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2 | 2 | | SENATE DOCKET, NO. 580 FILED ON: 1/17/2023 |
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3 | 3 | | SENATE . . . . . . . . . . . . . . No. 1539 |
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4 | 4 | | The Commonwealth of Massachusetts |
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5 | 5 | | _________________ |
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6 | 6 | | PRESENTED BY: |
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7 | 7 | | Joan B. Lovely |
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8 | 8 | | _________________ |
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9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
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10 | 10 | | Court assembled: |
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11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
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12 | 12 | | An Act requiring health care employers to develop and implement programs to prevent |
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13 | 13 | | workplace violence. |
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14 | 14 | | _______________ |
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15 | 15 | | PETITION OF: |
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16 | 16 | | 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 |
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17 | 17 | | Hampshire |
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18 | 18 | | 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 |
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19 | 19 | | Bruce E. TarrFirst Essex and Middlesex2/21/2023Liz MirandaSecond Suffolk2/21/2023James B. EldridgeMiddlesex and Worcester2/21/2023 1 of 9 |
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20 | 20 | | SENATE DOCKET, NO. 580 FILED ON: 1/17/2023 |
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21 | 21 | | SENATE . . . . . . . . . . . . . . No. 1539 |
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22 | 22 | | By Ms. Lovely, a petition (accompanied by bill, Senate, No. 1539) of Joan B. Lovely, Paul R. |
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23 | 23 | | Feeney, Robyn K. Kennedy, Jack Patrick Lewis and other members of the General Court for |
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24 | 24 | | legislation to require health care employers to develop and implement programs to prevent |
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25 | 25 | | workplace violence. Public Safety and Homeland Security. |
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26 | 26 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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27 | 27 | | SEE HOUSE, NO. 4574 OF 2021-2022.] |
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28 | 28 | | The Commonwealth of Massachusetts |
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29 | 29 | | _______________ |
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30 | 30 | | In the One Hundred and Ninety-Third General Court |
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31 | 31 | | (2023-2024) |
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32 | 32 | | _______________ |
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33 | 33 | | An Act requiring health care employers to develop and implement programs to prevent |
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34 | 34 | | workplace violence. |
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35 | 35 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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36 | 36 | | of the same, as follows: |
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37 | 37 | | 1 SECTION 1. Chapter 111 of the General Laws, as appearing in the 2020 Official Edition, |
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38 | 38 | | 2is hereby amended by adding the following section:- |
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39 | 39 | | 3 Section 238. (a) As used in this section, the following words shall, unless the context |
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40 | 40 | | 4clearly requires otherwise, have the following meanings:- |
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41 | 41 | | 5 “Employee”, an individual employed by a health care employer. |
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42 | 42 | | 6 “Health care employer”, any individual, partnership, association, corporation, trust or any |
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43 | 43 | | 7person or group of persons operating a health care facility. 2 of 9 |
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44 | 44 | | 8 “Health care facility”, a hospital, licensed under section 51, the teaching hospital of the |
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45 | 45 | | 9University of Massachusetts medical school, a medium-security state correctional facility for |
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46 | 46 | | 10male inmates located in Plymouth county that is operated and maintained by a private company |
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47 | 47 | | 11under contract with the department of correction, or any state acute care facility, non-acute care |
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48 | 48 | | 12facility, continuing care facility and group homes operated, funded or subject to oversight by the |
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49 | 49 | | 13department of public health, the department of mental health or the department of developmental |
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50 | 50 | | 14services except a: (i) nursing home; (ii) rest home; (iii) clinic; (iv) mobile or portable clinic; (v) |
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51 | 51 | | 15mobile or portable clinic satellite; (vi) certified home health agency; (vii) adult day health; (viii) |
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52 | 52 | | 16hospice; (ix) hospice inpatient satellite; (x) ambulatory surgical center; (xi) renal dialysis; (xii) |
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53 | 53 | | 17outpatient physical therapy and speech pathology; and (xiii) temporary nursing agency; provided |
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54 | 54 | | 18that, a facility with more than 1 license or that is licensed to provide multiple services, shall be |
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55 | 55 | | 19considered a health care facility if the facility is licensed in at least 1 of the included categories. |
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56 | 56 | | 20 “Workplace Violence”, conduct at the work site that is: (i) an unpermitted or harmful |
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57 | 57 | | 21touching of another person; (ii) an attempt or act to use some degree of physical force on another |
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58 | 58 | | 22person; or (iii) engaging in conduct that could be reasonably perceived as an intent to touch |
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59 | 59 | | 23without permission, use immediate physical force or injure a particular person now or in the |
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60 | 60 | | 24future, that if carried out would constitute a crime, and causes another person to reasonably |
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61 | 61 | | 25believe that the person has the intent and ability to carry out such conduct. |
