House Bill 3089e2

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                           CS/HBs 3089 & 171, Second Engrossed/ntc



  1                      A bill to be entitled

  2         An act relating to nursing facilities; amending

  3         s. 400.121, F.S.; providing procedure for

  4         administrative hearings on certain actions to

  5         deny, suspend, or revoke a nursing facility's

  6         license; creating s. 400.215, F.S.; requiring

  7         background screening for certain nursing

  8         facility employees; providing requirements for

  9         employers and employees; authorizing

10         conditional status for certain employees;

11         requiring the Agency for Health Care

12         Administration to establish and maintain a

13         database and provide certain information;

14         providing for screening fees; providing for

15         exemptions from disqualification; providing an

16         exemption from rescreening for certain persons;

17         providing for certain sharing of screening

18         information among employers; providing for

19         adoption of rules; specifying dates and

20         conditions for compliance by employees and new

21         applicants; repealing s. 400.211(5), F.S.,

22         relating to screening requirements for

23         certified nursing assistants; providing an

24         effective date.

25

26  Be It Enacted by the Legislature of the State of Florida:

27

28         Section 1.  Subsection (5) is added to section 400.121,

29  Florida Statutes, to read:

30         400.121  Denial, suspension, revocation of license;

31  moratorium on admissions; administrative fines; procedure.--


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                           CS/HBs 3089 & 171, Second Engrossed/ntc



  1         (5)  An action taken by the agency to deny, suspend, or

  2  revoke a facility's license under this part, in which the

  3  agency claims that the facility owner or an employee of the

  4  facility has threatened the health, safety, or welfare of a

  5  resident of the facility, shall be heard by the Division of

  6  Administrative Hearings of the Department of Management

  7  Services within 120 days after receipt of the facility's

  8  request for a hearing, unless the time limitation is waived by

  9  both parties.  The administrative law judge must render a

10  decision within 30 days after receipt of a proposed

11  recommended order.  This subsection does not modify the

12  requirement that an administrative hearing be held within 90

13  days after a license is suspended under paragraph (4)(b).

14         Section 2.  Section 400.215, Florida Statutes, is

15  created to read:

16         400.215  Personnel screening requirement.--

17         (1)  The agency shall require background screening as

18  provided in chapter 435 for all employees or prospective

19  employees of facilities licensed under part II who are

20  expected to, or whose responsibilities may require them to:

21         (a)  Provide personal care or services to residents;

22         (b)  Have access to resident living areas; or

23         (c)  Have access to resident funds or other personal

24  property.

25         (2)  Employers and employees shall comply with the

26  requirements of s. 435.05.

27         (a)  Notwithstanding the provisions of s. 435.05(1),

28  facilities must have in their possession evidence that level 1

29  screening has been completed before allowing an employee to

30  begin working with patients as provided in subsection (1). All

31  information necessary for conducting background screening


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                           CS/HBs 3089 & 171, Second Engrossed/ntc



  1  using level 1 standards as specified in s. 435.03(1) and for

  2  conducting a search of the central abuse registry and tracking

  3  system as specified in s. 435.03(3)(a) shall be submitted by

  4  the nursing facility to the agency. Results of the background

  5  screening and the abuse registry check shall be provided by

  6  the agency to the requesting nursing facility.

  7         (b)  Employees qualified under the provisions of

  8  paragraph (a) who have not maintained continuous residency

  9  within the state for the 5 years immediately preceding the

10  date of request for background screening must complete level 2

11  screening, as provided in chapter 435. Such employees may work

12  in a conditional status up to 180 days pending the receipt of

13  written findings evidencing the completion of level 2

14  screening. Level 2 screening shall not be required of

15  employees or prospective employees who attest in writing under

16  penalty of perjury that they meet the residency requirement.

17  Completion of level 2 screening shall require the employee or

18  prospective employee to furnish to the nursing facility a full

19  set of fingerprints to enable a criminal background

20  investigation to be conducted. The nursing facility shall

21  submit the completed fingerprint card to the agency. The

22  agency shall establish a record of the request in the database

23  provided for in paragraph (c) and forward the request to the

24  Department of Law Enforcement, which is authorized to submit

25  the fingerprints to the Federal Bureau of Investigation for a

26  national criminal history records check. The results of the

27  national criminal history records check shall be returned to

28  the agency, which shall maintain the results in the database

29  provided for in paragraph (c). The agency shall notify the

30  administrator of the requesting nursing facility or the

31  administrator of any other facility licensed under chapter


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                           CS/HBs 3089 & 171, Second Engrossed/ntc



  1  393, chapter 394, chapter 395, chapter 397, or this chapter,

  2  as requested by such facility, as to whether or not the

  3  employee has qualified under level 1 or level 2 screening. An

  4  employee or prospective employee who has qualified under level

  5  2 screening and has maintained such continuous residency

  6  within the state shall not be required to complete a

  7  subsequent level 2 screening as a condition of employment at

  8  another facility.

