HB 2635 — health care workers; assault; prevention

(j) A judicial officer while engaged in the execution of any official duties or if the assault results from the execution of the judicial officer's official duties.

9.

If the person knowingly takes or attempts to exercise control over any of the following:

(a) A peace officer's or other officer's firearm and the person knows or has reason to know that the victim is a peace officer or other officer employed by one of the agencies listed in paragraph 10, subdivision (a), item (i), (ii), (iii), (iv) or (v) of this subsection.

(b) Any weapon other than a firearm that is being used by a peace officer or other officer or that the officer is attempting to use, and the person knows or has reason to know that the victim is a peace officer or other officer employed by one of the agencies listed in paragraph 10, subdivision (a), item (i), (ii), (iii), (iv) or (v) of this subsection.

(c) Any implement that is being used by a peace officer or other officer or that the officer is attempting to use, and the person knows or has reason to know that the victim is a peace officer or other officer employed by one of the agencies listed in paragraph 10, subdivision (a), item (i), (ii), (iii), (iv) or (v) of this subsection.

For the purposes of this subdivision, "implement" means an object that is designed for or that is capable of restraining or injuring an individual.

Implement does not include handcuffs.

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2635 10.

If the person meets both of the following conditions:

(a) Is imprisoned or otherwise subject to the custody of any of the following:

(i) The state department of corrections.

(ii) The department of juvenile corrections.

(iii) A law enforcement agency.

(iv) A county or city jail or an adult or juvenile detention facility of a city or county.

(v) Any other entity that is contracting with the state department of corrections, the department of juvenile corrections, a law enforcement agency, another state, any private correctional facility, a county, a city or the federal bureau of prisons or other federal agency that has responsibility for sentenced or unsentenced prisoners.

(b) Commits an assault knowing or having reason to know that the victim is acting in an official capacity as an employee of any of the entities listed in subdivision (a) of this paragraph.

11.

If the person uses a simulated deadly weapon.

A personphysician commitsmust aggravatedprovide assault if the personinformation commitsrequired assault by eithersubsection intentionally,A knowingly or recklessly causing any physical injury to another person, intentionally placing another person in reasonable apprehension of imminentthis physicalsection injuryand orobtain knowinglywritten touchinginformed anotherconsent personfor with the intentprocedure tofrom injure the person,patient andbefore bothperforming of the followingbreast occur:implant surgery.

1.

The person intentionally or knowingly impedes the normal breathing or circulation of blood of another person by applying pressure to the throat or neck or by obstructing the nose and mouth either manually or through the use of an instrument.

2.

Any of the circumstances exists that are set forth in section 13-3601, subsection A, paragraph 1, 2, 3, 4, 5 or 6.

A personphysician who is convicted of intentionally or knowingly committingviolates aggravated assault on a peace officer pursuant to subsection A, paragraph 1 or 2 of this section shallcommits bean sentencedact to imprisonment for not less than the presumptive sentence authorized under chapter 7 of thisunprofessional titleconduct and is notsubject eligibleto fordisciplinary suspensionaction. of sentence, commutation or release on any basis until the sentence imposed is served.

ItOn isor notbefore aDecember defense1, to2021, aThe prosecutionArizona formedical assaultingboard aand peacethe officerArizona orboard of osteopathic examiners in medicine and surgery shall convene a mitigatingwork circumstancegroup that theincludes peacelicensee officerrepresentatives wasand notpatient onadvocates dutyto orjointly engageddevelop inan theinformed executionconsent ofchecklist anyfor officialphysicians duties.to discuss with patients before breast implant surgery.

The informed consent checklist shall include the information prescribed in subsection A of this section and any other information the boards and the work group determine to be necessary.

The work group shall review the checklist and provide updates as necessary.

