2012 -- S 2904 | |
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LC02404 | |
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STATE OF RHODE ISLAND | |
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IN GENERAL ASSEMBLY | |
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JANUARY SESSION, A.D. 2012 | |
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____________ | |
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A N A C T | |
RELATING TO STATE AFFAIRS AND GOVERNMENT | |
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     Introduced By: Senator Michael J. McCaffrey | |
     Date Introduced: April 26, 2012 | |
     Referred To: Senate Judiciary | |
It is enacted by the General Assembly as follows: | |
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     SECTION 1. Title 42 of the General Laws entitled "STATE AFFAIRS AND |
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GOVERNMENT" is hereby amended by adding thereto the following chapter: |
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     CHAPTER 9.4 |
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CRIMINAL BACKGROUND CHECK ACT |
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     42-9.4-1. Definitions. – As used in this chapter: |
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     (1) “Adult” means a person eighteen (18) years of age or older. |
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     (2) “Applicant” or “Direct Patient Access Applicant” means a person applying to be a |
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direct patient access employee at a covered facility or a person providing services under chapter |
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40-8.1. |
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     (3) “Attorney General” means the attorney general of the state of Rhode Island, or his or |
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her designee. |
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     (4) “Criminal Background Check” means a national criminal records check that shall |
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include fingerprints submitted to the federal bureau of investigation (FBI). |
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     (5) "Conviction" means, in addition to judgments of conviction entered by a court |
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subsequent to a finding of guilty or a plea of guilty, those instances where the defendant has |
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entered a plea of nolo contendere and has received a sentence of probation and those instances |
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where a defendant has entered into a deferred sentence agreement. |
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     (6) “Covered Facility” means: |
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     (i) A nursing facility; a home nursing care provider; a home care provider; or a hospice |
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service that is or is required to be licensed, registered or certified with the state pursuant to |
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chapter 23-17; |
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     (ii) An assisted living residence that is or is required to be licensed with the state pursuant |
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to chapter 23-17.4; |
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     (iii) A nursing services agency that is or is required to be licensed with the state pursuant |
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to chapter 23-17.7.1; |
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     (iv) Any facility or program licensed by the department of behavioral healthcare, |
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developmental disabilities and hospitals pursuant to chapter 40.1-24; |
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     (v) Any facility or program operated by the department of behavioral healthcare, |
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developmental disabilities and hospitals; and |
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     (vi) Any other long-term care facility or provider. |
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     (7) “Day(s)” means calendar days. |
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     (8) “Department” means the Rhode Island department of attorney general. |
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     (9) “BCI” means the bureau of criminal identification of the department of attorney |
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general. |
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     (10) “Direct Patient Access Employee” means: |
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     (i) A person who has access to a patient or resident of a covered facility through |
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employment or through a contract with such covered facility and has duties that involve or may |
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involve one-on-one contact with a patient or resident of the covered facility; or |
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     (ii) A person who has access to the belongings or funds of a patient or resident of a |
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covered facility through employment or through a contract with such covered facility. |
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     (iii) These provisions do not include volunteers unless the volunteer has duties that are |
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equivalent to the duties of a direct patient access employee and those duties involve or may |
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involve one-on-one contact with a patient or resident of the covered facility. |
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     (11) “EOHHS” means the Rhode Island executive office of health and human services, or |
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its designee. |
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     (12) “Livescan Vendor” means an entity whose equipment has been certified by the |
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department to collect an individual’s demographics and inkless fingerprints and, in a manner |
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prescribed by the department, electronically transmit the fingerprints and a daily file of required |
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data to the department. The department shall negotiate a contract with one or more vendors that |
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effectively demonstrate that the vendor has demonstrated sufficient experience transmitting |
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fingerprints electronically to the department and that the vendor can successfully transmit the |
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required data in a manner prescribed by the department. |
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     (13) “Long-term Care Facility or Provider” means a facility or provider that receives |
