THE GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL

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PRINTER'S NO. 1 THE GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL No. Session of 0 INTRODUCED BY MICOZZIE, QUINN, GODSHALL, WATSON, CARROLL, DAVIS, GEIST, HESS, JOSEPHS, MAHER, MUNDY, MURPHY, READSHAW, SAINATO, SANTONI, VULAKOVICH, HALUSKA, M. O'BRIEN, K. BOYLE AND PASHINSKI, NOVEMBER 1, 0 REFERRED TO COMMITTEE ON HEALTH, NOVEMBER 1, 0 AN ACT 1 1 1 1 1 1 Providing for violence prevention committees in health care facilities, for their powers and duties, for remedies and for the powers and duties of the Department of Labor and Industry. The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows: Section 1. Short title. This act shall be known and may be cited as the Health Care Facilities Workplace Violence Prevention Act. Section. Definitions. The following words and phrases when used in this act shall have the meanings given to them in this section unless the context clearly indicates otherwise: "Committee." The violence prevention committee established by a health care facility pursuant to this act. "Employee." An individual who is employed by a health care facility, the Commonwealth or a political subdivision who is involved in direct patient care or clinical care services.

1 1 1 1 1 1 0 1 0 "Health care facility." As defined under the act of July 1, 1 (P.L.0, No.), known as the Health Care Facilities Act. "Program." A workplace violence prevention program established by a committee. Section. Violence prevention committee. (a) Establishment.--A health care facility shall establish a violence prevention committee to establish review, administer and provide guidance about a program relating to the prevention of workplace violence at the health care facility. (b) Membership.--A committee shall be comprised as follows: (1) At least one member of the committee who shall represent management or a designee, who shall oversee all aspects of the program. () At least 0% of the members of the committee shall have direct patient care responsibilities, with the majority being licensed nurses. () The remaining members of the committee shall have experience, expertise or responsibility relevant to violence prevention or any other expertise that is considered beneficial to the committee. () In the case of a health care system that is subject to a collective bargaining agreement, the contractual agreement can and should designate the number of union members to serve on the committee as well as the number of representatives from management. The agreement should also account for individuals who are employed by the health care system, but not a member of a union or management. (c) Operation of committee and program.--in the case of a health care system that owns or operates more than one covered health care facility, the committee and program may be operated 01HBPN1 - -

1 1 1 1 1 1 0 1 0 at the system or department level, provided that: (1) Committee membership includes at least one health care worker from each facility who provides direct care to patients. () The committee develops a violence prevention plan for each facility. () Data related to violence prevention remain distinctly identifiable for each facility. Section. Duties of the committee. (a) Risk assessment evaluation.--a committee shall annually perform a risk assessment evaluation of any and all aspects or factors that may put an employee of the health care facility at risk of workplace violence. Those aspects or factors shall include, but not be limited to: (1) Working in public settings. () Guarding or maintaining property or possessions. () Working in high-crime areas. () Working late at night or early in the morning. () Using commuter lots which are not adequately lit or frequently patrolled. () The existence of uncontrolled public access to the workplace. () Working in public areas with individuals in crisis. () Working in areas where a patient or resident may exhibit violent behavior. (b) Preparation of report and establishment of program.-- (1) A committee shall prepare a report from the risk assessment and establish a violence prevention program. If there is more than one health care facility within a system, there shall be a program established for each health care 01HBPN1 - -

1 1 1 1 1 1 0 1 0 facility. () The committee shall develop and maintain a detailed, written violence prevention plan that identifies workplace risks and provides specific methods to address them. () The committee shall also distribute the written violence prevention plan to those employees who are identified to be at risk for workplace violence or any other employee who requests the report. () The committee shall make the report available to the public upon the proper request. () The committee shall also establish a method to expedite reporting and review of a report of workplace violence and make written recommendations to the health care facility management on how to prevent additional incidents of similar workplace violence. (c) Appropriate employee training.--if the committee determines it is necessary in order to minimize workplace violence, the health care facility shall provide appropriate employee training. Section. Reporting of workplace violence. A committee shall designate a senior member of the committee to develop and support an in-house crisis response team for an employee who is a victim of workplace violence. The designee shall coordinate crisis counseling for the employee, coordinate reporting of the incident to the appropriate authorities and any other action necessary to assist and support the employee after the incident of workplace violence. Section. Distribution of reports of workplace violence. A report of workplace violence that is submitted to management or to the health care facility shall also be provided 01HBPN1 - -

1 1 1 1 1 1 0 1 0 to the committee within hours of the report. Section. Retaliation. A health care facility shall not retaliate or discriminate against an employee for reporting an incident of workplace violence. Neither participation on the committee nor any of the actions of the committee shall be grounds for discrimination, dismissal, discharge or any other employment action adverse to an employee. Section. Remedies. (a) General rule.--where a health care facility has been found to have engaged in conduct which caused or maintained a substantial risk of further workplace violence, including failing to implement the recommendations of the committee, a court may enjoin the health care facility from engaging in the illegal activities and may order any other relief that is appropriate, including, but not limited to, reinstatement, removal of the offending party from the employee's work environment, reimbursement for lost wages, medical expenses, compensation for emotional distress and attorney fees. (b) Appeals to Department of Labor and Industry.-- (1) If the committee concludes that a health care facility is not acting in good faith in implementing the recommendations of the committee, the committee, by vote of a majority of the members, may appeal the health care facility's decision to the Department of Labor and Industry. () If the Department of Labor and Industry after a hearing determines the health care facility is acting in bad faith in failing to implement safety recommendations suggested by the committee, the Department of Labor and Industry may implement penalties against the health care 01HBPN1 - -

1 1 1 1 1 1 0 1 facility, including appropriate fines and administrative penalties. Section. Effect on collective bargaining agreements. Nothing in this act shall be construed to: (1) Prevent, interfere, exempt or supersede any current provision of an employee's existing collective bargaining agreement that provides greater rights and protection than prescribed by this act. () Prevent any new provisions of a collective bargaining agreement which provide greater rights and protections from being implemented and applicable to an employee. Section. Rules and regulations. The Secretary of Labor and Industry shall adopt rules and regulations necessary to implement this act. The rules and regulations shall include such guidelines as the Secretary of Labor and Industry deems appropriate regarding workplace violence prevention programs required pursuant to this act and related to reporting and monitoring systems and employee training. Section. Effective date. This act shall take effect in days. 01HBPN1 - -