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7 | 7 | | LCO No. 2624 1 of 6 |
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8 | 8 | | |
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9 | 9 | | General Assembly Raised Bill No. 5444 |
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10 | 10 | | February Session, 2020 |
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11 | 11 | | LCO No. 2624 |
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12 | 12 | | |
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13 | 13 | | |
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14 | 14 | | Referred to Committee on HUMAN SERVICES |
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15 | 15 | | |
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16 | 16 | | |
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17 | 17 | | Introduced by: |
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18 | 18 | | (HS) |
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19 | 19 | | |
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20 | 20 | | |
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21 | 21 | | |
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22 | 22 | | |
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23 | 23 | | AN ACT CONCERNING TH E USE OF VIDEO CAMER AS IN THE |
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24 | 24 | | ROOMS OF NONVERBAL N URSING HOME RESIDENTS. |
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25 | 25 | | Be it enacted by the Senate and House of Representatives in General |
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26 | 26 | | Assembly convened: |
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27 | 27 | | |
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28 | 28 | | Section 1. (NEW) (Effective October 1, 2020) (a) For purposes of this 1 |
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29 | 29 | | section: (1) "Ombudsman" means the Office of the Long-Term Care 2 |
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30 | 30 | | Ombudsman established pursuant to section 17a-405 of the general 3 |
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31 | 31 | | statutes; (2) "electronic monitoring" means the placement and use of an 4 |
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32 | 32 | | electronic monitoring device by a nonverbal resident or his or her 5 |
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33 | 33 | | resident representative in the resident's room or private living unit in 6 |
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34 | 34 | | accordance with this section; (3) "electronic monitoring device" means a 7 |
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35 | 35 | | camera or other device that captures, records or broadcasts audio, video, 8 |
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36 | 36 | | or both, and may offer two-way communication over the Internet that 9 |
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37 | 37 | | is placed in a nonverbal resident's room or private living unit and is 10 |
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38 | 38 | | used to monitor the nonverbal resident or activities in the room or 11 |
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39 | 39 | | private living unit; (4) "nursing home facility" has the same meaning as 12 |
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40 | 40 | | provided in section 19a-490 of the general statutes; (5) "nonverbal 13 |
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41 | 41 | | resident" means a resident of a nursing home facility who is unable to 14 |
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42 | 42 | | verbally communicate due to physical or mental conditions, including, 15 Raised Bill No. 5444 |
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43 | 43 | | |
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44 | 44 | | |
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45 | 45 | | |
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46 | 46 | | LCO No. 2624 2 of 6 |
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47 | 47 | | |
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48 | 48 | | but not limited to, Alzheimer's disease and dementia; and (6) "resident 16 |
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49 | 49 | | representative" means (A) a court-appointed guardian, (B) a health care 17 |
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50 | 50 | | representative appointed pursuant to section 19a-575a of the general 18 |
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51 | 51 | | statutes, or (C) a person who is not an agent of the nursing home facility 19 |
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52 | 52 | | and who is designated in a written document signed by the nonverbal 20 |
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53 | 53 | | resident and included in the resident's records on file with the nursing 21 |
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54 | 54 | | home facility. 22 |
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55 | 55 | | (b) A nonverbal resident or his or her resident representative may 23 |
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56 | 56 | | install an electronic monitoring device in the resident's room or private 24 |
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57 | 57 | | living unit provided: (1) The purchase, installation, maintenance, 25 |
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58 | 58 | | operation and removal of the device is at the expense of the resident, (2) 26 |
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59 | 59 | | the resident and any roommate of the resident, or the respective resident 27 |
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60 | 60 | | representatives, sign a written consent form pursuant to subsection (c) 28 |
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61 | 61 | | of this section, (3) the resident or his or her resident representative 29 |
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62 | 62 | | places a clear and conspicuous note on the door of the room or private 30 |
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63 | 63 | | living unit that the room or private living area is subject to electronic 31 |
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64 | 64 | | monitoring, and (4) the consent form is filed with the nursing home 32 |
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65 | 65 | | facility not less than seven days before installation of the electronic 33 |
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66 | 66 | | monitoring device except as provided in subsection (e) of this section. 34 |
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67 | 67 | | (c) No electronic monitoring device shall be installed in a nonverbal 35 |
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68 | 68 | | resident's room or living unit unless the resident and any roommate of 36 |
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69 | 69 | | the resident, or a resident representative, has signed a consent form that 37 |
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70 | 70 | | includes, but is not limited to: 38 |
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71 | 71 | | (1) (A) The signed consent of the nonverbal resident and any 39 |
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72 | 72 | | roommate of the resident; or (B) the signed consent of a resident 40 |
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73 | 73 | | representative of the nonverbal resident or roommate if the nonverbal 41 |
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74 | 74 | | resident or roommate lacks the physical or mental capacity to sign the 42 |
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75 | 75 | | form. If a resident representative signs the consent form, the form must 43 |
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76 | 76 | | document the following: 44 |
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77 | 77 | | (i) The date the nonverbal resident or any roommate was asked if the 45 |
