,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #ebbc  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #h1 #bjah,mr4    
,khanna 7= himself1 ,mr4 ,brady (       
,p5nsylvania1 ,ms4 ,norton1 ,mr4        
,kri%namoor?i1 ,mr4 ,pocan1 ,ms4        
,velzquez1 ,mr4 ,rask91 ,ms4 ,jackson   
,lee1 ,ms4 ,jayapal1 ,ms4 ,judy ,*u (   
,cali=nia1 ,ms4 ,gabb>d1 ,mr4 ,m\lton1 &
 ,ms4 ,lee7 introduc$ ! foll[+ bill2 :i*
 0 ref]r$ to ! ,committee on ,education 
& ! ,work=ce1 & 9 addition to !         
,committees on ,en]gy & ,comm]ce1 &     
,ways & ,means1 = a p]iod to be         
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to direct !        
,secret>y ( ,labor to issue an          
occupational safety & heal? rule t      
requires cov]$ heal? c>e employ]s to    
adopt a compreh5sive workplace viol5ce  
prev5tion plan & = o!r purposes4  #a4   
,%ort title2 table ( cont5ts  7a7 ,%ort 
title ,?is ,act may be cit$ z ! ,heal?  

,c>e ,workplace ,viol5ce ,prev5tion     
,act4  7b7 ,table ( cont5ts ,! table (  
cont5ts ( ?is ,act is z foll[s3  ,sec4  
#a4 ,%ort title2 table ( cont5ts4 ,sec4 
#b4 ,workplace viol5ce prev5tion /&>d4  
,sec4 #c4 ,application ( ! workplace    
viol5ce prev5tion /&>d to facilities    
receiv+ ,m$ic>e & ,m$icaid funds4 ,sec4 
#d4 ,rules ( con/ruction4 ,sec4 #e4     
,def9itions4  #b4 ,workplace viol5ce    
prev5tion /&>d  7a7 ,rulemak+  7#a7     
,not)/&+ any o!r provisions ( law1 n    
lat] ?an "o ye> ( ! enactm5t ( ! ,act1 !
 ,secret>y ( ,labor 7,secret>y7 %all1   
pursuant to section #f ( ! ,occupational
 ,safety & ,heal? ,act ( #aigj 7#bi     
,u4,s4,c4 #fee71 promulgate an int]im   
f9al /&>d on workplace viol5ce prev5tion
 79 ?is section su* /&>d is ref]r$ to z 
! workplace viol5ce prev5tion /&>d7 to  
require c]ta9 heal? c>e employ]s        
7h]e9aft] collectively ref]r$ to z cov]$
 heal? c>e employ]s71 includ+ hospitals1
 any outpati5t sett+s or cl9ics op]at+  
)9 a hospital lic5se or any sett+ or    

cl9ic t provides outpati5t hospital     
s]vices1 psy*iatric hospitals1          
rehabilitation hospitals1 long-t]m c>e  
hospitals1 & any hospital op]at$ by any 
,unit$ ,/ates dep>tm5t or ag5cy1 to     
adopt a compreh5sive plan to protect    
heal? c>e work]s & o!r p]sonnel f       
workplace viol5ce4 ,! int]im f9al /&>d  
%all meet ! specifications ( ?is        
section1 at a m9imum1 b may exce$ !     
requirem5ts = cov]$ heal? c>e           
facilities4 ,! ,secret>y %all accept &  
consid] public comm5ts on any int]im    
f9al /&>d publi%$ "u ?is p>agraph = #fj 
days aft] ! date ( su* publication4 ,!  
int]im f9al /&>d %all rema9 9 effect    
until x is replac$ by a f9al /&>d on    
workplace viol5ce prev5tion ref]r$ to 9 
p>agraph 7#b74  7#b7 ,not)/&+ any o!r   
provisions ( law1 n lat] ?an two ye>s ( 
! enactm5t ( ! ,act1 ! ,secret>y %all1  
pursuant to section #f ( ! ,occupational
 ,safety & ,heal? ,act ( #aigj 7#bi     
,u4,s4,c4 #fee71 promulgate a f9al /&>d 
on workplace viol5ce prev5tion4 ,! f9al 

/&>d %all be bas$ on ! int]im f9al /&>d 
z promulgat$ "u p>agraph 7#a7 ( ?is     
subsection & %all meet ! specifications 
( ?is section1 at a m9imum1 b may exce$ 
! requirem5ts = cov]$ heal? c>e         
facilities4  7#c7 ,n lat] ?an two ye>s (
 ! enactm5t ( ! ,act1 ! ,secret>y %all  
also promulgate a f9al /&>d on workplace
 viol5ce prev5tion to require home heal?
 ag5cies or organizations & hospice     
ag5cies or organizations to adopt a     
compreh5sive workplace viol5ce prev5tion
 plan ) comp>able workplace protections 
at home heal? ag5cies or organizations &
 hospice ag5cies or organizations4 ,!   
/&>d promulgat$ "u ?is p>agraph %all    
include proc$ures = haz>d evaluation &  
control t fit ! "w sett+s unique to home
 heal? & hospice1 :i* %all include1 b n 
be limit$ to1 ea* ( ! foll[+3  7,a7     
,proc$ures to id5tify & evaluate        
environm5tal & pati5t-specific risk     
factors su* z ! pres5ce ( weapons1      
evid5ce ( sub/ance abuse1 or ! pres5ce (
 uncoop]ative cohabitants4 ,at m9imum1  

