Section 1. That sections 2317.54, 5101.60, 5101.61, 5101.611, | 20 |
5101.62, 5101.63, 5101.64, 5101.66, 5101.67, 5101.68, 5101.69, | 21 |
5101.70, 5101.71, 5101.72, 5101.99, 5123.61, and 5126.31 be | 22 |
amended; sections 5101.61 (5101.63), 5101.611 (5101.64), 5101.62 | 23 |
(5101.65), 5101.63 (5101.652), 5101.64 (5101.66), 5101.65 | 24 |
(5101.68), 5101.66 (5101.681), 5101.67 (5101.682), 5101.68 | 25 |
(5101.69), 5101.69 (5101.70), 5101.70 (5101.71), 5101.71 | 26 |
(5101.61), and 5101.72 (5101.611) be amended for the purpose of | 27 |
adopting new section numbers as indicated in parentheses; and new | 28 |
sections 5101.62, 5101.67, and 5101.72 and sections 5101.631, | 29 |
5101.632, 5101.651, 5101.701, 5101.702, 5101.74, and 5101.741 of | 30 |
the Revised Code be enacted to read as follows: | 31 |
Sec. 2317.54. No hospital, home health agency, ambulatory | 32 |
surgical facility, or provider of a hospice care program shall be | 33 |
held liable for a physician's failure to obtain an informed | 34 |
consent from the physician's patient prior to a surgical or | 35 |
medical procedure or course of procedures, unless the physician is | 36 |
an employee of the hospital, home health agency, ambulatory | 37 |
surgical facility, or provider of a hospice care program. | 38 |
Written consent to a surgical or medical procedure or course | 39 |
of procedures shall, to the extent that it fulfills all the | 40 |
requirements in divisions (A), (B), and (C) of this section, be | 41 |
presumed to be valid and effective, in the absence of proof by a | 42 |
preponderance of the evidence that the person who sought such | 43 |
consent was not acting in good faith, or that the execution of the | 44 |
consent was induced by fraudulent misrepresentation of material | 45 |
facts, or that the person executing the consent was not able to | 46 |
communicate effectively in spoken and written English or any other | 47 |
language in which the consent is written. Except as herein | 48 |
provided, no evidence shall be admissible to impeach, modify, or | 49 |
limit the authorization for performance of the procedure or | 50 |
procedures set forth in such written consent. | 51 |
(C) The consent is signed by the patient for whom the | 62 |
procedure is to be performed, or, if the patient for any reason | 63 |
including, but not limited to, competence, infancy, or the fact | 64 |
that, at the latest time that the consent is needed, the patient | 65 |
is under the influence of alcohol, hallucinogens, or drugs, lacks | 66 |
legal capacity to consent, by a person who has legal authority to | 67 |
consent on behalf of such patient in such circumstances. | 68 |
Any use of a consent form that fulfills the requirements | 69 |
stated in divisions (A), (B), and (C) of this section has no | 70 |
effect on the common law rights and liabilities, including the | 71 |
right of a physician to obtain the oral or implied consent of a | 72 |
patient to a medical procedure, that may exist as between | 73 |
physicians and patients on July 28, 1975. | 74 |
As used in this section the term "hospital" has the same | 75 |
meaning as in section 2305.113 of the Revised Code; "home health | 76 |
agency" has the same meaning as in section
5101.613701.881 of the | 77 |
Revised Code; "ambulatory surgical facility" has the meaning as in | 78 |
division (A) of section 3702.30 of the Revised Code; and "hospice | 79 |
care program" has the same meaning as in section 3712.01 of the | 80 |
Revised Code. The provisions of this division apply to hospitals, | 81 |
doctors of medicine, doctors of osteopathic medicine, and doctors | 82 |
of podiatric medicine. | 83 |
(B)(C) "Adult" means any person sixty years of age or older | 91 |
within this state who is handicapped by the infirmities of aging | 92 |
or who has a physical or mental impairment which prevents the | 93 |
person from providing for the person's own care or protection, and | 94 |
who resides in an independent living arrangement. An "independent | 95 |
living arrangement" is a domicile of a person's own choosing, | 96 |
including, but not limited to, a private home, apartment, trailer, | 97 |
or rooming house. An "independent living arrangement" includes an | 98 |
adult care facility licensed pursuant to Chapter 5119. of the | 99 |
Revised Code, but does not include other institutions or | 100 |
facilities licensed by the state or facilities in which a person | 101 |
resides as a result of voluntary, civil, or criminal commitment. | 102 |
(I)(M) "Incapacitated person" means a person who is impaired | 145 |
for any reason to the extent that the person lacks sufficient | 146 |
understanding or capacity to make and carry out reasonable | 147 |
decisions concerning the person's self or resources, with or | 148 |
without the assistance of a caretaker. Refusal to consent to the | 149 |
provision of services shall not be the sole determinative that the | 150 |
person is incapacitated. "Reasonable decisions" are decisions made | 151 |
in daily living which facilitate the provision of food, shelter, | 152 |
clothing, and health care necessary for life support. | 153 |
(J)(N) "Independent living arrangement" means a domicile of a | 154 |
person's own choosing, including, but not limited to, a private | 155 |
home, apartment, trailer, or rooming house. "Independent living | 156 |
arrangement" includes an adult care facility licensed pursuant to | 157 |
Chapter 5119. of the Revised Code, but does not include any other | 158 |
institution or facility licensed by the state or a facility in | 159 |
which a person resides as a result of voluntary, civil, or | 160 |
criminal commitment. | 161 |
(N)(U) "Protective services" means services provided by the | 182 |
