Printed on recycled paper 131st MAINE LEGISLATURE FIRST SPECIAL SESSION-2023 Legislative Document No. 1925H.P. 1230House of Representatives, May 11, 2023 An Act to Clarify and Improve the Laws Relating to the Background Check Center and the Maine Certified Nursing Assistant and Direct Care Worker Registry Submitted by the Department of Health and Human Services pursuant to Joint Rule 204. Reference to the Committee on Health and Human Services suggested and ordered printed. ROBERT B. HUNT Clerk Presented by Representative SHAGOURY of Hallowell. Page 1 - 131LR0403(01) 1 2 as enacted by PL 2015, c. 196, §9, is 3 amended to read: 4 E. "Disqualifying offense" means a substantiation for abuse, neglect or exploitation 5 misappropriation of property, or a criminal conviction identified in rules adopted by 6 the department that prohibits employment as a certified nursing assistant or a direct 7 care worker in accordance with subsection 2‑C. 8 as enacted by PL 2015, c. 196, §9, is 9 amended to read: 10 F. "Employer" means a person or licensed, certified or registered provider or other 11 entity that employs direct access workers, including certified nursing assistants and 12 direct care workers, to provide direct contact services in home, community or other 13 health care or direct access settings. An individual who employs an unlicensed person 14 to provide care for that individual is not an employer for the purposes of this section, 15 except when required by rules adopted by the department. 16 as enacted by PL 2015, c. 196, §9, is 17 amended to read: 18 J. "Nondisqualifying criminal conviction" means a criminal conviction identified in 19 rules adopted by the department pursuant to subsection 18 that is included as a notation 20 on the registry but does not prohibit employment as a certified nursing assistant or a 21 direct care worker. 22 as enacted by PL 2015, c. 196, §9, is 23 repealed. 24 as enacted by PL 2015, c. 196, §9, is 25 amended to read: 26 L. "Registry" means the Maine Registry of Certified Nursing Assistants and Direct 27 Care Workers established in subsection 1, which identifies individuals qualified and 28 eligible for employment as a certified nursing assistant or a registered direct care 29 worker and individuals who are not eligible for employment as a certified nursing 30 assistant or direct care worker due to notations for disqualifying offenses. 31 as enacted by PL 2015, c. 196, §9, is 32 amended to read: 33 34 must be listed on the registry. The registry must contain a listing of certified nursing 35 assistants and direct care workers that are ineligible for employment based on notations for 36 disqualifying offenses. Direct care workers registered for training, education or compliance 37 purposes may apply for registration and listing on the registry. Direct care workers who 38 may be listed on the registry include but are not limited to the following: 39 A. Behavior specialists; 40 B. Behavioral health professionals; 41 C. Certified residential care aides; Page 2 - 131LR0403(01) 1 D. Certified residential medication aides; 2 E. Direct support professionals; 3 F. Mental health rehabilitation technicians; 4 G. Mental health support specialists; 5 H. Other qualified mental health professionals; 6 I. Personal care attendants or personal support specialists; 7 J. Registered medical assistants; 8 K. Residential care specialists; 9 L. Community health workers; and 10 M. Other direct care workers described in rules adopted by the department pursuant to 11 subsection 18. 12 as enacted by PL 2015, c. 196, §9, is 13 amended to read: 14 15 and direct care worker listed on the registry a notation of: 16 A. Disqualifying criminal convictions; 17 B. Nondisqualifying criminal convictions, except that a notation is not required on the 18 registry for Class D and Class E criminal convictions over 10 years old that did not 19 involve as a victim of the act a patient, client or resident; and 20 C. Substantiated findings, including but not limited to the following information: 21 (1) Documentation of an investigation of a certified nursing assistant or a direct 22 care worker, including the nature of the allegation and evidence supporting a 23 determination that substantiates the allegation of abuse, neglect or 24 misappropriation of property of a client, patient or resident; 25 (2) Documentation of substantiated findings of abuse, neglect or misappropriation 26 of property of a client, patient or resident; 27 (3) If the certified nursing assistant or direct care worker appealed the 28 substantiated finding, the date of the hearing; and 29 (4) The statement of the certified nursing assistant or direct care worker disputing 30 the allegation of abuse, neglect or misappropriation of property of a client, patient 31 or resident if the certified nursing assistant or direct care worker submitted such a 32 statement; and . 