Chapter 254

2012 -- H 7839 SUBSTITUTE A AS AMENDED

Enacted 06/18/12

 

A N A C T

RELATING TO CRIMINAL OFFENSES -- ASSAULTS

          

     Introduced By: Representatives Naughton, Slater, Valencia, Martin, and Diaz

     Date Introduced: February 28, 2012

 

It is enacted by the General Assembly as follows:

 

     SECTION 1. Sections 11-5-10.2, 11-5-11 and 11-5-12 of the General Laws in Chapter

11-5 entitled "Assaults" are hereby amended to read as follows:

 

     11-5-10.2. Assault on persons with severe impairments causing serious bodily injury.

-- (a) Any person who shall commit an assault or battery, or both, upon a person, with severe

impairments causing serious bodily injury, shall be deemed to have committed a felony and shall

be imprisoned for not less than two (2) years but not more than twenty (20) years, or fined not

more than five thousand dollars ($5,000), or both. Every person so convicted shall be ordered to

make restitution to the victim of the offense or to perform up to five hundred (500) hours of

public community restitution work, or both, or any combination of them imposed by the

sentencing judge. The court may not waive the obligation to make restitution and/or public

community restitution work. The restitution and/or public community restitution work shall be in

addition to any fine or sentence which may be imposed and not in lieu of the fine or sentence.

      (b) "Serious bodily injury" means physical injury that:

      (1) Creates a substantial risk of death, serious disfigurement;

      (2) Causes protracted loss or impairment of the function of any bodily part, member or

organ; or

      (3) Causes serious permanent disfigurement.

      (c) For the purposes of this section:

      (1) "Adult" means a person over the age of eighteen (18).

      (2) "Major life activities" means: (i) mobility; (ii) self-care; (iii) communication; (iv)

receptive and/or expressive language; (v) learning; (vi) self-direction; (vii) capacity for

independent living; or (viii) economic self-sufficiency.

      (3) "Person with severe impairments" means a child or adult who has a disability which

is attributable to a mental or physical impairment or combination of mental and physical

impairments and results in substantial functional limitations in one or more major life activities.

      (d) Violations of this section shall be reported to the local police department.

      (e) After July 1, 2007 pursuant to section 40-8.5-2, the local police department may

request the department of mental health, retardation, behavioral healthcare, developmental

disabilities and hospitals provide crisis intervention services for the adult victim with severe

impairments when:

      (1) Necessary to ensure the immediate health and safety of the adult victim; and

      (2) The adult victim relies on the person believed to have committed the assault and/or

battery, for assistance in performing three (3) or more major life activities; and

     (3) After the victim is informed of his or her right to refuse crisis intervention and/or

supportive services.

 

     11-5-11. Assault on persons with severe impairments. -- (a) For the purposes of this

section:

      (1) "adult" means a person over the age of eighteen (18).

      (2) "major life activities" means: (i) mobility; (ii) self-care; (iii) communication; (iv)

receptive and/or expressive language; (v) learning; (vi) self-direction; (vii) capacity for

independent living; or (viii) economic self-sufficiency.

      (3) "person with severe impairments" means a child or adult who has a disability which

is attributable to a mental or physical impairment or combination of mental and physical

impairments which results in a substantial limitation on the person's ability to function

independently in the family or community and in one or more major life activities.

      (b) Any person who shall commit an assault and battery upon a person who is severely

impaired as defined in subsection (a) of this section, causing bodily injury, shall be deemed to

have committed a felony and shall be imprisoned not exceeding five (5) years, or fined not

exceeding two thousand dollars ($2,000), or both.

      (c) Violations of this section shall be reported to the local police department.

      (d) After July 1, 2007 pursuant to section 40-8.5-2, the local police department may

request the department of mental health, retardation, behavioral healthcare, developmental

disabilities and hospitals provide crisis intervention services for the adult victim with severe

impairments when:

      (1) Necessary to ensure the immediate health and safety of the adult victim; and

      (2) The adult victim relies on the person believed to have committed the assault and/or

battery, for assistance in performing three (3) or more major life activities; and

     (3) After the victim is informed of his or her right to refuse crisis intervention and/or

supportive services.

