SENATE AMENDED
        PRIOR PRINTER'S NOS. 298, 1296, 1438,         PRINTER'S NO. 4298
        4085

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 305 Session of 1995


        INTRODUCED BY VANCE, E. Z. TAYLOR, GRUPPO, ITKIN, NAILOR,
           KUKOVICH, MICOZZIE, BUXTON, STURLA, D. R. WRIGHT, MARSICO,
           TRELLO, HERMAN, FLICK, COLAFELLA, STISH, COY, STEELMAN,
           CLARK, TRUE, RUBLEY, CIVERA, SAYLOR, D. W. SNYDER, GEIST,
           MILLER, CORNELL, PLATTS, VAN HORNE, DEMPSEY, WAUGH, DeLUCA,
           FAIRCHILD, OLASZ, BELARDI, MUNDY, BROWN, SHANER, BATTISTO,
           CORRIGAN, YOUNGBLOOD, O'BRIEN, TIGUE, TRICH, FAJT, EGOLF,
           BARD, SCHULER, BROWNE, ARMSTRONG, HALUSKA, SCRIMENTI, SATHER,
           MICHLOVIC, MERRY, CAPPABIANCA, WILLIAMS, PETRARCA, BOSCOLA
           AND WASHINGTON, JANUARY 25, 1995

        AS AMENDED ON THIRD CONSIDERATION, IN SENATE, NOVEMBER 25, 1996

                                     AN ACT

     1  Amending the act of November 6, 1987 (P.L.381, No.79), entitled
     2     "An act relating to the protection of the abused, neglected,
     3     exploited or abandoned elderly; establishing a uniform
     4     Statewide reporting and investigative system for suspected
     5     abuse, neglect, exploitation or abandonment of the elderly;
     6     providing protective services; providing for funding; and
     7     making repeals," adding definitions of "registry" and          <--
     8     "serious bodily injury"; further providing for reporting, for  <--
     9     investigations of reports of need for protective services and
    10     for confidentiality of records; and providing for a registry
    11     of perpetrators of abuse in institutions. FURTHER PROVIDING    <--
    12     FOR DEFINITIONS, FOR REPORTING AND FOR INVESTIGATIONS AND FOR  <--
    13     CONFIDENTIALITY OF RECORDS; PROVIDING FOR REPORTING SUSPECTED
    14     ABUSE BY EMPLOYEES; AND MAKING EDITORIAL CHANGES.

    15     The General Assembly of the Commonwealth of Pennsylvania
    16  hereby enacts as follows:
    17     Section 1.  Section 3 of the THE act of November 6, 1987       <--
    18  (P.L.381, No.79), known as the Older Adults Protective Services
    19  Act, is amended by adding definitions A CHAPTER HEADING to read:  <--

     1                             CHAPTER 1                              <--
     2                       PRELIMINARY PROVISIONS
     3     SECTION 2.  SECTIONS 1, 2 AND 3 OF THE ACT ARE AMENDED TO
     4  READ:
     5  SECTION [1] 101.  SHORT TITLE.
     6     THIS ACT SHALL BE KNOWN AND MAY BE CITED AS THE OLDER ADULTS
     7  PROTECTIVE SERVICES ACT.
     8  SECTION [2] 102.  LEGISLATIVE POLICY.
     9     IT IS DECLARED THE POLICY OF THE COMMONWEALTH OF PENNSYLVANIA
    10  THAT OLDER ADULTS WHO LACK THE CAPACITY TO PROTECT THEMSELVES
    11  AND ARE AT IMMINENT RISK OF ABUSE, NEGLECT, EXPLOITATION OR
    12  ABANDONMENT SHALL HAVE ACCESS TO AND BE PROVIDED WITH SERVICES
    13  NECESSARY TO PROTECT THEIR HEALTH, SAFETY AND WELFARE. IT IS NOT
    14  THE PURPOSE OF THIS ACT TO PLACE RESTRICTIONS UPON THE PERSONAL
    15  LIBERTY OF INCAPACITATED OLDER ADULTS, BUT THIS ACT SHOULD BE
    16  LIBERALLY CONSTRUED TO ASSURE THE AVAILABILITY OF PROTECTIVE
    17  SERVICES TO ALL OLDER ADULTS IN NEED OF THEM. SUCH SERVICES
    18  SHALL SAFEGUARD THE RIGHTS OF INCAPACITATED OLDER ADULTS WHILE
    19  PROTECTING THEM FROM ABUSE, NEGLECT, EXPLOITATION AND
    20  ABANDONMENT. IT IS THE INTENT OF THE GENERAL ASSEMBLY TO PROVIDE
    21  FOR THE DETECTION AND REDUCTION, CORRECTION OR ELIMINATION OF
    22  ABUSE, NEGLECT, EXPLOITATION AND ABANDONMENT, AND TO ESTABLISH A
    23  PROGRAM OF PROTECTIVE SERVICES FOR OLDER ADULTS IN NEED OF THEM.
    24  Section [3] 103.  Definitions.                                    <--
    25     The following words and phrases when used in this act shall
    26  have the meanings given to them in this section unless the
    27  context clearly indicates otherwise:
    28     * * *                                                          <--
    29     "ABANDONMENT."  THE DESERTION OF AN OLDER ADULT BY A           <--
    30  CARETAKER.
    19950H0305B4298                  - 2 -

     1     "ABUSE."  THE OCCURRENCE OF ONE OR MORE OF THE FOLLOWING
     2  ACTS:
     3         (1)  THE INFLICTION OF INJURY, UNREASONABLE CONFINEMENT,
     4     INTIMIDATION OR PUNISHMENT WITH RESULTING PHYSICAL HARM, PAIN
     5     OR MENTAL ANGUISH.
     6         (2)  THE WILLFUL DEPRIVATION BY A CARETAKER OF GOODS OR
     7     SERVICES WHICH ARE NECESSARY TO MAINTAIN PHYSICAL OR MENTAL
     8     HEALTH.
     9         (3)  SEXUAL HARASSMENT, RAPE OR ABUSE, AS DEFINED IN THE
    10     ACT OF OCTOBER 7, 1976 (P.L.1090, NO.218), KNOWN AS THE
    11     PROTECTION FROM ABUSE ACT.
    12  NO OLDER ADULT SHALL BE FOUND TO BE ABUSED SOLELY ON THE GROUNDS
    13  OF ENVIRONMENTAL FACTORS WHICH ARE BEYOND THE CONTROL OF THE
    14  OLDER ADULT OR THE CARETAKER, SUCH AS INADEQUATE HOUSING,
    15  FURNISHINGS, INCOME, CLOTHING OR MEDICAL CARE.
    16     "ADMINISTRATOR."  THE PERSON RESPONSIBLE FOR THE
    17  ADMINISTRATION OF A FACILITY. THE TERM INCLUDES A PERSON
    18  RESPONSIBLE FOR EMPLOYMENT DECISIONS OR AN INDEPENDENT
    19  CONTRACTOR.
    20     "AGENCY."  THE LOCAL PROVIDER OF PROTECTIVE SERVICES, WHICH
    21  IS THE AREA AGENCY ON AGING OR THE AGENCY DESIGNATED BY THE AREA
    22  AGENCY ON AGING TO PROVIDE PROTECTIVE SERVICES IN THE AREA
    23  AGENCY'S PLANNING AND SERVICE AREA.
    24     "CARE."  SERVICES PROVIDED TO MEET A PERSON'S NEED FOR
    25  PERSONAL CARE OR HEALTH CARE. SERVICES MAY INCLUDE HOMEMAKER
    26  SERVICES, ASSISTANCE WITH ACTIVITIES OF DAILY LIVING, PHYSICAL
    27  THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, MEDICAL SOCIAL
    28  SERVICES, HOME CARE AIDE SERVICES, COMPANION CARE SERVICES,
    29  PRIVATE DUTY NURSING SERVICES, RESPIRATORY THERAPY, INTRAVENOUS
    30  THERAPY, IN-HOME DIALYSIS AND DURABLE MEDICAL EQUIPMENT
    19950H0305B4298                  - 3 -

     1  SERVICES, WHICH ARE ROUTINELY PROVIDED UNSUPERVISED AND WHICH
     2  REQUIRE INTERACTION WITH THE CARE-DEPENDENT PERSON. THE TERM
     3  DOES NOT INCLUDE DURABLE MEDICAL EQUIPMENT DELIVERY.
     4     "CARE-DEPENDENT INDIVIDUAL."  AN ADULT WHO, DUE TO PHYSICAL
     5  OR COGNITIVE DISABILITY OR IMPAIRMENT, REQUIRES ASSISTANCE TO
     6  MEET NEEDS FOR FOOD, SHELTER, CLOTHING, PERSONAL CARE OR HEALTH
     7  CARE.
     8     "CARETAKER."  AN INDIVIDUAL OR INSTITUTION THAT HAS ASSUMED
     9  THE RESPONSIBILITY FOR THE PROVISION OF CARE NEEDED TO MAINTAIN
    10  THE PHYSICAL OR MENTAL HEALTH OF AN OLDER ADULT. THIS
    11  RESPONSIBILITY MAY ARISE VOLUNTARILY, BY CONTRACT, BY RECEIPT OF
    12  PAYMENT FOR CARE, AS A RESULT OF FAMILY RELATIONSHIP, OR BY
    13  ORDER OF A COURT OF COMPETENT JURISDICTION. IT IS NOT THE INTENT
    14  OF THIS ACT TO IMPOSE RESPONSIBILITY ON ANY INDIVIDUAL IF SUCH
    15  RESPONSIBILITY WOULD NOT OTHERWISE EXIST IN LAW.
    16     "CLIENT ASSESSMENT."  SOCIAL, PHYSICAL AND PSYCHOLOGICAL
    17  FINDINGS ALONG WITH A DESCRIPTION OF THE PERSON'S CURRENT
    18  RESOURCES AND NEEDS.
    19     "COURT."  A COURT OF COMMON PLEAS OR A DISTRICT MAGISTRATE
    20  COURT, WHERE APPLICABLE.
    21     "DEPARTMENT."  THE DEPARTMENT OF AGING OF THE COMMONWEALTH.
    22     "EMPLOYEE."  AN INDIVIDUAL WHO IS EMPLOYED BY A FACILITY. THE
    23  TERM INCLUDES CONTRACT EMPLOYEES WHO HAVE DIRECT CONTACT WITH
    24  RESIDENTS OR UNSUPERVISED ACCESS TO THEIR PERSONAL LIVING
    25  QUARTERS. THE TERM INCLUDES ANY PERSON WHO IS EMPLOYED OR WHO
    26  ENTERS INTO A CONTRACTUAL RELATIONSHIP TO PROVIDE CARE TO A
    27  CARE-DEPENDENT INDIVIDUAL FOR MONETARY CONSIDERATION IN THE
    28  INDIVIDUAL'S PLACE OF RESIDENCE.
    29     "EXPLOITATION."  AN ACT OR COURSE OF CONDUCT BY A CARETAKER
    30  OR OTHER PERSON AGAINST AN OLDER ADULT OR AN OLDER ADULT'S
    19950H0305B4298                  - 4 -

