See other bills
under the
same topic
        PRIOR PRINTER'S NO. 3907                      PRINTER'S NO. 4576

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

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 -