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                                                       PRINTER'S NO. 141

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 132 Session of 1997


        INTRODUCED BY VANCE, E. Z. TAYLOR, GRUPPO, BLAUM, SAYLOR, TIGUE,
           BUXTON, NAILOR, KREBS, MASLAND, GEORGE, FLICK, ARMSTRONG,
           M. COHEN, NICKOL, COY, B. SMITH, MILLER, JAMES, BELARDI,
           TULLI, MAITLAND, WAUGH, CORNELL, FEESE, OLASZ, READSHAW,
           PESCI, DENT, BATTISTO, BOSCOLA, PETRARCA, DeLUCA, TRAVAGLIO,
           GLADECK, TRELLO, VAN HORNE, ROONEY, BEBKO-JONES,
           D. W. SNYDER, SHANER, MARSICO, ITKIN, MUNDY, MANDERINO,
           MICHLOVIC, CURRY AND BUNT, JANUARY 29, 1997

        REFERRED TO COMMITTEE ON AGING AND YOUTH, JANUARY 29, 1997

                                     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; making
     7     repeals," adding certain definitions; further providing for
     8     reporting, for investigations and for reporting suspected
     9     abuse by employees.

    10     The General Assembly of the Commonwealth of Pennsylvania
    11  hereby enacts as follows:
    12     Section 1.  Section 103 of the act of November 6, 1987
    13  (P.L.381, No.79), known as the Older Adults Protective Services
    14  Act, amended December 18, 1996 (P.L.    No.169), is amended by
    15  adding definitions to read:
    16  Section 103.  Definitions.
    17     The following words and phrases when used in this act shall
    18  have the meanings given to them in this section unless the


     1  context clearly indicates otherwise:
     2     * * *
     3     "Serious bodily injury."  An injury which:
     4         (1)  causes a person severe pain;
     5         (2)  creates a substantial risk of death; or
     6         (3)  significantly impairs a person's physical
     7     functioning, either temporarily or permanently.
     8     * * *
     9     "Sexual abuse."  Intentionally, knowingly or recklessly
    10  causing or attempting to cause rape, involuntary deviate sexual
    11  intercourse, sexual assault, statutory sexual assault,
    12  aggravated indecent assault, indecent assault or incest.
    13     Section 2.  Sections 302(a), 303(a) and 304(e) of the act,
    14  amended December 18, 1996 (P.L.    , No.169) are amended to
    15  read:
    16  Section 302.  Reporting; protection from retaliation; immunity.
    17     (a)  Reporting.--Any person having reasonable cause to
    18  believe that an older adult is in need of protective services
    19  may report such information to the agency which is the local
    20  provider of protective services. Where applicable, reports shall
    21  comply with the provisions of chapter 7.
    22     * * *
    23  Section 303.  Investigations of reports of need for protective
    24                 services.
    25     (a)  Investigation.--It shall be the agency's responsibility
    26  to provide for an investigation of each report made under
    27  section 302. The investigation shall be initiated within 72
    28  hours after the receipt of the report and shall be carried out
    29  under regulations issued by the department. These regulations
    30  shall provide for the methods of conducting investigations under
    19970H0132B0141                  - 2 -

     1  this section and shall assure that steps are taken to avoid any
     2  conflict of interest between the investigator and service
     3  delivery functions. Reports and investigations under this
     4  section shall comply with chapter 7, where applicable.
     5     * * *
     6  Section 304.  Provision of services; access to records and
     7                 persons.
     8     * * *
     9     (e)  Access to persons.--The agency shall have access to
    10  older persons who have been reported to be in need of protective
    11  services in order to:
    12         (1)  Investigate reports under section 303 and chapter 7.
    13         (2)  Assess client need and develop a service plan for
    14     addressing needs determined.
    15         (3)  Provide for the delivery of services by the agency
    16     or other service provider arranged for under the service plan
    17     developed by the agency.
    18     * * *
    19     Section 3.  The act is amended by adding a chapter to read:
    20                             CHAPTER 7
    21               REPORTING SUSPECTED ABUSE BY EMPLOYEES
    22  Section 701.  Reporting by employees.
    23     (a)  Mandatory reporting to agency.--
    24         (1)  An employee or an administrator who has reasonable
    25     cause to suspect that a recipient is a victim of abuse shall
    26     immediately make an oral report to the agency. An employee
    27     shall notify the administrator immediately following the
    28     report to the agency.
    29         (2)  Within 48 hours of making the oral report, the
    30     employee or administrator shall make a written report to the
    19970H0132B0141                  - 3 -

