Us Congress 2025-2026 Regular Session

Us Congress House Bill HB2531 Compare Versions

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Old	New	Differences
1	1	I
2	2	119THCONGRESS
3	3	1
4	4	STSESSION H. R. 2531
5	5	To direct the Secretary of Labor to issue an occupational safety and health
6	6	standard that requires covered employers within the health care and
7	7	social service industries to develop and implement a comprehensive work-
8	8	place violence prevention plan, and for other purposes.
9	9	IN THE HOUSE OF REPRESENTATIVES
10	10	APRIL1, 2025
11	11	Mr. C
12	12	OURTNEY(for himself, Mr. BACON, Mr. SCOTTof Virginia, Mr.
13	13	F
14	14	ITZPATRICK, Ms. OMAR, and Ms. ADAMS) introduced the following bill;
15	15	which was referred to the Committee on Education and Workforce, and
16	16	in addition to the Committees on Energy and Commerce, and Ways and
17	17	Means, for a period to be subsequently determined by the Speaker, in
18	18	each case for consideration of such provisions as fall within the jurisdic-
19	19	tion of the committee concerned
20	20	A BILL
21	21	To direct the Secretary of Labor to issue an occupational
22	22	safety and health standard that requires covered employ-
23	23	ers within the health care and social service industries
24	24	to develop and implement a comprehensive workplace
25	25	violence prevention plan, and for other purposes.
26	26	Be it enacted by the Senate and House of Representa-1
27	27	tives of the United States of America in Congress assembled, 2
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30	30	•HR 2531 IH
31	31	SECTION 1. SHORT TITLE. 1
32	32	This Act may be cited as the ‘‘Workplace Violence 2
33	33	Prevention for Health Care and Social Service Workers 3
34	34	Act’’. 4
35	35	SEC. 2. TABLE OF CONTENTS. 5
36	36	The table of contents for this Act is as follows: 6
37	37	Sec. 1. Short title.
38	38	Sec. 2. Table of contents.
39	39	TITLE I—WORKPLACE VIOLENCE PREVENTION STANDARD
40	40	Sec. 101. Workplace violence prevention standard.
41	41	Sec. 102. Scope and application.
42	42	Sec. 103. Requirements for workplace violence prevention standard.
43	43	Sec. 104. Rules of construction.
44	44	Sec. 105. Other definitions.
45	45	TITLE II—AMENDMENTS TO THE SOCIAL SECURITY ACT
46	46	Sec. 201. Application of the workplace violence prevention standard to certain
47	47	facilities receiving Medicare funds.
48	48	TITLE I—WORKPLACE VIOLENCE 7
49	49	PREVENTION STANDARD 8
50	50	SEC. 101. WORKPLACE VIOLENCE PREVENTION STANDARD. 9
51	51	(a) I
52	52	NTERIMFINALSTANDARD.— 10
53	53	(1) I
54	54	N GENERAL.—Not later than 1 year after 11
55	55	the date of enactment of this Act, the Secretary of 12
56	56	Labor shall issue an interim final standard on work-13
57	57	place violence prevention— 14
58	58	(A) to require certain employers in the 15
59	59	health care and social service sectors, and cer-16
60	60	tain employers in sectors that conduct activities 17
61	61	similar to the activities in the health care and 18
62	62	social service sectors, to develop and implement 19
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65	65	•HR 2531 IH
66	66	a comprehensive workplace violence prevention 1
67	67	plan and carry out other activities or require-2
68	68	ments described in section 103 to protect health 3
69	69	care workers, social service workers, and other 4
70	70	personnel from workplace violence; 5
71	71	(B) that shall, at a minimum, be based on 6
72	72	the Guidelines for Preventing Workplace Vio-7
73	73	lence for Healthcare and Social Service Work-8
74	74	ers published by the Occupational Safety and 9
75	75	Health Administration of the Department of 10
76	76	Labor in 2015 and adhere to the requirements 11
77	77	of this title; and 12
78	78	(C) that provides for a period determined 13
79	79	appropriate by the Secretary, not to exceed 1 14
80	80	year, during which the Secretary shall prioritize 15
81	81	technical assistance and advice consistent with 16
82	82	section 21(d) of the Occupational Safety and 17
83	83	Health Act of 1970 (29 U.S.C. 670(d)) to em-18
84	84	ployers subject to the standard with respect to 19
85	85	compliance with the standard. 20
86	86	(2) I
87	87	NAPPLICABLE PROVISIONS OF LAW AND 21
88	88	EXECUTIVE ORDER.—The following provisions of law 22
89	89	and Executive orders shall not apply to the issuance 23
90	90	of the interim final standard under this subsection: 24
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93	93	•HR 2531 IH
94	94	(A) The requirements applicable to occupa-1
95	95	tional safety and health standards under section 2
96	96	6(b) of the Occupational Safety and Health Act 3
97	97	of 1970 (29 U.S.C. 655(b)). 4
98	98	(B) The requirements of chapters 5 and 6 5
99	99	of title 5, United States Code. 6
100	100	(C) Subchapter I of chapter 35 of title 44, 7
101	101	United States Code (commonly referred to as 8
102	102	the ‘‘Paperwork Reduction Act’’). 9
103	103	(D) Executive Order No. 12866 (58 Fed. 10
104	104	Reg. 51735; relating to regulatory planning and 11
105	105	review), as amended. 12
106	106	(3) N
107	107	OTICE AND COMMENT .—Notwithstanding 13
108	108	paragraph (2)(B), the Secretary shall, prior to 14
109	109	issuing the interim final standard under this sub-15
110	110	section, provide notice in the Federal Register of the 16
111	111	interim final standard and a 30-day period for pub-17
112	112	lic comment. 18
113	113	(4) E
114	114	FFECTIVE DATE OF INTERIM STAND -19
115	115	ARD.—The interim final standard shall— 20
116	116	(A) take effect on a date that is not later 21
117	117	than 30 days after issuance, except that such 22
