,,ii #aaf? ,,congress #a/ ,session ,s4 #hea ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,m>* #ad1 #bjai,ms4 ,baldw9 7= h]self1 ,ms4 ,w>r51 ,mr4 ,s*atz1 ,mrs4 ,gillibr&1 ,mr4 ,br[n1 & ,mr4 ,blum5?al7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to direct ! ,secret>y ( ,labor to issue an occupational safety & heal? /&>d t requires cov]$ employ]s )9 ! heal? c>e & social s]vice indu/ries to develop & implem5t a compreh5sive workplace viol5ce prev5tion plan1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,workplace ,viol5ce ,prev5tion = ,heal? ,c>e & ,social ,s]vice ,work]s ,act4 #b4 ,table ( cont5ts ,! table ( cont5ts = ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title4,sec4 #b4 ,table ( cont5ts4,title ,i--,workplace ,viol5ce ,prev5tion ,standard,sec4 #aja4 ,workplace viol5ce prev5tion /&>d4,sec4 #ajb4 ,scope & application4,sec4 #ajc4 ,requirem5ts = workplace viol5ce prev5tion /&>d4,sec4 #ajd4 ,rules ( con/ruction4,sec4 #aje4 ,o!r def9itions4,title ,,ii--,am5dm5ts to ! ,social ,security ,act,sec4 #bja4 ,application ( ! workplace viol5ce prev5tion /&>d to c]ta9 facilities receiv+ ,m$ic>e funds4 ,i ,workplace ,viol5ce ,prev5tion ,/&>d #aja4 ,workplace viol5ce prev5tion /&>d 7a7 ,int]im f9al /&>d 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,labor %all promulgate an int]im f9al /&>d on workplace viol5ce prev5tion-- 7,a7 to require c]ta9 employ]s 9 ! heal? c>e & social s]vice sectors1 & c]ta9 employ]s 9 sectors t conduct activities simil> to ! activities 9 ! heal? c>e & social s]vice sectors1 to develop & implem5t a compreh5sive workplace viol5ce prev5tion plan to protect heal? c>e work]s1 social s]vice work]s1 & o!r p]sonnel f workplace viol5ce2 & 7,b7 t %all1 at a m9imum1 be bas$ on ! ,guidel9es = ,prev5t+ ,workplace ,viol5ce = ,heal?c>e & ,social ,s]vice ,work]s publi%$ by ! ,occupational ,safety & ,heal? ,adm9i/ration ( ! ,dep>tm5t ( ,labor 9 #bjae & adh]e to ! requirem5ts ( ?is title4 7#b7 ,applicability ( o!r /atutory requirem5ts ,! foll[+ %all n apply to ! promulgation ( ! int]im f9al /&>d "u ?is subsection3 7,a7 ,! requirem5ts applicable to occupational safety & heal? /&>ds "u section #f7;b7 ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #fee7;b774 7,b7 ,! requirem5ts ( *apt]s #e & #f ( title #e1 ,unit$ ,/ates ,code1 & titles #b & #db1 ,unit$ ,/ates ,code4 7#c7 ,notice & comm5t ,not)/&+ p>agraph 7#b77;,b71 ! ,secret>y %all1 prior to promulgat+ ! int]im f9al /&>d "u ?is subsection1 provide notice ( ! int]im f9al /&>d & a #cj-;day opportunity = public comm5t4 7#d7 ,effective date ( int]im /&>d ,! int]im f9al /&>d %all-- 7,a7 take effect on a date t is n lat] ?an #cj days aft] promulgation1 except t su* int]im f9al /&>d may include a reasonable phase-9 p]iod = ! implem5tation ( requir$ eng9e]+ controls t take effect aft] su* date2 7,b7 be en=c$ 9 ! same mann] & to ! same ext5t z any /&>d promulgat$ "u section #f7;b7 ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #fee7;b772 & 7,c7 be 9 effect until ! f9al /&>d describ$ 9 subsection 7b7 