su* proc$ures mu/ be utiliz$ dur+ intake
 proc$ures1 at ! "t ( ! initial visit1 &
 dur+ any subsequ5t visit :5 !re has be5
 a *ange 9 conditions4  7,b7 ,proc$ures 
to correct workplace viol5ce haz>ds 9 a 
timely mann]1 :i* %all include1 at      
m9imum1 proc$ures to ensure employees w 
n "w alone 9 h\seholds :]e !re is a high
 risk = viol5ce1 provision ( functional 
& ma9ta9$ security or communication     
devices = all employees work+ 9 a pati5t
 or cli5t's home or community1 &        
provision ( d$icat$ & available security
 p]sonnel to respond to reports ( viol5t
 incid5ts or ?reats4  7,c7 ,proc$ures = 
respond+ to actual or pot5tial workplace
 viol5ce em]g5cies t %all include1 at   
m9imum1 obta9+ help f security p]sonnel 
requir$ "u subp>agraph 7,b71 or law     
en=cem5t ag5cies z appropriate4  7#d7 ,n
 lat] ?an two ye>s ( ! enactm5t ( !     
,act1 ! ,secret>y %all also promulgate a
 f9al /&>d on workplace viol5ce         
prev5tion to require skill$ nurs+       
facilities & nurs+ facilities to adopt a

 compreh5sive workplace viol5ce         
prev5tion plan ) comp>able workplace    
protections at skill$ nurs+ facilities &
 nurs+ facilities4  7b7 ,workplace      
viol5ce protection /&>d requirem5ts ,!  
int]im f9al /&>d promulgat$ pursuant to 
p>agraph 7#a7 ( subsection 7a7 %all     
include ea* ( ! foll[+3  7#a7 ,plan     
developm5t ,a requirem5t t ea* cov]$    
heal? c>e employ] %all1 )9 six mon?s ( !
 date ( promulgation ( ! int]im f9al    
/&>d1 develop & implem5t an effective   
writt5 workplace viol5ce prev5tion plan 
79 ?is section su* a plan is ref]r$ to z
 a ,workplace ,viol5ce ,prev5tion       
,plan71 :i* %all be ma9ta9$ & implem5t$ 
at all times 9 e heal? c>e facility     
unit1 s]vice1 & op]ation1 be available  
to all employees at all times2 &        
include1 at m9imum1 ea* ( ! foll[+ = e  
heal? c>e facility unit1 s]vice1 &      
op]ation3  7,a7 ,! names or job titles (
 ! individuals responsible = implem5t+ !
 ,workplace ,viol5ce ,prev5tion ,plan4  
7,b7 ,effective proc$ures t meet !      

requirem5ts "u p>agraph 7#b7 to obta9 ! 
active involvem5t ( employees &1 :]e su*
 employees are repres5t$ ?r\gh a        
collective b>ga9+ ag5t1 ! applicable    
recogniz$ or c]tifi$ collective b>ga9+  
ag5t 9 develop+1 implem5t+1 & review+ ! 
,workplace ,viol5ce ,prev5tion ,plan4   
7,c7 ,effective proc$ures t meet !      
requirem5ts "u p>agraph 7#b7 to obta9 ! 
active involvem5t ( security p]sonnel :o
 provide security s]vices to ! employ]  
&1 :]e su* security p]sonnel are        
repres5t$ ?r\gh a collective b>ga9+     
ag5t1 ! applicable recogniz$ or c]tifi$ 
collective b>ga9+ ag5t 9 develop+1      
implem5t+1 & review+ ! ,workplace       
,viol5ce ,prev5tion ,plan4  7,d7 ,me?ods
 t meet ! requirem5ts "u p>agraph 7#b7 t
 ! employ] w use to coord9ate !         
implem5tation ( ! ,workplace ,viol5ce   
,prev5tion ,plan ) o!r employ]s ^:      
employees "w 9 ! heal? c>e facility4    
7,e7 ,proc$ures t meet ! requirem5ts "u 
p>agraph 7#c7 = id5tify+ & evaluat+     
workplace viol5ce risks & haz>ds4  7,f7 

