PRIOR PRINTER'S NO. 3907 PRINTER'S NO. 4576
No. 2637 Session of 2004
INTRODUCED BY VANCE, FEESE, MANN, NAILOR, ADOLPH, BASTIAN, BLAUM, CORRIGAN, CRAHALLA, DAILEY, DALEY, DeLUCA, DENLINGER, GEIST, GEORGE, GERGELY, GINGRICH, GOOD, GRUCELA, HENNESSEY, KENNEY, LEDERER, LEH, PAYNE, PICKETT, PISTELLA, REICHLEY, ROSS, RUBLEY, SAINATO, SCHRODER, E. Z. TAYLOR, TRUE, WATSON AND MELIO, MAY 24, 2004
AS AMENDED ON THIRD CONSIDERATION, HOUSE OF REPRESENTATIVES, OCTOBER 20, 2004
AN ACT 1 Requiring hospitals to obtain certain information relating to 2 criminal history from prospective employees; providing for 3 grounds for denying employment and for certificate of 4 employability; prescribing penalties; providing for 5 provisional employees for limited periods; imposing certain 6 requirements for current hospital employees; and providing 7 for civil immunity under certain circumstances. 8 TABLE OF CONTENTS 9 Section 1. Short title. 10 Section 2. Declaration of policy. 11 Section 3. Definitions. 12 Section 4. Information relating to prospective hospital 13 personnel. 14 Section 5. Grounds for denying employment. 15 Section 6. Certificate of employability. 16 Section 7. Regulations. 17 Section 8. Violations. 18 Section 9. Conditional employees for limited periods.
1 Section 10. Requirements concerning current hospital 2 employees. 3 Section 11. Civil immunity. 4 Section 12. Other laws. 5 Section 13. Report to General Assembly. 6 Section 14. Applicability. 7 Section 15. Severability. 8 Section 16. Effective date. 9 The General Assembly of the Commonwealth of Pennsylvania 10 hereby enacts as follows: 11 Section 1. Short title. 12 This act shall be known and may be cited as the Hospital 13 Employee Background Check Act. 14 Section 2. Declaration of policy. 15 It is declared the policy of this Commonwealth that the 16 commission of any offense that constitutes serious physical harm 17 or a threat of serious physical harm or conduct which evidences 18 a reckless disregard for the vulnerability of hospital or other 19 care-dependent populations legitimately warrants a lifetime ban 20 on employment in hospitals covered under this act. Further, for 21 hospitals covered under this act, it is the policy of this 22 Commonwealth that the commission of any offenses related to 23 misappropriation or misuse of property or convictions which 24 involved inappropriate or irresponsible behavior legitimately 25 warrants a ban on employment for a period of ten years 26 immediately preceding the date of the report, not including any 27 time spent in incarceration. 28 Section 3. Definitions. 29 The following words and phrases when used in this act shall 30 have the meanings given to them in this section unless the 20040H2637B4576 - 2 -
1 context clearly indicates otherwise: 2 "Applicant." An individual who submits an application to and 3 is being considered for employment by a hospital. 4 "Bureau." The Bureau of Professional and Occupational 5 Affairs in the Department of State. 6 "Department." The Department of Health of the Commonwealth. 7 "Employee." An individual who has direct contact with 8 patients or unsupervised access to patient rooms and is either 9 employed by a hospital or a contract employee, ACTS IN A <-- 10 MANAGERIAL CAPACITY OR IS A STUDENT OR INTERN. 11 "Hospital." An entity licensed as a hospital under the act 12 of June 13, 1967 (P.L.31, No.21), known as the Public Welfare 13 Code, or the act of July 19, 1979 (P.L.130, No.48), known as the 14 Health Care Facilities Act. 15 "State Police." The Pennsylvania State Police. 16 Section 4. Information relating to prospective hospital 17 personnel. 18 (a) General rule.--A hospital shall require all applicants 19 to submit with their applications the following information 20 obtained within the preceding one-year period: 21 (1) Pursuant to 18 Pa.C.S. Ch. 91 (relating to criminal 22 history record information), a report of criminal history 23 record information from the State Police or a statement from 24 the State Police that their central repository contains no 25 such information relating to that person. The criminal 26 history record information shall be limited to that which is 27 disseminated pursuant to 18 Pa.C.S. § 9121(b)(2) (relating to 28 general regulations). 29 (2) Where the applicant is not or, for the two years 30 immediately preceding the date of application, has not been a 20040H2637B4576 - 3 -
