PRIOR PRINTER'S NOS. 99, 840                  PRINTER'S NO. 2295

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 90 Session of 1987


        INTRODUCED BY KUKOVICH, IRVIS, SEVENTY, CAWLEY, TIGUE, DeLUCA,
           LUCYK, COWELL, COHEN, J. L. WRIGHT, WAMBACH, PERZEL,
           PRESSMANN, RICHARDSON, GANNON, HALUSKA, PRESTON, TRUMAN,
           DAWIDA, TRELLO, MARKOSEK, RUDY, STABACK, D. R. WRIGHT,
           LAUGHLIN, SWEET, GEIST, JOSEPHS, CAPPABIANCA, OLIVER, BUSH,
           DOMBROWSKI, HARPER, MORRIS, ITKIN, CARN, FOX, HERMAN, BUNT,
           RAYMOND, J. TAYLOR, KOSINSKI, VEON, FATTAH, SHOWERS,
           VAN HORNE, MRKONIC, PETRARCA, SAURMAN, LaGROTTA, FREEMAN,
           FLICK, D. W. SNYDER, E. Z. TAYLOR, PISTELLA, DALEY, CIVERA,
           LEVDANSKY, BLAUM, HUGHES, PETRONE AND BOOK, FEBRUARY 2, 1987

        AS RE-REPORTED FROM COMMITTEE ON APPROPRIATIONS, HOUSE OF
           REPRESENTATIVES, AS AMENDED, OCTOBER 14, 1987

                                     AN ACT

     1  Relating to the protection of the abused, neglected, exploited    <--
     2     or abandoned elderly; establishing a uniform Statewide
     3     reporting and investigative system for suspected abuse,
     4     neglect or exploitation of the elderly; providing protective
     5     services; providing for funding; making an appropriation; and
     6     making repeals.

     7                         TABLE OF CONTENTS
     8  Section 1.  Short title.
     9  Section 2.  Legislative policy.
    10  Section 3.  Definitions.
    11  Section 4.  Duties of department and area agencies on aging.
    12  Section 5.  Reporting; protection from retaliation; immunity.
    13  Section 6.  Investigations of reports of need for protective
    14                 services.
    15  Section 7.  Provision of services.


     1  Section 8.  Immunity of the agency and the protective services
     2                 provider.
     3  Section 9.  Confidentiality of records.
     4  Section 10.  Emergency protective services.
     5  Section 11.  Regulations; enforcement.
     6  Section 12.  Funds for payment of administration of act;
     7                 appropriation; lapse.
     8  Section 13.  Repeals.
     9  Section 14.  Effective date.
    10  RELATING TO THE PROTECTION OF THE ABUSED, NEGLECTED, EXPLOITED    <--
    11     OR ABANDONED ELDERLY; ESTABLISHING A UNIFORM STATEWIDE
    12     REPORTING AND INVESTIGATIVE SYSTEM FOR SUSPECTED ABUSE,
    13     NEGLECT, EXPLOITATION OR ABANDONMENT OF THE ELDERLY;
    14     PROVIDING PROTECTIVE SERVICES; PROVIDING FOR FUNDING; AND
    15     MAKING REPEALS.
    16                         TABLE OF CONTENTS
    17  SECTION 1.  SHORT TITLE.
    18  SECTION 2.  LEGISLATIVE POLICY.
    19  SECTION 3.  DEFINITIONS.
    20  SECTION 4.  DUTIES OF DEPARTMENT AND AREA AGENCIES ON AGING.
    21  SECTION 5.  REPORTING; PROTECTION FROM RETALIATION; IMMUNITY.
    22  SECTION 6.  INVESTIGATIONS OF REPORTS OF NEED FOR PROTECTIVE
    23                 SERVICES.
    24  SECTION 7.  PROVISION OF SERVICES; ACCESS TO RECORDS AND
    25                 PERSONS.
    26  SECTION 8.  IMMUNITY FROM CIVIL AND CRIMINAL LIABILITY.
    27  SECTION 9.  CONFIDENTIALITY OF RECORDS.
    28  SECTION 10.  INVOLUNTARY INTERVENTION BY EMERGENCY COURT ORDER.
    29  SECTION 11.  INDIVIDUAL RIGHTS.
    30  SECTION 12.  FINANCIAL OBLIGATIONS; LIABILITIES AND PAYMENTS.
    19870H0090B2295                  - 2 -

     1  SECTION 13.  REGULATIONS; ENFORCEMENT.
     2  SECTION 14.  FUNDS FOR PAYMENT OF ADMINISTRATION OF ACT.
     3  SECTION 15.  REPEALS.
     4  SECTION 16.  EFFECTIVE DATE.
     5     The General Assembly of the Commonwealth of Pennsylvania
     6  hereby enacts as follows:
     7  Section 1.  Short title.                                          <--
     8     This act shall be known and may be cited as the Older Adults
     9  Protective Services Act.
    10  Section 2.  Legislative policy.
    11     It is declared the policy of the Commonwealth of Pennsylvania
    12  that older adults who lack the physical or mental capacity to
    13  care for their basic daily living needs shall have access to and
    14  be provided with needed professional services sufficient to
    15  protect their health, safety and welfare. It is not the purpose
    16  of this act to place restrictions upon the personal liberty of
    17  incapacitated older adults, but this act should be liberally
    18  construed to assure the availability of protective services to
    19  all older adults in need of them. Such services should allow an
    20  incapacitated older adult the same rights as other citizens and,
    21  at the same time, protect the incapacitated older adult from
    22  abuse, neglect and exploitation. It is the intent of the General
    23  Assembly to provide for the detection and correction of abuse,
    24  neglect and exploitation and to establish a program of
    25  protective and supportive services for all incapacitated older
    26  adults in need of them.
    27  Section 3.  Definitions.
    28     The following words and phrases when used in this act shall
    29  have the meanings given to them in this section unless the
    30  context clearly indicates otherwise:
    19870H0090B2295                  - 3 -

     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 adults shall be found to be abused solely on the
    13  grounds of environmental factors which are beyond the control of
    14  the older adult or the caretaker such as inadequate housing,
    15  furnishings, income, clothing or medical care.
    16     "Agency."  A designated area agency on aging or its designee.
    17     "Caretaker."  An individual or institution who has assumed
    18  the responsibility for the provision of care needed to maintain
    19  the physical or mental health of an older adult. This
    20  responsibility may arise voluntarily, by contract, as a result
    21  of family relationship, or by order of a court of competent
    22  jurisdiction. It is not the intent of this act to impose
    23  responsibility on any individual if such responsibility would
    24  not otherwise exist.
    25     "Court."  Common pleas court or a district justice court
    26  where appropriate.
    27     "Department."  The Department of Aging of the Commonwealth.
    28     "Exploitation."  An unjust or improper course of conduct by a
    29  caretaker or other person against an older adult or an older
    30  adult's resources, without the informed consent of the older
    19870H0090B2295                  - 4 -

     1  adult that results in monetary, personal or other benefit, gain
     2  or profit for the perpetrator or monetary or personal loss to
     3  the older adult.
     4     "Incapacitated older adult."  A person 60 years of age or
     5  older who is suffering from a physical or mental dysfunction to
     6  the extent that the person is impaired in his ability to
     7  adequately provide for his own care or protection.
     8     "In need of protective services."  An incapacitated older
     9  adult who is unable to perform or obtain services that are
    10  necessary to maintain physical and mental health, for whom there
    11  is no responsible caretaker and who is at imminent risk of
    12  danger to his person or property.
    13     "Neglect."  The failure to provide for oneself or the failure
    14  of a caretaker to provide goods or services essential to avoid a
    15  clear and serious threat to physical or mental health. No older
    16  adult shall be found to be neglected solely on the grounds of
    17  environmental factors which are beyond the control of the older
    18  adult or the caretaker such as inadequate housing, furnishings,
    19  income, clothing or medical care.
    20     "Older adult."  A person 60 years of age or older.
    21     "Protective service provider."  The area agency on aging or
    22  the organization designated by the area agency on aging to
    23  provide protective services.
    24     "Protective services."  That array of preventive, supportive
    25  or surrogate services necessary to prevent abuse, neglect or
    26  exploitation. Such service shall include, but not be limited to:
    27         (1)  Receiving and investigating reports of older adults
    28     who may be in need of protective services.
    29         (2)  Arranging for medical and psychiatric services to
    30     evaluate and safeguard the circumstances of older adults.
    19870H0090B2295                  - 5 -

