Massachusetts 2023-2024 Regular Session

Massachusetts Senate Bill S1539 Compare Versions

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22 SENATE DOCKET, NO. 580 FILED ON: 1/17/2023
33 SENATE . . . . . . . . . . . . . . No. 1539
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Joan B. Lovely
88 _________________
99 To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
1010 Court assembled:
1111 The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
1212 An Act requiring health care employers to develop and implement programs to prevent
1313 workplace violence.
1414 _______________
1515 PETITION OF:
1616 NAME:DISTRICT/ADDRESS :Joan B. LovelySecond EssexPaul R. FeeneyBristol and Norfolk1/26/2023Robyn K. KennedyFirst Worcester1/26/2023Jack Patrick Lewis7th Middlesex1/26/2023Paul W. MarkBerkshire, Hampden, Franklin and
1717 Hampshire
1818 1/26/2023Erika Uyterhoeven27th Middlesex1/26/2023John C. VelisHampden and Hampshire1/26/2023Adam Scanlon14th Bristol1/26/2023Michael D. BradySecond Plymouth and Norfolk1/26/2023Michael F. RushNorfolk and Suffolk1/30/2023Jacob R. OliveiraHampden, Hampshire and Worcester1/30/2023Thomas M. Stanley9th Middlesex1/30/2023John F. KeenanNorfolk and Plymouth2/8/2023Michael O. MooreSecond Worcester2/8/2023Pavel M. PayanoFirst Essex2/8/2023Sal N. DiDomenicoMiddlesex and Suffolk2/8/2023 2 of 2
1919 Bruce E. TarrFirst Essex and Middlesex2/21/2023Liz MirandaSecond Suffolk2/21/2023James B. EldridgeMiddlesex and Worcester2/21/2023 1 of 9
2020 SENATE DOCKET, NO. 580 FILED ON: 1/17/2023
2121 SENATE . . . . . . . . . . . . . . No. 1539
2222 By Ms. Lovely, a petition (accompanied by bill, Senate, No. 1539) of Joan B. Lovely, Paul R.
2323 Feeney, Robyn K. Kennedy, Jack Patrick Lewis and other members of the General Court for
2424 legislation to require health care employers to develop and implement programs to prevent
2525 workplace violence. Public Safety and Homeland Security.
2626 [SIMILAR MATTER FILED IN PREVIOUS SESSION
2727 SEE HOUSE, NO. 4574 OF 2021-2022.]
2828 The Commonwealth of Massachusetts
2929 _______________
3030 In the One Hundred and Ninety-Third General Court
3131 (2023-2024)
3232 _______________
3333 An Act requiring health care employers to develop and implement programs to prevent
3434 workplace violence.
3535 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
3636 of the same, as follows:
3737 1 SECTION 1. Chapter 111 of the General Laws, as appearing in the 2020 Official Edition,
3838 2is hereby amended by adding the following section:-
3939 3 Section 238. (a) As used in this section, the following words shall, unless the context
4040 4clearly requires otherwise, have the following meanings:-
4141 5 “Employee”, an individual employed by a health care employer.
4242 6 “Health care employer”, any individual, partnership, association, corporation, trust or any
4343 7person or group of persons operating a health care facility. 2 of 9
4444 8 “Health care facility”, a hospital, licensed under section 51, the teaching hospital of the
4545 9University of Massachusetts medical school, a medium-security state correctional facility for
4646 10male inmates located in Plymouth county that is operated and maintained by a private company
4747 11under contract with the department of correction, or any state acute care facility, non-acute care
4848 12facility, continuing care facility and group homes operated, funded or subject to oversight by the
4949 13department of public health, the department of mental health or the department of developmental
5050 14services except a: (i) nursing home; (ii) rest home; (iii) clinic; (iv) mobile or portable clinic; (v)
5151 15mobile or portable clinic satellite; (vi) certified home health agency; (vii) adult day health; (viii)
5252 16hospice; (ix) hospice inpatient satellite; (x) ambulatory surgical center; (xi) renal dialysis; (xii)
5353 17outpatient physical therapy and speech pathology; and (xiii) temporary nursing agency; provided
5454 18that, a facility with more than 1 license or that is licensed to provide multiple services, shall be
5555 19considered a health care facility if the facility is licensed in at least 1 of the included categories.