118	118	interim final standard may include a reasonable 23
119	119	phase-in period for the implementation of re-24
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122	122	•HR 2531 IH
123	123	quired engineering controls that take effect 1
124	124	after such date; 2
125	125	(B) be enforced in the same manner and 3
126	126	to the same extent as any standard promul-4
127	127	gated under section 6(b) of the Occupational 5
128	128	Safety and Health Act of 1970 (29 U.S.C. 6
129	129	655(b)); and 7
130	130	(C) be in effect until the final standard de-8
131	131	scribed in subsection (b) becomes effective and 9
132	132	enforceable. 10
133	133	(5) F
134	134	AILURE TO PROMULGATE .—If an interim 11
135	135	final standard described in paragraph (1) is not 12
136	136	issued not later than 1 year of the date of enactment 13
137	137	of this Act, the provisions of this title shall be in ef-14
138	138	fect and enforced in the same manner and to the 15
139	139	same extent as any standard promulgated under sec-16
140	140	tion 6(b) of the Occupational Safety and Health Act 17
141	141	(29 U.S.C. 655(b)) until such provisions are super-18
142	142	seded in whole by an interim final standard issued 19
143	143	by the Secretary that meets the requirements of 20
144	144	paragraph (1). 21
145	145	(b) F
146	146	INALSTANDARD.— 22
147	147	(1) P
148	148	ROPOSED STANDARD .—Not later than 2 23
149	149	years after the date of enactment of this Act, the 24
150	150	Secretary of Labor shall, pursuant to section 6 of 25
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153	153	•HR 2531 IH
154	154	the Occupational Safety and Health Act (29 U.S.C. 1
155	155	655), promulgate a proposed standard on workplace 2
156	156	violence prevention— 3
157	157	(A) for the purposes described in sub-4
158	158	section (a)(1)(A); and 5
159	159	(B) that shall include, at a minimum, re-6
160	160	quirements contained in the interim final stand-7
161	161	ard promulgated under subsection (a). 8
162	162	(2) F
163	163	INAL STANDARD.—Not later than 42 9
164	164	months after the date of enactment of this Act, the 10
165	165	Secretary shall issue a final standard on such pro-11
166	166	posed standard that shall— 12
167	167	(A) provide no less protection than any 13
168	168	workplace violence standard adopted by a State 14
169	169	plan that has been approved by the Secretary 15
170	170	under section 18 of the Occupational Safety 16
171	171	and Health Act of 1970 (29 U.S.C. 667), pro-17
172	172	vided the Secretary finds that the final stand-18
173	173	ard is feasible on the basis of the best available 19
174	174	evidence; and 20
175	175	(B) be effective and enforceable in the 21
176	176	same manner and to the same extent as any 22
177	177	standard promulgated under section 6(b) of the 23
178	178	Occupational Safety and Health Act of 1970 24
179	179	(29 U.S.C. 655(b)). 25
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182	182	•HR 2531 IH
183	183	SEC. 102. SCOPE AND APPLICATION. 1
184	184	In this title: 2
185	185	(1) C
186	186	OVERED FACILITY.— 3
187	187	(A) I
188	188	N GENERAL.—The term ‘‘covered fa-4
189	189	cility’’ includes the following: 5
190	190	(i) Any hospital, including any spe-6
191	191	cialty hospital, in-patient or outpatient set-7
192	192	ting, or clinic operating within a hospital 8
193	193	license, or any setting that provides out-9
194	194	patient services. 10
195	195	(ii) Any residential treatment facility, 11
196	196	including any nursing home, skilled nurs-12
197	197	ing facility, hospice facility, Alzheimer’s 13
198	198	and memory care facility, and long-term 14
199	199	care facility. 15
200	200	(iii) Any non-residential treatment or 16
201	201	service setting. 17
202	202	(iv) Any medical treatment or social 18
203	203	service setting or clinic at a correctional or 19
204	204	detention facility. 20
205	205	(v) Any community care setting, in-21
206	206	cluding a community-based residential fa-22
207	207	cility, group home, and mental health clin-23
208	208	ic. 24
209	209	(vi) Any psychiatric treatment facility. 25
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212	212	•HR 2531 IH
213	213	(vii) Any drug abuse or substance use 1
214	214	disorder treatment center. 2
215	215	(viii) Any independent freestanding 3
216	216	emergency centers. 4
217	217	(ix) Any facility described in clauses 5
218	218	(i) through (viii) operated by a Federal 6
219	219	Government agency and required to comply 7
220	220	with occupational safety and health stand-8
221	221	ards pursuant to section 1960 of title 29, 9
222	222	Code of Federal Regulations (as such sec-10
223	223	tion is in effect on the date of enactment 11
224	224	of this Act). 12
225	225	(x) Any other facility the Secretary 13
226	226	determines should be covered under the 14
227	227	standards promulgated under section 101. 15
228	228	(B) E
229	229	XCLUSION.—The term ‘‘covered facil-16
230	230	ity’’ does not include an office of a physician, 17
231	231	dentist, podiatrist, or any other health practi-18
232	232	tioner that is not physically located within a 19
233	233	covered facility described in clauses (i) through 20
234	234	(x) of subparagraph (A). 21
235	235	(2) C
236	236	OVERED SERVICES.— 22
237	237	(A) I
238	238	N GENERAL.—The term ‘‘covered 23
239	239	service’’ includes the following services and op-24
240	240	erations: 25
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243	243	•HR 2531 IH
244	244	(i) Any services and operations pro-1
245	245	vided in any field work setting, including 2
246	246	home health care, home-based hospice, and 3
247	247	home-based social work. 4
248	248	(ii) Any emergency services and trans-5
