MorseLife’s COVID-19
Visitation Guidelines

MorseLife’s COVID-19 Visitation Guidelines

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Joseph L. Morse Health Center

Guidelines and Protocols

Title: COVID-19 Visitation policy
Origination Date: 06/2020
Revision Date: 9/20/2020, 5/3/2022

Purpose: Describe visitation guidelines

Definitions:

“Essential caregiver” – A resident, client, or patient may designate a visitor who is a family member, friend, guardian, or other individual as an essential caregiver. An essential caregiver is not required to provide necessary care to a resident, client, or patient of a provider, and providers may not require an essential caregiver to provide such care. The essential caregiver can visit at least 2 hours daily in addition to other visitors.

“Up to Date” – means a person has received all recommended COVID-19 vaccines, including any booster dose(s) when eligible.

Guidelines:

  1. The Infection Preventionist will monitor the status of the COVID-19 situation through the CDC website and local/state health department.
  2. All visitors irrespective of role are required to complete infection control training and sign a waiver acknowledging the risks of visitation and completion of training. Training will be setup on iPads located at the main entrances. The waiver will be electronically stored with DocuSign.
  3. All visitors will be screened at the gate. Failure to meet screening criteria will prevent access to the campus.
  4. The core principles of COVID-19 infection prevention will be adhered to and as follows:
    1. Visitors, who have a positive viral test for COVID-19, symptoms of COVID-19, or currently meet the criteria for quarantine should not enter the facility until they meet the criteria used for residents to discontinue transmission-based precautions (quarantine).
    2. Hand hygiene, using an alcohol-based hand rub, will be performed by the resident and the visitors before and after contact.
    3. A face covering or mask and physical distancing at least six feet between people will be observed in accordance with current CDC guidance.
    4. Instructional signage throughout the facility and proper visitor education on COVID-19 signs and symptoms, infection control precautions, and other applicable facility practices will be conducted.
    5. Staff will adhere to the appropriate use of personal protective equipment (PPE).
    6. The facility will conduct resident and staff testing as per current CDC guidance.
    7. Visitors who are unable to adhere to these principles of COVID-19 infection prevention will not be permitted to visit or will be asked to leave.
    8. Failure to follow infection control protocols will result in remediation training for the first offence and revocation of access for any additional violations. Revocation of visitation appeals will be “presented” to the SVP & Infection Preventionist.
  5. Outdoor visits will be held at a designated space whenever practicable and will be facilitated as needed. All appropriate infection control and prevention practices will be followed when conducting outdoor visitations.
  6. Indoor visitation:
    1. In-person visitation will be allowed in all of the following circumstances, unless the resident, client, or patient objects:
      1. End-of-life situations.
      2. A resident, client, or patient who was living with family before being admitted to the provider’s care is struggling with the change in environment and lack of in-person family support.
      3. The resident, client, or patient is making one or more major medical decisions.
      4. A resident, client, or patient is experiencing emotional distress or grieving the loss of a friend or family member who recently died.
      5. A resident, client, or patient needs cueing or encouragement to eat or drink which was previously provided by a family member or caregiver.
      6. A resident, client, or patient who used to talk and interact with others is seldom speaking.
    2. The facility will allow indoor visitation at all times and for all residents and will not limit the frequency and length of visits, the number of visitors, or require advance scheduling of visits.
    3. Visits will be conducted in a manner that adheres to the core principles of COVID-19 infection prevention and does not increase risk to other residents. Visitors, at a minimum, must use hand sanitizer upon entering and exiting the building.
    4. Visitors will go directly to the resident’s room/apartment. Visitors are not permitted in the common areas (unit dining room, unit dayroom, rehab gym, etc.). Visitors may also visit outside on the patio/breezeway/walkways.
    5. Visitors must wear masks at all times (indoors and outdoors), and physically distance when around other residents or healthcare personnel, regardless of vaccination status. Visitors will wear the same PPE required of staff unless otherwise noted with signage. PPE required of visitors will not be more stringent than established for staff.
    6. Residents, regardless of vaccination status, can choose not to wear face coverings or masks when other residents are not present and can choose to have close contact (including touch) with their visitor.
    7. If a resident’s roommate is not up-to-date with all recommended COVID-19 vaccine doses, or immunocompromised (regardless of vaccination status), visits should not be conducted in the resident’s room, if possible.
    8. For residents who are on transmission-based precautions or quarantine, visits may occur in the resident’s room and the resident should wear a well-fitted facemask (if tolerated). Visitors will be made aware of the potential risk of visiting and precautions necessary in order to visit and should adhere to the core principles of infection prevention.
    9. The facility may suspend in-person visitation of a specific visitor if the visitor violates the provider’s policies and procedures.
  7. Indoor visitation during outbreak: When a new case of COVID-19 among staff or residents is identified, the facility will immediately begin an outbreak investigation and adhere to CDC guidance for COVID-19 testing.
  8. Visits will be allowed during outbreak investigations, but visitors will be made aware of the potential risk of visiting during the outbreak investigation and adhere to the core principles of infection prevention.
  9. Essential care giver visits will be allowed at all times.
  10. Visits required under the federal disability rights laws and protection and advocacy (P & A) programs and Ombudsman visitors will be allowed at all times.
  11. Visitor testing is offered, free, at the receptionist’s desk at the main entrances of the buildings. Visitors are not required to test, however, are encouraged to test once a week. Visitors will not be asked about vaccination status.
  12. Communal activities (including group activities, communal dining, and resident outings):
    1. Communal activities and dining may occur, but regardless of vaccination status, the safest approach is everyone should wear a face covering or mask while in the communal areas of the facility.
    2. Residents are permitted to the leave the facility as they choose. Upon return, Residents will be screened and tested based on the CDC guidelines.
    3. Residents who leave the facility for 24 hours or longer should be managed as a new admission or readmission and follow current CDC guidance.