 

     11-5-12. Abuse, neglect and/or exploitation of adults with severe impairments. -- (a)

Any person primarily responsible for the care of an adult with severe impairments who shall

willfully and knowingly abuse, neglect or exploit that adult shall be subject to a fine of not more

than two thousand dollars ($2,000), or imprisoned not more than five (5) years, or both, and

ordered to make full restitution of any funds as the result of any exploitation which results in the

misappropriation of funds. Every person convicted of or placed on probation for violation of this

section shall be ordered by the sentencing judge to attend appropriate professional counseling to

address his or her abusive behavior.

      (b) As used in this section:

      (1) "Abuse" means the subjection of an adult with a severe impairment to willful

infliction of physical pain, willful deprivation of services necessary to maintain the physical or

mental health of the person, or unreasonable confinement.

      (2) "Adult with severe impairments" means a person over the age of eighteen (18) who

has a disability which is attributable to a mental or physical impairment or combination of mental

and physical impairments and results in substantial functional limitations in one or more of the

following areas of major life activity: (i) mobility; (ii) self-care; (iii) communication; (iv)

receptive and/or expressive language; (v) learning; (vi) self-direction; (vii) capacity for

independent living; or (viii) economic self-sufficiency.

      (3) "Exploitation" means an act or process of taking pecuniary advantage of impaired

persons by use of undue influence, harassment, duress, deception, false representation, false

pretenses, or misappropriation of funds.

      (4) "Neglect" means the willful refusal to provide services necessary to maintain the

physical or mental health of an adult with severe impairments.

      (5) "Person primarily responsible for care" or "caregiver" means any person who is for a

significant period of time the primary caregiver or is primarily responsible for the management of

the funds of an adult with severe impairments.

      (c) Violations of this section shall be reported to the local police department.

      (d) After July 1, 2007 pursuant to section 40-8.5-2, the local police department may

request the department of mental health, retardation, behavioral healthcare, developmental

disabilities and hospitals provide crisis intervention services for the adult victim with severe

impairments when:

      (1) necessary to ensure the immediate health and safety of the adult victim; and

      (2) the adult victim relies on the person believed to have committed the abuse, neglect

and/or exploitation, for assistance in performing three (3) or more major life activities; and

     (3) After the victim is informed of his or her right to refuse crisis intervention and/or

supportive services.

      (e) Any person who fails to report known or suspected abuse or neglect shall be guilty of

a misdemeanor and upon conviction shall be subject to a fine of not more than five hundred

dollars ($500).

      (f) Nothing in this section shall be interpreted to apply to the discontinuance of life-

support systems or life-sustaining treatment for an adult for whom, if the treatment were

terminated, death may result.

      (g) Any person participating in good faith in making a report pursuant to this chapter,

excluding any perpetrator or conspirator of the acts, shall have immunity from any civil liability

that might otherwise be incurred or imposed.

      (h) Nothing in this section shall be interpreted to prohibit the use of any medical or

psychological treatment procedure designed and conducted in accordance with applicable

professional standards when performed by appropriately trained personnel under the supervision

of a person or facility licensed or approved by the state of Rhode Island and when any consent as

is required by law has been obtained.

      (i) Nothing in this chapter shall be construed to mean a person is abused or neglected for

the sole reason that the person is being furnished or relies upon treatment by spiritual means

through prayer alone in accordance with the tenets and practices of a church or religious

denomination recognized by the laws of this state.

      (j) Nothing in this chapter shall be construed to mean a person is abused or neglected

when the parent or legal guardian of an adult with severe impairments, who is the person

primarily responsible for care of the adult, (1) decides, in good faith, not to accept support

services from a governmental agency, which in the opinion of the parent or legal guardian and the

adult, is considered to be inappropriate or inconsistent with the best interests of that adult; or (2)

decides, in good faith, to reduce or discontinue assistance to that adult who is developing,

acquiring or practicing independent decision-making or living skills.

