Us Congress 2025-2026 Regular Session

Us Congress Senate Bill SB1232 Compare Versions

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Old	New	Differences
1	1	II
2	2	119THCONGRESS
3	3	1
4	4	STSESSION S. 1232
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 SENATE OF THE UNITED STATES
10	10	APRIL1 (legislative day, MARCH31), 2025
11	11	Ms. B
12	12	ALDWIN(for herself, Mr. MARKEY, Mr. KAINE, Mrs. SHAHEEN, Mr.
13	13	L
14	14	UJA´N, Ms. KLOBUCHAR, Mr. PADILLA, Ms. SMITH, Mr. BLUMENTHAL,
15	15	Mrs. M
16	16	URRAY, Mr. SANDERS, Ms. SLOTKIN, Ms. WARREN, Ms. CORTEZ
17	17	M
18	18	ASTO, Mr. MERKLEY, Mr. REED, Mr. HICKENLOOPER, Ms.
19	19	D
20	20	UCKWORTH, Mr. COONS, Mr. VANHOLLEN, and Mr. HEINRICH) intro-
21	21	duced the following bill; which was read twice and referred to the Com-
22	22	mittee on Health, Education, Labor, and Pensions
23	23	A BILL
24	24	To direct the Secretary of Labor to issue an occupational
25	25	safety and health standard that requires covered employ-
26	26	ers within the health care and social service industries
27	27	to develop and implement a comprehensive workplace
28	28	violence prevention plan, and for other purposes.
29	29	Be it enacted by the Senate and House of Representa-1
30	30	tives of the United States of America in Congress assembled, 2
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33	33	•S 1232 IS
34	34	SECTION 1. SHORT TITLE. 1
35	35	This Act may be cited as the ‘‘Workplace Violence 2
36	36	Prevention for Health Care and Social Service Workers 3
37	37	Act’’. 4
38	38	SEC. 2. TABLE OF CONTENTS. 5
39	39	The table of contents for this Act is as follows: 6
40	40	Sec. 1. Short title.
41	41	Sec. 2. Table of contents.
42	42	TITLE I—WORKPLACE VIOLENCE PREVENTION STANDARD
43	43	Sec. 101. Workplace violence prevention standard.
44	44	Sec. 102. Scope and application.
45	45	Sec. 103. Requirements for workplace violence prevention standard.
46	46	Sec. 104. Rules of construction.
47	47	Sec. 105. Other definitions.
48	48	TITLE II—AMENDMENTS TO THE SOCIAL SECURITY ACT
49	49	Sec. 201. Application of the workplace violence prevention standard to certain
50	50	facilities receiving Medicare funds.
51	51	TITLE I—WORKPLACE VIOLENCE 7
52	52	PREVENTION STANDARD 8
53	53	SEC. 101. WORKPLACE VIOLENCE PREVENTION STANDARD. 9
54	54	(a) I
55	55	NTERIMFINALSTANDARD.— 10
56	56	(1) I
57	57	N GENERAL.—Not later than 1 year after 11
58	58	the date of enactment of this Act, the Secretary of 12
59	59	Labor shall issue an interim final standard on work-13
60	60	place violence prevention— 14
61	61	(A) to require certain employers in the 15
62	62	health care and social service sectors, and cer-16
63	63	tain employers in sectors that conduct activities 17
64	64	similar to the activities in the health care and 18
65	65	social service sectors, to develop and implement 19
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68	68	•S 1232 IS
69	69	a comprehensive workplace violence prevention 1
70	70	plan and carry out other activities or require-2
71	71	ments described in section 103 to protect health 3
72	72	care workers, social service workers, and other 4
73	73	personnel from workplace violence; 5
74	74	(B) that shall, at a minimum, be based on 6
75	75	the Guidelines for Preventing Workplace Vio-7
76	76	lence for Healthcare and Social Service Work-8
77	77	ers published by the Occupational Safety and 9
78	78	Health Administration of the Department of 10
79	79	Labor in 2015 and adhere to the requirements 11
80	80	of this title; and 12
81	81	(C) that provides for a period determined 13
82	82	appropriate by the Secretary, not to exceed 1 14
83	83	year, during which the Secretary shall prioritize 15
84	84	technical assistance and advice consistent with 16
85	85	section 21(d) of the Occupational Safety and 17
86	86	Health Act of 1970 (29 U.S.C. 670(d)) to em-18
87	87	ployers subject to the standard with respect to 19
88	88	compliance with the standard. 20
89	89	(2) I
90	90	NAPPLICABLE PROVISIONS OF LAW AND 21
91	91	EXECUTIVE ORDER.—The following provisions of law 22
92	92	and Executive orders shall not apply to the issuance 23
93	93	of the interim final standard under this subsection: 24
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97	97	(A) The requirements applicable to occupa-1
98	98	tional safety and health standards under section 2
99	99	6(b) of the Occupational Safety and Health Act 3
100	100	of 1970 (29 U.S.C. 655(b)). 4
101	101	(B) The requirements of chapters 5 and 6 5
102	102	of title 5, United States Code. 6
103	103	(C) Subchapter I of chapter 35 of title 44, 7
104	104	United States Code (commonly referred to as 8
105	105	the ‘‘Paperwork Reduction Act’’). 9
106	106	(D) Executive Order No. 12866 (58 Fed. 10
107	107	Reg. 51735; relating to regulatory planning and 11
108	108	review), as amended. 12
109	109	(3) N
110	110	OTICE AND COMMENT .—Notwithstanding 13
111	111	paragraph (2)(B), the Secretary shall, prior to 14
112	112	issuing the interim final standard under this sub-15
113	113	section, provide notice in the Federal Register of the 16
114	114	interim final standard and a 30-day period for pub-17
115	115	lic comment. 18
116	116	(4) E
117	117	FFECTIVE DATE OF INTERIM STAND -19
118	118	ARD.—The interim final standard shall— 20
119	119	(A) take effect on a date that is not later 21
120	120	than 30 days after issuance, except that such 22
121	121	interim final standard may include a reasonable 23
122	122	phase-in period for the implementation of re-24
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125	125	•S 1232 IS
126	126	quired engineering controls that take effect 1
127	127	after such date; 2