     1     agency. The agency shall notify the administrator that a
     2     report of abuse has been made with the agency.
     3         (3)  The employee may request the administrator to make,
     4     or to assist the employee to make, the oral and written
     5     reports required by this subsection.
     6     (b)  Mandatory reports to law enforcement officials.--
     7         (1)  An employee or an administrator who has reasonable
     8     cause to suspect that a recipient is the victim of sexual
     9     abuse or serious bodily injury or that a death is suspicious
    10     shall immediately contact law enforcement officials to make
    11     an oral report. An employee shall notify the administrator
    12     immediately following the report to law enforcement
    13     officials.
    14         (2)  Within 48 hours of making the oral report, the
    15     employee and an administrator shall make a written report to
    16     appropriate law enforcement officials.
    17         (3)  The law enforcement officials shall notify the
    18     administrator that a report has been made with the law
    19     enforcement officials.
    20         (4)  The employee may request the administrator to make,
    21     or to assist the employee to make, the oral and written
    22     reports to law enforcement required by this subsection.
    23     (c)  Contents of report.--A written report under this section
    24  shall be in a manner and on forms prescribed by the department.
    25  The report shall include, at a minimum, the following
    26  information:
    27         (1)  Name, age and address of the recipient.
    28         (2)  Name and address of the recipient's guardian or next
    29     of kin.
    30         (3)  Name and address of the facility.
    19970H0132B0141                  - 4 -

     1         (4)  Nature of the alleged offense.
     2         (5)  Any specific comments or observations that are
     3     directly related to the alleged incident and the individual
     4     involved.
     5  Section 702.  Reports to department and coroner.
     6     (a)  Department.--
     7         (1)  Within 48 hours of receipt of a written report under
     8     section 701(a), the agency shall transmit a written report to
     9     the department. Supplemental reports shall be transmitted as
    10     they are obtained by the agency.
    11         (2)  A report under this subsection shall be made in a
    12     manner and on forms prescribed by the department. The report
    13     shall include, at a minimum, the following information:
    14             (i)  The name and address of the alleged victim.
    15             (ii)  Where the suspected abuse occurred.
    16             (iii)  The age and sex of the alleged perpetrator and
    17         victim.
    18             (iv)  The nature and extent of the suspected abuse,
    19         including any evidence of prior abuse.
    20             (v)  The name and relationship of the individual
    21         responsible for causing the alleged abuse to the victim,
    22         if known, and any evidence of prior abuse by that
    23         individual.
    24             (vi)  The source of the report.
    25             (vii)  The individual making the report and where
    26         that individual can be reached.
    27             (viii)  The actions taken by the reporting source,
    28         including taking of photographs and x-rays, removal of
    29         recipient and notification under subsection (b).
    30             (ix)  Any other information which the department may
    19970H0132B0141                  - 5 -

     1         require by regulation.
     2     (b)  Coroner.--For a report under section 701(a) which
     3  concerns the death of a recipient, if there is reasonable cause
     4  to suspect that the recipient died as a result of abuse, the
     5  agency shall give the oral report and forward a copy of the
     6  written report to the appropriate coroner within 24 hours.
     7  Section 703.  Investigation.
     8     (a)  Law enforcement officials.--Upon receipt of a report
     9  under section 701(b), law enforcement officials shall conduct an
    10  investigation to determine what criminal charges, if any, will
    11  be filed.
    12     (b)  Notification.--If law enforcement officials have
    13  reasonable cause to suspect that a recipient has suffered sexual
    14  abuse, serious bodily injury or a suspicious death, law
    15  enforcement officials shall notify the agency.
    16     (c)  Cooperation.--To the fullest extent possible, law
    17  enforcement officials, the facility and the agency shall
    18  coordinate their respective investigations. Law enforcement
    19  officials, the facility and the agency shall advise each other
    20  and provide any applicable additional information on an ongoing
    21  basis.
    22     (d)  Further notification.--Law enforcement officials shall
    23  notify the agency and the facility of a decision regarding
    24  criminal charges. The agency and the department shall keep a
    25  record of any decision regarding criminal charges.
    26     (e)  Compliance with Chapter 3.--In addition to the
    27  provisions of this section, the agency shall comply with Chapter
    28  3.
    29  Section 704.  Restrictions on employees.
    30     (a)  Plan of supervision.--Upon notification that an employee
    19970H0132B0141                  - 6 -

