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2 | 2 | | SENATE DOCKET, NO. 2249 FILED ON: 1/17/2025 |
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3 | 3 | | SENATE . . . . . . . . . . . . . . No. 1614 |
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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 | | Jacob R. Oliveira |
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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 ensuring home care patient safety. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | NAME:DISTRICT/ADDRESS :Jacob R. OliveiraHampden, Hampshire and Worcester 1 of 2 |
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16 | 16 | | SENATE DOCKET, NO. 2249 FILED ON: 1/17/2025 |
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17 | 17 | | SENATE . . . . . . . . . . . . . . No. 1614 |
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18 | 18 | | By Mr. Oliveira, a petition (accompanied by bill, Senate, No. 1614) of Jacob R. Oliveira for |
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19 | 19 | | legislation to ensure home care for high-risk patients. Public Health. |
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20 | 20 | | The Commonwealth of Massachusetts |
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21 | 21 | | _______________ |
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22 | 22 | | In the One Hundred and Ninety-Fourth General Court |
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23 | 23 | | (2025-2026) |
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24 | 24 | | _______________ |
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25 | 25 | | An Act ensuring home care patient safety. |
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26 | 26 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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27 | 27 | | of the same, as follows: |
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28 | 28 | | 1 SECTION 1. Chapter 111 of the General Laws, as appearing in the 2022 Official Edition, |
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29 | 29 | | 2is hereby amended by inserting in section 236 subsection (f):- |
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30 | 30 | | 3 Definition |
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31 | 31 | | 4 “High Risk Patient”: Suffering from a series of chronic conditions that challenge the |
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32 | 32 | | 5ability to access care. This may include but not limited to dementia, conditions resulting from |
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33 | 33 | | 6diabetes related complications, stroke, and heart related issues. |
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34 | 34 | | 7 A home health care agency shall ensure it receives the most updated treatment plan and |
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35 | 35 | | 8the most updated medication list from both the primary care doctor and hospital including when |
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36 | 36 | | 9a high risk patient is discharged. |
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37 | 37 | | 10 SECTION 2. Chapter 111 of the General Laws, as appearing in the 2022 Official Edition, |
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38 | 38 | | 11is hereby amended by inserting in section 72 G the following:- 2 of 2 |
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39 | 39 | | 12 A home care agency shall take specific steps for high risk patients to ensure critical |
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40 | 40 | | 13services including medication administration to high risk patients are not disrupted, and shall |
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41 | 41 | | 14provide the most updated medication information including any changes to home visiting nurses. |
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42 | 42 | | 15A home health agency shall ensure a substitute home visiting nurse has the most updated |
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43 | 43 | | 16medication list and updated administration steps. |
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44 | 44 | | 17 In cases where a home visiting nurses locks medication, a home health care agency shall |
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45 | 45 | | 18ensure a high risk patient always has supply of critical medications. |
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46 | 46 | | 19 In case of inadvertent medical errors, a home visiting nurse shall report to medical errors |
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47 | 47 | | 20to primary doctor and inform family members. |
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48 | 48 | | 21 A home health care agency shall further establish a scheduling notification system for |
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49 | 49 | | 22home visiting nurses, a high risk patient’s primary care doctor and family members. |
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50 | 50 | | 23 There shall be a commission to study the rising needs of an increasing elder adult |
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51 | 51 | | 24population including in low-income communities and causes of patient harm in home health |
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52 | 52 | | 25care. The commission shall study the causes of medical errors that result in patient harm |
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53 | 53 | | 26including in high risk patients, the challenges for health care workers, and make |
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54 | 54 | | 27recommendations to ensure the safety of patients, quality of home health care, and reduction of |
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55 | 55 | | 28patient harm including in high risk patient populations. |
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