33 D. Petitions filed by a certified nursing assistant or direct care worker for removal of 34 an employment ban issued by the department that was based on a criminal conviction 35 and the department’s review and determination. 36 as enacted by PL 2015, c. 196, §9, is 37 repealed and the following enacted in its place: Page 3 - 131LR0403(01) 1 2 technical rules regarding listing direct care workers on the registry, including but not 3 limited to the following: 4 A. Direct care workers with disqualifying offenses must be listed on the registry; and 5 B. The notation for direct care workers listed on the registry for substantiated findings 6 must include the following information: 7 (1) Documentation of an investigation of a direct care worker, including the nature 8 of the allegation and evidence supporting a determination that substantiates the 9 allegation of abuse, neglect or misappropriation of property of a client, patient or 10 resident; 11 (2) Documentation of substantiated findings of abuse, neglect or misappropriation 12 of property of a client, patient or resident; 13 (3) If the direct care worker appealed the substantiated finding, the date of the 14 hearing; and 15 (4) The statement of the direct care worker disputing the allegation of abuse, 16 neglect or misappropriation of property of a client, patient or resident if the direct 17 care worker submitted such a statement. 18 19 20 21 finding of neglect or misappropriation of property is placed on the registry, a direct care 22 worker may petition the department to remove the notation from the registry if the 23 substantiated complaint is a one-time occurrence and there is no pattern of neglect or 24 misappropriation of property. 25 26 amended to read: 27 28 the credentials and training of certified nursing assistants and registered direct care workers 29 listed on the registry. 30 as amended by PL 2015, c. 196, §9, is 31 further amended to read: 32 33 fee not to exceed $25 annually per provider for verification of a certified nursing assistant's 34 or registered direct care worker's credentials and training. Providers may not pass the cost 35 on to the individual certified nursing assistant or registered direct care worker. Provider 36 verification fees collected by the department must be placed in a special revenue account 37 to be used by the department to operate the registry, including but not limited to the cost of 38 criminal history record checks. The department may adopt rules necessary to implement 39 this subsection. Rules adopted pursuant to this subsection are routine technical rules as 40 defined in Title 5, chapter 375, subchapter 2‑A. 41 as enacted by PL 2015, c. 196, §9, is 42 amended to read: Page 4 - 131LR0403(01) 1 access worker. An employer, 2 including a health care institution, facility or other organization that employs an individual 3 as a direct care access worker, shall verify that the direct care access worker, if listed on 4 the registry, has no disqualifying notations and has complied with the training or education 5 requirements for registration, if applicable offenses. 6 7 Pt. A, §16, is amended to read: 8 9 disqualifying offense, including a substantiated complaint or a disqualifying criminal 10 conviction, may not work as a certified nursing assistant or a direct care access worker, and 11 an employer is subject to penalties for employing a disqualified or otherwise ineligible 12 person in accordance with applicable federal or state laws. 13 as amended by PL 2015, c. 494, Pt. A, 14 §§17 and 18, is further amended to read: 15 16 subject to a background check as defined by rules adopted by the department pursuant to 17 chapter 1691 and according to the following: 18 A. A training program for certified nursing assistants or direct care workers must 19 secure or pay for a background check on each individual who applies for enrollment. 20 The individual's current name and all previous names are subject to the background 21 check. A copy of the background check is given to the individual who, upon successful 22 completion of the training, submits it with an application to be listed on the registry as 23 a certified nursing assistant or a registered direct care worker. 