     1         (3)  Planning for the basic daily living needs of older
     2     adults.
     3         (4)  Home care, day care, respite care, chore services,
     4     transportation, emergency services and other social services.
     5         (5)  Legal assistance and financial management services.
     6     "Protective setting."  A setting chosen by the agency where
     7  services can be provided in the least restrictive environment to
     8  protect the physical and mental well-being of the older adult.
     9     "Surrogate services."  Those services performed on behalf of
    10  an older adult, such as acting as a representative protective
    11  payee, or those services performed under the provisions of a
    12  power of attorney. No surrogate services may be performed
    13  without written consent of the older adult that specifies those
    14  services to be performed on behalf of the older adult.
    15  Section 4.  Duties of department and area agencies on aging.
    16     (a)  Information and cooperation.--The department shall
    17  conduct an ongoing campaign designed to inform and educate older
    18  adults, professionals and the general public about the need for
    19  and availability of protective services under this act. The
    20  department shall cooperate with other departments of the
    21  Commonwealth in the design and implementation of the ongoing
    22  public awareness campaign. The department shall also cooperate
    23  with each area agency on aging and the entities identified by
    24  them pursuant to subsection (b).
    25     (b)  Protective services plan.--Each area agency on aging
    26  shall include a protective services plan as part of its annual
    27  plan. The plan shall describe the local implementation of this
    28  act including the organization, staffing, mode of operations and
    29  financing of protective services as well as the provisions made
    30  for purchase of services, interagency relations, interagency
    19870H0090B2295                  - 6 -

     1  agreements, service referral mechanisms and locus of
     2  responsibility for cases with multiservice agency needs. The
     3  plan shall also include a description of the methods that will
     4  be used by the agency, its designees and its service providers
     5  to assure the privacy of older adults receiving services and the
     6  confidentiality of all records. The department shall establish a
     7  schedule for the submission and approval of the plans. The plan
     8  shall include a list of all entities, whether public or private,
     9  that have been identified by the agency as having substantial
    10  contact with potential victims or perpetrators of abuse, neglect
    11  and exploitation. This list shall be submitted to the department
    12  for purposes of the public awareness campaign under subsection
    13  (a).
    14  Section 5.  Reporting; protection from retaliation; immunity.
    15     (a)  Reporting.--Any person having reasonable cause to
    16  believe that an older adult is in need of protective services
    17  may report such information to the agency.
    18     (b)  Retaliatory; penalty.--Any person making a report or
    19  cooperating with the agency, including providing testimony in
    20  any administrative or judicial proceeding, and any person who is
    21  the subject of the report, shall be free from any
    22  discriminatory, retaliatory or disciplinary action by an
    23  employer or by any other person or entity. Any person who
    24  violates this subsection is subject to a civil lawsuit by the
    25  reporter or the victim wherein the reporter or victim shall
    26  recover treble compensatory and punitive damages or $5,000,
    27  whichever is greater.
    28     (c)  Testimony.--Any person participating in the making of a
    29  report or who provides testimony in any administrative or
    30  judicial proceeding arising out of a report shall be immune from
    19870H0090B2295                  - 7 -

     1  any civil or criminal liability on account of the report or
     2  testimony, except for liability for perjury, unless the person
     3  acted in bad faith or with malicious purpose. This immunity
     4  shall not extend to liability for acts of abuse, neglect or
     5  exploitation even if such acts are the subject of the report or
     6  testimony.
     7  Section 6.  Investigations of reports of need for protective
     8                 services.
     9     (a)  Investigation.--It shall be the agency's responsibility
    10  to provide for an investigation of each report made pursuant to
    11  section 5. The investigation shall be initiated pursuant to
    12  regulations issued by the department, but in no event later than
    13  72 hours after receipt of the report.
    14     (b)  Investigation involving licensed facilities.--Any report
    15  concerning older adults residing in a State-licensed facility
    16  shall be investigated pursuant to procedures approved jointly by
    17  the department and the Commonwealth department licensing such
    18  facility. If the report concerns a resident of a State-licensed
    19  facility for whom the area agency on aging provides ombudsman
    20  services, the agency's ombudsman must be notified.
    21     (c)  Method of investigation.--The investigation shall
    22  include a visit to the person who is the subject of the report
    23  and consultation with others having knowledge of the facts of
    24  the case. If access to the person is denied or if access to any
    25  non-confidential records is denied, the agency may petition the
    26  court for an order authorizing the investigation and prohibiting
    27  interference therewith, which petition shall allege specific
    28  facts in support thereof. The hearing on such petition shall be
    29  held no sooner than three and no later than five days after
    30  filing. Notice and a copy of the petition shall be served on the
    19870H0090B2295                  - 8 -

     1  person who is the subject of the report and the persons alleged
     2  to be interfering with the investigation. Notice shall be served
     3  either in person or by first class mail but must be served at
     4  least 48 hours prior to the hearing. The person who is the
     5  subject of the report shall have counsel appointed if he does
     6  not have counsel. Nothing in this subsection shall prevent the
     7  agency from petitioning the court for an ex parte order upon a
     8  showing that there is reasonable cause to believe that the delay
     9  incident to the requirements of this subsection would cause a
    10  substantial risk of life-threatening physical harm.
    11     (d)  Unsubstantiated report.--If, after investigation by the
    12  agency, the report is unsubstantiated, the case shall be closed
    13  and all information identifying the reporter and the alleged
    14  abuser shall be immediately deleted from all records. For
    15  purposes of substantiating a pattern of abuse, neglect, or
    16  exploitation, the name of the alleged victim and any information
    17  describing the alleged act of abuse, neglect or exploitation,
    18  may be maintained for a period of six months, pursuant to
    19  procedures established by the department.
    20     (e)  Substantiated report.--If, after investigation by the
    21  agency, the report is substantiated, the agency shall perform a
    22  client assessment and develop a service plan. Every reasonable
    23  effort shall be made to secure the consent and participation of
    24  the older adult in the assessment and resolution of his own need
    25  for protective services. The service plan shall provide for the
    26  least restrictive alternative, encouraging client self-
    27  determination, appropriate family involvement and continuity of
    28  care. The service plan shall be in writing and shall include a
    29  recommended course of action, which may include the pursuit of
    30  civil or criminal remedies. The service plan must be reviewed by
    19870H0090B2295                  - 9 -

     1  the agency and the older adult at least every six months.
     2  Section 7.  Provision of services.
     3     (a)  Availability of protective services.--The agency shall
     4  offer protective services under any of the following conditions:
     5         (1)  An older adult requests such services.
     6         (2)  An interested person requests such services on
     7     behalf of an older adult.
     8         (3)  If, after investigation of a report, the agency
     9     determines the older adult is in need of such services.
    10     (b)  Consent by request.--Except as provided in section 10,
    11  an individual shall receive protective services voluntarily. In
    12  no event may protective services be provided under this act to
    13  any person who does not consent to such services or who, having
    14  consented, withdraws such consent, unless such services are
    15  ordered by a court, requested by a guardian of the older adult,
    16  or provided under section 10. Nothing in this act shall prevent
    17  the agency from petitioning for the appointment of a guardian
    18  pursuant to Title 20 of the Pennsylvania Consolidated Statutes
    19  (relating to decedents, estates and fiduciaries).
    20     (c)  Interference with services.--If any person interferes
    21  with the provision of services or interferes with the right of
    22  an older adult to consent to provision of services, the agency
    23  may petition the court for an order enjoining such interference.
    24  Section 8.  Immunity of the agency and the protective services
    25                 provider.
    26     In the absence of willful misconduct or gross negligence, the
    27  agency, its director or employees, and the protective services
    28  provider, its director or employees, shall be immune from civil
    29  or criminal liability for any decision or action when
    30  investigating a report of abuse, neglect or exploitation.
    19870H0090B2295                 - 10 -

     1  Section 9.  Confidentiality of records.
     2     All records in the custody of the agency pertaining to the
     3  abuse, neglect or exploitation of older adults, or to the
     4  provision of protective services to older adults, shall be
     5  confidential and access thereto by persons other than within
     6  that agency shall only be by order of a court.
     7  Section 10.  Emergency protective services.
     8     (a)  General rule.--When, from personal observation of a law
     9  enforcement officer and a representative of the agency, it
    10  appears probable that an older adult will suffer immediate and
    11  serious physical harm or death if not immediately placed in a
    12  protective setting, that the older adult is incapable of giving
    13  consent, and that the delay incident to seeking an emergency
    14  order under subsection (b) would cause the older adult to incur
    15  a substantial risk of life-threatening harm, the agency shall
    16  transport or arrange for the transportation of the older adult
    17  to an appropriate protective setting and shall immediately
    18  notify the next of kin or other interested person. In all other
    19  circumstances, emergency protective services may only be
    20  provided pursuant to a court order issued under subsection (b).
    21  Within 24 hours of transferring an older adult to a protective
    22  setting pursuant to this subsection, the agency must file a
    23  petition pursuant to subsection (b). The court shall hold a
    24  hearing on the petition and render its decision within 48 hours
    25  after the petition has been filed.
    26     (b)  Order of court.--
    27         (1)  Upon petition by an interested person, a court may
    28     issue an order authorizing the provision of protective
    29     services on an emergency basis to an older adult upon finding
    30     on the record based on clear and convincing evidence that:
    19870H0090B2295                 - 11 -