ExceptFor pursuantthe topurposes subsections F and G of this section, aggravated"breast assaultimplant pursuantsurgery" tomeans subsection A, paragraph 1 or 2, paragraph 9, subdivision (a) or paragraph 11 of this section is a class 3 felony except if the aggravatedsurgical assaultplacement is a violation of subsection A, paragraph 1 or 2 of this section and the victim is under fifteen years of age it is a classcosmetic 2breast felonyimplant punishableFOR pursuantCOSMETIC toOR sectionRECONSTRUCTIVE 13-705.PURPOSES.

Aggravated assault pursuant to subsection A, paragraph 3 or subsection B of this section is a - 31 - H.B.

2635 classAPPROVED 4BY felony.THE GOVERNOR JUNE 13, 2022.

AggravatedFILED assaultIN pursuantTHE toOFFICE subsectionOF A,THE paragraphSECRETARY 9,OF subdivisionSTATE (b)JUNE or13, paragraph2022. 10 of this section is a class 5 felony.

Aggravated- assault2 pursuant- to subsection A, paragraph 4, 5, 6, 7 or 8 or paragraph 9, subdivision (c) of this section is a class 6 felony.

F.

Aggravated assault pursuant to subsection A, paragraph 1 or 2 of this section committed on a peace officer is a class 2 felony.

Aggravated assault pursuant to subsection A, paragraph 3 of this section committed on a peace officer is a class 3 felony.

Aggravated assault pursuant to subsection A, paragraph 8, subdivision (a) of this section committed on a peace officer is a class 5 felony unless the assault results in any physical injury to the peace officer, in which case it is a class 4 felony.

G.

Aggravated assault pursuant to:

1.

Subsection A, paragraph 1 or 2 of this section is a class 2 felony if committed on a prosecutor.

2.

Subsection A, paragraph 3 of this section is a class 3 felony if committed on a prosecutor.

3.

Subsection A, paragraph 8, subdivision (f) of this section is a class 5 felony if the assault results in physical injury to a prosecutor.

H.

For the purposes of this section:

1.

"HEALTH CARE WORKER" MEANS:

(a) A PERSON WHO IS EMPLOYED BY OR CONTRACTED TO WORK AT A HEALTH CARE INSTITUTION THAT IS LICENSED PURSUANT TO TITLE 36.

(b) A PERSON WHO IS EMPLOYED OR CONTRACTED TO PROVIDE HEALTH CARE OR RELATED SERVICES IN A FIELD WORK SETTING, INCLUDING:

(i) HOME HEALTH CARE, HOME-BASED HOSPICE AND HOME-BASED SOCIAL WORK, UNLESS THE WORKER IS EMPLOYED OR CONTRACTED BY AN INDIVIDUAL WHO PRIVATELY EMPLOYS, IN THE INDIVIDUAL'S RESIDENCE, THE WORKER TO PERFORM COVERED SERVICES FOR THE INDIVIDUAL OR A FAMILY MEMBER OF THE INDIVIDUAL.

(ii) ANY EMERGENCY SERVICES AND TRANSPORT, INCLUDING THE SERVICES PROVIDED BY FIREFIGHTERS AND EMERGENCY RESPONDERS.

1.

2.

"Judicial officer" means a justice of the supreme court, judge, justice of the peace or magistrate or a commissioner or hearing officer of a state, county or municipal court.

3.

"MENTAL DISABILITY" MEANS A DISABLING NEUROLOGICAL CONDITION, OR BRAIN INJURY, OR INVOLUNTARY IMPAIRMENT AS A RESULT OF A MEDICATION THAT IS ADMINISTERED BY A HEALTH CARE PROVIDER OR A MEDICAL PROCEDURE THAT IS PERFORMED AT A HEALTH CARE TREATMENT SITE.

2.

4.

"Prosecutor" means a county attorney, a municipal prosecutor or the attorney general and includes an assistant or deputy county attorney, municipal prosecutor or attorney general.

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2635 Sec.

2.

Title 36, chapter 4, article 1, Arizona Revised Statutes, is amended by adding section 36-420.02, to read:

36-420.02.

Health care employers;

workplace violence prevention plan;

investigation;

reporting;

nondiscrimination;

definitions A.