24 (1) Prior to enrolling an individual, a training program for certified nursing 25 assistants or direct care workers must notify individuals that a background check 26 will be conducted and that certain disqualifying offenses, including criminal 27 convictions, may prohibit an individual from working as a certified nursing 28 assistant or a direct care worker. 29 B. Pursuant to sections 1717, 1724, 2137, 2149‑A, 7706, 8606 and , 9005 and 9054 30 and Title 34‑B, section 1225, licensed, certified or registered providers shall secure and 31 pay for a background check prior to hiring an individual who will work in direct contact 32 with clients, patients or residents, including a certified nursing assistant or a direct care 33 worker. 34 C. The department may secure a background check on certified nursing assistants and 35 registered direct care workers on the registry every 2 years. 36 D. A person or other legal entity that is not otherwise licensed by the department and 37 that employs or places a certified nursing assistant or direct care worker to provide 38 services allowing direct access shall secure and pay for a background check in 39 accordance with state law and rules adopted by the department. 40 41 repealed. 42 as enacted by PL 2015, c. 196, §9, is 43 amended to read: Page 5 - 131LR0403(01) 1 A. A disqualifying criminal conviction within the previous 10 years prohibits 2 employment as a certified nursing assistant or a direct care access worker. 3 (1) An individual with a disqualifying criminal conviction is subject to an 4 employment ban of 5, 10 or 30 years. The department shall adopt rules that specify 5 disqualifying criminal convictions that prohibit employment for 5 years, 6 disqualifying criminal convictions that prohibit employment for 10 years and 7 disqualifying criminal convictions that prohibit employment for 30 years. 8 as enacted by PL 2015, c. 196, §9, is 9 amended to read: 10 B. Nondisqualifying criminal convictions do not prohibit employment as a certified 11 nursing assistant or a direct care access worker. 12 as enacted by PL 2015, c. 196, §9, is 13 repealed. 14 15 repealed. 16 17 amended to read: 18 19 allegations against certified nursing assistants or registered direct care access workers of 20 abuse, neglect, exploitation or misappropriation of property of a client, patient or resident. 21 22 amended to read: 23 24 issue a written decision that the allegation of abuse, neglect, exploitation or 25 misappropriation of property of a client, patient or resident is unsubstantiated or 26 substantiated. Each allegation of abuse, neglect or misappropriation of property must be 27 considered separately. A substantiated finding must be based on factors established by 28 department rules. The written decision must include at least the following information: 29 A. Whether the allegation is unsubstantiated or substantiated; 30 B. A description of the factors supporting a substantiated finding; 31 C. If a notation of a substantiated finding is entered on the registry; 32 D. A description of the employment prohibition, if any; and 33 E. Notice of the right to appeal the department’s decision pursuant to subsection 12. 34 35 amended to read: 36 37 or a registered direct care worker with a notation on the registry of a substantiated finding 38 on the registry of abuse of a patient, client or resident is banned for life from employment 39 as either a certified nursing assistant or a direct care worker. Page 6 - 131LR0403(01) 1 2 repealed. 3 4 repealed. 5 6 repealed. 7 8 repealed. 9 as amended by PL 2015, c. 299, §§11 to 17 and c. 494, 10 Pt. D, §3, is further amended by amending the section headnote to read: 11 Direct care workers 12 as enacted by PL 2011, c. 257, §3, is 13 amended to read: 14 A-7. "Nondisqualifying criminal conviction" means a criminal conviction identified 15 in rules adopted by the department that is included as a notation on the registry but 16 does not prohibit employment as an unlicensed assistive person a direct care worker. 17 as amended by PL 2015, c. 299, §12, is 18 further amended to read: 19 B. "Registry" means the Maine Registry of Certified Nursing Assistants and Direct 20 Care Workers, which is a list of certified nursing assistants, with notations if applicable, 21 and a list of direct care workers registered for training, education or compliance 22 purposes, or unlicensed assistive persons with notations and is established under 23 section 1812‑G. 24 as amended by PL 2015, c. 299, §13, is 25 further amended to read: 26 D. "Unlicensed assistive person Direct care worker" means an unlicensed individual 27 who by virtue of employment has direct access to and provides direct care or direct 28 contact assistance with activities of daily living or other services to individuals