     1  RESOURCES, WITHOUT THE INFORMED CONSENT OF THE OLDER ADULT OR
     2  WITH CONSENT OBTAINED THROUGH MISREPRESENTATION, COERCION OR
     3  THREATS OF FORCE, THAT RESULTS IN MONETARY, PERSONAL OR OTHER
     4  BENEFIT, GAIN OR PROFIT FOR THE PERPETRATOR OR MONETARY OR
     5  PERSONAL LOSS TO THE OLDER ADULT.
     6     "FACILITY."  ANY OF THE FOLLOWING:
     7         (1)  A DOMICILIARY CARE HOME AS DEFINED IN SECTION 2202-A
     8     OF THE ACT OF APRIL 9, 1929 (P.L.177, NO.175), KNOWN AS THE
     9     ADMINISTRATIVE CODE OF 1929.
    10         (2)  A HOME HEALTH CARE AGENCY.
    11         (3)  A LONG-TERM CARE NURSING FACILITY AS DEFINED IN
    12     SECTION 802.1 OF THE ACT OF JULY 19, 1979 (P.L.130, NO.48),
    13     KNOWN AS THE HEALTH CARE FACILITIES ACT.
    14         (4)  AN OLDER ADULT DAILY LIVING CENTER AS DEFINED IN
    15     SECTION 2 OF THE ACT OF JULY 11, 1990 (P.L.499, NO.118),
    16     KNOWN AS THE OLDER ADULT DAILY LIVING CENTERS LICENSING ACT.
    17         (5)  A PERSONAL CARE HOME AS DEFINED IN SECTION 1001 OF
    18     THE ACT OF JUNE 13, 1967 (P.L.31, NO.21), KNOWN AS THE PUBLIC
    19     WELFARE CODE.
    20     "HOME HEALTH CARE AGENCY."  ANY OF THE FOLLOWING:
    21         (1)  A HOME HEALTH CARE ORGANIZATION OR AGENCY LICENSED
    22     BY THE DEPARTMENT OF HEALTH.
    23         (2)  A PUBLIC OR PRIVATE AGENCY OR ORGANIZATION, OR PART
    24     OF AN AGENCY OR ORGANIZATION, WHICH PROVIDES HEALTH CARE TO A
    25     CARE-DEPENDENT INDIVIDUAL IN THE INDIVIDUAL'S PLACE OF
    26     RESIDENCE.
    27     "LAW ENFORCEMENT OFFICIAL."  ANY OF THE FOLLOWING:
    28         (1)  A POLICE OFFICER OF A MUNICIPALITY.
    29         (2)  A DISTRICT ATTORNEY.
    30         (3)  A MEMBER OF THE PENNSYLVANIA STATE POLICE.
    19950H0305B4298                  - 5 -

     1     "NEGLECT."  THE FAILURE TO PROVIDE FOR ONESELF OR THE FAILURE
     2  OF A CARETAKER TO PROVIDE GOODS OR SERVICES ESSENTIAL TO AVOID A
     3  CLEAR AND SERIOUS THREAT TO PHYSICAL OR MENTAL HEALTH. NO OLDER
     4  ADULT WHO DOES NOT CONSENT TO THE PROVISION OF PROTECTIVE
     5  SERVICES SHALL BE FOUND TO BE NEGLECTED SOLELY ON THE GROUNDS OF
     6  ENVIRONMENTAL FACTORS WHICH ARE BEYOND THE CONTROL OF THE OLDER
     7  ADULT OR THE CARETAKER, SUCH AS INADEQUATE HOUSING, FURNISHINGS,
     8  INCOME, CLOTHING OR MEDICAL CARE.
     9     "OLDER ADULT."  A PERSON WITHIN THE JURISDICTION OF THE
    10  COMMONWEALTH WHO IS 60 YEARS OF AGE OR OLDER.
    11     "OLDER ADULT IN NEED OF PROTECTIVE SERVICES."  AN
    12  INCAPACITATED OLDER ADULT WHO IS UNABLE TO PERFORM OR OBTAIN
    13  SERVICES THAT ARE NECESSARY TO MAINTAIN PHYSICAL OR MENTAL
    14  HEALTH, FOR WHOM THERE IS NO RESPONSIBLE CARETAKER AND WHO IS AT
    15  IMMINENT RISK OF DANGER TO HIS PERSON OR PROPERTY.
    16     "PROTECTIVE SERVICES."  THOSE ACTIVITIES, RESOURCES AND
    17  SUPPORTS PROVIDED TO OLDER ADULTS UNDER THIS ACT TO DETECT,
    18  PREVENT, REDUCE OR ELIMINATE ABUSE, NEGLECT, EXPLOITATION AND
    19  ABANDONMENT.
    20     "PROTECTIVE SETTING."  A SETTING CHOSEN BY THE AGENCY WHERE
    21  SERVICES CAN BE PROVIDED IN THE LEAST RESTRICTIVE ENVIRONMENT TO
    22  PROTECT THE PHYSICAL AND MENTAL WELL-BEING OF THE OLDER ADULT.
    23     "RECIPIENT."  ANY INDIVIDUAL WHO RECEIVES CARE, SERVICES OR
    24  TREATMENT IN OR FROM A FACILITY.
    25     "Registry."  The Nurse Aide and Elder Abuse Registry           <--
    26  established in section 13.1 311.                                  <--
    27     * * *                                                          <--
    28     "Serious bodily injury."  Injury which creates a substantial
    29  risk of death or which causes serious permanent disfigurement or
    30  protracted loss or impairment of the function of a body member
    19950H0305B4298                  - 6 -

     1  or organ.
     2     * * *
     3     "SECRETARY."  THE SECRETARY OF AGING OF THE COMMONWEALTH.      <--
     4     "SERIOUS BODILY INJURY."  AN INJURY WHICH:
     5         (1)  CAUSES A PERSON SEVERE PAIN;
     6         (2)  CREATES A SUBSTANTIAL RISK OF DEATH; OR
     7         (3)  SIGNIFICANTLY IMPAIRS A PERSON'S PHYSICAL
     8     FUNCTIONING, EITHER TEMPORARILY OR PERMANENTLY.
     9     "SERVICE PLAN."  A WRITTEN PLAN DEVELOPED BY THE AGENCY ON
    10  THE BASIS OF COMPREHENSIVE ASSESSMENT OF A CLIENT'S NEED WHICH
    11  DESCRIBES IDENTIFIED NEEDS, GOALS TO BE ACHIEVED AND SPECIFIC
    12  SERVICES TO SUPPORT GOAL ATTAINMENT, WITH REGULAR FOLLOW-UP AND
    13  PREDETERMINED REASSESSMENT OF CLIENT PROGRESS. SPECIFIC SERVICES
    14  TO SUPPORT GOAL ATTAINMENT MAY INCLUDE, BUT IS NOT LIMITED TO,
    15  HOMEMAKER SERVICES, HOME-DELIVERED MEALS, ATTENDANT CARE, OTHER
    16  IN-HOME SERVICES, EMERGENCY SHELTER OR FOOD, LEGAL AID SERVICES,
    17  TRANSPORTATION AND OTHER SUCH SERVICES. SERVICE PLANS ARE
    18  COOPERATIVELY DEVELOPED BY THE AGENCY STAFF, THE CLIENT OR THE
    19  CLIENT'S APPOINTED GUARDIAN, AND OTHER FAMILY MEMBERS WHEN
    20  APPROPRIATE. THE PLAN SHALL ALSO ADDRESS, WHERE APPLICABLE,
    21  SPECIAL NEEDS OF OTHER MEMBERS OF THE HOUSEHOLD UNIT AS THEY MAY
    22  AFFECT THE OLDER ADULT'S NEED FOR PROTECTIVE SERVICES.
    23     "SEXUAL ABUSE."  INTENTIONALLY, KNOWINGLY OR RECKLESSLY
    24  CAUSING OR ATTEMPTING TO CAUSE RAPE, INVOLUNTARY DEVIATE SEXUAL
    25  INTERCOURSE, SEXUAL ASSAULT, STATUTORY SEXUAL ASSAULT,
    26  AGGRAVATED INDECENT ASSAULT, INDECENT ASSAULT OR INCEST.
    27     SECTION 3.  THE ACT IS AMENDED BY ADDING A CHAPTER HEADING TO
    28  READ:
    29                             CHAPTER 3
    30                           ADMINISTRATION
    19950H0305B4298                  - 7 -

