Chapter 142
2019 -- S 0603 SUBSTITUTE A
Enacted 07/08/2019

A N   A C T
RELATING TO HEALTH AND SAFETY -- ABUSE IN HEALTH CARE FACILITIES

Introduced By: Senators Coyne, Seveney, DiPalma, Euer, and Goldin
Date Introduced: March 14, 2019

It is enacted by the General Assembly as follows:
     SECTION 1. Section 23-17.8-2 of the General Laws in Chapter 23-17.8 entitled "Abuse
in Health Care Facilities" is hereby amended to read as follows:
     23-17.8-2. Duty to report.
     (a) Any physician, physician assistant, medical intern, registered nurse, licensed practical
nurse, nurse's aide, orderly, certified nursing assistant, medical examiner, dentist, optometrist,
optician, chiropractor, podiatrist, coroner, police officer, probation officer, emergency medical
technician, fire-fighter firefighter, 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,
either while in the facility or prior to being admitted, 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 healthcare 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 hospital, or to the director of
the department of 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 or the director of the division on elderly
affairs for individuals aged sixty (60) years or older. 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;
     (8) The name of the individual’s caregiver, if known;
     (9) Any medical treatment being received if immediately required and need to coordinate
care, if known;
     (10) Any other information the reporter believes relevant to the investigation; and
     (11) The name and address of the reporter and where the reporter can be contacted. The
reporter's identity shall remain confidential unless disclosure is consented to by the reporter or by
court order.
     (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. Additional provisions for the reporting of
abuse of individuals regardless of where they reside in the community are set forth in § 42-66-8.
     (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) this section shall be followed-up
within three (3) business days with a written report.
     (e) Individuals required to report pursuant to this section shall, whenever practical and if
known, provide the office of healthy aging division of elderly affairs twenty-four (24) hour (24)
notice of the discharge from a facility, of any person subject to abuse or neglect and shall include
any relevant address and telephone number(s).
     (f) No person required to report pursuant to this section shall be liable in any civil or
criminal action by reason of the report; provided, however, that the person did not perpetrate,
inflict, or cause the abuse. No employer or supervisor may discharge, demote, transfer, reduce
pay, benefits, or work privileges,; prepare a negative work performance evaluation,; or take any
other action detrimental to an employee or supervisee who files a report in accordance with the
provisions of this section by reason of the report.
     SECTION 2. Section 42-66-8 of the General Laws in Chapter 42-66 entitled "Elderly
Affairs Department" is hereby amended to read as follows:
     42-66-8. Abuse, neglect, exploitation, and self-neglect of elderly persons -- Duty to
report.
     (a) Any person who has reasonable cause to believe that any person sixty (60) years of
age or older has been abused, neglected, or exploited, or is self-neglecting, shall make an
immediate report to the director of the department division of elderly affairs, or his or her
designee, or. The division of elderly affairs may then notify appropriate law enforcement if
appropriate. personnel. This section applies to any person sixty (60) years of age or older
regardless of where he or she lives in the community.
     (b) Any physician, physician assistant, medical intern, registered nurse, licensed practical
nurse, nurse's aide, orderly, certified nursing assistant, medical examiner, dentist, optometrist,
optician, chiropractor, podiatrist, coroner, police officer, probation officer, ,emergency medical
technician, firefighter, speech pathologist, audiologist, social worker, pharmacist, physical or
occupational therapist, or health officer, who has reasonable cause to believe that any person sixty
(60) years of age or older has been abused, neglected, or exploited, or is self-neglecting, shall
make an immediate report to the director of the division of elderly affairs, or his or her designee.
The division of elderly affairs may then notify law enforcement if appropriate. This section
applies to any person sixty (60) years of age or older regardless of where he or she lives in the
community. Reporting requirements relating to individuals in health care facilities are further set
forth in § 23-17.8-2. The report pursuant to this section 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;
     (8) The name of the individual’s caretaker, if known;
     (9) Any medical treatment being received if immediately required and need to coordinate
care, if known;
     (10) Any other information the reporter believes relevant to the investigation; and
     (11) The name and address of the reporter and where the reporter can be contacted. The
Reporter's reporter’s identity shall remain confidential unless disclosure is consented to by the
reporter or by court order.
     (c) Individuals required to report pursuant to the provisions of subsection (b) of this
section shall, whenever practical and if known, provide twenty-four (24) hour (24) notice of
discharge to the department and shall include the address and telephone number of the individual
being discharged.
     (d) In cases of abuse, neglect, or exploitation, any person who fails to make the report
shall be punished by a fine of not more than one thousand dollars ($1,000). Nothing in this
section shall require an elder who is a victim of abuse, neglect, exploitation or who is self-
neglecting, to make a report regarding such abuse, neglect, exploitation, or self-neglect to the
director of the division of elderly affairs, or his or her designee. The division of elderly affairs
may then notify or appropriate law enforcement if appropriate personnel.
     (e) No person required to report pursuant to the provisions of this section shall be liable
in any civil or criminal action by reason of the report; provided, however, that such person did not
perpetrate, inflict, or cause said the abuse. No employer or supervisor may discharge, demote,
transfer, reduce pay, benefits, or work privileges,; prepare a negative work performance
evaluation,; or take any other action detrimental to an employee or supervisee who files a report
in accordance with the provisions of this section by reason of such report.
     SECTION 3. This act shall take effect upon passage.
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LC001878/SUB A
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