House Bill #5543 (2021)

AN ACT RELATING TO HEALTH AND SAFETY - RIGHTS OF NURSING HOME PATIENTS

Department of health to promulgate rules and regulations for essential caregivers at nursing homes during a declared emergency.

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Changes since original draft

  • 2021 – H 5543
  • 2021 – H 5543 AS AMENDED
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  • LC001111
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  • S T A T E O F R H O D E I S L A N D
  • IN GENERAL ASSEMBLY
  • JANUARY SESSION, A.D. 2021
  • ____________
  • A N A C T
  • RELATING TO HEALTH AND SAFETY - RIGHTS OF NURSING HOME PATIENTS
  • Introduced By: Representatives Speakman, and McNamara
  • Date Introduced: February 12, 2021
  • Referred To: House Health & Human Services
  • It is enacted by the General Assembly as follows:
  • SECTION 1. Chapter 23-17.5 of the General Laws entitled "Rights of Nursing Home Patients" is hereby amended by adding thereto the following section:
  • 23-17.5-32. Access to nursing homes and long-term care facilities for essential caregivers during declared emergency.
  • (a) For purposes of this section, the following words and phrases shall have the meanings given to them in this subsection unless the context clearly indicates otherwise:
  • (1) "Declaration of disaster emergency" means a disaster emergency declared by the governor pursuant to § 30-15-9.
  • (2) "Essential caregiver" means an individual, whether a family member or friend of a resident of anursinghome orlong-termcare facility, who is designated bytheresident orappointed by an individual with decision-making authority for the resident to provide physical or emotional support to the resident during a declaration of disaster emergency.
  • (3) "Nursing home or long-term care facility" means a facility licensed by the department of health, including a long-term care facility, a skilled nursing facility, an assisted living facility, a personal care home or an older adult daily living center.
  • (b) The department of health, shall establish rules and regulations to allow a resident of a nursing home or long-term care or an individual with decision-making authority for the resident to designate an individual as the resident's essential caregiver during a declaration of disaster emergency. An essential caregiver shall meet the necessary qualifications to enter the long-term care facility to provide in-person physical or emotional support to a resident of a nursing home or long-term care facility in accordance with the rules and regulations established pursuant to this section. The rules and regulations shall include, but not be limited to, all of the following:
  • (1) Safety measures for an essential caregiver, including, but not limited to, restrictions on travel, enhanced testing for communicable diseases and the necessary safety equipment required to protect the health and safety of the residents of the nursing home or long-term care facility.
  • (2) Procedures to replace an essential caregiver due to necessary circumstances, including illness or death of the essential caregiver.
  • (3) A duration, not to exceed thirty (30) days, when a nursing home or long-term care facility may enter a lock-down phase for the purpose of establishing safety measures for residents of the nursing home or long-term care facility and the essential caregivers.
  • (2) Requirements allowing an essential caregiver to have regular and sustained in-person visitation and physical access to a resident of the nursing home or long-term care facility. These requirements may limit the nature and extent of this access, when taking into consideration public safety concerns, but shall not totally exclude an essential caregiver's presence.
  • (3) Procedures to replace an essential caregiver due to necessary circumstances, including illness or death of the essential caregiver.
  • (4) A duration, not to exceed thirty (30) days, when a nursing home or long-term care facility may enter a lock-down phase for the purpose of establishing safety measures for residents of the nursing home or long-term care facility and the essential caregivers.
  • (c)(1) A nursing home or long-term care facility may establish additional safety requirements to protect the residents of the nursing home or long-term care facility if the requirements meet all of the following criteria:
  • (i) The requirements are directly linked to a declaration of disaster emergency.
  • (ii) The requirements are not so burdensome and onerous as to substantially prevent an essential caregiver from being able to physically or emotionally support a resident of the nursing home or long-term care facility in person.
  • (2) A nursing home or long-term care facility may suspend access to the nursing home or long-term care facility for an essential caregiver who violates the rules and regulations established under subsection (b) of this section, and the long-term care facility shall allow the resident, or an individual with decision-making authority for the resident, to immediately designate a replacement essential caregiver.
  • (d) A nursinghome or long-termcare facilitymayrequirean essential caregiver toprovide personal protective equipment for himself or herself or assume the cost of the personal protective equipment provided by the facility to allow the essential caregiver to provide in-person physical or emotional support.
  • (e) The provisions of this section shall apply for the period commencing fifteen (15) days after adeclarationofdisasteremergencyanduntil sixty(60)daysaftertheterminationorexpiration of the declaration of disaster emergency by executive order, proclamation or operation of law.
  • SECTION 2. This act shall take effect upon passage. ======== LC001111 ========
  • EXPLANATION
  • BY THE LEGISLATIVE COUNCIL
  • OF
  • A N A C T
  • RELATING TO HEALTH AND SAFETY - RIGHTS OF NURSING HOME PATIENTS
  • ***
  • This act would require the department of health to promulgate rules and regulations providing for the designation of essential caregivers to provide in-person physical or emotional support to a resident of a nursing home or long-term care facility during the period of fifteen (15) days after the declaration of disaster emergency and until sixty (60) days after the termination of the declaration of disaster emergency.
  • This act would take effect upon passage. ======== LC001111 ========

