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                                                        PRINTER'S NO. 80

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 88 Session of 2005


        INTRODUCED BY LOGAN, COSTA, KITCHEN, LAVALLE, MUSTO, TARTAGLIONE
           AND STACK, JANUARY 31, 2005

        REFERRED TO PUBLIC HEALTH AND WELFARE, JANUARY 31, 2005

                                     AN ACT

     1  Requiring certain staffing levels at health care facilities
     2     providing renal dialysis services; and providing for powers
     3     and duties of the Department of Health.

     4     The General Assembly of the Commonwealth of Pennsylvania
     5  hereby enacts as follows:
     6  Section 1.  Short title.
     7     This act shall be known and may be cited as the Dialysis
     8  Services Staffing Act.
     9  Section 2.  Definitions.
    10     The following words and phrases when used in this act shall
    11  have the meanings given to them in this section unless the
    12  context clearly indicates otherwise:
    13     "Department."  The Department of Health of the Commonwealth.
    14     "Dialysis."  A process by which dissolved substances are
    15  removed from a patient's body by diffusion from one fluid
    16  compartment to another across a semipermeable membrane.
    17     "End-stage renal disease" or "ESRD."  That stage of renal
    18  impairment that appears irreversible and permanent, and requires

     1  a regular course of dialysis or kidney transplantation to
     2  maintain life.
     3     "ESRD facility."  A health care facility which is approved to
     4  furnish a type of end-stage renal disease service.
     5     "Health care facility."  As defined in section 802.1 of the
     6  act of July 19, 1979 (P.L.130, No.48), known as the Health Care
     7  Facilities Act.
     8  Section 3.  Staffing requirements.
     9     (a)  General rule.--An ESRD facility must have properly
    10  trained personnel present in adequate number to meet the medical
    11  and nonmedical needs of patients receiving dialysis.
    12     (b)  Staff.--Whenever a patient is receiving dialysis, the
    13  ESRD facility shall provide the following staff:
    14         (1)  Two licensed health care professionals, including
    15     one full-time registered nurse licensed in Pennsylvania and
    16     one health care professional experienced in rendering care
    17     for renal dialysis patient care.
    18         (2)  An adequate number of personnel such that
    19     patient/staff ratio is appropriate to the level of dialysis
    20     care being given to meet the needs of the patient.
    21         (3)  A licensed physician who is onsite or on call.
    22  Section 4.  Administration and enforcement.
    23     (a)  Administration.--The department shall develop and
    24  implement procedures as may be necessary and appropriate in
    25  order to obtain compliance with this act. The procedures shall
    26  include, but not be limited to, monitoring and inspection
    27  procedures.
    28     (b)  Enforcement.--The department may suspend or revoke the
    29  license of a health care facility for a violation of this act in
    30  accordance with the act of July 19, 1979 (P.L.130, No.48), known
    20050S0088B0080                  - 2 -     

     1  as the Health Care Facilities Act.
     2  Section 5.  Effective date.
     3     This act shall take effect in 60 days.


















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