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        PRIOR PRINTER'S NO. 3115                      PRINTER'S NO. 4024

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 2183 Session of 2008


        INTRODUCED BY STABACK, BELFANTI, BIANCUCCI, BLACKWELL, BOBACK,
           CURRY, FABRIZIO, FREEMAN, GEORGE, GIBBONS, GOODMAN, GRUCELA,
           HORNAMAN, JAMES, JOSEPHS, KOTIK, KULA, LEACH, McGEEHAN,
           McILVAINE SMITH, MOUL, MOYER, MUNDY, M. O'BRIEN, PARKER,
           PASHINSKI, PRESTON, SHIMKUS, SIPTROTH, K. SMITH, WALKO,
           WANSACZ, WATSON, WOJNAROSKI, YOUNGBLOOD AND YUDICHAK,
           JANUARY 22, 2008

        AS REPORTED FROM COMMITTEE ON AGING AND OLDER ADULT SERVICES,
           HOUSE OF REPRESENTATIVES, AS AMENDED, JUNE 24, 2008

                                     AN ACT

     1  Amending the act of July 19, 1979 (P.L.130, No.48), entitled "An
     2     act relating to health care; prescribing the powers and
     3     duties of the Department of Health; establishing and
     4     providing the powers and duties of the State Health
     5     Coordinating Council, health systems agencies and Health Care
     6     Policy Board in the Department of Health, and State Health
     7     Facility Hearing Board in the Department of Justice;
     8     providing for certification of need of health care providers
     9     and prescribing penalties," defining "general complaint,"
    10     "immediate jeopardy" and "priority complaint"; AND providing   <--
    11     for onsite investigations; and further providing for provider  <--
    12     violations. COMPLAINT INVESTIGATIONS.                          <--

    13     The General Assembly of the Commonwealth of Pennsylvania
    14  hereby enacts as follows:
    15     Section 1.  Section 802.1 of the act of July 19, 1979
    16  (P.L.130, No.48), known as the Health Care Facilities Act, is
    17  amended by adding definitions to read:
    18  Section 802.1.  Definitions.
    19     The following words and phrases when used in this chapter
    20  shall have, unless the context clearly indicates otherwise, the

     1  meanings given them in this section:
     2     * * *
     3     "General complaint."  A complaint by a patient or employee of  <--
     4  a health care facility which THAT does not allege immediate       <--
     5  jeopardy.
     6     * * *
     7     "Immediate jeopardy."  A situation in which a health care      <--
     8  LONG-TERM CARE NURSING facility's noncompliance with one or more  <--
     9  requirements of participation has caused or is likely to cause
    10  serious injury, harm, impairment or death to a resident.
    11     * * *
    12     "Priority complaint."  A complaint that alleges immediate
    13  jeopardy.
    14     Section 2.  The act is amended by adding a section to read:
    15  Section 813.1.  Onsite COMPLAINT investigations.                  <--
    16     (A)  INITIAL INSPECTION.--The department shall initiate        <--
    17  onsite investigations of complaints at health care LONG-TERM      <--
    18  CARE NURSING facilities as follows:
    19         (1)  If the complaint is a priority complaint, the onsite
    20     inspection shall be initiated within 24 hours of the receipt
    21     of the complaint.
    22         (2)  If the complaint is a general complaint, the onsite   <--
    23     inspection shall be initiated OR A SURVEYOR SHALL BE ASSIGNED  <--
    24     TO INITIATE AN INSPECTION within 48 hours of the receipt of
    25     the complaint. THE DEPARTMENT SHALL HAVE THE DISCRETION TO     <--
    26     CONDUCT AN ONSITE INSPECTION DEPENDING UPON THE SEVERITY OF
    27     THE COMPLAINT.
    28     (B)  FOLLOW-UP INSPECTION.--ONCE THE PLAN OF CORRECTION
    29  SUBMITTED IN ACCORDANCE WITH SECTION 814 HAS BEEN APPROVED BY
    30  THE DEPARTMENT, THE FOLLOW-UP INSPECTION SHALL BE CONDUCTED
    20080H2183B4024                  - 2 -     

     1  AFTER THE LONGEST TARGET DATE FOR COMPLIANCE HAS BEEN REACHED AS
     2  NOTED ON THE PLAN OF CORRECTION BUT NO LATER THAN 90 DAYS AFTER
     3  THE DEPARTMENT'S INITIAL INSPECTION TO ENSURE COMPLIANCE WITH
     4  THE PLAN OF CORRECTION.
     5     Section 3.  Section 814(a) of the act, amended December 18,    <--
     6  1992 (P.L.1602, No.179), is amended to read:
     7  Section 814.  Provider violations.
     8     (a)  Notice of violations.--Whenever the department shall
     9  upon inspection, investigation or complaint find a violation of
    10  this chapter or regulations adopted by the department pursuant
    11  to this chapter or pursuant to Federal law, it shall give
    12  written notice thereof specifying the violation or violations
    13  found to the health care provider. Such notice shall require the
    14  health care provider to take action or to submit a plan of
    15  correction which shall bring the health care facility into
    16  compliance with applicable law or regulation within a specified
    17  time. The plan of correction must be submitted within 30 days of
    18  receipt of the written notice or sooner if directed to do so by
    19  the department. The department may ban admissions or revoke a
    20  license before a plan of correction is submitted whenever
    21  deficiencies pose a significant threat to the health or safety
    22  of patients or residents. Once the plan of correction has been
    23  approved by the department, the follow-up inspection shall be
    24  conducted after the longest target date for compliance has been
    25  reached as noted on the plan of correction but no later than 90
    26  days after the department's initial inspection to ensure
    27  compliance with the plan of correction.
    28     * * *
    29     Section 4 3.  This act shall take effect in 60 days.           <--

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