becomes effective & en=ceable4 7#e7 ,failure to promulgate ,if an int]im f9al /&>d describ$ 9 p>agraph 7#a7 is n promulgat$ n lat] ?an #a ye> ( ! date ( enactm5t ( ?is ,act1 ! provisions ( ?is title %all be 9 effect & en=c$ 9 ! same mann] & to ! same ext5t z any /&>d promulgat$ "u section #f7;b7 ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #fee7;b77 until su* provisions are sup]s$$ 9 :ole by an int]im f9al /&>d promulgat$ by ! ,secret>y t meets ! requirem5ts ( p>agraph 7#a74 7b7 ,f9al /&>d 7#a7 ,propos$ f9al /&>d ,n lat] ?an #b ye>s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,labor %all1 pursuant to section #f ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #fee71 promulgate a propos$ f9al /&>d on workplace viol5ce prev5tion-- 7,a7 = ! purposes describ$ 9 subsection 7a77#a77;,a72 & 7,b7 t %all include1 at a m9imum1 ! elem5ts conta9$ 9 ! int]im f9al /&>d promulgat$ "u subsection 7a74 7#b7 ,f9al /&>d ,n lat] ?an #db mon?s aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y %all promulgate a f9al /&>d on su* propos$ /&>d t %all-- 7,a7 provide no less protection ?an any workplace viol5ce /&>d adopt$ by a ,/ate plan t has be5 approv$ by ! ,secret>y "u section #ah ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #ffg72 & 7,b7 be effective & en=ceable 9 ! same mann] & to ! same ext5t z any /&>d promulgat$ "u section #f7;b7 ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #fee7;b774 #ajb4 ,scope & application ,9 ?is title3 7#a7 ,cov]$ facility ,! t]m cov]$ facility includes ! foll[+3 7,a7 ,any hospital1 includ+ any specialty hospital1 9-pati5t or outpati5t sett+1 or cl9ic op]at+ )9 a hospital lic5se1 or any sett+ t provides outpati5t s]vices4 7,b7 ,any resid5tial treatm5t facility1 includ+ any nurs+ home1 skill$ nurs+ facility1 hospice facility1 & long-t]m c>e facility4 7,c7 ,any non-resid5tial treatm5t or s]vice sett+4 7,d7 ,any m$ical treatm5t or social s]vice sett+ or cl9ic at a correctional or det5tion facility4 7,e7 ,any community c>e sett+1 includ+ a community-bas$ resid5tial facility1 gr\p home1 & m5tal heal? cl9ic4 7,f7 ,any psy*iatric treatm5t facility4 7,g7 ,any drug abuse or sub/ance use disord] treatm5t c5t]4 7,h7 ,any indep5d5t free/&+ em]g5cy c5t]s4 7,i7 ,any facility describ$ 9 subp>agraphs 7,a7 ?r\gh 7,h7 op]at$ by a ,f$]al ,gov]nm5t ag5cy & requir$ to comply ) occupational safety & heal? /&>ds pursuant to "p #aifj ( title #bi1 ,code ( ,f$]al ,regulations 7or any correspond+ simil> regulations or rul+s74 7,j7 ,any o!r facility ! ,secret>y det]m9es %\ld be cov]$ "u ! /&>ds promulgat$ "u section #aja4 7#b7 ,cov]$ s]vices ,! t]m cov]$ s]vice includes ! foll[+ s]vices & op]ations3 7,a7 ,any s]vices & op]ations provid$ 9 any field "w sett+1 includ+ home heal? c>e1 home-bas$ hospice1 & home-bas$ social "w4 7,b7 ,any em]g5cy s]vices & transport1 includ+ su* s]vices provid$ by firefight]s & em]g5cy respond]s4 7,c7 ,any s]vices describ$ 9 subp>agraphs 7,a7 & 7,b7 p]=m$ by a ,f$]al ,gov]nm5t ag5cy & requir$ to comply ) occupational safety & heal? /&>ds pursuant