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payment for services under title XVIII or XIX of the Social Security Act and is: |
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     (i) A long-term care hospital (as described in section 1886(d)(1)(B)(iv) of the Social |
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Security Act (42 U.S.C. 1395ww(d)(1)(B)(iv)); |
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     (ii) A provider of personal care services as defined in the state’s waiver under Title XIX |
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of the Social Security Act relating to the provision of home and community-based services; |
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     (iii) A provider of adult day care; or |
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     (iv) An intermediate care facility for the mentally retarded (as defined in section 1905(d) |
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of the Social Security Act (42 U.S.C. 1396d(d)). |
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     (14) “Provisionally employed” means that the applicant is employed by a covered facility |
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or provides services as provided in chapter 40-8.1, during a period of time after the applicant’s |
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fingerprints have been submitted for the processing of a criminal background check, but before |
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the results of the criminal background check have been received. During this time, the applicant |
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shall not have supervisory or disciplinary power or routine contact with patients or residents |
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without the presence of others. |
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     42-9.4-2. Criminal Background Check. – (a) Any adult person seeking employment in |
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any covered facility as a direct patient access employee or who provides services as a direct |
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patient access employee as provided in chapter 40-8.1, whether compensated or not, shall |
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undergo a criminal background check to be processed prior to employment or providing such |
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services, except as otherwise provided in this section. All persons who, as of January 1, 2013, are |
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already employed by a covered facility and all persons who, as of such date, already provide |
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services under chapter 40-8.1 shall be exempted from the requirements of this section for |
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purposes of their current employment only. |
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     (b) The applicant shall apply to the BCI for a criminal background check. The BCI may |
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utilize a Livescan vendor as a designee to fulfill the requirements of this chapter. |
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     (c) If the results of the criminal background check have not been received within seven |
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(7) days, upon verification that an applicant has submitted his or her fingerprints for the |
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processing of a criminal background check, the applicant may be provisionally employed by the |
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covered facility or provide services under chapter 40-8.1 until the results of the criminal |
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background check are completed, but in no case may this exceed sixty (60) days. |
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     (d) Upon the discovery of any disqualifying information, as defined in section 42-9.4-3 |
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and in accordance with the rules and regulations promulgated by the department, the BCI shall |
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inform the applicant of the nature of the disqualifying information; and, without disclosing the |
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nature of the disqualifying information, shall notify the covered facility that disqualifying |
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information has been discovered. The disqualification notice shall include notice of the |
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applicant’s right to appeal the denial or termination of employment and that the applicant may |
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request an appeal of denial or termination of employment as provided in section 42-9.4-4. If a |
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covered facility provisionally employed an applicant as provided in subsection (c), upon the |
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covered facility’s receipt of the disqualification notice, the covered facility must terminate the |
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applicant’s employment within fourteen (14) days, unless the applicant requests an appeal in |
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accordance with section 42-9.4-4 and, in doing so, requests to remain provisionally employed |
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while the appeal is reviewed. Upon receipt of an applicant’s request to remain provisionally |
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employed during the appeal process, the department or the EOHHS shall inform the relevant |
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covered facility that the disqualified individual has requested an appeal and advise the covered |
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facility that the individual may remain provisionally employed until the date the covered facility |
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receives the department’s or EOHHS’s written decision or until the applicant has been employed |
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for sixty (60) days, whichever date is earlier. In those situations in which no disqualifying |
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information has been found, the BCI shall inform the applicant, the covered facility, and EOHHS |
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of this fact. |
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     (e) The covered facility shall initiate a criminal background check on all direct patient |
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access applicants, the results of which will be maintained by the BCI. Failure to initiate criminal |
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background checks on any prospective direct patient access employee would be grounds to |
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revoke the license or registration of the covered facility. The covered facility shall maintain on |