,proc$ures t meet ! requirem5ts "u      
p>agraph 7#c7 on communicat+ workplace  
viol5ce risks & haz>ds to employees4    
7,g7 ,proc$ures t meet ! requirem5ts "u 
p>agraph 7#c7 = employees to report     
conc]ns reg>d+ workplace viol5ce risks &
 haz>ds & pot5tial workplace viol5ce    
risks & haz>ds4  7,h7 ,proc$ures t meet 
! requirem5ts "u p>agraph 7#d7 =        
correct+ workplace viol5ce haz>ds 9 a   
timely mann]4  7,i7 ,proc$ures t meet ! 
requirem5ts ( p>agraph 7#e7 =           
po/-incid5t response & inve/igation4    
7,j7 ,proc$ures t meet ! requirem5ts (  
p>agraph 7#f7 = report+1 docum5t+1 &    
reta9+ a writt5 record ( e workplace    
viol5ce incid5t1 po/-incid5t response1 &
 workplace viol5ce injury inve/igation4 
7,k7 ,proc$ures t meet ! requirem5ts (  
p>agraph 7#f7 = review+ ! effectiv5ess (
 ! ,workplace ,viol5ce ,prev5tion ,plan 
at lea/ annually4  7,l7 ,!              
nonretaliation policy t ! cov]$ heal?   
c>e employ] is requir$ to e/abli% "u    
p>agraph 7#g74  7,m7 ,proc$ures t meet !

 requirem5ts ( p>agraph 7#h7 = provid+  
effective education & 9-p]son tra9+ to  
all employees1 includ+ tempor>y         
employees & p]sonnel work+ 9 ! facility 
b n directly employ$ by ! employ]4  7,n7
 ,a copy ( ! mo/ rec5t annual writt5    
evaluation ( ! ,workplace ,viol5ce      
,prev5tion ,plan z conduct$ "u !        
requirem5ts ( p>agraph 7#i74  7,o7 ,a   
copy ( ! curr5t notice to employees t is
 requir$ "u p>agraph 7#aj74  7#b7       
,employee & security p]sonnel           
p>ticipation  7,a7 ,a requirem5t t ea*  
cov]$ heal? c>e employ] %all obta9      
active involvem5t f employees &1 :]e su*
 employees are repres5t$ ?r\gh a        
collective b>ga9+ ag5t1 ! applicable    
recogniz$ or c]tifi$ collective b>ga9+  
ag5t1 9 develop+1 implem5t+1 & review+ !
 ,workplace ,viol5ce ,prev5tion ,plan4  
,active involvem5t %all include !       
p>ticipation ( employees or _!          
applicable repres5tatives 9--  7i7      
id5tify+1 evaluat+1 & correct+ workplace
 viol5ce haz>ds2  7ii7 design+ &        

implem5t+ tra9+2 &  7iii7 report+ &     
inve/igat+ workplace viol5ce incid5ts4  
7,b7 ,:]e security p]sonnel are n       
employees ( ! heal? c>e facility1 !     
cov]$ heal? c>e employ] %all be requir$ 
to obta9 active involvem5t ) security   
p]sonnel &1 :]e su* security p]sonnel   
are repres5t$ ?r\gh a collective b>ga9+ 
ag5t1 ! applicable recogniz$ or c]tifi$ 
collective b>ga9+ ag5t4 ,active         
involvem5t %all include ! p>ticipation (
 security p]sonnel or _! applicable     
repres5tatives 9--  7i7 id5tify+1       
evaluat+1 & correct+ workplace viol5ce  
haz>ds2  7ii7 design+ & implem5t+ tra9+2
 &  7iii7 report+ & inve/igat+ workplace
 viol5ce incid5ts4  7,c7 ,a requirem5t t
 ea* cov]$ heal? c>e employ] %all       
e/abli% me?ods to coord9ate !           
implem5tation ( ! ,workplace ,viol5ce   
,prev5tion ,plan ) o!r employ]s ^:      
employees "w 9 ! heal? c>e facility4    
7#c7 ,workplace viol5ce haz>d           
id5tification & evaluation  7,a7 ,a     
requirem5t t ea* cov]$ heal? c>e employ]

 %all assess factors 9 ea* unit1 area ( 
! e/abli%m5t1 & areas surr\nd+ !        
facility t may contribute to or help    
prev5t workplace viol5ce incid5ts4      
,factors assess$ %all include1 at       
m9imum1 ea* ( ! foll[+3  7i7 ,/aff+1    
includ+ /aff+ patt]ns t contribute to or
 are insuffici5t to address ! risk (    
viol5ce4  7ii7 ,suffici5cy ( security   
sy/ems1 includ+ al>ms1 em]g5cy response 
sy/ems1 & availability ( security       
p]sonnel4  7iii7 ,job design1 equipm5t1 
& facilities4  7iv7 ,environm5tal risk  
factors1 z def9$ 9 subp>agraph 7a77#f7 (
 section #e4  7v7 ,pati5t-specific risk 
factors1 z def9$ 9 subp>agraph 7a77#aj7 
( section #e4  7,b7 ,a requirem5t t ea* 
cov]$ heal? c>e employ] %all e/abli%    
proc$ures = employees to report conc]ns 
reg>d+ workplace viol5ce risks & haz>ds 
or pot5tial workplace viol5ce risks or  
haz>ds1 includ+ b n limit$ to1 conc]ns  
reg>d+--  7i7 ! availability1 condition1
 & ma9t5ance ( any eng9e]+ controls     
id5tifi$ 9 ! ,workplace ,viol5ce        