     1     Section 2.  Section 5 of the act is amended by adding          <--
     2  subsections to read:
     3     SECTION 4.  SECTIONS 4, 5, 6, 7, 8, 9, 10, 11, 12 AND, 13 AND  <--
     4  14 OF THE ACT ARE AMENDED TO READ:
     5  SECTION [4] 301.  DUTIES OF DEPARTMENT AND AREA AGENCIES ON
     6                 AGING.
     7     (A)  PUBLIC INFORMATION AND INTERDEPARTMENTAL CONSULTATION.--
     8  THE DEPARTMENT SHALL CONDUCT AN ONGOING CAMPAIGN DESIGNED TO
     9  INFORM AND EDUCATE OLDER ADULTS, PROFESSIONALS AND THE GENERAL
    10  PUBLIC ABOUT THE NEED FOR AN AVAILABILITY OF PROTECTIVE SERVICES
    11  UNDER THIS [ACT] CHAPTER. THE DEPARTMENT SHALL CONSULT WITH
    12  OTHER DEPARTMENTS OF THE COMMONWEALTH ON THE DESIGN AND
    13  IMPLEMENTATION OF THE ONGOING PUBLIC AWARENESS CAMPAIGN. THE
    14  DEPARTMENT SHALL ALSO CONSIDER THE CONCERNS OF AREA AGENCIES ON
    15  AGING AND THE ENTITIES IDENTIFIED BY THEM UNDER SUBSECTION (C).
    16     (B)  STAFF TRAINING.--THE DEPARTMENT SHALL ESTABLISH MINIMUM
    17  STANDARDS OF TRAINING AND EXPERIENCE WHICH PROTECTIVE SERVICES
    18  PROVIDERS FUNDED BY THE DEPARTMENT SHALL BE REQUIRED TO FOLLOW
    19  IN THE SELECTION AND ASSIGNMENT OF STAFF FOR THE PROVISION OF
    20  PROTECTIVE SERVICES.
    21     (C)  PROTECTIVE SERVICES PLANS.--EACH AREA AGENCY ON AGING
    22  SHALL INCLUDE A PROTECTIVE SERVICES PLAN AS PART OF ITS ANNUAL
    23  PLAN. THE PLAN SHALL DESCRIBE THE LOCAL IMPLEMENTATION OF THIS
    24  [ACT] CHAPTER, INCLUDING THE ORGANIZATION, STAFFING, MODE OF
    25  OPERATIONS AND FINANCING OF PROTECTIVE SERVICES, AS WELL AS THE
    26  PROVISIONS MADE FOR PURCHASE OF SERVICES, INTERAGENCY RELATIONS,
    27  INTERAGENCY AGREEMENTS, SERVICE REFERRAL MECHANISMS AND LOCUS OF
    28  RESPONSIBILITY FOR CASES WITH MULTISERVICE AGENCY NEEDS. THE
    29  DESCRIPTION OF THE METHODS THAT WILL BE USED BY THE AGENCY, ITS
    30  DESIGNEES AND ITS SERVICE PROVIDERS TO ASSURE THE PRIVACY OF
    19950H0305B4298                  - 8 -

     1  OLDER ADULTS RECEIVING SERVICES AND THE CONFIDENTIALITY OF ALL
     2  RECORDS SHALL BE ESTABLISHED BY THE DEPARTMENT. THE DEPARTMENT
     3  SHALL ESTABLISH A SCHEDULE FOR THE SUBMISSION AND APPROVAL OF
     4  THE PLANS. THE PLAN SHALL INCLUDE A LIST OF ALL ENTITIES,
     5  WHETHER PUBLIC OR PRIVATE, THAT HAVE BEEN IDENTIFIED BY THE AREA
     6  AGENCY ON AGING AS HAVING SUBSTANTIAL CONTACT WITH POTENTIAL
     7  VICTIMS OR PERPETRATORS OF ABUSE, NEGLECT, EXPLOITATION AND
     8  ABANDONMENT. THIS LIST SHALL BE SUBMITTED TO THE DEPARTMENT FOR
     9  PURPOSES OF THE PUBLIC INFORMATION CAMPAIGN UNDER SUBSECTION
    10  (A).
    11  Section [5] 302.  Reporting; protection from retaliation;         <--
    12  immunity.
    13     * * *                                                          <--
    14     (a.1)  Mandatory reporting.--Any individual who is a
    15  caretaker in an institution who has reason to believe an older
    16  adult who is a resident of the institution is a victim of abuse
    17  or neglect shall immediately make an oral report to the agency
    18  which is the local provider of protective services.
    19     * * *
    20     (e)  Penalties for failure to report.--A person required
    21  under this section to report a case of suspected abuse or
    22  neglect who willfully fails to do so commits a summary offense
    23  for the first violation and a misdemeanor of the third degree
    24  for a second or subsequent violation.
    25     (A)  REPORTING.--ANY PERSON HAVING REASONABLE CAUSE TO         <--
    26  BELIEVE THAT AN OLDER ADULT IS IN NEED OF PROTECTIVE SERVICES
    27  MAY REPORT SUCH INFORMATION TO THE AGENCY WHICH IS THE LOCAL
    28  PROVIDER OF PROTECTIVE SERVICES. WHERE APPLICABLE, REPORTS SHALL
    29  COMPLY WITH THE PROVISIONS OF CHAPTER 7.
    30     (B)  RECEIVING REPORTS.--THE AGENCY SHALL BE CAPABLE OF
    19950H0305B4298                  - 9 -

     1  RECEIVING REPORTS OF OLDER ADULTS IN NEED OF PROTECTIVE SERVICES
     2  24 HOURS A DAY, SEVEN DAYS A WEEK (INCLUDING HOLIDAYS). THIS
     3  CAPABILITY MAY INCLUDE THE USE OF A LOCAL EMERGENCY RESPONSE
     4  SYSTEM OR A CRISIS INTERVENTION AGENCY, PROVIDED THAT ACCESS CAN
     5  BE MADE TO A PROTECTIVE SERVICES CASEWORKER IN APPROPRIATE
     6  EMERGENCY SITUATIONS AS SET FORTH IN REGULATIONS PROMULGATED BY
     7  THE DEPARTMENT. ALL REPORTS RECEIVED ORALLY UNDER THIS SECTION
     8  SHALL BE REDUCED TO WRITING IMMEDIATELY BY THE PERSON WHO
     9  RECEIVES THE REPORT.
    10     (C)  RETALIATORY ACTION; PENALTY.--ANY PERSON MAKING A REPORT
    11  OR COOPERATING WITH THE AGENCY, INCLUDING PROVIDING TESTIMONY IN
    12  ANY ADMINISTRATIVE OR JUDICIAL PROCEEDING, AND THE VICTIM SHALL
    13  BE FREE FROM ANY DISCRIMINATORY, RETALIATORY OR DISCIPLINARY
    14  ACTION BY AN EMPLOYER OR BY ANY OTHER PERSON OR ENTITY. ANY
    15  PERSON WHO VIOLATES THIS SUBSECTION IS SUBJECT TO A CIVIL
    16  LAWSUIT BY THE REPORTER OR THE VICTIM WHEREIN THE REPORTER OR
    17  VICTIM SHALL RECOVER TREBLE COMPENSATORY AND PUNITIVE DAMAGES OR
    18  $5,000, WHICHEVER IS GREATER.
    19     (D)  IMMUNITY.--ANY PERSON PARTICIPATING IN THE MAKING OF A
    20  REPORT OR WHO PROVIDES TESTIMONY IN ANY ADMINISTRATIVE OR
    21  JUDICIAL PROCEEDING ARISING OUT OF A REPORT SHALL BE IMMUNE FROM
    22  ANY CIVIL OR CRIMINAL LIABILITY ON ACCOUNT OF THE REPORT OR
    23  TESTIMONY UNLESS THE PERSON ACTED IN BAD FAITH OR WITH MALICIOUS
    24  PURPOSE. THIS IMMUNITY SHALL NOT EXTEND TO LIABILITY FOR ACTS OF
    25  ABUSE, NEGLECT, EXPLOITATION OR ABANDONMENT, EVEN IF SUCH ACTS
    26  ARE THE SUBJECT OF THE REPORT OR TESTIMONY.
    27     (E)  PENALTIES FOR FAILURE TO REPORT.--A PERSON REQUIRED       <--
    28  UNDER THIS SECTION TO REPORT A CASE OF SUSPECTED ABUSE WHO
    29  WILLFULLY FAILS TO DO SO COMMITS A SUMMARY OFFENSE FOR THE FIRST
    30  VIOLATION AND A MISDEMEANOR OF THE THIRD DEGREE FOR A SECOND OR
    19950H0305B4298                 - 10 -

     1  SUBSEQUENT VIOLATION.
     2     Section 3.  Sections 6 and 9 of the act are amended to read:   <--
     3  Section [6] 303.  Investigations of reports of need for           <--
     4                 protective services.
     5     (a)  Investigation.--It shall be the agency's responsibility
     6  to provide for an investigation of each report made under
     7  section [5.] 302. Upon the receipt of a report of a suspicious    <--
     8  death or suspected sexual abuse or serious bodily injury, the
     9  agency shall immediately orally notify law enforcement officials
    10  of the jurisdiction where the alleged abuse or neglect occurred.
    11  The agency shall also report within 72 hours all other cases of
    12  abuse or neglect of older persons in institutions to local law
    13  enforcement officials when the agency has reason to believe the
    14  report will be substantiated. The investigation shall be
    15  initiated within 72 hours after the receipt of the report and
    16  shall be carried out under regulations issued by the department.
    17  These regulations shall provide for the methods of conducting
    18  investigations under this section and shall assure that steps
    19  are taken to avoid any conflict of interest between the
    20  investigator and service delivery functions. REPORTS AND          <--
    21  INVESTIGATIONS UNDER THIS SECTION SHALL COMPLY WITH CHAPTER 7,
    22  WHERE APPLICABLE.
    23     (b)  Investigation involving licensed facilities.--[Any        <--
    24  report concerning older adults residing in a State-licensed
    25  facility shall be investigated under procedures developed by the
    26  department in consultation with the State agency licensing such
    27  facility.] If a report concerns a resident of a State-licensed    <--
    28  facility, the agency shall notify the State agency licensing the
    29  facility of the initiation of the investigation. If the report
    30  concerns a resident of a State-licensed facility for whom the
    19950H0305B4298                 - 11 -

     1  area agency on aging provides ombudsman services, the ombudsman
     2  of the area agency on aging must be notified.
     3     (c)  Unsubstantiated reports.--If, after investigation by the
     4  agency, the report is unsubstantiated, the case shall be closed
     5  and all information identifying the reporter and the alleged
     6  abuser shall be immediately deleted from all records. For
     7  purposes of substantiating a pattern of abuse, neglect,
     8  exploitation or abandonment, the name of the alleged victim and
     9  any information describing the alleged act of abuse, neglect,
    10  exploitation or abandonment may be maintained for a period of
    11  six months under procedures established by the department.
    12     (d)  Substantiated reports.--If the report is substantiated
    13  by the agency, or if the client assessment is necessary in order
    14  to determine whether or not the report is substantiated, the
    15  agency shall provide for a timely client assessment if the older
    16  adult consents to an assessment. Upon completion of the
    17  assessment, written findings shall be prepared which shall
    18  include recommended action. This service plan shall provide for
    19  the least restrictive alternative, encouraging client self-
    20  determination and continuity of care. The service plan shall be
    21  in writing and shall include a recommended course of action,
    22  which may include the pursuit of civil or criminal remedies. If
    23  an older adult found to be in need of protective services does
    24  not consent to a client assessment or the development of a
    25  service plan, the agency may apply to the case the provisions of
    26  section [10.] 307.                                                <--
    27     (e)  Plan of supervision.--Upon notification that an           <--
    28  individual who is a caretaker in an institution is alleged to
    29  have committed abuse or neglect under this act CHAPTER, the       <--
    30  institution shall immediately implement a plan of supervision or
    19950H0305B4298                 - 12 -

