COMMENT DUE DATE:
February 1, 2011
DATE:
January 13, 2011
Samantha Galloway, DDSD (405) 521-4989
Dena Thayer, OIRP Programs Administrator (405) 521-4326
Nancy Kelly, OIRP (405) 522-6703
RE:
APA WF 10-13
The proposed policy is Permanent . This proposal will go to the Commission meeting on
Language previously approved under the emergency rulemaking process is highlighted in Turquoise.
CHAPTER 100. DEVELOPMENTAL DISABILITIES SERVICES DIVISION
Subchapter 3. Administration
Part 1. General Administration
OAC 340:100-3-1[AMENDED]
OAC 340:100-3-5 [AMENDED]
Part 3. Operations
OAC 340:100-3-38 [AMENDED]
OAC 340:100-3-38.1 [AMENDED]
OAC 340:100-3-38.2 [AMENDED]
OAC 340:100-3-38.3 [AMENDED]
OAC 340:100-3-38.4 [AMENDED]
OAC 340:100-3-38.5 [AMENDED]
OAC 340:100-3-38.7 [AMENDED]
OAC 340:100-3-38.8 [AMENDED]
OAC 340:100-3-38.10 through 340:100-3-38.13 [AMENDED]
OAC 340:100-3-39 through 340:100-3-40 [AMENDED]
Subchapter 5. Client Services
Part 3. Service Provisions
OAC 340:100-5-22.1 [AMENDED]
OAC 340:100-5-22.6 [AMENDED]
OAC 340:100-5-26.1 [AMENDED]
OAC 340:100-5-32 [AMENDED]
OAC 340:100-5-34 through 340:100-5-35 [ISSUED]
Part 5. Individual Planning
OAC 340:100-5-52 [AMENDED]
Subchapter 6.Group Home Regulations
Part 3.Standards
OAC 340:100-6-12 [AMENDED]
Part 11.Program Standards
OAC 340:100-6-55 [AMENDED]
Subchapter 18. Licensing [NEW]
OAC 340:100-18-1 [NEW]
(Reference APA WFs10-09, 10-13)
SUMMARY:
The proposed revisions to Subchapters 3, 5, 6, and 18of Chapter 100amend the rules to: (1) direct members of the Homeward Bound class to resolve financial eligibility issued within a 90-day period, or receive state-funded services available to other eligible persons; (2) remove the requirement for Form 06MP034E (Guardianship, Advocacy, and Capacity Annual Review) as the information will be required in the Individual Plan or Needs Assessment; (3) establish online training expectations; (4) establish supervised retraining as a course of action following training violations; (5) establish documentation and reporting requirements to substantiate training; (6) add an online option for foundation training, (7) clarify the requirements for individual specific training, job specific training, specialized training, and ongoing training; (8) clarify that any nurse with a current unrestricted license is exempt from training requirements and can administer medications; (9) disallow a temporary employee from working alone or solely with other temporary employees pending the results of the OSBI criminal history records search; (10) remove the requirement of Form 06HM007E (Physical Status Review – PSR); (11) require that contract provider agencies develop a form that certifies that persons accessing information within the home record have been informed and understand the penalties for the misuse of confidential and protected information within the home record, per HB 3323 "Kelley's Law"; (12) allow contract provider agency administration staff to complete monitoring visits; (13) allow unannounced visits to be reduced to one per month when certain criteria are met; (14) allow full-time equivalent experience in a supervisory position for program coordinators; (15) increase program coordinator case loads from 15 to 20 and establish a formula for calculating case loads; (16) reduce the awake staff requirement for alternative group homes, and add the requirement that the alternative group home provider agency have additional staff available in the event of need; (17) remove the requirement that the DDSD area medical director or designee approve the use of p.r.n. medications; (18) change the review of psychotropic medications from semi-annual to annual; (19) direct Teams to provide appropriate information to the prescribing physician when psychotropic medications are believed to be ineffective in treating a psychiatric illness; (20) remove the requirement for Form 06HM063E (Individual Medication Support Plan – IMSP); (21) remove the requirement that the DDSD area medical director or designee approve the use of p.r.n. medications; (22) exempt hospice patients from p.r.n. medication requirements; (23) clarify the disposal requirements for discontinued and expired medications, and the disposal of medications of a deceased service recipient; (24) establish the scope of HTS services in non-residential settings; (25) establish the scope of Prader Willi services; (26) change the summary of progress reporting requirement from monthly to quarterly; (27) remove the requirement for a state fire marshal inspection of group homes every three years, and require that the inspection be dictated by the local or state fire marshal; (28) remove the requirement for an annual plumbing and electrical inspection of group homes; (29) clarify that home visits are to monitor service recipients and to supervise staff; (30) allow monitoring visits be completed by agency administration staff in addition to the program coordinator; (31) allow for a reduction in unannounced visits to one per month, when specific criteria are met; (32) allow for a group home administrator or program coordinator to substitute full-time experience in a supervisory position for a four year any combination college level course work or full-time equivalent experience; and (33) Subchapter 18 of Chapter 100 is issued to comply with Section 1928 of Title 59 of the Oklahoma Statutes to provide for licensing of board certified behavior analysts and certification of board certified assistant behavior analysts.
