Bill Text: IA SF2145 | 2013-2014 | 85th General Assembly | Introduced


Bill Title: A bill for an act relating to elder and dependent adult abuse, and providing penalties.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2014-02-11 - Subcommittee, Wilhelm, Johnson, and Mathis. S.J. 234. [SF2145 Detail]

Download: Iowa-2013-SF2145-Introduced.html
Senate File 2145 - Introduced SENATE FILE 2145 BY DVORSKY A BILL FOR An Act relating to elder and dependent adult abuse, and 1 providing penalties. 2 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 3 TLSB 5795XS (13) 85 pf/rj
S.F. 2145 DIVISION I 1 ELDER AND DEPENDENT ADULT ABUSE 2 Section 1. Section 235B.1, Code 2014, is amended to read as 3 follows: 4 235B.1 Dependent Elder and dependent adult abuse services. 5 The department shall establish and operate a an elder and 6 dependent adult abuse services program. The program shall 7 emphasize the reporting and evaluation of cases of abuse of an 8 elder or a dependent adult who is unable to protect the adult’s 9 own interests or unable to perform activities necessary to meet 10 essential human needs. The program shall include but is not 11 limited to: 12 1. The establishment of local or regional multidisciplinary 13 teams to assist in assessing the needs of, formulating and 14 monitoring a treatment plan for, and coordinating services to 15 victims of elder or dependent adult abuse. The membership of 16 a team shall include individuals who possess knowledge and 17 skills related to the diagnosis, assessment, and disposition of 18 elder and dependent adult abuse cases and who are professionals 19 practicing in the disciplines of medicine, public health, 20 mental health, social work, law, law enforcement, or other 21 disciplines relative to elders and dependent adults. Members 22 of a team shall include but are not limited to persons 23 representing the area agencies on aging, county attorneys, 24 health care providers, and other persons involved in advocating 25 or providing services to elders or dependent adults. 26 2. Provisions for information sharing and case consultation 27 among service providers, care providers, and victims of elder 28 or dependent adult abuse. 29 3. Procedures for referral of cases among service 30 providers, including the referral of victims of elder or 31 dependent adult abuse residing in licensed health care 32 facilities. 33 4. a. The establishment of a an elder and dependent adult 34 protective advisory council. The advisory council shall do all 35 -1- LSB 5795XS (13) 85 pf/rj 1/ 73
S.F. 2145 of the following: 1 (1) Advise the director of human services, the director 2 of the department on aging, the director of the department of 3 inspections and appeals, the director of public health, the 4 director of the department of corrections, and the director of 5 the department of human rights regarding elder and dependent 6 adult abuse. 7 (2) Evaluate state law and rules and make recommendations 8 to the general assembly and to executive branch departments 9 regarding laws and rules concerning elders and dependent 10 adults. 11 (3) Receive and review recommendations and complaints from 12 the public, health care facilities, and health care programs 13 concerning the elder and dependent adult abuse services 14 program. 15 b. (1) The advisory council shall consist of twelve 16 members. Eight members shall be appointed by and serve at 17 the pleasure of the governor. Four of the members appointed 18 shall be appointed on the basis of knowledge and skill related 19 to expertise in the area of elder and dependent adult abuse 20 including professionals practicing in the disciplines of 21 medicine, public health, mental health, long-term care, social 22 work, law, and law enforcement. Two of the members appointed 23 shall be members of the general public with an interest in the 24 area of elder and dependent adult abuse and two of the members 25 appointed shall be members of the Iowa caregivers association. 26 In addition, the membership of the council shall include the 27 director or the director’s designee of the department of human 28 services, the department on aging, the Iowa department of 29 public health, and the department of inspections and appeals. 30 (2) The members of the advisory council shall be appointed 31 to terms of four years beginning May 1. Appointments shall 32 comply with sections 69.16 and 69.16A . Vacancies shall be 33 filled in the same manner as the original appointment. 34 (3) Members shall receive actual expenses incurred while 35 -2- LSB 5795XS (13) 85 pf/rj 2/ 73
S.F. 2145 serving in their official capacity. 1 (4) The advisory council shall select a chairperson, 2 annually, from its membership. 3 Sec. 2. Section 235B.2, Code 2014, is amended to read as 4 follows: 5 235B.2 Definitions. 6 As used in this chapter , unless the context otherwise 7 requires: 8 1. a. “Abuse” means: 9 (1) Any of the following as a result of the willful, 10 reckless, or negligent acts or omissions of an individual other 11 than the elder or dependent adult: 12 (a) Physical injury to, or injury which is at a variance 13 with the history given of the injury, or unreasonable 14 confinement, unreasonable punishment, or assault of an elder or 15 a dependent adult. 16 (b) The commission of a sexual offense under chapter 709 or 17 section 726.2 with or against an elder or a dependent adult. 18 (c) Financial exploitation of an elder or dependent adult 19 which means the illegal, unauthorized, or improper use of an 20 elder’s or dependent adult’s funds, property, or assets for 21 the personal or pecuniary profit or benefit of a person other 22 than the elder or dependent adult. Financial exploitation 23 includes but is not limited to obtaining the use of an 24 elder’s or dependent adult’s funds, property, or other assets 25 through undue influence, harassment, duress, deception, or 26 misrepresentation for the profit or benefit of a person other 27 than the elder or dependent adult. 28 (d) The deprivation of the minimum food, shelter, clothing, 29 supervision, physical or mental health care, or other care 30 necessary to maintain an elder’s or a dependent adult’s life 31 or health. 32 (2) The deprivation of the minimum food, shelter, clothing, 33 supervision, physical or mental health care, and other care 34 necessary to maintain a dependent adult’s life or health as a 35 -3- LSB 5795XS (13) 85 pf/rj 3/ 73
S.F. 2145 result of the acts or omissions of the dependent adult. 1 (3) (a) Sexual exploitation of an elder or a dependent 2 adult by an individual other than the elder or dependent adult. 3 (b) “Sexual exploitation of an elder” means any 4 nonconsensual sexual conduct with an elder which includes 5 but is not limited to kissing; touching of the clothed or 6 unclothed inner thigh, breast, groin, buttock, anus, pubes, 7 or genitals; or a sex act, as defined in section 702.17. 8 “Sexual exploitation of an elder” includes the nonconsensual 9 transmission, display, taking of electronic images of the 10 unclothed breast, groin, buttock, anus, pubes, or genitals 11 of an elder by another person for a purpose not related to 12 treatment or diagnosis or as part of an ongoing assessment, 13 evaluation, or investigation. “Sexual exploitation of an 14 elder” does not include touching which is part of a necessary 15 examination, treatment, or care by a caretaker acting within 16 the scope of the practice or employment of the caretaker; 17 the exchange of a brief touch or hug between the elder and a 18 caretaker for the purpose of reassurance, comfort, or casual 19 friendship; or touching between spouses or domestic partners. 20 (c) “Sexual exploitation of a dependent adult” means any 21 consensual or nonconsensual sexual conduct with a dependent 22 adult which includes but is not limited to kissing; touching of 23 the clothed or unclothed inner thigh, breast, groin, buttock, 24 anus, pubes, or genitals; or a sex act, as defined in section 25 702.17. “Sexual exploitation of a dependent adult” includes 26 the transmission, display, taking of electronic images of the 27 unclothed breast, groin, buttock, anus, pubes, or genitals 28 of a dependent adult by another person for a purpose not 29 related to treatment or diagnosis or as part of an ongoing 30 assessment, evaluation, or investigation. “Sexual exploitation 31 of a dependent adult” does not include touching which is part 32 of a necessary examination, treatment, or care by a caretaker 33 acting within the scope of the practice or employment of the 34 caretaker; the exchange of a brief touch or hug between the 35 -4- LSB 5795XS (13) 85 pf/rj 4/ 73
S.F. 2145 dependent adult and a caretaker for the purpose of reassurance, 1 comfort, or casual friendship; or touching between spouses or 2 domestic partners. 3 b. “Abuse” does not include any of the following: 4 (1) Circumstances in which an elder or a dependent adult 5 declines medical treatment if the elder or dependent adult 6 holds a belief or is an adherent of a religion whose tenets 7 and practices call for reliance on spiritual means in place of 8 reliance on medical treatment. 9 (2) Circumstances in which an elder’s or a dependent 10 adult’s caretaker, acting in accordance with the elder’s or 11 dependent adult’s stated or implied consent, declines medical 12 treatment if the elder or dependent adult holds a belief or is 13 an adherent of a religion whose tenets and practices call for 14 reliance on spiritual means in place of reliance on medical 15 treatment. 16 (3) The withholding or withdrawing of health care from an 17 elder or a dependent adult who is terminally ill in the opinion 18 of a licensed physician, when the withholding or withdrawing 19 of health care is done at the request of the elder or dependent 20 adult or at the request of the elder’s or dependent adult’s 21 next of kin, attorney in fact, or guardian pursuant to the 22 applicable procedures under chapter 125, 144A, 144B, 222, 229, 23 or 633. 24 (4) Good-faith assistance by a family or household member 25 or other person in managing the financial affairs of an elder 26 or dependent adult at the request of the elder or a dependent 27 adult, or a family member, guardian, or conservator of the 28 elder or dependent adult. 29 1. 2. “Caretaker” means a related or nonrelated person who 30 has the responsibility for all or a portion of the protection, 31 care, or custody of an elder or a dependent adult as a result of 32 assuming the responsibility voluntarily, by contract, through 33 employment, or by order of the court. 34 2. 3. “Court” means the district court. 35 -5- LSB 5795XS (13) 85 pf/rj 5/ 73