128	128	(B) be enforced in the same manner and 3
129	129	to the same extent as any standard promul-4
130	130	gated under section 6(b) of the Occupational 5
131	131	Safety and Health Act of 1970 (29 U.S.C. 6
132	132	655(b)); and 7
133	133	(C) be in effect until the final standard de-8
134	134	scribed in subsection (b) becomes effective and 9
135	135	enforceable. 10
136	136	(5) F
137	137	AILURE TO PROMULGATE .—If an interim 11
138	138	final standard described in paragraph (1) is not 12
139	139	issued not later than 1 year of the date of enactment 13
140	140	of this Act, the provisions of this title shall be in ef-14
141	141	fect and enforced in the same manner and to the 15
142	142	same extent as any standard promulgated under sec-16
143	143	tion 6(b) of the Occupational Safety and Health Act 17
144	144	(29 U.S.C. 655(b)) until such provisions are super-18
145	145	seded in whole by an interim final standard issued 19
146	146	by the Secretary that meets the requirements of 20
147	147	paragraph (1). 21
148	148	(b) F
149	149	INALSTANDARD.— 22
150	150	(1) P
151	151	ROPOSED STANDARD .—Not later than 2 23
152	152	years after the date of enactment of this Act, the 24
153	153	Secretary of Labor shall, pursuant to section 6 of 25
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156	156	•S 1232 IS
157	157	the Occupational Safety and Health Act (29 U.S.C. 1
158	158	655), promulgate a proposed standard on workplace 2
159	159	violence prevention— 3
160	160	(A) for the purposes described in sub-4
161	161	section (a)(1)(A); and 5
162	162	(B) that shall include, at a minimum, re-6
163	163	quirements contained in the interim final stand-7
164	164	ard promulgated under subsection (a). 8
165	165	(2) F
166	166	INAL STANDARD.—Not later than 42 9
167	167	months after the date of enactment of this Act, the 10
168	168	Secretary shall issue a final standard on such pro-11
169	169	posed standard that shall— 12
170	170	(A) provide no less protection than any 13
171	171	workplace violence standard adopted by a State 14
172	172	plan that has been approved by the Secretary 15
173	173	under section 18 of the Occupational Safety 16
174	174	and Health Act of 1970 (29 U.S.C. 667), pro-17
175	175	vided the Secretary finds that the final stand-18
176	176	ard is feasible on the basis of the best available 19
177	177	evidence; and 20
178	178	(B) be effective and enforceable in the 21
179	179	same manner and to the same extent as any 22
180	180	standard promulgated under section 6(b) of the 23
181	181	Occupational Safety and Health Act of 1970 24
182	182	(29 U.S.C. 655(b)). 25
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185	185	•S 1232 IS
186	186	SEC. 102. SCOPE AND APPLICATION. 1
187	187	In this title: 2
188	188	(1) C
189	189	OVERED FACILITY.— 3
190	190	(A) I
191	191	N GENERAL.—The term ‘‘covered fa-4
192	192	cility’’ includes the following: 5
193	193	(i) Any hospital, including any spe-6
194	194	cialty hospital, inpatient or outpatient set-7
195	195	ting, or clinic operating within a hospital 8
196	196	license, or any setting that provides out-9
197	197	patient services. 10
198	198	(ii) Any residential treatment facility, 11
199	199	including any nursing home, skilled nurs-12
200	200	ing facility, hospice facility, Alzheimer’s 13
201	201	and memory care facility, and long-term 14
202	202	care facility. 15
203	203	(iii) Any non-residential treatment or 16
204	204	service setting. 17
205	205	(iv) Any medical treatment or social 18
206	206	service setting or clinic at a correctional or 19
207	207	detention facility. 20
208	208	(v) Any community care setting, in-21
209	209	cluding a community-based residential fa-22
210	210	cility, group home, and mental health clin-23
211	211	ic. 24
212	212	(vi) Any psychiatric treatment facility. 25
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216	216	(vii) Any drug abuse or substance use 1
217	217	disorder treatment center. 2
218	218	(viii) Any independent freestanding 3
219	219	emergency centers. 4
220	220	(ix) Any facility described in clauses 5
221	221	(i) through (viii) operated by a Federal 6
222	222	Government agency and required to comply 7
223	223	with occupational safety and health stand-8
224	224	ards pursuant to section 1960 of title 29, 9
225	225	Code of Federal Regulations (as such sec-10
226	226	tion is in effect on the date of enactment 11
227	227	of this Act). 12
228	228	(x) Any other facility the Secretary 13
229	229	determines should be covered under the 14
230	230	standards promulgated under section 101. 15
231	231	(B) E
232	232	XCLUSION.—The term ‘‘covered facil-16
233	233	ity’’ does not include an office of a physician, 17
234	234	dentist, podiatrist, or any other health practi-18
235	235	tioner that is not physically located within a 19
236	236	covered facility described in clauses (i) through 20
237	237	(x) of subparagraph (A). 21
238	238	(2) C
239	239	OVERED SERVICES.— 22
240	240	(A) I
241	241	N GENERAL.—The term ‘‘covered 23
242	242	service’’ includes the following services and op-24
243	243	erations: 25
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246	246	•S 1232 IS
247	247	(i) Any services and operations pro-1
248	248	vided in any field work setting, including 2
249	249	home health care, home-based hospice, and 3
250	250	home-based social work. 4
251	251	(ii) Any emergency services and trans-5
252	252	port, including such services provided by 6
253	253	firefighters and emergency responders. 7
254	254	(iii) Any services described in clauses 8
255	255	(i) and (ii) performed by a Federal Gov-9
256	256	ernment agency and required to comply 10