     1  alternative arrangement, subject to the agency's approval, for
     2  the individual under investigation to insure the safety of the
     3  residents of the institution. This plan shall remain in effect
     4  until a determination is made by the agency under this section.
     5     (f)  Duty of State licensing agency where report is
     6  substantiated.--Upon the receipt of a substantiated report
     7  identifying an employee, supervisor, director, independent
     8  contractor or operator as a perpetrator, the State licensing
     9  agency shall order the licensee to immediately prohibit the
    10  perpetrator from having access to residents of the facility.
    11  Where the perpetrator is a director, operator or supervisor, the
    12  person shall be subject to restrictions deemed appropriate by
    13  the licensing agency which shall assure the safety of residents
    14  of the institution.
    15  SECTION [7] 304. PROVISION OF SERVICES; ACCESS TO RECORDS AND     <--
    16                     PERSONS.
    17     (A)  AVAILABILITY OF PROTECTIVE SERVICES.--THE AGENCY SHALL
    18  OFFER PROTECTIVE SERVICES UNDER ANY OF THE FOLLOWING CONDITIONS:
    19         (1)  AN OLDER ADULT REQUESTS SUCH SERVICES.
    20         (2)  ANOTHER INTERESTED PERSON REQUESTS SUCH SERVICES ON
    21     BEHALF OF AN OLDER ADULT.
    22         (3)  IF, AFTER INVESTIGATION OF A REPORT, THE AGENCY
    23     DETERMINES THE OLDER ADULT IS IN NEED OF SUCH SERVICES.
    24     (B)  CONSENT BY REQUEST.--EXCEPT AS PROVIDED IN SECTION [10]
    25  307, AN INDIVIDUAL SHALL RECEIVE PROTECTIVE SERVICES
    26  VOLUNTARILY. IN NO EVENT MAY PROTECTIVE SERVICES BE PROVIDED
    27  UNDER THIS [ACT] CHAPTER TO ANY PERSON WHO DOES NOT CONSENT TO
    28  SUCH SERVICES OR WHO, HAVING CONSENTED, WITHDRAWS SUCH CONSENT,
    29  UNLESS SUCH SERVICES ARE ORDERED BY A COURT, REQUESTED BY A
    30  GUARDIAN OF THE OLDER ADULT OR PROVIDED UNDER SECTION [10] 307.
    19950H0305B4298                 - 13 -

     1  NOTHING IN THIS [ACT] CHAPTER SHALL PREVENT THE AGENCY FROM
     2  PETITIONING FOR THE APPOINTMENT OF A GUARDIAN PURSUANT TO TITLE
     3  20 OF THE PENNSYLVANIA CONSOLIDATED STATUTES (RELATING TO
     4  DECEDENTS, ESTATES AND FIDUCIARIES).
     5     (C)  INTERFERENCE WITH SERVICES.--IF ANY PERSON INTERFERES
     6  WITH THE PROVISION OF SERVICES OR INTERFERES WITH THE RIGHT OF
     7  AN OLDER ADULT TO CONSENT TO PROVISION OF SERVICES, THE AGENCY
     8  MAY PETITION THE COURT FOR AN ORDER ENJOINING SUCH INTERFERENCE.
     9     (D)  ACCESS TO RECORDS.--THE AGENCY SHALL HAVE ACCESS TO ALL
    10  RECORDS RELEVANT TO:
    11         (1)  INVESTIGATIONS OF REPORTS UNDER SECTION [6] 303.
    12         (2)  ASSESSMENT OF CLIENT NEED.
    13         (3)  SERVICE PLANNING WHEN AN OLDER ADULT'S NEED FOR
    14     PROTECTIVE SERVICES HAS BEEN OR IS BEING ESTABLISHED.
    15         (4)  THE DELIVERY OF SERVICES ARRANGED FOR UNDER THE
    16     SERVICE PLAN DEVELOPED BY THE AGENCY TO RESPOND TO AN OLDER
    17     ADULT'S ASSESSED NEED FOR SPECIFIC SERVICES.
    18     (E)  ACCESS TO PERSONS.--THE AGENCY SHALL HAVE ACCESS TO
    19  OLDER PERSONS WHO HAVE BEEN REPORTED TO BE IN NEED OF PROTECTIVE
    20  SERVICES IN ORDER TO:
    21         (1)  INVESTIGATE REPORTS UNDER SECTION [6] 303 AND
    22     CHAPTER 7.
    23         (2)  ASSESS CLIENT NEED AND DEVELOP A SERVICE PLAN FOR
    24     ADDRESSING NEEDS DETERMINED.
    25         (3)  PROVIDE FOR THE DELIVERY OF SERVICES BY THE AGENCY
    26     OR OTHER SERVICE PROVIDER ARRANGED FOR UNDER THE SERVICE PLAN
    27     DEVELOPED BY THE AGENCY.
    28     (F)  DENIAL OF ACCESS TO PERSONS.--IF THE AGENCY IS DENIED
    29  ACCESS TO AN OLDER ADULT REPORTED TO BE IN NEED OF PROTECTIVE
    30  SERVICES AND ACCESS IS NECESSARY TO COMPLETE THE INVESTIGATION
    19950H0305B4298                 - 14 -

     1  OR THE CLIENT ASSESSMENT AND SERVICE PLAN, OR THE DELIVERY OF
     2  NEEDED SERVICES IN ORDER TO PREVENT FURTHER ABUSE, NEGLECT,
     3  EXPLOITATION OR ABANDONMENT OF THE OLDER ADULT REPORTED TO BE IN
     4  NEED OF PROTECTIVE SERVICES, THE AGENCY MAY PETITION THE COURT
     5  FOR AN ORDER TO REQUIRE THE APPROPRIATE ACCESS WHEN EITHER OF
     6  THE FOLLOWING CONDITIONS APPLY:
     7         (1)  THE CARETAKER OR A THIRD PARTY HAS INTERFERED WITH
     8     THE COMPLETION OF THE INVESTIGATION OR THE CLIENT ASSESSMENT
     9     AND SERVICE PLAN OR THE DELIVERY OF SERVICES.
    10         (2)  THE AGENCY CAN DEMONSTRATE THAT THE OLDER ADULT
    11     REPORTED TO BE IN NEED OF PROTECTIVE SERVICES IS DENYING
    12     ACCESS BECAUSE OF COERCION, EXTORTION OR JUSTIFIABLE FEAR OF
    13     FUTURE ABUSE, NEGLECT, OR EXPLOITATION OR ABANDONMENT.
    14     (G)  ACCESS BY CONSENT.--THE AGENCY'S ACCESS TO CONFIDENTIAL
    15  RECORDS HELD BY OTHER AGENCIES OR INDIVIDUALS AND THE AGENCY'S
    16  ACCESS TO AN OLDER ADULT REPORTED TO BE IN NEED OF PROTECTIVE
    17  SERVICES SHALL REQUIRE THE CONSENT OF THE OLDER ADULT OR A
    18  COURT-APPOINTED GUARDIAN EXCEPT AS PROVIDED FOR UNDER THIS
    19  SECTION OR SECTION [10] 307.
    20     (H)  DENIAL OF ACCESS TO RECORDS.--IF THE AGENCY IS DENIED
    21  ACCESS TO RECORDS NECESSARY FOR THE COMPLETION OF A PROPER
    22  INVESTIGATION OF A REPORT OR A CLIENT ASSESSMENT AND SERVICE
    23  PLAN, OR THE DELIVERY OF NEEDED SERVICES IN ORDER TO PREVENT
    24  FURTHER ABUSE, NEGLECT, EXPLOITATION OR ABANDONMENT OF THE OLDER
    25  ADULT REPORTED TO BE IN NEED OF PROTECTIVE SERVICES, THE AGENCY
    26  MAY PETITION THE COURT OF COMMON PLEAS FOR AN ORDER REQUIRING
    27  THE APPROPRIATE ACCESS WHEN EITHER OF THE FOLLOWING CONDITIONS
    28  APPLY:
    29         (1)  THE OLDER ADULT HAS PROVIDED WRITTEN CONSENT FOR ANY
    30     CONFIDENTIAL RECORDS TO BE DISCLOSED AND THE KEEPER OF THE
    19950H0305B4298                 - 15 -

     1     RECORDS DENIES ACCESS.
     2         (2)  THE AGENCY CAN DEMONSTRATE THAT THE OLDER ADULT IS
     3     DENYING ACCESS TO RECORDS BECAUSE OF INCOMPETENCE, COERCION,
     4     EXTORTION OR JUSTIFIABLE FEAR OF FUTURE ABUSE, NEGLECT,
     5     EXPLOITATION OR ABANDONMENT.
     6  SECTION [8] 305.  IMMUNITY FROM CIVIL AND CRIMINAL LIABILITY.
     7     IN THE ABSENCE OF WILLFUL MISCONDUCT OR GROSS NEGLIGENCE, THE
     8  AGENCY, THE DIRECTOR, EMPLOYEES OF THE AGENCY, PROTECTIVE
     9  SERVICES WORKERS OR EMPLOYEES OF THE DEPARTMENT SHALL NOT BE
    10  CIVILLY OR CRIMINALLY LIABLE FOR ANY DECISION OR ACTION OR
    11  RESULTING CONSEQUENCE OF DECISIONS OR ACTION WHEN ACTING UNDER
    12  AND ACCORDING TO THE PROVISIONS OF THIS [ACT] CHAPTER.
    13  Section [9] 306.  Confidentiality of records.                     <--
    14     (a)  General rule.--Information contained in reports, records
    15  of investigation, client assessment and service plans shall be
    16  considered confidential and shall be maintained under
    17  regulations promulgated by the department to safeguard
    18  confidentiality. Except as provided below, this information
    19  shall not be disclosed to anyone outside the agency other than
    20  to a court of competent jurisdiction or pursuant to a court
    21  order.
    22     (b)  Limited access to the agency's protective services
    23  records.--
    24         (1)  [In the event that an investigation by the agency     <--
    25     results in a report of criminal conduct, law] Law enforcement  <--
    26     officials shall have access to all relevant records
    27     maintained by the agency or the department. for the purposes   <--
    28     of investigating cases referred to under section 6(a) 303(A).  <--
    29         (2)  In arranging specific services to carry out service
    30     plans, the agency may disclose to appropriate service
    19950H0305B4298                 - 16 -