249	249	port, including such services provided by 6
250	250	firefighters and emergency responders. 7
251	251	(iii) Any services described in clauses 8
252	252	(i) and (ii) performed by a Federal Gov-9
253	253	ernment agency and required to comply 10
254	254	with occupational safety and health stand-11
255	255	ards pursuant to section 1960 of title 29, 12
256	256	Code of Federal Regulations (as such sec-13
257	257	tion is in effect on the date of enactment 14
258	258	of this Act). 15
259	259	(iv) Any other services and operations 16
260	260	the Secretary determines should be covered 17
261	261	under the standards promulgated under 18
262	262	section 101. 19
263	263	(B) E
264	264	XCLUSION.—The term ‘‘covered serv-20
265	265	ice’’ does not include child day care services. 21
266	266	(3) C
267	267	OVERED EMPLOYER .— 22
268	268	(A) I
269	269	N GENERAL.—The term ‘‘covered em-23
270	270	ployer’’ includes a person (including a con-24
271	271	tractor, subcontractor, a temporary service 25
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274	274	•HR 2531 IH
275	275	firm, or an employee leasing entity) that em-1
276	276	ploys an individual to work at a covered facility 2
277	277	or to perform covered services. 3
278	278	(B) E
279	279	XCLUSION.—The term ‘‘covered em-4
280	280	ployer’’ does not include an individual who pri-5
281	281	vately employs, in the individual’s residence, a 6
282	282	person to perform covered services for the indi-7
283	283	vidual or a family member of the individual. 8
284	284	(4) C
285	285	OVERED EMPLOYEE .—The term ‘‘covered 9
286	286	employee’’ includes an individual employed by a cov-10
287	287	ered employer to work at a covered facility or to per-11
288	288	form covered services. 12
289	289	SEC. 103. REQUIREMENTS FOR WORKPLACE VIOLENCE 13
290	290	PREVENTION STANDARD. 14
291	291	Each standard described in section 101 shall include, 15
292	292	at a minimum, the following requirements: 16
293	293	(1) W
294	294	ORKPLACE VIOLENCE PREVENTION 17
295	295	PLAN.—Not later than 6 months after the date of 18
296	296	promulgation of the interim final standard under 19
297	297	section 101(a), a covered employer shall develop, im-20
298	298	plement, and maintain an effective written workplace 21
299	299	violence prevention plan (in this section referred to 22
300	300	as the ‘‘Plan’’) for covered employees at each cov-23
301	301	ered facility and for covered employees performing a 24
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304	304	•HR 2531 IH
305	305	covered service on behalf of such employer, which 1
306	306	meets the following: 2
307	307	(A) P
308	308	LAN DEVELOPMENT .—Each Plan— 3
309	309	(i) shall be developed and imple-4
310	310	mented with the meaningful participation 5
311	311	of direct care employees, other employees, 6
312	312	and employee representatives, for all as-7
313	313	pects of the Plan; 8
314	314	(ii) shall be tailored and specific to 9
315	315	conditions and hazards for the covered fa-10
316	316	cility or the covered service, including pa-11
317	317	tient-specific risk factors and risk factors 12
318	318	specific to each work area or unit; 13
319	319	(iii) shall be suitable for the size, com-14
320	320	plexity, and type of operations at the cov-15
321	321	ered facility or for the covered service, and 16
322	322	remain in effect at all times; and 17
323	323	(iv) may be in consultation with stake-18
324	324	holders or experts who specialize in work-19
325	325	place violence prevention, emergency re-20
326	326	sponse, or other related areas of expertise 21
327	327	for all relevant aspects of the Plan. 22
328	328	(B) P
329	329	LAN CONTENT.—Each Plan shall in-23
330	330	clude procedures and methods for the following: 24
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333	333	•HR 2531 IH
334	334	(i) Identification of the individual and 1
335	335	the individual’s position responsible for im-2
336	336	plementation of the Plan. 3
337	337	(ii) With respect to each work area 4
338	338	and unit at the covered facility or while 5
339	339	covered employees are performing the cov-6
340	340	ered service, risk assessment and identi-7
341	341	fication of workplace violence risks and 8
342	342	hazards to employees exposed to such risks 9
343	343	and hazards (including environmental risk 10
344	344	factors and patient-specific risk factors), 11
345	345	which shall be— 12
346	346	(I) informed by past violent inci-13
347	347	dents specific to such covered facility 14
348	348	or such covered service; and 15
349	349	(II) conducted with, at a min-16
350	350	imum— 17
351	351	(aa) direct care employees; 18
352	352	(bb) where applicable, the 19
353	353	representatives of such employ-20
354	354	ees; and 21
355	355	(cc) the employer. 22
356	356	(iii) Hazard prevention, engineering 23
357	357	controls, or work practice controls to cor-24
358	358	rect hazards, in a timely manner, applying 25
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361	361	•HR 2531 IH
362	362	industrial hygiene principles of the hier-1
363	363	archy of controls, which— 2
364	364	(I) may include security and 3
365	365	alarm systems, adequate exit routes, 4
366	366	monitoring systems, barrier protec-5
367	367	tion, established areas for patients 6
368	368	and clients, lighting, entry procedures, 7
369	369	staffing and working in teams, and 8
370	370	systems to identify and flag clients 9
371	371	with a history of violence; and 10
372	372	(II) shall ensure that employers 11
373	373	correct, in a timely manner, hazards 12
374	374	identified in any violent incident in-13
375	375	vestigation described in paragraph (2) 14
