SENATE AMENDED
        PRIOR PRINTER'S NOS. 229, 1300, 1443,         PRINTER'S NO. 2045
        1705, 1978

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 247 Session of 1995


        INTRODUCED BY ZUG AND KREBS, JANUARY 24, 1995

        AS AMENDED ON SECOND CONSIDERATION, IN SENATE, JUNE 6, 1995

                                     AN ACT

     1  Amending Title 18 (Crimes and Offenses) of the Pennsylvania
     2     Consolidated Statutes, defining the offense of neglect of
     3     care-dependent person; FURTHER PROVIDING FOR INSURANCE FRAUD;  <--
     4     and further prohibiting prostitution.

     5     The General Assembly of the Commonwealth of Pennsylvania
     6  hereby enacts as follows:
     7     Section 1.  Title 18 of the Pennsylvania Consolidated
     8  Statutes is amended by adding a section to read:
     9  § 2713.  Neglect of care-dependent person.
    10     (a)  Offense defined.--A caretaker is guilty of neglect of a
    11  care-dependent person if he:
    12         (1)  Intentionally, knowingly or recklessly causes bodily
    13     injury or serious bodily injury by failing to provide
    14     treatment, care, goods or services necessary to preserve the
    15     health, safety or welfare of a care-dependent person for whom
    16     he is responsible to provide care.
    17         (2)  Intentionally or knowingly uses a physical restraint


     1     or chemical restraint or medication on a care-dependent
     2     person, or isolates a care-dependent person contrary to law
     3     or regulation, such that bodily injury or serious bodily
     4     injury results.
     5     (b)  Penalty.--
     6         (1)  A violation of subsection (a)(1) constitutes a
     7     misdemeanor of the first degree if the victim suffers bodily
     8     injury.
     9         (2)  A violation of subsection (a)(1) constitutes a
    10     felony of the first degree if the victim suffers serious
    11     bodily injury.
    12         (3)  A violation of subsection (a)(2) constitutes a
    13     misdemeanor of the first degree if the victim suffers bodily
    14     injury.
    15         (4)  A violation of subsection (a)(2) constitutes a
    16     felony of the first degree if the victim suffers serious
    17     bodily injury.
    18     (c)  Report during investigation.--When in the course of
    19  conducting any regulatory or investigative responsibility, the
    20  Department of Aging, the Department of Health or the Department
    21  of Public Welfare has a reasonable cause to believe that a care-
    22  dependent person or care-dependent persons residing in a
    23  facility have suffered bodily injury or been unlawfully
    24  restrained in violation of subsection (a)(1) or (2), a report
    25  shall be made immediately to the local law enforcement agency or
    26  to the Office of Attorney General.
    27     (d)  Enforcement.--
    28         (1)  The district attorneys of the several counties shall
    29     have authority to investigate and to institute criminal
    30     proceedings for any violations of this section.
    19950H0247B2045                  - 2 -

     1         (2)  In addition to the authority conferred upon the
     2     Attorney General under the act of October 15, 1980 (P.L.950,
     3     No.164), known as the Commonwealth Attorneys Act, the
     4     Attorney General shall have the authority to investigate and
     5     institute criminal proceedings for any violation of this
     6     section or any series of such violations involving more than
     7     one county of this Commonwealth or involving any county of
     8     this Commonwealth and another state. A person charged with a
     9     violation of this section by the Attorney General shall not
    10     have standing to challenge the authority of the Attorney
    11     General to investigate or prosecute the case and, if any such
    12     challenge is made, the challenge shall be dismissed and no
    13     relief shall be available in the courts of this Commonwealth
    14     to the person making the challenge.
    15     (E)  TREATMENT IN CONFORMANCE WITH CARE-DEPENDENT PERSON'S     <--
    16  RIGHT TO ACCEPT OR REFUSE SERVICES.--A CARETAKER, OR ANY OTHER    <--
    17  INDIVIDUAL OR FACILITY MAY OFFER AN AFFIRMATIVE DEFENSE TO
    18  CHARGES FILED PURSUANT TO THIS ACT SECTION IF THE CARETAKER,      <--
    19  INDIVIDUAL OR FACILITY CAN DEMONSTRATE THROUGH A PREPONDERANCE
    20  OF THE EVIDENCE THAT THE ALLEGED VIOLATIONS RESULT DIRECTLY
    21  FROM:
    22         (1)  THE CARETAKER'S, INDIVIDUAL'S OR FACILITY'S LAWFUL    <--
    23     COMPLIANCE WITH A CARE-DEPENDENT PERSON'S ADVANCE DIRECTIVE
    24     FOR HEALTH CARE AS PROVIDED IN 20 PA.C.S. CH. 54 (RELATING TO
    25     ADVANCE DIRECTIVE FOR HEALTH CARE);
    26         (2)  THE CARETAKER'S, INDIVIDUAL'S OR FACILITY'S LAWFUL    <--
    27     COMPLIANCE WITH THE CARE-DEPENDENT PERSON'S WRITTEN, SIGNED
    28     AND WITNESSED INSTRUCTIONS, COMPOSED WHEN THE CARE-DEPENDENT
    29     PERSON IS COMPETENT AS TO THE TREATMENT HE WISHES TO RECEIVE;
    30     OR                                                             <--
    19950H0247B2045                  - 3 -