to "p #aifj ( title #bi1 ,code ( ,f$]al ,regulations 7or any correspond+ simil> regulations or rul+s74 7,d7 ,any o!r s]vices & op]ations ! ,secret>y det]m9es %\ld be cov]$ "u ! /&>ds promulgat$ "u section #aja4 7#c7 ,cov]$ employ] 7,a7 ,9 g5]al ,! t]m cov]$ employ] includes a p]son 7includ+ a contractor1 subcontractor1 a tempor>y s]vice firm1 or an employee leas+ entity7 t employs an individual to "w at a cov]$ facility or to p]=m cov]$ s]vices4 7,b7 ,exclusion ,! t]m cov]$ employ] does n include an individual :o privately employs1 9 ! individual's resid5ce1 a p]son to p]=m cov]$ s]vices = ! individual or a family memb] ( ! individual4 7#d7 ,cov]$ employee ,! t]m cov]$ employee includes an individual employ$ by a cov]$ employ] to "w at a cov]$ facility or to p]=m cov]$ s]vices4 #ajc4 ,requirem5ts = workplace viol5ce prev5tion /&>d ,ea* /&>d describ$ 9 section #aja %all include1 at a m9imum1 ! foll[+ requirem5ts3 7#a7 ,workplace viol5ce prev5tion plan ,n lat] ?an #f mon?s aft] ! date ( promulgation ( ! int]im f9al /&>d "u section #aja7;a71 a cov]$ employ] %all develop1 implem5t1 & ma9ta9 an effective writt5 workplace viol5ce prev5tion plan 7ref]r$ to 9 ?is section z a ,plan7 = cov]$ employees at ea* cov]$ facility & = cov]$ employees p]=m+ a cov]$ s]vice on behalf ( su* employ]1 :i* meets ! foll[+3 7,a7 ,plan developm5t ,ea* ,plan %all-- 7i7 be develop$ & implem5t$ ) ! mean+ful p>ticipation ( direct c>e employees &1 :]e applicable1 employee repres5tatives & collective b>ga9+ repres5tatives1 = all aspects ( ! ,plan2 7ii7 be tailor$ & specific to conditions & haz>ds = ! cov]$ facility or ! cov]$ s]vice1 includ+ pati5t-specific risk factors & risk factors specific to ea* "w area or unit2 & 7iii7 be suitable = ! size1 complexity1 & type ( op]ations at ! cov]$ facility or = ! cov]$ s]vice1 & rema9 9 effect at all times4 7,b7 ,plan cont5t ,ea* ,plan %all include proc$ures & me?ods = ! foll[+3 7i7 ,id5tification ( ! individual responsible = implem5tation ( ! ,plan4 7ii7 ,) respect to ea* "w area & unit at ! cov]$ facility or :ile cov]$ employees are p]=m+ ! cov]$ s]vice1 risk assessm5t & id5tification ( workplace viol5ce risks & haz>ds to employees expos$ to su* risks & haz>ds 7includ+ environm5tal risk factors & pati5t-specific risk factors71 :i* %all be-- 7,i7 in=m$ by pa/ viol5t incid5ts specific to su* cov]$ facility or su* cov]$ s]vice2 & 7,,ii7 conduct$ )1 at a m9imum-- 7aa7 direct c>e employees2 7bb7 :]e applicable1 ! repres5tatives ( su* employees2 & 7cc7 ! employ]4 7iii7 ,haz>d prev5tion1 eng9e]+ controls1 or "w practice controls to correct haz>ds 9 a timely mann]1 apply+ indu/rial hygi5e pr9ciples ( ! hi]>*y ( controls1 :i*-- 7,i7 may include security & al>m sy/ems1 adequate exit r\tes1 monitor+ sy/ems1 b>ri] protection1 e/abli%$ areas = pati5ts & cli5ts1 light+1 entry proc$ures1 /aff+ & work+ 9 teams1 & sy/ems to id5tify & flag cli5ts ) a hi/ory ( viol5ce2 & 7,,ii7 %all ensure t employ]s correct1 9 a timely mann]1 haz>ds id5tifi$ 9 ! annual report describ$ 9 p>agraph 7#e74 7iv7 ,report+1 incid5t response1 & po/-incid5t inve/igation proc$ures1 includ+ proc$ures-- 7,i7 = employees to report workplace viol5ce risks1 haz>ds1 & incid5ts2 7,,ii7 = employ]s to respond to reports ( workplace viol5ce2 7,,iii7 = employ]s to p]=m a po/-incid5t inve/igation & debrief+ ( all reports ( workplace viol5ce ) ! p>ticipation ( employees & _! repres5tatives2 & 7,,iv7 to provide m$ical c>e or fir/ aid to affect$ employees4 7v7 ,proc$ures = em]g5cy response1 includ+ proc$ures = ?reats ( mass casualties & proc$ures = incid5ts involv+ a fire>m or a dang]\s weapon4 7vi7 ,proc$ures = communicat+ ) & tra9+ ( cov]$ employees on workplace viol5ce haz>ds1 ?reats1 & "w practice controls1 ! ,plan1 & proc$ures = confront+1 respond+ to1 & report+ workplace viol5ce ?reats1 incid5ts1 & conc]ns1 & employee rights4 7vii7 ,proc$ures = det]m9+ :i* cov]$ employ] or employ]s %all be responsible = implem5t+ & comply+ ) ! provisions ( ! /&>d applicable to ! work+ conditions ov] :i* su* employ]s h control1 & ensur+ ! coord9ation ( risk assessm5t ef=ts1 ,plan developm5t1 & implem5tation ( ! ,plan ) o!r employ]s :o h employees :o "w at ! cov]$ facility or :o are p]=m+ ! cov]$ s]vice4 7viii7 ,proc$ures = conduct+ ! annual evaluation "u p>agraph 7#f74 7,c7 ,availability ( ,plan ,ea* ,plan %all be made available at all times to ! cov]$ employees :o are cov]$ "u su* ,plan4 7#b7 ,viol5t incid5t inve/igation 7,a7 ,9 g5]al ,z soon z practicable aft] a workplace viol5ce incid5t1 risk1 or haz>d ( :i* a cov]$ employ] has k1 ! employ] %all conduct an inve/igation ( su* incid5t1 risk1 or haz>d "u :i* ! employ] %all-- 7i7 review ! circum/ances ( ! incid5t1 risk1 or haz>d1 & :e!r any controls or measures implem5t$ pursuant to ! ,plan ( ! employ] 7 effective2 & 7ii7 solicit input f involv$ employees1 _! repres5tatives1 & sup]visors1 ab\t ! cause ( ! incid5t1 risk1 or haz>d1 & :e!r fur!r corrective measures 7includ+ sy/em-level factors7 c\ld h prev5t$ ! incid5t1 risk1 or haz>d4 7,b7 ,docum5tation ,a cov]$ employ] %all docum5t ! f9d+s1 recomm5dations1 & corrective measures tak5 = ea* inve/igation conduct$ "u ?is p>agraph4 7#c7 ,tra9+ & education ,) respect to ! cov]$ employees cov]$ "u a ,plan ( a cov]$ employ]1 ! employ] %all provide tra9+ & education to su* employees :o may be expos$ to workplace viol5ce haz>ds & risks1 :i* meet ! foll[+ requirem5ts3 7,a7 ,annual tra9+ & education includes in=mation on ! ,plan1 includ+ id5tifi$ workplace viol5ce haz>ds1 "w practice control measures1 report+ proc$ures1 record keep+ requirem5ts1 response proc$ures1 & employee rights4 7,b7 ,additional haz>d recognition tra9+ = sup]visors & manag]s to ensure !y c recognize high-risk situations & d n assign employees to situations t pr$ictably compromise _! safety4 7,c7 ,additional tra9+ = ea* su* cov]$ employee ^: job circum/ances has *ang$1 )9 a reasonable timeframe aft] su* *ange4 7,d7 ,new employee tra9+ prior to assignm5t4 7,e7 ,all tra9+ provides su* employees opportunities to ask que/ions1 give fe$back on su* tra9+1 & reque/ additional