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62 | 62 | | 26 (b) Annually, each health care employer shall perform a facility specific risk assessment |
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63 | 63 | | 27that includes, but is not limited to, the standards determined by the department. The facility |
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64 | 64 | | 28specific risk assessment shall be done in cooperation with the employees of the health care |
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65 | 65 | | 29employer and any labor organization or organizations representing the employees, examining all |
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66 | 66 | | 30factors, which may put any of the employees at risk of workplace violence. The factors shall 3 of 9 |
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67 | 67 | | 31include, but not be limited to: (i) working in public settings; (ii) guarding or maintaining property |
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68 | 68 | | 32or possessions; (iii) working in high-crime areas; (iv) working late night or early morning hours; |
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69 | 69 | | 33(v) working alone or in small numbers; (vi) uncontrolled public access to the workplace; (vii) |
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70 | 70 | | 34working in public areas where people are in crisis; (viii) working in areas where a patient or |
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71 | 71 | | 35resident may exhibit violent behavior; (ix) working in areas with known security problems; and |
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72 | 72 | | 36(x) working with insufficient qualified staff in 1 or more position titles to address foreseeable |
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73 | 73 | | 37risk factors. |
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74 | 74 | | 38 (c) Based on the findings of the risk assessment in subsection (b), the health care |
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75 | 75 | | 39employer shall develop and implement a program to minimize the danger of workplace violence |
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76 | 76 | | 40to employees, which shall include appropriate employee training, and a system for the ongoing |
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77 | 77 | | 41reporting and monitoring of incidents and situations involving violence or the risk of violence. |
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78 | 78 | | 42Employee training shall include, in addition to all employer training program policies, methods |
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79 | 79 | | 43of reporting to appropriate public safety officials, bodies or agencies and processes necessary for |
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80 | 80 | | 44the filing of criminal charges. |
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81 | 81 | | 45 (d) Each health care employer shall develop a written violence prevention plan setting |
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82 | 82 | | 46forth the employer’s workplace violence prevention plan. The health care employer shall make |
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83 | 83 | | 47the plan available to each employee and provide the plan to any of its employees upon request. |
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84 | 84 | | 48The health care employer shall provide the plan to any labor organization or organizations |
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85 | 85 | | 49representing any of its employees. The plan shall include: (i) a list of those factors and |
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86 | 86 | | 50circumstances that may pose a danger to employees; (ii) a description of the methods that the |
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87 | 87 | | 51health care employer will use to alleviate hazards associated with each factor; including, but not |
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88 | 88 | | 52limited to, employee training and any appropriate changes in job design, staffing, security, 4 of 9 |
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89 | 89 | | 53equipment or facilities; (iii) a post-incident debriefing process with affected staff; and (iv) a |
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90 | 90 | | 54description of the reporting and monitoring system. |
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91 | 91 | | 55 (e) Each health care employer shall designate a senior manager responsible for the |
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92 | 92 | | 56development and support of an in-house crisis response team for employee-victims of workplace |
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93 | 93 | | 57violence. Said team shall implement an assaulted staff action program that includes, but is not |
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94 | 94 | | 58limited to, group crisis interventions, individual crisis counseling, staff victims’ support groups, |
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95 | 95 | | 59employee victims’ family crisis intervention, peer-help and professional referrals. |
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96 | 96 | | 60 (f) Any health care employer who violates any rule, regulation or requirement made by |
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97 | 97 | | 61the department under authority hereof shall be punished by a fine of not more than $2,000 for |
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98 | 98 | | 62each offense. The department or its representative or any aggrieved employee, any interested |
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99 | 99 | | 63party or any officer of any labor union or association, whether incorporated or otherwise, may |
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100 | 100 | | 64file a written complaint with the district court in the jurisdiction of which the violation occurs |
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101 | 101 | | 65and shall promptly notify the attorney general in writing of such complaint. The attorney general, |
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102 | 102 | | 66upon determination that there is a violation of any workplace standard relative to the protection |
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103 | 103 | | 67of the occupational health and safety of employees or of any standard of requirement of |
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104 | 104 | | 68licensure, may order any work site to be closed by way of the issuance of a cease and desist order |
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105 | 105 | | 69enforceable in the appropriate courts of the commonwealth. |
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106 | 106 | | 70 (g) No employee shall be penalized by a health care employer in any way as a result of |
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107 | 107 | | 71such employee’s filing of a complaint or otherwise providing notice to the department in regard |
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108 | 108 | | 72to the occupational health and safety of such employee or their fellow employees exposed to |
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109 | 109 | | 73workplace violence risk factors. 5 of 9 |