     1             (i)  the older adult is in a situation or condition
     2         which poses an imminent risk of death or serious physical
     3         harm; and
     4             (ii)  the older adult lacks capacity to comprehend
     5         the nature and consequences of remaining in that
     6         situation or condition, provided that:
     7                 (A)  refusal by the adult to accept protective
     8             services shall not in itself be sufficient evidence
     9             of such lack of capacity; and
    10                 (B)  mental illness shall not in itself be
    11             sufficient evidence of such lack of capacity.
    12         (2)  Immediately upon the filing of a petition, the court
    13     shall appoint counsel for the older adult. Counsel shall be
    14     appointed for all stages of proceedings under this section.
    15         (3)  The older adult shall be the respondent in the
    16     petition filed and shall be entitled to appear in person at
    17     all hearings, unless the court finds upon clear and
    18     convincing evidence on the record that, because of the
    19     respondent's physical condition, the risk of serious physical
    20     harm would prevent the respondent's attendance.
    21         (4)  Upon their request, members of the older adult's
    22     family may be permitted to present evidence and testimony at
    23     the hearing.
    24         (5)  The petition must state with particularity the
    25     nature of the relief requested.
    26     (c)  Limitations.--In issuing an emergency order, the court
    27  shall adhere to the following limitations:
    28         (1)  Only such protective services as are necessary to
    29     remove the conditions creating the emergency under subsection
    30     (b)(1)(i) shall be ordered; the court shall specifically
    19870H0090B2295                 - 12 -

     1     designate the approved services in its order.
     2         (2)  Protective services provided under subsection (b)
     3     shall not include hospitalization or a change of residence
     4     unless the court specifically finds such action is necessary
     5     and gives specific approval for such action in its order.
     6         (3)  Protective services may be provided under subsection
     7     (b) for only 72 hours. The original order may be renewed for
     8     an additional 72 hours upon showing to the court that
     9     continuation of the original order is necessary to remove the
    10     emergency under subsection (b)(1)(i).
    11         (4)  The court shall describe those specific protective
    12     services which are to be provided and what person or persons
    13     are authorized or ordered to provide them.
    14         (5)  The court shall require persons acting under the
    15     order to submit a written report within one week following
    16     the commencement of the ordered services that describes the
    17     nature of the progress, if any, that resulted from the
    18     provisions of services under the order.
    19         (6)  Upon the expiration of the original, or renewed,
    20     order, protective services shall cease unless the older adult
    21     consents to their continuation or unless a temporary guardian
    22     who has been appointed pursuant to Title 20 of the
    23     Pennsylvania Consolidated Statutes (relating to decedents,
    24     estates and fiduciaries) consents to their continuation.
    25         (7)  A finding of being in need of emergency protective
    26     services under this act shall not be deemed to be a finding
    27     of incompetency under Title 20 of the Pennsylvania
    28     Consolidated Statutes, and the older adult shall not be
    29     deprived of any rights except as specifically provided for in
    30     the order under subsection (b).
    19870H0090B2295                 - 13 -

     1  Section 11.  Regulations; enforcement.
     2     (a)  Promulgation of regulations.--The department shall
     3  promulgate the rules and regulations to carry out this act and
     4  shall be responsible for presenting to the General Assembly
     5  annually a report on the programs and services performed.
     6     (b)  Enforcement.--This act shall be enforced only after
     7  promulgation of regulations by the department, which shall occur
     8  no later than 12 months following passage of this act.
     9  Section 12.  Funds for payment of administration of act;
    10                 appropriation; lapse.
    11     (a)  Funds.--Funds necessary to administer this act shall be
    12  provided by annual appropriation by the General Assembly from
    13  the State Lottery Fund established by the act of August 26, 1971
    14  (P.L.351, No.91), known as the State Lottery Law.
    15     (b)  Appropriation.--The sum of $2,000,000 is hereby
    16  appropriated from the State Lottery Fund to the Department of
    17  Aging.
    18     (c)  Lapse.--That part of the appropriation in subsection (b)
    19  which is unexpended, uncommitted or unencumbered as of June 30,
    20  1987, shall automatically lapse as of that date.
    21  Section 13.  Repeals.
    22     (a)  Specific act.--The provisions of the act of August 26,
    23  1971 (P.L.351, No.91), known as the State Lottery Law, relating
    24  to disposition of moneys received from the operation of the
    25  State Lottery are repealed insofar as they are inconsistent with
    26  the provisions of this act.
    27     (b)  General repeal.--All other acts and parts of acts are
    28  repealed insofar as they are inconsistent with this act.
    29  Section 14.  Effective date.
    30     This act shall take effect immediately.
    19870H0090B2295                 - 14 -

     1  SECTION 1.  SHORT TITLE.                                          <--
     2     THIS ACT SHALL BE KNOWN AND MAY BE CITED AS THE OLDER ADULTS
     3  PROTECTIVE SERVICES ACT.
     4  SECTION 2.  LEGISLATIVE POLICY.
     5     IT IS DECLARED THE POLICY OF THE COMMONWEALTH OF PENNSYLVANIA
     6  THAT OLDER ADULTS WHO LACK THE CAPACITY TO PROTECT THEMSELVES
     7  AND ARE AT IMMINENT RISK OF ABUSE, NEGLECT, EXPLOITATION OR
     8  ABANDONMENT SHALL HAVE ACCESS TO AND BE PROVIDED WITH SERVICES
     9  NECESSARY TO PROTECT THEIR HEALTH, SAFETY AND WELFARE. IT IS NOT
    10  THE PURPOSE OF THIS ACT TO PLACE RESTRICTIONS UPON THE PERSONAL
    11  LIBERTY OF INCAPACITATED OLDER ADULTS, BUT THIS ACT SHOULD BE
    12  LIBERALLY CONSTRUED TO ASSURE THE AVAILABILITY OF PROTECTIVE
    13  SERVICES TO ALL OLDER ADULTS IN NEED OF THEM. SUCH SERVICES
    14  SHALL SAFEGUARD THE RIGHTS OF INCAPACITATED OLDER ADULTS WHILE
    15  PROTECTING THEM FROM ABUSE, NEGLECT, EXPLOITATION AND
    16  ABANDONMENT. IT IS THE INTENT OF THE GENERAL ASSEMBLY TO PROVIDE
    17  FOR THE DETECTION AND REDUCTION, CORRECTION OR ELIMINATION OF
    18  ABUSE, NEGLECT, EXPLOITATION AND ABANDONMENT, AND TO ESTABLISH A
    19  PROGRAM OF PROTECTIVE SERVICES FOR OLDER ADULTS IN NEED OF THEM.
    20  SECTION 3.  DEFINITIONS.
    21     THE FOLLOWING WORDS AND PHRASES WHEN USED IN THIS ACT SHALL
    22  HAVE THE MEANINGS GIVEN TO THEM IN THIS SECTION UNLESS THE
    23  CONTEXT CLEARLY INDICATES OTHERWISE:
    24     "ABANDONMENT."  THE DESERTION OF AN OLDER ADULT BY A
    25  CARETAKER.
    26     "ABUSE."  THE OCCURRENCE OF ONE OR MORE OF THE FOLLOWING
    27  ACTS:
    28         (1)  THE INFLICTION OF INJURY, UNREASONABLE CONFINEMENT,
    29     INTIMIDATION OR PUNISHMENT WITH RESULTING PHYSICAL HARM, PAIN
    30     OR MENTAL ANGUISH.
    19870H0090B2295                 - 15 -