S.F. 2145 3. 4. “Department” means the department of human services. 1 4. 5. “Dependent adult” means a person eighteen years 2 of age or older who is unable to protect the person’s own 3 interests or unable to adequately perform or obtain services 4 necessary to meet essential human needs, as a result of a 5 physical or mental condition which requires assistance from 6 another, or as defined by departmental rule. 7 5. a. 6. “Dependent adult abuse” means : abuse of a 8 dependent adult. 9 (1) Any of the following as a result of the willful or 10 negligent acts or omissions of a caretaker: 11 (a) Physical injury to, or injury which is at a variance 12 with the history given of the injury, or unreasonable 13 confinement, unreasonable punishment, or assault of a dependent 14 adult. 15 (b) The commission of a sexual offense under chapter 709 or 16 section 726.2 with or against a dependent adult. 17 (c) Exploitation of a dependent adult which means the act 18 or process of taking unfair advantage of a dependent adult 19 or the adult’s physical or financial resources for one’s own 20 personal or pecuniary profit, without the informed consent 21 of the dependent adult, including theft, by the use of undue 22 influence, harassment, duress, deception, false representation, 23 or false pretenses. 24 (d) The deprivation of the minimum food, shelter, clothing, 25 supervision, physical or mental health care, or other care 26 necessary to maintain a dependent adult’s life or health. 27 (2) The deprivation of the minimum food, shelter, clothing, 28 supervision, physical or mental health care, and other care 29 necessary to maintain a dependent adult’s life or health as a 30 result of the acts or omissions of the dependent adult. 31 (3) (a) Sexual exploitation of a dependent adult by a 32 caretaker. 33 (b) “Sexual exploitation” means any consensual or 34 nonconsensual sexual conduct with a dependent adult which 35 -6- LSB 5795XS (13) 85 pf/rj 6/ 73
S.F. 2145 includes but is not limited to kissing; touching of the clothed 1 or unclothed inner thigh, breast, groin, buttock, anus, pubes, 2 or genitals; or a sex act, as defined in section 702.17 . 3 “Sexual exploitation” includes the transmission, display, taking 4 of electronic images of the unclothed breast, groin, buttock, 5 anus, pubes, or genitals of a dependent adult by a caretaker 6 for a purpose not related to treatment or diagnosis or as 7 part of an ongoing assessment, evaluation, or investigation. 8 Sexual exploitation does not include touching which is part 9 of a necessary examination, treatment, or care by a caretaker 10 acting within the scope of the practice or employment of the 11 caretaker; the exchange of a brief touch or hug between the 12 dependent adult and a caretaker for the purpose of reassurance, 13 comfort, or casual friendship; or touching between spouses. 14 b. “Dependent adult abuse” does not include any of the 15 following: 16 (1) Circumstances in which the dependent adult declines 17 medical treatment if the dependent adult holds a belief or is 18 an adherent of a religion whose tenets and practices call for 19 reliance on spiritual means in place of reliance on medical 20 treatment. 21 (2) Circumstances in which the dependent adult’s caretaker, 22 acting in accordance with the dependent adult’s stated or 23 implied consent, declines medical treatment if the dependent 24 adult holds a belief or is an adherent of a religion whose 25 tenets and practices call for reliance on spiritual means in 26 place of reliance on medical treatment. 27 (3) The withholding or withdrawing of health care from 28 a dependent adult who is terminally ill in the opinion of a 29 licensed physician, when the withholding or withdrawing of 30 health care is done at the request of the dependent adult or at 31 the request of the dependent adult’s next of kin, attorney in 32 fact, or guardian pursuant to the applicable procedures under 33 chapter 125 , 144A , 144B , 222 , 229 , or 633 . 34 7. “Elder” means a resident of this state who is sixty-five 35 -7- LSB 5795XS (13) 85 pf/rj 7/ 73
S.F. 2145 years of age or older. 1 8. “Elder abuse” means abuse of an elder. 2 6. 9. “Emergency shelter services” means and includes, 3 but is not limited to, secure crisis shelters or housing for 4 victims of elder or dependent adult abuse. 5 7. 10. “Family or household member” means a spouse, 6 a person cohabiting with the elder or dependent adult, a 7 parent, or a person related to the elder or dependent adult by 8 consanguinity or affinity, but does not include children of the 9 elder or dependent adult who are less than eighteen years of 10 age. 11 8. 11. “Immediate danger to health or safety” means 12 a situation in which death or severe bodily injury could 13 reasonably be expected to occur without intervention. 14 9. 12. “Individual employed as an outreach person” means a 15 natural person who, in the course of employment, makes regular 16 contacts with elder or dependent adults regarding available 17 community resources. 18 10. 13. “Legal holiday” means a legal public holiday as 19 defined in section 1C.1 . 20 11. 14. “Person” means person as defined in section 4.1 . 21 12. 15. “Recklessly” means that a person acts or fails to 22 act with respect to a material element of a public offense, 23 when the person is aware of and consciously disregards a 24 substantial and unjustifiable risk that the material element 25 exists or will result from the act or omission. The risk must 26 be of such a nature and degree that disregard of the risk 27 constitutes a gross deviation from the standard conduct that a 28 reasonable person would observe in the situation. 29 13. 16. “Serious injury” means the same as defined in 30 section 702.18 . 31 14. 17. “Support services” includes but is not limited 32 to community-based services including area agency on aging 33 assistance, mental health services, fiscal management, home 34 health services, housing-related services, counseling services, 35 -8- LSB 5795XS (13) 85 pf/rj 8/ 73
S.F. 2145 transportation services, adult day services, respite services, 1 legal services, and advocacy services. 2 Sec. 3. Section 235B.3, Code 2014, is amended to read as 3 follows: 4 235B.3 Dependent Elder and dependent adult abuse reports. 5 1. a. (1) The department shall receive elder and 6 dependent adult abuse reports and shall collect, maintain, and 7 disseminate the reports by establishing a central registry for 8 elder and dependent adult abuse information. The department 9 shall evaluate the reports expeditiously. 10 (2) However, the department of inspections and appeals 11 is solely responsible for the evaluation and disposition of 12 dependent adult abuse cases within facilities and programs 13 pursuant to chapter 235E and shall inform the department of 14 human services of such evaluations and dispositions pursuant 15 to section 235E.2 . 16 (3) If, in the course of an assessment or evaluation of a 17 report of elder or dependent adult abuse, the department of 18 human services or the department of inspections and appeals 19 determines the case involves wages, workplace safety, or other 20 labor and employment matters under the jurisdiction of the 21 division of labor services of the department of workforce 22 development, the relevant portions of the case shall be 23 referred to the division. 24 (4) If, in the course of an assessment or evaluation of a 25 report of elder or dependent adult abuse, the department of 26 human services or the department of inspections and appeals 27 determines that the case involves discrimination under the 28 jurisdiction of the civil rights commission, the relevant 29 portions of the case shall be referred to the commission. 30 b. Reports of elder or dependent adult abuse which is are 31 the result of the acts or omissions of the elder or dependent 32 adult shall be collected and maintained in the files of the 33 elder or dependent adult as assessments only and shall not be 34 included in the central registry. 35 -9- LSB 5795XS (13) 85 pf/rj 9/ 73
S.F. 2145 c. A report of elder or dependent adult abuse that meets 1 the definition of dependent adult abuse under section 235B.2, 2 subsection 5 1 , paragraph “a” , subparagraph (1), subparagraph 3 division (a) or (d), which the department determines is 4 minor, isolated, and unlikely to reoccur shall be collected 5 and maintained by the department as an assessment only for 6 a five-year period and shall not be included in the central 7 registry and shall not be considered to be founded elder or 8 dependent adult abuse. However, a subsequent report of elder 9 or dependent adult abuse that meets the definition of elder 10 or dependent adult abuse under section 235B.2, subsection 5 11 1 , paragraph “a” , subparagraph (1), subparagraph division 12 (a) or (d), that occurs within the five-year period and that 13 is committed by the caretaker person responsible for the act 14 or omission which was the subject of the previous report of 15 elder or dependent adult abuse which the department determined 16 was minor, isolated, and unlikely to reoccur shall not be 17 considered minor, isolated, and unlikely to reoccur. 18 2. A person who, in the course of employment, examines, 19 attends, counsels, or treats a an elder or dependent adult and 20 reasonably believes the elder or dependent adult has suffered 21 abuse, shall report the suspected elder or dependent adult 22 abuse to the department. If the person making the report has 23 reason to believe that immediate protection for the elder or 24 dependent adult is advisable, the person shall also make an 25 oral report to an appropriate law enforcement agency. Persons 26 required to report include all of the following: 27 a. A member of the staff of a community mental health 28 center. 29 b. A peace officer. 30 c. An in-home homemaker-home health aide. 31 d. An individual employed as an outreach person. 32 e. A health practitioner, as defined in section 232.68 . 33 f. A member of the staff or an employee of a supported 34 community living service, sheltered workshop, or work activity 35 -10- LSB 5795XS (13) 85 pf/rj 10/ 73
S.F. 2145 center. 1 g. A social worker. 2 h. A certified psychologist. 3 3. a. If a staff member or employee is required to report 4 pursuant to this section , the person shall immediately notify 5 the department and shall also immediately notify the person in 6 charge or the person’s designated agent. 7 b. The employer or supervisor of a person who is required to 8 or may make a report pursuant to this section shall not apply a 9 policy, work rule, or other requirement that interferes with 10 the person making a report of elder or dependent adult abuse 11 or that results in the failure of another person to make the 12 report. 13 4. An employee of a financial institution may report 14 suspected financial exploitation of an elder or a dependent 15 adult to the department. 16 5. Any other person who believes that an elder or a 17 dependent adult has suffered abuse may report the suspected 18 abuse to the department of human services. 19 6. Following the reporting of suspected elder or dependent 20 adult abuse, the department of human services or an agency 21 approved by the department shall complete an assessment of 22 necessary services and shall make appropriate referrals for 23 receipt of these services. The assessment shall include 24 interviews with the elder or dependent adult, and, if 25 appropriate, with the alleged perpetrator of the elder or 26 dependent adult abuse and with any person believed to have 27 knowledge of the circumstances of the case. The department 28 may provide necessary protective services and may establish a 29 sliding fee schedule for those persons able to pay a portion of 30 the protective services. 31 7. Upon a showing of probable cause that an elder or 32 a dependent adult has been abused, a court may authorize 33 a person, also authorized by the department, to make an 34 evaluation, to enter the residence of, and to examine the 35 -11- LSB 5795XS (13) 85 pf/rj 11/ 73