376	376	and any annual report described in 15
377	377	paragraph (5). 16
378	378	(iv) Reporting, incident response, and 17
379	379	post-incident investigation procedures, in-18
380	380	cluding procedures— 19
381	381	(I) for employees to report work-20
382	382	place violence risks, hazards, and inci-21
383	383	dents; 22
384	384	(II) for employers to respond to 23
385	385	reports of workplace violence; 24
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388	388	•HR 2531 IH
389	389	(III) for employers to perform a 1
390	390	post-incident investigation and de-2
391	391	briefing of all reports of workplace vi-3
392	392	olence with the participation of em-4
393	393	ployees and their representatives; 5
394	394	(IV) to provide medical care or 6
395	395	first aid to affected employees; and 7
396	396	(V) to provide employees with in-8
397	397	formation about available trauma and 9
398	398	related counseling. 10
399	399	(v) Procedures for emergency re-11
400	400	sponse, including procedures for threats of 12
401	401	mass casualties and procedures for inci-13
402	402	dents involving a firearm or a dangerous 14
403	403	weapon. 15
404	404	(vi) Procedures for communicating 16
405	405	with and training the covered employees on 17
406	406	workplace violence hazards, threats, and 18
407	407	work practice controls, the employer’s plan, 19
408	408	and procedures for confronting, responding 20
409	409	to, and reporting workplace violence 21
410	410	threats, incidents, and concerns, and em-22
411	411	ployee rights. 23
412	412	(vii) Procedures for— 24
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415	415	•HR 2531 IH
416	416	(I) ensuring the coordination of 1
417	417	risk assessment efforts, Plan develop-2
418	418	ment, and implementation of the Plan 3
419	419	with other employers who have em-4
420	420	ployees who work at the covered facil-5
421	421	ity or who are performing the covered 6
422	422	service; and 7
423	423	(II) determining which covered 8
424	424	employer or covered employers shall 9
425	425	be responsible for implementing and 10
426	426	complying with the provisions of the 11
427	427	standard applicable to the working 12
428	428	conditions over which such employers 13
429	429	have control. 14
430	430	(viii) Procedures for conducting the 15
431	431	annual evaluation under paragraph (6). 16
432	432	(C) A
433	433	VAILABILITY OF PLAN.—Each Plan 17
434	434	shall be made available at all times to the cov-18
435	435	ered employees who are covered under such 19
436	436	Plan. 20
437	437	(2) V
438	438	IOLENT INCIDENT INVESTIGATION .— 21
439	439	(A) I
440	440	N GENERAL.—As soon as practicable 22
441	441	after a workplace violence incident, risk, or haz-23
442	442	ard of which a covered employer has knowledge, 24
443	443	the employer shall conduct an investigation of 25
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446	446	•HR 2531 IH
447	447	such incident, risk, or hazard under which the 1
448	448	employer shall— 2
449	449	(i) review the circumstances of the in-3
450	450	cident, risk, or hazard, and whether any 4
451	451	controls or measures implemented pursu-5
452	452	ant to the Plan of the employer were effec-6
453	453	tive; and 7
454	454	(ii) solicit input from involved employ-8
455	455	ees, their representatives, and supervisors 9
456	456	about the cause of the incident, risk, or 10
457	457	hazard, and whether further corrective 11
458	458	measures (including system-level factors) 12
459	459	could have prevented the incident, risk, or 13
460	460	hazard. 14
461	461	(B) D
462	462	OCUMENTATION.—A covered em-15
463	463	ployer shall document the findings, rec-16
464	464	ommendations, and corrective measures taken 17
465	465	for each investigation conducted under this 18
466	466	paragraph. 19
467	467	(3) T
468	468	RAINING AND EDUCATION .—With respect 20
469	469	to the covered employees covered under a Plan of a 21
470	470	covered employer, the employer shall provide train-22
471	471	ing and education to such employees who may be ex-23
472	472	posed to workplace violence hazards and risks, which 24
473	473	meet the following requirements: 25
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476	476	•HR 2531 IH
477	477	(A) Annual training and education shall 1
478	478	include information on the Plan, including iden-2
479	479	tified workplace violence hazards, work practice 3
480	480	control measures, reporting procedures, record 4
481	481	keeping requirements, response procedures, 5
482	482	anti-retaliation policies, and employee rights. 6
483	483	(B) Additional hazard recognition training 7
484	484	shall be provided for supervisors and managers 8
485	485	to ensure they— 9
486	486	(i) can recognize high-risk situations; 10
487	487	and 11
488	488	(ii) do not assign employees to situa-12
489	489	tions that predictably compromise the safe-13
490	490	ty of such employees. 14
491	491	(C) Additional training shall be provided 15
492	492	for each such covered employee whose job cir-16
493	493	cumstances have changed, within a reasonable 17
494	494	timeframe after such change. 18
495	495	(D) Additional training shall be provided 19
496	496	for each such covered employee whose job cir-20
497	497	cumstances require working with victims of tor-21
498	498	ture, trafficking, or domestic violence. 22
499	499	(E) Applicable training shall be provided 23
500	500	under this paragraph for each new covered em-24
501	501	ployee prior to the employee’s job assignment. 25
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504	504	•HR 2531 IH
505	505	(F) All training shall provide such employ-1