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110 | 110 | | 74 (h) Not less than every 180 days, each health care employer shall submit a report, on a |
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111 | 111 | | 75form prescribed by the commissioner of the department, of all incidents of workplace violence |
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112 | 112 | | 76reported to the health care employer that occurred at the health care facility on an employee, an |
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113 | 113 | | 77emergency medical technician, an ambulance operator or an ambulance attendant. The report |
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114 | 114 | | 78shall be submitted to the department and the office of the district attorney for the county where |
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115 | 115 | | 79the health care facility is located. Not more than 90 days after receiving the reports, the |
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116 | 116 | | 80department shall make the aggregate data statewide and by county publicly available; provided |
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117 | 117 | | 81that the department categorize the aggregate data by occupation and incident type. |
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118 | 118 | | 82 SECTION 2. Chapter 149 of the General Laws is hereby amended by inserting after |
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119 | 119 | | 83section 52E the following section:- |
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120 | 120 | | 84 Section 52F. (a) For purposes of this section, the following words shall, unless the |
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121 | 121 | | 85context clearly indicates otherwise, have the following meanings:- |
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122 | 122 | | 86 “Employee”, an individual employed by a health care employer. |
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123 | 123 | | 87 “Health care employer”, any individual, partnership, association, corporation or, trust or |
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124 | 124 | | 88any person or group of persons operating a health care facility. |
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125 | 125 | | 89 “Health care facility”, a hospital, licensed under section 51, the teaching hospital of the |
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126 | 126 | | 90University of Massachusetts medical school, a medium-security state correctional facility for |
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127 | 127 | | 91male inmates located in Plymouth county that is operated and maintained by a private company |
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128 | 128 | | 92under contract with the department of correction, or any state acute care facility, non-acute care |
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129 | 129 | | 93facility, continuing care facility and group homes operated, funded or subject to oversight by the |
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130 | 130 | | 94department of public health, the department of mental health or the department of developmental |
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131 | 131 | | 95services except a: (i) nursing home; (ii) rest home; (iii) clinic; (iv) mobile or portable clinic; (v) 6 of 9 |
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132 | 132 | | 96mobile or portable clinic satellite; (vi) certified home health agency; (vii) adult day health; (viii) |
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133 | 133 | | 97hospice; (ix) hospice inpatient satellite; (x) ambulatory surgical center; (xi) renal dialysis; (xii) |
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134 | 134 | | 98outpatient physical therapy and speech pathology; and (xiii) temporary nursing agency; provided |
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135 | 135 | | 99that, a facility with more than 1 license or that is licensed to provide multiple services, shall be |
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136 | 136 | | 100considered a health care facility if the facility is licensed in at least 1 of the included categories. |
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137 | 137 | | 101 (b) A health care employer shall permit an employee to take up to 7 days of leave from |
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138 | 138 | | 102work in any 12 month period if: (i) the employee is a victim of an assault or assault and battery |
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139 | 139 | | 103which occurred in the line of duty and (ii) the employee uses the leave to seek or obtain victim |
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140 | 140 | | 104services or legal assistance; obtain a protective order from a court; appear in court or before a |
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141 | 141 | | 105grand jury; meet with a district attorney or other law enforcement official; or to address other |
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142 | 142 | | 106legal issues directly related to the assault or assault and battery. |
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143 | 143 | | 107 (c) The leave taken pursuant to subsection (b) shall be paid. |
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144 | 144 | | 108 (d) A health care employer may require an employee to provide documentation |
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145 | 145 | | 109evidencing that the employee is a victim of assault or assault and battery sustained in the line of |
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146 | 146 | | 110duty and that the leave taken is consistent with the conditions of subsection (b). An employee |
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147 | 147 | | 111shall provide such documentation to the health care employer within 5 business days after the |
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148 | 148 | | 112health care employer requests documentation relative to the employee’s absence. |
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149 | 149 | | 113 (e) An employee seeking leave from work pursuant to subsection (b) shall provide |
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150 | 150 | | 114advance notice of the leave to the employer in accordance with the employer's leave policy; |
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151 | 151 | | 115provided, however, that if an employee is absent on an unauthorized basis, the health care |
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152 | 152 | | 116employer shall not take any negative action against the employee if the employee, within 30 days |
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153 | 153 | | 117from the unauthorized absence or within 30 days from the last unauthorized absence in the 7 of 9 |
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154 | 154 | | 118instance of consecutive days of unauthorized absences, provides documentation that the |
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155 | 155 | | 119unauthorized absence meets the criteria of subsection (b). |
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156 | 156 | | 120 (f) All information related to the employee's leave taken pursuant to this section shall be |
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157 | 157 | | 121kept confidential by the health care employer and shall not be disclosed, except to the extent that |