257	257	with occupational safety and health stand-11
258	258	ards pursuant to section 1960 of title 29, 12
259	259	Code of Federal Regulations (as such sec-13
260	260	tion is in effect on the date of enactment 14
261	261	of this Act). 15
262	262	(iv) Any other services and operations 16
263	263	the Secretary determines should be covered 17
264	264	under the standards promulgated under 18
265	265	section 101. 19
266	266	(B) E
267	267	XCLUSION.—The term ‘‘covered serv-20
268	268	ice’’ does not include child day care services. 21
269	269	(3) C
270	270	OVERED EMPLOYER .— 22
271	271	(A) I
272	272	N GENERAL.—The term ‘‘covered em-23
273	273	ployer’’ includes a person (including a con-24
274	274	tractor, subcontractor, a temporary service 25
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277	277	•S 1232 IS
278	278	firm, or an employee leasing entity) that em-1
279	279	ploys an individual to work at a covered facility 2
280	280	or to perform covered services. 3
281	281	(B) E
282	282	XCLUSION.—The term ‘‘covered em-4
283	283	ployer’’ does not include an individual who pri-5
284	284	vately employs, in the individual’s residence, a 6
285	285	person to perform covered services for the indi-7
286	286	vidual or a family member of the individual. 8
287	287	(4) C
288	288	OVERED EMPLOYEE .—The term ‘‘covered 9
289	289	employee’’ includes an individual employed by a cov-10
290	290	ered employer to work at a covered facility or to per-11
291	291	form covered services. 12
292	292	SEC. 103. REQUIREMENTS FOR WORKPLACE VIOLENCE 13
293	293	PREVENTION STANDARD. 14
294	294	Each standard described in section 101 shall include, 15
295	295	at a minimum, the following requirements: 16
296	296	(1) W
297	297	ORKPLACE VIOLENCE PREVENTION 17
298	298	PLAN.—Not later than 6 months after the date of 18
299	299	promulgation of the interim final standard under 19
300	300	section 101(a), a covered employer shall develop, im-20
301	301	plement, and maintain an effective written workplace 21
302	302	violence prevention plan (in this section referred to 22
303	303	as the ‘‘Plan’’) for covered employees at each cov-23
304	304	ered facility and for covered employees performing a 24
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307	307	•S 1232 IS
308	308	covered service on behalf of such employer, which 1
309	309	meets the following: 2
310	310	(A) P
311	311	LAN DEVELOPMENT .—Each Plan— 3
312	312	(i) shall be developed and imple-4
313	313	mented with the meaningful participation 5
314	314	of direct care employees, other employees, 6
315	315	and employee representatives, for all as-7
316	316	pects of the Plan; 8
317	317	(ii) shall be tailored and specific to 9
318	318	conditions and hazards for the covered fa-10
319	319	cility or the covered service, including pa-11
320	320	tient-specific risk factors and risk factors 12
321	321	specific to each work area or unit; 13
322	322	(iii) shall be suitable for the size, com-14
323	323	plexity, and type of operations at the cov-15
324	324	ered facility or for the covered service, and 16
325	325	remain in effect at all times; and 17
326	326	(iv) may be in consultation with stake-18
327	327	holders or experts who specialize in work-19
328	328	place violence prevention, emergency re-20
329	329	sponse, or other related areas of expertise 21
330	330	for all relevant aspects of the Plan. 22
331	331	(B) P
332	332	LAN CONTENT.—Each Plan shall in-23
333	333	clude procedures and methods for the following: 24
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336	336	•S 1232 IS
337	337	(i) Identification of the individual and 1
338	338	the individual’s position responsible for im-2
339	339	plementation of the Plan. 3
340	340	(ii) With respect to each work area 4
341	341	and unit at the covered facility or while 5
342	342	covered employees are performing the cov-6
343	343	ered service, risk assessment and identi-7
344	344	fication of workplace violence risks and 8
345	345	hazards to employees exposed to such risks 9
346	346	and hazards (including environmental risk 10
347	347	factors and patient-specific risk factors), 11
348	348	which shall be— 12
349	349	(I) informed by past violent inci-13
350	350	dents specific to such covered facility 14
351	351	or such covered service; and 15
352	352	(II) conducted with, at a min-16
353	353	imum— 17
354	354	(aa) direct care employees; 18
355	355	(bb) where applicable, the 19
356	356	representatives of such employ-20
357	357	ees; and 21
358	358	(cc) the employer. 22
359	359	(iii) Hazard prevention, engineering 23
360	360	controls, or work practice controls to cor-24
361	361	rect hazards, in a timely manner, applying 25
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364	364	•S 1232 IS
365	365	industrial hygiene principles of the hier-1
366	366	archy of controls, which— 2
367	367	(I) may include security and 3
368	368	alarm systems, adequate exit routes, 4
369	369	monitoring systems, barrier protec-5
370	370	tion, established areas for patients 6
371	371	and clients, lighting, entry procedures, 7
372	372	staffing and working in teams, and 8
373	373	systems to identify and flag clients 9
374	374	with a history of violence; and 10
375	375	(II) shall ensure that employers 11
376	376	correct, in a timely manner, hazards 12
377	377	identified in any violent incident in-13
378	378	vestigation described in paragraph (2) 14
379	379	and any annual report described in 15
380	380	paragraph (5). 16
381	381	(iv) Reporting, incident response, and 17
382	382	post-incident investigation procedures, in-18
383	383	cluding procedures— 19
384	384	(I) for employees to report work-20