S.F. 2145 elder or dependent adult. Upon a showing of probable cause 1 that an elder or a dependent adult has been financially 2 exploited, a court may authorize a person, also authorized by 3 the department, to make an evaluation, and to gain access to 4 the financial records of the elder or dependent adult. 5 8. If the department determines that disclosure is 6 necessary for the protection of an elder or a dependent adult, 7 the department may disclose to a subject of an elder or a 8 dependent adult abuse report referred to in section 235B.6, 9 subsection 2 , paragraph “a” , that an individual is listed 10 in the child or elder and dependent adult abuse registry or 11 is required to register with the sex offender registry in 12 accordance with chapter 692A . 13 9. The department shall inform the appropriate county 14 attorneys of any reports of elder or dependent adult abuse. 15 The department may request information from any person believed 16 to have knowledge of a case of elder or dependent adult abuse. 17 The person, including but not limited to a county attorney, 18 a law enforcement agency, a multidisciplinary team, a social 19 services agency in the state, or any person who is required 20 pursuant to subsection 2 to report elder or dependent adult 21 abuse, whether or not the person made the specific elder or 22 dependent adult abuse report, shall cooperate and assist in 23 the evaluation upon the request of the department. If the 24 department’s assessment reveals that elder or dependent adult 25 abuse exists which might constitute a criminal offense, a 26 report shall be made to the appropriate law enforcement agency. 27 County attorneys and appropriate law enforcement agencies shall 28 also take any other lawful action necessary or advisable for 29 the protection of the elder or dependent adult. 30 a. If, upon completion of the evaluation or upon referral 31 from the department of inspections and appeals, the department 32 determines that the best interests of the elder or dependent 33 adult require court action, the department shall initiate 34 action for the appointment of a guardian or conservator or 35 -12- LSB 5795XS (13) 85 pf/rj 12/ 73
S.F. 2145 for admission or commitment to an appropriate institution 1 or facility pursuant to the applicable procedures under 2 chapter 125 , 222 , 229 , or 633 , or shall pursue other remedies 3 provided by law. The appropriate county attorney shall assist 4 the department in the preparation of the necessary papers 5 to initiate the action and shall appear and represent the 6 department at all district court proceedings. 7 b. The department shall assist the court during all stages 8 of court proceedings involving a suspected case of elder or 9 dependent adult abuse. 10 c. In every case involving abuse which is substantiated 11 by the department and which results in a judicial proceeding 12 on behalf of the elder or dependent adult, legal counsel 13 shall be appointed by the court to represent the elder or 14 dependent adult in the proceedings. The court may also appoint 15 a guardian ad litem to represent the elder or dependent adult 16 if necessary to protect the elder’s or dependent adult’s best 17 interests. The same attorney may be appointed to serve both as 18 legal counsel and as guardian ad litem. Before legal counsel 19 or a guardian ad litem is appointed pursuant to this section , 20 the court shall require the elder or dependent adult and any 21 person legally responsible for the support of the elder or 22 dependent adult to complete under oath a detailed financial 23 statement. If, on the basis of that financial statement, the 24 court deems that the elder or dependent adult or the legally 25 responsible person is able to bear all or a portion of the cost 26 of the legal counsel or guardian ad litem, the court shall so 27 order. In cases where the elder or dependent adult or the 28 legally responsible person is unable to bear the cost of the 29 legal counsel or guardian ad litem, the expense shall be paid 30 by the county. 31 10. A person participating in good faith in reporting or 32 cooperating with or assisting the department in evaluating 33 a case of elder or dependent adult abuse has immunity from 34 liability, civil or criminal, which might otherwise be incurred 35 -13- LSB 5795XS (13) 85 pf/rj 13/ 73
S.F. 2145 or imposed based upon the act of making the report or giving 1 the assistance. The person has the same immunity with respect 2 to participating in good faith in a judicial proceeding 3 resulting from the report or cooperation or assistance or 4 relating to the subject matter of the report, cooperation, or 5 assistance. 6 11. It shall be unlawful for any person or employer to 7 discharge, suspend, or otherwise discipline a person required 8 to report or voluntarily reporting an instance of suspected 9 elder or dependent adult abuse pursuant to subsection 2 or 10 5 , or cooperating with, or assisting the department of human 11 services in evaluating a case of elder or dependent adult 12 abuse, or participating in judicial proceedings relating to the 13 reporting or cooperation or assistance based solely upon the 14 person’s reporting or assistance relative to the instance of 15 elder or dependent adult abuse. A person or employer found in 16 violation of this subsection is guilty of a simple misdemeanor. 17 12. A person required by this section to report a suspected 18 case of elder or dependent adult abuse who knowingly and 19 willfully fails to do so commits a simple misdemeanor. A 20 person required by this section to report a suspected case of 21 elder or dependent adult abuse who knowingly fails to do so 22 or who knowingly, in violation of subsection 3 , interferes 23 with the making of such a report or applies a requirement that 24 results in such a failure is civilly liable for the damages 25 proximately caused by the failure. 26 13. The department of inspections and appeals shall adopt 27 rules which require facilities or programs to separate an 28 alleged elder or dependent adult abuser from a victim following 29 an allegation of perpetration of abuse and prior to the 30 completion of an investigation of the allegation. 31 Sec. 4. Section 235B.3A, Code 2014, is amended to read as 32 follows: 33 235B.3A Prevention of additional abuse —— notification of 34 rights. 35 -14- LSB 5795XS (13) 85 pf/rj 14/ 73
S.F. 2145 If a peace officer has reason to believe that elder or 1 dependent adult abuse, which is criminal in nature, has 2 occurred, the officer shall use all reasonable means to 3 prevent further abuse, including but not limited to any of the 4 following: 5 1. If requested, remaining on the scene as long as there is 6 a danger to the elder’s or dependent adult’s physical safety 7 without the presence of a peace officer, including but not 8 limited to staying in the dwelling unit, or if unable to remain 9 at the scene, assisting the elder or dependent adult in leaving 10 the residence and securing support services or emergency 11 shelter services. 12 2. Assisting the elder or dependent adult in obtaining 13 medical treatment necessitated by the elder or dependent adult 14 abuse, including providing assistance to the elder or dependent 15 adult in obtaining transportation to the emergency room of the 16 nearest hospital. 17 3. Providing a the elder or dependent adult with immediate 18 and adequate notice of the elder’s or dependent adult’s rights. 19 The notice shall consist of handing the elder or dependent 20 adult a document that includes the telephone numbers of 21 shelters, support groups, and crisis lines operating in the 22 area and contains a copy of the following written statement; 23 requesting the elder or dependent adult to read the card; 24 and asking the elder or dependent adult whether the elder or 25 dependent adult understands the rights: 26 a. You have the right to ask the court for the following help 27 on a temporary basis: 28 (1) Keeping the alleged perpetrator away from you, your 29 home, and your place of work. 30 (2) The right to stay at your home without interference from 31 the alleged perpetrator. 32 (3) Professional counseling for you, your family, or 33 household members, and the alleged perpetrator of the elder or 34 dependent adult abuse. 35 -15- LSB 5795XS (13) 85 pf/rj 15/ 73
S.F. 2145 b. If you are in need of medical treatment, you have the 1 right to request that the peace officer present assist you in 2 obtaining transportation to the nearest hospital or otherwise 3 assist you. 4 c. If you believe that police protection is needed for 5 your physical safety, you have the right to request that the 6 peace officer present remain at the scene until you and other 7 affected parties can leave or safety is otherwise ensured. 8 Sec. 5. Section 235B.4, Code 2014, is amended to read as 9 follows: 10 235B.4 Legislative findings and purposes. 11 1. The general assembly finds and declares that a central 12 registry is required to provide a single source for the 13 statewide collection, maintenance, and dissemination of elder 14 and dependent adult abuse information. Such a registry is 15 imperative for increased effectiveness in dealing with the 16 problem of elder and dependent adult abuse. The general 17 assembly also finds that vigorous protection of rights of 18 individual privacy is an indispensable element of a fair and 19 effective system of collecting, maintaining, and disseminating 20 elder and dependent adult abuse information. 21 2. The purposes of this section and sections 235B.5 to 22 235B.13 are to facilitate the identification of victims or 23 potential victims of elder or dependent adult abuse by making 24 available a single, statewide source of elder and dependent 25 adult abuse data; to facilitate research on elder and dependent 26 adult abuse by making available a single, statewide source of 27 elder and dependent adult abuse data; and to provide maximum 28 safeguards against the unwarranted invasions of privacy which 29 such a registry might otherwise entail. 30 Sec. 6. Section 235B.5, Code 2014, is amended to read as 31 follows: 32 235B.5 Creation and maintenance of a central registry. 33 1. There is created within the department a central 34 registry for elder and dependent adult abuse information. The 35 -16- LSB 5795XS (13) 85 pf/rj 16/ 73
S.F. 2145 department shall organize and staff the registry and adopt 1 rules for its operation. 2 2. The registry shall collect, maintain, and disseminate 3 elder and dependent adult abuse information as provided in this 4 chapter . 5 3. The department shall maintain a toll-free telephone 6 line, which shall be available on a twenty-four-hour-a-day, 7 seven-day-a-week basis and which the department and all other 8 persons may use to report cases of suspected elder or dependent 9 adult abuse and that all persons authorized by this chapter may 10 use for obtaining elder and dependent adult abuse information. 11 4. An oral report of suspected elder or dependent adult 12 abuse initially made to the central registry shall be 13 immediately transmitted by the department to the appropriate 14 county department of human services or law enforcement agency, 15 or both. 16 5. An oral report of suspected elder or dependent adult 17 abuse initially made to the central registry regarding a 18 facility or program as defined in section 235E.1 shall be 19 transmitted by the department to the department of inspections 20 and appeals on the first working day following the submitting 21 of the report. 22 6. The registry, upon receipt of a report of suspected 23 elder or dependent adult abuse, shall search the records of 24 the registry, and if the records of the registry reveal any 25 previous report of elder or dependent adult abuse involving 26 the same elder or dependent adult or if the records reveal any 27 other pertinent information with respect to the same elder or 28 dependent adult, the appropriate office of the department of 29 human services or the appropriate law enforcement agency shall 30 be immediately notified of that fact. 31 7. The central registry shall include but not be limited to 32 report data, investigation data, and disposition data. 33 Sec. 7. Section 235B.6, Code 2014, is amended to read as 34 follows: 35 -17- LSB 5795XS (13) 85 pf/rj 17/ 73