     1         (2)  THE WILLFUL DEPRIVATION BY A CARETAKER OF GOODS OR
     2     SERVICES WHICH ARE NECESSARY TO MAINTAIN PHYSICAL OR MENTAL
     3     HEALTH.
     4         (3)  SEXUAL HARASSMENT, RAPE OR ABUSE, AS DEFINED IN THE
     5     ACT OF OCTOBER 7, 1976 (P.L.1090, NO.218), KNOWN AS THE
     6     PROTECTION FROM ABUSE ACT.
     7  NO OLDER ADULT SHALL BE FOUND TO BE ABUSED SOLELY ON THE GROUNDS
     8  OF ENVIRONMENTAL FACTORS WHICH ARE BEYOND THE CONTROL OF THE
     9  OLDER ADULT OR THE CARETAKER, SUCH AS INADEQUATE HOUSING,
    10  FURNISHINGS, INCOME, CLOTHING OR MEDICAL CARE.
    11     "AGENCY."  THE LOCAL PROVIDER OF PROTECTIVE SERVICES, WHICH
    12  IS THE AREA AGENCY ON AGING OR THE AGENCY DESIGNATED BY THE AREA
    13  AGENCY ON AGING TO PROVIDE PROTECTIVE SERVICES IN THE AREA
    14  AGENCY'S PLANNING AND SERVICE AREA.
    15     "CARETAKER."  AN INDIVIDUAL OR INSTITUTION THAT HAS ASSUMED
    16  THE RESPONSIBILITY FOR THE PROVISION OF CARE NEEDED TO MAINTAIN
    17  THE PHYSICAL OR MENTAL HEALTH OF AN OLDER ADULT. THIS
    18  RESPONSIBILITY MAY ARISE VOLUNTARILY, BY CONTRACT, BY RECEIPT OF
    19  PAYMENT FOR CARE, AS A RESULT OF FAMILY RELATIONSHIP, OR BY
    20  ORDER OF A COURT OF COMPETENT JURISDICTION. IT IS NOT THE INTENT
    21  OF THIS ACT TO IMPOSE RESPONSIBILITY ON ANY INDIVIDUAL IF SUCH
    22  RESPONSIBILITY WOULD NOT OTHERWISE EXIST IN LAW.
    23     "CLIENT ASSESSMENT."  SOCIAL, PHYSICAL AND PSYCHOLOGICAL
    24  FINDINGS ALONG WITH A DESCRIPTION OF THE PERSON'S CURRENT
    25  RESOURCES AND NEEDS.
    26     "COURT."  A COURT OF COMMON PLEAS OR A DISTRICT MAGISTRATE
    27  COURT, WHERE APPLICABLE.
    28     "DEPARTMENT."  THE DEPARTMENT OF AGING OF THE COMMONWEALTH.
    29     "EXPLOITATION."  AN ACT OR COURSE OF CONDUCT BY A CARETAKER
    30  OR OTHER PERSON AGAINST AN OLDER ADULT OR AN OLDER ADULT'S
    19870H0090B2295                 - 16 -

     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     "NEGLECT."  THE FAILURE TO PROVIDE FOR ONESELF OR THE FAILURE
     7  OF A CARETAKER TO PROVIDE GOODS OR SERVICES ESSENTIAL TO AVOID A
     8  CLEAR AND SERIOUS THREAT TO PHYSICAL OR MENTAL HEALTH. NO OLDER
     9  ADULT WHO DOES NOT CONSENT TO THE PROVISION OF PROTECTIVE
    10  SERVICES SHALL BE FOUND TO BE NEGLECTED SOLELY ON THE GROUNDS OF
    11  ENVIRONMENTAL FACTORS WHICH ARE BEYOND THE CONTROL OF THE OLDER
    12  ADULT OR THE CARETAKER, SUCH AS INADEQUATE HOUSING, FURNISHINGS,
    13  INCOME, CLOTHING OR MEDICAL CARE.
    14     "OLDER ADULT."  A PERSON WITHIN THE JURISDICTION OF THE
    15  COMMONWEALTH WHO IS 60 YEARS OF AGE OR OLDER.
    16     "OLDER ADULT IN NEED OF PROTECTIVE SERVICES."  AN
    17  INCAPACITATED OLDER ADULT WHO IS UNABLE TO PERFORM OR OBTAIN
    18  SERVICES THAT ARE NECESSARY TO MAINTAIN PHYSICAL OR MENTAL
    19  HEALTH, FOR WHOM THERE IS NO RESPONSIBLE CARETAKER AND WHO IS AT
    20  IMMINENT RISK OF DANGER TO HIS PERSON OR PROPERTY.
    21     "PROTECTIVE SERVICES."  THOSE ACTIVITIES, RESOURCES AND
    22  SUPPORTS PROVIDED TO OLDER ADULTS UNDER THIS ACT TO DETECT,
    23  PREVENT, REDUCE OR ELIMINATE ABUSE, NEGLECT, EXPLOITATION AND
    24  ABANDONMENT.
    25     "PROTECTIVE SETTING."  A SETTING CHOSEN BY THE AGENCY WHERE
    26  SERVICES CAN BE PROVIDED IN THE LEAST RESTRICTIVE ENVIRONMENT TO
    27  PROTECT THE PHYSICAL AND MENTAL WELL-BEING OF THE OLDER ADULT.
    28     "SECRETARY."  THE SECRETARY OF AGING OF THE COMMONWEALTH.
    29     "SERVICE PLAN."  A WRITTEN PLAN DEVELOPED BY THE AGENCY ON
    30  THE BASIS OF COMPREHENSIVE ASSESSMENT OF A CLIENT'S NEED WHICH
    19870H0090B2295                 - 17 -

     1  DESCRIBES IDENTIFIED NEEDS, GOALS TO BE ACHIEVED AND SPECIFIC
     2  SERVICES TO SUPPORT GOAL ATTAINMENT, WITH REGULAR FOLLOW-UP AND
     3  PREDETERMINED REASSESSMENT OF CLIENT PROGRESS. SPECIFIC SERVICES
     4  TO SUPPORT GOAL ATTAINMENT MAY INCLUDE, BUT IS NOT LIMITED TO,
     5  HOMEMAKER SERVICES, HOME-DELIVERED MEALS, ATTENDANT CARE, OTHER
     6  IN-HOME SERVICES, EMERGENCY SHELTER OR FOOD, LEGAL AID SERVICES,
     7  TRANSPORTATION AND OTHER SUCH SERVICES. SERVICE PLANS ARE
     8  COOPERATIVELY DEVELOPED BY THE AGENCY STAFF, THE CLIENT OR THE
     9  CLIENT'S APPOINTED GUARDIAN, AND OTHER FAMILY MEMBERS WHEN
    10  APPROPRIATE. THE PLAN SHALL ALSO ADDRESS, WHERE APPLICABLE,
    11  SPECIAL NEEDS OF OTHER MEMBERS OF THE HOUSEHOLD UNIT AS THEY MAY
    12  AFFECT THE OLDER ADULT'S NEED FOR PROTECTIVE SERVICES.
    13  SECTION 4.  DUTIES OF DEPARTMENT AND AREA AGENCIES ON AGING.
    14     (A)  PUBLIC INFORMATION AND INTERDEPARTMENTAL CONSULTATION.--
    15  THE DEPARTMENT SHALL CONDUCT AN ONGOING CAMPAIGN DESIGNED TO
    16  INFORM AND EDUCATE OLDER ADULTS, PROFESSIONALS AND THE GENERAL
    17  PUBLIC ABOUT THE NEED FOR AN AVAILABILITY OF PROTECTIVE SERVICES
    18  UNDER THIS ACT. THE DEPARTMENT SHALL CONSULT WITH OTHER
    19  DEPARTMENTS OF THE COMMONWEALTH ON THE DESIGN AND IMPLEMENTATION
    20  OF THE ONGOING PUBLIC AWARENESS CAMPAIGN. THE DEPARTMENT SHALL
    21  ALSO CONSIDER THE CONCERNS OF AREA AGENCIES ON AGING AND THE
    22  ENTITIES IDENTIFIED BY THEM UNDER SUBSECTION (C).
    23     (B)  STAFF TRAINING.--THE DEPARTMENT SHALL ESTABLISH MINIMUM
    24  STANDARDS OF TRAINING AND EXPERIENCE WHICH PROTECTIVE SERVICES
    25  PROVIDERS FUNDED BY THE DEPARTMENT SHALL BE REQUIRED TO FOLLOW
    26  IN THE SELECTION AND ASSIGNMENT OF STAFF FOR THE PROVISION OF
    27  PROTECTIVE SERVICES.
    28     (C)  PROTECTIVE SERVICES PLANS.--EACH AREA AGENCY ON AGING
    29  SHALL INCLUDE A PROTECTIVE SERVICES PLAN AS PART OF ITS ANNUAL
    30  PLAN. THE PLAN SHALL DESCRIBE THE LOCAL IMPLEMENTATION OF THIS
    19870H0090B2295                 - 18 -