 

     SECTION 2. Sections 23-17.8-2 and 23-17.8-3.1 of the General Laws in Chapter 23-17.8

entitled "Abuse in Health Care Facilities" are hereby amended to read as follows:

 

     23-17.8-2. Duty to report. -- (a) Any physician, medical intern, registered nurse,

licensed practical nurse, nurse's aide, orderly, certified nursing assistant, medical examiner,

dentist, optometrist, optician, chiropractor, podiatrist, coroner, police officer, emergency medical

technician, fire-fighter, speech pathologist, audiologist, social worker, pharmacist, physical or

occupational therapist, or health officer, or any person, within the scope of their employment at a

facility or in their professional capacity, who has knowledge of or reasonable cause to believe that

a patient or resident in a facility has been abused, mistreated, or neglected shall make, within

twenty-four (24) hours or by the end of the next business day, a telephone report to the director of

the department of health or his or her designee for those incidents involving health care facilities,

and in addition to the office of the state long-term care ombudsperson for those incidents

involving nursing facilities, assisted living residences, home care and home nursing care

providers, veterans' homes and long-term care units in Eleanor Slater Hospital, or to the director

of the department of mental health, retardation, behavioral healthcare, developmental disabilities

and hospitals or his or her designee for those incidents involving community residences for

people who are mentally retarded or persons with developmental disabilities. The report shall

contain:

      (1) The name, address, telephone number, occupation, and employer's address and the

phone number of the person reporting;

      (2) The name and address of the patient or resident who is believed to be the victim of

the abuse, mistreatment, or neglect;

      (3) The details, observations, and beliefs concerning the incident(s);

      (4) Any statements regarding the incident made by the patient or resident and to whom

they were made;

      (5) The date, time, and place of the incident;

      (6) The name of any individual(s) believed to have knowledge of the incident;

      (7) The name of any individual(s) believed to have been responsible for the incident.

      (b) In addition to those persons required to report pursuant to this section, any other

person may make a report if that person has reasonable cause to believe that a patient or resident

of a facility has been abused, mistreated, or neglected.

      (c) Any person required to make a report pursuant to this section shall be deemed to have

complied with these requirements if a report is made to a high managerial agent of the facility in

which the alleged incident occurred. Once notified, the high managerial agent shall be required to

meet all reporting requirements of this section within the time frames specified by this chapter.

      (d) Telephone reports made pursuant to subsection (a) shall be followed-up within three

(3) business days with a written report.

 

     23-17.8-3.1. Physician's, certified registered nurse practitioner's and physician

assistant's report of examination -- Duty of facility. -- Whenever a facility shall receive a

report by a person other than a physician or a certified registered nurse practitioner or physician

assistant that a patient or resident of the facility has been harmed as a result of abuse, neglect, or

mistreatment, the facility shall have the patient examined by a licensed physician or a certified

registered nurse practitioner or physician assistant. It shall be mandatory for the physician or

certified registered nurse practitioner or physician assistant to make a preliminary report of his or

her findings to the department of health for a health care facility, or to the department of mental

health, retardation, behavioral healthcare, developmental disabilities and hospitals and hospitals

for a community residence for people who are mentally retarded or persons with developmental

disabilities and to the facility within forty-eight (48) hours after his or her examination, and a

written report within five (5) days after his or her examination.

 

     SECTION 3. Section 40-8.5-2 of the General Laws in Chapter 40-8.5 entitled "Health

Care for Elderly and Disabled Residents Act" is hereby amended to read as follows:

 

     40-8.5-2. Services for adult victims with severe impairments of abuse, neglect and/or

exploitation Crisis intervention services for adult victims with severe impairments of abuse,

neglect and/or exploitation. -- (a) As used in this section the terms:

      (1) "Adult victim with severe impairments" means:

      (i) A person over the age of eighteen (18) who has a disability which is attributable to a

mental or physical impairment or combination of mental and physical impairments and results in

substantial functional limitations in three (3) or more major life activities;

      (ii) Is an alleged victim of abuse, neglect or exploitation pursuant to section 11-5-12; or

assault pursuant to section 11-5-10.2 or 11-5-11 by a caregiver of the victim;

      (iii) The adult victim relies on the person believed to have committed the abuse, neglect,

and/or exploitation, for assistance in performing three (3) or more major life activities; and

      (iv) Crisis intervention services are necessary to ensure the immediate health and safety

of the adult victim.

      (2) "Crisis intervention services" means the short term provision of health care and

residential services in the immediate hours and days following the abuse, neglect and/or

exploitation of an adult victim with severe impairments;

      (3) "Major life activities" mean: (i) mobility; (ii) self-care; (iii) communication; (iv)

receptive and/or expressive language; (v) learning; (vi) self-direction; (vii) capacity for

independent living; or (viii) economic self-sufficiency; and

     (4) “Secretary” means the secretary of the executive office of health and human services;

and

     (4)(5) "Supportive services" means longer term support services for an adult victim with

severe impairments, and when appropriate that victim's family.