,prev5tion ,plan z corrective measures2 
7ii7 ! implem5tation or en=cem5t ( any  
"w practice controls id5tifi$ 9 !       
,workplace ,viol5ce ,prev5tion ,plan z  
corrective measures2  7iii7 !           
suffici5cy1 availability1 condition1 &  
ma9t5ance ( security sy/ems1 includ+    
al>ms1 & em]g5cy response sy/ems2  7iv7 
pot5tial or unaddress$ haz>ds & risks   
relat$ to job design1 equipm5t1 or      
facilities ) reg>d to workplace viol5ce2
  7v7 pot5tial or unaddress$ haz>ds &   
risks relat$ to environm5tal &          
pati5t-specific risk factors ) reg>d to 
workplace viol5ce2 &  7vi7 !            
availability ( suffici5t /aff or        
security p]sonnel to implem5t !         
,workplace ,viol5ce ,prev5tion ,plan4   
7,c7 ,a requirem5t t ea* cov]$ heal? c>e
 employ] e/abli% proc$ures = h[ employee
 conc]ns w be inve/igat$1 & h[ employees
 w be in=m$ ( ! results ( ! inve/igation
 & any correct actions to be tak54  7,d7
 ,a requirem5t t ea* cov]$ heal? c>e    
employ] e/abli% communication proc$ures 

reg>d+ ! ,workplace ,viol5ce ,prev5tion 
,plan1 includ+ h[ employees c docum5t & 
communicate in=mation reg>d+ conditions 
t may increase ! pot5tial = workplace   
viol5ce incid5ts to o!r employees &     
betwe5 %ifts & units4  7#d7 ,workplace  
viol5ce haz>d correction  7,a7 ,a       
requirem5t t ea* cov]$ heal? c>e employ]
 %all correct workplace viol5ce haz>ds 9
 a timely mann]4 ,ea* cov]$ heal? c>e   
employ] %all be requir$ to use eng9e]+  
controls & "w practice controls to      
elim9ate or m9imize employee exposure to
 ! id5tifi$ haz>ds4 ,corrective measures
 tak5 "u ?is p>agraph %all include1 at  
m9imum1 ea* ( ! foll[+ z appropriate3   
7i7 ,assign+ or plac+ suffici5t numb]s (
 /aff to r$uce pati5t-specific ,type #b 
workplace viol5ce haz>ds4  7ii7         
,ma9t5ance ( suffici5t numb]s ( tra9$   
/aff1 includ+ security p]sonnel1 :o are 
available to prev5t & imm$iately respond
 to workplace viol5ce incid5ts dur+ ea* 
%ift4 ,a /aff p]son is n consid]$ to be 
available if o!r assignm5ts prev5t him  

or h] f imm$iately respond+ to an al>m  
or o!r notification ( a viol5t incid5t4 
7iii7 ,reconfiguration ( facility spaces
 s t-- 7,i7 employee access to doors &  
al>m sy/ems _c be imp$$2  7,,ii7        
employees c ma9ta9 l9e ( sight & o!r    
imm$iate means ( communication 9 all    
areas :]e pati5ts or memb]s ( ! public  
may be pres5t2 &  7,,iii7 furni%+s & o!r
 objects _c be us$ z improvis$ weapons4 
7iv7 ,proc$ures to prev5t ! transport ( 
unau?oriz$ fire>ms & o!r weapons into ! 
facility4  7v7 ,proc$ures by :i*        
employees c summon security & o!r aid & 
be al]t$ to ! pres5ce1 location1 &      
nature ( a security ?reat4  7vi7        
,e/abli%m5t ( an effective response plan
 = actual or pot5tial workplace viol5ce 
em]g5cies t %all include1 at m9imum--   
7,i7 proc$ures = w>n+ employees ( !     
situation2  7,,ii7 proc$ures = obta9+   
help f security or law en=cem5t ag5cies 
z appropriate2 &  7,,iii7 proc$ures to  
respond to mass casualty ?reats1 su* z  
active %oot]s1 by develop+ evacuation or

 %elt]+ plans t are appropriate &       
feasible = ! facility4  7#e7 ,incid5t   
response & po/-incid5t inve/igation ,a  
requirem5t t ea* cov]$ heal? c>e employ]
 %all e/abli% proc$ures to accept &     
respond to reports ( workplace viol5ce1 
& to p]=m a po/-incid5t inve/igation (  
ea* workplace viol5ce incid5t bas$ on   
in=mation solicit$ f ! employees :o     
exp]i5c$ ! viol5ce t %all include1 at   
m9imum1 ea* ( ! foll[+3  7,a7 ,proc$ures
 = h[ an employee c report a viol5t     
incid5t1 ?reat1 or o!r workplace viol5ce
 conc]n4  7,b7 ,proc$ures = response to 
reports ( viol5t incid5ts1 ?reats1 or   
o!r workplace viol5ce conc]ns4  7,c7    
,proc$ures = provid+ imm$iate m$ical c>e
 or fir/ aid to employees :o h be5      
injur$ 9 ! incid5t4  7,d7 ,proc$ures =  
mak+ individual trauma c\nsel+ available
 to all employees affect$ by ! incid5t4 
7,e7 ,conduct+ a po/-incid5t debrief+ z 
soon z possible aft] ! incid5t ) all    
employees1 sup]visors1 security         
p]sonnel1 & o!r p]sonnel involv$ 9 !    