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158 | 158 | | 122disclosure is: (i) requested or consented to, in writing, by the employee; (ii) ordered to be |
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159 | 159 | | 123released by a court of competent jurisdiction; (iii) required by federal or state law; (iv) required |
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160 | 160 | | 124in the course of an investigation authorized by law enforcement, including, but not limited to, an |
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161 | 161 | | 125investigation by the attorney general; or (v) necessary to protect the safety of the employee or |
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162 | 162 | | 126others employed at the workplace. |
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163 | 163 | | 127 (g) No health care employer shall require an employee to exhaust all annual leave, |
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164 | 164 | | 128vacation leave, personal leave or sick leave available to the employee prior to requesting or |
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165 | 165 | | 129taking leave under this section. |
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166 | 166 | | 130 (h) No health care employer shall coerce, interfere with, restrain or deny the exercise of, |
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167 | 167 | | 131or any attempt to exercise, any rights provided by this section or to make leave requested or |
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168 | 168 | | 132taken hereunder contingent upon whether or not the victim maintains contact with the alleged |
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169 | 169 | | 133abuser. |
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170 | 170 | | 134 (i) No health care employer shall discharge or in any other manner discriminate against |
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171 | 171 | | 135an employee for exercising the employee’s rights under this section. An employee who takes |
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172 | 172 | | 136leave under this section shall not lose any employment benefit accrued prior to the date on which |
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173 | 173 | | 137the leave taken under this section commenced as a result of taking said leave. Upon the |
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174 | 174 | | 138employee’s return from said leave, the employee shall be entitled to restoration to the |
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175 | 175 | | 139employee’s original job or to an equivalent position. 8 of 9 |
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176 | 176 | | 140 (j) Each health care employer shall post in a conspicuous place within the health care |
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177 | 177 | | 141facility a notice prepared or approved by the department indicating the rights and responsibilities |
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178 | 178 | | 142provided by this section. The notice shall be issued in English, Spanish, Chinese, Haitian Creole, |
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179 | 179 | | 143Italian, Portuguese, Vietnamese, Laotian, Khmer, Russian and any other language that is the |
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180 | 180 | | 144primary language of at least 10,000 or ½ of one per cent of all residents of the commonwealth. |
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181 | 181 | | 145The required workplace notice shall be in English and each language other than English which is |
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182 | 182 | | 146the primary language of 5 or more employees or self-employed individuals of that workplace, if |
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183 | 183 | | 147such notice is available from the department. Each health care employer shall notify each |
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184 | 184 | | 148employee not more than 30 days from the beginning date of the employee’s employment, the |
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185 | 185 | | 149rights and responsibilities provided by this section, including those related to notification |
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186 | 186 | | 150requirements and confidentiality. |
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187 | 187 | | 151 (k) This section shall not be construed to exempt an employer from complying with |
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188 | 188 | | 152chapter 258B, section 14B of chapter 268 or any other general or special law or to limit the rights |
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189 | 189 | | 153of any employee under said chapter 258B, said section 14B of chapter 268 or any other general |
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190 | 190 | | 154or special law. |
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191 | 191 | | 155 SECTION 3. Section 13I of chapter 265 of the General Laws, as appearing in the 2020 |
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192 | 192 | | 156Official Edition, is hereby amended by adding the following paragraph:- |
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193 | 193 | | 157 Any emergency medical technician, ambulance operator, ambulance attendant or a health |
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194 | 194 | | 158care provider as defined in section 240 of chapter 111, who is the victim of assault or assault and |
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195 | 195 | | 159battery at a health care facility, as such term is defined in said section 240, in the line of duty |
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196 | 196 | | 160shall be given the option of providing the address of the health care facility where the assault or |
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197 | 197 | | 161assault and battery occurred or of the labor organization in which they are a member in good 9 of 9 |
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198 | 198 | | 162standing. In instances where the address of the health care facility is used or labor organization to |
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199 | 199 | | 163which the employee is a member in good standing, the health care facility or labor organization |
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200 | 200 | | 164shall ensure that the individual receives any documents pertaining to the assault or assault and |
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201 | 201 | | 165battery within 24 hours of receipt by the health care facility or labor organization. The health |
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202 | 202 | | 166care facility or labor organization shall demonstrate that it has provided any and all |
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203 | 203 | | 167documentation by obtaining a signature from the individual acknowledging receipt. |
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204 | 204 | | 168 SECTION 4. The commissioner of public health shall adopt rules and regulations within |
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205 | 205 | | 169180 days of enactment of this act necessary to implement and enforce the purposes of section |
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206 | 206 | | 170240 of chapter 111 of the General Laws. |
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