5656 20 “Workplace Violence”, conduct at the work site that is: (i) an unpermitted or harmful
5757 21touching of another person; (ii) an attempt or act to use some degree of physical force on another
5858 22person; or (iii) engaging in conduct that could be reasonably perceived as an intent to touch
5959 23without permission, use immediate physical force or injure a particular person now or in the
6060 24future, that if carried out would constitute a crime, and causes another person to reasonably
6161 25believe that the person has the intent and ability to carry out such conduct.
6262 26 (b) Annually, each health care employer shall perform a facility specific risk assessment
6363 27that includes, but is not limited to, the standards determined by the department. The facility
6464 28specific risk assessment shall be done in cooperation with the employees of the health care
6565 29employer and any labor organization or organizations representing the employees, examining all
6666 30factors, which may put any of the employees at risk of workplace violence. The factors shall 3 of 9
6767 31include, but not be limited to: (i) working in public settings; (ii) guarding or maintaining property
6868 32or possessions; (iii) working in high-crime areas; (iv) working late night or early morning hours;
6969 33(v) working alone or in small numbers; (vi) uncontrolled public access to the workplace; (vii)
7070 34working in public areas where people are in crisis; (viii) working in areas where a patient or
7171 35resident may exhibit violent behavior; (ix) working in areas with known security problems; and
7272 36(x) working with insufficient qualified staff in 1 or more position titles to address foreseeable
7373 37risk factors.
7474 38 (c) Based on the findings of the risk assessment in subsection (b), the health care
7575 39employer shall develop and implement a program to minimize the danger of workplace violence
7676 40to employees, which shall include appropriate employee training, and a system for the ongoing
7777 41reporting and monitoring of incidents and situations involving violence or the risk of violence.
7878 42Employee training shall include, in addition to all employer training program policies, methods
7979 43of reporting to appropriate public safety officials, bodies or agencies and processes necessary for
8080 44the filing of criminal charges.
8181 45 (d) Each health care employer shall develop a written violence prevention plan setting
8282 46forth the employer’s workplace violence prevention plan. The health care employer shall make
8383 47the plan available to each employee and provide the plan to any of its employees upon request.
8484 48The health care employer shall provide the plan to any labor organization or organizations
8585 49representing any of its employees. The plan shall include: (i) a list of those factors and
8686 50circumstances that may pose a danger to employees; (ii) a description of the methods that the
8787 51health care employer will use to alleviate hazards associated with each factor; including, but not
8888 52limited to, employee training and any appropriate changes in job design, staffing, security, 4 of 9
8989 53equipment or facilities; (iii) a post-incident debriefing process with affected staff; and (iv) a
9090 54description of the reporting and monitoring system.
9191 55 (e) Each health care employer shall designate a senior manager responsible for the
9292 56development and support of an in-house crisis response team for employee-victims of workplace
9393 57violence. Said team shall implement an assaulted staff action program that includes, but is not
9494 58limited to, group crisis interventions, individual crisis counseling, staff victims’ support groups,
9595 59employee victims’ family crisis intervention, peer-help and professional referrals.
9696 60 (f) Any health care employer who violates any rule, regulation or requirement made by
9797 61the department under authority hereof shall be punished by a fine of not more than $2,000 for
9898 62each offense. The department or its representative or any aggrieved employee, any interested
9999 63party or any officer of any labor union or association, whether incorporated or otherwise, may
100100 64file a written complaint with the district court in the jurisdiction of which the violation occurs
101101 65and shall promptly notify the attorney general in writing of such complaint. The attorney general,
102102 66upon determination that there is a violation of any workplace standard relative to the protection
103103 67of the occupational health and safety of employees or of any standard of requirement of
104104 68licensure, may order any work site to be closed by way of the issuance of a cease and desist order
105105 69enforceable in the appropriate courts of the commonwealth.