385	385	place violence risks, hazards, and inci-21
386	386	dents; 22
387	387	(II) for employers to respond to 23
388	388	reports of workplace violence; 24
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391	391	•S 1232 IS
392	392	(III) for employers to perform a 1
393	393	post-incident investigation and de-2
394	394	briefing of all reports of workplace vi-3
395	395	olence with the participation of em-4
396	396	ployees and their representatives; 5
397	397	(IV) to provide medical care or 6
398	398	first aid to affected employees; and 7
399	399	(V) to provide employees with in-8
400	400	formation about available trauma and 9
401	401	related counseling. 10
402	402	(v) Procedures for emergency re-11
403	403	sponse, including procedures for threats of 12
404	404	mass casualties and procedures for inci-13
405	405	dents involving a firearm or a dangerous 14
406	406	weapon. 15
407	407	(vi) Procedures for communicating 16
408	408	with and training the covered employees on 17
409	409	workplace violence hazards, threats, and 18
410	410	work practice controls, the employer’s plan, 19
411	411	and procedures for confronting, responding 20
412	412	to, and reporting workplace violence 21
413	413	threats, incidents, and concerns, and em-22
414	414	ployee rights. 23
415	415	(vii) Procedures for— 24
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418	418	•S 1232 IS
419	419	(I) ensuring the coordination of 1
420	420	risk assessment efforts, Plan develop-2
421	421	ment, and implementation of the Plan 3
422	422	with other employers who have em-4
423	423	ployees who work at the covered facil-5
424	424	ity or who are performing the covered 6
425	425	service; and 7
426	426	(II) determining which covered 8
427	427	employer or covered employers shall 9
428	428	be responsible for implementing and 10
429	429	complying with the provisions of the 11
430	430	standard applicable to the working 12
431	431	conditions over which such employers 13
432	432	have control. 14
433	433	(viii) Procedures for conducting the 15
434	434	annual evaluation under paragraph (6). 16
435	435	(C) A
436	436	VAILABILITY OF PLAN.—Each Plan 17
437	437	shall be made available at all times to the cov-18
438	438	ered employees who are covered under such 19
439	439	Plan. 20
440	440	(2) V
441	441	IOLENT INCIDENT INVESTIGATION .— 21
442	442	(A) I
443	443	N GENERAL.—As soon as practicable 22
444	444	after a workplace violence incident, risk, or haz-23
445	445	ard of which a covered employer has knowledge, 24
446	446	the employer shall conduct an investigation of 25
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449	449	•S 1232 IS
450	450	such incident, risk, or hazard under which the 1
451	451	employer shall— 2
452	452	(i) review the circumstances of the in-3
453	453	cident, risk, or hazard, and whether any 4
454	454	controls or measures implemented pursu-5
455	455	ant to the Plan of the employer were effec-6
456	456	tive; and 7
457	457	(ii) solicit input from involved employ-8
458	458	ees, their representatives, and supervisors 9
459	459	about the cause of the incident, risk, or 10
460	460	hazard, and whether further corrective 11
461	461	measures (including system-level factors) 12
462	462	could have prevented the incident, risk, or 13
463	463	hazard. 14
464	464	(B) D
465	465	OCUMENTATION.—A covered em-15
466	466	ployer shall document the findings, rec-16
467	467	ommendations, and corrective measures taken 17
468	468	for each investigation conducted under this 18
469	469	paragraph. 19
470	470	(3) T
471	471	RAINING AND EDUCATION .—With respect 20
472	472	to the covered employees covered under a Plan of a 21
473	473	covered employer, the employer shall provide train-22
474	474	ing and education to such employees who may be ex-23
475	475	posed to workplace violence hazards and risks, which 24
476	476	meet the following requirements: 25
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479	479	•S 1232 IS
480	480	(A) Annual training and education shall 1
481	481	include information on the Plan, including iden-2
482	482	tified workplace violence hazards, work practice 3
483	483	control measures, reporting procedures, record- 4
484	484	keeping requirements, response procedures, 5
485	485	anti-retaliation policies, and employee rights. 6
486	486	(B) Additional hazard recognition training 7
487	487	shall be provided for supervisors and managers 8
488	488	to ensure they— 9
489	489	(i) can recognize high-risk situations; 10
490	490	and 11
491	491	(ii) do not assign employees to situa-12
492	492	tions that predictably compromise the safe-13
493	493	ty of such employees. 14
494	494	(C) Additional training shall be provided 15
495	495	for each such covered employee whose job cir-16
496	496	cumstances have changed, within a reasonable 17
497	497	timeframe after such change. 18
498	498	(D) Additional training shall be provided 19
499	499	for each such covered employee whose job cir-20
500	500	cumstances require working with victims of tor-21
501	501	ture, trafficking, or domestic violence. 22
502	502	(E) Applicable training shall be provided 23
503	503	under this paragraph for each new covered em-24
504	504	ployee prior to the employee’s job assignment. 25
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507	507	•S 1232 IS
508	508	(F) All training shall provide such employ-1
509	509	ees opportunities to ask questions, give feed-2
510	510	back on training, and request additional in-3
511	511	struction, clarification, or other follow-up. 4
512	512	(G) All training shall be provided in-person 5
513	513	and by an individual with knowledge of work-6
514	514	place violence prevention and of the Plan, ex-7
