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        PRIOR PRINTER'S NO. 371                       PRINTER'S NO. 2627

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 358 Session of 1999


        INTRODUCED BY FEESE, DEMPSEY, PHILLIPS, GEIST, HERMAN, READSHAW,
           FAIRCHILD, CORRIGAN, S. MILLER, DALLY, FARGO, WALKO,
           E. Z. TAYLOR, MICHLOVIC, SATHER, HENNESSEY, STERN, WILLIAMS,
           ROSS, M. COHEN, ORIE, PLATTS, JAMES, YOUNGBLOOD, HARHAI,
           STEELMAN AND WASHINGTON, FEBRUARY 8, 1999

        AS AMENDED ON THIRD CONSIDERATION, HOUSE OF REPRESENTATIVES,
           NOVEMBER 9, 1999

                                     AN ACT

     1  Amending Title 18 (Crimes and Offenses) of the Pennsylvania
     2     Consolidated Statutes, further providing for neglect of care-
     3     dependent person.

     4     The General Assembly of the Commonwealth of Pennsylvania
     5  hereby enacts as follows:
     6     Section 1.  The definition of "caretaker" in section 2713(f)   <--
     7  of Title 18 of the Pennsylvania Consolidated Statutes is amended
     8  to read:
     9     SECTION 1.  SECTION 2713(E) AND THE DEFINITION OF "CARETAKER"  <--
    10  IN SUBSECTION (F) OF TITLE 18 OF THE PENNSYLVANIA CONSOLIDATED
    11  STATUTES ARE AMENDED TO READ:
    12  § 2713.  Neglect of care-dependent person.
    13     * * *
    14     (E)  TREATMENT IN CONFORMANCE WITH CARE-DEPENDENT PERSON'S     <--
    15  RIGHT TO ACCEPT OR REFUSE SERVICES.--A CARETAKER OR ANY OTHER
    16  INDIVIDUAL OR FACILITY MAY OFFER AN AFFIRMATIVE DEFENSE TO


     1  CHARGES FILED PURSUANT TO THIS SECTION IF THE CARETAKER,
     2  INDIVIDUAL OR FACILITY CAN DEMONSTRATE THROUGH [A PREPONDERANCE
     3  OF THE] CLEAR AND CONVINCING EVIDENCE THAT THE ALLEGED
     4  VIOLATIONS RESULT DIRECTLY FROM:
     5         (1)  THE CARETAKER'S, INDIVIDUAL'S OR FACILITY'S LAWFUL
     6     COMPLIANCE WITH A CARE-DEPENDENT PERSON'S ADVANCE DIRECTIVE
     7     FOR HEALTH CARE AS PROVIDED IN 20 PA.C.S. CH. 54 (RELATING TO
     8     ADVANCE DIRECTIVE FOR HEALTH CARE);
     9         (2)  THE CARETAKER'S, INDIVIDUAL'S OR FACILITY'S LAWFUL
    10     COMPLIANCE WITH THE CARE-DEPENDENT PERSON'S WRITTEN, SIGNED
    11     AND WITNESSED INSTRUCTIONS, COMPOSED WHEN THE CARE-DEPENDENT
    12     PERSON IS COMPETENT AS TO THE TREATMENT HE WISHES TO RECEIVE;
    13         (3)  THE CARETAKER'S, INDIVIDUAL'S OR FACILITY'S LAWFUL
    14     COMPLIANCE WITH THE DIRECTION OF THE CARE-DEPENDENT PERSON'S
    15     ATTORNEY-IN-FACT ACTING PURSUANT TO A LAWFUL DURABLE POWER OF
    16     ATTORNEY; OR
    17         (4)  THE CARETAKER'S, INDIVIDUAL'S OR FACILITY'S LAWFUL
    18     COMPLIANCE WITH A "DO NOT RESUSCITATE" ORDER WRITTEN AND
    19     SIGNED BY THE CARE-DEPENDENT PERSON'S ATTENDING PHYSICIAN.
    20     (f)  Definitions.--As used in this section, the following
    21  words and phrases shall have the meanings given to them in this
    22  subsection:
    23     * * *
    24     "Caretaker."  Any person who:
    25         (1)  is an owner, operator, manager or employee of a
    26     nursing home, personal care home, domiciliary care home,
    27     community residential facility, intermediate care facility
    28     for the mentally retarded, adult daily living center, home
    29     health agency or home health service provider whether
    30     licensed or unlicensed;
    19990H0358B2627                  - 2 -

     1         (1.1)  assumes the responsibility of care for a care-
     2     dependent person and who is a member of the care-dependent
     3     person's family, as defined in 23 Pa.C.S. § 6102 (relating to
     4     definitions);
     5         (2)  provides care to a care-dependent person in the
     6     setting described in paragraph (1); or
     7         (3)  has an obligation to care for a care-dependent
     8     person for monetary consideration in the settings described
     9     in paragraph (1) or in the care-dependent person's home.
    10     partnership, unincorporated association or other business      <--
    11     entity.
    12     * * *
    13     Section 2.  This act shall take effect in 60 days.












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