county department of job and family services or its designated | 183 |
agency to an adult who has been determined by evaluation to | 184 |
require such services for the prevention, correction, or | 185 |
discontinuance of an act of as well as conditions resulting from | 186 |
abuse, neglect, or exploitation. Protective services may include, | 187 |
but are not limited to, case work services, medical care, mental | 188 |
health services, legal services, fiscal management, home health | 189 |
care, homemaker services, housing-related services, guardianship | 190 |
services, and placement services as well as the provision of such | 191 |
commodities as food, clothing, and shelter. | 192 |
Sec. 5101.71. Sec. 5101.61. (A) The county departmentsdepartment | 203 |
of job and family services shall implement sections 5101.60 to | 204 |
5101.715101.72 of the Revised Code. The department of job and | 205 |
family services may provide a program of ongoing, comprehensive, | 206 |
formal training to county departments and other agencies | 207 |
authorized to implement sections 5101.60 to 5101.71 of the Revised | 208 |
Code. Training shall not be limited to the procedures for | 209 |
implementing section 5101.62 of the Revised Code. | 210 |
(B)(1) The director of job and family services may adopt | 211 |
rules in accordance with section 111.15 of the Revised Code | 212 |
governing the county departments' implementation of sections | 213 |
5101.60 to
5101.715101.72 of the Revised Code by the department | 214 |
and the administration of those sections by county departments of | 215 |
job and family services. The rules
adopted pursuant to this | 216 |
division may include a requirement that the county departments | 217 |
provide on forms prescribed by the rules a plan of proposed | 218 |
expenditures, and a report of actual expenditures, of funds | 219 |
necessary to
implementadminister sections 5101.60 to 5101.71 | 220 |
5101.72 of the Revised Code. | 221 |
Sec. 5101.72. Sec. 5101.611. (A) The department of job and family | 225 |
services, to the extent of available funds, may reimburse county | 226 |
departments of job and family services for all or part of the | 227 |
costs they incur in
implementingadministering sections 5101.60 to | 228 |
5101.715101.72 of the Revised Code. The director of job and | 229 |
family services shall adopt internal management rules in | 230 |
accordance with section 111.15 of the Revised Code that provide | 231 |
for reimbursement of the county departments of job and family | 232 |
services under this section. | 233 |
(e) Is operated by the state, a political subdivision, or an | 331 |
agency of either, or is operated not for profit in this state and | 332 |
is licensed or registered, if required, pursuant to law by the | 333 |
appropriate department of the state, county, or municipality in | 334 |
which it furnishes services; or is operated for profit in this | 335 |
state, meets all the requirements specified in divisions (A)(5)(a) | 336 |
to (d) of this section, and is certified under Title XVIII of the | 337 |
"Social Security Act," 49 Stat. 620 (1935), 42 U.S.C. 301, as | 338 |
amended. | 339 |
Any attorney, physician, osteopath, podiatrist, chiropractor, | 368 |
dentist, psychologist, any employee of a hospital as defined in | 369 |
section 3701.01 of the Revised Code, any nurse licensed under | 370 |
Chapter 4723. of the Revised Code, any employee of an ambulatory | 371 |
health facility, any employee of a home health agency, any | 372 |
employee of an adult care facility as defined in section 5119.70 | 373 |
of the Revised Code, any employee of a nursing home, residential | 374 |
care facility, or home for the aging, as defined in section | 375 |
3721.01 of the Revised Code, any senior service provider, any | 376 |
peace officer, coroner, clergyman, any employee of a community | 377 |
mental health facility, and any person engaged in social work or | 378 |
counseling(1) Any individual listed in division (A)(2) of this | 379 |
section having reasonable cause to believe that an adult is being | 380 |
abused, neglected, or exploited, or is in a condition which is the | 381 |
result of abuse, neglect, or exploitation shall immediately report | 382 |
such belief to the county department of job and family services. | 383 |
This section does not apply to employees of any hospital or public | 384 |
hospital as defined in section 5122.01 of the Revised Code. | 385 |
(D) Any person with reasonable cause to believe that an adult | 480 |
is suffering abuse, neglect, or exploitation who makes a report | 481 |
pursuant to this section or who testifies in any administrative or | 482 |
judicial proceeding arising from such a report, or any employee of | 483 |
the state or any of its subdivisions who is discharging | 484 |
responsibilities under section 5101.625101.65 of the Revised Code | 485 |
shall be immune from civil or criminal liability on account of | 486 |
such investigation, report, or testimony, except liability for | 487 |
perjury, unless the person has acted in bad faith or with | 488 |
malicious purpose. | 489 |
(F) Neither the written or oral report provided for in this | 499 |
section nor the investigatory report provided for in section | 500 |
5101.625101.65 of the Revised Code shall be considered a public | 501 |
record as defined in section 149.43 of the Revised Code. | 502 |
InformationOn request, information contained in the report shall | 503 |
upon request be made available to the adult who is the subject of | 504 |
the report, to agencies authorized by the county department of job | 505 |
and family services to receive information contained in the | 506 |
report, and to legal counsel for the adult.