The Infection Preventionist (IP) is the person responsible for assuring that staff follow the above guidelines. In the absence of the IP, the designee will be the SVP of the Housing.

References:

Centers for Disease Control and Prevention. Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic. Located at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html.  Accessed February 2, 2022.

Centers for Disease Control and Prevention. Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spread in Nursing Homes. Located at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html#new-admissions. Accessed February 2, 2022.

Centers for Medicare and Medicaid Services. Nursing Home Visitation Frequently Asked Questions (FAQs). March 10, 2022.

Centers for Medicare & Medicaid Services. (March 10, 2022) QSO-20-39-NH: Nursing Home Visitation – COVID-19 (REVISED).

State of Florida senate bill (2022, April 5). Retrieved May 4, 2022, from https://www.flsenate.gov/Session/Bill/2022/988/BillText/er/HTML

Tradition - At MorseLife

Guidelines and Protocols

Title: Tradition ALF COVID-19 Visitation policy
Origination Date: 06/2020
Revision Date: 9/20/2020, 5/3/2022

Purpose: Describe visitation guidelines

Definitions:

“Essential caregiver” – A resident, client, or patient may designate a visitor who is a family member, friend, guardian, or other individual as an essential caregiver. An essential caregiver is not required to provide necessary care to a resident, client, or patient of a provider, and providers may not require an essential caregiver to provide such care. The essential caregiver can visit at least 2 hours daily in addition to other visitors.

“Up to Date” – means a person has received all recommended COVID-19 vaccines, including any booster dose(s) when eligible.

Guidelines:

  1. The Infection Preventionist will monitor the status of the COVID-19 situation through the CDC website and local/state health department.
  2. All visitors will be screened at the gate. Failure to meet screening criteria will prevent access to the campus.
  3. All visitors irrespective of role are required to sign in and sign out at the front desk of Tradition building and complete infection control training and sign a waiver acknowledging the risks of visitation and completion of training.
  4. The core principles of COVID-19 infection prevention will be adhered to and as follows:
    1. Visitors, who have a positive viral test for COVID-19, symptoms of COVID-19, or currently meet the criteria for quarantine should not enter the facility until they meet the criteria used for residents to discontinue transmission-based precautions (quarantine).
    2. Hand hygiene, using an alcohol-based hand rub, will be performed by the resident and the visitors before and after contact.
    3. A face covering or mask and physical distancing at least six feet between people will be observed in accordance with current CDC guidance.
    4. Instructional signage throughout the facility and proper visitor education on COVID-19 signs and symptoms, infection control precautions, and other applicable facility practices will be conducted.
    5. Staff will adhere to the appropriate use of personal protective equipment (PPE).
    6. The facility will conduct resident and staff testing as per current CDC guidance.
    7. Visitors who are unable to adhere to these principles of COVID-19 infection prevention will not be permitted to visit or will be asked to leave.
  5. Failure to follow infection control protocols will result in remediation training for the first offence and revocation of access for any additional violations.
  6. Indoor visitation:
    1. In-person visitation will be allowed in all of the following circumstances, unless the resident, client, or patient objects:
      1. End-of-life situations.
      2. A resident, client, or patient who was living with family before being admitted to the provider’s care is struggling with the change in environment and lack of in-person family support.
      3. The resident, client, or patient is making one or more major medical decisions.
      4. A resident, client, or patient is experiencing emotional distress or grieving the loss of a friend or family member who recently died.
      5. A resident, client, or patient needs cueing or encouragement to eat or drink which was previously provided by a family member or caregiver.
      6. A resident, client, or patient who used to talk and interact with others is seldom speaking.
    2. The facility will allow indoor visitation between 9am-9pm in accordance with Florida Statute 429.28 and for all residents and will not limit the frequency and length of visits, the number of visitors, or require advance scheduling of visits except for visits outside of these hours or overnight visits.
    3. Visits will be conducted in a manner that adheres to the core principles of COVID-19 infection prevention and does not increase risk to other residents. Visitors, at a minimum, must use hand sanitizer upon entering and exiting the building.
    4. Visitors will go directly to the resident’s room/apartment. Visitors are not permitted in the common areas (unit dining room, unit dayroom, rehab gym, etc.). Visitors may also visit outside on the patio/breezeway/walkways.
    5. Visitors must wear masks at all times (indoors and outdoors), and physically distance when around other residents or healthcare personnel, regardless of vaccination status. Visitors will wear the same PPE required of staff unless otherwise noted with signage. PPE required of visitors will not be more stringent than established for staff.
    6. Residents, regardless of vaccination status, can choose not to wear face coverings or masks when other residents are not present and can choose to have close contact (including touch) with their visitor.
    7. If a resident’s roommate is not up-to-date with all recommended COVID-19 vaccine doses, or immunocompromised (regardless of vaccination status), visits should not be conducted in the resident’s room, if possible.
    8. For residents who are on transmission-based precautions or quarantine, visits may occur in the resident’s room and the resident should wear a well-fitted facemask (if tolerated). Visitors will be made aware of the potential risk of visiting and precautions necessary in order to visit and should adhere to the core principles of infection prevention.
    9. The facility may suspend in-person visitation of a specific visitor if the visitor violates the provider’s policies and procedures.
  7. Indoor visitation during outbreak: When a new case of COVID-19 among staff or residents is identified, the facility will immediately begin an outbreak investigation and adhere to CDC guidance for COVID-19 testing.
  8. Visits will be allowed during outbreak investigations, but visitors will be made aware of the potential risk of visiting during the outbreak investigation and adhere to the core principles of infection prevention.
  9. Essential care giver visits will be allowed at all times.
  10. Visitor testing is offered, free, at the receptionist’s desk at the main entrances of the buildings. Visitors are not required to test, however, are encouraged to test once a week. Visitors will not be asked about vaccination status.

The Infection Preventionist (IP) is the person responsible for assuring that staff follow the above guidelines. In the absence of the IP, the designee will be the SVP of the Housing.

References:

Centers for Disease Control and Prevention. Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic. Located at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html.  Accessed February 2, 2022.

Centers for Disease Control and Prevention. Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spread in Nursing Homes. Located at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html#new-admissions. Accessed February 2, 2022.