in 29 homes, assisted living programs, residential care facilities, hospitals and other health 30 care and direct access services settings. "Unlicensed assistive person Direct care 31 worker" includes but is not limited to a direct support professional, residential care 32 specialist, behavioral health professional, personal support specialist, mental health 33 support specialist, mental health rehabilitation technician, behavior specialist, other 34 qualified mental health professional, certified residential medication aide and 35 registered medical assistant and other direct access workers or direct care workers as 36 described in rules adopted by the department. "Unlicensed assistive person Direct care 37 worker" does not include a certified nursing assistant employed in the capacity of a 38 certified nursing assistant. 39 as enacted by PL 2015, c. 299, §14, is 40 repealed. 41 Page 7 - 131LR0403(01) 1 G. "Registered direct care worker" means an individual listed on the registry. 2 "Registered direct care worker" does not include a certified nursing assistant employed 3 in the capacity of a certified nursing assistant or a direct care worker listed on the 4 registry with notations for disqualifying offenses. 5 as amended by PL 2015, c. 299, §15, is further 6 amended to read: 7 8 allegations of abuse, neglect, exploitation or misappropriation of property of a client, 9 patient or resident in a home or health care setting against unlicensed assistive persons 10 direct care workers. 11 as amended by PL 2011, c. 257, §5, is further 12 amended to read: 13 14 an unlicensed assistive person a direct care worker is substantiated by the department and 15 the unlicensed assistive person direct care worker is listed on the registry pursuant to 16 subsection 4, the department's decision becomes final agency action as defined in Title 5, 17 section 8002, subsection 4. The department shall notify the employer of the unlicensed 18 assistive person direct care worker that a substantiated finding of a complaint has been 19 listed as a notation on the registry. 20 as enacted by PL 2011, c. 257, §6, is 21 amended to read: 22 23 the department of a complaint against an unlicensed assistive person a direct care worker 24 does not prohibit employment and is not listed as a notation on the registry. The 25 department's complaint investigation decision becomes final agency action as defined in 26 Title 5, section 8002, subsection 4. 27 as amended by PL 2015, c. 299, §16, is further 28 amended to read: 29 30 as a direct care worker direct care workers with a disqualifying offense substantiated 31 finding notation and may register an unlicensed assistive person or direct care worker for 32 training, education and compliance purposes. Disqualifying notations must include but are 33 not limited to the following information: 34 A. Documentation of the department's investigation, including the nature of the 35 allegation and the evidence that led the department to substantiate the allegation of 36 abuse, neglect, exploitation or misappropriation of property; 37 B. The date of the hearing, if the unlicensed assistive person direct care worker chose 38 to appeal the department finding that the complaint was substantiated; and 39 C. The unlicensed assistive person's direct care worker's statement to the department 40 disputing the allegation, if the unlicensed assistive person direct care worker chose to 41 submit one; and . Page 8 - 131LR0403(01) 1 D. Notations indicating the listed unlicensed assistive person is not in compliance with 2 training or educational requirements. 3 as enacted by PL 2009, c. 215, §2, is amended 4 to read: 5 direct 6 care worker of the right to request a hearing to contest the finding that the complaint under 7 subsection 3 was substantiated. 8 as amended by PL 2011, c. 257, §7, is 9 repealed. 10 as amended by PL 2015, c. 494, Pt. D, §3, is 11 further amended to read: 12 13 employs an unlicensed assistive person a direct care worker to provide direct access 14 services shall conduct a comprehensive background check in accordance with state law and 15 rules adopted by the department and is subject to the employment restrictions set out in 16 section 1812‑G and chapter 1691 and other applicable federal and state laws. The employer 17 is subject to penalties for employing a disqualified or otherwise ineligible person in 18 accordance with applicable federal or state laws. 19 is enacted to read: 20 21 workers. 