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file, subject to inspection by the EOHHS, evidence that criminal background checks have been |
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initiated on all direct patient access employees employed by or performing services at or for the |
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covered facility after the date specified in this subsection, and the results of such checks. Failure |
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to maintain that evidence would be grounds to revoke the license or registration of the covered |
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facility. The date specified in this subsection is either: |
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     (1) October 1, 1991, if the covered facility is a nursing facility, a home nursing care |
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provider, a home care provider, or an assisted living residence; or |
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     (2) January 1, 2013, if the covered facility is any other type of facility, program, or |
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provider. |
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     (f) It shall be the responsibility of the applicant to pay for the criminal background check |
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fees. The fees shall be established by rules and regulations promulgated pursuant to section 42- |
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9.4-9 of this chapter. |
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     42-9.4-3. Disqualifying information. – (a) Information produced by a criminal |
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background check pertaining to a conviction for the following crimes will disqualify the applicant |
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from employment: |
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     (1) The following offenses are considered level one offenses: Murder, manslaughter, first |
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degree sexual assault, second degree sexual assault, assault on persons sixty (60) years of age or |
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older, assault with intent to commit specified felonies (murder, robbery, rape, burglary, or the |
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abominable and detestable crime against nature), felony assault, patient abuse, neglect or |
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mistreatment of patients, burglary, first degree arson, robbery, any felony involving the illegal |
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manufacture, sale or delivery of a controlled substance, or possession with intent to manufacture, |
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sell or deliver a controlled substance, felony obtaining money under false pretenses, felony |
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embezzlement, abuse, neglect and/or exploitation of adults with severe impairments, exploitation |
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of elders, felony larceny, or felony banking law violations, or a crime under section 1128(a) of |
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the Social Security Act (42 U.S.C. 1320a-7(a)). |
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     (2) The following offenses are considered level two offenses: Felony drug possession and |
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third degree sexual assault. |
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     42-9.4-4. Appeal of Denial or Termination of Employment. – (a) An applicant who |
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has been denied or terminated from employment due to receiving a disqualification notice may |
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appeal such denial or termination. The appeal procedure shall be dependent on whether the nature |
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of the disqualification is a level one or a level two offense. |
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     (b) If the applicant’s disqualification is based on a level one offense, the appeal shall be |
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limited only to the accuracy of the information provided in the criminal background check. |
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     (1) The applicant must submit a request for appeal in writing to the department within |
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(14) days of the applicant’s receipt of the disqualification notice provided in subsection 42-9.4- |
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2(d). In the request, the applicant must include a copy of his or her disqualification notice that |
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identifies the specific disqualifying offense and provide evidence that he or she was not convicted |
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of the disqualifying offense. |
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     (2) Within thirty (30) days of receipt of the applicant’s request, the department shall |
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review the applicant’s submitted materials and conduct a hearing for the applicant to demonstrate |
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that the information contained in the disqualification notice was inaccurate. |
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     (3) The department must deny the appeal if the applicant failed to submit a timely request |
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for appeal or if the applicant fails to demonstrate that the information contained in the |
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disqualification notice was inaccurate. Upon denial, the department shall notify, in writing, the |
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applicant, the covered facility, and EOHHS that the disqualification was not overturned due to the |
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information in the criminal background check being found accurate or because the applicant |
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failed to submit a timely request. |
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     (4) The department shall overturn the disqualification if it finds that the information |
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provided in the criminal background check is inaccurate. If an applicant’s disqualification is |
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overturned, the department shall notify the applicant, the covered facility, and EOHHS of the |
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decision in writing. In such decision, the department must inform the applicant, the covered |
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facility, and EOHHS that the information relied upon to disqualify the applicant was inaccurate. |
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     (c) If the applicant’s disqualification is based on a level two offense, the appeal shall |
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consider whether the disqualification should be overturned due to any or some combination of the |