515	515	cept that any annual training described in sub-8
516	516	paragraph (A) provided to an employee after 9
517	517	the first year such training is provided to such 10
518	518	employee may be conducted by live video if in- 11
519	519	person training is impracticable. 12
520	520	(H) All training shall be appropriate in 13
521	521	content and vocabulary to the language, edu-14
522	522	cational level, and literacy of such covered em-15
523	523	ployees. 16
524	524	(4) R
525	525	ECORDKEEPING AND ACCESS TO PLAN 17
526	526	RECORDS.— 18
527	527	(A) I
528	528	N GENERAL.—Each covered employer 19
529	529	shall— 20
530	530	(i) maintain for not less than 5 21
531	531	years— 22
532	532	(I) records related to each Plan 23
533	533	of the employer, including workplace 24
534	534	violence risk and hazard assessments, 25
535	535	VerDate Sep 11 2014 06:07 Apr 08, 2025 Jkt 059200 PO 00000 Frm 00018 Fmt 6652 Sfmt 6201 E:\BILLS\S1232.IS S1232
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537	537	•S 1232 IS
538	538	and identification, evaluation, correc-1
539	539	tion, and training procedures; 2
540	540	(II) a violent incident log de-3
541	541	scribed in subparagraph (B) for re-4
542	542	cording all workplace violence inci-5
543	543	dents; and 6
544	544	(III) records of all incident inves-7
545	545	tigations as required under paragraph 8
546	546	(2)(B); and 9
547	547	(ii)(I) make such records and logs 10
548	548	available, upon request, to covered employ-11
549	549	ees and their representatives for examina-12
550	550	tion and copying in accordance with sec-13
551	551	tion 1910.1020 of title 29, Code of Federal 14
552	552	Regulations (as such section is in effect on 15
553	553	the date of enactment of this Act), and in 16
554	554	a manner consistent with HIPAA privacy 17
555	555	regulations (defined in section 1180(b)(3) 18
556	556	of the Social Security Act (42 U.S.C. 19
557	557	1320d–9(b)(3))) and part 2 of title 42, 20
558	558	Code of Federal Regulations (as such part 21
559	559	is in effect on the date of enactment of this 22
560	560	Act); and 23
561	561	(II) ensure that any such records and 24
562	562	logs that may be copied, transmitted elec-25
563	563	VerDate Sep 11 2014 02:46 Apr 05, 2025 Jkt 059200 PO 00000 Frm 00019 Fmt 6652 Sfmt 6201 E:\BILLS\S1232.IS S1232
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565	565	•S 1232 IS
566	566	tronically, or otherwise removed from the 1
567	567	employer’s control for purposes of this 2
568	568	clause omit any element of personal identi-3
569	569	fying information sufficient to allow identi-4
570	570	fication of any patient, resident, client, or 5
571	571	other individual alleged to have committed 6
572	572	a violent incident (including the individ-7
573	573	ual’s name, address, electronic mail ad-8
574	574	dress, telephone number, or social security 9
575	575	number, or other information that, alone 10
576	576	or in combination with other publicly avail-11
577	577	able information, reveals such individual’s 12
578	578	identity). 13
579	579	(B) V
580	580	IOLENT INCIDENT LOG DESCRIP -14
581	581	TION.—Each violent incident log shall— 15
582	582	(i) be maintained by a covered em-16
583	583	ployer for each covered facility controlled 17
584	584	by the employer and for each covered serv-18
585	585	ice being performed by a covered employee 19
586	586	on behalf of such employer; 20
587	587	(ii) be based on a template developed 21
588	588	by the Secretary not later than 1 year 22
589	589	after the date of enactment of this Act; 23
590	590	(iii) include, at a minimum, a descrip-24
591	591	tion of— 25
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594	594	•S 1232 IS
595	595	(I) the violent incident (including 1
596	596	environmental risk factors present at 2
597	597	the time of the incident); 3
598	598	(II) the date, time, and location 4
599	599	of the incident, and the names and 5
600	600	job titles of involved employees; 6
601	601	(III) the nature and extent of in-7
602	602	juries to covered employees; 8
603	603	(IV) a classification of the perpe-9
604	604	trator who committed the violence, in-10
605	605	cluding whether the perpetrator was— 11
606	606	(aa) a patient, client, resi-12
607	607	dent, or customer of a covered 13
608	608	employer; 14
609	609	(bb) a family member or 15
610	610	friend of a patient, client, resi-16
611	611	dent, or customer of a covered 17
612	612	employer; 18
613	613	(cc) a stranger; 19
614	614	(dd) a coworker, supervisor, 20
615	615	or manager of a covered em-21
616	616	ployee; 22
617	617	(ee) a partner, spouse, par-23
618	618	ent, or relative of a covered em-24
619	619	ployee; or 25
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622	622	•S 1232 IS
623	623	(ff) any other appropriate 1
624	624	classification; 2
625	625	(V) the type of violent incident 3
626	626	(such as type 1 violence, type 2 vio-4
627	627	lence, type 3 violence, or type 4 vio-5
628	628	lence); and 6
629	629	(VI) how the incident was 7
630	630	abated; 8
631	631	(iv) not later than 7 days after the 9
632	632	employer learns of such incident, contain a 10
633	633	record of each violent incident, which is 11
634	634	updated to ensure completeness of such 12
635	635	record; 13
636	636	(v) be maintained for not less than 5 14
637	637	years; and 15
638	638	(vi) in the case of a violent incident 16
639	639	involving a privacy concern case, protect 17
640	640	the identity of employees in a manner con-18
641	641	sistent with section 1904.29(b) of title 29, 19
642	642	Code of Federal Regulations (as such sec-20
643	643	tion is in effect on the date of enactment 21