in/ruction1 cl>ification1 or o!r foll[ up4 7,f7 ,all tra9+ is provid$ 9-p]son & by an individual ) k ( workplace viol5ce prev5tion & ( ! ,plan4 7,g7 ,all tra9+ is appropriate 9 cont5t & vocabul>y to ! language1 educational level1 & lit]acy ( su* cov]$ employees4 7#d7 ,recordkeep+ & access to plan records 7,a7 ,9 g5]al ,ea* cov]$ employ] %all-- 7i7 ma9ta9 at all times-- 7,i7 records relat$ to ea* ,plan ( ! employ]1 includ+ workplace viol5ce risk & haz>d assessm5ts1 & id5tification1 evaluation1 correction1 & tra9+ proc$ures2 7,,ii7 a viol5t incid5t log describ$ 9 subp>agraph 7,b7 = record+ all workplace viol5ce incid5ts2 & 7,,iii7 records ( all incid5t inve/igations z requir$ "u p>agraph 7#b77;,b72 & 7ii7 make su* records & logs available1 ^u reque/1 to cov]$ employees & _! repres5tatives = exam9ation & copy+ 9 accordance ) section #aiaj4ajbj ( title #bi1 ,code ( ,f$]al ,regulations 7or any correspond+ simil> regulation or rul+71 & 9 a mann] consi/5t ) ,,hipaa privacy regulations 7def9$ 9 section #aahj7;b77#c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;d-#i7;b77#c777 & "p #b ( title #db1 ,code ( ,f$]al ,regulations 7or any correspond+ simil> regulations or rul+s74 7,b7 ,viol5t incid5t log description ,ea* viol5t incid5t log %all-- 7i7 be ma9ta9$ by a cov]$ employ] = ea* cov]$ facility controll$ by ! employ] & = ea* cov]$ s]vice be+ p]=m$ by a cov]$ employee on behalf ( su* employ]2 7ii7 be bas$ on a template develop$ by ! ,secret>y n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act2 7iii7 include1 at a m9imum1 a description (-- 7,i7 ! viol5t incid5t 7includ+ environm5tal risk factors pres5t at ! "t ( ! incid5t72 7,,ii7 ! date1 "t1 & location ( ! incid5t1 & ! names & job titles ( involv$ employees2 7,,iii7 ! nature & ext5t ( injuries to cov]$ employees2 7,,iv7 a classification ( ! p]petrator :o committ$ ! viol5ce1 includ+ :e!r ! p]petrator 0-- 7aa7 a pati5t1 cli5t1 or cu/om] ( a cov]$ employ]2 7bb7 a family or fri5d ( a pati5t1 cli5t1 or cu/om] ( a cov]$ employ]2 7cc7 a /rang] ) crim9al int5t2 7dd7 a c[ork]1 sup]visor1 or manag] ( a cov]$ employee2 7ee7 a p>tn]1 sp\se1 p>5t1 or relative ( a cov]$ employee2 or 7ff7 any o!r appropriate classification2 7,v7 ! type ( viol5t incid5t 7su* z type #a viol5ce1 type #b viol5ce1 type #c viol5ce1 or type #d viol5ce72 & 7,,vi7 h[ ! incid5t 0 abat$2 7iv7 omit any elem5t ( p]sonal id5tify+ in=mation suffici5t to all[ id5tification ( any pati5t1 resid5t or cli5t alleg$ to h committ$ a viol5t incid5t 7includ+ ! p]son's "n1 address1 electronic mail address1 telephone numb]1 or social security numb]1 or o!r in=mation t1 alone or 9 comb9ation ) o!r publicly available in=mation1 reveals su* p]son's id5tity72 7v7 n lat] ?an #g days aft] ! employ] le>ns ( su* incid5t1 conta9 a record ( ea* viol5t incid5t1 :i* is updat$ to ensure complet5ess ( su* record2 7vi7 be ma9ta9$ = n less ?an #e ye>s2 & 7vii7 9 ! case ( a viol5t incid5t involv+ a privacy conc]n case1 protect ! id5tity ( employees 9 a mann] consi/5t ) section #aijd4bi7;b7 ( title #bi1 ,code ( ,f$]al ,regulations 7or any correspond+ simil> regulation or rul+74 7,c7 ,annual summ>y 7i7 ,cov]$ employ]s ,ea* cov]$ employ] %all prep>e an annual summ>y ( ea* viol5t incid5t log = ! prec$+ cal5d> ye> t %all-- 7,i7 ) respect to ea* cov]$ facility1 & ea* cov]$ s]vice1 = :i* su* a log has be5 ma9ta9$1 include ! total numb] ( viol5t incid5ts1 ! numb] ( recordable injuries relat$ to su* incid5ts1 & ! total numb] ( h\rs work$ by ! cov]$ employees = su* prec$+ ye>2 7,,ii7 be complet$ on a =m provid$ by ! ,secret>y2 7,,iii7 be po/$ = ?ree mon?s beg9n+ ,febru>y #a ( ea* ye> 9 a mann] consi/5t ) ! requirem5ts ( "p #aijd ( title #bi1 ,code ( ,f$]al ,regulations 7or any correspond+ simil> regulations or rul+s71 relat+ to ! po/+ ( summ>ies ( injury & illness logs2 7,,iv7 be locat$ 9 a conspicu\s place or places :]e notices to employees are cu/om>ily po/$2 & 7,v7 n be alt]$1 defac$1 or cov]$ by o!r mat]ial4 7ii7 ,secret>y ,n lat] ?an #a ye> aft] ! promulgation ( ! int]im f9al /&>d "u section #aja7;a71 ! ,secret>y %all make available a plat=m = ! electronic submission ( annual summ>ies requir$ "u ?is p>agraph4 7#e7 ,annual report ,n lat] ?an ,febru>y #ae ( ea* ye>1 ea* cov]$ employ] %all report to ! ,secret>y1 ! frequ5cy1 quantity1 & sev]ity ( workplace viol5ce1 & any incid5t response & po/-incid5t inve/igation 7includ+ abatem5t measures = ! incid5ts7 set =? 9 ! annual summ>y ( ! viol5t incid5t log describ$ 9 p>agraph 7#d77;,c74 7#f7 ,annual evaluation ,ea* cov]$ employ] %all conduct an annual writt5 evaluation1 conduct$ ) ! full1 active p>ticipation ( cov]$ employees & employee repres5tatives1 (-- 7,a7 ! implem5tation & effectiv5ess ( ! ,plan1 includ+ a review ( ! viol5t incid5t log2 & 7,b7 compliance ) tra9+ requir$ by ea* /&>d describ$ 9 section #aja1 & specifi$ 9 ! ,plan4 7#g7 ,anti-retaliation 7,a7 ,policy ,ea* cov]$ employ] %all adopt a policy prohibit+ any p]son 7includ+ an ag5t ( ! employ]7 f discrim9at+ or retaliat+ aga9/ any employee = report+1 or seek+ assi/ance or int]v5tion f1 a workplace viol5ce incid5t1 ?reat1 or conc]n to ! employ]1 law en=cem5t1 local em]g5cy s]vices1 or a gov]nm5t ag5cy1 or p>ticipat+ 9 an incid5t inve/igation4 7,b7 ,prohibition ,no cov]$ employ] %all discrim9ate or retaliate aga9/ any employee = report+1 or seek+ assi/ance or int]v5tion f1 a workplace viol5ce incid5t1 ?reat1 or conc]n to ! employ]1 law en=cem5t1 local em]g5cy s]vices1 or a gov]nm5t ag5cy1 or = ex]cis+ any o!r rights "u ?is p>agraph4 7,c7 ,en=cem5t ,?is p>agraph %all be en=c$ 9 ! same mann] & to ! same ext5t z any /&>d promulgat$ "u section #f7;b7 ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #fee7;b774 #ajd4 ,rules ( con/ruction ,not)/&+ section #ah ( ! ,occupational ,safety & ,heal? ,act ( #aigj 7#bi ,u4,s4,c4 #ffg7-- 7#a7 no?