If it determines that | 507 |
there is a risk of harm to a person who makes a report under this | 508 |
section or to the adult who is the subject of the report, the | 509 |
county department of job and family services may redact the name | 510 |
and identifying information related to the person who made the | 511 |
report. | 512 |
Sec. 5101.631. (A) Not later than two years after the | 513 |
effective date of this section, the department of job and family | 514 |
services shall establish a registry to maintain reports of abuse, | 515 |
neglect, or exploitation of adults, whether investigated or not, | 516 |
made to county departments of job and family services under | 517 |
section 5101.63 of the Revised Code. The department shall release | 518 |
information in the registry to county departments of job and | 519 |
family services in accordance with division (B) of section 5101.65 | 520 |
of the Revised Code and may release information in the registry to | 521 |
law enforcement agencies through the Ohio law enforcement gateway | 522 |
established under section 109.57 of the Revised Code. | 523 |
Sec. 5101.611. Sec. 5101.64. If a county department of job and | 536 |
family services knows or has reasonable cause to believe that the | 537 |
subject of a report made under section 5101.615101.63 of the | 538 |
Revised Code or of an investigation conducted under sections | 539 |
5101.62 to 5101.64section 5101.65 of the Revised Code or on the | 540 |
initiative of the county department is mentally retarded or | 541 |
developmentally disabled, as defined in section 5126.01 of the | 542 |
Revised Code, the county department shall refer the case to the | 543 |
county board of developmental disabilities of that county for | 544 |
review pursuant to section 5126.31 of the Revised Code. | 545 |
Sec. 5101.62. Sec. 5101.65. The county department of job and | 551 |
family services shall be responsible for the investigation of all | 552 |
reports provided for in section 5101.615101.63 and all cases | 553 |
referred to it under section 5126.31 of the Revised Code and for | 554 |
evaluating the need for and, to the extent of available funds | 555 |
services, providing or arranging for the provision of protective | 556 |
services. The department may designate another agency to perform | 557 |
the department's duties under this section. | 558 |
Upon completion of the investigation, the department shall | 582 |
determine from its findings whether or not the adult who is the | 583 |
subject of the report is in need of protective services. No adult | 584 |
shall be determined to be abused, neglected, or in need of | 585 |
protective services for the sole reason that, in lieu of medical | 586 |
treatment, the adult relies on or is being furnished spiritual | 587 |
treatment through prayer alone in accordance with the tenets and | 588 |
practices of a church or religious denomination of which the adult | 589 |
is a member or adherent. The department shall write a report which | 590 |
confirms or denies the need for protective services and states why | 591 |
it reached this conclusion. | 592 |
Sec. 5101.651. (A)(1) Each county department of job and | 593 |
family services or its designated agency, in conjunction with the | 594 |
area agency on aging that serves the region in which the county is | 595 |
located, shall prepare a memorandum of understanding establishing | 596 |
the guidelines to be employed in the investigation of a report of | 597 |
adult abuse, neglect, or exploitation made pursuant to section | 598 |
5101.63 of the Revised Code. The memorandum shall comply with the | 599 |
requirements established by section 5101.65 of the Revised Code | 600 |
for such investigations. The memorandum shall have as its primary | 601 |
goal the utilization of a structured and systematic investigation | 602 |
protocol regarding the reports. The memorandum may be based on the | 603 |
model memorandum of understanding developed by the department of | 604 |
job and family services under division (F) of section 5101.62 of | 605 |
the Revised Code. | 606 |
(2) If a county department of job and family services | 607 |
designates another agency to perform any of the department's | 608 |
duties in investigating reports of adult abuse, neglect, or | 609 |
exploitation under section 5101.65 of the Revised Code, the | 610 |
memorandum of understanding described in division (A)(1) of this | 611 |
section shall include provisions that specify the duties of both | 612 |
the department and the designated agency in investigating such | 613 |
reports. | 614 |
(C) The memorandum of understanding described in division | 645 |
(A)(1) of this section shall include provisions establishing an | 646 |
elder abuse interdisciplinary team. The memorandum shall specify | 647 |
the membership of the team and establish guidelines to be used | 648 |
when coordinating investigations of reports of adult abuse, | 649 |
neglect, or exploitation. The memorandum shall describe the roles | 650 |
and responsibilities of team members, including team members' | 651 |
roles regarding the filing of criminal charges against persons | 652 |
alleged to have abused, neglected, or exploited adults and the | 653 |
provision of victim services to adults pursuant to Chapter 2930. | 654 |
of the Revised Code. | 655 |
(D) A failure to follow the guidelines set forth in the | 656 |
memorandum of understanding required by this section is not | 657 |
grounds for, and shall not result in, the dismissal of any charge | 658 |
or complaint arising from any report of abuse, neglect, or | 659 |
exploitation or the suppression of any evidence obtained as a | 660 |
result of a report of abuse, neglect, or exploitation and does not | 661 |
give any rights or grounds for appeal or post-conviction relief to | 662 |
any person. | 663 |
Sec. 5101.63. Sec. 5101.652. If, during the course of an | 664 |
investigation conducted under section 5101.625101.65 of the | 665 |
Revised Code, any person, including the adult who is the subject | 666 |
of the investigation, denies or obstructs access to the residence | 667 |
of the adult, the county department of job and family services may | 668 |
file a petition in court for a temporary restraining order to | 669 |
prevent the interference or obstruction. The court shall issue a | 670 |
temporary restraining order to prevent the interference or | 671 |
obstruction if it finds there is reasonable cause to believe that | 672 |
the adult is being or has been abused, neglected, or exploited and | 673 |
access to the person's residence has been denied or obstructed. | 674 |
Such a finding is prima-facie evidence that immediate and | 675 |
irreparable injury, loss, or damage will result, so that notice is | 676 |
not required. After obtaining an order restraining the obstruction | 677 |
