PRINTER'S NO. 561

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 504 Session of 1991


        INTRODUCED BY DeLUCA, SALOOM, ROBINSON, DALEY, WILLIAMS, TRELLO,
           KOSINSKI, RICHARDSON, VEON, JAMES AND BISHOP, MARCH 11, 1991

        REFERRED TO COMMITTEE ON HEALTH AND WELFARE, MARCH 11, 1991

                                     AN ACT

     1  Amending the act of July 19, 1979 (P.L.130, No.48), entitled "An
     2     act relating to health care; prescribing the powers and
     3     duties of the Department of Health; establishing and
     4     providing the powers and duties of the State Health
     5     Coordinating Council, health systems agencies and Health Care
     6     Policy Board in the Department of Health, and State Health
     7     Facility Hearing Board in the Department of Justice;
     8     providing for certification of need of health care providers
     9     and prescribing penalties," reducing the time permitted for
    10     hospitals to report official actions taken against a
    11     physician; and broadening the reporting procedures of
    12     hospitals and health care agencies.

    13     The General Assembly of the Commonwealth of Pennsylvania
    14  hereby enacts as follows:
    15     Section 1.  Section 806.1 of the act of July 19, 1979
    16  (P.L.130, No.48), known as the Health Care Facilities Act, added
    17  July 10, 1985 (P.L.191, No.48), is amended to read:
    18  Section 806.1.  Reporting incidents of professional misconduct.
    19     (a)  Reports required.--Health care facilities and hospitals,
    20  licensed under this act, shall make a report or cause a report
    21  to be made to the State Board of [Medical Education and
    22  Licensure] Medicine or the State Board of Osteopathic
    23  [Examiners] Medicine, whichever is applicable, within [60] 30

     1  days of the occurrence of any of the following:
     2         (1)  The termination or curtailment of the employment,
     3     association or professional privileges of a physician,
     4     licensed under the provisions of the [act of July 20, 1974
     5     (P.L.551, No.190), known as the "Medical Practice Act of
     6     1974," or the] act of October 5, 1978 (P.L.1109, No.261),
     7     known as the "Osteopathic Medical Practice Act," or the act
     8     of December 20, 1985 (P.L.457, No.112), known as the "Medical
     9     Practice Act of 1985," whichever the case may be, with a
    10     health care facility or hospital where there exists
    11     reasonable cause to believe malpractice or misconduct has
    12     occurred.
    13         (2)  The resignation or withdrawal of association or of
    14     privileges with a facility or hospital to avoid the
    15     imposition of disciplinary measures.
    16         (3)  The receipt of written information which establishes
    17     that any physician who has a right to practice or who has
    18     applied to practice at the health care facility or hospital
    19     has been convicted of a felony[.] or drug and alcohol related
    20     offense.
    21         (4)  Any officially documented reprimand which a hospital
    22     or other health care facility administers to a physician,
    23     under a due process peer review system. Such official
    24     reprimands shall include but not be limited to, any action
    25     which results in a loss of a physician's professional or
    26     occupational privileges at the hospital or other health care
    27     facility and may include, but not be limited to, dismissals,
    28     forced resignations, suspensions and probationary terms.
    29         (5)  The receipt of any written information that a
    30     physician has had privileges restricted or has been
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     1     dismissed, forced to resign or has been suspended from any
     2     professional association or organization.
     3     (b)  Contents.--Reports made pursuant to this section shall
     4  be made in writing to the State Board of [Medical Education and
     5  Licensure] Medicine or the State Board of Osteopathic
     6  [Examiners] Medicine, whichever is appropriate, with respect to
     7  any physician as licensed under acts referred to in subsection
     8  (a). Written reports shall include the following information:
     9  name, address, profession and license number of the person
    10  involved, a description of the action taken by the facility or
    11  hospital, including the reason therefor and date thereof, or the
    12  nature of the action or conduct which led to the resignation or
    13  withdrawal and the date thereof, any conviction of a felony of
    14  which the facility or hospital has received the written
    15  information required by subsection (a)(3) and such other
    16  information as the Department of State may require.
    17     (c)  Confidentiality.--
    18         (1)  Any report or information furnished to the boards in
    19     question, in accordance with the provisions of this section,
    20     shall be deemed a confidential communication and shall not be
    21     subject to inspection or disclosure, in any manner, except
    22     upon formal written request by a duly authorized public
    23     agency or pursuant to a judicial subpoena issued in a pending
    24     action or proceeding.
    25         (2)  Any person, facility or corporation which makes a
    26     report pursuant to this section in good faith and without
    27     malice shall have immunity from any liability, civil or
    28     criminal, for having made such a report. For the purpose of
    29     any proceeding, civil or criminal, the good faith of any
    30     person required to make a report shall be presumed.
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     1     (d)  Penalties, recordkeeping; notice.--Any hospital or other
     2  health care facility which fails to report the information
     3  required by this section shall be fined an amount not to exceed
     4  $10,000. The State Board of Medicine and the State Board of
     5  Osteopathic Medicine shall compile all reports received from
     6  hospitals or other health care facilities and keep such records
     7  on file for future reference. The State Board of Medicine and
     8  the State Board of Osteopathic Medicine shall make public all
     9  final actions against a physician and the result of such
    10  actions, including dismissals, forced resignations, suspensions
    11  and all other official reprimands taken against the privileges
    12  of the physician which are in effect for more than ten days.
    13  Notice of enforcement undertaken pursuant to the provisions of
    14  this act shall be forwarded to the Health Care Cost Containment
    15  Council. All hospitals and health care facilities shall keep
    16  records of all investigations and inquiries by peer review
    17  committees concerning abuse by a physician or physicians. Such
    18  records shall be kept regardless of the outcome of the
    19  investigations or inquiries and made available upon request by
    20  the State Board of Medicine and the State Board of Osteopathic
    21  Medicine.
    22     Section 2.  This act shall take effect in 60 days.






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