      (b) After July 1, 2007, local police departments may request the department of mental

health, retardation, behavioral healthcare, developmental disabilities and hospitals provide crisis

intervention services for the adult victim with severe impairments when:

      (1) Necessary to ensure the immediate health and safety of the adult victim; and

      (2) The adult victim with severe impairments relies on the person believed to have

committed the abuse, neglect and/or exploitation for assistance in performing three (3) or more

major life activities.;

     (3) After the victim is informed of his or her right to refuse crisis intervention and/or

supportive services.

      (c) (1) If the department of mental health, retardation, behavioral healthcare,

developmental disabilities and hospitals and hospitals determines that longer term supportive

services are necessary, the victim and when appropriate that victim's family will be referred to the

public and private agencies and departments whose supportive services are within its statutory

and/or regulatory responsibility, as are needed by the victim.

      (2) In developing the supportive services care plan, the adult victim with severe

impairments' rights to self-determination and lifestyle preferences commensurate with his or her

needs shall be of prime consideration.

      (3) If the adult victim with severe impairments withdraws consent or refuses to accept

crisis intervention or supportive services, the services shall not be provided.

      (d) The department of human services is hereby authorized to seek federal approval of a

state plan amendment to its title XIX state plan to initiate crisis intervention services and support

services for adults who qualify for title XIX services and are adult victims of with severe

impairments of abuse, assault, neglect or exploitation.

     (e) The secretary shall recognize the statewide toll free, twenty-four (24) hour a day,

seven (7) days quality assurance hotline operated by the department of behavioral healthcare,

developmental disabilities and hospitals, and authorized pursuant to section 40.1-26-10, for the

use of the general public to report abuse, neglect, and exploitation and/or request crisis

intervention and/or supportive services for adult victims with severe impairments.

 

     SECTION 4. Section 40.1-5-40.1 of the General Laws in Chapter 40.1-5 entitled "Mental

Health Law" is hereby amended to read as follows:

 

     40.1-5-40.1. Duty to report. -- Any employee who has reasonable cause to believe that

an assault or a battery has been committed upon a patient shall make an immediate report,

including the identity of parties and witnesses and details of the incident, to the director of the

department of mental health, retardation, behavioral healthcare, developmental disabilities and

hospitals and hospitals or his or her designee. The director of the department shall cause the

report to be investigated immediately and further shall notify the mental health advocate and

appropriate law enforcement agencies of the investigation. Any person who fails to make a report

shall be guilty of a misdemeanor punishable by a fine of not more than five hundred dollars

($500).

 

     SECTION 5. Section 40.1-5.3-17 of the General Laws in Chapter 40.1-5.3 entitled

"Incompetency to Stand Trial and Persons Adjudged Not Guilty by Reason of Insanity" is hereby

amended to read as follows:

 

     40.1-5.3-17. Penalties for deprivation of rights -- Disciplinary action -- Duty to

report. -- (a) Any person who willfully withholds from or denies to a person committed to a

facility pursuant to this chapter any of his or her rights as herein granted, shall, on conviction

thereof, be fined not exceeding two thousand dollars ($2,000) or imprisoned not exceeding two

(2) years.

      (b) Any employee of a facility who shall deny to or withhold from any person any right

granted him or her by this chapter shall, independently of the above criminal sanctions, be subject

to such disciplinary action as the officer in charge shall see fit to impose, after notice, a hearing,

and a finding of a violation of the right.

      (c) Any employee who has reasonable cause to believe that an assault or a battery has

been committed upon a committed person shall make an immediate report, including the identity

of parties and witnesses and details of the incident, to the director of the department of mental

health, retardation, behavioral healthcare, developmental disabilities and hospitals and hospitals

or his or her designee. The director of the department shall cause the report to be investigated

immediately and further shall notify the mental health advocate and appropriate law enforcement

agencies of the results of the investigation. Any person who fails to make such a report shall be

guilty of a misdemeanor punishable by a fine of not more than five hundred dollars ($500).