incid5t4  7,f7 ,a review ( :e!r !       
,workplace ,viol5ce ,prev5tion ,plan &  
any corrective measures develop$ "u !   
plan 7 effectively implem5t$ & !        
circum/ances surr\nd+ ! workplace       
viol5ce incid5t4  7,g7 ,proc$ures =     
inve/igat+ ! circum/ances ( ea* employee
 injury1 if any1 relat$ to ! workplace  
viol5ce incid5t4  7,h7 ,solicitation (  
op9ions f all employees or p]sonnel     
involv$ 9 ! incid5t1 includ+ any injur$ 
employee1 reg>d+ ! cause ( ! incid5t &  
:e!r any corrective measures c\ld h     
prev5t$ ! incid5t f occurr+4  7,i7 ,a   
policy prohibit+ ! employ] f hold+ any  
employee or p]sonnel :o p>ticipates 9 an
 incid5t inve/igation at fault =        
workplace viol5ce4  7#f7 ,viol5t incid5t
 log ma9t5ance & review  7,a7 ,a        
requirem5t t ea* cov]$ heal? c>e employ]
 e/abli% proc$ures = report+ & ma9ta9+ a
 writt5 log (--  7i7 ea* viol5t incid5t 
aga9/ heal? c>e facility employees or   
p]sonnel reg>dless ( :e!r ! employee or 
p]sonnel su/a9s an injury1 & reg>dless (

 :e!r ! report is made by ! p]sonnel :o 
is ! subject ( ! viol5t incid5t or any  
o!r p]sonnel2  7ii7 ea* po/-incid5t     
response2 &  7iii7 ea* workplace viol5ce
 injury inve/igation4  7,b7 ,writt5     
records ( viol5t incid5ts ma9ta9$ "u ?is
 p>agraph %all be bas$ on reports made  
by employees & p]sonnel & %all include1 
ea* ( ! foll[+3  7i7 ,a detail$         
description ( ! incid5t4  7ii7 ,a       
classification ( ! p]petrator1          
circum/ances surr\nd+ ! incid5t1 &      
location ( ! incid5t4  7iii7 ,! type (  
incid5t & consequ5ces ( ! incid5t1      
includ+ any injuries4  7,c7 ,z "p ( !   
proc$ures requir$ "u subp>agraph 7,a71  
ea* cov]$ heal? c>e employ] %all be     
requir$ to provide all employees or     
p]sonnel ! opportunity to provide input 
p]ta9+ to _! own exp]i5ce ( ! incid5t4  
7,d7 ,a requirem5t t ea* cov]$ heal? c>e
 employ] %all e/abli% a review program  
to analyze data relevant to !           
implem5tation ( ! cov]$ heal? c>e       
employ]'s ,workplace ,viol5ce ,prev5tion

 ,plan4  7,e7 ,ea* cov]$ heal? c>e      
employ] %all1 ^u reque/1 make available 
_! f9d+s & data us$ 9 su* review to     
employees1 any designat$ repres5tatives 
or collective b>ga9+ ag5ts1 & !         
,secret>y or o!r ,f$]al ag5cy4 ,ea*     
cov]$ heal? c>e employ] %all ma9ta9 !   
data & f9d+s f _! review = at lea/ five 
ye>s4  7#g7 ,nonretaliation  7,a7 ,a    
requirem5t t ea* cov]$ heal? c>e employ]
 e/abli% a policy prohibit+ ! employ] f 
disall[+ an employee f1 or tak+ punitive
 or retaliatory action aga9/ an employee
 =1 seek+ assi/ance & int]v5tion f local
 em]g5cy s]vices or law en=cem5t :5 a   
viol5t incid5t occurs4  7,b7 ,a         
requirem5t t ea* cov]$ heal? c>e employ]
 e/abli% a policy prohibit+ ! employ] f 
disall[+ an employee f1 or tak+ punitive
 or retaliatory action aga9/ an employee
 =1 report+ viol5t incid5ts1 ?reats1 or 
o!r workplace viol5ce conc]ns4  7#h7    
,education & tra9+ ,a requirem5t t ea*  
cov]$ heal? c>e employ] %all provide    
9-p]son tra9+ to all employees1 includ+ 