     1  ACT, INCLUDING THE ORGANIZATION, STAFFING, MODE OF OPERATIONS
     2  AND FINANCING OF PROTECTIVE SERVICES, AS WELL AS THE PROVISIONS
     3  MADE FOR PURCHASE OF SERVICES, INTERAGENCY RELATIONS,
     4  INTERAGENCY AGREEMENTS, SERVICE REFERRAL MECHANISMS AND LOCUS OF
     5  RESPONSIBILITY FOR CASES WITH MULTISERVICE AGENCY NEEDS. THE
     6  DESCRIPTION OF THE METHODS THAT WILL BE USED BY THE AGENCY, ITS
     7  DESIGNEES AND ITS SERVICE PROVIDERS TO ASSURE THE PRIVACY OF
     8  OLDER ADULTS RECEIVING SERVICES AND THE CONFIDENTIALITY OF ALL
     9  RECORDS SHALL BE ESTABLISHED BY THE DEPARTMENT. THE DEPARTMENT
    10  SHALL ESTABLISH A SCHEDULE FOR THE SUBMISSION AND APPROVAL OF
    11  THE PLANS. THE PLAN SHALL INCLUDE A LIST OF ALL ENTITIES,
    12  WHETHER PUBLIC OR PRIVATE, THAT HAVE BEEN IDENTIFIED BY THE AREA
    13  AGENCY ON AGING AS HAVING SUBSTANTIAL CONTACT WITH POTENTIAL
    14  VICTIMS OR PERPETRATORS OF ABUSE, NEGLECT, EXPLOITATION AND
    15  ABANDONMENT. THIS LIST SHALL BE SUBMITTED TO THE DEPARTMENT FOR
    16  PURPOSES OF THE PUBLIC INFORMATION CAMPAIGN UNDER SUBSECTION
    17  (A).
    18  SECTION 5.  REPORTING; PROTECTION FROM RETALIATION; IMMUNITY.
    19     (A)  REPORTING.--ANY PERSON HAVING REASONABLE CAUSE TO
    20  BELIEVE THAT AN OLDER ADULT IS IN NEED OF PROTECTIVE SERVICES
    21  MAY REPORT SUCH INFORMATION TO THE AGENCY WHICH IS THE LOCAL
    22  PROVIDER OF PROTECTIVE SERVICES.
    23     (B)  RECEIVING REPORTS.--THE AGENCY SHALL BE CAPABLE OF
    24  RECEIVING REPORTS OF OLDER ADULTS IN NEED OF PROTECTIVE SERVICES
    25  24 HOURS A DAY, SEVEN DAYS A WEEK (INCLUDING HOLIDAYS). THIS
    26  CAPABILITY MAY INCLUDE THE USE OF A LOCAL EMERGENCY RESPONSE
    27  SYSTEM OR A CRISIS INTERVENTION AGENCY, PROVIDED THAT ACCESS CAN
    28  BE MADE TO A PROTECTIVE SERVICES CASEWORKER IN APPROPRIATE
    29  EMERGENCY SITUATIONS AS SET FORTH IN REGULATIONS PROMULGATED BY
    30  THE DEPARTMENT. ALL REPORTS RECEIVED ORALLY UNDER THIS SECTION
    19870H0090B2295                 - 19 -

     1  SHALL BE REDUCED TO WRITING IMMEDIATELY BY THE PERSON WHO
     2  RECEIVES THE REPORT.
     3     (C)  RETALIATORY ACTION; PENALTY.--ANY PERSON MAKING A REPORT
     4  OR COOPERATING WITH THE AGENCY, INCLUDING PROVIDING TESTIMONY IN
     5  ANY ADMINISTRATIVE OR JUDICIAL PROCEEDING, AND THE VICTIM, SHALL
     6  BE FREE FROM ANY DISCRIMINATORY, RETALIATORY OR DISCIPLINARY
     7  ACTION BY AN EMPLOYER OR BY ANY OTHER PERSON OR ENTITY. ANY
     8  PERSON WHO VIOLATES THIS SUBSECTION IS SUBJECT TO A CIVIL
     9  LAWSUIT BY THE REPORTER OR THE VICTIM WHEREIN THE REPORTER OR
    10  VICTIM SHALL RECOVER TREBLE COMPENSATORY AND PUNITIVE DAMAGES OR
    11  $5,000, WHICHEVER IS GREATER.
    12     (D)  IMMUNITY.--ANY PERSON PARTICIPATING IN THE MAKING OF A
    13  REPORT OR WHO PROVIDES TESTIMONY IN ANY ADMINISTRATIVE OR
    14  JUDICIAL PROCEEDING ARISING OUT OF A REPORT SHALL BE IMMUNE FROM
    15  ANY CIVIL OR CRIMINAL LIABILITY ON ACCOUNT OF THE REPORT OR
    16  TESTIMONY UNLESS THE PERSON ACTED IN BAD FAITH OR WITH MALICIOUS
    17  PURPOSE. THIS IMMUNITY SHALL NOT EXTEND TO LIABILITY FOR ACTS OF
    18  ABUSE, NEGLECT, EXPLOITATION OR ABANDONMENT, EVEN IF SUCH ACTS
    19  ARE THE SUBJECT OF THE REPORT OR TESTIMONY.
    20  SECTION 6.  INVESTIGATIONS OF REPORTS OF NEED FOR PROTECTIVE
    21                 SERVICES.
    22     (A)  INVESTIGATION.--IT SHALL BE THE AGENCY'S RESPONSIBILITY
    23  TO PROVIDE FOR AN INVESTIGATION OF EACH REPORT MADE UNDER
    24  SECTION 5. THE INVESTIGATION SHALL BE INITIATED WITHIN 72 HOURS
    25  AFTER THE RECEIPT OF THE REPORT AND SHALL BE CARRIED OUT UNDER
    26  REGULATIONS ISSUED BY THE DEPARTMENT. THESE REGULATIONS SHALL
    27  PROVIDE FOR THE METHODS OF CONDUCTING INVESTIGATIONS UNDER THIS
    28  SECTION AND SHALL ASSURE THAT STEPS ARE TAKEN TO AVOID ANY
    29  CONFLICT OF INTEREST BETWEEN THE INVESTIGATOR AND SERVICE
    30  DELIVERY FUNCTIONS.
    19870H0090B2295                 - 20 -

     1     (B)  INVESTIGATION INVOLVING LICENSED FACILITIES.--ANY REPORT
     2  CONCERNING OLDER ADULTS RESIDING IN A STATE-LICENSED FACILITY
     3  SHALL BE INVESTIGATED UNDER PROCEDURES DEVELOPED BY THE
     4  DEPARTMENT IN CONSULTATION WITH THE STATE AGENCY LICENSING SUCH
     5  FACILITY. IF THE REPORT CONCERNS A RESIDENT OF A STATE-LICENSED
     6  FACILITY FOR WHOM THE AREA AGENCY ON AGING PROVIDES OMBUDSMAN
     7  SERVICES, THE OMBUDSMAN OF THE AREA AGENCY ON AGING MUST BE
     8  NOTIFIED.
     9     (C)  UNSUBSTANTIATED REPORTS.--IF, AFTER INVESTIGATION BY THE
    10  AGENCY, THE REPORT IS UNSUBSTANTIATED, THE CASE SHALL BE CLOSED
    11  AND ALL INFORMATION IDENTIFYING THE REPORTER AND THE ALLEGED
    12  ABUSER SHALL BE IMMEDIATELY DELETED FROM ALL RECORDS. FOR
    13  PURPOSES OF SUBSTANTIATING A PATTERN OF ABUSE, NEGLECT,
    14  EXPLOITATION OR ABANDONMENT, THE NAME OF THE ALLEGED VICTIM AND
    15  ANY INFORMATION DESCRIBING THE ALLEGED ACT OF ABUSE, NEGLECT,
    16  EXPLOITATION OR ABANDONMENT MAY BE MAINTAINED FOR A PERIOD OF
    17  SIX MONTHS UNDER PROCEDURES ESTABLISHED BY THE DEPARTMENT.
    18     (D)  SUBSTANTIATED REPORTS.--IF THE REPORT IS SUBSTANTIATED
    19  BY THE AGENCY, OR IF THE CLIENT ASSESSMENT IS NECESSARY IN ORDER
    20  TO DETERMINE WHETHER OR NOT THE REPORT IS SUBSTANTIATED, THE
    21  AGENCY SHALL PROVIDE FOR A TIMELY CLIENT ASSESSMENT IF THE OLDER
    22  ADULT CONSENTS TO AN ASSESSMENT. UPON COMPLETION OF THE
    23  ASSESSMENT, WRITTEN FINDINGS SHALL BE PREPARED WHICH SHALL
    24  INCLUDE RECOMMENDED ACTION. THIS SERVICE PLAN SHALL PROVIDE FOR
    25  THE LEAST RESTRICTIVE ALTERNATIVE, ENCOURAGING CLIENT SELF-
    26  DETERMINATION AND CONTINUITY OF CARE. THE SERVICE PLAN SHALL BE
    27  IN WRITING AND SHALL INCLUDE A RECOMMENDED COURSE OF ACTION,
    28  WHICH MAY INCLUDE THE PURSUIT OF CIVIL OR CRIMINAL REMEDIES. IF
    29  AN OLDER ADULT FOUND TO BE IN NEED OF PROTECTIVE SERVICES DOES
    30  NOT CONSENT TO A CLIENT ASSESSMENT OR THE DEVELOPMENT OF A
    19870H0090B2295                 - 21 -