OAC 340:100-3-1 is amended to direct members of the Homeward Bound class to resolve financial eligibility issued within a 90-day period; or receive state-funded services available to other eligible persons.
OAC 340:100-3-5 is amended to remove the requirement for Form 06MP034E (Guardianship, Advocacy, and Capacity Annual Review) as the information will be required in the Individual Plan or Needs Assessment.
OAC 340:100-3-38 is amended to establish: online training expectations; supervised retraining as a course of action following training violations; and documentation and reporting requirements to substantiate training.
OAC 340:100-3-38.1 is amended to add an online option for foundation training; clarify the requirements for individual specific training, job specific training, specialized training, and ongoing training.
OAC 340:100-3-38.2 is amended to add an online option for foundation training, clarifies the requirements for individual specific training, job specific training, specialized training, and ongoing training.
OAC 340:100-3-38.3 is amended to add an online option for foundation training, clarify the requirements for individual specific training, job specific training, specialized training, and ongoing training.
OAC 340:100-3-38.4 is amended to add an online option for foundation training, clarify the requirements for individual specific training, job specific training, specialized training, and ongoing training.
OAC 340:100-3-38.5 is amended to add an online option for foundation training, clarify the requirements for individual specific training, job specific training, specialized training, and ongoing training.
OAC 340:100-3-38.7 is amended to add an online option for foundation training, and clarify the requirements for individual specific and specialized training.
OAC 340:100-3-38.8 is amended to add an online option for foundation training.
OAC 340:100-3-38.10 is amended to clarify that any nurse with a current unrestricted license is exempt from training requirements and can administer medications.
OAC 340:100-3-38.11 is revoked as training will be tracked via IMS and CDS.
OAC 340:100-3-38.12 is amended to add an online option for foundation training, clarifies the requirements for individual specific and ongoing training.
OAC 340:100-3-38.13 is amended to add an online option for foundation training, clarify the requirements for individual specific training, job specific training, specialized training, and ongoing training.
OAC 340:100-3-39 is amended to disallow a temporary employee from working alone or solely with other temporary employees pending the results of the OSBI criminal history records search.
OAC 340:100-3-40 is amended to remove the requirement of Form 06HM007E (Physical Status Review – PSR;) and require that contract provider agencies develop a form that certifies that persons accessing information within the home record has been informed and understands the penalties for the misuse of confidential and protected information within the home record, per HB 3323 "Kelley's Law".
OAC 340:100-5-22.1 is amended to allow contract provider agency administration staff to complete monitoring visits; allow unannounced visits to be reduced to one per month when certain criteria are met; allow full-time equivalent experience in a supervisory position for program coordinators; and increase the program coordinator case loads from 15 to 20 with a formula for calculating case loads.
OAC 340:100-5-22.6 is amended to reduce the awake staff requirement for alternative group homes, and add the requirement that the agency have additional staff available in the event of need.
OAC 340:100-5-26.1 is amended to remove the requirement that the DDSD area medical director or designee approve the use of p.r.n. medications; change the review of psychotropic medications from semi-annual to annual; and direct the Team to provide appropriate information to the prescribing physician when psychotropic medications are believed to be ineffective in treating a psychiatric illness.
OAC 340:100-5-32 is amended to remove the requirement for Form 06HM063E (Individual Medication Support Plan – IMSP); and remove the requirement that the DDSD area medical director or designee approve the use of p.r.n. medications; exempt hospice patients from p.r.n. medication requirements; and clarify the disposal requirement for discontinued and expired medications, and medications of a deceased service recipient.