106106 70 (g) No employee shall be penalized by a health care employer in any way as a result of
107107 71such employee’s filing of a complaint or otherwise providing notice to the department in regard
108108 72to the occupational health and safety of such employee or their fellow employees exposed to
109109 73workplace violence risk factors. 5 of 9
110110 74 (h) Not less than every 180 days, each health care employer shall submit a report, on a
111111 75form prescribed by the commissioner of the department, of all incidents of workplace violence
112112 76reported to the health care employer that occurred at the health care facility on an employee, an
113113 77emergency medical technician, an ambulance operator or an ambulance attendant. The report
114114 78shall be submitted to the department and the office of the district attorney for the county where
115115 79the health care facility is located. Not more than 90 days after receiving the reports, the
116116 80department shall make the aggregate data statewide and by county publicly available; provided
117117 81that the department categorize the aggregate data by occupation and incident type.
118118 82 SECTION 2. Chapter 149 of the General Laws is hereby amended by inserting after
119119 83section 52E the following section:-
120120 84 Section 52F. (a) For purposes of this section, the following words shall, unless the
121121 85context clearly indicates otherwise, have the following meanings:-
122122 86 “Employee”, an individual employed by a health care employer.
123123 87 “Health care employer”, any individual, partnership, association, corporation or, trust or
124124 88any person or group of persons operating a health care facility.
125125 89 “Health care facility”, a hospital, licensed under section 51, the teaching hospital of the
126126 90University of Massachusetts medical school, a medium-security state correctional facility for
127127 91male inmates located in Plymouth county that is operated and maintained by a private company
128128 92under contract with the department of correction, or any state acute care facility, non-acute care
129129 93facility, continuing care facility and group homes operated, funded or subject to oversight by the
130130 94department of public health, the department of mental health or the department of developmental
131131 95services except a: (i) nursing home; (ii) rest home; (iii) clinic; (iv) mobile or portable clinic; (v) 6 of 9
132132 96mobile or portable clinic satellite; (vi) certified home health agency; (vii) adult day health; (viii)
133133 97hospice; (ix) hospice inpatient satellite; (x) ambulatory surgical center; (xi) renal dialysis; (xii)
134134 98outpatient physical therapy and speech pathology; and (xiii) temporary nursing agency; provided
135135 99that, a facility with more than 1 license or that is licensed to provide multiple services, shall be
136136 100considered a health care facility if the facility is licensed in at least 1 of the included categories.
137137 101 (b) A health care employer shall permit an employee to take up to 7 days of leave from
138138 102work in any 12 month period if: (i) the employee is a victim of an assault or assault and battery
139139 103which occurred in the line of duty and (ii) the employee uses the leave to seek or obtain victim
140140 104services or legal assistance; obtain a protective order from a court; appear in court or before a
141141 105grand jury; meet with a district attorney or other law enforcement official; or to address other
142142 106legal issues directly related to the assault or assault and battery.
143143 107 (c) The leave taken pursuant to subsection (b) shall be paid.
144144 108 (d) A health care employer may require an employee to provide documentation
145145 109evidencing that the employee is a victim of assault or assault and battery sustained in the line of
146146 110duty and that the leave taken is consistent with the conditions of subsection (b). An employee
147147 111shall provide such documentation to the health care employer within 5 business days after the
148148 112health care employer requests documentation relative to the employee’s absence.
149149 113 (e) An employee seeking leave from work pursuant to subsection (b) shall provide
150150 114advance notice of the leave to the employer in accordance with the employer's leave policy;
151151 115provided, however, that if an employee is absent on an unauthorized basis, the health care
152152 116employer shall not take any negative action against the employee if the employee, within 30 days
153153 117from the unauthorized absence or within 30 days from the last unauthorized absence in the 7 of 9
154154 118instance of consecutive days of unauthorized absences, provides documentation that the
155155 119unauthorized absence meets the criteria of subsection (b).