of or interference with the access of the protective services | 678 |
representative, the representative may be accompanied to the | 679 |
residence by a peace officer. | 680 |
Sec. 5101.64. Sec. 5101.66. Any person who requests or consents to | 681 |
receive protective services shall receive such services only after | 682 |
an investigation and determination of a need for protective | 683 |
services, which. The investigation shall be performed in the same | 684 |
manner as the investigation of a report pursuant to
sections | 685 |
5101.62 and 5101.63section 5101.65 of the Revised Code. If the | 686 |
person withdraws consent, the protective services shall be | 687 |
terminated. | 688 |
Sec. 5101.65. Sec. 5101.68. If the county department of job and | 698 |
family services determines that an adult is in need of protective | 699 |
services and is an incapacitated person, the department may | 700 |
petition the court for an order authorizing the provision of | 701 |
protective services. The petition shall state the specific facts | 702 |
alleging the abuse, neglect, or exploitation and shall include a | 703 |
proposed protective service plan. Any plan for protective services | 704 |
shall be specified in the petition. | 705 |
Sec. 5101.66. Sec. 5101.681. Notice of a petition for the | 706 |
provision of court-ordered protective services as provided for in | 707 |
section
5101.655101.68 of the Revised Code shall be personally | 708 |
served upon the adult who is the subject of the petition at least | 709 |
five working days prior to the date set for the hearing as | 710 |
provided in section
5101.675101.682 of the Revised Code. Notice | 711 |
shall be given orally and in writing in language reasonably | 712 |
understandable to the adult. The notice shall include the names of | 713 |
all petitioners, the basis of the belief that protective services | 714 |
are needed, the rights of the adult in the court proceedings, and | 715 |
the consequences of a court order for protective services. The | 716 |
adult shall be informed of
histhe right to counsel and histhe | 717 |
right to appointed counsel if hethe adult is indigent and if | 718 |
appointed counsel is requested. Written notice by certified mail | 719 |
shall also be given to the adult's guardian, legal counsel, | 720 |
caretaker, and spouse, if any, or if hethe adult has none of | 721 |
these, to histhe adult's adult children or next of kin, if any, | 722 |
or to any other person as the court may require. The adult who is | 723 |
the subject of the petition may not waive notice as provided in | 724 |
this section. | 725 |
Sec. 5101.67. Sec. 5101.682. (A) The court shall hold a hearing on | 726 |
the petition as provided in section 5101.655101.68 of the Revised | 727 |
Code within fourteen days after its filing. The adult who is the | 728 |
subject of the petition shall have the right to be present at the | 729 |
hearing, present evidence, and examine and cross-examine | 730 |
witnesses. The adult shall be represented by counsel unless the | 731 |
right to counsel is knowingly waived. If the adult is indigent, | 732 |
the court shall appoint counsel to represent the adult. If the | 733 |
court determines that the adult lacks the capacity to waive the | 734 |
right to counsel, the court shall appoint counsel to represent the | 735 |
adult's interests. | 736 |
(B) If the court finds, on the basis of clear and convincing | 737 |
evidence, that the adult has been abused, neglected, or exploited, | 738 |
is in need of protective services, and is incapacitated, and no | 739 |
person authorized by law or by court order is available to give | 740 |
consent, it shall issue an order requiring the provision of | 741 |
protective services only if they are available locally. | 742 |
(C) If the court orders placement under this section it shall | 743 |
give consideration to the choice of residence of the adult. The | 744 |
court may order placement in settings which have been approved by | 745 |
the department of job and family services as meeting at least | 746 |
minimum community standards for safety, security, and the | 747 |
requirements of daily living. The court shall not order an | 748 |
institutional placement unless it has made a specific finding | 749 |
entered in the record that no less restrictive alternative can be | 750 |
found to meet the needs of the individual. No individual may be | 751 |
committed to a hospital or public hospital as defined in section | 752 |
5122.01 of the Revised Code pursuant to this section. | 753 |
(E) A court order provided for in this section shall remain | 760 |
in effect for no longer than six months. Thereafter, the county | 761 |
department of job and family services shall review the adult's | 762 |
need for continued services and, if the department determines that | 763 |
there is a continued need, it shall apply for a renewal of the | 764 |
order for additional periods of no longer than one year each. The | 765 |
adult who is the subject of the court-ordered services may | 766 |
petition for modification of the order at any time. | 767 |
(D) The court shall hold a hearing on the petition within | 781 |
fourteen days after its filing. If the court finds that the | 782 |
protective services are necessary, that the adult has consented to | 783 |
the provisionsprovision of such services, and that the person who | 784 |
is the subject of the petition has prevented such provision, the | 785 |
court shall issue a temporary restraining order to restrain the | 786 |
person from interfering with the provision of protective services | 787 |
to the adult. | 788 |
(B) Notice of the filing and contents of the petition | 803 |
provided for in division (A) of this section, the rights of the | 804 |
person in the hearing provided for in division (C) of this | 805 |
section, and the possible consequences of a court order, shall be | 806 |
given to the adult. Notice shall also be given to the spouse of | 807 |
the adult or, if hethe adult has none, to histhe adult's adult | 808 |
children or next of kin, and histhe adult's guardian, if any, if | 809 |
histhe guardian's whereabouts are known. The notice shall be | 810 |
given in language reasonably understandable to its recipients at | 811 |
least twenty-four hours prior to the hearing provided for in this | 812 |
section. The court may waive the twenty-four hour notice | 813 |
requiementrequirement upon a showing that both of the following | 814 |
are the case: | 815 |
(C) Upon receipt of a petition for an order for emergency | 826 |
services, the court shall hold a hearing no sooner than | 827 |
twenty-four and no later than seventy-two hours after the notice | 828 |
provided for in division (B) of this section has been given, | 829 |
