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