Update on Permanent Rule Making Process
In March 2026, the Adult Care Home Program held a public hearing on proposed updated rules. Rachel Pearl, Department of County Human Services interim director, reviewed written and verbal hearing testimony, and made the decision to adopt the rules with no amendments. A request for appeal of the director’s decision was received, and the ACHP is in the process of scheduling an appeal hearing with the Board of County Commissioners.
What is Included in the MCAR Proposed Rules?
The revised MCAR removes rules related to the regulation of IDD adult care homes, and clarifies documentation of informed consent and review during the care planning process. Additionally, Appendix I describing Activities of Daily Living was updated to correspond to OAR language.
What Rules are in Effect Now?
Temporary administrative rules have been in effect since January 1, 2026. Because temporary rules are effective for no longer than 120 days, the rule was replaced with an identical temporary rule on May 1, 2026. This will allow time to complete the appeal process with the Board of County Commissioners.