22 A. A training program for direct care workers may secure or pay for a background 23 check pursuant to chapter 1691 on each individual who applies for enrollment in the 24 program. The background check may check the individual's current name and all 25 previous names. The background check result may be shared with the individual's 26 prospective employer upon successful completion of the program. 27 (1) Prior to enrolling an individual, a training program for direct care workers must 28 notify individuals that a background check may be conducted and that certain 29 disqualifying offenses, including criminal convictions, may prohibit an individual 30 from working as a direct care worker. 31 B. Pursuant to sections 1717, 1724, 2137, 2149-A, 7706, 8606, 9005 and 9054 and 32 Title 34-B, section 1225, licensed, certified or registered providers shall secure and pay 33 for a background check prior to hiring an individual who will work in direct contact 34 with clients, patients or residents, including a direct care worker. 35 C. The department may review the results of a background check completed in 36 accordance with chapter 1691 on a registered direct care worker. 37 D. A person that is not otherwise licensed by the department that employs or places a 38 direct care worker to provide services allowing direct access shall secure and pay for a 39 background check in accordance with state law and rules adopted by the department. 40 as enacted by PL 2015, c. 299, §25, is amended 41 to read: Page 9 - 131LR0403(01) 1 2 facility licensed pursuant to chapter 1663 or an independent housing with services program 3 exempt from licensing pursuant to chapter 1663. 4 as enacted by PL 2015, c. 299, §25, is amended 5 to read: 6 7 identifiable information and, data and biometric identifiers for comparison with criminal 8 record repositories and registry databases that are relevant to an individual's identity and 9 background, including monitoring for future offenses through a rap back monitoring 10 program. 11 is enacted to read: 12 13 biological, anatomical or physiological characteristic used for identification of an 14 individual, including, but not limited to, fingerprints, retinal or iris scans and palm prints. 15 as enacted by PL 2015, c. 299, §25, is amended 16 to read: 17 18 of employment has direct access to a Medicare or Medicaid beneficiary or other protected 19 individual served by a provider subject to this chapter generally provides to individuals 20 direct contact assistance or has direct access regardless of setting. "Direct access worker" 21 does not include an individual performing repairs, deliveries, installations or similar 22 services who does not have direct access without supervision. "Direct access worker" 23 includes but is not limited to the following individuals: 24 A. An individual seeking employment as a direct access worker; 25 B. An employee who is employed upon the effective date of this chapter and who is 26 required to have a background check in accordance with section 9058 9058-A; 27 C. A former employee who consents, prior to leaving employment, to periodic review 28 of that employee's criminal background for a fixed time; 29 D. An independent contractor pursuant to Title 26, section 1043, subsection 11, 30 paragraph E or Title 39‑A, section 102, subsection 13‑A or a worker who is placed with 31 a provider by a temporary nurse agency or a personal care agency or a placement 32 agency registered pursuant to section 1717; and 33 E. A volunteer, student or other person with direct access who routinely performs 34 unsupervised functions similar to those performed by a direct access worker for a 35 provider. ; and 36 F. A direct care worker pursuant to section 1812-J, subsection 1, paragraph G. 37 as enacted by PL 2015, c. 299, §25, is repealed 38 and the following enacted in its place: 39 40 subject to the requirements of this chapter who has been employed prior to October 1, 2023, 41 is subject to section 9058-A and has not previously submitted biometric identifier data for 42 a background check under this chapter. Page 10 - 131LR0403(01) 1 is enacted to read: 2 "Hospital" means an entity licensed pursuant to chapter 405. 3 is enacted to read: 4 5 entity" means the agency responsible for initiating requests under the rap back monitoring 6 program pursuant to federal implementation guidance documents. 7 is enacted to read: 8 9 the results of a background check eligibility determination and information from the rap 10 back monitoring program to a new employer. 11 as amended by PL 2019, c. 660, §6, is further 12 amended to read: 13 14 entity that employs direct care access workers to provide long-term care and in-home and 15 community-based services under this chapter. 