NOT LATER THAN JULY 1, 2023, HEALTH CARE EMPLOYERS SHALL DEVELOP, IMPLEMENT AND MAINTAIN A WRITTEN WORKPLACE VIOLENCE PREVENTION PLAN THAT DOES ALL OF THE FOLLOWING:

1.

INCLUDES COMPONENTS THAT ARE SPECIFICALLY TAILORED TO THE CONDITIONS AND HAZARDS OF THE HEALTH CARE EMPLOYER'S SITES AND PATIENT-SPECIFIC RISK FACTORS.

2.

IDENTIFIES THE INDIVIDUAL WHO IS RESPONSIBLE FOR IMPLEMENTING AND OVERSEEING THE PLAN.

3.

REQUIRES THE CONSPICUOUS POSTING OF SIGNS IN PUBLIC AREAS THROUGHOUT THE HEALTH CARE EMPLOYER'S SITES, INCLUDING ALL EMERGENCY FACILITIES, THAT ARE AT LEAST TWELVE INCHES BY TWELVE INCHES IN SIZE AND THAT PROVIDE NOTICE THAT ASSAULT ON A HEALTH CARE WORKER MAY BE PROSECUTED AS A FELONY.

4.

INCLUDES REPORTING, INCIDENT RESPONSE AND POSTINCIDENT INVESTIGATION PROCEDURES, INCLUDING PROCEDURES:

(a) FOR HEALTH CARE WORKERS TO REPORT WORKPLACE VIOLENCE RISKS, HAZARDS AND INCIDENTS.

(b) FOR HEALTH CARE EMPLOYERS TO RESPOND TO REPORTS OF WORKPLACE VIOLENCE.

(c) FOR HEALTH CARE EMPLOYERS TO PERFORM A POSTINCIDENT INVESTIGATION AND DEBRIEFING OF ALL REPORTED INCIDENTS OF WORKPLACE VIOLENCE WITH THE PARTICIPATION OF HEALTH CARE WORKERS.

5.

REQUIRES HEALTH CARE EMPLOYERS TO PROVIDE INFORMATION TO HEALTH CARE WORKERS ABOUT A WORKER'S ABILITY TO REPORT ANY ASSAULT TO LAW ENFORCEMENT AND, ON REQUEST, TO ASSIST THE WORKER IN REPORTING THE ASSAULT.

B.

EACH HEALTH CARE EMPLOYER SHALL MAKE ITS WORKPLACE VIOLENCE PREVENTION PLAN AVAILABLE AT ALL TIMES TO ALL HEALTH CARE WORKERS AND CONTRACTORS WHO PROVIDE PATIENT CARE.

C.

AS SOON AS PRACTICABLE AFTER A WORKPLACE VIOLENCE INCIDENT IS REPORTED TO THE HEALTH CARE EMPLOYER, THE HEALTH CARE EMPLOYER SHALL INVESTIGATE THE INCIDENT AND SHALL DO ALL OF THE FOLLOWING:

1.

REVIEW THE CIRCUMSTANCES OF THE INCIDENT.

2.

SOLICIT INPUT FROM INVOLVED HEALTH CARE WORKERS AND SUPERVISORS ABOUT THE CAUSE OF THE INCIDENT AND WHETHER FURTHER CORRECTIVE MEASURES COULD HAVE PREVENTED THE INCIDENT.

3.

DOCUMENT THE FINDINGS, RECOMMENDATIONS AND CORRECTIVE MEASURES TAKEN, IF APPLICABLE, FOR EACH INVESTIGATION CONDUCTED.

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2635 D.

EACH HEALTH CARE EMPLOYER SHALL PROVIDE TRAINING AND EDUCATION TO ITS HEALTH CARE WORKERS WHO MAY BE EXPOSED TO WORKPLACE VIOLENCE HAZARDS AND RISKS.

E.

EACH HEALTH CARE EMPLOYER SHALL MAINTAIN:

1.

