PRINTER'S NO. 1350 THE GENERAL ASSEMBLY OF PENNSYLVANIA HOUSE BILL No.1202 Session of 2025 INTRODUCED BY ZIMMERMAN, STAMBAUGH, KRUPA AND KUZMA, APRIL 15, 2025 REFERRED TO COMMITTEE ON HEALTH, APRIL 15, 2025 AN ACT Amending Title 35 (Health and Safety) of the Pennsylvania Consolidated Statutes, providing for long-term infectious disease control. The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows: Section 1. Title 35 of the Pennsylvania Consolidated Statutes is amended by adding a chapter to read: CHAPTER 58A LONG-TERM INFECTIOUS DISEASE CONTROL Sec. 58A01. Definitions. 58A02. Response to emergency. 58A03. Inspection and review. 58A04. Facilities. § 58A01. Definitions. The following words and phrases when used in this chapter shall have the meanings given to them in this section unless context clearly indicates otherwise: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 "Advanced emergency medical technician." An advanced emergency medical technician as defined in section 8103 (relating to definitions). "Commission." The Infectious Disease Advisory Commission established under section 58A02(f) (relating to response to emergency). "Department." The Department of Health of the Commonwealth. "Disaster emergency." A declaration by the Governor of a disaster emergency under section 7301(c) (relating to general authority of Governor) relating to public health. "Emergency medical technician." An emergency medical technician as defined in section 8103. "Facility." Any of the following: (1) Domiciliary care as defined in section 2202-A of the act of April 9, 1929 (P.L.177, No.175), known as The Administrative Code of 1929. (2) A personal care home as defined in section 1001 of the act of June 13, 1967 (P.L.31, No.21), known as the Human Services Code. (3) An assisted living residence as defined in section 1001 of the Human Services Code. (4) Any of the following entities as defined in section 802.1 of the act of July 19, 1979 (P.L.130, No.48), known as the Health Care Facilities Act: (i) Home care agency. (ii) Home care registry. (iii) Home health care agency. (iv) Hospice. (v) Long-term care nursing facility. (5) An older adult daily living center as defined in 20250HB1202PN1350 - 2 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 section 2 of the act of July 11, 1990 (P.L.499, No.118), known as the Older Adult Daily Living Centers Licensing Act. (6) A PACE provider as defined in 42 U.S.C. § 1395eee(a) (3) (relating to payments to, and coverage of benefits under, programs of all-inclusive care for elderly (PACE)). (7) Any other public or private organization, entity or part of a private organization or entity, that uses public funds and is paid, in part, to provide care to care-dependent individuals. "Infectious disease coordinator." An employee of the facility designated to implement the infectious disease plan required under section 58A04 (relating to facilities). "Organization." An organization that supplies or manufactures personal protective equipment. "Paramedic." A paramedic as defined in section 8103. "Personal protective equipment" or "PPE." Gloves, hand sanitizer, respirators, face masks, gowns, face shields and other protective equipment designed to be worn or used by individuals to prevent or contain contact with, or to prevent transmission of, a communicable illness or the pathogens that cause communicable illness. "Plan" or "infectious disease plan." The infectious disease plan required under section 58A04(a). "PPE stockpile" or "stockpile." The PPE stockpile established under section 58A02(b). "Recipient." An individual who receives care, services or treatment in or from a facility. "Relative." An individual who is related within the fifth degree of consanguinity or affinity to a recipient in a facility. 20250HB1202PN1350 - 3 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 § 58A02. Response to emergency. (a) Selection of organization.--The Governor, or the Governor's designee, shall select an organization, by competitive bid, for successive terms of five years each to oversee the procurement, manufacturing and distribution of PPE in this Commonwealth. (b) Duties of selected organization.--The organization selected under subsection (a) shall perform the following duties: (1) Purchase and keep up-to-date a stockpile of PPE to be used by a facility in the event of a disaster emergency in accordance with subsection (c). (2) Select three manufacturers of PPE from which the organization shall procure PPE. (3) Contract with manufacturers of PPE to provide PPE to facilities within this Commonwealth and supply the PPE stockpile under paragraph (4). A manufacturer must be domiciled and manufacture PPE in this Commonwealth in order to be eligible for a contract under this paragraph. (4) Determine four locations within this Commonwealth to store PPE as follows: (i) One-fourth of the stockpile shall be located in the northwest area of this Commonwealth. (ii) One-fourth of the stockpile shall be located in the northeast area of this Commonwealth. (iii) One-fourth of the stockpile shall be located in the southwest area of this Commonwealth. (iv) One-fourth of the stockpile shall be located in the southeast area of this Commonwealth. (c) Required amount of PPE.--The amount of PPE stored in the 20250HB1202PN1350 - 4 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 stockpile shall be determined by the Governor, or the Governor's designee, the first year. For each subsequent year, the PPE stored in the stockpile shall equal the amount of PPE purchased the previous year at a minimum, but may not be more than quadruple the volume. (d) Funding of stockpile.