16 as enacted by PL 2015, c. 299, §25, is amended 17 to read: 18 19 facility licensed or exempted from licensing pursuant to chapter 1663. 20 is enacted to read: 21 22 agency" means an approved treatment facility or program licensed pursuant to Title 5, 23 chapter 521. 24 as enacted by PL 2015, c. 299, §25, is amended 25 to read: 26 27 Background Check Center to conduct a comprehensive background check that includes a 28 criminal history records check for all direct access workers. The employer shall comply 29 with the requirements of this chapter, including, but not limited to, a biometric identifier- 30 based background check, when making employment-related decisions for direct access 31 workers. 32 as enacted by PL 2015, c. 299, §25, is amended 33 to read: 34 35 subsequent background check in accordance with rules adopted pursuant to this chapter. 36 Criminal history record checks for all direct access workers using a biometric identifier 37 must be completed every 5 years subsequent to the date of hire or the anniversary date of a 38 previous background check completed through use of the Background Check Center. 39 40 amended to read: Page 11 - 131LR0403(01) 1 O. Mental health services facilities or providers; and 2 3 amended to read: 4 P. Drug treatment centers.; 5 6 Q. Substance use disorder treatment agencies; and 7 is enacted to read: 8 R. Hospitals. 9 as enacted by PL 2015, c. 299, §25, is 10 amended to read: 11 B. Coordinating with the bureau and other federal or state agencies as applicable to 12 obtain data and analyze personally identifying information and biometric identifiers 13 regarding criminal record information and notations that represent disqualifying 14 offenses on relevant databases and registries; 15 16 amended to read: 17 F. Specifying offenses, including offenses that may appear in publicly available 18 criminal record information, that disqualify an individual from employment as a direct 19 access worker for a term of 5, 10 or 30 years or, for disqualifying offenses that occur 20 in health care settings, the lifetime of the individual, including, but not limited to, 21 convictions and other events or notations; 22 as enacted by PL 2015, c. 299, §25, is amended 23 to read: 24 25 employers whether the individual submitted for a background check has offenses that 26 disqualify the individual for employment as a direct access worker. The background check 27 report must include information specific to the individual along with information about the 28 source and type of offense sufficient to allow the individual named in the report to 29 challenge the information. The content of the background check report must include, but is 30 not limited to, notice that the individual submitted for a background check has is: 31 A. No disqualifying offenses; 32 A-1. Eligible for hire; or 33 B. A disqualifying offense; or 34 B-1. Ineligible for hire and the length of any ban on employment as a result. 35 C. A criminal charge without disposition that upon final disposition may result in a 36 disqualifying offense. 37 as enacted by PL 2015, c. 299, §25, is amended 38 to read: Page 12 - 131LR0403(01) 1 2 mandates an employment prohibition by an employer subject to this chapter, an individual 3 who is banned from employment because of a disqualifying criminal offense may initiate 4 a request for a waiver under subsection 8, paragraph H in accordance with a process 5 established by rules adopted pursuant to this chapter under the following circumstances: 6 A. The individual is seeking to be employed or is currently employed by an employer 7 subject to the requirements of this chapter; 8 B. The employer has chosen to sponsor the individual's request for the removal of the 9 ban in order to create or maintain an employment relationship; and 10 C. The employer must attest to the department that the decision to sponsor the waiver 11 request occurred after the employer considered the objectively reasonable factors under 12 subsection 15 and the following factors: 13 (1) The nature and gravity of the disqualifying offense or offenses; 14 (2) The time that has passed since the disqualifying offense or offenses; 15 (3) The nature of the employment held or sought; 16 (4) Whether the criminal conduct was employment-related; and 17 (5) A reasonable conclusion that the individual does not pose a threat of harm to 18 a protected individual or others in the care and support of the individual. 19 The waiver must be sought with respect to the prospective or continued employment by a 20 specific employer that is willing to sponsor the individual's request. An employee seeking 21 a waiver may be conditionally employed in accordance with section 9057, subsection 4 and 22 section 9058 9058-A, subsection 3 until the waiver is denied. 