PRINTER'S NO. 4180

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 2978 Session of 1996


        INTRODUCED BY BELFANTI, DeWEESE, VEON, M. COHEN, CAPPABIANCA,
           STURLA, KUKOVICH, LAUGHLIN, LaGROTTA, BELARDI, YEWCIC, RUDY,
           ROBINSON, PRESTON, LUCYK, MERRY, MANDERINO, STABACK, TIGUE,
           WALKO, GIGLIOTTI, MIHALICH, VAN HORNE, OLIVER, YOUNGBLOOD,
           HALUSKA, PISTELLA AND SHANER, OCTOBER 10, 1996

        REFERRED TO COMMITTEE ON AGING AND YOUTH, OCTOBER 10, 1996

                                     AN ACT

     1  Providing for certain records and other information to be
     2     returned and made available by nursing homes; and providing
     3     for additional duties of the Department of Public Welfare.

     4     The General Assembly finds and declares as follows:
     5         (1)  That this Commonwealth has a large and growing
     6     population of senior and disabled persons whose family
     7     members and friends are increasingly dependent on nursing
     8     home care.
     9         (2)  That significant resources are necessary for the
    10     care of our senior and disabled citizens who reside in
    11     nursing homes.
    12         (3)  That the nursing home industry is a growth industry
    13     in this Commonwealth which requires immediate safeguards in
    14     the public interest.
    15         (4)  That for-profit nursing homes and nursing home
    16     chains that receive public money have the responsibility to
    17     report to residents and their families on safety and health

     1     matters, quality-of-care issues and situations which pose
     2     imminent or potential hazards to nursing home residents and
     3     the people who care for them.
     4         (5)  That family members and friends have the right to
     5     know the quality of care provided to their loved ones.
     6         (6)  That the public has the right to know information
     7     affecting the care of senior and disabled residents in the
     8     nearly 700 nursing homes across this Commonwealth.
     9         (7)  That the Department of Health and the Department of
    10     Public Welfare are responsible to ensure that such moneys
    11     appropriated by the General Assembly for that purpose are
    12     directed to nursing homes that provide quality care for our
    13     senior and disabled citizens.
    14         (8)  That the Department of Public Welfare is responsible
    15     to ensure that such funding is spent prudently in a manner
    16     which promotes and advances resident care.
    17         (9)  That senior and disabled citizens who are residents
    18     of nursing homes should not have patient care appropriations
    19     used for payment of legal representation costs in defense of
    20     unlawful conduct.
    21     The General Assembly of the Commonwealth of Pennsylvania
    22  hereby enacts as follows:
    23  Section 1.  Maintenance of records.
    24     Any nursing home corporation operating within this
    25  Commonwealth shall maintain the following records for a 10-year
    26  period:
    27         (1)  Safety and health inspections.
    28         (2)  Occupational Safety and Health Act complaints under
    29     the Occupational Safety and Health Act of 1970 (Public Law
    30     91-596, 29 U.S.C. § 651 et seq.).
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     1         (3)  Wage and hour complaints before the United States
     2     Department of Labor.
     3         (4)  Actions before the National Labor Relations Board.
     4         (5)  Actions before the Health Care Financing
     5     Administration.
     6  Section 2.  Public right to information.
     7     A nursing home corporation receiving public funding shall
     8  notify the public of its right to the information set forth in
     9  section 1. This notice shall be posted in a conspicuous manner
    10  accessible and visible to the public at each facility. This
    11  information must be made available for the current year and the
    12  two years immediately prior to the current year.
    13  Section 3.  Nursing staff.
    14     A nursing home corporation receiving public funding shall
    15  post the number of nursing staff directly responsible for
    16  resident care. This information shall be posted for each shift,
    17  each day and each floor for each job classification. This
    18  information must be posted in a location which is visible and
    19  accessible to all residents, their families and caregivers in
    20  each facility.
    21  Section 4.  Notification of hazard.
    22     A nursing home corporation shall immediately notify the
    23  family of every resident of those incidents in which residents
    24  and workers are evacuated from the facility or in which the
    25  incident poses an imminent hazard to residents or workers.
    26  Section 5.  Enforcement.
    27     The Department of Public Welfare shall monitor nursing home
    28  corporations for compliance with this act. Nursing home
    29  corporations which use public funding for legal representation
    30  in defense of unlawful activities shall have public funds
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     1  withheld in an amount equal to funds improperly used and the
     2  cost of enforcement.
     3  Section 6.  Effective date.
     4     This act shall take effect in 60 days.


















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