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78 | 78 | | resident or roommate wants electronic monitoring to be conducted, 46 |
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79 | 79 | | (ii) Who was present when the nonverbal resident or roommate was 47 Raised Bill No. 5444 |
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80 | 80 | | |
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81 | 81 | | |
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82 | 82 | | |
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83 | 83 | | LCO No. 2624 3 of 6 |
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84 | 84 | | |
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85 | 85 | | asked if he or she consented to electronic monitoring, 48 |
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86 | 86 | | (iii) An acknowledgment that the nonverbal resident or roommate 49 |
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87 | 87 | | did not affirmatively object to electronic monitoring, and 50 |
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88 | 88 | | (iv) The source of the authority allowing the resident representative 51 |
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89 | 89 | | of the nonverbal resident or roommate to sign the consent form on 52 |
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90 | 90 | | behalf of the nonverbal roommate or resident. 53 |
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91 | 91 | | (2) A waiver of liability for the nursing home facility for any breach 54 |
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92 | 92 | | of privacy involving the nonverbal resident's use of an electronic 55 |
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93 | 93 | | monitoring device, unless such breach of privacy occurred because of 56 |
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94 | 94 | | unauthorized use of the device or a recording made by the device by 57 |
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95 | 95 | | nursing home facility staff. 58 |
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96 | 96 | | (3) The type of electronic monitoring device to be used. 59 |
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97 | 97 | | (4) A list of conditions or restrictions that the nonverbal resident or 60 |
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98 | 98 | | any roommate of the resident may elect to place on the use of the 61 |
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99 | 99 | | electronic monitoring device, including, but not limited to: (A) 62 |
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100 | 100 | | Prohibiting audio recording, (B) prohibiting video recording, (C) 63 |
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101 | 101 | | prohibiting broadcasting of audio or video, (D) turning off the electronic 64 |
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102 | 102 | | monitoring device or blocking the visual recording component of the 65 |
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103 | 103 | | electronic monitoring device for the duration of an exam or procedure 66 |
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104 | 104 | | by a health care professional, (E) turning off the electronic monitoring 67 |
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105 | 105 | | device or blocking the visual recording component of the electronic 68 |
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106 | 106 | | monitoring device while the nonverbal resident or any roommate of the 69 |
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107 | 107 | | resident is dressing or bathing, and (F) turning off the electronic 70 |
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108 | 108 | | monitoring device for the duration of a visit with a spiritual advisor, 71 |
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109 | 109 | | ombudsman, attorney, financial planner, intimate partner or other 72 |
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110 | 110 | | visitor to the nonverbal resident or roommate of the resident. 73 |
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111 | 111 | | (5) An acknowledgment that the nonverbal resident, roommate or the 74 |
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112 | 112 | | respective resident representative shall be responsible for operating the 75 |
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113 | 113 | | electronic monitoring device in accordance with the conditions and 76 |
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114 | 114 | | restrictions listed in subdivision (4) of this subsection unless the 77 |
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115 | 115 | | resident, roommate or the respective resident representative have 78 Raised Bill No. 5444 |
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116 | 116 | | |
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117 | 117 | | |
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118 | 118 | | |
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119 | 119 | | LCO No. 2624 4 of 6 |
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120 | 120 | | |
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121 | 121 | | signed a written agreement with the nursing home facility under which 79 |
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122 | 122 | | nursing home facility staff operate the electronic monitoring device for 80 |
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123 | 123 | | this purpose. Such agreement may contain a waiver of liability for the 81 |
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124 | 124 | | nursing home facility related to the operation of the device by nursing 82 |
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125 | 125 | | home facility staff. 83 |
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126 | 126 | | (6) A statement of the circumstances under which a recording may be 84 |
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127 | 127 | | disseminated. 85 |
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128 | 128 | | (7) A signature box for documenting that the nonverbal resident or 86 |
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129 | 129 | | roommate of the resident, or the respective resident representative, has 87 |
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130 | 130 | | consented to electronic monitoring or withdrawn consent. 88 |
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131 | 131 | | (d) The ombudsman, within available appropriations, shall make 89 |
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132 | 132 | | available on the ombudsman's Internet web site a downloadable copy 90 |
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133 | 133 | | of a standard form containing all of the provisions required under 91 |
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134 | 134 | | subsection (c) of this section. Nursing home facilities shall (1) make the 92 |
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135 | 135 | | consent form available to nonverbal residents and inform such residents 93 |
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136 | 136 | | and the respective resident representatives of their option to conduct 94 |
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137 | 137 | | electronic monitoring of their rooms or private living units, (2) maintain 95 |
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138 | 138 | | a copy of the consent form in the nonverbal resident's records, and (3) 96 |
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139 | 139 | | place a notice in a conspicuous place near the entry to the nursing home 97 |
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140 | 140 | | facility stating that some rooms and living areas may be subject to 98 |
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141 | 141 | | electronic monitoring. 99 |
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142 | 142 | | (e) Notwithstanding subdivision (4) of subsection (b) of this section, 100 |