506	506	ees opportunities to ask questions, give feed-2
507	507	back on training, and request additional in-3
508	508	struction, clarification, or other followup. 4
509	509	(G) All training shall be provided in-person 5
510	510	and by an individual with knowledge of work-6
511	511	place violence prevention and of the Plan, ex-7
512	512	cept that any annual training described in sub-8
513	513	paragraph (A) provided to an employee after 9
514	514	the first year such training is provided to such 10
515	515	employee may be conducted by live video if in- 11
516	516	person training is impracticable. 12
517	517	(H) All training shall be appropriate in 13
518	518	content and vocabulary to the language, edu-14
519	519	cational level, and literacy of such covered em-15
520	520	ployees. 16
521	521	(4) R
522	522	ECORDKEEPING AND ACCESS TO PLAN 17
523	523	RECORDS.— 18
524	524	(A) I
525	525	N GENERAL.—Each covered employer 19
526	526	shall— 20
527	527	(i) maintain for not less than 5 21
528	528	years— 22
529	529	(I) records related to each Plan 23
530	530	of the employer, including workplace 24
531	531	violence risk and hazard assessments, 25
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534	534	•HR 2531 IH
535	535	and identification, evaluation, correc-1
536	536	tion, and training procedures; 2
537	537	(II) a violent incident log de-3
538	538	scribed in subparagraph (B) for re-4
539	539	cording all workplace violence inci-5
540	540	dents; and 6
541	541	(III) records of all incident inves-7
542	542	tigations as required under paragraph 8
543	543	(2)(B); and 9
544	544	(ii)(I) make such records and logs 10
545	545	available, upon request, to covered employ-11
546	546	ees and their representatives for examina-12
547	547	tion and copying in accordance with sec-13
548	548	tion 1910.1020 of title 29, Code of Federal 14
549	549	Regulations (as such section is in effect on 15
550	550	the date of enactment of this Act), and in 16
551	551	a manner consistent with HIPAA privacy 17
552	552	regulations (defined in section 1180(b)(3) 18
553	553	of the Social Security Act (42 U.S.C. 19
554	554	1320d–9(b)(3))) and part 2 of title 42, 20
555	555	Code of Federal Regulations (as such part 21
556	556	is in effect on the date of enactment of this 22
557	557	Act); and 23
558	558	(II) ensure that any such records and 24
559	559	logs that may be copied, transmitted elec-25
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562	562	•HR 2531 IH
563	563	tronically, or otherwise removed from the 1
564	564	employer’s control for purposes of this 2
565	565	clause omit any element of personal identi-3
566	566	fying information sufficient to allow identi-4
567	567	fication of any patient, resident, client, or 5
568	568	other individual alleged to have committed 6
569	569	a violent incident (including the individ-7
570	570	ual’s name, address, electronic mail ad-8
571	571	dress, telephone number, or social security 9
572	572	number, or other information that, alone 10
573	573	or in combination with other publicly avail-11
574	574	able information, reveals such individual’s 12
575	575	identity). 13
576	576	(B) V
577	577	IOLENT INCIDENT LOG DESCRIP -14
578	578	TION.—Each violent incident log shall— 15
579	579	(i) be maintained by a covered em-16
580	580	ployer for each covered facility controlled 17
581	581	by the employer and for each covered serv-18
582	582	ice being performed by a covered employee 19
583	583	on behalf of such employer; 20
584	584	(ii) be based on a template developed 21
585	585	by the Secretary not later than 1 year 22
586	586	after the date of enactment of this Act; 23
587	587	(iii) include, at a minimum, a descrip-24
588	588	tion of— 25
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591	591	•HR 2531 IH
592	592	(I) the violent incident (including 1
593	593	environmental risk factors present at 2
594	594	the time of the incident); 3
595	595	(II) the date, time, and location 4
596	596	of the incident, and the names and 5
597	597	job titles of involved employees; 6
598	598	(III) the nature and extent of in-7
599	599	juries to covered employees; 8
600	600	(IV) a classification of the perpe-9
601	601	trator who committed the violence, in-10
602	602	cluding whether the perpetrator was— 11
603	603	(aa) a patient, client, resi-12
604	604	dent, or customer of a covered 13
605	605	employer; 14
606	606	(bb) a family member or 15
607	607	friend of a patient, client, resi-16
608	608	dent, or customer of a covered 17
609	609	employer; 18
610	610	(cc) a stranger; 19
611	611	(dd) a coworker, supervisor, 20
612	612	or manager of a covered em-21
613	613	ployee; 22
614	614	(ee) a partner, spouse, par-23
615	615	ent, or relative of a covered em-24
616	616	ployee; or 25
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619	619	•HR 2531 IH
620	620	(ff) any other appropriate 1
621	621	classification; 2
622	622	(V) the type of violent incident 3
623	623	(such as type 1 violence, type 2 vio-4
624	624	lence, type 3 violence, or type 4 vio-5
625	625	lence); and 6
626	626	(VI) how the incident was 7
627	627	abated; 8
628	628	(iv) not later than 7 days after the 9
629	629	employer learns of such incident, contain a 10
630	630	record of each violent incident, which is 11
631	631	updated to ensure completeness of such 12
632	632	record; 13
633	633	(v) be maintained for not less than 5 14
634	634	years; and 15
635	635	(vi) in the case of a violent incident 16
636	636	involving a privacy concern case, protect 17
637	637	the identity of employees in a manner con-18
638	638	sistent with section 1904.29(b) of title 29, 19
639	639	Code of Federal Regulations (as such sec-20