unless the court has waived the notice. The adult who is the | 830 |
subject of the petition shall have the right to be present at the | 831 |
hearing, present, evidence, and examine and cross-examine | 832 |
witnesses. | 833 |
(F) If the county department determines that the adult | 861 |
continues to need protective services after the order provided for | 862 |
in division (D) of this section has expired, the department may | 863 |
petition the court for an order to continue protective services, | 864 |
pursuant to section 5101.655101.68 of the Revised Code. After the | 865 |
filing of the petition, the department may continue to provide | 866 |
protective services pending a hearing by the court. | 867 |
Sec. 5101.70. Sec. 5101.71. (A) If it appears that an adult in | 921 |
need of protective services has the financial means sufficient to | 922 |
pay for such services, the county department of job and family | 923 |
services shall make an evaluation regarding such means. If the | 924 |
evaluation establishes that the adult has such financial means, | 925 |
the department shall initiate procedures for reimbursement | 926 |
pursuant to rules promulgated by the departmentadopted under | 927 |
section 5101.61 of the Revised Code. If the evaluation establishes | 928 |
that the adult does not have such financial means, the services | 929 |
shall be provided in accordance with the policies and procedures | 930 |
established by the state department of job and family services for | 931 |
the provision of welfare assistance. An adult shall not be | 932 |
required to pay for court-ordered protective services unless the | 933 |
court determines upon a showing by the county department of job | 934 |
and family services that the adult is financially able to pay and | 935 |
the court orders the adult to pay. | 936 |
(D) All members of the commission shall serve as voting | 1008 |
members. The attorney general shall select from among the | 1009 |
appointed members a chairperson. The commission shall meet at the | 1010 |
call of the chairperson, but not less than four times per year. | 1011 |
Special meetings may be called by the chairperson and shall be | 1012 |
called by the chairperson at the request of the attorney general. | 1013 |
The commission may establish its own quorum requirements and | 1014 |
procedures regarding the conduct of meetings and other affairs. | 1015 |
(B) The department of developmental disabilities shall | 1053 |
establish a registry office for the purpose of maintaining reports | 1054 |
of abuse, neglect, and other major unusual incidents made to the | 1055 |
department under this section and reports received from county | 1056 |
boards of developmental disabilities under section 5126.31 of the | 1057 |
Revised Code. The department shall establish committees to review | 1058 |
reports of abuse, neglect, and other major unusual incidents. | 1059 |
(C)(1) Any person listed in division (C)(2) of this section, | 1060 |
having reason to believe that a person with mental retardation or | 1061 |
a developmental disability has suffered or faces a substantial | 1062 |
risk of suffering any wound, injury, disability, or condition of | 1063 |
such a nature as to reasonably indicate abuse or neglect of that | 1064 |
person, shall immediately report or cause reports to be made of | 1065 |
such information to the entity specified in this division. Except | 1066 |
as provided in section 5120.173 of the Revised Code or as | 1067 |
otherwise provided in this division, the person making the report | 1068 |
shall make it to a law enforcement agency or to the county board | 1069 |
of developmental disabilities. If the report concerns a resident | 1070 |
of a facility operated by the department of developmental | 1071 |
disabilities the report shall be made either to a law enforcement | 1072 |
agency or to the department. If the report concerns any act or | 1073 |
omission of an employee of a county board of developmental | 1074 |
disabilities, the report immediately shall be made to the | 1075 |
department and to the county board. | 1076 |
(a) Any physician, including a hospital intern or resident, | 1079 |
any dentist, podiatrist, chiropractor, practitioner of a limited | 1080 |
branch of medicine as specified in section 4731.15 of the Revised | 1081 |
Code, hospital administrator or employee of a hospital, nurse | 1082 |
licensed under Chapter 4723. of the Revised Code, employee of an | 1083 |
ambulatoryoutpatient health facility as defined in section | 1084 |
5101.615101.60 of the Revised Code, employee of a home health | 1085 |
agency, employee of an adult care facility licensed under Chapter | 1086 |
3722. of the Revised Code, or employee of a community mental | 1087 |
health facility; | 1088 |
(c) A superintendent, board member, or employee of a county | 1092 |
board of developmental disabilities; an administrator, board | 1093 |
member, or employee of a residential facility licensed under | 1094 |
section 5123.19 of the Revised Code; an administrator, board | 1095 |
member, or employee of any other public or private provider of | 1096 |
services to a person with mental retardation or a developmental | 1097 |
disability, or any MR/DD employee, as defined in section 5123.50 | 1098 |
of the Revised Code; | 1099 |
(e) A clergyman who is employed in a position that includes | 1104 |
providing specialized services to an individual with mental | 1105 |
retardation or another developmental disability, while acting in | 1106 |
an official or professional capacity in that position, or a person | 1107 |
who is employed in a position that includes providing specialized | 1108 |
services to an individual with mental retardation or another | 1109 |
developmental disability and who, while acting in an official or | 1110 |
professional capacity, renders spiritual treatment through prayer | 1111 |
in accordance with the tenets of an organized religion. | 1112 |
(b) An attorney or physician is not required to make a report | 1116 |
pursuant to division (C)(1) of this section concerning any | 1117 |
communication the attorney or physician receives from a client or | 1118 |
patient in an attorney-client or physician-patient relationship, | 1119 |
if, in accordance with division (A) or (B) of section 2317.02 of | 1120 |
the Revised Code, the attorney or physician could not testify with | 1121 |
respect to that communication in a civil or criminal proceeding, | 1122 |
except that the client or patient is deemed to have waived any | 1123 |
testimonial privilege under division (A) or (B) of section 2317.02 | 1124 |
of the Revised Code with respect to that communication and the | 1125 |
attorney or physician shall make a report pursuant to division | 1126 |
(C)(1) of this section, if both of the following apply: | 1127 |