     1  SERVICE PLAN, THE AGENCY MAY APPLY TO THE CASE THE PROVISIONS OF
     2  SECTION 10.
     3  SECTION 7.  PROVISION OF SERVICES; ACCESS TO RECORDS AND
     4                 PERSONS.
     5     (A)  AVAILABILITY OF PROTECTIVE SERVICES.--THE AGENCY SHALL
     6  OFFER PROTECTIVE SERVICES UNDER ANY OF THE FOLLOWING CONDITIONS:
     7         (1)  AN OLDER ADULT REQUESTS SUCH SERVICES.
     8         (2)  ANOTHER INTERESTED PERSON REQUESTS SUCH SERVICES ON
     9     BEHALF OF AN OLDER ADULT.
    10         (3)  IF, AFTER INVESTIGATION OF A REPORT, THE AGENCY
    11     DETERMINES THE OLDER ADULT IS IN NEED OF SUCH SERVICES.
    12     (B)  CONSENT BY REQUEST.--EXCEPT AS PROVIDED IN SECTION 10,
    13  AN INDIVIDUAL SHALL RECEIVE PROTECTIVE SERVICES VOLUNTARILY. IN
    14  NO EVENT MAY PROTECTIVE SERVICES BE PROVIDED UNDER THIS ACT TO
    15  ANY PERSON WHO DOES NOT CONSENT TO SUCH SERVICES OR WHO, HAVING
    16  CONSENTED, WITHDRAWS SUCH CONSENT, UNLESS SUCH SERVICES ARE
    17  ORDERED BY A COURT, REQUESTED BY A GUARDIAN OF THE OLDER ADULT
    18  OR PROVIDED UNDER SECTION 10. NOTHING IN THIS ACT SHALL PREVENT
    19  THE AGENCY FROM PETITIONING FOR THE APPOINTMENT OF A GUARDIAN
    20  PURSUANT TO TITLE 20 OF THE PENNSYLVANIA CONSOLIDATED STATUTES
    21  (RELATING TO DECEDENTS, ESTATES AND FIDUCIARIES).
    22     (C)  INTERFERENCE WITH SERVICES.--IF ANY PERSON INTERFERES
    23  WITH THE PROVISION OF SERVICES OR INTERFERES WITH THE RIGHT OF
    24  AN OLDER ADULT TO CONSENT TO PROVISION OF SERVICES, THE AGENCY
    25  MAY PETITION THE COURT FOR AN ORDER ENJOINING SUCH INTERFERENCE.
    26     (D)  ACCESS TO RECORDS.--THE AGENCY SHALL HAVE ACCESS TO ALL
    27  RECORDS RELEVANT TO:
    28         (1)  INVESTIGATIONS OF REPORTS UNDER SECTION 6.
    29         (2)  ASSESSMENT OF CLIENT NEED.
    30         (3)  SERVICE PLANNING WHEN AN OLDER ADULT'S NEED FOR
    19870H0090B2295                 - 22 -

     1     PROTECTIVE SERVICES HAS BEEN OR IS BEING ESTABLISHED.
     2         (4)  THE DELIVERY OF SERVICES ARRANGED FOR UNDER THE
     3     SERVICE PLAN DEVELOPED BY THE AGENCY TO RESPOND TO AN OLDER
     4     ADULT'S ASSESSED NEED FOR SPECIFIC SERVICES.
     5     (E)  ACCESS TO PERSONS.--THE AGENCY SHALL HAVE ACCESS TO
     6  OLDER PERSONS WHO HAVE BEEN REPORTED TO BE IN NEED OF PROTECTIVE
     7  SERVICES IN ORDER TO:
     8         (1)  INVESTIGATE REPORTS UNDER SECTION 6.
     9         (2)  ASSESS CLIENT NEED AND DEVELOP A SERVICE PLAN FOR
    10     ADDRESSING NEEDS DETERMINED.
    11         (3)  PROVIDE FOR THE DELIVERY OF SERVICES BY THE AGENCY
    12     OR OTHER SERVICE PROVIDER ARRANGED FOR UNDER THE SERVICE PLAN
    13     DEVELOPED BY THE AGENCY.
    14     (F)  DENIAL OF ACCESS TO PERSONS.--IF THE AGENCY IS DENIED
    15  ACCESS TO AN OLDER ADULT REPORTED TO BE IN NEED OF PROTECTIVE
    16  SERVICES AND ACCESS IS NECESSARY TO COMPLETE THE INVESTIGATION
    17  OR THE CLIENT ASSESSMENT AND SERVICE PLAN, OR THE DELIVERY OF
    18  NEEDED SERVICES IN ORDER TO PREVENT FURTHER ABUSE, NEGLECT,
    19  EXPLOITATION OR ABANDONMENT OF THE OLDER ADULT REPORTED TO BE IN
    20  NEED OF PROTECTIVE SERVICES, THE AGENCY MAY PETITION THE COURT
    21  FOR AN ORDER TO REQUIRE THE APPROPRIATE ACCESS WHEN EITHER OF
    22  THE FOLLOWING CONDITIONS APPLY:
    23         (1)  THE CARETAKER OR A THIRD PARTY HAS INTERFERED WITH
    24     THE COMPLETION OF THE INVESTIGATION OR THE CLIENT ASSESSMENT
    25     AND SERVICE PLAN OR THE DELIVERY OF SERVICES.
    26         (2)  THE AGENCY CAN DEMONSTRATE THAT THE OLDER ADULT
    27     REPORTED TO BE IN NEED OF PROTECTIVE SERVICES IS DENYING
    28     ACCESS BECAUSE OF COERCION, EXTORTION OR JUSTIFIABLE FEAR OF
    29     FUTURE ABUSE, NEGLECT, OR EXPLOITATION OR ABANDONMENT.
    30     (G)  ACCESS BY CONSENT.--THE AGENCY'S ACCESS TO CONFIDENTIAL
    19870H0090B2295                 - 23 -

     1  RECORDS HELD BY OTHER AGENCIES OR INDIVIDUALS AND THE AGENCY'S
     2  ACCESS TO AN OLDER ADULT REPORTED TO BE IN NEED OF PROTECTIVE
     3  SERVICES SHALL REQUIRE THE CONSENT OF THE OLDER ADULT OR A
     4  COURT-APPOINTED GUARDIAN EXCEPT AS PROVIDED FOR UNDER THIS
     5  SECTION OR SECTION 10.
     6     (H)  DENIAL OF ACCESS TO RECORDS.--IF THE AGENCY IS DENIED
     7  ACCESS TO RECORDS NECESSARY FOR THE COMPLETION OF A PROPER
     8  INVESTIGATION OF A REPORT OR A CLIENT ASSESSMENT AND SERVICE
     9  PLAN, OR THE DELIVERY OF NEEDED SERVICES IN ORDER TO PREVENT
    10  FURTHER ABUSE, NEGLECT, EXPLOITATION OR ABANDONMENT OF THE OLDER
    11  ADULT REPORTED TO BE IN NEED OF PROTECTIVE SERVICES, THE AGENCY
    12  MAY PETITION THE COURT OF COMMON PLEAS FOR AN ORDER REQUIRING
    13  THE APPROPRIATE ACCESS WHEN EITHER OF THE FOLLOWING CONDITIONS
    14  APPLY:
    15         (1)  THE OLDER ADULT HAS PROVIDED WRITTEN CONSENT FOR ANY
    16     CONFIDENTIAL RECORDS TO BE DISCLOSED AND THE KEEPER OF THE
    17     RECORDS DENIES ACCESS.
    18         (2)  THE AGENCY CAN DEMONSTRATE THAT THE OLDER ADULT IS
    19     DENYING ACCESS TO RECORDS BECAUSE OF INCOMPETENCE, COERCION,
    20     EXTORTION OR JUSTIFIABLE FEAR OF FUTURE ABUSE, NEGLECT,
    21     EXPLOITATION OR ABANDONMENT.
    22  SECTION 8.  IMMUNITY FROM CIVIL AND CRIMINAL LIABILITY.
    23     IN THE ABSENCE OF WILLFUL MISCONDUCT OR GROSS NEGLIGENCE, THE
    24  AGENCY, THE DIRECTOR, EMPLOYEES OF THE AGENCY, PROTECTIVE
    25  SERVICES WORKERS OR EMPLOYEES OF THE DEPARTMENT SHALL NOT BE
    26  CIVILLY OR CRIMINALLY LIABLE FOR ANY DECISION OR ACTION OR
    27  RESULTING CONSEQUENCE OF DECISIONS OR ACTION WHEN ACTING UNDER
    28  AND ACCORDING TO THE PROVISIONS OF THIS ACT.
    29  SECTION 9.  CONFIDENTIALITY OF RECORDS.
    30     (A)  GENERAL RULE.--INFORMATION CONTAINED IN REPORTS, RECORDS
    19870H0090B2295                 - 24 -