640	640	tion is in effect on the date of enactment 21
641	641	of this Act). 22
642	642	(C) A
643	643	NNUAL SUMMARY.— 23
644	644	(i) C
645	645	OVERED EMPLOYERS .—Each cov-24
646	646	ered employer shall prepare and submit to 25
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649	649	•HR 2531 IH
650	650	the Secretary an annual summary of each 1
651	651	violent incident log for the preceding cal-2
652	652	endar year that shall— 3
653	653	(I) with respect to each covered 4
654	654	facility, and each covered service, for 5
655	655	which such a log has been maintained, 6
656	656	include— 7
657	657	(aa) the total number of vio-8
658	658	lent incidents; 9
659	659	(bb) the number of record-10
660	660	able injuries related to such inci-11
661	661	dents; and 12
662	662	(cc) the total number of 13
663	663	hours worked by the covered em-14
664	664	ployees for such preceding year; 15
665	665	(II) be completed on a form pro-16
666	666	vided by the Secretary; 17
667	667	(III) be posted for 3 months be-18
668	668	ginning February 1 of each year in a 19
669	669	manner consistent with the require-20
670	670	ments of section 1904 of title 29, 21
671	671	Code of Federal Regulations (as such 22
672	672	section is in effect on the date of en-23
673	673	actment of this Act), relating to the 24
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676	676	•HR 2531 IH
677	677	posting of summaries of injury and ill-1
678	678	ness logs; 2
679	679	(IV) be located in a conspicuous 3
680	680	place or places where notices to em-4
681	681	ployees are customarily posted; and 5
682	682	(V) not be altered, defaced, or 6
683	683	covered by other material. 7
684	684	(ii) S
685	685	ECRETARY.—Not later than 1 8
686	686	year after the promulgation of the interim 9
687	687	final standard under section 101(a), the 10
688	688	Secretary shall make available a platform 11
689	689	for the electronic submission of annual 12
690	690	summaries required under this subpara-13
691	691	graph. 14
692	692	(5) A
693	693	NNUAL REPORT.— 15
694	694	(A) R
695	695	EPORT TO SECRETARY .—Not later 16
696	696	than February 15 of each year, each covered 17
697	697	employer shall report to the Secretary, on a 18
698	698	form provided by the Secretary, the frequency, 19
699	699	quantity, and severity of workplace violence, 20
700	700	and any incident response and post-incident in-21
701	701	vestigation (including abatement measures) for 22
702	702	the incidents set forth in the annual summary 23
703	703	of the violent incident log described in para-24
704	704	graph (4)(C). The contents of the report of the 25
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707	707	•HR 2531 IH
708	708	Secretary to Congress shall not disclose any 1
709	709	confidential information. 2
710	710	(B) R
711	711	EPORT TO CONGRESS .—Not later 3
712	712	than 6 months after February 15 of each year, 4
713	713	the Secretary shall submit to Congress a sum-5
714	714	mary of the reports received under subpara-6
715	715	graph (A). 7
716	716	(6) A
717	717	NNUAL EVALUATION .—Each covered em-8
718	718	ployer shall conduct an annual written evaluation, 9
719	719	conducted with the full, active participation of cov-10
720	720	ered employees and employee representatives, of— 11
721	721	(A) the implementation and effectiveness 12
722	722	of the Plan, including a review of the violent in-13
723	723	cident log; and 14
724	724	(B) compliance with training required by 15
725	725	each standard described in section 101, and 16
726	726	specified in the Plan. 17
727	727	(7) P
728	728	LAN UPDATES.—Each covered employer 18
729	729	shall incorporate changes to the Plan, in a manner 19
730	730	consistent with paragraph (1)(A)(i) and based on 20
731	731	findings from the most recent annual evaluation con-21
732	732	ducted under paragraph (6), as appropriate. 22
733	733	(8) A
734	734	NTI-RETALIATION.— 23
735	735	(A) P
736	736	OLICY.—Each covered employer shall 24
737	737	adopt a policy prohibiting any person (including 25
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740	740	•HR 2531 IH
741	741	an agent of the employer) from the discrimina-1
742	742	tion or retaliation described in subparagraph 2
743	743	(B). 3
744	744	(B) P
745	745	ROHIBITION.—No covered employer 4
746	746	shall discriminate or retaliate against any em-5
747	747	ployee for— 6
748	748	(i) reporting a workplace violence inci-7
749	749	dent, threat, or concern to, or seeking as-8
750	750	sistance or intervention with respect to 9
751	751	such incident, threat, or concern from, the 10
752	752	employer, law enforcement, local emer-11
753	753	gency services, or a local, State, or Federal 12
754	754	government agency; or 13
755	755	(ii) exercising any other rights under 14
756	756	this paragraph. 15
757	757	(C) E
758	758	NFORCEMENT.—This paragraph shall 16
759	759	be enforced in the same manner and to the 17
760	760	same extent as any standard promulgated 18
761	761	under section 6(b) of the Occupational Safety 19
762	762	and Health Act (29 U.S.C. 655(b)). 20
763	763	SEC. 104. RULES OF CONSTRUCTION. 21
764	764	Notwithstanding section 18 of the Occupational Safe-22
765	765	ty and Health Act of 1970 (29 U.S.C. 667)— 23
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768	768	•HR 2531 IH
769	769	(1) nothing in this title shall be construed to 1
770	770	curtail or limit authority of the Secretary under any 2
771	771	other provision of the law; 3
772	772	(2) the rights, privileges, or remedies of covered 4
773	773	employees shall be in addition to the rights, privi-5
774	774	leges, or remedies provided under any Federal or 6