(ii) The attorney or physician knows or suspects, as a result | 1130 |
of the communication or any observations made during that | 1131 |
communication, that the client or patient has suffered or faces a | 1132 |
substantial risk of suffering any wound, injury, disability, or | 1133 |
condition of a nature that reasonably indicates abuse or neglect | 1134 |
of the client or patient. | 1135 |
(4) Any person who fails to make a report required under | 1136 |
division (C) of this section and who is an MR/DD employee, as | 1137 |
defined in section 5123.50 of the Revised Code, shall be eligible | 1138 |
to be included in the registry regarding misappropriation, abuse, | 1139 |
neglect, or other specified misconduct by MR/DD employees | 1140 |
established under section 5123.52 of the Revised Code. | 1141 |
(F) Any person having reasonable cause to believe that a | 1160 |
person with mental retardation or a developmental disability has | 1161 |
suffered or faces a substantial risk of suffering abuse or neglect | 1162 |
may report or cause a report to be made of that belief to the | 1163 |
entity specified in this division. Except as provided in section | 1164 |
5120.173 of the Revised Code or as otherwise provided in this | 1165 |
division, the person making the report shall make it to a law | 1166 |
enforcement agency or the county board of developmental | 1167 |
disabilities. If the person is a resident of a facility operated | 1168 |
by the department of developmental disabilities, the report shall | 1169 |
be made to a law enforcement agency or to the department. If the | 1170 |
report concerns any act or omission of an employee of a county | 1171 |
board of developmental disabilities, the report immediately shall | 1172 |
be made to the department and to the county board. | 1173 |
(3) When a county board of developmental disabilities | 1186 |
receives a report under this section that includes an allegation | 1187 |
of action or inaction that may constitute a crime under federal | 1188 |
law or the law of this state, the superintendent of the board or | 1189 |
an individual the superintendent designates under division (H) of | 1190 |
this section shall notify the law enforcement agency. The | 1191 |
superintendent or individual shall notify the department of | 1192 |
developmental disabilities when it receives any report under this | 1193 |
section. | 1194 |
(4) When a county board of developmental disabilities | 1195 |
receives a report under this section and believes that the degree | 1196 |
of risk to the person is such that the report is an emergency, the | 1197 |
superintendent of the board or an employee of the board the | 1198 |
superintendent designates shall attempt a face-to-face contact | 1199 |
with the person with mental retardation or a developmental | 1200 |
disability who allegedly is the victim within one hour of the | 1201 |
board's receipt of the report. | 1202 |
(J) A law enforcement agency shall investigate each report of | 1214 |
abuse or neglect it receives under this section. In addition, the | 1215 |
department, in cooperation with law enforcement officials, shall | 1216 |
investigate each report regarding a resident of a facility | 1217 |
operated by the department to determine the circumstances | 1218 |
surrounding the injury, the cause of the injury, and the person | 1219 |
responsible. The investigation shall be in accordance with the | 1220 |
memorandum of understanding prepared under section 5126.058 of the | 1221 |
Revised Code. The department shall determine, with the registry | 1222 |
office which shall be maintained by the department, whether prior | 1223 |
reports have been made concerning an adult with mental retardation | 1224 |
or a developmental disability or other principals in the case. If | 1225 |
the department finds that the report involves action or inaction | 1226 |
that may constitute a crime under federal law or the law of this | 1227 |
state, it shall submit a report of its investigation, in writing, | 1228 |
to the law enforcement agency. If the person with mental | 1229 |
retardation or a developmental disability is an adult, with the | 1230 |
consent of the adult, the department shall provide such protective | 1231 |
services as are necessary to protect the adult. The law | 1232 |
enforcement agency shall make a written report of its findings to | 1233 |
the department. | 1234 |
(K) Any person or any hospital, institution, school, health | 1241 |
department, or agency participating in the making of reports | 1242 |
pursuant to this section, any person participating as a witness in | 1243 |
an administrative or judicial proceeding resulting from the | 1244 |
reports, or any person or governmental entity that discharges | 1245 |
responsibilities under sections 5126.31 to 5126.33 of the Revised | 1246 |
Code shall be immune from any civil or criminal liability that | 1247 |
might otherwise be incurred or imposed as a result of such actions | 1248 |
except liability for perjury, unless the person or governmental | 1249 |
entity has acted in bad faith or with malicious purpose. | 1250 |
(L) No employer or any person with the authority to do so | 1251 |
shall discharge, demote, transfer, prepare a negative work | 1252 |
performance evaluation, reduce pay or benefits, terminate work | 1253 |
privileges, or take any other action detrimental to an employee or | 1254 |
retaliate against an employee as a result of the employee's having | 1255 |
made a report under this section. This division does not preclude | 1256 |
an employer or person with authority from taking action with | 1257 |
regard to an employee who has made a report under this section if | 1258 |
there is another reasonable basis for the action. | 1259 |
Sec. 5126.31. (A) A county board of developmental | 1273 |
disabilities shall review reports of abuse and neglect made under | 1274 |
section 5123.61 of the Revised Code and reports referred to it | 1275 |
under section 5101.6115101.64 of the Revised Code to determine | 1276 |
whether the person who is the subject of the report is an adult | 1277 |
with mental retardation or a developmental disability in need of | 1278 |
services to deal with the abuse or neglect. The board shall give | 1279 |
notice of each report to the registry office of the department of | 1280 |
developmental disabilities established pursuant to section 5123.61 | 1281 |
of the Revised Code on the first working day after receipt of the | 1282 |
report. If the report alleges that there is a substantial risk to | 1283 |
the adult of immediate physical harm or death, the board shall | 1284 |
initiate review within twenty-four hours of its receipt of the | 1285 |
report. If the board determines that the person is sixty years of | 1286 |
age or older but does not have mental retardation or a | 1287 |