OAC 340:100-5-34 is issued to establish the scope of HTS services in non-residential settings.
OAC 340:100-5-35 is issued to establish the scope of Prader Willi services.
OAC 340:100-5-52 is amended to change the summary of progress reporting requirement from monthly to quarterly.
OAC 340:100-6-12 is amended to remove the requirement for a state fire marshal inspection of group homes every three years, and add the requirement that the inspection be dictated by the local or state fire marshal; and remove the requirement for an annual plumbing and electrical inspection.
OAC 340:100-6-55 is amended to clarify that home visits are to monitor service recipients and to supervise staff; allow the monitoring visits to be completed by agency administration staff in addition to the program coordinator; allow for unannounced visits to be reduced to one per month when specific criteria are met; and allow for a group home administrator or program coordinator to substitute full-time experience in a supervisory position for a four year any combination college level course work or full-time equivalent experience.
OAC 340:100-18-1 is issued to provide licensing for board certified behavior analysts and certification of board certified assistant behavior analysts.
PERMANENT RULEMAKING APPROVAL IS REQUESTED.
LEGAL AUTHORITY:
Commission for Human Services, Article XXV, Sections 1, 2, 3, and 4 of the Oklahoma Constitution; Section 1414 of Title 10 of the Oklahoma Statutes (10 O.S. § 1414); Section 1415 of Title 10 of the Oklahoma Statutes (10 O.S. § 1415); Section 1430.1 through 1430.41 of Title 10 of the Oklahoma Statutes (10 O.S. § 1430.1 through 1430.41); Section 7102 of Title 10 of the Oklahoma Statutes (10 O.S. § 7102); Section 888 of Title 21 of the Oklahoma Statutes (21 O.S. § 888); Section 1123 of Title 21 of the Oklahoma Statutes (21 O.S. § 1123); Section 1533.1 of Title 21 of the Oklahoma Statutes (21 O.S. § 1533.1); Section 1175.1 of Title 22 of the Oklahoma Statutes (22 O.S. § 1175.1); Sections 1175.6b and 1175.6bA of Title 22 of the Oklahoma Statutes (22 O.S. § 1175.6b and 1175.6bA); Sections 3-102 through 3-104 of Title 30 of the Oklahoma Statutes (30 O.S. § 3-102 through 3-104); Section 119 of Title 30 of the Oklahoma Statutes (30 O.S. § 119); Sections 10 through 103 of Title 43A of the Oklahoma Statutes (43A O.S. §10-103); Section 192 of Title 56 of the Oklahoma Statutes (56 O.S. § 192); Section 1020 of Title 56 of the Oklahoma Statutes (56 O.S. § 1020); Section 1025.1 of Title 56 of the Oklahoma Statutes (56 O.S. § 1025.1); and Section 1025.3 of Title 56 of the Oklahoma Statutes (56 O.S. § 1025.3); Section 318 of Title 75 of the Oklahoma Statutes (75 O.S. § 318).