S.F. 2145 235B.6 Authorized access. 1 1. Notwithstanding chapter 22 , the confidentiality of 2 all elder and dependent adult abuse information shall be 3 maintained, except as specifically provided by subsections 2 4 and 3 . 5 2. Access to elder and dependent adult abuse information 6 other than unfounded elder or dependent adult abuse information 7 is authorized only to the following persons: 8 a. A subject of a report including all of the following: 9 (1) To an elder or a dependent adult named in a report as 10 a victim of abuse or to the elder’s or a dependent adult’s 11 attorney or guardian ad litem. 12 (2) To a guardian or legal custodian, or that person’s 13 attorney, of an elder or a dependent adult named in a report as 14 a victim of abuse. 15 (3) To the person or the attorney for the person named in a 16 report as having abused an elder or a dependent adult. 17 b. A person involved in an investigation of elder or 18 dependent adult abuse including all of the following: 19 (1) A health practitioner or mental health professional who 20 is examining, attending, or treating an elder or a dependent 21 adult whom such practitioner or professional believes or has 22 reason to believe has been the victim of abuse or to a health 23 practitioner or mental health professional whose consultation 24 with respect to an elder or a dependent adult believed to have 25 been the victim of abuse is requested by the department. 26 (2) An employee or agent of the department responsible for 27 the investigation of an elder or a dependent adult abuse report 28 or for the purpose of performing record checks as required 29 under section 135C.33 . 30 (3) A representative of the department involved in the 31 certification or accreditation of an agency or program 32 providing care or services to an elder or a dependent adult 33 believed to have been a victim of abuse. 34 (4) A law enforcement officer responsible for assisting 35 -18- LSB 5795XS (13) 85 pf/rj 18/ 73
S.F. 2145 in an investigation of an elder or a dependent adult abuse 1 allegation. 2 (5) A multidisciplinary team, if the department of human 3 services approves the composition of the multidisciplinary team 4 and determines that access to the team is necessary to assist 5 the department in the investigation, diagnosis, assessment, and 6 disposition of a case of elder or dependent adult abuse. 7 (6) The mandatory reporter who reported the elder or 8 dependent adult abuse in an individual case. 9 (7) Each board specified under chapter 147 and the Iowa 10 department of public health for the purpose of licensure, 11 certification or registration, disciplinary investigation, or 12 the renewal of licensure, certification or registration, or 13 disciplinary proceedings of health care professionals. 14 c. A person providing care to an elder or a dependent adult 15 including all of the following: 16 (1) A licensing authority for a facility, including a 17 facility or program defined in section 235E.1 , providing care 18 to an elder or a dependent adult named in a report. 19 (2) A person authorized as responsible for the care or 20 supervision of an elder or a dependent adult named in a report 21 as a victim of abuse or a person named in a report as having 22 abused an elder or a dependent adult if the court or registry 23 deems access to elder or dependent adult abuse information by 24 such person to be necessary. 25 (3) An employee or agent of the department responsible 26 for registering or licensing or approving the registration or 27 licensing of a person, or to an individual a person providing 28 care to an elder or a dependent adult and regulated by the 29 department. 30 (4) The legally authorized protection and advocacy agency 31 recognized pursuant to section 135C.2 if a person identified in 32 the information as a victim or a perpetrator of abuse resided 33 in or receives services from a facility, including a facility 34 or program defined in section 235E.1 , or agency because the 35 -19- LSB 5795XS (13) 85 pf/rj 19/ 73
S.F. 2145 person is diagnosed as having a developmental disability or a 1 mental illness. 2 (5) To an administrator of an agency certified by the 3 department of human services to provide services under a 4 medical assistance home and community-based services waiver, 5 if the information concerns a person employed by or being 6 considered by the agency for employment. 7 (6) To the administrator of an agency providing mental 8 health, intellectual disability, or developmental disability 9 services under a county management plan developed pursuant to 10 section 331.439 , if the information concerns a person employed 11 by or being considered by the agency for employment. 12 (7) To an administrator of a hospital licensed under chapter 13 135B if the data concerns a person employed or being considered 14 for employment by the hospital. 15 (8) An employee of an agency requested by the department 16 to provide case management or other services to the elder or 17 dependent adult. 18 d. Relating to judicial and administrative proceedings, 19 persons including all of the following: 20 (1) A court upon a finding that information is necessary 21 for the resolution of an issue arising in any phase of a case 22 involving elder or dependent adult abuse. 23 (2) A court or agency hearing an appeal for correction 24 of elder or dependent adult abuse information as provided in 25 section 235B.10 . 26 (3) An expert witness or a witness who testifies at any 27 stage of an appeal necessary for correction of elder or 28 dependent adult abuse information as provided in section 29 235B.10 . 30 (4) A court or administrative agency making a determination 31 regarding an unemployment compensation claim pursuant to 32 section 96.6 . 33 e. Other persons including all of the following: 34 (1) A person conducting bona fide research on elder or 35 -20- LSB 5795XS (13) 85 pf/rj 20/ 73
S.F. 2145 dependent adult abuse, but without information identifying 1 individuals named in an elder or a dependent adult abuse 2 report, unless having that information open to review is 3 essential to the research or evaluation and the authorized 4 registry officials give prior written approval and the elder or 5 dependent adult, the elder’s or dependent adult’s guardian or 6 guardian ad litem, and the person named in a report as having 7 abused an elder or a dependent adult give permission to release 8 the information. 9 (2) Registry or department personnel when necessary to the 10 performance of their official duties or a person or agency 11 under contract with the department to carry out official duties 12 and functions of the registry. 13 (3) The department of justice for the sole purpose of the 14 filing of a claim for reparation pursuant to sections 915.21 15 and 915.84 . 16 (4) A legally constituted adult protection agency of 17 another state which is investigating or treating an elder or a 18 dependent adult named in a report as having been abused. 19 (5) The attorney for the department who is responsible for 20 representing the department. 21 (6) A health care facility administrator or the 22 administrator’s designee, following the appeals process, for 23 the purpose of hiring staff or continued employment of staff. 24 (7) To the administrator of an agency providing care to an 25 elder or a dependent adult in another state, for the purpose of 26 performing an employment background check. 27 (8) To the superintendent, or the superintendent’s 28 designee, of a school district or to the authorities in charge 29 of an accredited nonpublic school for purposes of a volunteer 30 or employment record check. 31 (9) The department of inspections and appeals for purposes 32 of record checks of applicants for employment with the 33 department of inspections and appeals. 34 (10) The state or a local long-term care ombudsman if the 35 -21- LSB 5795XS (13) 85 pf/rj 21/ 73
S.F. 2145 victim resides in or the alleged perpetrator is an employee of 1 a long-term care facility as defined in section 231.4 . 2 (11) The state office or a local office of substitute 3 decision maker as defined in section 231E.3 , if the information 4 relates to the provision of legal services for a client served 5 by the state or local office of substitute decision maker. 6 (12) A nursing program that is approved by the state board 7 of nursing under section 152.5 , if the information relates to a 8 record check performed pursuant to section 152.5 . 9 (13) To the board of educational examiners created under 10 chapter 272 for purposes of determining whether a license, 11 certificate, or authorization should be issued, denied, or 12 revoked. 13 (14) The department on aging for the purposes of conducting 14 background checks of applicants for employment with the 15 department on aging. 16 (15) To the Iowa veterans home for purposes of record checks 17 of potential volunteers and volunteers in the Iowa veterans 18 home. 19 (16) To the administrator of a certified nurse aide program, 20 if the data relates to a record check of a student of the 21 program performed pursuant to section 135C.33 . 22 (17) To the administrator of a juvenile detention or shelter 23 care home, if the data relates to a record check of an existing 24 or prospective employee, resident, or volunteer for or in the 25 home. 26 (18) To the employer or prospective employer of a school bus 27 driver for purposes of an employment record check. 28 f. To a person who submits written authorization from 29 an individual allowing the person access to information on 30 the determination only on whether or not the individual who 31 authorized the access is named in a founded elder or dependent 32 adult abuse report as having abused an elder or a dependent 33 adult. 34 3. Access to unfounded elder or dependent adult abuse 35 -22- LSB 5795XS (13) 85 pf/rj 22/ 73
S.F. 2145 information is authorized only to those persons identified in 1 subsection 2 , paragraph “a” , paragraph “b” , subparagraphs (2), 2 (5), and (6), and paragraph “e” , subparagraphs (2) and (10). 3 Sec. 8. Section 235B.7, Code 2014, is amended to read as 4 follows: 5 235B.7 Requests for elder or dependent adult abuse 6 information. 7 1. Requests for elder or dependent adult abuse information 8 shall be in writing on forms prescribed by the department, 9 except as otherwise provided by subsection 2 . Request forms 10 shall require information sufficient to demonstrate authorized 11 access. 12 2. Requests for elder or dependent adult abuse information 13 may be made orally by telephone if a person making the request 14 believes that the information is needed immediately and if 15 information sufficient to demonstrate authorized access is 16 provided. If a request is made orally by telephone, a written 17 request form shall be filed within seventy-two hours of the 18 oral request. 19 3. Subsections 1 and 2 do not apply to elder or dependent 20 adult abuse information that is disseminated to an employee of 21 the department or to the attorney representing the department 22 as authorized by section 235B.6 . 23 Sec. 9. Section 235B.8, Code 2014, is amended to read as 24 follows: 25 235B.8 Redissemination of elder or dependent adult abuse 26 information. 27 1. A recipient of elder or dependent adult abuse information 28 authorized to receive the information shall not redisseminate 29 the information, except that redissemination shall be permitted 30 when all of the following conditions apply: 31 a. The redissemination is for official purposes in 32 connection with prescribed duties or, in the case of a health 33 practitioner, pursuant to professional responsibilities. 34 b. The person to whom such information would be 35 -23- LSB 5795XS (13) 85 pf/rj 23/ 73