developmental disability, it shall refer the case to the county | 1288 |
department of job and family services. If the board determines | 1289 |
that the person is an adult with mental retardation or a | 1290 |
developmental disability, it shall continue its review of the | 1291 |
case. | 1292 |
(6) Determine whether the adult needs services, and prepare a | 1312 |
written report stating reasons for the determination. No adult | 1313 |
shall be determined to be abused, neglected, or in need of | 1314 |
services for the sole reason that, in lieu of medical treatment, | 1315 |
the adult relies on or is being furnished spiritual treatment | 1316 |
through prayer alone in accordance with the tenets and practices | 1317 |
of a church or religious denomination of which the adult is a | 1318 |
member or adherent. | 1319 |
(C) The board shall arrange for the provision of services for | 1320 |
the prevention, correction or discontinuance of abuse or neglect | 1321 |
or of a condition resulting from abuse or neglect for any adult | 1322 |
who has been determined to need the services and consents to | 1323 |
receive them. These services may include, but are not limited to, | 1324 |
service and support administration, fiscal management, medical, | 1325 |
mental health, home health care, homemaker, legal, and residential | 1326 |
services and the provision of temporary accommodations and | 1327 |
necessities such as food and clothing. The services do not include | 1328 |
acting as a guardian, trustee, or protector as defined in section | 1329 |
5123.55 of the Revised Code. If the provision of residential | 1330 |
services would require expenditures by the department of | 1331 |
developmental disabilities, the board shall obtain the approval of | 1332 |
the department prior to arranging the residential services. | 1333 |
(2) In accordance with rules established by the director of | 1338 |
developmental disabilities, obtain the consent of the adult or the | 1339 |
adult's guardian to the provision of any of these services and | 1340 |
obtain the signature of the adult or guardian on the individual | 1341 |
service plan. An adult who has been found incompetent under | 1342 |
Chapter 2111. of the Revised Code may consent to services. If the | 1343 |
board is unable to obtain consent, it may seek, if the adult is | 1344 |
incapacitated, a court order pursuant to section 5126.33 of the | 1345 |
Revised Code authorizing the board to arrange these services. | 1346 |
(E) On completion of a review, the board shall submit a | 1350 |
written report to the registry office established under section | 1351 |
5123.61 of the Revised Code. If the report includes a finding that | 1352 |
a person with mental retardation or a developmental disability is | 1353 |
a victim of action or inaction that may constitute a crime under | 1354 |
federal law or the law of this state, the board shall submit the | 1355 |
report to the law enforcement agency responsible for investigating | 1356 |
the report. Reports prepared under this section are not public | 1357 |
records as defined in section 149.43 of the Revised Code. | 1358 |
Section 2. That existing sections 2317.54, 5101.60, 5101.61, | 1359 |
5101.611, 5101.62, 5101.63, 5101.64, 5101.66, 5101.67, 5101.68, | 1360 |
5101.69, 5101.70, 5101.71, 5101.72, 5101.99, 5123.61, and 5126.31 | 1361 |
of the Revised Code are hereby repealed. | 1362 |
(B) The department of developmental disabilities shall | 1375 |
establish a registry office for the purpose of maintaining reports | 1376 |
of abuse, neglect, and other major unusual incidents made to the | 1377 |
department under this section and reports received from county | 1378 |
boards of developmental disabilities under section 5126.31 of the | 1379 |
Revised Code. The department shall establish committees to review | 1380 |
reports of abuse, neglect, and other major unusual incidents. | 1381 |
(C)(1) Any person listed in division (C)(2) of this section, | 1382 |
having reason to believe that a person with mental retardation or | 1383 |
a developmental disability has suffered or faces a substantial | 1384 |
risk of suffering any wound, injury, disability, or condition of | 1385 |
such a nature as to reasonably indicate abuse or neglect of that | 1386 |
person, shall immediately report or cause reports to be made of | 1387 |
such information to the entity specified in this division. Except | 1388 |
as provided in section 5120.173 of the Revised Code or as | 1389 |
otherwise provided in this division, the person making the report | 1390 |
shall make it to a law enforcement agency or to the county board | 1391 |
of developmental disabilities. If the report concerns a resident | 1392 |
of a facility operated by the department of developmental | 1393 |
disabilities the report shall be made either to a law enforcement | 1394 |
agency or to the department. If the report concerns any act or | 1395 |
omission of an employee of a county board of developmental | 1396 |
disabilities, the report immediately shall be made to the | 1397 |
department and to the county board. | 1398 |
(a) Any physician, including a hospital intern or resident, | 1401 |
any dentist, podiatrist, chiropractor, practitioner of a limited | 1402 |
branch of medicine as specified in section 4731.15 of the Revised | 1403 |
Code, hospital administrator or employee of a hospital, nurse | 1404 |
licensed under Chapter 4723. of the Revised Code, employee of an | 1405 |
ambulatoryoutpatient health facility as defined in section | 1406 |
5101.615101.60 of the Revised Code, employee of a home health | 1407 |
agency, employee of an adult care facility licensed under Chapter | 1408 |
3722. of the Revised Code, or employee of a community mental | 1409 |
health facility; | 1410 |
(c) A superintendent, board member, or employee of a county | 1414 |
board of developmental disabilities; an administrator, board | 1415 |
member, or employee of a residential facility licensed under | 1416 |
section 5123.19 of the Revised Code; an administrator, board | 1417 |
member, or employee of any other public or private provider of | 1418 |
services to a person with mental retardation or a developmental | 1419 |
disability, or any MR/DD employee, as defined in section 5123.50 | 1420 |
of the Revised Code; | 1421 |
(e) A clergymanmember of the clergy who is employed in a | 1426 |
position that includes providing specialized services to an | 1427 |
individual with mental retardation or another developmental | 1428 |
disability, while acting in an official or professional capacity | 1429 |
in that position, or a person who is employed in a position that | 1430 |
includes providing specialized services to an individual with | 1431 |
mental retardation or another developmental disability and who, | 1432 |