| OKLAHOMA DEPARTMENT OF HUMAN SERVICES Rule Impact Statement |
To:Dena Thayer, Programs Administrator
Policy Management Unit
From:James Nicholson
Developmental Disabilities Services Division
Date:November 10, 2010
Re:Subchapter 3. Administration
Part 1. General Administration
OAC 340:100-3-1[AMENDED]
OAC 340:100-3-5 [AMENDED]
Part 3. Operations
OAC 340:100-3-38 through
OAC 340:100-3-38.8 [AMENDED]
OAC 340:100-3-38.10 through 340:100-3-38.13 [AMENDED]
OAC 340:100-3-39 through 340:100-3-40 [AMENDED]
Subchapter 5. Client Services
Part 3. Service Provisions
OAC 340:100-5-22.1 [AMENDED]
OAC 340:100-5-22.6 [AMENDED]
OAC 340:100-5-26.1 [AMENDED]
OAC 340:100-5-32 [AMENDED]
OAC 340:100-5-34 through 340:100-5-35 [ISSUED]
Part 5. Individual Planning
OAC 340:100-5-52 [AMENDED]
Subchapter 6.Group Home Regulations
Part 3.Standards
OAC 340:100-6-12 [AMENDED]
Part 11.Program Standards
OAC 340:100-6-55 [AMENDED]
(Reference APA WF 10-13)
Contact: Samantha Galloway 405-521-4989
A. Brief description of the purpose of the proposed rule:
Purpose.The proposed revisions to Subchapters 3, 5, and 6of Chapter 100 amend the rules to: (1) direct members of the Homeward Bound class to resolve financial eligibility issued within a 90-day period, or receive state-funded services available to other eligible persons; (2) remove the requirement for Form 06MP034E (Guardianship, Advocacy, and Capacity Annual Review) as the information will be required in the Individual Plan or Needs Assessment; (3) establish online training expectations; (4) establish supervised retraining as a course of action following training violations; (5) establish documentation and reporting requirements to substantiate training; (6) add an online option for foundation training, (7) clarify the requirements for individual specific training, job specific training, specialized training, and ongoing training; (8) clarify that any nurse with a current unrestricted license is exempt from training requirements and can administer medications; (9) disallow a temporary employee from working alone or solely with other temporary employees pending the results of the OSBI criminal history records search; (10) remove the requirement of Form 06HM007E (Physical Status Review – PSR;) (11) require that contract provider agencies develop a form that certifies that persons accessing information within the home record have been informed and understand the penalties for the misuse of confidential and protected information within the home record, per HB 3323 "Kelley's Law"; (12) allow contract provider agency administration staff to complete monitoring visits; (13) allow unannounced visits to be reduced to one per month when certain criteria are met; (14) allow full-time equivalent experience in a supervisory position for program coordinators; (15) increase program coordinator case loads from 15 to 20 and establish a formula for calculating case loads; (16) reduce the awake staff requirement for alternative group homes, and add the requirement that the alternative group home provider agency have additional staff available in the event of need; (17) remove the requirement that the DDSD area medical director or designee approve the use of p.r.n. medications, (18) change the review of psychotropic medications from semi-annual to annual; (19) direct Teams to provide appropriate information to the prescribing physician when psychotropic medications are believed to be ineffective in treating a psychiatric illness; (20) remove the requirement for Form 06HM063E (Individual Medication Support Plan – IMSP); (21) remove the requirement that the DDSD area medical director or designee approve the use of p.r.n. medications; (22) exempt hospice patients from p.r.n. medication requirements; (23) clarify the disposal requirements for discontinued and expired medications, and the disposal of medications of a deceased service recipient; (24) establish the scope of HTS services in non-residential settings; (25) establish the scope of Prader Willi services; (26) change the summary of progress reporting requirement from monthly to quarterly; (27) remove the requirement for a state fire marshal inspection of group homes every three years, and require that the inspection be dictated by the local or state fire marshal; (28) remove the requirement for an annual plumbing and electrical inspection of group homes; (29) clarify that home visits are to monitor service recipients and to supervise staff; (30) allow monitoring visits be completed by agency administration staff in addition to the program coordinator; (31) allow for a reduction in unannounced visits to one per month, when specific criteria are met; and(32) allow for a group home administrator or program coordinator to substitute full-time experience in a supervisory position for a four year any combination college level course work or full-time equivalent experience.
Strategic Plan impact.The proposed rules achieve OKDHS goals by supporting the DDSD long-term goal to provide community services to Oklahoman's with developmental disabilities.
Substantive changes.
OAC 340:100-3-1 is amended to direct members of the Homeward Bound class to resolve financial eligibility issued within a 90-day period; or receive state-funded services available to other eligible persons.
OAC 340:100-3-5 is amended to remove the requirement for Form 06MP034E (Guardianship, Advocacy, and Capacity Annual Review) as the information will be required in the Individual Plan or Needs Assessment.
OAC 340:100-3-38 is amended to establish: online training expectations; supervised retraining as a course of action following training violations; and documentation and reporting requirements to substantiate training.
OAC 340:100-3-38.1 is amended to add an online option for foundation training; clarify the requirements for individual specific training, job specific training, specialized training, and ongoing training.
OAC 340:100-3-38.2 is amended to add an online option for foundation training, clarifies the requirements for individual specific training, job specific training, specialized training, and ongoing training.
OAC 340:100-3-38.3 is amended to add an online option for foundation training, clarify the requirements for individual specific training, job specific training, specialized training, and ongoing training.