775	775	State law, or any collective bargaining agreement; 7
776	776	(3) nothing in this Act shall be construed to 8
777	777	limit or prevent health care workers, social service 9
778	778	workers, and other personnel from reporting violent 10
779	779	incidents to appropriate law enforcement; and 11
780	780	(4) nothing in this Act shall be construed to 12
781	781	limit or diminish any protections in relevant Federal, 13
782	782	State, or local law related to— 14
783	783	(A) domestic violence; 15
784	784	(B) stalking; 16
785	785	(C) dating violence; and 17
786	786	(D) sexual assault. 18
787	787	SEC. 105. OTHER DEFINITIONS. 19
788	788	In this title: 20
789	789	(1) W
790	790	ORKPLACE VIOLENCE.— 21
791	791	(A) I
792	792	N GENERAL.—The term ‘‘workplace 22
793	793	violence’’ means any act of violence or threat of 23
794	794	violence, without regard to intent, that occurs 24
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797	797	•HR 2531 IH
798	798	at a covered facility or while a covered employee 1
799	799	performs a covered service. 2
800	800	(B) E
801	801	XCLUSIONS.—The term ‘‘workplace 3
802	802	violence’’ does not include lawful acts of self-de-4
803	803	fense or lawful acts of defense of others. 5
804	804	(C) I
805	805	NCLUSIONS.—The term ‘‘workplace 6
806	806	violence’’ includes— 7
807	807	(i) the threat or use of physical force 8
808	808	against a covered employee that results in 9
809	809	or has a high likelihood of resulting in in-10
810	810	jury, psychological trauma, or stress, with-11
811	811	out regard to whether the covered em-12
812	812	ployee sustains an injury, psychological 13
813	813	trauma, or stress; and 14
814	814	(ii) an incident involving the threat or 15
815	815	use of a firearm or a dangerous weapon, 16
816	816	including the use of common objects as 17
817	817	weapons, without regard to whether the 18
818	818	employee sustains an injury, psychological 19
819	819	trauma, or stress. 20
820	820	(2) T
821	821	YPE 1 VIOLENCE.—The term ‘‘type 1 vio-21
822	822	lence’’— 22
823	823	(A) means workplace violence directed at a 23
824	824	covered employee at a covered facility or while 24
825	825	performing a covered service by an individual 25
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828	828	•HR 2531 IH
829	829	who has no legitimate business at the covered 1
830	830	facility or with respect to such covered service; 2
831	831	and 3
832	832	(B) includes violent acts by any individual 4
833	833	who enters the covered facility or worksite 5
834	834	where a covered service is being performed with 6
835	835	the intent to commit a crime. 7
836	836	(3) T
837	837	YPE 2 VIOLENCE.—The term ‘‘type 2 vio-8
838	838	lence’’ means workplace violence directed at a cov-9
839	839	ered employee by customers, clients, patients, stu-10
840	840	dents, inmates, or any individual for whom a covered 11
841	841	facility provides services or for whom the employee 12
842	842	performs covered services. 13
843	843	(4) T
844	844	YPE 3 VIOLENCE.—The term ‘‘type 3 vio-14
845	845	lence’’ means workplace violence directed at a cov-15
846	846	ered employee by a present or former employee, su-16
847	847	pervisor, or manager. 17
848	848	(5) T
849	849	YPE 4 VIOLENCE.—The term ‘‘type 4 vio-18
850	850	lence’’ means workplace violence directed at a cov-19
851	851	ered employee by an individual who is not an em-20
852	852	ployee, but has or is known to have had a personal 21
853	853	relationship with such employee, or with a customer, 22
854	854	client, patient, student, inmate, or any individual for 23
855	855	whom a covered facility provides services or for 24
856	856	whom the employee performs covered services. 25
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859	859	•HR 2531 IH
860	860	(6) THREAT OF VIOLENCE .—The term ‘‘threat 1
861	861	of violence’’ means a statement or conduct that— 2
862	862	(A) causes an individual to fear for such 3
863	863	individual’s safety because there is a reasonable 4
864	864	possibility the individual might be physically in-5
865	865	jured; and 6
866	866	(B) serves no legitimate purpose. 7
867	867	(7) A
868	868	LARM.—The term ‘‘alarm’’ means a me-8
869	869	chanical, electrical, or electronic device that does not 9
870	870	rely upon an employee’s vocalization in order to alert 10
871	871	others. 11
872	872	(8) D
873	873	ANGEROUS WEAPON .—The term ‘‘dan-12
874	874	gerous weapon’’ means an instrument capable of in-13
875	875	flicting death or serious bodily injury, without re-14
876	876	gard to whether such instrument was designed for 15
877	877	that purpose. 16
878	878	(9) E
879	879	NGINEERING CONTROLS .— 17
880	880	(A) I
881	881	N GENERAL.—The term ‘‘engineering 18
882	882	controls’’ means an aspect of the built space or 19
883	883	a device that removes a hazard from the work-20
884	884	place or creates a barrier between a covered 21
885	885	employee and the hazard. 22
886	886	(B) I
887	887	NCLUSIONS.—For purposes of reduc-23
888	888	ing workplace violence hazards, the term ‘‘engi-24
889	889	neering controls’’ includes electronic access con-25
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892	892	•HR 2531 IH
893	893	trols to employee occupied areas, weapon detec-1
894	894	tors (installed or handheld), enclosed work-2
895	895	stations with shatter-resistant glass, deep serv-3
896	896	ice counters, separate rooms or areas for high- 4
897	897	risk patients, locks on doors, removing access to 5
898	898	or securing items that could be used as weap-6
899	899	ons, furniture affixed to the floor, opaque glass 7
900	900	in patient rooms (which protects privacy, but 8