S.F. 2145 redisseminated would have independent access to the same 1 information under section 235B.6 . 2 c. A written record is made of the redissemination, 3 including the name of the recipient and the date and purpose 4 of the redissemination. 5 d. The written record is forwarded to the registry within 6 thirty days of the redissemination. 7 2. The department may notify, orally, the mandatory 8 reporter in an individual elder or dependent adult abuse 9 case of the results of the case investigation and of the 10 confidentiality provisions of sections 235B.6 and 235B.12 . 11 The department shall subsequently transmit a written notice 12 to the mandatory reporter of the results and confidentiality 13 provisions. A copy of the written notice shall be transmitted 14 to the registry and shall be maintained by the registry as 15 provided in section 235B.9 . 16 Sec. 10. Section 235B.9, Code 2014, is amended to read as 17 follows: 18 235B.9 Sealing and expungement of elder or dependent adult 19 abuse information. 20 1. Dependent Elder and dependent adult abuse information 21 which is determined by a preponderance of the evidence to 22 be founded, shall be sealed ten years after the receipt of 23 the initial report of such abuse by the registry unless good 24 cause is shown why the information should remain open to 25 authorized access. If a subsequent report of founded elder 26 or dependent adult abuse involving the elder or dependent 27 adult named in the initial report as the victim of abuse or 28 a person named in such report as having abused an elder or a 29 dependent adult is received by the registry within the ten-year 30 period, the information shall be sealed ten years after receipt 31 of the subsequent report unless good cause is shown why the 32 information should remain open to authorized access. 33 2. a. Dependent Elder or dependent adult abuse reports 34 that are rejected for evaluation, assessment, or disposition 35 -24- LSB 5795XS (13) 85 pf/rj 24/ 73
S.F. 2145 for failure to meet the definition of elder or dependent adult 1 abuse shall be expunged three years from the rejection date. 2 b. Dependent Elder or dependent adult abuse information 3 which is determined by a preponderance of the evidence to be 4 unfounded shall be expunged five years from the date it is 5 determined to be unfounded. 6 3. However, if a correction of elder or dependent adult 7 abuse information is requested under section 235B.10 and the 8 issue is not resolved at the end of one year the information 9 shall be retained until the issue is resolved and if the elder 10 or dependent adult abuse information is not determined to be 11 founded, the information shall be expunged one year from the 12 date it is determined to be unfounded. 13 4. The registry, at least annually, shall review and 14 determine the current status of elder or dependent adult abuse 15 reports which are at least one year old and in connection with 16 which no investigatory report has been filed by the department. 17 If no investigatory report has been filed, the registry shall 18 request the department to file a report. If a report is not 19 filed within ninety days subsequent to a request, the report 20 and relative information shall be sealed and remain sealed 21 unless good cause is shown why the information should remain 22 open to authorized access. 23 5. Dependent Elder or dependent adult abuse information 24 which is determined to be minor, isolated, and unlikely to 25 reoccur shall be expunged five years after the receipt of the 26 initial report by the department. If a subsequent report of 27 elder or dependent adult abuse committed by the caretaker 28 person responsible for the act or omission which was the 29 subject of the previous report of elder or dependent adult 30 abuse which the department determined was minor, isolated, and 31 unlikely to reoccur is received by the department within the 32 five-year period, the information shall be sealed ten years 33 after receipt of the subsequent report unless good cause can 34 be shown why the information should remain open to authorized 35 -25- LSB 5795XS (13) 85 pf/rj 25/ 73
S.F. 2145 access. 1 Sec. 11. Section 235B.10, Code 2014, is amended to read as 2 follows: 3 235B.10 Examination, requests for correction or expungement 4 and appeal. 5 1. Any person or that person’s attorney shall have the 6 right to examine elder and dependent adult abuse information 7 in the registry which refers to that person. The registry may 8 prescribe reasonable hours and places of examination. 9 2. A person may file with the department within six months 10 of the date of the notice of the results of an investigation, 11 a written statement to the effect that elder or dependent 12 adult abuse information referring to the person is in whole 13 or in part erroneous, and may request a correction of that 14 information or of the findings of the investigation report. 15 The department shall provide the person with an opportunity for 16 an evidentiary hearing pursuant to chapter 17A to correct the 17 information or the findings, unless the department corrects the 18 information or findings as requested. The department shall 19 delay the expungement of information which is not determined 20 to be founded until the conclusion of a proceeding to correct 21 the information or findings. The department may defer the 22 hearing until the conclusion of a court case relating to the 23 information or findings. 24 3. The decision resulting from the hearing may be appealed 25 to the court of Polk county by the person requesting the 26 correction or to the court of the district in which the person 27 resides. Immediately upon appeal the court shall order the 28 department to file with the court a certified copy of the elder 29 or dependent adult abuse information. Appeal shall be taken 30 in accordance with chapter 17A . 31 4. Upon the request of the appellant, the record and 32 evidence in such cases shall be closed to all but the court 33 and its officers, and access to the record and evidence shall 34 be prohibited unless otherwise ordered by the court. The 35 -26- LSB 5795XS (13) 85 pf/rj 26/ 73
S.F. 2145 clerk shall maintain a separate docket for such actions. A 1 person other than the appellant shall not permit a copy of 2 the testimony or pleadings or the substance of the testimony 3 or pleadings to be made available to any person other than a 4 party to the action or the party’s attorney. Violation of 5 the provisions of this subsection shall be a public offense 6 punishable under section 235B.12 . 7 5. If the registry corrects or eliminates information as 8 requested or as ordered by the court, the registry shall advise 9 all persons who have received the incorrect information of the 10 fact. Upon application to the court and service of notice on 11 the registry, an individual a person may request and obtain a 12 list of all persons who have received elder or dependent adult 13 abuse information referring to the individual person . 14 6. In the course of any proceeding provided for by this 15 section , the identity of the person who reported the disputed 16 information and the identity of any person who has been 17 reported as having abused an elder or a dependent adult may be 18 withheld upon a determination by the registry that disclosure 19 of the person’s identity would be detrimental to the person’s 20 interest. 21 Sec. 12. Section 235B.11, Code 2014, is amended to read as 22 follows: 23 235B.11 Civil remedy. 24 Any aggrieved person may institute a civil action 25 for damages under chapter 669 or 670 or to restrain the 26 dissemination of elder or dependent adult abuse information 27 in violation of this chapter , and any person proven to have 28 disseminated or to have requested and received elder or 29 dependent adult abuse information in violation of this chapter 30 shall be liable for actual damages and exemplary damages for 31 each violation and shall be liable for court costs, expenses, 32 and reasonable attorney’s fees incurred by the party bringing 33 the action. In no case shall the award for damages be less than 34 five hundred dollars. 35 -27- LSB 5795XS (13) 85 pf/rj 27/ 73
S.F. 2145 Sec. 13. Section 235B.12, Code 2014, is amended to read as 1 follows: 2 235B.12 Criminal penalties. 3 1. Any person who willfully requests, obtains, or seeks 4 to obtain elder or dependent adult abuse information under 5 false pretenses, or who willfully communicates or seeks to 6 communicate elder or dependent adult abuse information to 7 any person except in accordance with sections 235B.6 through 8 235B.8 , or any person connected with any research authorized 9 pursuant to section 235B.6 who willfully falsifies elder or 10 dependent adult abuse information or any records relating to 11 the information is guilty of a serious misdemeanor. Any person 12 who knowingly, but without criminal purposes, communicates or 13 seeks to communicate elder or dependent adult abuse information 14 except in accordance with sections 235B.6 through 235B.8 is 15 guilty of a simple misdemeanor. 16 2. Any reasonable grounds for belief that a person has 17 violated any provision of this chapter is grounds for the 18 immediate withdrawal of any authorized access the person might 19 otherwise have to elder or dependent adult abuse information. 20 Sec. 14. Section 235B.13, Code 2014, is amended to read as 21 follows: 22 235B.13 Registry reports. 23 1. The registry may compile statistics, conduct research, 24 and issue reports on elder and dependent adult abuse, provided 25 identifying details of the subjects of elder or dependent adult 26 abuse reports are deleted from any report issued. 27 2. The registry shall issue an annual report on its 28 administrative operation, including information as to the 29 number of requests for elder or dependent adult abuse data, the 30 proportion of requests attributable to each type of authorized 31 access, the frequency and nature of irregularities, and other 32 pertinent matters. 33 Sec. 15. Section 235B.16, Code 2014, is amended to read as 34 follows: 35 -28- LSB 5795XS (13) 85 pf/rj 28/ 73