OAC 340:100-3-38.4 is amended to add an online option for foundation training, clarify the requirements for individual specific training, job specific training, specialized training, and ongoing training.
OAC 340:100-3-38.5 is amended to add an online option for foundation training, clarify the requirements for individual specific training, job specific training, specialized training, and ongoing training.
OAC 340:100-3-38.7 is amended to add an online option for foundation training, and clarify the requirements for individual specific and specialized training.
OAC 340:100-3-38.8 is amended to add an online option for foundation training.
OAC 340:100-3-38.10 is amended to clarify that any nurse with a current unrestricted license is exempt from training requirements and can administer medications.
OAC 340:100-3-38.11 is revoked as training will be tracked via IMS and CDS.
OAC 340:100-3-38.12 is amended to add an online option for foundation training, clarifies the requirements for individual specific and ongoing training.
OAC 340:100-3-38.13 is amended to add an online option for foundation training, clarify the requirements for individual specific training, job specific training, specialized training, and ongoing training.
OAC 340:100-3-39 is amended to disallow a temporary employee from working alone or solely with other temporary employees pending the results of the OSBI criminal history records search.
OAC 340:100-3-40 is amended to remove the requirement of Form 06HM007E (Physical Status Review – PSR;) and require that contract provider agencies develop a form that certifies that persons accessing information within the home record has been informed and understands the penalties for the misuse of confidential and protected information within the home record, per HB 3323 "Kelley's Law".
OAC 340:100-5-22.1 is amended to allow contract provider agency administration staff to complete monitoring visits; allow unannounced visits to be reduced to one per month when certain criteria are met; allow full-time equivalent experience in a supervisory position for program coordinators; and increase the program coordinator case loads from 15 to 20 with a formula for calculating case loads.
OAC 340:100-5-22.6 is amended to reduce the awake staff requirement for alternative group homes, and add the requirement that the agency have additional staff available in the event of need.
OAC 340:100-5-26.1 is amended to remove the requirement that the DDSD area medical director or designee approve the use of p.r.n. medications; change the review of psychotropic medications from semi-annual to annual; and direct the Team to provide appropriate information to the prescribing physician when psychotropic medications are believed to be ineffective in treating a psychiatric illness.
OAC 340:100-5-32 is amended to remove the requirement for Form 06HM063E (Individual Medication Support Plan – IMSP); and remove the requirement that the DDSD area medical director or designee approve the use of p.r.n. medications; exempt hospice patients from p.r.n. medication requirements; and clarify the disposal requirement for discontinued and expired medications, and medications of a deceased service recipient.
OAC 340:100-5-34 is issued to establish the scope of HTS services in non-residential settings.
OAC 340:100-5-35 is issued to establish the scope of Prader Willi services.
OAC 340:100-5-52 is amended to change the summary of progress reporting requirement from monthly to quarterly.
OAC 340:100-6-12 is amended to remove the requirement for a state fire marshal inspection of group homes every three years, and add the requirement that the inspection be dictated by the local or state fire marshal; and remove the requirement for an annual plumbing and electrical inspection.
OAC 340:100-6-55 is amended to clarify that home visits are to monitor service recipients and to supervise staff; allow the monitoring visits to be completed by agency administration staff in addition to the program coordinator; allow for unannounced visits to be reduced to one per month when specific criteria are met; and allow for a group home administrator or program coordinator to substitute full-time experience in a supervisory position for a four year any combination college level course work or full-time equivalent experience.
Reasons.The proposed revisions clarify practices, procedures, and service options provided by DDSD and contractors, in addition to providing a better-organized means of offering this information within the Oklahoma Administrative Code.
Repercussions.If the proposed rules are not implemented, services to Oklahomans with mental retardation or certain conditions and their families, community contractors, and OHCA and OKDHS staff will be hindered due to conflicting rules, laws, and procedures.