1 resident of this Commonwealth, a hospital shall require the 2 applicant to submit with the application for employment a 3 report of Federal criminal history record information 4 pursuant to the Federal Bureau of Investigation's 5 appropriation under the Department of State, Justice, and 6 Commerce, the Judiciary, and Related Agencies Appropriation 7 Act, 1973 Public Law 92-544, 86 Stat. 1109. The department 8 shall be the intermediary for the purposes of this paragraph. 9 For the purposes of this paragraph, the applicant shall 10 submit a full set of fingerprints to the State Police, which 11 shall forward them to the Federal Bureau of Investigation for 12 a national criminal history record check. The information 13 obtained from the criminal history record check shall be used 14 by the department to determine the applicant's eligibility. 15 The determination shall be submitted to the hospital by the 16 applicant prior to commencing employment. The hospital shall 17 ensure confidentiality of the information. 18 (b) Fees.--The State Police may charge the applicant a fee 19 of not more than $10 to conduct the criminal record check 20 required under subsection (a)(1). The State Police may charge a 21 fee of not more than the established charge by the Federal 22 Bureau of Investigation for the criminal history record check 23 required under subsection (a)(2). The State Police shall develop 24 a billing system to allow hospitals to assume responsibility for 25 the fee under this subsection. The State Police shall allow 26 hospitals to establish an account for quarterly payment. 27 Section 5. Grounds for denying employment. 28 (a) Lifetime bans.--In no case shall a hospital hire an 29 applicant required to submit information pursuant to section 30 4(a) or retain an employee required to submit information 20040H2637B4576 - 4 -
1 pursuant to section 14, if the applicant's or employee's 2 criminal history record information indicates the applicant or 3 employee has been convicted of any of the following offenses: 4 (1) An offense under one of the following provisions of 5 18 Pa.C.S. (relating to crimes and offenses) which is graded 6 as a felony: 7 Chapter 25 (relating to criminal homicide). 8 Section 2702 (relating to aggravated assault), if it is 9 graded as a felony of the first degree. 10 Section 2709.1 (relating to stalking). 11 Section 2713 (relating to neglect of care-dependent 12 person). 13 Section 2901 (relating to kidnapping). 14 Section 3121 (relating to rape). 15 Section 3123 (relating to involuntary deviate sexual 16 intercourse). 17 Section 3124.1 (relating to sexual assault). 18 Section 3125 (relating to aggravated indecent assault). 19 Section 3301 (relating to arson and related offenses). 20 Section 3701 (relating to robbery). 21 Section 4302 (relating to incest). 22 Section 4304 (relating to endangering welfare of 23 children). 24 Section 6312 (relating to sexual abuse of children). 25 Section 6320 (relating to sexual exploitation of 26 children). 27 (2) An offense under one of the following provisions of 28 18 Pa.C.S. which is graded as a misdemeanor: 29 Section 2713 (relating to neglect of care-dependent 30 person). 20040H2637B4576 - 5 -
1 Section 3126 (relating to indecent assault). 2 Section 4305 (relating to dealing in infant children). 3 (3) A Federal or out-of-State offense similar in nature 4 to any offense listed in paragraph (1) or (2). 5 (b) Ten-year ban.--In no case may a hospital hire an 6 applicant required to submit information pursuant to section 7 4(a) or retain an employee required to submit information 8 pursuant to section 14, if the applicant's or employee's 9 criminal history record information as supplemented under 10 subsection (c), indicates the applicant or employee has been 11 convicted, within ten years immediately preceding the date of 12 the report, not including any time spent in incarceration, of 13 any of the following offenses: 14 (1) An offense graded a felony under the act of April 15 14, 1972 (P.L.233, No.64), known as The Controlled Substance, 16 Drug, Device and Cosmetic Act. 17 (2) An offense under one of the following provisions of 18 18 Pa.C.S. which is graded as a felony: 19 Section 2702, if it is graded as a felony of the second 20 degree. 21 Section 2902 (relating to unlawful restraint). 22 Section 3122.1 (relating to statutory sexual assault). 23 Section 3502 (relating to burglary). 24 Section 3702 (relating to robbery of motor vehicle). 25 Section 4101 (relating to forgery). 26 Section 4952 (relating to intimidation of witnesses or 27 victims). 28 Section 4953 (relating to retaliation against witness, 29 victim or party). 30 Section 5902 (relating to prostitution and related 20040H2637B4576 - 6 -