Centers for Medicare and Medicaid Services. Nursing Home Visitation Frequently Asked Questions (FAQs). March 10, 2022.

Centers for Medicare & Medicaid Services. (March 10, 2022) QSO-20-39-NH: Nursing Home Visitation – COVID-19 (REVISED).

State of Florida senate bill (2022, April 5). Retrieved May 4, 2022, from https://www.flsenate.gov/Session/Bill/2022/988/BillText/er/HTML

Guidelines and Protocols

Title: Resnick ALF COVID-19 Visitation policy
Origination Date: 06/2020
Revision Date: 9/20/2020, 5/3/2022

Purpose: Describe visitation guidelines

Definitions:

“Essential caregiver” – A resident, client, or patient may designate a visitor who is a family member, friend, guardian, or other individual as an essential caregiver. An essential caregiver is not required to provide necessary care to a resident, client, or patient of a provider, and providers may not require an essential caregiver to provide such care. The essential caregiver can visit at least 2 hours daily in addition to other visitors.

“Up to Date” – means a person has received all recommended COVID-19 vaccines, including any booster dose(s) when eligible.

Guidelines:

  1. The Infection Preventionist will monitor the status of the COVID-19 situation through the CDC website and local/state health department.
  2. All visitors will be screened at the gate. Failure to meet screening criteria will prevent access to the campus.
  3. All visitors irrespective of role are required to sign in and sign out at the front desk of Tradition building and complete infection control training and sign a waiver acknowledging the risks of visitation and completion of training.
  4. The core principles of COVID-19 infection prevention will be adhered to and as follows:
    1. Visitors, who have a positive viral test for COVID-19, symptoms of COVID-19, or currently meet the criteria for quarantine should not enter the facility until they meet the criteria used for residents to discontinue transmission-based precautions (quarantine).
    2. Hand hygiene, using an alcohol-based hand rub, will be performed by the resident and the visitors before and after contact.
    3. A face covering or mask and physical distancing at least six feet between people will be observed in accordance with current CDC guidance.
    4. Instructional signage throughout the facility and proper visitor education on COVID-19 signs and symptoms, infection control precautions, and other applicable facility practices will be conducted.
    5. Staff will adhere to the appropriate use of personal protective equipment (PPE).
    6. The facility will conduct resident and staff testing as per current CDC guidance.
    7. Visitors who are unable to adhere to these principles of COVID-19 infection prevention will not be permitted to visit or will be asked to leave.
  5. Failure to follow infection control protocols will result in remediation training for the first offence and revocation of access for any additional violations.
  6. Indoor visitation:
    1. In-person visitation will be allowed in all of the following circumstances, unless the resident, client, or patient objects:
      1. End-of-life situations.
      2. A resident, client, or patient who was living with family before being admitted to the provider’s care is struggling with the change in environment and lack of in-person family support.
      3. The resident, client, or patient is making one or more major medical decisions.
      4. A resident, client, or patient is experiencing emotional distress or grieving the loss of a friend or family member who recently died.
      5. A resident, client, or patient needs cueing or encouragement to eat or drink which was previously provided by a family member or caregiver.
      6. A resident, client, or patient who used to talk and interact with others is seldom speaking.
    2. The facility will allow indoor visitation between 9am-9pm in accordance with Florida Statute 429.28 and for all residents and will not limit the frequency and length of visits, the number of visitors, or require advance scheduling of visits except for visits outside of these hours or overnight visits.
    3. Visits will be conducted in a manner that adheres to the core principles of COVID-19 infection prevention and does not increase risk to other residents. Visitors, at a minimum, must use hand sanitizer upon entering and exiting the building.
    4. Visitors will go directly to the resident’s room/apartment. Visitors are not permitted in the common areas (unit dining room, unit dayroom, rehab gym, etc.). Visitors may also visit outside on the patio/breezeway/walkways.
    5. Visitors must wear masks at all times (indoors and outdoors), and physically distance when around other residents or healthcare personnel, regardless of vaccination status. Visitors will wear the same PPE required of staff unless otherwise noted with signage. PPE required of visitors will not be more stringent than established for staff.
    6. Residents, regardless of vaccination status, can choose not to wear face coverings or masks when other residents are not present and can choose to have close contact (including touch) with their visitor.
    7. If a resident’s roommate is not up-to-date with all recommended COVID-19 vaccine doses, or immunocompromised (regardless of vaccination status), visits should not be conducted in the resident’s room, if possible.
    8. For residents who are on transmission-based precautions or quarantine, visits may occur in the resident’s room and the resident should wear a well-fitted facemask (if tolerated). Visitors will be made aware of the potential risk of visiting and precautions necessary in order to visit and should adhere to the core principles of infection prevention.
    9. The facility may suspend in-person visitation of a specific visitor if the visitor violates the provider’s policies and procedures.
  7. Indoor visitation during outbreak: When a new case of COVID-19 among staff or residents is identified, the facility will immediately begin an outbreak investigation and adhere to CDC guidance for COVID-19 testing.
  8. Visits will be allowed during outbreak investigations, but visitors will be made aware of the potential risk of visiting during the outbreak investigation and adhere to the core principles of infection prevention.
  9. Essential care giver visits will be allowed at all times.
  10. Visitor testing is offered, free, at the receptionist’s desk at the main entrances of the buildings. Visitors are not required to test, however, are encouraged to test once a week. Visitors will not be asked about vaccination status.