156156 120 (f) All information related to the employee's leave taken pursuant to this section shall be
157157 121kept confidential by the health care employer and shall not be disclosed, except to the extent that
158158 122disclosure is: (i) requested or consented to, in writing, by the employee; (ii) ordered to be
159159 123released by a court of competent jurisdiction; (iii) required by federal or state law; (iv) required
160160 124in the course of an investigation authorized by law enforcement, including, but not limited to, an
161161 125investigation by the attorney general; or (v) necessary to protect the safety of the employee or
162162 126others employed at the workplace.
163163 127 (g) No health care employer shall require an employee to exhaust all annual leave,
164164 128vacation leave, personal leave or sick leave available to the employee prior to requesting or
165165 129taking leave under this section.
166166 130 (h) No health care employer shall coerce, interfere with, restrain or deny the exercise of,
167167 131or any attempt to exercise, any rights provided by this section or to make leave requested or
168168 132taken hereunder contingent upon whether or not the victim maintains contact with the alleged
169169 133abuser.
170170 134 (i) No health care employer shall discharge or in any other manner discriminate against
171171 135an employee for exercising the employee’s rights under this section. An employee who takes
172172 136leave under this section shall not lose any employment benefit accrued prior to the date on which
173173 137the leave taken under this section commenced as a result of taking said leave. Upon the
174174 138employee’s return from said leave, the employee shall be entitled to restoration to the
175175 139employee’s original job or to an equivalent position. 8 of 9
176176 140 (j) Each health care employer shall post in a conspicuous place within the health care
177177 141facility a notice prepared or approved by the department indicating the rights and responsibilities
178178 142provided by this section. The notice shall be issued in English, Spanish, Chinese, Haitian Creole,
179179 143Italian, Portuguese, Vietnamese, Laotian, Khmer, Russian and any other language that is the
180180 144primary language of at least 10,000 or ½ of one per cent of all residents of the commonwealth.
181181 145The required workplace notice shall be in English and each language other than English which is
182182 146the primary language of 5 or more employees or self-employed individuals of that workplace, if
183183 147such notice is available from the department. Each health care employer shall notify each
184184 148employee not more than 30 days from the beginning date of the employee’s employment, the
185185 149rights and responsibilities provided by this section, including those related to notification
186186 150requirements and confidentiality.
187187 151 (k) This section shall not be construed to exempt an employer from complying with
188188 152chapter 258B, section 14B of chapter 268 or any other general or special law or to limit the rights
189189 153of any employee under said chapter 258B, said section 14B of chapter 268 or any other general
190190 154or special law.
191191 155 SECTION 3. Section 13I of chapter 265 of the General Laws, as appearing in the 2020
192192 156Official Edition, is hereby amended by adding the following paragraph:-
193193 157 Any emergency medical technician, ambulance operator, ambulance attendant or a health
194194 158care provider as defined in section 240 of chapter 111, who is the victim of assault or assault and
195195 159battery at a health care facility, as such term is defined in said section 240, in the line of duty
196196 160shall be given the option of providing the address of the health care facility where the assault or
197197 161assault and battery occurred or of the labor organization in which they are a member in good 9 of 9
198198 162standing. In instances where the address of the health care facility is used or labor organization to
199199 163which the employee is a member in good standing, the health care facility or labor organization
200200 164shall ensure that the individual receives any documents pertaining to the assault or assault and
201201 165battery within 24 hours of receipt by the health care facility or labor organization. The health
202202 166care facility or labor organization shall demonstrate that it has provided any and all
203203 167documentation by obtaining a signature from the individual acknowledging receipt.
204204 168 SECTION 4. The commissioner of public health shall adopt rules and regulations within
205205 169180 days of enactment of this act necessary to implement and enforce the purposes of section
206206 170240 of chapter 111 of the General Laws.