Votes

NOTE: Electronic voting records are unofficial and may not be accurate. For an official vote tally, check the House or Senate Journal from the day of the vote.

Floor vote for PASSAGE PASSAGE OF AMENDMENT

May 28, 2019 at 4:36pm
Yeas: 63 / Nays: 0 / Not voting: 12 / Recused: 0
Legislator Vote
Rep. Abney Y
Rep. Ackerman Y
Rep. Ajello Y
Rep. Almeida Y
Rep. Alzate Y
Rep. Amore Y
Rep. Azzinaro Y
Rep. Barros NV
Rep. Bennett Y
Rep. Blazejewski Y
Rep. Caldwell Y
Rep. Canario NV
Rep. Carson Y
Rep. Casey Y
Rep. Casimiro Y
Rep. Cassar Y
Rep. Chippendale NV
Rep. Cortvriend Y
Rep. Corvese Y
Rep. Costantino Y
Rep. Craven Y
Rep. Diaz Y
Rep. Donovan NV
Rep. Edwards Y
Rep. Fellela Y
Rep. Filippi Y
Rep. Fogarty Y
Rep. Handy Y
Rep. Hawkins Y
Rep. Hull Y
Rep. Jackson Y
Rep. Jacquard Y
Rep. Johnston Y
Rep. Kazarian Y
Rep. Kennedy Y
Rep. Kislak Y
Rep. Knight Y
Rep. Lima Y
Rep. Lombardi Y
Rep. Lyle Y
Rep. Maldonado Y
Rep. Marszalkowski NV
Rep. Mattiello Y
Rep. McEntee Y
Rep. McKiernan Y
Rep. McLaughlin Y
Rep. McNamara Y
Rep. Mendez Y
Rep. Messier Y
Rep. Millea Y
Rep. Morin NV
Rep. Nardone Y
Rep. Newberry Y
Rep. Noret NV
Rep. O'Brien NV
Rep. Phillips Y
Rep. Place Y
Rep. Price NV
Rep. Quattrocchi Y
Rep. Ranglin-Vassell Y
Rep. Roberts Y
Rep. Ruggiero Y
Rep. Serodio NV
Rep. Serpa Y
Rep. Shanley Y
Rep. Shekarchi Y
Rep. Slater NV
Rep. Solomon NV
Rep. Speakman Y
Rep. Tanzi Y
Rep. Tobon Y
Rep. Ucci Y
Rep. Vella-Wilkinson Y
Rep. Walsh Y
Rep. Williams Y