     1  is alleged to have committed abuse, the facility shall
     2  immediately implement a plan of supervision or, where
     3  appropriate, suspension of the employee, subject to approval by
     4  the agency and by the Commonwealth agency with regulatory
     5  authority over the facility. A plan of supervision for a home
     6  health care agency must include periodic random direct
     7  inspections of care-dependent individuals by a facility employee
     8  who has been continuously employed by that facility for a period
     9  of at least one year.
    10     (b)  Prohibition.--Upon the filing of criminal charges
    11  against an employee, the Commonwealth agency which licenses the
    12  facility shall order the facility to immediately prohibit that
    13  employee from having access to recipients at the facility. If
    14  that employee is a director, operator, administrator or
    15  supervisor, that employee shall be subject to restrictions
    16  deemed appropriate by the Commonwealth agency which licenses the
    17  facility to assure the safety of recipients of the facility.
    18  Section 705.  Confidentiality of and access to confidential
    19                 reports.
    20     (a)  General rule.--Except as provided in subsection (b), a
    21  report under this chapter shall be confidential.
    22     (b)  Exceptions.--A report under this chapter shall be made
    23  available to all of the following:
    24         (1)  An employee of the department or of an agency in the
    25     course of official duties in connection with responsibilities
    26     under this chapter.
    27         (2)  An employee of the Department of Health or the
    28     Department of Public Welfare in the course of official
    29     duties.
    30         (3)  An employee of an agency of another state which
    19970H0132B0141                  - 7 -

     1     performs protective services similar to those under this
     2     chapter.
     3         (4)  A practitioner of the healing arts who is examining
     4     or treating a recipient and who suspects that the recipient
     5     is in need of protection under this chapter.
     6         (5)  The director, or an individual specifically
     7     designated in writing by the director, of any hospital or
     8     other medical institution where a victim is being treated if
     9     the director or designee suspects that the recipient is in
    10     need of protection under this chapter.
    11         (6)  A guardian of the recipient.
    12         (7)  A court of competent jurisdiction pursuant to a
    13     court order.
    14         (8)  The Attorney General.
    15         (9)  Law enforcement officials of any jurisdiction as
    16     long as the information is relevant in the course of
    17     investigating cases of abuse.
    18         (10)  A mandated reporter under Chapter 3 who made a
    19     report of suspected abuse. Information released under this
    20     paragraph shall be limited to the following:
    21             (i)  The final status of the report following the
    22         investigation.
    23             (ii)  Services provided or to be provided by the
    24         agency.
    25     (c)  Excision of certain names.--The name of the person
    26  suspected of committing the abuse shall be excised from a report
    27  made available under subsection (b)(4), (5) and (10).
    28     (d)  Release of information to alleged perpetrator and
    29  victim.--Upon written request, an alleged perpetrator and victim
    30  may receive a copy of all information, except that prohibited
    19970H0132B0141                  - 8 -

     1  from being disclosed by subsection (e).
     2     (e)  Protecting identity of person making report.--Except for
     3  reports to law enforcement officials, the release of data that
     4  would identify the individual who made a report under this
     5  chapter or an individual who cooperated in a subsequent
     6  investigation is prohibited. Law enforcement officials shall
     7  treat all reporting sources as confidential information.
     8  Section 706.  Penalties.
     9     (a)  Administrative.--
    10         (1)  An administrator who intentionally or willfully
    11     fails to comply or obstructs compliance with the provisions
    12     of this chapter or who intimidates or commits a retaliatory
    13     act against an employee who complies in good faith with the
    14     provisions of this chapter commits a violation of this
    15     chapter and shall be subject to an administrative penalty
    16     under paragraph (3).
    17         (2)  A facility owner that intentionally or willfully
    18     fails to comply with or obstructs compliance with this
    19     chapter or that intimidates or commits a retaliatory act
    20     against an employee who complies in good faith with this
    21     chapter commits a violation of this chapter and shall be
    22     subject to an administrative penalty under paragraph (3).
    23         (3)  The Commonwealth agency or Commonwealth agencies
    24     which regulate the facility have jurisdiction to determine
    25     violations of this chapter and may issue an order assessing a
    26     civil penalty of not more than $2,500. An order under this
    27     paragraph is subject to 2 Pa.C.S. Ch. 5, Subch. A (relating
    28     to practice and procedure of Commonwealth agencies) and Ch.
    29     7, Subch. A (relating to judicial review of Commonwealth
    30     agency action).
    19970H0132B0141                  - 9 -

     1     (b)  Criminal.--
     2         (1)  An administrator who intentionally or willfully
     3     fails to comply, or obstructs compliance, with this chapter
     4     commits a misdemeanor of the third degree and shall, upon
     5     conviction, be sentenced to pay a fine of $2,500 or to
     6     imprisonment for not more than one year, or both.
     7         (2)  A facility owner that intentionally or willfully
     8     fails to comply with, or obstructs compliance with, this
     9     chapter, commits a misdemeanor of the third degree and shall,
    10     upon conviction, be sentenced to pay a fine of $2,500 or to
    11     imprisonment for not more than one year, or both.
    12     (c)  Penalties for failure to report.--A person required
    13  under this chapter to report a case of suspected abuse who
    14  willfully fails to do so commits a summary offense for the first
    15  violation and a misdemeanor of the third degree for a second or
    16  subsequent violation.
    17     Section 4.  This act shall take effect in 90 days.









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