RECORDS THAT RELATE TO EACH OF THE EMPLOYER'S WORKPLACE VIOLENCE PREVENTION PLANS, INCLUDING IDENTIFYING, EVALUATING AND CORRECTING HAZARDS AND RISKS AND TRAINING PROCEDURES.

2.

AN INCIDENT LOG FOR RECORDING ALL REPORTED WORKPLACE VIOLENCE INCIDENTS AND RECORDS OF ALL INCIDENT INVESTIGATIONS.

THE LOG SHALL INCLUDE THE DATE, TIME AND LOCATION OF THE INCIDENT, THE NAME OF EVERY PERSON WHO IS INVOLVED IN THE INCIDENT, A DESCRIPTION OF THE INCIDENT AND THE NATURE AND EXTENT OF INJURIES TO HEALTH CARE WORKERS.

F.

THE HEALTH CARE EMPLOYER SHALL ANNUALLY EVALUATE THE IMPLEMENTATION AND EFFECTIVENESS OF THE WORKPLACE VIOLENCE PREVENTION PLAN, INCLUDING A REVIEW OF THE VIOLENT INCIDENT LOG AND COMPLIANCE WITH ANY TRAINING.

THE ANNUAL EVALUATION SHALL BE DOCUMENTED.

G.

THE HEALTH CARE EMPLOYER SHALL ADOPT A POLICY THAT PROHIBITS ANY PERSON FROM DISCRIMINATING OR RETALIATING AGAINST ANY HEALTH CARE WORKER FOR EITHER:

1.

REPORTING TO OR SEEKING ASSISTANCE OR INTERVENTION FROM THE EMPLOYER, LAW ENFORCEMENT, LOCAL EMERGENCY SERVICES OR A GOVERNMENT AGENCY OR PARTICIPATING IN AN INCIDENT INVESTIGATION.

2.

REASONABLY ACTING IN SELF DEFENSE OR DEFENSE OF OTHERS IN RESPONSE TO AN IMMINENT THREAT OF PHYSICAL HARM.

H.

A HEALTH CARE EMPLOYER MAY NOT DISCRIMINATE OR RETALIATE AGAINST A HEALTH CARE WORKER FOR EITHER:

1.

REPORTING TO OR SEEKING ASSISTANCE OR INTERVENTION FROM THE EMPLOYER, LAW ENFORCEMENT, LOCAL EMERGENCY SERVICES OR A GOVERNMENT AGENCY OR FOR EXERCISING ANY OTHER RIGHTS UNDER THIS SECTION.

2.

REASONABLY ACTING IN SELF DEFENSE OR DEFENSE OF OTHERS IN RESPONSE TO AN IMMINENT THREAT OF PHYSICAL HARM.

I.

THIS SECTION DOES NOT AFFECT THE LEGAL OBLIGATIONS OF A HEALTH CARE EMPLOYER AND HEALTH CARE WORKER PURSUANT TO THE PROTECTION OF PATIENTS' RIGHTS.

J.

THIS SECTION DOES NOT APPLY TO THE ARIZONA STATE HOSPITAL OR ANY OTHER LICENSED FACILITY THAT IS UNDER THE JURISDICTION OF THE SUPERINTENDENT OF THE ARIZONA STATE HOSPITAL.

K.

FOR THE PURPOSES OF THIS SECTION:

1.

"HEALTH CARE EMPLOYER" MEANS A HEALTH CARE INSTITUTION THAT IS LICENSED PURSUANT TO THIS TITLE AS A HOSPITAL, FREESTANDING EMERGENCY SERVICES FACILITY OR URGENT CARE FACILITY AND THAT HAS MORE THAN FIFTY EMPLOYEES.

2.

"HEALTH CARE WORKER" MEANS AN EMPLOYEE OF A HEALTH CARE EMPLOYER OR A PERSON WHO HAS A CONTRACT WITH A HEALTH CARE EMPLOYER TO PROVIDE HEALTH CARE OR RELATED SERVICES.

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