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143 | 143 | | a nonverbal resident or his or her resident representative may install an 101 |
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144 | 144 | | electronic monitoring device without submitting the consent form to a 102 |
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145 | 145 | | nursing home facility if: (1) The nonverbal resident or the resident 103 |
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146 | 146 | | representative (A) reasonably fears retaliation against the nonverbal 104 |
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147 | 147 | | resident by the nursing home facility for recording or reporting alleged 105 |
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148 | 148 | | abuse or neglect of the resident by nursing home facility staff, (B) 106 |
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149 | 149 | | submits a completed consent form to the ombudsman, and (C) submits 107 |
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150 | 150 | | a report to the ombudsman, the Commissioner of Social Services, the 108 |
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151 | 151 | | Commissioner of Public Health or police, with evidence from an 109 |
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152 | 152 | | electronic monitoring device that suspected abuse or neglect of the 110 Raised Bill No. 5444 |
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153 | 153 | | |
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154 | 154 | | |
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155 | 155 | | |
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156 | 156 | | LCO No. 2624 5 of 6 |
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157 | 157 | | |
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158 | 158 | | nonverbal resident has occurred; (2) (A) the nursing home facility has 111 |
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159 | 159 | | failed to respond for more than two business days to a written 112 |
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160 | 160 | | communication from the nonverbal resident or his or her resident 113 |
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161 | 161 | | representative about a concern that prompted the resident's desire for 114 |
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162 | 162 | | installation of an electronic monitoring device, and (B) the nonverbal 115 |
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163 | 163 | | resident or his or her resident representative has submitted a consent 116 |
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164 | 164 | | form to the ombudsman; or (3) (A) the nonverbal resident or his or her 117 |
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165 | 165 | | resident representative has already submitted a report to the 118 |
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166 | 166 | | ombudsman, Commissioner of Social Services, Commissioner of Public 119 |
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167 | 167 | | Health or police regarding concerns about the nonverbal resident's 120 |
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168 | 168 | | safety or well-being that prompted the resident's desire for electronic 121 |
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169 | 169 | | monitoring, and (B) the nonverbal resident or his or her resident 122 |
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170 | 170 | | representative has submitted a consent form to the ombudsman. 123 |
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171 | 171 | | (f) If a nonverbal resident is conducting electronic monitoring and a 124 |
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172 | 172 | | new roommate moves into the room or living unit, the nonverbal 125 |
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173 | 173 | | resident shall cease use of the electronic monitoring device unless and 126 |
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174 | 174 | | until the new roommate signs the consent form and the nonverbal 127 |
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175 | 175 | | resident or his or her resident representative files the completed form 128 |
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176 | 176 | | with the roommate's consent to electronic monitoring with the nursing 129 |
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177 | 177 | | home facility. If any roommate of a nonverbal resident wishing to use 130 |
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178 | 178 | | electronic monitoring refuses to sign the consent form, the nursing home 131 |
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179 | 179 | | facility shall reasonably accommodate the nonverbal resident's request 132 |
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180 | 180 | | to move into a private room or a room with a roommate who has agreed 133 |
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181 | 181 | | to consent to such monitoring, if available, not later than thirty days 134 |
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182 | 182 | | after the request. The nonverbal resident requesting the accommodation 135 |
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183 | 183 | | shall pay any difference in price if the new room is more costly than the 136 |
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184 | 184 | | resident's previous room. 137 |
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185 | 185 | | (g) Subject to applicable rules of evidence and procedure, any video 138 |
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186 | 186 | | or audio recording created through electronic monitoring under this 139 |
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187 | 187 | | section may be admitted into evidence in a civil, criminal or 140 |
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188 | 188 | | administrative proceeding. 141 Raised Bill No. 5444 |
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189 | 189 | | |
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190 | 190 | | |
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191 | 191 | | |
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192 | 192 | | LCO No. 2624 6 of 6 |
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193 | 193 | | |
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194 | 194 | | This act shall take effect as follows and shall amend the following |
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195 | 195 | | sections: |
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196 | 196 | | |
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197 | 197 | | Section 1 October 1, 2020 New section |
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198 | 198 | | |
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199 | 199 | | Statement of Purpose: |
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200 | 200 | | To allow nonverbal nursing home residents or their representatives to |
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201 | 201 | | install electronic monitoring devices in their rooms, provided any |
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202 | 202 | | roommates agree in writing to the use of such devices and liability for |
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203 | 203 | | any breach of privacy related to the resident's use of such device is |
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204 | 204 | | waived for nursing homes. |
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205 | 205 | | [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except |
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206 | 206 | | that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not |
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207 | 207 | | underlined.] |
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208 | 208 | | |
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