while acting in an official or professional capacity, renders | 1433 |
spiritual treatment through prayer in accordance with the tenets | 1434 |
of an organized religion. | 1435 |
(b) An attorney or physician is not required to make a report | 1438 |
pursuant to division (C)(1) of this section concerning any | 1439 |
communication the attorney or physician receives from a client or | 1440 |
patient in an attorney-client or physician-patient relationship, | 1441 |
if, in accordance with division (A) or (B) of section 2317.02 of | 1442 |
the Revised Code, the attorney or physician could not testify with | 1443 |
respect to that communication in a civil or criminal proceeding, | 1444 |
except that the client or patient is deemed to have waived any | 1445 |
testimonial privilege under division (A) or (B) of section 2317.02 | 1446 |
of the Revised Code with respect to that communication and the | 1447 |
attorney or physician shall make a report pursuant to division | 1448 |
(C)(1) of this section, if both of the following apply: | 1449 |
(ii) The attorney or physician knows or suspects, as a result | 1452 |
of the communication or any observations made during that | 1453 |
communication, that the client or patient has suffered or faces a | 1454 |
substantial risk of suffering any wound, injury, disability, or | 1455 |
condition of a nature that reasonably indicates abuse or neglect | 1456 |
of the client or patient. | 1457 |
(4) Any person who fails to make a report required under | 1458 |
division (C) of this section and who is an MR/DD employee, as | 1459 |
defined in section 5123.50 of the Revised Code, shall be eligible | 1460 |
to be included in the registry regarding misappropriation, abuse, | 1461 |
neglect, or other specified misconduct by MR/DD employees | 1462 |
established under section 5123.52 of the Revised Code. | 1463 |
(F) Any person having reasonable cause to believe that a | 1482 |
person with mental retardation or a developmental disability has | 1483 |
suffered or faces a substantial risk of suffering abuse or neglect | 1484 |
may report or cause a report to be made of that belief to the | 1485 |
entity specified in this division. Except as provided in section | 1486 |
5120.173 of the Revised Code or as otherwise provided in this | 1487 |
division, the person making the report shall make it to a law | 1488 |
enforcement agency or the county board of developmental | 1489 |
disabilities. If the person is a resident of a facility operated | 1490 |
by the department of developmental disabilities, the report shall | 1491 |
be made to a law enforcement agency or to the department. If the | 1492 |
report concerns any act or omission of an employee of a county | 1493 |
board of developmental disabilities, the report immediately shall | 1494 |
be made to the department and to the county board. | 1495 |
(3) When a county board of developmental disabilities | 1508 |
receives a report under this section that includes an allegation | 1509 |
of action or inaction that may constitute a crime under federal | 1510 |
law or the law of this state, the superintendent of the board or | 1511 |
an individual the superintendent designates under division (H) of | 1512 |
this section shall notify the law enforcement agency. The | 1513 |
superintendent or individual shall notify the department of | 1514 |
developmental disabilities when it receives any report under this | 1515 |
section. | 1516 |
(4) When a county board of developmental disabilities | 1517 |
receives a report under this section and believes that the degree | 1518 |
of risk to the person is such that the report is an emergency, the | 1519 |
superintendent of the board or an employee of the board the | 1520 |
superintendent designates shall attempt a face-to-face contact | 1521 |
with the person with mental retardation or a developmental | 1522 |
disability who allegedly is the victim within one hour of the | 1523 |
board's receipt of the report. | 1524 |
(J) A law enforcement agency shall investigate each report of | 1536 |
abuse or neglect it receives under this section. In addition, the | 1537 |
department, in cooperation with law enforcement officials, shall | 1538 |
investigate each report regarding a resident of a facility | 1539 |
operated by the department to determine the circumstances | 1540 |
surrounding the injury, the cause of the injury, and the person | 1541 |
responsible. The investigation shall be in accordance with the | 1542 |
memorandum of understanding prepared under section 5126.058 of the | 1543 |
Revised Code. The department shall determine, with the registry | 1544 |
office which shall be maintained by the department, whether prior | 1545 |
reports have been made concerning an adult with mental retardation | 1546 |
or a developmental disability or other principals in the case. If | 1547 |
the department finds that the report involves action or inaction | 1548 |
that may constitute a crime under federal law or the law of this | 1549 |
state, it shall submit a report of its investigation, in writing, | 1550 |
to the law enforcement agency. If the person with mental | 1551 |
retardation or a developmental disability is an adult, with the | 1552 |
consent of the adult, the department shall provide such protective | 1553 |
services as are necessary to protect the adult. The law | 1554 |
enforcement agency shall make a written report of its findings to | 1555 |
the department. | 1556 |
(K) Any person or any hospital, institution, school, health | 1563 |
department, or agency participating in the making of reports | 1564 |
pursuant to this section, any person participating as a witness in | 1565 |
an administrative or judicial proceeding resulting from the | 1566 |
reports, or any person or governmental entity that discharges | 1567 |
responsibilities under sections 5126.31 to 5126.33 of the Revised | 1568 |
Code shall be immune from any civil or criminal liability that | 1569 |
might otherwise be incurred or imposed as a result of such actions | 1570 |
except liability for perjury, unless the person or governmental | 1571 |
entity has acted in bad faith or with malicious purpose. | 1572 |
(L) No employer or any person with the authority to do so | 1573 |
shall discharge, demote, transfer, prepare a negative work | 1574 |
performance evaluation, reduce pay or benefits, terminate work | 1575 |
privileges, or take any other action detrimental to an employee or | 1576 |
retaliate against an employee as a result of the employee's having | 1577 |
made a report under this section. This division does not preclude | 1578 |
an employer or person with authority from taking action with | 1579 |
regard to an employee who has made a report under this section if | 1580 |
there is another reasonable basis for the action. | 1581 |