+ 9 ?is title %all be con/ru$ to curtail or limit au?ority ( ! ,secret>y "u any o!r provision ( ! law2 & 7#b7 ! rights1 privileges1 or rem$ies ( cov]$ employees %all be 9 addition to ! rights1 privileges1 or rem$ies provid$ "u any ,f$]al or ,/ate law1 or any collective b>ga9+ agreem5t4 #aje4 ,o!r def9itions ,9 ?is title3 7#a7 ,workplace ,viol5ce 7,a7 ,9 g5]al ,! t]m workplace viol5ce means any act ( viol5ce or ?reat ( viol5ce1 )\t reg>d to int5t1 t occurs at a cov]$ facility or :ile a cov]$ employee p]=ms a cov]$ s]vice4 7,b7 ,exclusions ,! t]m workplace viol5ce does n include lawful acts ( self-def5se or def5se ( o!rs4 7,c7 ,inclusions ,! t]m workplace viol5ce includes-- 7i7 ! ?reat or use ( physical =ce aga9/ a cov]$ employee t results 9 or has a high likelihood ( result+ 9 injury1 psy*ological trauma1 or /ress1 )\t reg>d to :e!r ! cov]$ employee su/a9s an injury1 psy*ological trauma1 or /ress2 & 7ii7 an incid5t involv+ ! ?reat or use ( a fire>m or a dang]\s weapon1 includ+ ! use ( common objects z weapons1 )\t reg>d to :e!r ! employee su/a9s an injury1 psy*ological trauma1 or /ress4 7#b7 ,type #a viol5ce ,! t]m type #a viol5ce-- 7,a7 means workplace viol5ce direct$ at a cov]$ employee at a cov]$ facility or :ile p]=m+ a cov]$ s]vice by an individual :o has no legitimate bus9ess at ! cov]$ facility or ) respect to su* cov]$ s]vice2 & 7,b7 includes viol5t acts by any individual :o ent]s ! cov]$ facility or worksite :]e a cov]$ s]vice is be+ p]=m$ ) ! int5t to commit a crime4 7#c7 ,type #b viol5ce ,! t]m type #b viol5ce means workplace viol5ce direct$ at a cov]$ employee by cu/om]s1 cli5ts1 pati5ts1 /ud5ts1 inmates1 or any individual = :om a cov]$ facility provides s]vices or = :om ! employee p]=ms cov]$ s]vices4 7#d7 ,type #c viol5ce ,! t]m type #c viol5ce means workplace viol5ce direct$ at a cov]$ employee by a pres5t or =m] employee1 sup]visor1 or manag]4 7#e7 ,type #d viol5ce ,! t]m type #d viol5ce means workplace viol5ce direct$ at a cov]$ employee by an individual :o is n an employee1 b has or is kn[n to h _h a p]sonal relation%ip ) su* employee4 7#f7 ,?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$1 & t s]ves no legitimate purpose4 7#g7 ,al>m ,! t]m al>m means a me*anical1 electrical1 or electronic device t does n rely ^u an employee's vocalization 9 ord] to al]t o!rs4 7#h7 ,dang]\s weapon ,! t]m dang]\s weapon means an in/rum5t capable ( inflict+ dea? or s]i\s bodily injury1 reg>dless ( :e!r su* in/rum5t 0 design$ = t purpose4 7#i7 ,eng9e]+ controls 7,a7 ,9 g5]al ,! 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 a cov]$ employee & ! haz>d4 7,b7 ,inclusions ,= purposes ( r$uc+ workplace viol5ce haz>ds1 ! t]m eng9e]+ controls includes electronic access controls to employee occupi$ areas1 weapon detectors 7in/all$ or h&held71 enclos$ "w/ations ) %att]-resi/ant glass1 deep s]vice c\nt]s1 sep>ate rooms or areas = high-risk pati5ts1 locks on doors1 remov+ access to or secur+ items t c\ld be us$ z weapons1 furniture affix$ to ! floor1 opaque glass 9 pati5t rooms 7:i* protects privacy1 b all[s ! heal? c>e provid] to see :]e ! pati5t is be=e ent]+ ! room71 clos$-circuit television monitor+ & video record+1 sight-aids1 & p]sonal al>m devices4 7#aj7 ,environm5tal risk factors 7,a7 ,9 g5]al ,! t]m environm5tal risk factors means