1 offenses). 2 Section 5903(c) or (d) (relating to obscene and other 3 sexual materials and performances). 4 (3) An offense under one of the following provisions of 5 18 Pa.C.S. which is graded as a misdemeanor: 6 Section 2504 (relating to involuntary manslaughter). 7 Section 2902. 8 Section 3127 (relating to indecent exposure). 9 Section 4101. 10 Section 4114 (relating to securing execution of documents 11 by deception). 12 Section 4303 (relating to concealing death of child). 13 Section 6301(a)(1) (relating to corruption of minors). 14 (4) A felony offense under 18 Pa.C.S. Ch. 39 (relating 15 to theft and related offenses) or two or more misdemeanors 16 under 18 Pa.C.S. Ch. 39. 17 (5) A Federal or out-of-State offense similar to any 18 offense listed in paragraph (1), (2), (3) or (4). 19 (c) Duty of applicant or employee.--An applicant required to 20 submit information under section 4(a) and an employee required 21 to submit information under section 14 shall provide the 22 hospital with documentation of time spent in incarceration and 23 the date of release from incarceration because of being 24 sentenced for an offense enumerated under subsection (b). 25 (d) Right of review.--An applicant or employee may review, 26 challenge and appeal the completeness or accuracy of that 27 applicant's or employee's criminal history report under 18 28 Pa.C.S. Ch. 91 (relating to criminal history record 29 information). An applicant or employee may challenge the 30 conviction comparison interpretation of the department involving 20040H2637B4576 - 7 -
1 the Federal criminal history record by filing an appeal with the 2 department in accordance with 2 Pa.C.S. (relating to 3 administrative law and procedure). 4 Section 6. Certificate of employability. 5 (a) General rule.--An individual who would otherwise be 6 precluded from employment by a hospital under section 5(b) may 7 apply for a certificate of employment provided that at least 8 five years, not including any time spent in incarceration, have 9 passed since the individual's conviction of any offense listed 10 under section 5(b). A certificate of employment granted under 11 this section shall be applicable for any hospital subject to 12 this act. The issuance of a certificate shall permit an 13 individual to seek and possibly obtain or retain employment 14 within a hospital subject to this act, but does not guarantee 15 that a hospital will either offer a position of employment to 16 the individual or continue current employment. 17 (b) Hearing.--The bureau shall conduct a hearing on any 18 application filed by an individual who would otherwise be 19 precluded from employment under section 5(b) and determine 20 whether the individual demonstrates rehabilitation. A hearing 21 under this section shall be adjudicated by the bureau's hearing 22 officers and conducted in accordance with the provisions of 2 23 Pa.C.S. (relating to administrative law and procedure). A 24 determination by a hearing officer shall be a final 25 determination of an agency with a right to appeal to 26 Commonwealth Court. 27 (c) Evidence.--The individual applying for a certificate 28 must prove by a preponderance of the evidence the individual's 29 fitness to work in a hospital. The determination shall include, 30 but not be limited to, the following factors: 20040H2637B4576 - 8 -
1 (1) Proof of release from incarceration and the amount 2 of time that has elapsed since the last conviction. 3 (2) The length and stability of the individual's 4 employment history, particularly in the field in which the 5 individual is seeking work. 6 (3) The circumstances of the offense for which the 7 individual was convicted and the nature of the conviction. 8 (4) If the offense was related to drug use, whether the 9 individual has undergone drug treatment and is maintaining 10 recovery and the length of time the individual has been in 11 recovery. 12 (5) Other evidence of postconviction rehabilitation, 13 including, but not limited to, history of community service, 14 psychological counseling and character references. 15 (6) In addition to evidence submitted by the individual 16 applying for a certificate, the bureau may consider 17 testimony, letters or recommendations relevant to the factors 18 under paragraph (1), (2), (3), (4) or (5), if the testimony, 19 letters or recommendations are provided to the bureau prior 20 to the scheduled hearing date or, at the bureau's option, 21 provided at the scheduled hearing, from: 22 (i) Licensed professionals. 23 (ii) Members of the community. 24 (iii) Public officials. 25 (iv) Former employers. 26 (v) An employer intending to hire the individual. 27 (vi) Others with knowledge of the individual or 28 other evidence relevant to the application. 29 (7) The bureau may consider, if provided to the bureau 30 prior to the scheduled hearing date or, at the bureau's 20040H2637B4576 - 9 -