tempor>y employees & p]sonnel work+ 9 ! 
facility b n directly employ$ by !      
employ]4 ,su* tra9+ %all be on !        
,workplace ,viol5ce ,prev5tion ,plan z  
e/abli%$ "u p>agraph 7#a7 & %all--  7,a7
 address ! workplace viol5ce haz>ds     
id5tifi$ 9 ! facility1 unit1 "w area1 or
 op]ation2  7,b7 address ! corrective   
measures ! employ] has implem5t$ ) reg>d
 to workplace viol5ce haz>ds id5tifi$2  
7,c7 address ! activities t ea* employee
 is reasonably anticipat$ to p]=m "u !  
,workplace ,viol5ce ,prev5tion ,plan2   
7,d7 be provid$-- 7i7 ^u ent]+          
employm5t2  7ii7 on an annual basis2    
7iii7 :5 su* employee is transf]r$ to a 
new pati5t c>e unit2  7iv7 :5 conditions
 *ange or previ\sly unrecogniz$ haz>ds  
are id5tifi$2  7v7 :5 reque/$ by an     
employee2 &  7vi7 z o!rwise necess>y2   
7,e7 provide an opportunity = 9-p]son   
int]active que/ions & answ]s2  7,f7 be  
conduct$ 9-p]son by an individual ) k ( 
workplace viol5ce prev5tion & ! cov]$   
heal? c>e employ]'s ,workplace ,viol5ce 

,prev5tion ,plan & proc$ures2  7,g7     
include tra9+ on em]g5cy response plans 
& proc$ures relat$ to workplace viol5ce 
& practice drills on em]g5cy response   
plans & proc$ures1 includ+ any proc$ures
 adopt$ = respond+ to mass casualty     
?reats2 &  7,h7 utilize mat]ial         
appropriate 9 cont5t & vocabul>y to !   
educational level1 lit]acy1 & language (
 employees4  7#i7 ,annual evaluation    
7,a7 ,9 g5]al ,a requirem5t t ea* cov]$ 
heal? c>e employ] %all conduct an annual
 writt5 evaluation ) employees reg>d+ _!
 respective "w areas1 s]vices1 &        
op]ations ( ! implem5tation &           
effectiv5ess ( ! ,workplace ,viol5ce    
,prev5tion ,plan1 includ+ haz>d         
assessm5t & evaluation proc$ures &      
f9d+s1 haz>d correction proc$ures1      
selection ( eng9e]+ & "w practice       
controls1 & po/-incid5t response &      
inve/igation4  7,b7 ,active involvem5t  
,! evaluation %all-- 7i7 be conduct$ ) !
 active involvem5t ( employees1 & if    
applicable1 ! repres5tatives &          

collective b>ga9+ ag5ts ( su* employees2
 &  7ii7 docum5t ! input ( ! individuals
 describ$ 9 clause 7i7 reg>d+ employees'
 respective "w areas1 s]vices1 &        
op]ations4  7,c7 ,corrective action ,ea*
 cov]$ heal? c>e employ] %all correct   
unsafe conditions1 "w practices1 & "w   
proc$ures id5tifi$ 9 ! annual writt5    
evaluation 9 a timely mann]4  7#aj7     
,notice ( workplace viol5ce prev5tion   
plan & rights "u ?is act ,a requirem5t t
 ea* cov]$ heal? c>e employ] %all po/ a 
uni=m notice 9 a =m specifi$ by !       
,secret>y t--  7,a7 expla9s ! workplace 
viol5ce prev5tion /&>d2  7,b7 includes  
in=mation reg>d+ workplace viol5ce      
prev5tion policies & tra9+2  7,c7       
expla9s proc$ures to report & record    
in=mation on workplace viol5ce incid5ts 
& workplace viol5ce-relat$ injuries2 &  
7,d7 expla9s employees' rights "u ?is   
,act1 includ+ rights to report conc]ns  
reg>d+ pot5tial workplace viol5ce risks 
or haz>ds )\t punitive or retaliatory   
action tak5 by ! employ]4  7c7          

,em]g5cies ,! ,secret>y %all e/abli%    
proc$ures to be foll[$ 9 cases :]e      
em]g5cy situations affect ! op]ation ( a
 workplace viol5ce prev5tion plan4  7d7 
,inspections ,! ,secret>y %all conduct  
uns*$ul$ inspections "u section #h ( !  
,occupational ,safety & ,heal? ,act (   
#aigj 7#bi ,u4,s4,c4 #feg7 to ensure    
implem5tation ( & compliance ) !        
workplace viol5ce prev5tion /&>d4  #c4  
,application ( ! workplace viol5ce      
prev5tion /&>d to facilities receiv+    
,m$ic>e & ,m$icaid funds  7a7 ,9 g5]al  
,section #ahff ( ! ,social ,security    
,act 7#db ,u4,s4,c4 #acie;cc7 is am5d$--
 7#a7 9 subsection 7a77#a77,v71 by      
ins]t+ & ,workplace ,viol5ce ,prev5tion 
,/&>d 7z initially promulgat$ "u section
 #b ( ! ,heal? ,c>e ,workplace ,viol5ce 
,prev5tion ,act ( #bjah7 be=e ! p]iod at
 ! end2 &  7#b7 9 subsection 7b77#d7--  
7,a7 9 subp>agraph 7,a71 by ins]t+ &    
,workplace ,viol5ce ,prev5tion ,/&>d    
aft] ,bloodborne ,pa?og5s /&>d2 &  7,b7 
9 subp>agraph 7,b71 by ins]t+ or        