factors 9 ! cov]$ facility or area 9 :i* a cov]$ s]vice is p]=m$ t may contribute to ! likelihood or sev]ity ( a workplace viol5ce incid5t4 7,b7 ,cl>ification ,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#aa7 ,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+-- 7,a7 a pati5t's hi/ory ( viol5ce & use ( drugs or alcohol2 & 7,b7 any conditions or disease processes ( ! pati5t t may cause ! pati5t to exp]i5ce confusion or disori5tation1 to be non-responsive to in/ruction1 to behave unpr$ictably1 or to engage 9 disruptive1 ?reat5+1 or viol5t behavior4 7#ab7 ,secret>y ,! t]m ,secret>y means ! ,secret>y ( ,labor4 7#ac7 ,"w practice controls 7,a7 ,9 g5]al ,! t]m "w practice controls means proc$ures & rules t are us$ to effectively r$uce workplace viol5ce haz>ds4 7,b7 ,inclusions ,! t]m "w practice controls includes assign+ & plac+ suffici5t numb]s ( /aff to r$uce pati5t-specific ,type #b workplace viol5ce haz>ds1 provision ( d$icat$ & available safety p]sonnel su* z security gu>ds1 employee tra9+ on workplace viol5ce prev5tion me?od & te*niques to de-escalate & m9imize viol5t behavior1 & employee tra9+ on proc$ures = response 9 ! ev5t ( a workplace viol5ce incid5t & = po/-incid5t response4 ,,ii ,am5dm5ts to ! ,social ,security ,act #bja4 ,application ( ! workplace viol5ce prev5tion /&>d to c]ta9 facilities receiv+ ,m$ic>e funds 7a7 ,9 g5]al ,section #ahff ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acie;cc7 is am5d$-- 7#a7 9 subsection 7a77#a7-- 7,a7 by mov+ ! ind5tation ( subp>agraph 7,w7 #b ems to ! left2 7,b7 9 subp>agraph 7,x7-- 7i7 by mov+ ! ind5tation #b ems to ! left2 & 7ii7 by /rik+ & at ! end2 7,c7 9 subp>agraph 7,y71 by /rik+ ! p]iod at ! end & ins]t+ 2 &2 & 7,d7 by ins]t+ aft] subp>agraph 7,y7 ! foll[+ new subp>agraph3 7,z7 9 ! case ( hospitals t are n o!rwise subject to ! ,occupational ,safety & ,heal? ,act ( #aigj 7or a ,/ate occupational safety & heal? plan t is approv$ "u #ah7;b7 ( su* ,act7 & skill$ nurs+ facilities t are n o!rwise subject to su* ,act 7or su* a ,/ate occupational safety & heal? plan71 to comply ) ! ,workplace ,viol5ce ,prev5tion ,/&>d 7z promulgat$ "u section #aja ( ! ,workplace ,viol5ce ,prev5tion = ,heal? ,c>e & ,social ,s]vice ,work]s ,act74 2 & 7#b7 9 subsection 7b77#d7-- 7,a7 9 subp>agraph 7,a71 by ins]t+ & a hospital or skill$ nurs+ facility t fails to comply ) ! requirem5t ( subsection 7a77#a77,z7 7relat+ to ! ,workplace ,viol5ce ,prev5tion ,/&>d7 aft] ,bloodborne ,pa?og5s /&>d72 & 7,b7 9 subp>agraph 7,b7-- 7i7 by /rik+ 7a77#a77,u7 & ins]t+ 7a77#a77,v72 & 7ii7 by ins]t+ 7or1 9 ! case ( a failure to comply ) ! requirem5t ( subsection 7a77#a77,z71 = a violation ( ! ,workplace ,viol5ce ,prev5tion /&>d ref]r$ to 9 su* subsection by a hospital or skill$ nurs+ facility1 z applicable1 t is subject to ! provisions ( su* ,act7 be=e ! p]iod at ! end4 7b7 ,effective date ,! am5dm5ts made by subsection 7a7 %all apply beg9n+ on ! date t is #a ye> aft] ! date ( issuance ( ! int]im f9al /&>d on workplace viol5ce prev5tion requir$ "u section #aja4