644	644	of this Act). 22
645	645	(C) A
646	646	NNUAL SUMMARY.— 23
647	647	(i) C
648	648	OVERED EMPLOYERS .—Each cov-24
649	649	ered employer shall prepare and submit to 25
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652	652	•S 1232 IS
653	653	the Secretary an annual summary of each 1
654	654	violent incident log for the preceding cal-2
655	655	endar year that shall— 3
656	656	(I) with respect to each covered 4
657	657	facility, and each covered service, for 5
658	658	which such a log has been maintained, 6
659	659	include— 7
660	660	(aa) the total number of vio-8
661	661	lent incidents; 9
662	662	(bb) the number of record-10
663	663	able injuries related to such inci-11
664	664	dents; and 12
665	665	(cc) the total number of 13
666	666	hours worked by the covered em-14
667	667	ployees for such preceding year; 15
668	668	(II) be completed on a form pro-16
669	669	vided by the Secretary; 17
670	670	(III) be posted for 3 months be-18
671	671	ginning February 1 of each year in a 19
672	672	manner consistent with the require-20
673	673	ments of section 1904 of title 29, 21
674	674	Code of Federal Regulations (as such 22
675	675	section is in effect on the date of en-23
676	676	actment of this Act), relating to the 24
677	677	VerDate Sep 11 2014 02:46 Apr 05, 2025 Jkt 059200 PO 00000 Frm 00023 Fmt 6652 Sfmt 6201 E:\BILLS\S1232.IS S1232
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679	679	•S 1232 IS
680	680	posting of summaries of injury and ill-1
681	681	ness logs; 2
682	682	(IV) be located in a conspicuous 3
683	683	place or places where notices to em-4
684	684	ployees are customarily posted; and 5
685	685	(V) not be altered, defaced, or 6
686	686	covered by other material. 7
687	687	(ii) S
688	688	ECRETARY.—Not later than 1 8
689	689	year after the promulgation of the interim 9
690	690	final standard under section 101(a), the 10
691	691	Secretary shall make available a platform 11
692	692	for the electronic submission of annual 12
693	693	summaries required under this subpara-13
694	694	graph. 14
695	695	(5) A
696	696	NNUAL REPORT.— 15
697	697	(A) R
698	698	EPORT TO SECRETARY .—Not later 16
699	699	than February 15 of each year, each covered 17
700	700	employer shall report to the Secretary, on a 18
701	701	form provided by the Secretary, the frequency, 19
702	702	quantity, and severity of workplace violence, 20
703	703	and any incident response and post-incident in-21
704	704	vestigation (including abatement measures) for 22
705	705	the incidents set forth in the annual summary 23
706	706	of the violent incident log described in para-24
707	707	graph (4)(C). The contents of the report of the 25
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710	710	•S 1232 IS
711	711	Secretary to Congress shall not disclose any 1
712	712	confidential information. 2
713	713	(B) R
714	714	EPORT TO CONGRESS .—Not later 3
715	715	than 6 months after February 15 of each year, 4
716	716	the Secretary shall submit to Congress a sum-5
717	717	mary of the reports received under subpara-6
718	718	graph (A). 7
719	719	(6) A
720	720	NNUAL EVALUATION .—Each covered em-8
721	721	ployer shall conduct an annual written evaluation, 9
722	722	conducted with the full, active participation of cov-10
723	723	ered employees and employee representatives, of— 11
724	724	(A) the implementation and effectiveness 12
725	725	of the Plan, including a review of the violent in-13
726	726	cident log; and 14
727	727	(B) compliance with training required by 15
728	728	each standard described in section 101, and 16
729	729	specified in the Plan. 17
730	730	(7) P
731	731	LAN UPDATES.—Each covered employer 18
732	732	shall incorporate changes to the Plan, in a manner 19
733	733	consistent with paragraph (1)(A)(i) and based on 20
734	734	findings from the most recent annual evaluation con-21
735	735	ducted under paragraph (6), as appropriate. 22
736	736	(8) A
737	737	NTI-RETALIATION.— 23
738	738	(A) P
739	739	OLICY.—Each covered employer shall 24
740	740	adopt a policy prohibiting any person (including 25
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743	743	•S 1232 IS
744	744	an agent of the employer) from the discrimina-1
745	745	tion or retaliation described in subparagraph 2
746	746	(B). 3
747	747	(B) P
748	748	ROHIBITION.—No covered employer 4
749	749	shall discriminate or retaliate against any em-5
750	750	ployee for— 6
751	751	(i) reporting a workplace violence inci-7
752	752	dent, threat, or concern to, or seeking as-8
753	753	sistance or intervention with respect to 9
754	754	such incident, threat, or concern from, the 10
755	755	employer, law enforcement, local emer-11
756	756	gency services, or a local, State, or Federal 12
757	757	Government agency; or 13
758	758	(ii) exercising any other rights under 14
759	759	this paragraph. 15
760	760	(C) E
761	761	NFORCEMENT.—This paragraph shall 16
762	762	be enforced in the same manner and to the 17
763	763	same extent as any standard promulgated 18
764	764	under section 6(b) of the Occupational Safety 19
765	765	and Health Act (29 U.S.C. 655(b)). 20
766	766	SEC. 104. RULES OF CONSTRUCTION. 21
767	767	Notwithstanding section 18 of the Occupational Safe-22
768	768	ty and Health Act of 1970 (29 U.S.C. 667)— 23
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771	771	•S 1232 IS
772	772	(1) nothing in this title shall be construed to 1
773	773	curtail or limit authority of the Secretary under any 2
774	774	other provision of the law; 3
775	775	(2) the rights, privileges, or remedies of covered 4
776	776	employees shall be in addition to the rights, privi-5
777	777	leges, or remedies provided under any Federal or 6