23 as enacted by PL 2015, c. 299, §25, is amended 24 to read: 25 26 deposited in a special revenue account in the Division division of Licensing licensing and 27 Regulatory Services certification and dedicated for Background Check Center operations. 28 as enacted by PL 2015, c. 299, §25, is amended 29 to read: 30 31 services pursuant to federal or state rap back monitoring to report new criminal record 32 events to the Background Check Center for noncriminal justice purposes. The bureau is 33 authorized as the State's noncriminal justice submitting entity for federal rap back 34 monitoring. Requests under the rap back monitoring program include the following 35 procedures: 36 A. The noncriminal justice submitting entity submits to an electronic repository 37 biometric identifier data of a direct access worker; 38 B. The electronic repository retains the biometric identifier data for a period of time 39 specified in the State's subscription with the electronic repository; and Page 13 - 131LR0403(01) 1 C. The electronic repository notifies the noncriminal justice submitting entity of any 2 new criminal record events tied to the biometric identifier data that may disqualify an 3 individual from continued employment as a direct access worker. 4 as enacted by PL 2015, c. 299, §25, is amended 5 to read: 6 7 Check Center to collect the personally identifiable information and biometric identifier and 8 relevant data of individuals as needed to meet the requirements of the rap back monitoring 9 program or as otherwise required by this chapter and other laws. 10 as enacted by PL 2015, c. 299, §25, is 11 amended to read: 12 A. Maintain the personally identifiable information and biometric identifier data in the 13 criminal history records repository; 14 as enacted by PL 2015, c. 299, §25, is 15 amended to read: 16 B. Compare the personally identifiable data, biometric identifier data or other data or 17 both to criminal records to conduct a criminal record check and disseminate the results 18 of this record check to authorized entities; 19 is enacted to read: 20 D-1. The individual provides evidence to the employer that the individual has 21 submitted the individual's biometric identifier data for the background check; 22 as enacted by PL 2015, c. 299, §25, is 23 amended to read: 24 E. The employer verifies and documents that the individual has submitted the 25 individual's biometric identifier data required for the background check and the 26 mandatory identity verification and employment eligibility documents required by 27 rules adopted in accordance with this chapter; and 28 as enacted by PL 2015, c. 299, §25, is repealed. 29 is enacted to read: 30 31 32 access workers shall use the Background Check Center to secure a background check and 33 a background check report using biometric identifier data for each direct access worker. 34 35 36 a staged and orderly process based on the type of provider and the number of direct access 37 workers employed that employers must follow to implement the background checks using 38 biometric identifier data for grandfathered employees consistent with this chapter. The 39 department may grant an employer a deadline extension for good cause shown, which may 40 not be unreasonably withheld. Page 14 - 131LR0403(01) 1 2 direct access employment for up to 60 calendar days from the date the grandfathered 3 employee's first biometric identifier background check is initiated in accordance with 4 subsection 2 and if: 5 A. The grandfathered employee signs a consent to release information and agrees in 6 writing to submit to the background check process; 7 B. The grandfathered employee signs a statement declaring that a background check 8 will not reveal any disqualifying offenses or that an offense that appears is inaccurate; 9 C. The employer verifies and documents that the grandfathered employee has 10 submitted the biometric identifier data and mandatory identity verification and 11 employment eligibility documents required by rules adopted in accordance with section 12 9065; 13 D. The employer initiates the background check by entering the individual into the 14 Background Check Center database as a grandfathered employee; and 15 E. The grandfathered employee is not identified in the Background Check Center 16 database as a disqualified person. 