S.F. 2145 235B.16 Information, education, and training requirements. 1 1. The department on aging, in cooperation with the 2 department, shall conduct a public information and education 3 program. The elements and goals of the program include but are 4 not limited to: 5 a. Informing the public regarding the laws governing elder 6 and dependent adult abuse and the reporting requirements for 7 dependent adult abuse. 8 b. Providing caretakers with information regarding services 9 to alleviate the emotional, psychological, physical, or 10 financial stress associated with the caretaker and elder or 11 dependent adult relationship. 12 c. Affecting public attitudes regarding the role of an elder 13 or a dependent adult in society. 14 2. The department, in cooperation with the department on 15 aging and the department of inspections and appeals, shall 16 institute a program of education and training for persons, 17 including members of provider groups and family members, who 18 may come in contact with elder or dependent adult abuse. 19 The program shall include but is not limited to instruction 20 regarding recognition of elder and dependent adult abuse and 21 the procedure for the reporting of suspected abuse. 22 3. The content of the continuing education required 23 pursuant to chapter 272C for a licensed professional providing 24 care or service to an elder or a dependent adult shall include , 25 but is not limited to , the responsibilities, obligations, 26 powers, and duties of a person regarding the reporting of 27 suspected elder or dependent adult abuse, and training to aid 28 the professional in identifying instances of elder or dependent 29 adult abuse. 30 4. The department of inspections and appeals shall provide 31 training to investigators regarding the collection and 32 preservation of evidence in the case of suspected elder or 33 dependent adult abuse. 34 5. a. For the purposes of this subsection , “licensing 35 -29- LSB 5795XS (13) 85 pf/rj 29/ 73
S.F. 2145 board” means a board designated in section 147.13 , the board of 1 educational examiners created in section 272.2 , or a licensing 2 board as defined in section 272C.1 . 3 b. A person required to report cases of elder or dependent 4 adult abuse pursuant to sections 235B.3 and 235E.2 , other than 5 a physician whose professional practice does not regularly 6 involve providing primary health care to adults, shall complete 7 two hours of training relating to the identification and 8 reporting of elder or dependent adult abuse within six months 9 of initial employment or self-employment which involves the 10 examination, attending, counseling, or treatment of adults on 11 a regular basis. Within one month of initial employment or 12 self-employment, the person shall obtain a statement of the 13 elder and dependent adult abuse reporting requirements from the 14 person’s employer or, if self-employed, from the department. 15 The person shall complete at least two hours of additional 16 elder and dependent adult abuse identification and reporting 17 training every five years. 18 c. If the person is an employee of a hospital or similar 19 public or private facility, the employer shall be responsible 20 for providing the training. To the extent that the employer 21 provides approved training on the employer’s premises, the 22 hours of training completed by employees shall be included in 23 the calculation of nursing or service hours required to be 24 provided to a patient or resident per day. If the person is 25 self-employed, employed in a licensed or certified profession, 26 or employed by a facility or program that is subject to 27 licensure, regulation, or approval by a state agency, the 28 person shall obtain the training as provided in paragraph “d” . 29 d. The person may complete the initial or additional 30 training requirements as a part of any of the following that 31 are applicable to the person: 32 (1) A continuing education program required under chapter 33 272C and approved by the appropriate licensing board. 34 (2) A training program using a curriculum approved by the 35 -30- LSB 5795XS (13) 85 pf/rj 30/ 73
S.F. 2145 director of public health pursuant to section 135.11 . 1 (3) A training program using such an approved curriculum 2 offered by the department of human services, the department on 3 aging, the department of inspections and appeals, the Iowa law 4 enforcement academy, or a similar public agency. 5 e. A person required to complete both child abuse and elder 6 and dependent adult abuse mandatory reporter training may 7 complete the training through a program which combines child 8 abuse and elder and dependent adult abuse curricula and thereby 9 meet the training requirements of both this subsection and 10 section 232.69 simultaneously. A person who is a mandatory 11 reporter for both child abuse and elder and dependent adult 12 abuse may satisfy the combined training requirements of this 13 subsection and section 232.69 through completion of a two-hour 14 training program, if the training program curriculum is 15 approved by the appropriate licensing board or the director of 16 public health pursuant to section 135.11 . 17 f. A licensing board with authority over the license of a 18 person required to report cases of elder and dependent adult 19 abuse pursuant to sections 235B.3 and 235E.2 shall require as a 20 condition of licensure that the person is in compliance with 21 the requirements for abuse training under this subsection . 22 The licensing board shall require the person upon licensure 23 renewal to accurately document for the licensing board the 24 person’s completion of the training requirements. However, 25 the licensing board may adopt rules providing for waiver or 26 suspension of the compliance requirements, if the waiver or 27 suspension is in the public interest, applicable to a person 28 who is engaged in active duty in the military service of this 29 state or of the United States, to a person for whom compliance 30 with the training requirements would impose a significant 31 hardship, or to a person who is practicing a licensed 32 profession outside this state or is otherwise subject to 33 circumstances that would preclude the person from encountering 34 elder or dependent adult abuse in this state. 35 -31- LSB 5795XS (13) 85 pf/rj 31/ 73
S.F. 2145 g. For persons required to report cases of elder and 1 dependent adult abuse pursuant to sections 235B.3 and 235E.2 , 2 who are not engaged in a licensed profession that is subject 3 to the authority of a licensing board but are employed by 4 a facility or program subject to licensure, registration, 5 or approval by a state agency, the agency shall require as 6 a condition of the renewal of the facility’s or program’s 7 licensure, registration, or approval, that such persons 8 employed by the facility or program are in compliance with the 9 training requirements of this subsection . 10 h. For peace officers, the elected or appointed official 11 designated as the head of the agency employing the peace 12 officer shall ensure compliance with the training requirements 13 of this subsection . 14 i. For persons required to report cases of elder and 15 dependent adult abuse pursuant to sections 235B.3 and 16 235E.2 who are employees of state departments and political 17 subdivisions of the state, the department director or the chief 18 administrator of the political subdivision shall ensure the 19 persons’ compliance with the training requirements of this 20 subsection . 21 6. The department shall require an educational program for 22 employees of the registry on the proper use and control of 23 elder and dependent adult abuse information. 24 Sec. 16. Section 235B.16A, subsection 1, Code 2014, is 25 amended to read as follows: 26 1. The elder and dependent adult protective advisory 27 council established pursuant to section 235B.1 shall recommend 28 a uniform assessment instrument and process for adoption and 29 use by the department of human services and other agencies 30 involved with assessing a dependent adult’s degree of 31 dependency and determining whether dependent adult abuse has 32 occurred. However, this section shall not apply to dependent 33 adult abuse assessments and determinations made under chapter 34 235E . 35 -32- LSB 5795XS (13) 85 pf/rj 32/ 73
S.F. 2145 Sec. 17. Section 235B.17, Code 2014, is amended to read as 1 follows: 2 235B.17 Provision of protective services with the consent of 3 elder or dependent adult —— caretaker refusal. 4 1. If a caretaker of an elder or a dependent adult, who 5 consents to the receipt of protective services, refuses to 6 allow provision of the services, the department may petition 7 the court with probate jurisdiction in the county in which the 8 elder or dependent adult resides for an order enjoining the 9 caretaker from interfering with the provision of services. 10 2. The petition shall be verified and shall allege specific 11 facts sufficient to demonstrate that the elder or dependent 12 adult is in need of protective services and consents to the 13 provision of services and that the caretaker refuses to allow 14 provision of the services. The petition shall include all of 15 the following: 16 a. The name, date of birth, and address of the elder or 17 dependent adult alleged to be in need of protective services. 18 b. The protective services required. 19 c. The name and address of the caretaker refusing to allow 20 the provision of services. 21 3. The court shall set the case for hearing within fourteen 22 days of the filing of the petition. The elder or dependent 23 adult and the caretaker refusing to allow the provision of 24 services shall receive at least five days’ notice of the 25 hearing. 26 4. If the judge finds by clear and convincing evidence that 27 the elder or dependent adult is in need of protective services 28 and consents to the services and that the caretaker refuses to 29 allow the services, the judge may issue an order enjoining the 30 caretaker from interfering with the provision of the protective 31 services. 32 Sec. 18. Section 235B.18, Code 2014, is amended to read as 33 follows: 34 235B.18 Provision of services to elder or dependent adult who 35 -33- LSB 5795XS (13) 85 pf/rj 33/ 73
S.F. 2145 lacks capacity to consent —— hearing —— findings. 1 1. If the department reasonably determines that an elder or 2 a dependent adult is a victim of elder or dependent adult abuse 3 and lacks capacity to consent to the receipt of protective 4 services, the department may petition the district court in the 5 county in which the elder or dependent adult resides for an 6 order authorizing the provision of protective services. The 7 petition shall allege specific facts sufficient to demonstrate 8 that the elder or dependent adult is in need of protective 9 services and lacks capacity to consent to the receipt of 10 services. 11 2. The petition specified in subsection 1 shall be verified 12 and shall include all of the following: 13 a. The name, date of birth, and address of the elder or 14 dependent adult alleged to be in need of protective services. 15 b. The nature of the elder or dependent adult abuse. 16 c. The protective services required. 17 3. The court shall set the case for hearing within fourteen 18 days of the filing of the petition. The elder or dependent 19 adult shall receive at least five days’ notice of the hearing. 20 The elder or dependent adult has the right to be present 21 and represented by counsel at the hearing. If the elder or 22 dependent adult, in the determination of the judge, lacks the 23 capacity to waive the right of counsel, the court may appoint a 24 guardian ad litem for the elder or dependent adult. 25 4. If, at the hearing, the judge finds by clear and 26 convincing evidence that the elder or dependent adult is in 27 need of protective services and lacks the capacity to consent 28 to the receipt of protective services, the judge may issue an 29 order authorizing the provision of protective services. The 30 order may include the designation of a person to be responsible 31 for performing or obtaining protective services on behalf 32 of the elder or dependent adult or otherwise consenting to 33 the receipt of protective services on behalf of the elder or 34 dependent adult. Within sixty days of the appointment of such 35 -34- LSB 5795XS (13) 85 pf/rj 34/ 73