778	778	State law, or any collective bargaining agreement; 7
779	779	(3) nothing in this Act shall be construed to 8
780	780	limit or prevent health care workers, social service 9
781	781	workers, and other personnel from reporting violent 10
782	782	incidents to appropriate law enforcement; and 11
783	783	(4) nothing in this Act shall be construed to 12
784	784	limit or diminish any protections in relevant Federal, 13
785	785	State, or local law related to— 14
786	786	(A) domestic violence; 15
787	787	(B) stalking; 16
788	788	(C) dating violence; and 17
789	789	(D) sexual assault. 18
790	790	SEC. 105. OTHER DEFINITIONS. 19
791	791	In this title: 20
792	792	(1) W
793	793	ORKPLACE VIOLENCE.— 21
794	794	(A) I
795	795	N GENERAL.—The term ‘‘workplace 22
796	796	violence’’ means any act of violence or threat of 23
797	797	violence, without regard to intent, that occurs 24
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800	800	•S 1232 IS
801	801	at a covered facility or while a covered employee 1
802	802	performs a covered service. 2
803	803	(B) E
804	804	XCLUSIONS.—The term ‘‘workplace 3
805	805	violence’’ does not include lawful acts of self-de-4
806	806	fense or lawful acts of defense of others. 5
807	807	(C) I
808	808	NCLUSIONS.—The term ‘‘workplace 6
809	809	violence’’ includes— 7
810	810	(i) the threat or use of physical force 8
811	811	against a covered employee that results in 9
812	812	or has a high likelihood of resulting in in-10
813	813	jury, psychological trauma, or stress, with-11
814	814	out regard to whether the covered em-12
815	815	ployee sustains an injury, psychological 13
816	816	trauma, or stress; and 14
817	817	(ii) an incident involving the threat or 15
818	818	use of a firearm or a dangerous weapon, 16
819	819	including the use of common objects as 17
820	820	weapons, without regard to whether the 18
821	821	employee sustains an injury, psychological 19
822	822	trauma, or stress. 20
823	823	(2) T
824	824	YPE 1 VIOLENCE.—The term ‘‘type 1 vio-21
825	825	lence’’— 22
826	826	(A) means workplace violence directed at a 23
827	827	covered employee at a covered facility or while 24
828	828	performing a covered service by an individual 25
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831	831	•S 1232 IS
832	832	who has no legitimate business at the covered 1
833	833	facility or with respect to such covered service; 2
834	834	and 3
835	835	(B) includes violent acts by any individual 4
836	836	who enters the covered facility or worksite 5
837	837	where a covered service is being performed with 6
838	838	the intent to commit a crime. 7
839	839	(3) T
840	840	YPE 2 VIOLENCE.—The term ‘‘type 2 vio-8
841	841	lence’’ means workplace violence directed at a cov-9
842	842	ered employee by customers, clients, patients, stu-10
843	843	dents, inmates, or any individual for whom a covered 11
844	844	facility provides services or for whom the employee 12
845	845	performs covered services. 13
846	846	(4) T
847	847	YPE 3 VIOLENCE.—The term ‘‘type 3 vio-14
848	848	lence’’ means workplace violence directed at a cov-15
849	849	ered employee by a present or former employee, su-16
850	850	pervisor, or manager. 17
851	851	(5) T
852	852	YPE 4 VIOLENCE.—The term ‘‘type 4 vio-18
853	853	lence’’ means workplace violence directed at a cov-19
854	854	ered employee by an individual who is not an em-20
855	855	ployee, but has or is known to have had a personal 21
856	856	relationship with such employee, or with a customer, 22
857	857	client, patient, student, inmate, or any individual for 23
858	858	whom a covered facility provides services or for 24
859	859	whom the employee performs covered services. 25
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862	862	•S 1232 IS
863	863	(6) THREAT OF VIOLENCE .—The term ‘‘threat 1
864	864	of violence’’ means a statement or conduct that— 2
865	865	(A) causes an individual to fear for such 3
866	866	individual’s safety because there is a reasonable 4
867	867	possibility the individual might be physically in-5
868	868	jured; and 6
869	869	(B) serves no legitimate purpose. 7
870	870	(7) A
871	871	LARM.—The term ‘‘alarm’’ means a me-8
872	872	chanical, electrical, or electronic device that does not 9
873	873	rely upon an employee’s vocalization in order to alert 10
874	874	others. 11
875	875	(8) D
876	876	ANGEROUS WEAPON .—The term ‘‘dan-12
877	877	gerous weapon’’ means an instrument capable of in-13
878	878	flicting death or serious bodily injury, without re-14
879	879	gard to whether such instrument was designed for 15
880	880	that purpose. 16
881	881	(9) E
882	882	NGINEERING CONTROLS .— 17
883	883	(A) I
884	884	N GENERAL.—The term ‘‘engineering 18
885	885	controls’’ means an aspect of the built space or 19
886	886	a device that removes a hazard from the work-20
887	887	place or creates a barrier between a covered 21
888	888	employee and the hazard. 22
889	889	(B) I
890	890	NCLUSIONS.—For purposes of reduc-23
891	891	ing workplace violence hazards, the term ‘‘engi-24
892	892	neering controls’’ includes electronic access con-25
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895	895	•S 1232 IS
896	896	trols to employee occupied areas, weapon detec-1
897	897	tors (installed or handheld), enclosed work-2
898	898	stations with shatter-resistant glass, deep serv-3
899	899	ice counters, separate rooms or areas for high- 4
900	900	risk patients, locks on doors, removing access to 5
901	901	or securing items that could be used as weap-6
902	902	ons, furniture affixed to the floor, opaque glass 7
903	903	in patient rooms (which protects privacy, but 8