  9         (c)  The agency shall establish and maintain a database

10  of background screening information which shall include the

11  results of both level 1 and level 2 screening and central

12  abuse registry and tracking system checks. The Department of

13  Law Enforcement shall timely provide to the agency,

14  electronically, the results of each statewide screening for

15  incorporation into the database. The Department of Children

16  and Family Services shall provide the agency with electronic

17  access to the central abuse registry and tracking system. The

18  agency shall search the registry to identify any confirmed

19  report and shall access such report for incorporation into the

20  database. The agency shall, upon request from any facility,

21  agency, or program required by or authorized by law to screen

22  its employees or applicants, notify the administrator of the

23  facility, agency, or program of the qualifying or

24  disqualifying status of the employee or applicant named in the

25  request.

26         (d)  Applicants and employees shall be excluded from

27  employment pursuant to s. 435.06.

28         (3)  The applicant is responsible for paying the fees

29  associated with obtaining the required screening.  Payment for

30  the screening and the abuse registry check shall be submitted

31  to the agency. The agency shall establish a schedule of fees


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                           CS/HBs 3089 & 171, Second Engrossed/ntc



  1  to cover the costs of level 1 and level 2 screening and the

  2  abuse registry check. Facilities may reimburse employees for

  3  these costs. The Department of Law Enforcement shall charge

  4  the agency for a level 1 or level 2 screening a rate

  5  sufficient to cover the costs of such screening pursuant to s.

  6  943.053(3). The agency shall, as allowable, reimburse nursing

  7  facilities for the cost of conducting background screening as

  8  required by this section.  This reimbursement will not be

  9  subject to any rate ceilings or payment targets in the

10  Medicaid Reimbursement plan.

11         (4)(a)  As provided in s. 435.07, the agency may grant

12  an exemption from disqualification to an employee or

13  prospective employee who is subject to this section and who

14  has not received a professional license or certification from

15  the Department of Health.

16         (b)  As provided in s. 435.07, the Department of Health

17  may grant an exemption from disqualification to an employee or

18  prospective employee who is subject to this section and who

19  has received a professional license or certification from the

20  Department of Health.

21         (5)  Any provision of law to the contrary

22  notwithstanding, persons who have been screened and qualified

23  as required by this section and who have not been unemployed

24  for more than 180 days thereafter, and who under penalty of

25  perjury attest to not having been convicted of a disqualifying

26  offense since the completion of such screening, shall not be

27  required to be rescreened. An employer may obtain, pursuant to

28  s. 435.10, written verification of qualifying screening

29  results from the previous employer or other entity which

30  caused such screening to be performed.

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                           CS/HBs 3089 & 171, Second Engrossed/ntc



  1         (6)  The agency and the Department of Health shall have

  2  authority to adopt rules pursuant to the Administrative

  3  Procedures Act to implement this section.

  4         (7)  All employees shall comply with the requirements

  5  of this section by October 1, 1998. No current employee of a

  6  nursing facility as of the effective date of this act shall be

  7  required to submit to rescreening if the nursing facility has

  8  in its possession written evidence that the person has been

  9  screened and qualified according to level 1 standards as

10  specified in s. 435.03(1). Any current employee who meets the

11  level 1 requirement but does not meet the 5-year residency

12  requirement as specified in this section must provide to the

13  employing nursing facility written attestation under penalty

14  of perjury that the employee has not been convicted of a

15  disqualifying offense in another state or jurisdiction. All

16  applicants hired on or after October 1, 1998, shall comply

17  with the requirements of this section.

18         (8)  There is no monetary or unemployment liability on

19  the part of, and no cause of action for damages arising

20  against an employer that, upon notice of a disqualifying

21  offense listed under chapter 435 or a confirmed report of

22  abuse, neglect, or exploitation or an act of domestic

23  violence, terminates the employee against whom the report was

24  issued, whether or not the employee has filed for an exemption

25  with the Department of Health or the Agency for Health Care

26  Administration.

27         Section 3.  Subsection (5) of section 400.211, Florida

28  Statutes, is repealed.

29         Section 4.  This act shall take effect on July 1 of the

30  year in which enacted.

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