Legal authority.Commission for Human Services, Article XXV, Sections 1, 2, 3, and 4 of the Oklahoma Constitution; Section 1414 of Title 10 of the Oklahoma Statutes (10 O.S. § 1414); Section 1415 of Title 10 of the Oklahoma Statutes (10 O.S. § 1415); Section 1430.1 through 1430.41 of Title 10 of the Oklahoma Statutes (10 O.S. § 1430.1 through 1430.41); Section 7102 of Title 10 of the Oklahoma Statutes (10 O.S. § 7102); Section 888 of Title 21 of the Oklahoma Statutes (21 O.S. § 888); Section 1123 of Title 21 of the Oklahoma Statutes (21 O.S. § 1123); Section 1533.1 of Title 21 of the Oklahoma Statutes (21 O.S. § 1533.1); Section 1175.1 of Title 22 of the Oklahoma Statutes (22 O.S. § 1175.1); Sections 1175.6b and 1175.6bA of Title 22 of the Oklahoma Statutes (22 O.S. § 1175.6b and 1175.6bA); Sections 3-102 through 3-104 of Title 30 of the Oklahoma Statutes (30 O.S. § 3-102 through 3-104); Section 119 of Title 30 of the Oklahoma Statutes (30 O.S. § 119); Sections 10 through 103 of Title 43A of the Oklahoma Statutes (43A O.S. §10-103); Section 192 of Title 56 of the Oklahoma Statutes (56 O.S. § 192); Section 1020 of Title 56 of the Oklahoma Statutes (56 O.S. § 1020); Section 1025.1 of Title 56 of the Oklahoma Statutes (56 O.S. § 1025.1); and Section 1025.3 of Title 56 of the Oklahoma Statutes (56 O.S. § 1025.3); Section 318 of Title 75 of the Oklahoma Statutes (75 O.S. § 318).
Permanent approval.Permanent rulemaking approval is requested.
B. A description of the classes of persons who most likely will be affected by the proposed rule, including classes that will bear the costs of the proposed rule, and any information on cost impacts received by the Agency from any private or public entities:The classes of persons most likely to be affected by the proposed rules are Oklahomans receiving community supports or residential services through DDSD, placement providers, community contractors, and DDSD staff.The affected classes of persons will bear no costs associated with implementation of the rules.
C. A description of the classes of persons who will benefit from the proposed rule:The classes of persons who will benefit are children, youth, adults, and families served by DDSD, DDSD staff, contract agencies, and service and placement providers with OKDHS, OHCA, or both, contractual agreements.
D. A description of the probable economic impact of the proposed rule upon the affected classes of persons or political subdivisions, including a listing of all fee changes and, whenever possible, a separate justification for each:The revised rules do not have a known economic impact on the affected entities. There are no fee changes associated with the revised rules.
E. The probable costs and benefits to the Agency and to any other agency of the implementation and enforcement of the proposed rule, the source of revenue to be used for implementation and enforcement of the proposed rule and any anticipated effect on state revenues, including a projected net loss or gain in such revenues if it can be projected by the Agency:The probable cost to OKDHS includes the cost of printing and distributing the rules, which is estimated to be less than $30.The revised rules will result in enhanced delivery of services to service recipients.
F. A determination whether implementation of the proposed rule will have an impact on any political subdivisions or require their cooperation in implementing or enforcing the rule:The proposed rules do not have an economic impact on any political subdivision, nor will the cooperation of any political subdivisions be required in implementation or enforcement of the rules.
G. A determination whether implementation of the proposed rule will have an adverse economic effect on small business as provided by the Oklahoma Small Business Regulatory Flexibility Act:There are no anticipated adverse effects on small business as provided by the Oklahoma Small Business Regulatory Flexibility Act.
H. An explanation of the measures the Agency has taken to minimize compliance costs and a determination whether there are less costly or non-regulatory methods or less intrusive methods for achieving the purpose of the proposed rule: There are no less costly or non-regulatory methods or less intrusive methods for complying with state or federal mandates.DDSD solicited and incorporated suggestions from family members of service recipients, advisory groups, contractors, and DDSD staff regarding service provisions and other supportive activities in the proposed revisions.
I. A determination of the effect of the proposed rule on the public health, safety, and environment and, if the proposed rule is designed to reduce significant risks to the public health, safety, and environment, an explanation of the nature of the risk and to what extent the proposed rule will reduce the risk: Implementation of the proposed rules will improve the means in which supportive services are rendered at the community and statewide level.
J. A determination of any detrimental effect on the public health, safety, and environment if the proposed rule is not implemented:If the proposed rules are not implemented, services to Oklahomans with mental retardation or certain conditions and their families, community contractors, and OHCA and OKDHS staff will be hindered due to conflicting rules, laws, and procedures.
K. The date the rule impact statement was prepared and, if modified, the date modified:Prepared November 10, 2010, modified December 17, 2010.