--The stockpile shall be funded by a 50% fee on purchased PPE until the required amount of PPE stored in the stockpile under subsection (c) is met. For subsequent PPE stored in the stockpile, the fee shall be reduced to 7% to fund the stockpile operations. Facilities shall purchase all PPE from the organization. The amount that each facility purchases is the amount that will be available to the facility during a disaster emergency. (e) Access to PPE.--A facility, advanced emergency medical technician, emergency medical technician or paramedic may access the stockpile to obtain the PPE purchased by the facility for the stockpile during a disaster emergency. (f) Infectious Disease Advisory Commission.-- (1) The Governor shall establish the Infectious Disease Advisory Commission. (2) The commission shall be composed of the following members: (i) The Secretary of Aging or a designee. (ii) The Secretary of Health or a designee. (iii) The Secretary of Human Services or a designee. (iv) Six members knowledgeable and experienced in issues relating to operations in facilities as follows: (A) Three members of the Senate, appointed by the President pro tempore of the Senate, in consultation with the Majority Leader of the Senate 20250HB1202PN1350 - 5 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 and the Minority Leader of the Senate. (B) Three members of the House of Representatives, appointed by the Speaker of the House of Representatives, in consultation with the Majority Leader of the House of Representatives and the Minority Leader of the House of Representatives. (v) Three members appointed by the Governor as follows: (A) One member shall be a member of the general public. (B) One member shall be a member of an organization who is directly involved in managing a facility. (C) One member shall be a member of an advocacy or services organization who is directly involved in providing services to older adults. (3) The commission shall meet as necessary, but no fewer than three times within the first 90 days of the disaster emergency. (4) The commission shall be responsible for examining and analyzing the practices, processes and procedures relating to the prevention of and response to infectious diseases in facilities. (5) The commission shall develop best practices on disease prevention, education, training requirements and any other operations that may be altered for facilities during a disaster emergency. § 58A03. Inspection and review. (a) Inspections and surveys.--The department, in consultation with the Department of Human Services, shall: 20250HB1202PN1350 - 6 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 (1) Review and align all facility inspections and surveys conducted by each department with best practices for reducing the spread of infectious diseases. (2) Determine the priority order for inspecting or surveying facilities during an infectious disease outbreak. (3) Determine a list of protocols for inspection and intervention. (b) Regulation review.--The Governor shall submit a report to the General Assembly reviewing all regulations for facilities. The report shall include, but not be limited to, the following: (1) An outline of the regulations for facilities. (2) A comparison of the regulations for facilities that existed prior to a declaration of a disaster emergency and any regulations that were suspended or altered during the state of disaster emergency. (3) An executive summary of the differences between the regulations for facilities as determined under paragraph (2). (c) Data reporting.--The department, in consultation with the Department of Human Services, shall develop a single reporting system for facilities to submit new cases and information that the department determines necessary during a disaster emergency. (d) Sample infectious disease plan.--The department, in consultation with the Department of Human Services, shall develop and make available on the department's publicly accessible Internet website a sample infectious disease plan for a facility to implement. The model infectious disease plan shall fulfill the requirement under section 58A04(a) (relating to facilities). At a minimum, the infectious disease plan shall 20250HB1202PN1350 - 7 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 include: (1) The data reporting requirements under subsection (c). (2) A mechanism for complaints or feedback regarding the infectious disease plan. (3) A method to obtain a one-year supply of PPE from the organization under section 58A02(a) (relating to response to emergency). (4) A method to cohort recipients within the facility. (5) A method to screen each employee before the employee's shift begins. (6) A schedule that assigns staff to certain areas of the facility. (7) A notification system to alert relatives of recipients in the facility of the measures the facility is taking to prevent and respond to the communicable disease or virus. § 58A04. Facilities. (a) Infectious disease plan.--Each facility shall develop an infectious disease plan to implement upon the declaration of a disaster emergency. At a minimum, the infectious disease plan shall include the requirements listed under section 58A03(d) (relating to inspection and review). Nothing in this subsection shall be construed to prevent a facility from taking additional measures to prevent and respond to an infectious or communicable disease during a disaster emergency. (b) Infectious disease coordinator.--Each facility shall designate an employee to serve as the infectious disease coordinator within the facility during a disaster emergency to ensure that the infectious disease plan requirements under 20250HB1202PN1350 - 8 - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 subsection (a) are met. Section 2. This act shall take effect in 60 days. 20250HB1202PN1350 - 9 - 1 2