     1  OF INVESTIGATION, CLIENT ASSESSMENT AND SERVICE PLANS SHALL BE
     2  CONSIDERED CONFIDENTIAL AND SHALL BE MAINTAINED UNDER
     3  REGULATIONS PROMULGATED BY THE DEPARTMENT TO SAFEGUARD
     4  CONFIDENTIALITY. EXCEPT AS PROVIDED BELOW, THIS INFORMATION
     5  SHALL NOT BE DISCLOSED TO ANYONE OUTSIDE THE AGENCY OTHER THAN
     6  TO A COURT OF COMPETENT JURISDICTION OR PURSUANT TO A COURT
     7  ORDER.
     8     (B)  LIMITED ACCESS TO THE AGENCY'S PROTECTIVE SERVICES
     9  RECORDS.--
    10         (1)  IN THE EVENT THAT AN INVESTIGATION BY THE AGENCY
    11     RESULTS IN A REPORT OF CRIMINAL CONDUCT, LAW ENFORCEMENT
    12     OFFICIALS SHALL HAVE ACCESS TO ALL RELEVANT RECORDS
    13     MAINTAINED BY THE AGENCY OR THE DEPARTMENT.
    14         (2)  IN ARRANGING SPECIFIC SERVICES TO CARRY OUT SERVICE
    15     PLANS, THE AGENCY MAY DISCLOSE TO APPROPRIATE SERVICE
    16     PROVIDERS SUCH INFORMATION AS MAY BE NECESSARY TO INITIATE
    17     THE DELIVERY OF SERVICES.
    18         (3)  A SUBJECT OF A REPORT MADE UNDER SECTION 5 MAY
    19     RECEIVE, UPON WRITTEN REQUEST, ALL INFORMATION CONTAINED IN
    20     THE REPORT EXCEPT THAT PROHIBITED FROM BEING DISCLOSED BY
    21     PARAGRAPH (4).
    22         (4)  THE RELEASE OF INFORMATION THAT WOULD IDENTIFY THE
    23     PERSON WHO MADE A REPORT OF SUSPECTED ABUSE, NEGLECT,
    24     EXPLOITATION OR ABANDONMENT OR PERSON WHO COOPERATED IN A
    25     SUBSEQUENT INVESTIGATION, IS HEREBY PROHIBITED UNLESS THE
    26     SECRETARY CAN DETERMINE THAT SUCH A RELEASE WILL NOT BE
    27     DETRIMENTAL TO THE SAFETY OF SUCH PERSON.
    28         (5)  WHEN THE DEPARTMENT IS INVOLVED IN THE HEARING OF AN
    29     APPEAL BY A SUBJECT OF A REPORT MADE UNDER SECTION 5, THE
    30     APPROPRIATE DEPARTMENT STAFF SHALL HAVE ACCESS TO ALL
    19870H0090B2295                 - 25 -

     1     INFORMATION IN THE REPORT RECORD RELEVANT TO THE APPEAL.
     2         (6)  FOR THE PURPOSES OF MONITORING AGENCY PERFORMANCE,
     3     APPROPRIATE STAFF OF THE DEPARTMENT MAY ACCESS AGENCY
     4     PROTECTIVE SERVICES RECORDS.
     5  SECTION 10.  INVOLUNTARY INTERVENTION BY EMERGENCY COURT ORDER.
     6     (A)  EMERGENCY PETITION.--WHERE THERE WAS CLEAR AND
     7  CONVINCING EVIDENCE THAT IF PROTECTIVE SERVICES ARE NOT
     8  PROVIDED, THE PERSON TO BE PROTECTED IS AT IMMINENT RISK OF
     9  DEATH OR SERIOUS PHYSICAL HARM, THE AGENCY MAY PETITION THE
    10  COURT FOR AN EMERGENCY ORDER TO PROVIDE THE NECESSARY SERVICES.
    11  THE COURTS OF COMMON PLEAS OF EACH JUDICIAL DISTRICT SHALL
    12  ENSURE THAT A JUDGE OR DISTRICT JUSTICE IS AVAILABLE ON A 24-
    13  HOUR A DAY, 365 DAYS A YEAR BASIS TO ACCEPT AND DECIDE ON
    14  PETITIONS FOR AN EMERGENCY COURT ORDER UNDER THIS SECTION
    15  WHENEVER THE AGENCY DETERMINES THAT A DELAY UNTIL NORMAL COURT
    16  HOURS WOULD SIGNIFICANTLY INCREASE THE DANGER THE OLDER ADULT
    17  FACES.
    18     (B)  LIMITED ORDER.--THE COURT, AFTER FINDING CLEAR AND
    19  CONVINCING EVIDENCE OF THE NEED FOR AN EMERGENCY ORDER, SHALL
    20  ORDER ONLY SUCH SERVICES AS ARE NECESSARY TO REMOVE THE
    21  CONDITIONS CREATING THE ESTABLISHED NEED.
    22     (C)  RIGHT TO COUNSEL.--IN ORDER TO PROTECT THE RIGHTS OF AN
    23  OLDER ADULT FOR WHOM PROTECTIVE SERVICES ARE BEING ORDERED, AN
    24  EMERGENCY COURT ORDER UNDER THIS SECTION SHALL PROVIDE THAT THE
    25  OLDER ADULT HAS THE RIGHT TO LEGAL COUNSEL. IF THE OLDER ADULT
    26  IS UNABLE TO PROVIDE FOR COUNSEL, SUCH COUNSEL SHALL BE
    27  APPOINTED BY THE COURT.
    28     (D)  FORCIBLE ENTRY.--WHERE IT IS NECESSARY TO FORCIBLY ENTER
    29  PREMISES AFTER OBTAINING A COURT ORDER, A PEACE OFFICER MAY DO
    30  SO, ACCOMPANIED BY A REPRESENTATIVE OF THE AGENCY.
    19870H0090B2295                 - 26 -