S.F. 2145 a person the court shall conduct a review to determine if a 1 petition shall be initiated in accordance with section 633.552 2 for good cause shown. The court may extend the sixty-day 3 period for an additional sixty days, at the end of which the 4 court shall conduct a review to determine if a petition shall 5 be initiated in accordance with section 633.552 . A An elder 6 or a dependent adult shall not be committed to a mental health 7 facility under this section . 8 5. A determination by the court that an elder or a 9 dependent adult lacks the capacity to consent to the receipt 10 of protective services under this chapter shall not affect 11 incompetency proceedings under sections 633.552 through 633.556 12 or any other proceedings, and incompetency proceedings under 13 sections 633.552 through 633.556 shall not have a conclusive 14 effect on the question of capacity to consent to the receipt of 15 protective services under this chapter . A person previously 16 adjudicated as incompetent under the relevant provisions of 17 chapter 633 is entitled to the care, protection, and services 18 under this chapter . 19 6. This section shall not be construed and is not intended 20 as and shall not imply a grant of entitlement for services to 21 persons who are not otherwise eligible for the services or for 22 utilization of services which do not currently exist or are not 23 otherwise available. 24 Sec. 19. Section 235B.19, Code 2014, is amended to read as 25 follows: 26 235B.19 Emergency order for protective services. 27 1. If the department determines that an elder or a dependent 28 adult is suffering from elder or dependent adult abuse which 29 presents an immediate danger to the health or safety of the 30 elder or dependent adult or which results in irreparable harm 31 to the physical or financial resources or funds, property , or 32 assets of the elder or dependent adult, and that the elder or 33 dependent adult lacks capacity to consent to receive protective 34 services and that no consent can be obtained, the department 35 -35- LSB 5795XS (13) 85 pf/rj 35/ 73
S.F. 2145 may petition the court with probate jurisdiction in the county 1 in which the elder or dependent adult resides for an emergency 2 order authorizing protective services. 3 2. The petition shall be verified and shall include all of 4 the following: 5 a. The name, date of birth, and address of the elder or 6 dependent adult who needs protective services. 7 b. The nature of the elder or dependent adult abuse. 8 c. The services required. 9 3. a. The department shall serve a copy of the petition 10 and any order authorizing protective services, if issued, on 11 the elder or dependent adult and on persons who are competent 12 adults and reasonably ascertainable at the time the petition is 13 filed in accordance with the following priority , as applicable : 14 (1) An attorney in fact named by the elder or dependent 15 adult in a durable power of attorney for health care pursuant 16 to chapter 144B . 17 (2) The elder’s or dependent adult’s spouse. 18 (3) The elder’s or dependent adult’s children. 19 (4) The elder’s or dependent adult’s grandchildren. 20 (5) The elder’s or dependent adult’s siblings. 21 (6) The elder’s or dependent adult’s aunts and uncles. 22 (7) The elder’s or dependent adult’s nieces and nephews. 23 (8) The elder’s or dependent adult’s cousins. 24 b. When the department has served a person in one of the 25 categories specified in paragraph “a” , the department shall not 26 be required to serve a person in any other category. 27 c. The department shall serve the elder’s or dependent 28 adult’s copy of the petition and order personally upon the 29 elder or dependent adult. Service of the petition and all 30 other orders and notices shall be in a sealed envelope with the 31 proper postage on the envelope, addressed to the person being 32 served at the person’s last known post office address, and 33 deposited in a mail receptacle provided by the United States 34 postal service. The department shall serve such copies of 35 -36- LSB 5795XS (13) 85 pf/rj 36/ 73
S.F. 2145 emergency orders authorizing protective services and notices 1 within three days after filing the petition and receiving such 2 orders. 3 d. The department and all persons served by the department 4 with notices under this subsection shall be prohibited from 5 all of the following without prior court approval after the 6 department’s petition has been filed: 7 (1) Selling, removing, or otherwise disposing of the 8 elder’s or dependent adult’s personal property. 9 (2) Withdrawing funds from any bank, savings association, 10 credit union, or other financial institution, or from an 11 account containing securities in which the elder or dependent 12 adult has an interest. 13 4. Upon finding that there is probable cause to believe that 14 the elder or dependent adult abuse presents an immediate threat 15 to the health or safety of the elder or dependent adult or 16 which results in irreparable harm to the physical or financial 17 resources or property of the elder or dependent adult, and that 18 the elder or dependent adult lacks capacity to consent to the 19 receipt of services, the court may do any of the following: 20 a. Order removal of the elder or dependent adult to safer 21 surroundings. 22 b. Order the provision of medical services. 23 c. Order the provision of other available services necessary 24 to remove conditions creating the danger to health or safety, 25 including the services of peace officers or emergency services 26 personnel and the suspension of the powers granted to a 27 guardian or conservator and the subsequent appointment of a 28 new temporary guardian or new temporary conservator pursuant 29 to subsection 5 pending a decision by the court on whether 30 the powers of the initial guardian or conservator should be 31 reinstated or whether the initial guardian or conservator 32 should be removed. 33 5. a. Notwithstanding sections 633.552 and 633.573 , upon 34 a finding that there is probable cause to believe that the 35 -37- LSB 5795XS (13) 85 pf/rj 37/ 73
S.F. 2145 elder or dependent adult abuse presents an immediate danger 1 to the health or safety of the elder or dependent adult or 2 is producing irreparable harm to the physical or financial 3 resources or property of the elder or dependent adult, and that 4 the elder or dependent adult lacks capacity to consent to the 5 receipt of services, the court may order the appointment of 6 a temporary guardian or temporary conservator without notice 7 to the elder or dependent adult or the elder’s or dependent 8 adult’s attorney if all of the following conditions are met: 9 (1) It clearly appears from specific facts shown by 10 affidavit or by the verified petition that an elder’s or a 11 dependent adult’s decision-making capacity is so impaired that 12 the elder or dependent adult is unable to care for the elder’s 13 or dependent adult’s personal safety or to attend to or provide 14 for the elder’s or dependent adult’s basic necessities or that 15 immediate and irreparable injury, loss, or damage will result 16 to the physical or financial resources or property of the 17 elder or dependent adult before the elder or dependent adult 18 or the elder’s or dependent adult’s attorney can be heard in 19 opposition. 20 (2) The department certifies to the court in writing 21 any efforts the department has made to give the notice or 22 the reasons supporting the claim that notice should not be 23 required. 24 (3) The department files with the court a request for a 25 hearing on the petition for the appointment of a temporary 26 guardian or temporary conservator. 27 (4) The department certifies that the notice of the 28 petition, order, and all filed reports and affidavits will be 29 sent to the elder or dependent adult by personal service within 30 the time period the court directs but not more than seventy-two 31 hours after entry of the order of appointment. 32 b. An order of appointment of a temporary guardian or 33 temporary conservator entered by the court under paragraph “a” 34 shall expire as prescribed by the court but within a period of 35 -38- LSB 5795XS (13) 85 pf/rj 38/ 73
S.F. 2145 not more than thirty days unless extended by the court for good 1 cause. 2 c. A hearing on the petition for the appointment of a 3 temporary guardian or temporary conservator shall be held 4 within the time specified in paragraph “b” . If the department 5 does not proceed with a hearing on the petition, the court, on 6 the motion of any party or on its own motion, may dismiss the 7 petition. 8 6. The emergency order expires at the end of seventy-two 9 hours from the time of the order unless the seventy-two-hour 10 period ends on a Saturday, Sunday, or legal holiday in which 11 event the order is automatically extended to 4:00 p.m. on the 12 first succeeding business day. An order may be renewed for 13 not more than fourteen additional days. A renewal order that 14 ends on a Saturday, Sunday, or legal holiday is automatically 15 extended to 4:00 p.m. on the first succeeding business day. 16 The court may modify or terminate the emergency order on the 17 petition of the department, the elder or dependent adult, or 18 any person interested in the elder’s or dependent adult’s 19 welfare. 20 7. If the department cannot obtain an emergency order 21 under this section due to inaccessibility of the court, the 22 department may contact law enforcement to remove the elder or 23 dependent adult to safer surroundings, authorize the provision 24 of medical treatment, and order the provision of or provide 25 other available services necessary to remove conditions 26 creating the immediate danger to the health or safety of the 27 elder or dependent adult or which are producing irreparable 28 harm to the physical or financial resources or property of 29 the elder or dependent adult. The department shall obtain an 30 emergency order under this section not later than four p.m. 31 on the first succeeding business day after the date on which 32 protective or other services are provided. If the department 33 does not obtain an emergency order within the prescribed 34 time period, the department shall cease providing protective 35 -39- LSB 5795XS (13) 85 pf/rj 39/ 73
S.F. 2145 services and, if necessary, make arrangements for the immediate 1 return of the person to the place from which the person was 2 removed, to the person’s place of residence in the state, or 3 to another suitable place. A person, agency, or institution 4 acting in good faith in removing an elder or a dependent adult 5 or in providing services under this subsection , and an employer 6 of or person under the direction of such a person, agency, or 7 institution, shall have immunity from any liability, civil or 8 criminal, that might otherwise be incurred or imposed as the 9 result of the removal or provision of services. 10 8. Upon a finding of probable cause to believe that elder 11 or dependent adult abuse has occurred and is either ongoing or 12 is likely to reoccur, the court may also enter orders as may 13 be appropriate to third persons enjoining them from specific 14 conduct. The orders may include temporary restraining orders 15 which impose criminal sanctions if violated. The court may 16 enjoin third persons from any of the following: 17 a. Removing the elder or dependent adult from the care or 18 custody of another. 19 b. Committing elder or dependent adult abuse on the elder 20 or dependent adult. 21 c. Living at the elder’s or dependent adult’s residence. 22 d. Contacting the elder or dependent adult in person or by 23 telephone. 24 e. Selling, removing, or otherwise disposing of the elder’s 25 or dependent adult’s personal property. 26 f. Withdrawing funds from any bank, savings association, 27 credit union, or other financial institution, or from a stock 28 account in which the elder or dependent adult has an interest. 29 g. Negotiating any instruments payable to the elder or 30 dependent adult. 31 h. Selling, mortgaging, or otherwise encumbering any 32 interest that the elder or dependent adult has in real 33 property. 34 i. Exercising any powers on behalf of the elder or 35 -40- LSB 5795XS (13) 85 pf/rj 40/ 73