17 18 a disqualifying background check report is subject to the provisions of subsection 3 and 19 must be able to correct disqualifying offense information that appears in the background 20 check report through the inaccurate records corrections process within 60 calendar days 21 after the disqualifying report is issued. The grandfathered employee is subject to direct 22 personal supervision during the conditional employment period as described in rules 23 adopted pursuant to this chapter until a final background check report indicates that no 24 disqualifying offenses appear in the updated records. 25 26 terminate or remove from direct access employment any grandfathered employee who has 27 not submitted the documents required in subsection 3, who refused to submit a biometric 28 identifier or otherwise participate in the background check or who fails to receive a final 29 nondisqualifying background check report in accordance with subsection 4. 30 as enacted by PL 2015, c. 299, §25, is 31 amended to read: 32 B. Failure or refusal to terminate or remove from direct access employment an 33 employee who is disqualified for employment based on the requirements of this 34 chapter; and 35 as enacted by PL 2015, c. 299, §25, is 36 amended to read: 37 C. Substantial noncompliance with the procedures established by this chapter.; and 38 is enacted to read: 39 D. Failure to enroll in the Background Check Center. 40 is enacted to read: 41 Page 15 - 131LR0403(01) 1 A direct access worker may choose to transfer the worker's 2 background check report to another employer. The direct access worker may choose to 3 transfer confidential information contained in the worker's background check report, as 4 long as the background check used a biometric identifier, when: 5 A. The direct access worker agrees to submit to the requirements of this chapter; 6 B. The direct access worker signs a statement releasing the confidential information 7 to the new employer; 8 C. The employer verifies and documents that the direct access worker has submitted 9 the mandatory identity verification and employment eligibility documents required by 10 rules adopted in accordance with this chapter; and 11 D. The employer ensures the background check was completed within the last 5 years 12 and enters the direct access worker into the rap back monitoring program. 13 14 This bill: 15 1. Amends the provisions of law relating to the Background Check Center, or BCC, 16 established under the Maine Revised Statutes, Title 22, chapter 1691, in order to: 17 A. Authorize the collection of biometric identifier data to enable the BCC to access 18 national criminal history backgrounds of potential employees and to amend related 19 grandfathering provisions; 20 B. Authorize the portability of background check results from one employer to 21 another; 22 C. Clarify the relationship of the provisions to direct access workers; 23 D. Authorize the BCC to specify offenses that disqualify an individual from 24 employment as a direct access worker; and 25 E. Establish the BCC as the noncriminal justice submitting entity for the federal rap 26 back monitoring program and outline procedures related to rap back monitoring; 27 2. Amends the provisions of law relating to the Maine Registry of Certified Nursing 28 Assistants and Direct Care Workers in order to: 29 A. Limit the registry's authority to the eligibility of certified nursing assistants and 30 listing direct care workers who have substantiated findings of abuse, neglect or 31 misappropriation of property; 32 B. Clarify the relationship of the provisions to direct care workers; 33 C. Allow a process for a direct care worker to petition removal of a substantiated 34 finding of neglect or misappropriation of property; 35 D. Clarify that certified nursing assistants and direct care workers are subject to the 36 background check required under the provisions of law governing the BCC; 37 E. Authorize the Department of Health and Human Services to adopt rules to specify 38 criminal convictions that disqualify a person from employment as a certified nursing 39 assistant or direct access worker; and 14 Page 16 - 131LR0403(01) 1 F. Remove the provisions related to the ability of applicants to seek relief relating to 2 disqualifying criminal convictions and site that authority within the BCC; and 3 3. Amends the provisions of law relating to unlicensed assistive persons in order to: 4 A. Replace the term "unlicensed assistive person" with "direct care worker"; 5 B. Remove the provisions related to the ability of applicants to seek relief relating to 6 disqualifying criminal convictions and site that authority within the BCC; and 7 C. Provide for individuals enrolling in a training program for direct care workers to 8 receive a background check through the BCC.