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following factors: the passage of time since the disqualifying conviction, extenuating |
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circumstances surrounding the disqualifying conviction, the applicant’s demonstration of |
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rehabilitation and the relevancy of the disqualifying information to the employment applied for. |
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     (1) The applicant must submit the request for appeal in writing to the EOHHS within |
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fourteen (14) days of the applicant’s receipt of the disqualification notice provided in subsection |
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42-9.4-2(d). In the request, the applicant must include a copy of his or her disqualification notice |
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that identifies the specific disqualifying offense and provide evidence that supports the factors in |
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subsection (c). |
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     (2) Within thirty (30) days of receipt of the applicant’s request, the EOHHS shall review |
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the applicant’s submitted materials and conduct a hearing for the applicant to demonstrate that the |
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disqualification should be overturned due to any or some combination of the factors in subsection |
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(c). |
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     (3) Upon consideration of the factors in subsection (c), if EOHHS determines that the |
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applicant’s disqualification should not be overturned or the applicant failed to submit a timely |
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request for appeal, the EOHHS must deny the appeal. Upon denial, the EOHHS shall notify, in |
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writing, the applicant, the covered facility, and the department that the disqualification was not |
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overturned and the basis for the denial. |
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     (4) The EOHHS shall grant the appeal if it finds that the information contained in the |
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applicant’s criminal background check and applicant’s presentation of pertinent factors in |
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subsection (c) warrant that the applicant’s disqualification should be overturned. If an applicant’s |
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disqualification is overturned, the EOHHS shall notify the applicant, the covered facility, and the |
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department of the decision in writing and state the specific findings thereto. |
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     42-9.4-5. Automated Fingerprint Identification System Database. - The department |
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may establish and maintain an automated fingerprint identification system database that would |
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allow the department to store and maintain all fingerprints submitted under this chapter and |
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would provide for an automatic notification if and when a subsequent criminal arrest fingerprint |
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card submitted into the system matches a set of fingerprints previously submitted under the |
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chapter. If the aforementioned arrest results in a conviction, the department shall immediately |
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notify each covered facility with which that individual is associated. The information in the |
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database established under this section is confidential and is not subject to disclosure under the |
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access to public records act, chapter 2 of title 38 of the general laws. |
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     42-9.4-6. Electronic Web-based Registry System. – The department or EOHHS shall |
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maintain an electronic web-based system to assist covered facilities required to check relevant |
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registries and conduct criminal background checks of direct patient access applicants and to |
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provide for an automated notice to those covered facilities for those persons inputted in the |
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system who, since the initial criminal background check, have been convicted of a disqualifying |
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offense or have been the subject of a substantiated finding of abuse, neglect or misappropriation |
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of property. The department or EOHHS may charge a covered facility a one-time set up fee of up |
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to one hundred dollars ($100) for access to the electronic web-based system under this section. |
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     42-9.4-7. Immunity from liability. – The department, the EOHHS, and a covered |
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facility who disqualifies an applicant from employment or continued employment on the basis of |
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a disqualification notice as described in subsection 42-9.4-2(d) or of a criminal background check |
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relating to disqualifying information shall not be liable for civil damages or subject to any claim, |
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demand, cause of action, or proceeding of any nature as a result of the disqualification. |
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     42-9.4-8. Rules and regulations. – The department and the EOHHS is authorized to |
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promulgate rules and regulations to carry out the intent of this chapter. |
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     SECTION 2. Section 23-17-34 of the General Laws in Chapter 23-17 entitled "Licensing |
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of Health Care Facilities" is hereby amended to read as follows: |
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     23-17-34. Criminal records review – Nursing facilities – Home nursing care |
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providers and home care providers. – (a) Any adult person seeking employment as a direct |
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patient access employee, whether compensated or not, in a nursing facility, a home nursing care |
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provider, or a home care provider which is or is required to be licensed, registered or certified |