     1     providers such information as may be necessary to initiate
     2     the delivery of services.
     3         (3)  A subject of a report made under section [5] 302 may  <--
     4     receive, upon written request, all information contained in
     5     the report except that prohibited from being disclosed by
     6     paragraph (4).
     7         (4)  The release of information that would identify the
     8     person who made a report of suspected abuse, neglect,
     9     exploitation or abandonment or person who cooperated in a
    10     subsequent investigation, is hereby prohibited unless the
    11     secretary can determine that such a release will not be
    12     detrimental to the safety of such person.
    13         (5)  When the department is involved in the hearing of an
    14     appeal by a subject of a report made under section [5] 302,    <--
    15     the appropriate department staff shall have access to all
    16     information in the report record relevant to the appeal.
    17         (6)  For the purposes of monitoring agency performance,
    18     appropriate staff of the department may access agency
    19     protective services records.
    20         (7)  Appropriate staff of the department may access        <--
    21     agency protective service records for the purpose of placing
    22     information in the registry regarding institutional abuse of
    23     older persons under section 13.1 311.
    24  SECTION [10] 307.  INVOLUNTARY INTERVENTION BY EMERGENCY COURT    <--
    25                 ORDER.
    26     (A)  EMERGENCY PETITION.--WHERE THERE WAS CLEAR AND
    27  CONVINCING EVIDENCE THAT IF PROTECTIVE SERVICES ARE NOT
    28  PROVIDED, THE PERSON TO BE PROTECTED IS AT IMMINENT RISK OF
    29  DEATH OR SERIOUS PHYSICAL HARM, THE AGENCY MAY PETITION THE
    30  COURT FOR AN EMERGENCY ORDER TO PROVIDE THE NECESSARY SERVICES.
    19950H0305B4298                 - 17 -

     1  THE COURTS OF COMMON PLEAS OF EACH JUDICIAL DISTRICT SHALL
     2  ENSURE THAT A JUDGE OR DISTRICT JUSTICE IS AVAILABLE ON A 24-
     3  HOUR-A-DAY, 365-DAY-A-YEAR BASIS TO ACCEPT AND DECIDE ON
     4  PETITIONS FOR AN EMERGENCY COURT ORDER UNDER THIS SECTION
     5  WHENEVER THE AGENCY DETERMINES THAT A DELAY UNTIL NORMAL COURT
     6  HOURS WOULD SIGNIFICANTLY INCREASE THE DANGER THE OLDER ADULT
     7  FACES.
     8     (B)  LIMITED ORDER.--THE COURT, AFTER FINDING CLEAR AND
     9  CONVINCING EVIDENCE OF THE NEED FOR AN EMERGENCY ORDER, SHALL
    10  ORDER ONLY SUCH SERVICES AS ARE NECESSARY TO REMOVE THE
    11  CONDITIONS CREATING THE ESTABLISHED NEED.
    12     (C)  RIGHT TO COUNSEL.--IN ORDER TO PROTECT THE RIGHTS OF AN
    13  OLDER ADULT FOR WHOM PROTECTIVE SERVICES ARE BEING ORDERED, AN
    14  EMERGENCY COURT ORDER UNDER THIS SECTION SHALL PROVIDE THAT THE
    15  OLDER ADULT HAS THE RIGHT TO LEGAL COUNSEL. IF THE OLDER ADULT
    16  IS UNABLE TO PROVIDE FOR COUNSEL, SUCH COUNSEL SHALL BE
    17  APPOINTED BY THE COURT.
    18     (D)  FORCIBLE ENTRY.--WHERE IT IS NECESSARY TO FORCIBLY ENTER
    19  PREMISES AFTER OBTAINING A COURT ORDER, A PEACE OFFICER MAY DO
    20  SO, ACCOMPANIED BY A REPRESENTATIVE OF THE AGENCY.
    21     (E)  HEALTH AND SAFETY REQUIREMENTS.--THE AGENCY SHALL TAKE
    22  REASONABLE STEPS TO ASSURE THAT WHILE THE PERSON IS RECEIVING
    23  SERVICES UNDER AN EMERGENCY COURT ORDER, THE HEALTH AND SAFETY
    24  NEEDS OF ANY OF THE PERSON'S DEPENDENTS ARE MET AND THAT
    25  PERSONAL PROPERTY AND THE DWELLING THE PERSON OCCUPIES ARE
    26  SECURE.
    27     (F)  EXCLUSION OF REMEDY.--NOTHING IN THIS [ACT] CHAPTER
    28  SHALL BE INTERPRETED TO DENY ANY OLDER ADULT ACCESS TO THE
    29  EMERGENCY MEDICAL SERVICES OR POLICE PROTECTION THAT WOULD BE
    30  PROVIDED TO ANYONE, REGARDLESS OF AGE, IN SIMILAR CIRCUMSTANCES.
    19950H0305B4298                 - 18 -

     1  SECTION [11] 308.  INDIVIDUAL RIGHTS.
     2     (A)  RIGHTS OF PROTECTIVE SERVICES CLIENTS.--THE AGENCY SHALL
     3  OBSERVE THE FOLLOWING MINIMUM REQUIREMENTS TO SAFEGUARD THE
     4  RIGHTS OF AN OLDER ADULT WHO IS REPORTED TO BE IN NEED OF
     5  PROTECTIVE SERVICES:
     6         (1)  THE AGENCY SHALL DISCREETLY NOTIFY THE OLDER PERSON
     7     DURING THE INVESTIGATION THAT A REPORT HAS BEEN MADE AND
     8     SHALL PROVIDE THE PERSON WITH A BRIEF SUMMARY OF THE NATURE
     9     OF THE REPORT.
    10         (2)  AS PROVIDED UNDER SECTION [9(B)(3)] 306(B)(3), THE
    11     OLDER ADULT MAY REQUEST, AND THE AGENCY SHALL PROVIDE,
    12     ADDITIONAL INFORMATION CONTAINED IN THE REPORT.
    13         (3)  ANY DENIAL OF SERVICES BY THE DEPARTMENT OR AN
    14     AUTHORIZED AGENCY UNDER THIS [ACT] CHAPTER MAY BE APPEALED
    15     ACCORDING TO THE PROVISIONS OF THE RULES AND REGULATIONS
    16     ISSUED BY THE DEPARTMENT UNDER ARTICLE XXII-A OF THE ACT OF
    17     APRIL 9, 1929 (P.L.177, NO.175), KNOWN AS THE ADMINISTRATIVE
    18     CODE OF 1929.
    19         (4)  NOTHING IN THIS ACT SHALL LIMIT THE RIGHT OF ANY
    20     OLDER PERSON TO FILE A PETITION PURSUANT TO THE ACT OF
    21     OCTOBER 7, 1976 (P.L.1090, NO.218), KNOWN AS THE PROTECTION
    22     FROM ABUSE ACT.
    23     (B)  RIGHTS OF ALLEGED ABUSERS.--AN INDIVIDUAL WHO IS ALLEGED
    24  IN A PROTECTIVE SERVICES REPORT TO BE A PERPETRATOR OF THE
    25  ABUSE, NEGLECT, EXPLOITATION OR ABANDONMENT OF AN OLDER ADULT
    26  SHALL BE ENTITLED TO THE FOLLOWING IF THE REPORT IS
    27  SUBSTANTIATED BY THE AGENCY:
    28         (1)  SUCH AN INDIVIDUAL SHALL BE NOTIFIED BY THE AGENCY
    29     AT THE CONCLUSION OF THE INVESTIGATION OF THE REPORT THAT
    30     ALLEGATIONS HAVE BEEN MADE AND SHALL BE GIVEN A BRIEF SUMMARY
    19950H0305B4298                 - 19 -

     1     OF THE ALLEGATIONS.
     2         (2)  AS PROVIDED UNDER SECTION [9(B)(3)] 306(B)(3), THE
     3     ALLEGED PERPETRATOR MAY REQUEST, AND THE AGENCY SHALL
     4     PROVIDE, ADDITIONAL INFORMATION CONTAINED IN THE REPORT.
     5         (3)  AN ALLEGED PERPETRATOR IS ENTITLED TO FILE AN APPEAL
     6     WITH THE DEPARTMENT UNDER 1 PA. CODE PART II (RELATING TO
     7     GENERAL RULES OF ADMINISTRATIVE PRACTICE AND PROCEDURE) TO
     8     CHALLENGE THE AGENCY'S FINDING RESULTING FROM THE
     9     INVESTIGATION OF A REPORT MADE UNDER SECTION [6] 303.
    10  SECTION [12] 309.  FINANCIAL OBLIGATIONS; LIABILITIES AND
    11                 PAYMENTS.
    12     ALL INDIVIDUALS RECEIVING SERVICES AND ALL AGENCIES PROVIDING
    13  SERVICES UNDER THIS [ACT] CHAPTER SHALL COMPLY WITH THE
    14  FOLLOWING PROVISIONS REGARDING LIABILITY FOR THE PAYMENT OF
    15  SERVICES:
    16         (1)  FUNDING TO PROVIDE OR MAKE AVAILABLE PROTECTIVE
    17     SERVICES UNDER THIS [ACT] CHAPTER SHALL NOT SUPPLANT ANY
    18     PUBLIC AND PRIVATE ENTITLEMENTS OR RESOURCES FOR WHICH
    19     PERSONS RECEIVING PROTECTIVE SERVICES UNDER THIS [ACT]
    20     CHAPTER ARE OR MAY BE ELIGIBLE, AND SHALL NOT BE AVAILABLE
    21     UNTIL SUCH PERSONS HAVE EXHAUSTED THEIR ELIGIBILITY AND
    22     RECEIPT OF BENEFITS UNDER SAID PUBLIC AND PRIVATE
    23     ENTITLEMENTS OR RESOURCES.
    24         (2)  FUNDING AVAILABLE TO LOCAL PROTECTIVE SERVICES
    25     AGENCIES UNDER THIS [ACT] CHAPTER MAY BE USED TO COVER THE
    26     COSTS OF ACTIVITIES INCLUDING, BUT NOT LIMITED TO, THE
    27     FOLLOWING:
    28             (I)  ADMINISTERING PROTECTIVE SERVICES PLANS REQUIRED
    29         UNDER SECTION [4(C)] 301(C).
    30             (II)  RECEIVING AND MAINTAINING RECORDS OF REPORTS OF
    19950H0305B4298                 - 20 -

