors, Inc. offers free legal advice to older adults. An official state resource is the caregiver support website: ohio.gov/residents/resources/caregiver-support.
Conclusion
Understanding what is the caregiver act in Ohio is vital for those caring for loved ones. Key laws like the Ohio Caregiving Act and the Compassionate Caregivers Act provide specific protections regarding hospital discharge and long-term care visitation. Coupled with laws for kinship and medical marijuana caregivers, these acts form a network of support and regulation. Staying informed helps caregivers advocate for themselves and those in their care.