901	901	allows the health care provider to see where the 9
902	902	patient is before entering the room), closed-cir-10
903	903	cuit television monitoring and video recording, 11
904	904	sight-aids, and personal alarm devices. 12
905	905	(10) E
906	906	NVIRONMENTAL RISK FACTORS .— 13
907	907	(A) I
908	908	N GENERAL.—The term ‘‘environ-14
909	909	mental risk factors’’ means factors in the cov-15
910	910	ered facility or area in which a covered service 16
911	911	is performed that may contribute to the likeli-17
912	912	hood or severity of a workplace violence inci-18
913	913	dent. 19
914	914	(B) C
915	915	LARIFICATION.—Environmental risk 20
916	916	factors may be associated with the specific task 21
917	917	being performed or the work area, such as 22
918	918	working in an isolated area, poor illumination 23
919	919	or blocked visibility, and lack of physical bar-24
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922	922	•HR 2531 IH
923	923	riers between individuals and persons at risk of 1
924	924	committing workplace violence. 2
925	925	(11) P
926	926	ATIENT-SPECIFIC RISK FACTORS .—The 3
927	927	term ‘‘patient-specific risk factors’’ means factors 4
928	928	specific to a patient that may increase the likelihood 5
929	929	or severity of a workplace violence incident, includ-6
930	930	ing— 7
931	931	(A) a patient’s treatment and medication 8
932	932	status, and history of violence and use of drugs 9
933	933	or alcohol; and 10
934	934	(B) any conditions or disease processes of 11
935	935	the patient that may cause the patient to expe-12
936	936	rience confusion or disorientation, be non-re-13
937	937	sponsive to instruction, behave unpredictably, or 14
938	938	engage in disruptive, threatening, or violent be-15
939	939	havior. 16
940	940	(12) S
941	941	ECRETARY.—The term ‘‘Secretary’’ 17
942	942	means the Secretary of Labor. 18
943	943	(13) W
944	944	ORK PRACTICE CONTROLS .— 19
945	945	(A) I
946	946	N GENERAL.—The term ‘‘work prac-20
947	947	tice controls’’ means procedures and rules that 21
948	948	are used to effectively reduce workplace violence 22
949	949	hazards. 23
950	950	(B) I
951	951	NCLUSIONS.—The term ‘‘work prac-24
952	952	tice controls’’ includes— 25
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955	955	•HR 2531 IH
956	956	(i) assigning and placing sufficient 1
957	957	numbers of staff to reduce patient-specific 2
958	958	type 2 violence hazards; 3
959	959	(ii) provision of dedicated and avail-4
960	960	able safety personnel such as security 5
961	961	guards; 6
962	962	(iii) employee training on workplace 7
963	963	violence prevention methods and tech-8
964	964	niques to de-escalate and minimize violent 9
965	965	behavior; and 10
966	966	(iv) employee training on procedures 11
967	967	for response in the event of a workplace vi-12
968	968	olence incident and for post-incident re-13
969	969	sponse. 14
970	970	TITLE II—AMENDMENTS TO THE 15
971	971	SOCIAL SECURITY ACT 16
972	972	SEC. 201. APPLICATION OF THE WORKPLACE VIOLENCE 17
973	973	PREVENTION STANDARD TO CERTAIN FACILI-18
974	974	TIES RECEIVING MEDICARE FUNDS. 19
975	975	(a) I
976	976	NGENERAL.—Section 1866 of the Social Secu-20
977	977	rity Act (42 U.S.C. 1395cc) is amended— 21
978	978	(1) in subsection (a)(1)— 22
979	979	(A) in subparagraph (X), by striking 23
980	980	‘‘and’’ at the end; 24
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983	983	•HR 2531 IH
984	984	(B) in subparagraph (Y), by striking the 1
985	985	period at the end and inserting ‘‘; and’’; and 2
986	986	(C) by inserting after subparagraph (Y) 3
987	987	the following new subparagraph: 4
988	988	‘‘(Z) in the case of hospitals that are not other-5
989	989	wise subject to the Occupational Safety and Health 6
990	990	Act of 1970 (or a State occupational safety and 7
991	991	health plan that is approved under 18(b) of such 8
992	992	Act) and skilled nursing facilities that are not other-9
993	993	wise subject to such Act (or such a State occupa-10
994	994	tional safety and health plan), to comply with the 11
995	995	Workplace Violence Prevention Standard (as pro-12
996	996	mulgated under section 101 of the Workplace Vio-13
997	997	lence Prevention for Health Care and Social Service 14
998	998	Workers Act).’’; and 15
999	999	(2) in subsection (b)(4)— 16
1000	1000	(A) in subparagraph (A), by inserting 17
1001	1001	‘‘and a hospital or skilled nursing facility that 18
1002	1002	fails to comply with the requirement of sub-19
1003	1003	section (a)(1)(Z) (relating to the Workplace Vi-20
1004	1004	olence Prevention Standard)’’ after 21
1005	1005	‘‘Bloodborne Pathogens standard)’’; and 22
1006	1006	(B) in subparagraph (B)— 23
1007	1007	(i) by striking ‘‘(a)(1)(U)’’ and insert-24
1008	1008	ing ‘‘(a)(1)(V)’’; and 25
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1011	1011	•HR 2531 IH
1012	1012	(ii) by inserting ‘‘(or, in the case of a 1
1013	1013	failure to comply with the requirement of 2
1014	1014	subsection (a)(1)(Z), for a violation of the 3
1015	1015	Workplace Violence Prevention standard 4
1016	1016	referred to in such subsection by a hospital 5
1017	1017	or skilled nursing facility, as applicable, 6
1018	1018	that is subject to the provisions of such 7
1019	1019	Act)’’ before the period at the end. 8
1020	1020	(b) E
1021	1021	FFECTIVEDATE.—The amendments made by 9
1022	1022	subsection (a) shall apply beginning on the date that is 10
1023	1023	1 year after the date of issuance of the interim final stand-11
1024	1024	ard on workplace violence prevention required under sec-12
1025	1025	tion 101. 13
1026	1026	Æ
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