     1         ABUSE UNDER SECTION [5] 302.
     2             (III)  CONDUCTING INVESTIGATIONS OF REPORTED ABUSE
     3         UNDER SECTION [6] 303.
     4             (IV)  CARRYING OUT CLIENT ASSESSMENTS AND DEVELOPING
     5         SERVICE PLANS UNDER SECTION [6] 303.
     6             (V)  PETITIONING THE COURT UNDER SECTIONS [7] 304 AND
     7         [10] 307.
     8             (VI)  PROVIDING EMERGENCY INVOLUNTARY INTERVENTION
     9         UNDER SECTION [10] 307.
    10             (VII)  ARRANGING FOR AVAILABLE SERVICES NEEDED TO
    11         CARRY OUT SERVICE PLANS, WHICH MAY INCLUDE, AS
    12         APPROPRIATE, ARRANGING FOR SERVICES FOR OTHER HOUSEHOLD
    13         MEMBERS IN ORDER TO REDUCE, CORRECT OR ELIMINATE ABUSE,
    14         NEGLECT, EXPLOITATION OR ABANDONMENT OF AN OLDER ADULT.
    15             (VIII)  PURCHASING, ON A TEMPORARY BASIS, SERVICES
    16         DETERMINED BY A SERVICE PLAN TO BE NECESSARY TO REDUCE,
    17         CORRECT OR ELIMINATE ABUSE, NEGLECT, EXPLOITATION OR
    18         ABANDONMENT OF AN OLDER ADULT WHEN SUCH SERVICES ARE NOT
    19         AVAILABLE WITHIN THE EXISTING RESOURCES OF THE AGENCY OR
    20         OTHER APPROPRIATE PROVIDER. PURCHASE OF SERVICES UNDER
    21         THIS PROVISION IS LIMITED TO A 30-DAY PERIOD WHICH MAY BE
    22         RENEWED WITH ADEQUATE JUSTIFICATION UNDER REGULATIONS
    23         PROMULGATED BY THE DEPARTMENT.
    24         (3)  THE OBLIGATION OF THE COMMONWEALTH AND THE COUNTIES
    25     TO PROVIDE FUNDS TO THE DEPARTMENT OR ANY AGENCY FOR SERVICES
    26     PROVIDED PURSUANT TO THIS [ACT] CHAPTER SHALL BE ENTIRELY
    27     DISCHARGED BY THE APPROPRIATIONS MADE TO THE DEPARTMENT OR AN
    28     AGENCY. PROVIDED THAT THE AGENCY HAS MET ITS RESPONSIBILITY
    29     UNDER THE LAW, NO ACTION AT LAW OR EQUITY SHALL BE INSTITUTED
    30     IN ANY COURT TO REQUIRE THE DEPARTMENT, ANY AGENCY, COUNTY OR
    19950H0305B4298                 - 21 -

     1     THE COMMONWEALTH TO PROVIDE BENEFITS OR SERVICES UNDER THIS
     2     [ACT] CHAPTER FOR WHICH APPROPRIATIONS FROM THE COMMONWEALTH
     3     OR COUNTIES ARE NOT AVAILABLE.
     4         (4)  PROTECTIVE SERVICES CLIENTS RECEIVING THE SAME
     5     SERVICES PROVIDED TO OTHERS UNDER AN AGENCY SERVICE PLAN
     6     SHALL NOT BE REQUIRED TO PAY A FEE FOR ANY SERVICES NOT
     7     SUBJECT TO COST SHARING FOR OTHER OLDER ADULTS.
     8  SECTION [13] 310.  REGULATIONS; ENFORCEMENT.
     9     (A)  PROMULGATION OF REGULATIONS.--THE DEPARTMENT SHALL
    10  PROMULGATE THE RULES AND REGULATIONS TO CARRY OUT THIS [ACT]
    11  CHAPTER AND SHALL BE RESPONSIBLE FOR PRESENTING TO THE GENERAL
    12  ASSEMBLY ANNUALLY A REPORT ON THE PROGRAM AND SERVICES
    13  PERFORMED.
    14     (B)  ENFORCEMENT.--THIS [ACT] CHAPTER SHALL BE ENFORCED ONLY
    15  AFTER PROMULGATION OF REGULATIONS BY THE DEPARTMENT, WHICH SHALL
    16  OCCUR NO LATER THAN 12 MONTHS FOLLOWING PASSAGE OF THIS [ACT]
    17  CHAPTER, EXCEPT THAT SECTION [4] 301 SHALL APPLY WHEN THE AREA
    18  AGENCY ON AGING CERTIFIES TO THE DEPARTMENT THAT IT IS PREPARED
    19  TO FULFILL ITS RESPONSIBILITIES. THE CERTIFICATION SHALL BE MADE
    20  WITHIN 90 DAYS FOLLOWING PROMULGATION OF REGULATIONS.
    21     Section 4 5.  The act is amended by adding a section to read:  <--
    22  Section 13.1 311.  Nurse Aide and Elder Abuse Registry.           <--
    23     (a)  Establishment.--The Department of Aging, the Department
    24  of Health and the Department of Public Welfare shall establish a
    25  cooperative arrangement whereby persons found to be
    26  substantiated perpetrators of abuse or neglect of older persons
    27  in institutions shall be listed on the Department of Health's
    28  Nurse Aide Registry, as established in accordance with the
    29  Omnibus Budget Reconciliation Act of 1987 (Public Law 100-203,
    30  101 Stat. 1330). The Nurse Aide Registry shall hereafter be
    19950H0305B4298                 - 22 -

     1  known as the Nurse Aide and Elder Abuse Registry.
     2     (b)  Information in registry.--In addition to the information
     3  already required to be maintained within the Nurse Aide
     4  Registry, in accordance with regulations promulgated pursuant to
     5  the Omnibus Budget Reconciliation Act of 1987, the registry
     6  shall include and be limited to the following information:
     7         (1)  The name, Social Security number, age, sex and
     8     address of the perpetrator.
     9         (2)  The institution or institutions where the
    10     perpetrator committed the abuse or neglect.
    11         (3)  A description of the abuse or neglect committed by
    12     the perpetrator including the date or dates of the incidents.
    13     (c)  Expungement.--The Department of Health shall immediately
    14  expunge information in the registry pertaining to any
    15  perpetrator where the finding of the agency has been reversed
    16  upon appeal under 6 Pa. Code § 15.82(3) (relating to rights of
    17  alleged abusers).
    18     (d)  Information submitted by prospective employees.--
    19  Administrators of institutions which assume the responsibility
    20  for the provision of care needed to maintain the physical or
    21  mental health of an older adult shall require prospective
    22  employees to submit with their applications for employment a
    23  certification from the Department of Health as to whether the
    24  applicant is named in the registry as a perpetrator. The
    25  certificate must be obtained within the preceding one-year
    26  period.
    27     (e)  Grounds for denying employment.--In no case shall an
    28  administrator hire an applicant where the Department of Health
    29  has verified the applicant is named in the registry as a
    30  perpetrator.
    19950H0305B4298                 - 23 -

     1     (f)  Regulations.--The Department of Aging, the Department of
     2  Health and the Department of Public Welfare shall promulgate the
     3  regulations necessary to carry out this section which shall
     4  include a uniform procedure for agencies to immediately transmit
     5  to the registry records of substantiated cases of abuse or
     6  neglect of older persons in institutions.
     7     SECTION 6.  SECTION 14 OF THE ACT IS AMENDED TO READ:          <--
     8  SECTION [14] 312.  FUNDS FOR PAYMENT OF ADMINISTRATION OF [ACT]
     9                 CHAPTER.
    10     FUNDS NECESSARY TO ADMINISTER THIS [ACT] CHAPTER SHALL BE
    11  PROVIDED BY ANNUAL APPROPRIATION BY THE GENERAL ASSEMBLY.
    12     SECTION 7 5.  THE ACT IS AMENDED BY ADDING A CHAPTER TO READ:  <--
    13                             CHAPTER 7
    14               REPORTING SUSPECTED ABUSE BY EMPLOYEES
    15  SECTION 701.  REPORTING BY EMPLOYEES.
    16     (A)  MANDATORY REPORTING TO AGENCY.--
    17         (1)  EXCEPT AS PROVIDED IN PARAGRAPH (2):                  <--
    18             (I)  AN EMPLOYEE WHO HAS REASONABLE CAUSE TO SUSPECT
    19         THAT A RECIPIENT IS A VICTIM OF ABUSE SHALL IMMEDIATELY
    20         MAKE AN ORAL REPORT TO THE ADMINISTRATOR AND THE AGENCY.
    21             (II)  WITHIN 48 HOURS OF MAKING THE ORAL REPORT, THE
    22         EMPLOYEE SHALL MAKE A WRITTEN REPORT TO THE
    23         ADMINISTRATOR. THE ADMINISTRATOR SHALL IMMEDIATELY
    24         FORWARD THE REPORT TO THE AGENCY.
    25         (2)  IF THE INDIVIDUAL SUSPECTED OF THE ABUSE IS THE
    26     ADMINISTRATOR, THE REPORTS UNDER THIS SUBSECTION SHALL BE
    27     MADE TO THE AGENCY.
    28     (B)  MANDATORY REPORTS TO LAW ENFORCEMENT OFFICIALS.--
    29         (1)  EXCEPT AS PROVIDED IN PARAGRAPH (2):
    30             (I)  AN EMPLOYEE WHO HAS REASONABLE CAUSE TO SUSPECT
    19950H0305B4298                 - 24 -