The Infection Preventionist (IP) is the person responsible for assuring that staff follow the above guidelines. In the absence of the IP, the designee will be the SVP of the Housing.

References:

Centers for Disease Control and Prevention. Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic. Located at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html.  Accessed February 2, 2022.

Centers for Disease Control and Prevention. Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spread in Nursing Homes. Located at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html#new-admissions. Accessed February 2, 2022.

Centers for Medicare and Medicaid Services. Nursing Home Visitation Frequently Asked Questions (FAQs). March 10, 2022.

Centers for Medicare & Medicaid Services. (March 10, 2022) QSO-20-39-NH: Nursing Home Visitation – COVID-19 (REVISED).

State of Florida senate bill (2022, April 5). Retrieved May 4, 2022, from https://www.flsenate.gov/Session/Bill/2022/988/BillText/er/HTML

Memory Care - At MorseLife Health System

Guidelines and Protocols

Title: Memory Care ALF COVID-19 Visitation policy
Origination Date: 06/2020
Revision Date: 9/20/2020, 5/3/2022

Purpose: Describe visitation guidelines

Definitions:

“Essential caregiver” – A resident, client, or patient may designate a visitor who is a family member, friend, guardian, or other individual as an essential caregiver. An essential caregiver is not required to provide necessary care to a resident, client, or patient of a provider, and providers may not require an essential caregiver to provide such care. The essential caregiver can visit at least 2 hours daily in addition to other visitors.

“Up to Date” – means a person has received all recommended COVID-19 vaccines, including any booster dose(s) when eligible.

Guidelines:

  1. The Infection Preventionist will monitor the status of the COVID-19 situation through the CDC website and local/state health department.
  2. All visitors will be screened at the gate. Failure to meet screening criteria will prevent access to the campus.
  3. All visitors irrespective of role are required to sign in and sign out at the front desk of Tradition building and complete infection control training and sign a waiver acknowledging the risks of visitation and completion of training.
  4. The core principles of COVID-19 infection prevention will be adhered to and as follows:
    1. Visitors, who have a positive viral test for COVID-19, symptoms of COVID-19, or currently meet the criteria for quarantine should not enter the facility until they meet the criteria used for residents to discontinue transmission-based precautions (quarantine).
    2. Hand hygiene, using an alcohol-based hand rub, will be performed by the resident and the visitors before and after contact.
    3. A face covering or mask and physical distancing at least six feet between people will be observed in accordance with current CDC guidance.
    4. Instructional signage throughout the facility and proper visitor education on COVID-19 signs and symptoms, infection control precautions, and other applicable facility practices will be conducted.
    5. Staff will adhere to the appropriate use of personal protective equipment (PPE).
    6. The facility will conduct resident and staff testing as per current CDC guidance.
    7. Visitors who are unable to adhere to these principles of COVID-19 infection prevention will not be permitted to visit or will be asked to leave.
  5. Failure to follow infection control protocols will result in remediation training for the first offence and revocation of access for any additional violations.
  6. Indoor visitation:
    1. In-person visitation will be allowed in all of the following circumstances, unless the resident, client, or patient objects:
      1. End-of-life situations.
      2. A resident, client, or patient who was living with family before being admitted to the provider’s care is struggling with the change in environment and lack of in-person family support.
      3. The resident, client, or patient is making one or more major medical decisions.
      4. A resident, client, or patient is experiencing emotional distress or grieving the loss of a friend or family member who recently died.
      5. A resident, client, or patient needs cueing or encouragement to eat or drink which was previously provided by a family member or caregiver.
      6. A resident, client, or patient who used to talk and interact with others is seldom speaking.
    2. The facility will allow indoor visitation between 9am-9pm in accordance with Florida Statute 429.28 and for all residents and will not limit the frequency and length of visits, the number of visitors, or require advance scheduling of visits except for visits outside of these hours or overnight visits.
    3. Visits will be conducted in a manner that adheres to the core principles of COVID-19 infection prevention and does not increase risk to other residents. Visitors, at a minimum, must use hand sanitizer upon entering and exiting the building.
    4. Visitors will go directly to the resident’s room/apartment. Visitors are not permitted in the common areas (unit dining room, unit dayroom, rehab gym, etc.). Visitors may also visit outside on the patio/breezeway/walkways.
    5. Visitors must wear masks at all times (indoors and outdoors), and physically distance when around other residents or healthcare personnel, regardless of vaccination status. Visitors will wear the same PPE required of staff unless otherwise noted with signage. PPE required of visitors will not be more stringent than established for staff.
    6. Residents, regardless of vaccination status, can choose not to wear face coverings or masks when other residents are not present and can choose to have close contact (including touch) with their visitor.
    7. If a resident’s roommate is not up-to-date with all recommended COVID-19 vaccine doses, or immunocompromised (regardless of vaccination status), visits should not be conducted in the resident’s room, if possible.
    8. For residents who are on transmission-based precautions or quarantine, visits may occur in the resident’s room and the resident should wear a well-fitted facemask (if tolerated). Visitors will be made aware of the potential risk of visiting and precautions necessary in order to visit and should adhere to the core principles of infection prevention.
    9. The facility may suspend in-person visitation of a specific visitor if the visitor violates the provider’s policies and procedures.
  7. Indoor visitation during outbreak: When a new case of COVID-19 among staff or residents is identified, the facility will immediately begin an outbreak investigation and adhere to CDC guidance for COVID-19 testing.
  8. Visits will be allowed during outbreak investigations, but visitors will be made aware of the potential risk of visiting during the outbreak investigation and adhere to the core principles of infection prevention.
  9. Essential care giver visits will be allowed at all times.
  10. Visitor testing is offered, free, at the receptionist’s desk at the main entrances of the buildings. Visitors are not required to test, however, are encouraged to test once a week. Visitors will not be asked about vaccination status.

The Infection Preventionist (IP) is the person responsible for assuring that staff follow the above guidelines. In the absence of the IP, the designee will be the SVP of the Housing.

References:

Centers for Disease Control and Prevention. Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic. Located at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html.  Accessed February 2, 2022.

Centers for Disease Control and Prevention. Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spread in Nursing Homes. Located at: https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html#new-admissions. Accessed February 2, 2022.

Centers for Medicare and Medicaid Services. Nursing Home Visitation Frequently Asked Questions (FAQs). March 10, 2022.

Centers for Medicare & Medicaid Services. (March 10, 2022) QSO-20-39-NH: Nursing Home Visitation – COVID-19 (REVISED).

State of Florida senate bill (2022, April 5). Retrieved May 4, 2022, from https://www.flsenate.gov/Session/Bill/2022/988/BillText/er/HTML