,workplace ,viol5ce ,prev5tion ,/&>d    
aft] ,bloodborne ,pa?og5s /&>d4  7b7    
,effective date ,! am5dm5ts made by     
subsection 7a7 %all apply to heal? c>e  
facilities beg9n+ on ! date t is #a ye> 
aft] ! date ( issuance ( ! int]im f9al  
/&>d on workplace viol5ce prev5tion     
requir$ "u section #b4  #d4 ,rules (    
con/ruction  7a7 ,effect on o!r laws    
,no?+ 9 ?is ,act %all be con/ru$ to--   
7#a7 curtail or limit au?ority ( !      
,secret>y "u any o!r provision ( ! law1 
includ+ ! application ( o!r safety ord]s
 9 heal? c>e facilities1 s]vices1 &     
op]ations n cov]$ by ?is ,act2  7#b7    
preempt ! application ( any o!r /atute  
or regulation ( any ,/ate or local      
gov]nm5t relat$ to workplace viol5ce 9  
heal? c>e facilities except to ! ext5t t
 su* provisions are inconsi/5t ) ?is    
,act1 an int]im f9al /&>d1 or a f9al    
/&>d promulgat$ "u ?is ,act1 & !n only  
to ! ext5t ( ! inconsi/5cy4 ,a provision
 ( law ( a ,/ate or local gov]nm5t is n 
inconsi/5t ) ?is ,act1 an int]im f9al   

/&>d1 or a f9al /&>d promulgat$ "u ?is  
,act if su* provision provides equal or 
great] protection to work]s ?an !       
protection provid$ "u ?is ,act or su*   
regulation2  7#c7 impair or dim9i% !    
rights1 privileges1 or rem$ies ( any    
heal? c>e work] or o!r employee "u any  
,f$]al or ,/ate law1 or "u any          
collective b>ga9+ agreem5t4  #e4        
,def9itions  7a7 ,def9itions ,= !       
purposes ( ?is ,act4 7#a7 ,al>m ,! t]m  
al>m means a me*anical1 electrical1 or  
electronic device t does n rely ^u an   
employee's vocalization 9 ord] to al]t  
o!rs4  7#b7 ,cov]$ heal? c>e employ] ,! 
t]m cov]$ heal? c>e employ] includes--  
7,a7 hospitals 7z def9$ 9 section       
#ahfa7;e7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciex7e771 & any        
outpati5t sett+s or cl9ics op]at+ )9 a  
hospital lic5se or any sett+ or cl9ic t 
provides outpati5t hospital s]vices2    
7,b7 psy*iatric hospitals 7z def9$ 9    
section #ahfa7;e7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciex7f772  7,c7   

rehabilitation hospitals 7z def9$ by !  
,secret>y ( ,heal? & ,human ,s]vices "u 
section #ahhf7;d77#a77;,b77ii7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7d77#a77;,b77ii772  7,d7 long-t]m
 c>e hospitals z def9$ 9 section #ahfa (
 ! ,social ,security ,act 7#db ,u4,s4,c4
 #aciex7ccc772 &  7,e7 hospitals op]at$ 
by ! ,dep>tm5t ( ,vet]ans ,affairs1 !   
,dep>tm5t ( ,def5se1 ! ,indian ,heal?   
,s]vice "u ! ,dep>tm5t ( ,heal? & ,human
 ,s]vices1 or any o!r dep>tm5t or ag5cy 
( ! ,unit$ ,/ates4  7#c7 ,dang]\s weapon
 ,! t]m dang]\s weapon means an in/rum5t
 capable ( inflict+ dea? or s]i\s bodily
 injury1 reg>dless ( :e!r x 0 design$ = 
t purpose4  7#d7 ,employee ,! t]m       
employee includes any individual employ$
 by a cov]$ heal? c>e employ]1 includ+  
indep5d5t contractors4  7#e7 ,eng9e]+   
controls ,! t]m eng9e]+ controls means  
an aspect ( ! built space or a device t 
removes a haz>d f ! workplace or creates
 a b>ri] betwe5 ! work] & ! haz>d4 ,=   
purposes ( r$uc+ workplace viol5ce      

haz>ds1 eng9e]+ controls include1 b are 
n limit$ to1 electronic access controls 
to employee occupi$ areas1 weapon       
detectors 7in/all$ or h&held71 enclos$  
work/ations ) %att]-resi/ant glass1 deep
 s]vice c\nt]s2 sep>ate rooms or areas =
 high risk pati5ts1 locks on doors2     
furniture affix$ to ! floor1 opaque     
glass 9 pati5t rooms 7protects privacy1 
b all[s ! heal? c>e provid] to see :]e !
 pati5t is be=e ent]+ ! room71          
clos$-circuit television monitor+ &     
video record+1 sight-aids1 & p]sonal    
al>m devices4  7#f7 ,environm5tal risk  
factors ,! t]m environm5tal risk factors
 means factors 9 ! facility or area 9   
:i* heal? c>e s]vices or op]ations are  
conduct$ t may contribute to !          
likelihood or sev]ity ( a workplace     
viol5ce incid5t4 ,environm5tal risk     
factors may be associat$ ) ! specific   
task be+ p]=m$ or ! "w area1 su* z work+
 9 an isolat$ area1 poor illum9ation or 
block$ visibility1 lack ( physical      
b>ri]s betwe5 employees & p]sons at risk