     1         (3)  THE CARETAKER'S, INDIVIDUAL'S OR FACILITY'S LAWFUL    <--
     2     COMPLIANCE WITH THE DIRECTION OF THE CARE-DEPENDENT PERSON'S
     3     ATTORNEY-IN-FACT ACTING PURSUANT TO A LAWFUL DURABLE POWER OF
     4     ATTORNEY; OR                                                   <--
     5         (4)  THE CARETAKER'S, INDIVIDUAL'S OR FACILITY'S LAWFUL
     6     COMPLIANCE WITH A "DO NOT RESUSCITATE" ORDER WRITTEN AND
     7     SIGNED BY THE CARE-DEPENDENT PERSON'S ATTENDING PHYSICIAN.
     8     (e) (F)  Definitions.--As used in this section, the following  <--
     9  words and phrases shall have the meanings given to them in this
    10  subsection:
    11     "Care-dependent person."  Any adult who, due to physical or
    12  cognitive disability or impairment, requires assistance to meet
    13  his needs for food, shelter, clothing, personal care or health
    14  care.
    15     "Caretaker."  Any person who:
    16         (1)  is an owner, operator, manager or employee of a
    17     nursing home, personal care home, domiciliary care home,
    18     community residential facility, adult daily living center,
    19     home health agency or home health service provider whether
    20     licensed or unlicensed;
    21         (2)  provides care to a care-dependent person in the
    22     setting described in paragraph (1); or
    23         (3)  has an obligation to care for a care-dependent
    24     person for monetary consideration in the settings described
    25     in paragraph (1), or in the care-dependent person's home.
    26     "Person."  A natural person, corporation, partnership,
    27  unincorporated association or other business entity.
    28     SECTION 2.  SECTION 4117(K)(2) OF TITLE 18 IS REPEALED.        <--
    29     Section 2 3.  Section 5902(c) of Title 18 is amended and the   <--
    30  section is amended by adding subsections to read:
    19950H0247B2045                  - 4 -

     1  § 5902.  Prostitution and related offenses.
     2     * * *
     3     (a.1)  Grading of offenses under subsection (a).--An offense
     4  under subsection (a) constitutes a felony of the third degree if
     5  the person who committed the offense was knowingly human
     6  immunodeficiency virus (HIV) positive or infected with the
     7  acquired immune deficiency syndrome (AIDS) virus.
     8     * * *
     9     (c)  Grading of offenses under subsection (b).--
    10         (1)  An offense under subsection (b) constitutes a felony
    11     of the third degree if:
    12             (i)  the offense falls within paragraphs (b)(1),
    13         (b)(2) or (b)(3);
    14             (ii)  the actor compels another to engage in or
    15         promote prostitution;
    16             (iii)  the actor promotes prostitution of a child
    17         under the age of 16 years, whether or not he is aware of
    18         the age of the child; [or]
    19             (iv)  the actor promotes prostitution of his spouse,
    20         child, ward or any person for whose care, protection or
    21         support he is responsible[.]; or
    22             (v)  the person knowingly promoted prostitution of
    23         another who was HIV positive or infected with the AIDS
    24         virus.
    25         (2)  Otherwise the offense is a misdemeanor of the second
    26     degree.
    27     * * *
    28     (e.1)  Grading of offenses under subsection (e).--An offense
    29  under subsection (e) constitutes a felony of the third degree if
    30  the person who committed the offense was knowingly human
    19950H0247B2045                  - 5 -

     1  immunodeficiency virus (HIV) positive or infected with acquired
     2  immune deficiency syndrome (AIDS) virus.
     3     * * *
     4     Section 3 4.  This act shall take effect in 60 days.           <--


















    L9L18SFG/19950H0247B2045         - 6 -