Senate Study Bill 1090 



                                       SENATE FILE       
                                       BY  (PROPOSED COMMITTEE ON
                                            HUMAN RESOURCES BILL
                                            BY CHAIRPERSON RAGAN)


    Passed Senate, Date               Passed House, Date             
    Vote:  Ayes        Nays           Vote:  Ayes        Nays         
                 Approved                            

                                      A BILL FOR

  1 An Act relating to dependent adult abuse.
  2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
  3 TLSB 1864SC 82
  4 rh/gg/14

PAG LIN



  1  1    Section 1.  Section 235B.2, subsection 5, paragraph b, Code
  1  2 2007, is amended by adding the following new subparagraphs:
  1  3    NEW SUBPARAGRAPH.  (4)  Circumstances in which the
  1  4 dependent adult's caretaker makes an error in the provision of
  1  5 therapeutic services to a dependent adult that does not result
  1  6 in injury or harm to the dependent adult which reasonably
  1  7 requires medical or mental health care.
  1  8    NEW SUBPARAGRAPH.  (5)  Circumstances in which the
  1  9 dependent adult's caretaker makes an error in the provision of
  1 10 therapeutic services to a dependent adult that results in
  1 11 injury or harm to the dependent adult which reasonably
  1 12 requires the care of a physician, subject to the following
  1 13 conditions:
  1 14    (a)  The care is provided in a timely fashion as dictated
  1 15 by the condition of the dependent adult.
  1 16    (b)  The error is not part of a pattern of errors by the
  1 17 caretaker.
  1 18    (c)  If the error takes place in a health care facility as
  1 19 defined in section 135C.1, the error is immediately reported
  1 20 as required by section 235B.3 and recorded within the health
  1 21 care facility.
  1 22    (d)  If the error takes place in a health care facility,
  1 23 the health care facility takes corrective action and
  1 24 identifies and implements measures designed to reduce the risk
  1 25 of further occurrence of the error and similar errors.
  1 26    (e)  If the error takes place in a health care facility,
  1 27 the actions required pursuant to paragraphs "c" and "d" are
  1 28 sufficiently documented for review and evaluation by the
  1 29 health care facility and the appropriate licensing authority.
  1 30                           EXPLANATION
  1 31    This bill defines circumstances that are not considered
  1 32 dependent adult abuse for purposes of the department of human
  1 33 services' dependent adult abuse services program pursuant to
  1 34 Code chapter 235B.  This program authorizes the department of
  1 35 human services to accept reports of suspected dependent adult
  2  1 abuse, evaluate reports, complete an assessment of needed
  2  2 services, make appropriate referrals for services, and
  2  3 maintain a central registry for dependent adult abuse
  2  4 information.
  2  5    The bill provides that circumstances in which the dependent
  2  6 adult's caretaker makes an error in the provision of
  2  7 therapeutic services to a dependent adult that does not result
  2  8 in injury or harm to the dependent adult which reasonably
  2  9 requires medical or mental health care do not constitute
  2 10 dependent adult abuse.
  2 11    The bill further provides that circumstances in which the
  2 12 dependent adult's caretaker makes an error in the provision of
  2 13 therapeutic services to a dependent adult that results in
  2 14 injury or harm to the dependent adult which reasonably
  2 15 requires the care of a physician do not constitute dependent
  2 16 adult abuse where the care after the error is provided in a
  2 17 timely fashion as dictated by the condition of the dependent
  2 18 adult, the error is not part of a pattern of errors by the
  2 19 caretaker, and, if the error takes place in a health care
  2 20 facility as defined in Code section 135C.1, the error is
  2 21 immediately reported as required by Code section 235B.3,
  2 22 recorded within the health care facility, the health care
  2 23 facility takes corrective action and identifies and implements
  2 24 measures designed to reduce the risk of further occurrence of
  2 25 the error and similar errors, and all such actions are
  2 26 sufficiently documented for review and evaluation by the
  2 27 health care facility and the appropriate licensing authority.
  2 28 LSB 1864SC 82
  2 29 rh:nh/gg/14