 ( committ+ workplace viol5ce4  7#g7    
,home heal? ag5cy ,! t]m home heal?     
ag5cy has ! mean+ giv5 su* t]m 9 section
 #ahfa7o7 ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #aciex7o774  7#h7        
,hospice ,! t]m hospice has ! mean+ giv5
 su* t]m 9 section #ahfa7;d7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#aciex7dd77#a774  7#i7 ,nurs+ facility  
,! t]m nurs+ facility has ! mean+ giv5  
su* t]m 9 section #aiai ( ! ,social     
,security ,act 7#db ,u4,s4,c4           
#acifr7a774  7#aj7 ,pati5t-specific risk
 factors ,! t]m pati5t-specific risk    
factors means factors specific to a     
pati5t t may increase ! likelihood or   
sev]ity ( a workplace viol5ce incid5t1  
includ+ a pati5t's m5tal /atus1 treatm5t
 & m$ication /atus1 hi/ory ( viol5ce z  
kn[n to ! heal? c>e facility1 use (     
drugs or alcohol z kn[n to ! heal? c>e  
facility1 & any o!r conditions or       
disease processes t may cause ! pati5t  
to exp]i5ce confusion or disori5tation1 
to be non-responsive to in/ruction1 or  

to behave unpr$ictably4  7#aa7 ,skill$  
nurs+ facility ,! t]m skill$ nurs+      
facility has ! mean+ giv5 su* t]m 9     
section #ahai7;a7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acie;i-#c7;a774    
7#ab7 ,?reat ( viol5ce ,! t]m ?reat (   
viol5ce means a /atem5t or conduct t    
causes a p]son to fe> = 8 or h] safety  
because !re is a reasonable possibility 
! p]son might be physically injur$1 & t 
s]ves no legitimate purpose4  7#ac7     
,workplace viol5ce ,! t]m workplace     
viol5ce means any act ( viol5ce or ?reat
 ( viol5ce t occurs at ! "w site4 ,! t]m
 workplace viol5ce %all n include lawful
 acts ( self-def5se or def5se ( o!rs4 ,!
 t]m workplace viol5ce includes !       
foll[+3  7,a7 ,! ?reat or use ( physical
 =ce aga9/ an employee t results 9 or   
has a high likelihood ( result+ 9       
injury1 psy*ological trauma1 or /ress1  
reg>dless ( :e!r ! employee su/a9s an   
injury4  7,b7 ,an incid5t involv+ !     
?reat or use ( a fire>m or o!r dang]\s  
weapon1 includ+ ! use ( common objects z

 weapons1 reg>dless ( :e!r ! employee   
su/a9s an injury4  7,c7 ,f\r workplace  
viol5ce types3 7i7 ,type #a viol5ce     
means workplace viol5ce direct$ at an   
employee by a p]son :o has no legitimate
 bus9ess at ! "w site1 & includes viol5t
 acts by anyone :o ent]s ! workplace ) !
 int5t to commit a crime4  7ii7 ,type #b
 viol5ce means workplace viol5ce direct$
 at an employee by cu/om]s1 cli5ts1     
pati5ts1 /ud5ts1 inmates1 or any o!rs = 
:om an organization provides s]vices4   
7iii7 ,type #c viol5ce means workplace  
viol5ce direct$ at an employee by a     
pres5t or =m] employee1 sup]visor1 or   
manag]4  7iv7 ,type #d viol5ce means    
workplace viol5ce direct$ at an employee
 by someone :o does n "w !re1 b has or  
is kn[n to h _h a p]sonal relation%ip ) 
an employee4  7#ad7 ,"w practice        
controls ,! t]m "w practice controls    
means proc$ures1 & rules :i* are us$ to 
effectively r$uce workplace viol5ce     
haz>ds4 ,"w practice controls include1 b
 are n limit$ to1 assign+ & plac+       

suffici5t numb]s ( /aff to r$uce        
pati5t-specific ,type #b workplace      
viol5ce haz>ds1 provision ( d$icat$ &   
available safety p]sonnel 7i4e41        
security gu>ds71 employee tra9+ on      
workplace viol5ce prev5tion me?ods1 &   
employee tra9+ on proc$ures = response 9
 ! ev5t ( a workplace viol5ce incid5t & 
= po/-incid5t response4