     1         THAT A RECIPIENT IS THE VICTIM OF SEXUAL ABUSE OR SERIOUS
     2         BODILY INJURY OR THAT A DEATH IS SUSPICIOUS SHALL
     3         IMMEDIATELY CONTACT THE ADMINISTRATOR.
     4             (II)  THE ADMINISTRATOR AND THE EMPLOYEE SHALL
     5         IMMEDIATELY MAKE AN ORAL REPORT TO APPROPRIATE LAW
     6         ENFORCEMENT OFFICIALS OF THE SUSPICION OF SEXUAL ABUSE OR
     7         SERIOUS BODILY INJURY OR THE SUSPICIOUS DEATH.
     8             (III)  WITHIN 48 HOURS OF MAKING THE ORAL REPORT, THE
     9         ADMINISTRATOR AND THE EMPLOYEE SHALL MAKE A WRITTEN
    10         REPORT TO APPROPRIATE LAW ENFORCEMENT OFFICIALS.
    11         (2)  IF THE INDIVIDUAL SUSPECTED OF THE ABUSE IS THE
    12     ADMINISTRATOR, PARAGRAPH (1)(I) DOES NOT APPLY; AND THE
    13     REPORTS UNDER SUBPARAGRAPH (1)(II) AND (III) SHALL BE MADE
    14     DIRECTLY TO APPROPRIATE LAW ENFORCEMENT OFFICIALS.
    15         (1)  AN EMPLOYEE OR AN ADMINISTRATOR WHO HAS REASONABLE    <--
    16     CAUSE TO SUSPECT THAT A RECIPIENT IS A VICTIM OF ABUSE SHALL
    17     IMMEDIATELY MAKE AN ORAL REPORT TO THE AGENCY. AN EMPLOYEE
    18     SHALL NOTIFY THE ADMINISTRATOR IMMEDIATELY FOLLOWING THE
    19     REPORT TO THE AGENCY.
    20         (2)  WITHIN 48 HOURS OF MAKING THE ORAL REPORT, THE
    21     EMPLOYEE OR ADMINISTRATOR SHALL MAKE A WRITTEN REPORT TO THE
    22     AGENCY. THE AGENCY SHALL NOTIFY THE ADMINISTRATOR THAT A
    23     REPORT OF ABUSE HAS BEEN MADE WITH THE AGENCY.
    24         (3)  THE EMPLOYEE MAY REQUEST THE ADMINISTRATOR TO MAKE,
    25     OR TO ASSIST THE EMPLOYEE TO MAKE, THE ORAL AND WRITTEN
    26     REPORTS REQUIRED BY THIS SUBSECTION.
    27     (B)  MANDATORY REPORTS TO LAW ENFORCEMENT OFFICIALS.--
    28         (1)  AN EMPLOYEE OR AN ADMINISTRATOR WHO HAS REASONABLE
    29     CAUSE TO SUSPECT THAT A RECIPIENT IS THE VICTIM OF SEXUAL
    30     ABUSE OR SERIOUS BODILY INJURY OR THAT A DEATH IS SUSPICIOUS
    19950H0305B4298                 - 25 -

     1     SHALL IMMEDIATELY CONTACT LAW ENFORCEMENT OFFICIALS TO MAKE
     2     AN ORAL REPORT. AN EMPLOYEE SHALL NOTIFY THE ADMINISTRATOR
     3     IMMEDIATELY FOLLOWING THE REPORT TO LAW ENFORCEMENT
     4     OFFICIALS.
     5         (2)  WITHIN 48 HOURS OF MAKING THE ORAL REPORT, THE
     6     EMPLOYEE AND AN ADMINISTRATOR SHALL MAKE A WRITTEN REPORT TO
     7     APPROPRIATE LAW ENFORCEMENT OFFICIALS.
     8         (3)  THE LAW ENFORCEMENT OFFICIALS SHALL NOTIFY THE
     9     ADMINISTRATOR THAT A REPORT HAS BEEN MADE WITH THE LAW
    10     ENFORCEMENT OFFICIALS.
    11         (4)  THE EMPLOYEE MAY REQUEST THE ADMINISTRATOR TO MAKE,
    12     OR TO ASSIST THE EMPLOYEE TO MAKE, THE ORAL AND WRITTEN
    13     REPORTS TO LAW ENFORCEMENT REQUIRED BY THIS SUBSECTION.
    14     (C)  CONTENTS OF REPORT.--A WRITTEN REPORT UNDER THIS SECTION
    15  SHALL BE IN A MANNER AND ON FORMS PRESCRIBED BY THE DEPARTMENT.
    16  THE REPORT SHALL INCLUDE, AT A MINIMUM, THE FOLLOWING
    17  INFORMATION:
    18         (1)  NAME, AGE AND ADDRESS OF THE RECIPIENT.
    19         (2)  NAME AND ADDRESS OF THE RECIPIENT'S GUARDIAN OR NEXT
    20     OF KIN.
    21         (3)  NAME AND ADDRESS OF THE FACILITY.
    22         (4)  NATURE OF THE ALLEGED OFFENSE.
    23         (5)  ANY SPECIFIC COMMENTS OR OBSERVATIONS THAT ARE
    24     DIRECTLY RELATED TO THE ALLEGED INCIDENT AND THE INDIVIDUAL
    25     INVOLVED.
    26  SECTION 702.  REPORTS TO DEPARTMENT AND CORONER.
    27     (A)  DEPARTMENT.--
    28         (1)  WITHIN 48 HOURS OF RECEIPT OF A WRITTEN REPORT UNDER
    29     SECTION 701(A), THE AGENCY SHALL TRANSMIT A WRITTEN REPORT TO
    30     THE DEPARTMENT. SUPPLEMENTAL REPORTS SHALL BE TRANSMITTED AS
    19950H0305B4298                 - 26 -

     1     THEY ARE OBTAINED BY THE AGENCY.
     2         (2)  A REPORT UNDER THIS SUBSECTION SHALL BE MADE TO THE   <--
     3     AGENCY AND THE DEPARTMENT IN A MANNER AND ON FORMS PRESCRIBED
     4     BY THE DEPARTMENT. THE REPORT SHALL INCLUDE, AT A MINIMUM,
     5     THE FOLLOWING INFORMATION:
     6             (I)  THE NAME AND ADDRESS OF THE ALLEGED VICTIM.
     7             (II)  WHERE THE SUSPECTED ABUSE OCCURRED.
     8             (III)  THE AGE AND SEX OF THE SUBJECTS OF THE REPORT   <--
     9         ALLEGED PERPETRATOR AND VICTIM.                            <--
    10             (IV)  THE NATURE AND EXTENT OF THE SUSPECTED ABUSE,
    11         INCLUDING ANY EVIDENCE OF PRIOR ABUSE.
    12             (V)  THE NAME AND RELATIONSHIP OF THE INDIVIDUAL
    13         RESPONSIBLE FOR CAUSING THE ALLEGED ABUSE TO THE VICTIM,   <--
    14         IF KNOWN, AND ANY EVIDENCE OF PRIOR ABUSE BY THAT
    15         INDIVIDUAL.
    16             (VI)  THE SOURCE OF THE REPORT.
    17             (VII)  THE INDIVIDUAL MAKING THE REPORT AND WHERE
    18         THAT INDIVIDUAL CAN BE REACHED.
    19             (VIII)  THE ACTIONS TAKEN BY THE REPORTING SOURCE,
    20         INCLUDING TAKING OF PHOTOGRAPHS AND X-RAYS, REMOVAL OF
    21         RECIPIENT AND NOTIFICATION UNDER SUBSECTION (B).
    22             (IX)  ANY OTHER INFORMATION WHICH THE DEPARTMENT MAY
    23         REQUIRE BY REGULATION.
    24     (B)  CORONER.--FOR A REPORT UNDER SECTION 701(A) WHICH
    25  CONCERNS THE DEATH OF A RECIPIENT, IF THERE IS REASONABLE CAUSE
    26  TO SUSPECT THAT THE RECIPIENT DIED AS A RESULT OF ABUSE, THE
    27  AGENCY SHALL GIVE TELEPHONE NOTICE AND FORWARD A COPY OF THE
    28  REPORT TO THE APPROPRIATE CORONER WITHIN 24 HOURS.
    29  SECTION 703.  INVESTIGATION.
    30     (A)  LAW ENFORCEMENT OFFICIALS.--UPON RECEIPT OF A REPORT
    19950H0305B4298                 - 27 -

     1  UNDER SECTION 701(B), LAW ENFORCEMENT OFFICIALS SHALL CONDUCT AN
     2  INVESTIGATION TO DETERMINE WHAT CRIMINAL CHARGES, IF ANY, WILL
     3  BE FILED.
     4     (B)  NOTIFICATION.--IF LAW ENFORCEMENT OFFICIALS HAVE
     5  REASONABLE CAUSE TO SUSPECT THAT A RECIPIENT HAS SUFFERED SEXUAL
     6  ABUSE, SERIOUS BODILY INJURY OR A SUSPICIOUS DEATH, LAW
     7  ENFORCEMENT OFFICIALS SHALL NOTIFY THE AGENCY.
     8     (C)  COOPERATION.--TO THE FULLEST EXTENT POSSIBLE, LAW
     9  ENFORCEMENT OFFICIALS, THE FACILITY AND THE AGENCY SHALL
    10  COORDINATE THEIR RESPECTIVE INVESTIGATIONS. LAW ENFORCEMENT
    11  OFFICIALS, THE FACILITY AND THE AGENCY SHALL ADVISE EACH OTHER
    12  AND PROVIDE ANY APPLICABLE ADDITIONAL INFORMATION ON AN ONGOING
    13  BASIS.
    14     (D)  FURTHER NOTIFICATION.--LAW ENFORCEMENT OFFICIALS SHALL
    15  NOTIFY THE AGENCY AND THE FACILITY OF A DECISION REGARDING
    16  CRIMINAL CHARGES. THE AGENCY AND THE DEPARTMENT SHALL KEEP A
    17  RECORD OF ANY DECISION REGARDING CRIMINAL CHARGES.
    18     (E)  COMPLIANCE WITH CHAPTER 3.--IN ADDITION TO THE
    19  PROVISIONS OF THIS SECTION, THE AGENCY SHALL COMPLY WITH CHAPTER
    20  3.
    21  SECTION 704.  RESTRICTIONS ON EMPLOYEES.
    22     (A)  PLAN OF SUPERVISION.--UPON NOTIFICATION THAT AN EMPLOYEE
    23  IS ALLEGED TO HAVE COMMITTED ABUSE, THE FACILITY SHALL
    24  IMMEDIATELY IMPLEMENT A PLAN OF SUPERVISION OR, WHERE
    25  APPROPRIATE, SUSPENSION OF THE EMPLOYEE, SUBJECT TO APPROVAL BY
    26  THE AGENCY AND BY THE COMMONWEALTH AGENCY WITH REGULATORY
    27  AUTHORITY OVER THE FACILITY. A PLAN OF SUPERVISION FOR A HOME
    28  HEALTH CARE AGENCY MUST INCLUDE PERIODIC RANDOM DIRECT
    29  INSPECTIONS OF CARE-DEPENDENT INDIVIDUALS BY A FACILITY EMPLOYEE
    30  WHO HAS BEEN CONTINUOUSLY EMPLOYED BY THAT FACILITY FOR A PERIOD
    19950H0305B4298                 - 28 -