 

     SECTION 6. Sections 40.1-27-2, 40.1-27-3 and 40.1-27-5 of the General Laws in

Chapter 40.1-27 entitled "Penalties for Abuse of Persons with Developmental Disabilities" are

hereby amended to read as follows:

 

     40.1-27-2. Duty to report. -- (a) Any person within the scope of their employment at a

program or in their professional capacity who has knowledge of or reasonable cause to believe

that a participant in a program has been abused, mistreated or neglected shall make, within

twenty-four (24) hours or by the end of the next business day, a written report to the director of

the department of mental health, retardation, behavioral healthcare, developmental disabilities

and hospitals and hospitals or his or her designee. The report shall contain:

      (1) The name, address, telephone number, occupation, and employer's address and the

phone number of the person reporting;

      (2) The name and address of the participant who is believed to be the victim of the

abuse, mistreatment, or neglect;

      (3) The details, observations, and beliefs concerning the incident(s);

      (4) Any statements regarding the incident made by the participant and to whom they

were made;

      (5) The date, time, and place of the incident;

      (6) The name of any individual(s) believed to have knowledge of the incident; and

      (7) The name of any individual(s) believed to have been responsible for the incident.

      (b) In addition to those persons required to report pursuant to this section, any other

person may make a report if that person has reasonable cause to believe that a participant has

been abused, mistreated, or neglected.

 

     40.1-27-3. Duties of the director of the department of mental health, retardation,

and hospitals Duties of the director of the department of behavioral healthcare,

developmental disabilities and hospitals. -- The director of the department of mental health,

retardation, behavioral healthcare, developmental disabilities and hospitals and hospitals or his or

her designee shall:

      (1) Notify the attorney general or his or her designee, the chair of the program's human

rights committee forthwith upon receipt of an oral or written report made pursuant to section

40.1-27-2;

      (2) Investigate and evaluate or cause to be investigated and evaluated the information

reported in those reports. The investigation and evaluation shall be made within twenty-four (24)

hours if the director of the department of mental health, retardation, behavioral healthcare,

developmental disabilities and hospitals and hospitals has reasonable cause to believe the

participant's health or safety is in immediate danger of further abuse or neglect and within seven

(7) days for all other reports. The investigations shall include a visit to the program, an interview

with the participant allegedly abused, mistreated or neglected, an interview with all witnesses to

the alleged incident, a determination of the nature, extent, and cause or causes of the injuries, the

identity of the person or persons responsible therefor, all other pertinent facts and

recommendations to prevent further abuse, mistreatment or neglect of the participant or other

program participants. The determination shall be in writing;

      (3) Evaluate the environment in the program named in the report and make a written

determination of the risk of physical or emotional injury to any other participants in the same

program;

      (4) Forward to the attorney general and the chair of the program's human rights

committee within fifteen (15) days after a case is initially reported pursuant to section 40.1-27-2 a

summary of the findings and recommendations on each case;

      (5) If the director of the department of mental health, retardation, behavioral healthcare,

developmental disabilities and hospitals and hospitals has reasonable cause to believe that a

participant had died as a result of abuse, mistreatment, or neglect, immediately report the death to

the attorney general and to the office of the medical examiner. The office of the medical examiner

shall investigate the report and communicate its preliminary findings, orally within seventy-two

(72) hours, and in writing within seven (7) working days to the attorney general and to the

department of mental health, retardation, behavioral healthcare, developmental disabilities and

hospitals and hospitals. The office of the medical examiner shall also communicate its final

findings and conclusions, with the basis therefore to the same parties within sixty (60) days;

      (6) Promulgate such regulations as may be necessary to implement the provisions of this

chapter; and

      (7) Maintain a file of the written reports prepared pursuant to this chapter. The written

reports shall be confidential, but shall be released to the attorney general, to a court of competent

jurisdiction, and upon written request to the participant, his or her counsel, the reporting person or

agency, the appropriate review board or a social worker assigned to the case.

 

     40.1-27-5. Physician's report of examination -- Duty of program. -- Whenever a

program shall receive a report by a person other than a physician that a participant has been

harmed as a result of abuse, neglect, or mistreatment, the program shall have the patient examined

by a licensed physician. It shall be mandatory for the physician to make a preliminary report of

his or her findings to the director of the department of mental health, retardation, behavioral

healthcare, developmental disabilities and hospitals and hospitals and to the program within forty-

eight (48) hours after his or her examination, and a written report within five (5) days after his or

her examination.

 

     SECTION 7. This act shall take effect on July 1, 2012.

     

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LC01750/SUB A

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