Floor vote for PASSAGE AS AMENDED

May 28, 2019 at 4:50pm
Yeas: 65 / Nays: 0 / Not voting: 10 / Recused: 0
Legislator Vote
Rep. Abney Y
Rep. Ackerman Y
Rep. Ajello Y
Rep. Almeida Y
Rep. Alzate Y
Rep. Amore Y
Rep. Azzinaro Y
Rep. Barros NV
Rep. Bennett Y
Rep. Blazejewski Y
Rep. Caldwell Y
Rep. Canario NV
Rep. Carson Y
Rep. Casey Y
Rep. Casimiro Y
Rep. Cassar Y
Rep. Chippendale Y
Rep. Cortvriend Y
Rep. Corvese Y
Rep. Costantino Y
Rep. Craven Y
Rep. Diaz Y
Rep. Donovan NV
Rep. Edwards Y
Rep. Fellela Y
Rep. Filippi Y
Rep. Fogarty Y
Rep. Handy Y
Rep. Hawkins Y
Rep. Hull Y
Rep. Jackson Y
Rep. Jacquard Y
Rep. Johnston Y
Rep. Kazarian Y
Rep. Kennedy Y
Rep. Kislak Y
Rep. Knight Y
Rep. Lima Y
Rep. Lombardi Y
Rep. Lyle Y
Rep. Maldonado Y
Rep. Marszalkowski NV
Rep. Mattiello Y
Rep. McEntee Y
Rep. McKiernan Y
Rep. McLaughlin Y
Rep. McNamara Y
Rep. Mendez Y
Rep. Messier Y
Rep. Millea Y
Rep. Morin NV
Rep. Nardone Y
Rep. Newberry Y
Rep. Noret NV
Rep. O'Brien Y
Rep. Phillips Y
Rep. Place Y
Rep. Price NV
Rep. Quattrocchi Y
Rep. Ranglin-Vassell Y
Rep. Roberts Y
Rep. Ruggiero Y
Rep. Serodio NV
Rep. Serpa Y
Rep. Shanley Y
Rep. Shekarchi Y
Rep. Slater Y
Rep. Solomon NV
Rep. Speakman Y
Rep. Tanzi Y
Rep. Tobon NV
Rep. Ucci Y
Rep. Vella-Wilkinson Y
Rep. Walsh Y
Rep. Williams Y

Floor vote for PASSAGE AS AMENDED

May 28, 2019 at 4:50pm
Yeas: 58 / Nays: 7 / Not voting: 10 / Recused: 0
Legislator Vote
Rep. Abney Y
Rep. Ackerman Y
Rep. Ajello Y
Rep. Almeida Y
Rep. Alzate Y
Rep. Amore Y
Rep. Azzinaro Y
Rep. Barros NV
Rep. Bennett Y
Rep. Blazejewski Y
Rep. Caldwell Y
Rep. Canario NV
Rep. Carson Y
Rep. Casey Y
Rep. Casimiro Y
Rep. Cassar Y
Rep. Chippendale N
Rep. Cortvriend Y
Rep. Corvese Y
Rep. Costantino Y
Rep. Craven Y
Rep. Diaz Y
Rep. Donovan NV
Rep. Edwards Y
Rep. Fellela Y
Rep. Filippi N
Rep. Fogarty Y
Rep. Handy Y
Rep. Hawkins Y
Rep. Hull Y
Rep. Jackson Y
Rep. Jacquard Y
Rep. Johnston Y
Rep. Kazarian Y
Rep. Kennedy Y
Rep. Kislak Y
Rep. Knight Y
Rep. Lima Y
Rep. Lombardi Y
Rep. Lyle Y
Rep. Maldonado Y
Rep. Marszalkowski NV
Rep. Mattiello Y
Rep. McEntee Y
Rep. McKiernan Y
Rep. McLaughlin Y
Rep. McNamara Y
Rep. Mendez Y
Rep. Messier Y
Rep. Millea Y
Rep. Morin NV
Rep. Nardone N
Rep. Newberry N
Rep. Noret NV
Rep. O'Brien Y
Rep. Phillips Y
Rep. Place N
Rep. Price NV
Rep. Quattrocchi N
Rep. Ranglin-Vassell Y
Rep. Roberts N
Rep. Ruggiero Y
Rep. Serodio NV
Rep. Serpa Y
Rep. Shanley Y
Rep. Shekarchi Y
Rep. Slater Y
Rep. Solomon NV
Rep. Speakman Y
Rep. Tanzi Y
Rep. Tobon NV
Rep. Ucci Y
Rep. Vella-Wilkinson Y
Rep. Walsh Y
Rep. Williams Y