     1     (E)  HEALTH AND SAFETY REQUIREMENTS.--THE AGENCY SHALL TAKE
     2  REASONABLE STEPS TO ASSURE THAT WHILE THE PERSON IS RECEIVING
     3  SERVICES UNDER AN EMERGENCY COURT ORDER, THE HEALTH AND SAFETY
     4  NEEDS OF ANY OF THE PERSON'S DEPENDENTS ARE MET AND THAT
     5  PERSONAL PROPERTY AND THE DWELLING THE PERSON OCCUPIES ARE
     6  SECURE.
     7     (F)  EXCLUSION OF REMEDY.--NOTHING IN THIS ACT SHALL BE
     8  INTERPRETED TO DENY ANY OLDER ADULT ACCESS TO THE EMERGENCY
     9  MEDICAL SERVICES OR POLICE PROTECTION THAT WOULD BE PROVIDED TO
    10  ANYONE, REGARDLESS OF AGE, IN SIMILAR CIRCUMSTANCES.
    11  SECTION 11.  INDIVIDUAL RIGHTS.
    12     (A)  RIGHTS OF PROTECTIVE SERVICES CLIENTS.--THE AGENCY SHALL
    13  OBSERVE THE FOLLOWING MINIMUM REQUIREMENTS TO SAFEGUARD THE
    14  RIGHTS OF AN OLDER ADULT WHO IS REPORTED TO BE IN NEED OF
    15  PROTECTIVE SERVICES:
    16         (1)  THE AGENCY SHALL DISCREETLY NOTIFY THE OLDER PERSON
    17     DURING THE INVESTIGATION THAT A REPORT HAS BEEN MADE AND
    18     SHALL PROVIDE THE PERSON WITH A BRIEF SUMMARY OF THE NATURE
    19     OF THE REPORT.
    20         (2)  AS PROVIDED UNDER SECTION 9(B)(3), THE OLDER ADULT
    21     MAY REQUEST, AND THE AGENCY SHALL PROVIDE, ADDITIONAL
    22     INFORMATION CONTAINED IN THE REPORT.
    23         (3)  ANY DENIAL OF SERVICES BY THE DEPARTMENT OR AN
    24     AUTHORIZED AGENCY UNDER THIS ACT MAY BE APPEALED ACCORDING TO
    25     THE PROVISIONS OF THE RULES AND REGULATIONS ISSUED BY THE
    26     DEPARTMENT UNDER ARTICLE XXII-A OF THE ACT OF APRIL 9, 1929
    27     (P.L.177, NO.175), KNOWN AS THE ADMINISTRATIVE CODE OF 1929.
    28         (4)  NOTHING IN THIS ACT SHALL LIMIT THE RIGHT OF ANY
    29     OLDER PERSON TO FILE A PETITION PURSUANT TO THE ACT OF
    30     OCTOBER 7, 1976 (P.L.1090, NO.218), KNOWN AS THE PROTECTION
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     1     FROM ABUSE ACT.
     2     (B)  RIGHTS OF ALLEGED ABUSERS.--AN INDIVIDUAL WHO IS ALLEGED
     3  IN A PROTECTIVE SERVICES REPORT TO BE A PERPETRATOR OF THE
     4  ABUSE, NEGLECT, EXPLOITATION OR ABANDONMENT OF AN OLDER ADULT
     5  SHALL BE ENTITLED TO THE FOLLOWING IF THE REPORT IS
     6  SUBSTANTIATED BY THE AGENCY:
     7         (1)  SUCH AN INDIVIDUAL SHALL BE NOTIFIED BY THE AGENCY
     8     AT THE CONCLUSION OF THE INVESTIGATION OF THE REPORT THAT
     9     ALLEGATIONS HAVE BEEN MADE AND SHALL BE GIVEN A BRIEF SUMMARY
    10     OF THE ALLEGATIONS.
    11         (2)  AS PROVIDED UNDER SECTION 9(B)(3), THE ALLEGED
    12     PERPETRATOR MAY REQUEST, AND THE AGENCY SHALL PROVIDE,
    13     ADDITIONAL INFORMATION CONTAINED IN THE REPORT.
    14         (3)  AN ALLEGED PERPETRATOR IS ENTITLED TO FILE AN APPEAL
    15     WITH THE DEPARTMENT UNDER 1 PA. CODE PART II (RELATING TO
    16     GENERAL RULES OF ADMINISTRATIVE PRACTICE AND PROCEDURE) TO
    17     CHALLENGE THE AGENCY'S FINDING RESULTING FROM THE
    18     INVESTIGATION OF A REPORT MADE UNDER SECTION 6.
    19  SECTION 12.  FINANCIAL OBLIGATIONS; LIABILITIES AND PAYMENTS.
    20     ALL INDIVIDUALS RECEIVING SERVICES AND ALL AGENCIES PROVIDING
    21  SERVICES UNDER THIS ACT SHALL COMPLY WITH THE FOLLOWING
    22  PROVISIONS REGARDING LIABILITY FOR THE PAYMENT OF SERVICES:
    23         (1)  FUNDING TO PROVIDE OR MAKE AVAILABLE PROTECTIVE
    24     SERVICES UNDER THIS ACT SHALL NOT SUPPLANT ANY PUBLIC AND
    25     PRIVATE ENTITLEMENTS OR RESOURCES FOR WHICH PERSONS RECEIVING
    26     PROTECTIVE SERVICES UNDER THIS ACT ARE OR MAY BE ELIGIBLE,
    27     AND SHALL NOT BE AVAILABLE UNTIL SUCH PERSONS HAVE EXHAUSTED
    28     THEIR ELIGIBILITY AND RECEIPT OF BENEFITS UNDER SAID PUBLIC
    29     AND PRIVATE ENTITLEMENTS OR RESOURCES.
    30         (2)  FUNDING AVAILABLE TO LOCAL PROTECTIVE SERVICES
    19870H0090B2295                 - 28 -

     1     AGENCIES UNDER THIS ACT MAY BE USED TO COVER THE COSTS OF
     2     ACTIVITIES INCLUDING, BUT NOT LIMITED TO, THE FOLLOWING:
     3             (I)  ADMINISTERING PROTECTIVE SERVICES PLANS REQUIRED
     4         UNDER SECTION 4(C).
     5             (II)  RECEIVING AND MAINTAINING RECORDS OF REPORTS OF
     6         ABUSE UNDER SECTION 5.
     7             (III)  CONDUCTING INVESTIGATION OF REPORTED ABUSE
     8         UNDER SECTION 6.
     9             (IV)  CARRYING OUT CLIENT ASSESSMENTS AND DEVELOPING
    10         SERVICE PLANS UNDER SECTION 6.
    11             (V)  PETITIONING THE COURT UNDER SECTIONS 7 AND 10.
    12             (VI)  PROVIDING EMERGENCY INVOLUNTARY INTERVENTION
    13         UNDER SECTION 10.
    14             (VII)  ARRANGING FOR AVAILABLE SERVICES NEEDED TO
    15         CARRY OUT SERVICE PLANS, WHICH MAY INCLUDE, AS
    16         APPROPRIATE, ARRANGING FOR SERVICES FOR OTHER HOUSEHOLD
    17         MEMBERS IN ORDER TO REDUCE, CORRECT OR ELIMINATE ABUSE,
    18         NEGLECT, EXPLOITATION OR ABANDONMENT OF AN OLDER ADULT.
    19             (VIII)  PURCHASING, ON A TEMPORARY BASIS, SERVICES
    20         DETERMINED BY A SERVICE PLAN TO BE NECESSARY TO REDUCE,
    21         CORRECT OR ELIMINATE ABUSE, NEGLECT, EXPLOITATION OR
    22         ABANDONMENT OF AN OLDER ADULT WHEN SUCH SERVICES ARE NOT
    23         AVAILABLE WITHIN THE EXISTING RESOURCES OF THE AGENCY OR
    24         OTHER APPROPRIATE PROVIDER. PURCHASE OF SERVICES UNDER
    25         THIS PROVISION IS LIMITED TO A 30-DAY PERIOD WHICH MAY BE
    26         RENEWED WITH ADEQUATE JUSTIFICATION UNDER REGULATIONS
    27         PROMULGATED BY THE DEPARTMENT.
    28         (3)  THE OBLIGATION OF THE COMMONWEALTH AND THE COUNTIES
    29     TO PROVIDE FUNDS TO THE DEPARTMENT OR ANY AGENCY FOR SERVICES
    30     PROVIDED PURSUANT TO THIS ACT SHALL BE ENTIRELY DISCHARGED BY
    19870H0090B2295                 - 29 -

     1     THE APPROPRIATIONS MADE TO THE DEPARTMENT OR AN AGENCY.
     2     PROVIDED THAT THE AGENCY HAS MET ITS RESPONSIBILITY UNDER THE
     3     LAW, NO ACTION AT LAW OR EQUITY SHALL BE INSTITUTED IN ANY
     4     COURT TO REQUIRE THE DEPARTMENT, ANY AGENCY, COUNTY OR THE
     5     COMMONWEALTH TO PROVIDE BENEFITS OR SERVICES UNDER THIS ACT
     6     FOR WHICH APPROPRIATIONS FROM THE COMMONWEALTH OR COUNTIES
     7     ARE NOT AVAILABLE.
     8         (4)  PROTECTIVE SERVICES CLIENTS RECEIVING THE SAME
     9     SERVICES PROVIDED TO OTHERS UNDER AN AGENCY SERVICE PLAN
    10     SHALL NOT BE REQUIRED TO PAY A FEE FOR ANY SERVICES NOT
    11     SUBJECT TO COST SHARING FOR OTHER OLDER ADULTS.
    12  SECTION 13.  REGULATIONS; ENFORCEMENT.
    13     (A)  PROMULGATION OF REGULATIONS.--THE DEPARTMENT SHALL
    14  PROMULGATE THE RULES AND REGULATIONS TO CARRY OUT THIS ACT AND
    15  SHALL BE RESPONSIBLE FOR PRESENTING TO THE GENERAL ASSEMBLY
    16  ANNUALLY A REPORT ON THE PROGRAM AND SERVICES PERFORMED.
    17     (B)  ENFORCEMENT.--THIS ACT SHALL BE ENFORCED ONLY AFTER
    18  PROMULGATION OF REGULATIONS BY THE DEPARTMENT, WHICH SHALL OCCUR
    19  NO LATER THAN 12 MONTHS FOLLOWING PASSAGE OF THIS ACT, EXCEPT
    20  THAT SECTION 4 SHALL APPLY WHEN THE AREA AGENCIES ON AGING
    21  CERTIFIES TO THE DEPARTMENT THAT IT IS PREPARED TO FULFILL ITS
    22  RESPONSIBILITIES. THE CERTIFICATION SHALL BE MADE WITHIN 90 DAYS
    23  FOLLOWING PROMULGATION OF REGULATIONS.
    24  SECTION 14.  FUNDS FOR PAYMENT OF ADMINISTRATION OF ACT.
    25     FUNDS NECESSARY TO ADMINISTER THIS ACT SHALL BE PROVIDED BY
    26  ANNUAL APPROPRIATION BY THE GENERAL ASSEMBLY.
    27  SECTION 15.  REPEALS.
    28     ALL OTHER ACTS AND PARTS OF ACTS ARE REPEALED INSOFAR AS THEY
    29  ARE INCONSISTENT WITH THIS ACT.
    30  SECTION 16.  EFFECTIVE DATE.
    19870H0090B2295                 - 30 -

     1     THIS ACT SHALL TAKE EFFECT JULY 1, 1988.




















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