ARIZONA HOUSE OF REPRESENTATIVES

Fifty-fifth Legislature

Second Regular Session

 


HB 2635: health care workers; assault; prevention

Sponsor: Representative Shah, LD 24

Committee on Health & Human Services

Overview

Directs health care employers to develop, implement and maintain a written workplace violence prevention plan. Provides processes, procedures and prohibitions relating workplace violence plans, health care workers and employers.

History

A person commits assault by: 1) Intentionally, knowingly or recklessly causing any physical injury to another person; 2) Intentionally placing another person in reasonable apprehension of imminent physical injury; or 3) Knowingly touching another person with the intent to injure, insult or provoke such person (A.R.S. § 13-1203).

Statute outlines various circumstances of when an assault is considered aggravated assault. These include a person committing the assault knowing or having reason to know that the victim is a health care practitioner who is certified or licensed as a medical doctor, nurse, physician assistant or osteopathic physician or surgeon. This does not apply if the person who commits the assault is seriously mentally ill according to specified criteria or is afflicted with Alzheimer's disease or related dementia (A.R.S. § 13-1204).

Provisions

1.   ☐ Prop 105 (45 votes)	     ☐ Prop 108 (40 votes)      ☐ Emergency (40 votes)	☐ Fiscal NoteRequires health care employers no later than July 1, 2023, to develop, implement and maintain a written workplace violence prevention plan that:

a)   Includes components that are specifically tailored to the conditions and hazards of the health care employer's sites and patient-specific risk factors;

b)   Identifies the individual who is responsible for implementing and overseeing the plan;

c)   Requires conspicuous posting of signs in public areas throughout a health care employer's site, including all emergency facilities in a specified size that provide notice that assault on a health care worker may be prosecuted as a felony;

d)   Includes reporting, incident response and post-incident investigation procedures, including procedures:

i.   For health care workers to report workplace violence risk, hazards and incidents;

ii. For health care employers to respond to reports of workplace violence; and

iii.   For health care employers to perform a post-incident investigation and debriefing of all reported incidents of workplace violence with the participation of health care workers; and

e)   Requires health care employers to provide information to health care workers about a worker's ability to report any assault to law enforcement and, on request, to assist the worker in reporting the assault. (Sec 2)

2.   States each health care employer must make its workplace violence prevention plan always available to all health care workers and contractors who provide patient care. (Sec. 2)

3.   Specifies that as soon as practicable after a workplace violence incident is reported to the health care employer, they must investigate the incident and:

a)   Review the circumstances of the incident;

b)   Solicit input from involved health care workers and supervisors about the cause of the incident and whether further corrective measures could have prevented the incident; and

c)   Document the findings, recommendations and corrective measures taken, if applicable, for each investigation conducted. (Sec. 2)

4.   Requires each health care employer to provide training and education to its health care workers who may be exposed to workplace violence hazards and risks. (Sec 2)

5.   Directs each health care employer to maintain:

a)   Records relating to each employer's workplace violence prevention plans, including identifying, evaluating and correcting hazards and risks and training procedures; and

b)   An incident log for recording all reported workplace violence incidents which will include specified information for each incident. (Sec. 2)

6.   Stipulates each health care employer must annually evaluate the implantation and effectiveness of the workplace violence prevention plan, including a review of the violent incident log and compliance with any training. Requires the evaluation to be documented. (Sec. 2)

7.   Requires the health care employer to adopt a policy that prohibits any person from discriminating or retaliating against any health care worker for either:

a)   Reporting to or seeking assistance or intervention from the employer, law enforcement, local emergency services or a government agency or participating in an incident investigation; or

b)   Reasonable acting in self-defense or defense of others in response to an imminent threat of physical harm. (Sec. 2)

8.   Prohibits a health care employer from discriminating or retaliating against a health care worker for either:

a)   Reporting to or seeking assistance or intervention from the employer, law enforcement, local emergency services or a government agency or for exercising any other specified rights; or

b)   Reasonably acting in self-defense or defense of others in response to an imminent threat of physical harm. (Sec 2)

9.   Specifies that these requirements do not affect the legal obligations of a health care employer and health care worker pursuant to the protection of patient's rights and do not apply to the Arizona State Hospital (ASH) or any other licensed facility that is under the jurisdiction of the superintendent of ASH. (Sec. 2)

10.  States that a person who knowingly assaults a health care worker engaged in health care work duties has committed aggravated assault and specifies that this does not apply if the person who commits the assault does not have the ability to form the culpable mental state because of a mental disability or because the person is seriously mentally ill. (Sec. 1)

11.  Defines terms. (Sec. 1, 2)

12.  Makes conforming changes. (Sec. 1)

 

 

 

 

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                        HB 2635

Initials AG/JB  Page 0 Health & Human Services

 

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