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with the department of health |
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provided in chapter 42-9.4 |
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     (b) The director of the department of health may by rule identify those positions requiring |
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criminal background checks. |
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     (c) |
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health, evidence that criminal records checks have been initiated on all employees seeking |
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employment after October 1, 1991, and the results of the checks. Failure to maintain that evidence |
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would be grounds to revoke the license or registration of the employer. |
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     SECTION 3. Sections 23-17-37 and 23-17-39 of the General Laws in Chapter 23-17 |
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entitled "Licensing of Health Care Facilities" are hereby repealed. |
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     SECTION 4. Section 23-17.7.1-17 of the General Laws in Chapter 23-17.7.1 entitled |
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"Licensing of Nursing Service Agencies" is hereby amended to read as follows: |
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     23-17.7.1-17. Criminal records review. – (a) Any adult person seeking employment as |
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a direct patient access employee, whether compensated or not, in a facility which is or is required |
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to be licensed or registered with the department of health |
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criminal background check as provided in chapter 42-9.4. |
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     (b) The director of the department of health may, by rule, identify those positions |
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requiring criminal background checks. |
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     (c) |
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evidence that criminal records checks have been initiated on all employees. Failure to maintain |
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that evidence would be grounds to revoke the license or registration of the employer. |
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     SECTION 5. Sections 23-17.7.1-18, 23-17.7.1-20 and 23-17.7.1-21 of the General Laws |
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in Chapter 23-17.7.1 entitled "Licensing of Nursing Service Agencies" are hereby repealed. |
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     SECTION 6. Section 23-17.4-27 of the General Laws in Chapter 23-17.4 entitled |
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"Assisted Living Residence Licensing Act" is hereby amended to read as follows: |
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     23-17.4-27. Criminal records review. – (a) Any adult person seeking employment as a |
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direct patient access employee, whether compensated or not, in any assisted living residence |
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licensed under this act |
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     (b) The director of the department of health may by rule identify those positions requiring |
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criminal background checks. |
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     (c) |
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evidence that criminal records checks have been initiated on all employees seeking employment |
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after October 1, 1991, and the results of the checks. Failure to maintain that evidence would be |
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grounds to revoke the license or registration of the employer. |
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     SECTION 7. Sections 23-17.4-28, 23-17.4-30 and 23-17.4-32 of the General Laws in |
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Chapter 23-17.4 entitled "Assisted Living Residence Licensing Act" are hereby repealed. |
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     SECTION 8. Section 40.1-25.1-3 of the General Laws in Chapter 40.1-25.1 entitled |
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"Employee Criminal Records Check" is hereby amended to read as follows: |
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     40.1-25.1-3. Criminal records check requirement. – (a) Any facility or program |
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licensed by the department pursuant to § 40.1-24-1 et seq. and any facility or program operated |
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by the department shall require all adult applicants for employment, as a direct patient access |
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employee, whether compensated or not, |
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     (c) |
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evidence that criminal records checks in accordance with this statute have been initiated on all |
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employees seeking employment after August 1, 2001 and the results of the checks. Failure to |
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maintain the evidence on file will be prima facie grounds to revoke the license or certification of |
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the operator of any facility or program licensed or certified by the department. |
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     SECTION 9. Sections 40.1-25.1-4 and 40.1-25.1-5 of the General Laws in Chapter 40.1- |
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25.1 entitled "Employee Criminal Records Check" are hereby repealed. |
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     SECTION 10. The act shall take effect on January 1, 2013. |
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LC02404 | |
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EXPLANATION | |
BY THE LEGISLATIVE COUNCIL | |
OF | |
A N A C T | |
RELATING TO STATE AFFAIRS AND GOVERNMENT | |
*** | |
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     This act would create a new chapter entitled “Criminal Background Check Act” that |
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would provide for national background checks for all persons applying to be direct patient access |
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employees in a long-term care facility or provider, including, but not limited to, those facilities |
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licensed under chapters 23-17, 23-17.4, 23-17.7.1 and 40.1-24. |
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     This act would take effect upon passage. |
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LC02404 | |
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