2016 -- H 7154

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2016

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A N   A C T

RELATING TO STATE AFFAIRS AND GOVERNMENT -- FREEDOM FROM PRONE

RESTRAINT ACT

     Introduced By: Representatives Canario, Gallison, Tanzi, Lombardi, and Handy

     Date Introduced: January 14, 2016

     Referred To: House Health, Education & Welfare

     It is enacted by the General Assembly as follows:

     SECTION 1. Title 42 of the General Laws entitled "STATE AFFAIRS AND

GOVERNMENT" is hereby amended by adding thereto the following chapter:

CHAPTER 72.11

FREEDOM FROM PRONE RESTRAINT ACT

     42-72.11-1. Short title. -- This chapter shall be known and may be cited as the "Freedom

from Prone Restraint Act."

     42-72.11-2. Fundamental purpose. -- This chapter is enacted to protect and promote the

right of each person who is served by a covered facility to be free from the use of prone restraint.

Research has shown that prone restraint is a hazardous and potentially lethal position.

     42-72.11-3. Definitions. -- For the purpose of this chapter:

     (1) "Covered facility" means any agency, organization, or public or private entity,

regardless of the state agency under whose authority its license or certification is established, that

provides support or care, residential support, education, healthcare, treatment, or direct

supervision. "Covered facility" does not include any law enforcement department, the department

of corrections, the training school for youth, or the forensic unit at the Eleanor Slater Hospital.

     (2) Prone restraint" means a restraint or hold that limits or controls the movement or

normal functioning of any portion, or all, of an individual's body while the individual is in a face-

down position.

     (3) "Service provider" means any person employed or contracted by a covered facility to

provide support or care, residential support, education, healthcare, treatment, or direct

supervision.

     42-72.11-4. Use of restraints. – No service provider of any covered facility may use a

prone restraint at anytime.

     42-72.11-5. Training and policies. – Each covered facility shall:

     (1) Develop policies and procedures that establish monitoring, documentation, reporting,

and internal review of the use of restraint in accordance with this chapter.

     (2) Require nationally recognized training of all service providers in the

reduction/elimination of restraint and seclusion. The training shall be approved by the director of

the state agency that has supervisory control over the covered facility. The training shall include,

but not be limited to:

     (i) Leadership towards organization change;

     (ii) Use of data to inform of best practices;

     (iii) Work force development;

     (iv) Use of prevention tools, including positive behavior interventions and de-escalation;

     (v) Inclusion of individuals, families, and advocates; and

     (vi) Debriefing techniques and outcomes.

     (3) Make the policies and procedures required under subsection (1) of this section

available to the director of the state agency that has jurisdiction or supervisory control over the

covered facility.

     42-72.11-6. Study commission. – (a) A joint legislative study commission is hereby

created to study the restraint reporting requirements of each of the covered facilities and make

recommendations to ensure that reporting is as uniform as possible and appropriate data is

collected to inform practice and policy decisions.

     (b) The study commission will be compromised of fourteen (14) members: one member

of the house of representatives, to be appointed by the speaker of the house; one member of the

senate, to be appointed by the president of the senate; two (2) of whom shall be individuals

restrained by a covered facility or knowledgeable about restraint, one of whom to be appointed by

the speaker of the house and one of whom to be appointed by the president of the senate; two (2)

of whom shall be family members of individuals restrained by a covered facility or

knowledgeable about restraint, one of whom to be appointed by the speaker of the house and one

of whom to be appointed by the president of the senate; one of whom shall be the director of the

department of children, youth, and families, or designee; one of whom shall be the commissioner

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of the department of elementary and secondary education, or designee; one of whom shall be the

director of the department of behavioral healthcare developmental disabilities and hospitals, or

designee; one of whom shall be the director of the Paul V. Sherlock Center on Disabilities, or

designee; one of whom shall be the director of the Rhode Island Developmental Disabilities

Council, or designee; one of whom shall be the director of the Disability Law Center, or designee;

one of whom shall be the director of Bradley Hospital, or designee; and one of whom shall be the

director of the Hospital Association of Rhode Island, or designee.

     In lieu of any appointment of a member of the legislature to a permanent advisory

commission, a legislative study commission, or any commission created by an act of the general

assembly, the appointing authority may appoint a member of the general public to serve in lieu of

a legislator, provided that the majority leader or the minority leader of the political party which is

entitled to the appointment consents to the appointment of the member of the general public.

Vacancies in said commission shall be filled in like manner as the original appointment.

     (c) Upon passage of this act, the members of the commission shall meet at the call of the

speaker of the house and president of the senate and organize and shall select, from among the

legislators, a chairperson.

     (d) The membership of said commission shall receive no compensation for their services.

     (e) All departments and agencies of the state shall furnish such advice and information,

documentary, and otherwise, to said commission and its agents as is deemed necessary or

desirable by the commission to facilitate the purposes of this chapter.

     (f) The joint commission on legislative services is hereby authorized and directed to

provide suitable quarters for said commission.

     (g) The commission shall report its findings and recommendations to the general

assembly no later than February 1, 2017, and said commission shall expire on June 30, 2017.

     SECTION 2. This act shall take effect upon passage.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO STATE AFFAIRS AND GOVERNMENT -- FREEDOM FROM PRONE

RESTRAINT ACT

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     This act would prohibit the use of prone restraint in certain covered facilities licensed or

certified by the state, and would create a study commission to study the restraint reporting

requirements of covered facilities.

     This act would take effect upon passage.

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