904	904	allows the health care provider to see where the 9
905	905	patient is before entering the room), closed-cir-10
906	906	cuit television monitoring and video recording, 11
907	907	sight-aids, and personal alarm devices. 12
908	908	(10) E
909	909	NVIRONMENTAL RISK FACTORS .— 13
910	910	(A) I
911	911	N GENERAL.—The term ‘‘environ-14
912	912	mental risk factors’’ means factors in the cov-15
913	913	ered facility or area in which a covered service 16
914	914	is performed that may contribute to the likeli-17
915	915	hood or severity of a workplace violence inci-18
916	916	dent. 19
917	917	(B) C
918	918	LARIFICATION.—Environmental risk 20
919	919	factors may be associated with the specific task 21
920	920	being performed or the work area, such as 22
921	921	working in an isolated area, poor illumination 23
922	922	or blocked visibility, and lack of physical bar-24
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925	925	•S 1232 IS
926	926	riers between individuals and persons at risk of 1
927	927	committing workplace violence. 2
928	928	(11) P
929	929	ATIENT-SPECIFIC RISK FACTORS .—The 3
930	930	term ‘‘patient-specific risk factors’’ means factors 4
931	931	specific to a patient that may increase the likelihood 5
932	932	or severity of a workplace violence incident, includ-6
933	933	ing— 7
934	934	(A) a patient’s treatment and medication 8
935	935	status, and history of violence and use of drugs 9
936	936	or alcohol; and 10
937	937	(B) any conditions or disease processes of 11
938	938	the patient that may cause the patient to expe-12
939	939	rience confusion or disorientation, be non-re-13
940	940	sponsive to instruction, behave unpredictably, or 14
941	941	engage in disruptive, threatening, or violent be-15
942	942	havior. 16
943	943	(12) S
944	944	ECRETARY.—The term ‘‘Secretary’’ 17
945	945	means the Secretary of Labor. 18
946	946	(13) W
947	947	ORK PRACTICE CONTROLS .— 19
948	948	(A) I
949	949	N GENERAL.—The term ‘‘work prac-20
950	950	tice controls’’ means procedures and rules that 21
951	951	are used to effectively reduce workplace violence 22
952	952	hazards. 23
953	953	(B) I
954	954	NCLUSIONS.—The term ‘‘work prac-24
955	955	tice controls’’ includes— 25
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958	958	•S 1232 IS
959	959	(i) assigning and placing sufficient 1
960	960	numbers of staff to reduce patient-specific 2
961	961	type 2 violence hazards; 3
962	962	(ii) provision of dedicated and avail-4
963	963	able safety personnel such as security 5
964	964	guards; 6
965	965	(iii) employee training on workplace 7
966	966	violence prevention methods and tech-8
967	967	niques to de-escalate and minimize violent 9
968	968	behavior; and 10
969	969	(iv) employee training on procedures 11
970	970	for response in the event of a workplace vi-12
971	971	olence incident and for post-incident re-13
972	972	sponse. 14
973	973	TITLE II—AMENDMENTS TO THE 15
974	974	SOCIAL SECURITY ACT 16
975	975	SEC. 201. APPLICATION OF THE WORKPLACE VIOLENCE 17
976	976	PREVENTION STANDARD TO CERTAIN FACILI-18
977	977	TIES RECEIVING MEDICARE FUNDS. 19
978	978	(a) I
979	979	NGENERAL.—Section 1866 of the Social Secu-20
980	980	rity Act (42 U.S.C. 1395cc) is amended— 21
981	981	(1) in subsection (a)(1)— 22
982	982	(A) in subparagraph (X), by striking 23
983	983	‘‘and’’ at the end; 24
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986	986	•S 1232 IS
987	987	(B) in subparagraph (Y), by striking the 1
988	988	period at the end and inserting ‘‘; and’’; and 2
989	989	(C) by inserting after subparagraph (Y) 3
990	990	the following new subparagraph: 4
991	991	‘‘(Z) in the case of hospitals that are not other-5
992	992	wise subject to the Occupational Safety and Health 6
993	993	Act of 1970 (or a State occupational safety and 7
994	994	health plan that is approved under 18(b) of such 8
995	995	Act) and skilled nursing facilities that are not other-9
996	996	wise subject to such Act (or such a State occupa-10
997	997	tional safety and health plan), to comply with the 11
998	998	Workplace Violence Prevention Standard (as pro-12
999	999	mulgated under section 101 of the Workplace Vio-13
1000	1000	lence Prevention for Health Care and Social Service 14
1001	1001	Workers Act).’’; and 15
1002	1002	(2) in subsection (b)(4)— 16
1003	1003	(A) in subparagraph (A), by inserting 17
1004	1004	‘‘and a hospital or skilled nursing facility that 18
1005	1005	fails to comply with the requirement of sub-19
1006	1006	section (a)(1)(Z) (relating to the Workplace Vi-20
1007	1007	olence Prevention Standard)’’ after 21
1008	1008	‘‘Bloodborne Pathogens standard)’’; and 22
1009	1009	(B) in subparagraph (B)— 23
1010	1010	(i) by striking ‘‘(a)(1)(U)’’ and insert-24
1011	1011	ing ‘‘(a)(1)(V)’’; and 25
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1014	1014	•S 1232 IS
1015	1015	(ii) by inserting ‘‘(or, in the case of a 1
1016	1016	failure to comply with the requirement of 2
1017	1017	subsection (a)(1)(Z), for a violation of the 3
1018	1018	Workplace Violence Prevention standard 4
1019	1019	referred to in such subsection by a hospital 5
1020	1020	or skilled nursing facility, as applicable, 6
1021	1021	that is subject to the provisions of such 7
1022	1022	Act)’’ before the period at the end. 8
1023	1023	(b) E
1024	1024	FFECTIVEDATE.—The amendments made by 9
1025	1025	subsection (a) shall apply beginning on the date that is 10
1026	1026	1 year after the date of issuance of the interim final stand-11
1027	1027	ard on workplace violence prevention required under sec-12
1028	1028	tion 101. 13
1029	1029	Æ
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