1 option, provided at the scheduled hearing, any testimony, 2 letters or recommendations submitted by: 3 (i) The district attorney of the county where any 4 offense listed under section 5(b) occurred. 5 (ii) The victim listed or if the victim is deceased, 6 family members of the victim of any offense under section 7 5(b). 8 (8) At least 30 days prior to a hearing on an 9 application for a certificate, the bureau shall provide 10 notice of the hearing to the district attorney of the county 11 where any offense listed under section 5(b) occurred and 12 shall make all reasonable efforts to provide notice of the 13 hearing to the victim or, if the victim is deceased, family 14 members of the victim of any offense listed under section 15 5(b). 16 (d) Submission.--An individual applying for a certificate 17 shall submit any and all evidence listed under subsection (c) 18 within 30 days of the initial filing of the application for a 19 certificate. Any submission of evidence listed under subsection 20 (c) after this 30-day period may be accepted at the discretion 21 of the hearing officer. 22 (e) Investigations.--The bureau shall establish procedures 23 to conduct investigations of all evidence submitted concerning 24 an application for a certificate. These procedures shall 25 include, but not be limited to: 26 (1) Time periods for a response to an investigator's 27 request for further documentation or evidence from the 28 individual applying for the certificate. 29 (2) Time periods for responses from any notices sent by 30 the hearing officer under subsection (c)(8). Any information 20040H2637B4576 - 10 -
1 submitted after these established time periods shall be 2 accepted at the discretion of the hearing officer. 3 (f) Determinations.--The bureau shall conduct a hearing on 4 an application for a certificate within 90 days of the completed 5 application being received and issue a decision within 30 days 6 of the hearing unless additional time is requested by the 7 applicant or upon a showing of good cause by the Commonwealth. 8 Determinations by the bureau shall be communicated to the 9 department. The department shall keep a record of all 10 determinations for certificates of employability for five years. 11 (g) Rules and regulations.--The bureau shall establish rules 12 and regulations for the review of the applications for a 13 certificate consistent with the guidelines established under 14 this section. The bureau may conduct hearings pursuant to any 15 rules and regulations already promulgated under the provisions 16 of the act of July 2, 1993 (P.L.345, No.48), entitled "An act 17 empowering the General Counsel of his designee to issue 18 subpoenas for certain licensing board activities; providing for 19 hearing examiners in the Bureau of Professional and Occupational 20 Affairs; providing additional powers to the Commissioner of 21 Professional and Occupational Affairs; and further providing for 22 civil penalties and license suspension." Copies of the rules and 23 regulations shall be made available for distribution to the 24 public. 25 (h) Fees.--No application for a certificate shall be 26 considered by the bureau unless accompanied by a fee established 27 by the bureau. All fees imposed shall be sufficient to cover the 28 costs of implementing this section. Initial fees shall be 29 effective upon publication in the Pennsylvania Bulletin and 30 shall not be subject to the act of July 31, 1968 (P.L.769, 20040H2637B4576 - 11 -
1 No.240), referred to as the Commonwealth Documents Law, the act 2 of October 15, 1980 (P.L.950, No.164), known as the Commonwealth 3 Attorneys Act, and the act of June 25, 1982 (P.L.633, No.181), 4 known as the Regulatory Review Act. The fees imposed by the 5 bureau shall be paid into the Professional Licensure 6 Augmentation Account established pursuant to the act of July 1, 7 1978 (P.L.700, No.124), known as the Bureau of Professional and 8 Occupational Affairs Fee Act. 9 (i) Notice to applicants.--Notification of the provisions of 10 this section shall be provided by the hospital in a form 11 designated by the bureau to each applicant. 12 Section 7. Regulations. 13 The department shall promulgate the regulations, except 14 regulations concerning the certificate of employability process 15 under section 6, necessary to carry out the provisions of this 16 act. 17 Section 8. Violations. 18 (a) Administrative.-- 19 (1) A hospital which fails to comply with the provisions 20 of this act commits a violation of this act and shall be 21 subject to an administrative penalty under paragraph (2). 22 (2) The Commonwealth agency or Commonwealth agencies 23 which license a hospital shall have jurisdiction to determine 24 violations of this act and may issue an order assessing a 25 civil penalty of not more than $10,000. An order under this 26 paragraph shall be subject to 2 Pa.C.S. Ch. 5 Subch. A 27 (relating to practice and procedure of Commonwealth agencies) 28 and Ch. 7 Subch. A (relating to judicial review of 29 Commonwealth agency action). 30 (b) Criminal.--A person who intentionally or willfully fails 20040H2637B4576 - 12 -