     1  OF AT LEAST ONE YEAR.
     2     (B)  PROHIBITION.--UPON THE FILING OF CRIMINAL CHARGES
     3  AGAINST AN EMPLOYEE, THE COMMONWEALTH AGENCY WHICH LICENSES THE
     4  FACILITY SHALL ORDER THE FACILITY TO IMMEDIATELY PROHIBIT THAT
     5  EMPLOYEE FROM HAVING ACCESS TO RECIPIENTS AT THE FACILITY. IF
     6  THAT EMPLOYEE IS A DIRECTOR, OPERATOR, ADMINISTRATOR OR
     7  SUPERVISOR, THAT EMPLOYEE SHALL BE SUBJECT TO RESTRICTIONS
     8  DEEMED APPROPRIATE BY THE COMMONWEALTH AGENCY WHICH LICENSES THE
     9  FACILITY TO ASSURE THE SAFETY OF RECIPIENTS OF THE FACILITY.
    10  SECTION 705.  CONFIDENTIALITY OF AND ACCESS TO CONFIDENTIAL
    11                 REPORTS.
    12     (A)  GENERAL RULE.--EXCEPT AS PROVIDED IN SUBSECTION (B), A
    13  REPORT UNDER THIS CHAPTER SHALL BE CONFIDENTIAL.
    14     (B)  EXCEPTIONS.--A REPORT UNDER THIS CHAPTER SHALL BE MADE
    15  AVAILABLE TO ALL OF THE FOLLOWING:
    16         (1)  AN EMPLOYEE OF THE DEPARTMENT OR OF AN AGENCY IN THE
    17     COURSE OF OFFICIAL DUTIES IN CONNECTION WITH RESPONSIBILITIES
    18     UNDER THIS CHAPTER.
    19         (2)  AN EMPLOYEE OF THE DEPARTMENT OF HEALTH OR THE
    20     DEPARTMENT OF PUBLIC WELFARE IN THE COURSE OF OFFICIAL
    21     DUTIES.
    22         (3)  AN EMPLOYEE OF AN AGENCY OF ANOTHER STATE WHICH
    23     PERFORMS PROTECTIVE SERVICES SIMILAR TO THOSE UNDER THIS
    24     CHAPTER.
    25         (4)  A PRACTITIONER OF THE HEALING ARTS WHO IS EXAMINING
    26     OR TREATING A RECIPIENT AND WHO SUSPECTS THAT THE RECIPIENT
    27     IS IN NEED OF PROTECTION UNDER THIS CHAPTER.
    28         (5)  THE DIRECTOR, OR AN INDIVIDUAL SPECIFICALLY
    29     DESIGNATED IN WRITING BY THE DIRECTOR, OF ANY HOSPITAL OR
    30     OTHER MEDICAL INSTITUTION WHERE A VICTIM IS BEING TREATED IF
    19950H0305B4298                 - 29 -

     1     THE DIRECTOR OR DESIGNEE SUSPECTS THAT THE RECIPIENT IS IN
     2     NEED OF PROTECTION UNDER THIS CHAPTER.
     3         (6)  A GUARDIAN OF THE RECIPIENT.
     4         (7)  A COURT OF COMPETENT JURISDICTION PURSUANT TO A
     5     COURT ORDER.
     6         (8)  THE ATTORNEY GENERAL.
     7         (9)  LAW ENFORCEMENT OFFICIALS OF ANY JURISDICTION AS
     8     LONG AS THE INFORMATION IS RELEVANT IN THE COURSE OF
     9     INVESTIGATING CASES OF ABUSE.
    10         (10)  A MANDATED REPORTER UNDER CHAPTER 3 WHO MADE A
    11     REPORT OF SUSPECTED ABUSE. INFORMATION RELEASED UNDER THIS
    12     PARAGRAPH SHALL BE LIMITED TO THE FOLLOWING:
    13             (I)  THE FINAL STATUS OF THE REPORT FOLLOWING THE
    14         INVESTIGATION.
    15             (II)  SERVICES PROVIDED OR TO BE PROVIDED BY THE
    16         AGENCY.
    17     (C)  EXCISION OF CERTAIN NAMES.--THE NAME OF THE PERSON
    18  SUSPECTED OF COMMITTING THE ABUSE SHALL BE EXCISED FROM A REPORT
    19  MADE AVAILABLE UNDER SUBSECTIONS (B)(4), (5) AND (10).
    20     (D)  RELEASE OF INFORMATION TO SUBJECT OF REPORT ALLEGED       <--
    21  PERPETRATOR AND VICTIM.--UPON WRITTEN REQUEST, A SUBJECT OF A     <--
    22  REPORT AN ALLEGED PERPETRATOR AND VICTIM MAY RECEIVE A COPY OF    <--
    23  ALL INFORMATION, EXCEPT THAT PROHIBITED FROM BEING DISCLOSED BY
    24  SUBSECTION (E).
    25     (E)  PROTECTING IDENTITY OF PERSON MAKING REPORT.--EXCEPT FOR
    26  REPORTS TO LAW ENFORCEMENT OFFICIALS, THE RELEASE OF DATA THAT
    27  WOULD IDENTIFY THE INDIVIDUAL WHO MADE A REPORT UNDER THIS
    28  CHAPTER OR AN INDIVIDUAL WHO COOPERATED IN A SUBSEQUENT
    29  INVESTIGATION IS PROHIBITED. LAW ENFORCEMENT OFFICIALS SHALL
    30  TREAT ALL REPORTING SOURCES AS CONFIDENTIAL INFORMATION.
    19950H0305B4298                 - 30 -

     1  SECTION 706.  PENALTIES.
     2     (A)  ADMINISTRATIVE.--
     3         (1)  AN ADMINISTRATOR WHO INTENTIONALLY OR WILLFULLY       <--
     4     FAILS TO COMPLY OR OBSTRUCTS COMPLIANCE WITH THE PROVISIONS    <--
     5     OF THIS CHAPTER OR WHO INTIMIDATES OR COMMITS A RETALIATORY
     6     ACT AGAINST AN EMPLOYEE WHO COMPLIES IN GOOD FAITH WITH THE
     7     PROVISIONS OF THIS CHAPTER COMMITS A VIOLATION OF THIS
     8     CHAPTER AND SHALL BE SUBJECT TO AN ADMINISTRATIVE PENALTY
     9     UNDER PARAGRAPH (3).
    10         (2)  A FACILITY OWNER THAT INTENTIONALLY OR WILLFULLY      <--
    11     FAILS TO COMPLY WITH OR OBSTRUCTS COMPLIANCE WITH, WITH THIS   <--
    12     CHAPTER OR THAT INTIMIDATES OR COMMITS A RETALIATORY ACT
    13     AGAINST AN EMPLOYEE WHO COMPLIES IN GOOD FAITH WITH THIS
    14     CHAPTER COMMITS A VIOLATION OF THIS CHAPTER AND SHALL BE
    15     SUBJECT TO AN ADMINISTRATIVE PENALTY UNDER PARAGRAPH (3).
    16         (3)  THE COMMONWEALTH AGENCY OR COMMONWEALTH AGENCIES
    17     WHICH REGULATE THE FACILITY HAVE JURISDICTION TO DETERMINE
    18     VIOLATIONS OF THIS CHAPTER AND MAY ISSUE AN ORDER ASSESSING A
    19     CIVIL PENALTY OF NOT MORE THAN $2,500. AN ORDER UNDER THIS
    20     PARAGRAPH IS SUBJECT TO 2 PA.C.S. CH. 5 SUBCH. A (RELATING TO
    21     PRACTICE AND PROCEDURE OF COMMONWEALTH AGENCIES) AND CH. 7
    22     SUBCH. A (RELATING TO JUDICIAL REVIEW OF COMMONWEALTH AGENCY
    23     ACTION).
    24     (B)  CRIMINAL.--
    25         (1)  AN ADMINISTRATOR WHO INTENTIONALLY OR WILLFULLY       <--
    26     FAILS TO COMPLY OR OBSTRUCTS COMPLIANCE WITH THIS CHAPTER
    27     COMMITS A SUMMARY OFFENSE MISDEMEANOR OF THE THIRD DEGREE AND  <--
    28     SHALL, UPON CONVICTION, BE SENTENCED TO PAY A FINE OF $300     <--
    29     $2,500 OR TO IMPRISONMENT FOR NOT MORE THAN 90 DAYS ONE YEAR   <--
    30     OR BOTH.
    19950H0305B4298                 - 31 -

     1         (2)  A FACILITY OWNER THAT INTENTIONALLY OR WILLFULLY      <--
     2     FAILS TO COMPLY WITH, OR OBSTRUCTS COMPLIANCE WITH, THIS
     3     CHAPTER COMMITS A SUMMARY OFFENSE MISDEMEANOR OF THE THIRD     <--
     4     DEGREE AND SHALL, UPON CONVICTION, BE SENTENCED TO PAY A FINE
     5     OF $300 $2,500 OR TO IMPRISONMENT FOR NOT MORE THAN 90 DAYS    <--
     6     ONE YEAR OR BOTH.                                              <--
     7  SECTION 707.  IMMUNITY.
     8     AN ADMINISTRATOR OR A FACILITY SHALL NOT BE HELD CIVILLY
     9  LIABLE FOR ANY ACTION DIRECTLY RELATED TO GOOD FAITH COMPLIANCE
    10  WITH THIS CHAPTER.
    11     SECTION 8 6.  THE ACT IS AMENDED BY ADDING A CHAPTER HEADING   <--
    12  TO READ:
    13                             CHAPTER 51
    14                      MISCELLANEOUS PROVISIONS
    15     SECTION 9 7.  SECTIONS 15 AND 16 OF THE ACT ARE AMENDED TO     <--
    16  READ:
    17  SECTION [15] 5101.  REPEALS.
    18     ALL OTHER ACTS AND PARTS OF ACTS ARE REPEALED INSOFAR AS THEY
    19  ARE INCONSISTENT WITH THIS ACT.
    20  SECTION [16] 5102.  EFFECTIVE DATE.
    21     THIS ACT SHALL TAKE EFFECT JULY 1, 1988.
    22     Section 5 10 8.  This act shall take effect in 90 days.        <--






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