1 to comply or obstructs compliance with this act commits a 2 misdemeanor of the third degree and shall, upon conviction, be 3 sentenced to pay a fine of $2,500 or to imprisonment for not 4 more than one year, or both. 5 Section 9. Conditional employees for limited periods. 6 Notwithstanding the provisions of this act, a hospital may 7 employ applicants on a conditional basis for a single period not 8 to exceed 30 days or, for applicants under section 4(a)(2), a 9 period of 90 days, if all of the following criteria are met: 10 (1) The applicant has applied for the information 11 required under section 4 and the applicant provides a copy of 12 the appropriate completed request forms to the hospital. 13 (2) The hospital has no knowledge of information 14 pertaining to the applicant which would disqualify the 15 applicant from employment pursuant to section 5, subject to 16 18 Pa.C.S. § 4911 (relating to tampering with public records 17 or information). 18 (3) The applicant swears or affirms in writing that the 19 applicant is not disqualified from employment under section 20 5. 21 (4) If the information obtained under section 4 reveals 22 that the applicant is disqualified from employment under 23 section 5, the applicant shall be immediately dismissed by 24 the hospital. 25 Section 10. Requirements concerning current hospital employees. 26 The following shall apply: 27 (1) If the information obtained under section 4 reveals 28 that an individual currently employed at a hospital is 29 disqualified from employment under section 5(b) and the 30 individual seeks to apply for a certificate of employability 20040H2637B4576 - 13 -
1 pursuant to section 6, the individual shall either, at the 2 option of the hospital, be placed on suspension without pay 3 or continue employment under supervision with no unsupervised 4 direct contact with patients until such time as a certificate 5 is issued or an appeal is filed pursuant to paragraph (4). 6 (2) If an individual currently employed at a hospital 7 fails to file an application for a certificate within 30 days 8 of being suspended or placed under supervision by a hospital 9 receiving the information under section 4, the individual 10 shall be immediately dismissed by the hospital. 11 (3) Except as provided in paragraph (4), if an 12 application is denied pursuant to section 6, the individual 13 on suspension or supervised employment shall be immediately 14 dismissed by the hospital. 15 (4) If an appeal is filed by either party with the 16 Commonwealth Court from a decision under section 6(f), 17 concerning an individual on suspension or supervised 18 employment, then the hospital shall have the option to 19 continue the suspension period or supervised employment under 20 paragraph (1) or to terminate the individual. 21 (5) At no time may an individual be dismissed from 22 employment solely for offenses resulting in disqualification 23 from employment under section 5(b) while an application is 24 pending and before a final determination of that application 25 is made pursuant to section 6(f). 26 (6) Within 30 days of the effective date of this 27 section, each hospital shall provide copies of section 6 and 28 this section to all current hospital employees. 29 Section 11. Civil immunity. 30 A hospital may not be held civilly liable for any action 20040H2637B4576 - 14 -
1 directly related to good faith compliance with this act. 2 Section 12. Other laws. 3 This act does not supersede background check-employment 4 restrictions imposed by another law if the other law is deemed 5 applicable to a hospital or portion of a hospital. 6 Section 13. Report to General Assembly. 7 No later than one year following the effective date of this 8 section, the State Police and the department shall report to the 9 Public Health and Welfare Committee of the Senate and the Health 10 and Human Services Committee of the House of Representatives 11 with their findings and recommendations regarding the 12 implementation of this act. 13 Section 14. Applicability. 14 This act shall apply as follows: 15 (1) (i) An individual who, on the effective date of 16 this section, is a current employee of a hospital shall, 17 within 12 months of the effective date of this section, 18 comply with section 4 as a condition of continued 19 employment. 20 (ii) Criminal history record information which meets 21 the requirements of section 4 was obtained within the 22 one-year period preceding the effective date of this 23 section and was submitted to a hospital prior to the 24 effective date of this section shall be deemed current 25 for the purposes of subparagraph (i) upon review for 26 compliance with section 5 by the appropriate entity. 27 (2) An employee who has obtained the information 28 required under section 4 may transfer to another hospital 29 established and supervised by the same owner and shall not be 30 required to obtain additional reports before making the 20040H2637B4576 - 15 -
1 transfer. 2 Section 15. Severability. 3 The provisions of this act are severable. If any provision of 4 this act or its application to any person or circumstance is 5 held invalid, the invalidity shall not affect other provisions 6 or applications of this act which can be given effect without 7 the invalid provision or application. 8 Section 16. Effective date. 9 This act shall take effect in 60 days. E6L35DMS/20040H2637B4576 - 16 -