S.F. 2145 dependent adult through representatives of the department, any 1 court-appointed guardian or guardian ad litem, or any official 2 acting on the elder’s or dependent adult’s behalf. 3 j. Engaging in any other specified act which, based upon the 4 facts alleged, would constitute harm or a threat of imminent 5 harm to the elder or dependent adult or would cause damage to 6 or the loss of the elder’s or dependent adult’s property. 7 9. This section shall not be construed and is not intended 8 as and shall not imply a grant of entitlement for services to 9 persons who are not otherwise eligible for the services or for 10 utilization of services which do not currently exist or are not 11 otherwise available. 12 DIVISION II 13 CRIMES AGAINST AN OLDER INDIVIDUAL 14 Sec. 20. NEW SECTION . 714.2A Theft against an older 15 individual. 16 1. If a person commits theft and the violation is committed 17 against an individual who was an older individual at the 18 time the theft was committed, notwithstanding the penalties 19 specified in section 714.2, all of the following shall apply: 20 a. If a person commits theft in the first degree pursuant to 21 section 714.2, subsection 1, the person is guilty of a class 22 “B” felony. 23 b. If a person commits theft in the second degree pursuant 24 to section 714.2, subsection 2, the person is guilty of a class 25 “C” felony. 26 c. If a person commits theft in the third degree pursuant to 27 section 714.2, subsection 3, the person is guilty of a class 28 “D” felony. 29 d. If a person commits theft in the fourth degree pursuant 30 to section 714.2, subsection 4, the person is guilty of an 31 aggravated misdemeanor. 32 e. If a person commits theft in the fifth degree pursuant to 33 section 714.2, subsection 5, the person is guilty of a serious 34 misdemeanor. 35 -41- LSB 5795XS (13) 85 pf/rj 41/ 73
S.F. 2145 2. For the purposes of this section, “older individual” 1 means older individual as defined in section 231.4. 2 Sec. 21. Section 714.16A, Code 2014, is amended to read as 3 follows: 4 714.16A Additional civil penalty for consumer frauds 5 committed against elderly older individual —— fund established. 6 1. a. If a person violates section 714.16 , and the 7 violation is committed against an older person individual , 8 in an action brought by the attorney general, in addition to 9 any other civil penalty, the court may impose an additional 10 civil penalty not to exceed five thousand dollars for each 11 such violation. Additionally, the attorney general may 12 accept a civil penalty as determined by the attorney general 13 in settlement of an investigation of a violation of section 14 714.16 , regardless of whether an action has been filed pursuant 15 to section 714.16 . 16 b. A civil penalty imposed by a court or determined and 17 accepted by the attorney general pursuant to this section shall 18 be paid to the treasurer of state, who shall deposit the money 19 in the elderly older individual victim fund, a separate fund 20 created in the state treasury and administered by the attorney 21 general for the investigation and prosecution of frauds against 22 the elderly older individuals . Notwithstanding section 8.33 , 23 any balance in the fund on June 30 of any fiscal year shall 24 not revert to the general fund of the state. An award of 25 reimbursement pursuant to section 714.16 has priority over a 26 civil penalty imposed by the court pursuant to this subsection . 27 2. In determining whether to impose a civil penalty under 28 subsection 1 , and the amount of any such penalty, the court 29 shall consider the following: 30 a. Whether the defendant’s conduct was in willful disregard 31 of the rights of the older person individual . 32 b. Whether the defendant knew or should have known that the 33 defendant’s conduct was directed to an older person individual . 34 c. Whether the older person individual was substantially 35 -42- LSB 5795XS (13) 85 pf/rj 42/ 73
S.F. 2145 more vulnerable to the defendant’s conduct because of age, poor 1 health, infirmity, impaired understanding, restricted mobility, 2 or disability, than other persons. 3 d. Any other factors the court deems appropriate. 4 3. As used in this section , “older person” individual” means 5 a person who is sixty-five sixty years of age or older. 6 Sec. 22. NEW SECTION . 726.25 Financial exploitation of an 7 older individual. 8 1. A person commits financial exploitation of an older 9 individual when the person stands in a position of trust or 10 confidence with the older individual and knowingly and by undue 11 influence, deception, coercion, fraud, breach of fiduciary 12 duty, or extortion, obtains control over or otherwise uses the 13 benefits, property, resources, belongings, or assets of the 14 older individual. 15 2. A person who commits financial exploitation of an older 16 individual is guilty of the following, as applicable: 17 a. A serious misdemeanor if the value of the benefits, 18 property, resources, belongings, or assets is one hundred 19 dollars or less. 20 b. An aggravated misdemeanor if the value of the benefits, 21 property, resources, belongings, or assets exceeds one hundred 22 dollars but does not exceed one thousand dollars. 23 c. A class “D” felony if the value of the benefits, 24 property, resources, belongings, or assets exceeds one thousand 25 dollars but does not exceed ten thousand dollars. 26 d. A class “C” felony if the value of the benefits, 27 property, resources, belongings, or assets exceeds ten thousand 28 dollars but does not exceed fifty thousand dollars. 29 e. A class “B” felony if the value of the benefits, 30 property, resources, belongings, or assets exceeds fifty 31 thousand dollars, or if the older individual is seventy years 32 of age to eighty years of age and the value of the benefits, 33 property, resources, belongings, or assets is fifteen thousand 34 dollars or more, or if the older individual is eighty years 35 -43- LSB 5795XS (13) 85 pf/rj 43/ 73
S.F. 2145 of age or older and the value of the benefits, property, 1 resources, belongings, or assets is five thousand dollars or 2 more. 3 3. Nothing in this section shall be construed to limit other 4 remedies available to the older individual. 5 4. A person alleged to have committed a violation under 6 this section shall be charged with the respective offense 7 cited, unless a charge may be brought based upon a more serious 8 offense, in which case the charge of the more serious offense 9 shall supersede the less serious charge. 10 5. Nothing in this section shall be construed to impose 11 criminal liability on a person who has made a good-faith effort 12 to assist an older individual in the management of the older 13 individual’s benefits, property, resources, belongings, or 14 assets, but through no fault of the person, the person has been 15 unable to provide such assistance. 16 6. It shall not be a defense to financial exploitation of 17 an older individual that the alleged perpetrator did not know 18 the age of the older individual or reasonably believed that the 19 alleged victim was not an older individual. 20 7. For the purposes of this section: 21 a. “Caregiver” means an individual who has the 22 responsibility for the care or custody of an older individual, 23 whether voluntarily, by contract, through employment, or as a 24 result of the operation of law, and includes but is not limited 25 to a family member or other individual who provides compensated 26 or uncompensated care to an older individual. 27 b. “Coercion” means communication or conduct which compels 28 an older individual to act or refrain from acting against the 29 older individual’s will. 30 c. “Fiduciary” means a person or entity with the legal 31 responsibility to make decisions on behalf of and for the 32 benefit of an older individual and to act in good faith and 33 with fairness. “Fiduciary” includes a guardian, trustee, 34 executor, administrator, receiver, conservator, attorney 35 -44- LSB 5795XS (13) 85 pf/rj 44/ 73
S.F. 2145 in fact, representative payee, or any person acting in any 1 fiduciary capacity for or on behalf of an older individual. 2 d. “Older individual” means the same as defined in section 3 231.4. 4 e. “Stands in a position of trust or confidence” means the 5 person has any of the following relationships relative to the 6 older individual: 7 (1) Is a parent, spouse, adult child, or other relative by 8 consanguinity or affinity of the older individual. 9 (2) Is a joint tenant or tenant in common with the older 10 individual. 11 (3) Has a legal or fiduciary relationship with the older 12 individual. 13 (4) Is a financial planning or investment professional 14 providing or offering to provide financial planning or 15 investment advice to the older individual. 16 (5) Is a beneficiary of the older individual in a governing 17 instrument. 18 (6) Is a caregiver for the older individual. 19 (7) Is a person who is in a confidential relationship with 20 the older individual. The determination of the existence of a 21 confidential relationship is an issue of fact to be determined 22 by the court based upon the totality of the circumstances. 23 f. “Undue influence” means taking advantage of a person’s 24 role, relationship, or authority to improperly change or 25 obtain control over the actions or decision making of an older 26 individual. 27 DIVISION III 28 CONFORMING AMENDMENTS 29 Sec. 23. Section 35D.14A, Code 2014, is amended to read as 30 follows: 31 35D.14A Volunteer record checks. 32 1. Persons who are potential volunteers or volunteers in 33 the Iowa veterans home in a position having direct individual 34 contact with patients or residents of the home shall be subject 35 -45- LSB 5795XS (13) 85 pf/rj 45/ 73
S.F. 2145 to criminal history and child and elder and dependent adult 1 abuse record checks in accordance with this section . The Iowa 2 veterans home shall request that the department of public 3 safety perform the criminal history check and the department 4 of human services perform child and elder and dependent adult 5 abuse record checks of the person in this state and may request 6 these checks in other states. 7 2. a. If it is determined that a person has been convicted 8 of a crime under a law of any state or has a record of founded 9 child , elder, or dependent adult abuse, the person shall not 10 participate as a volunteer with direct individual contact 11 with patients or residents of the Iowa veterans home unless 12 an evaluation has been performed by the department of human 13 services to determine whether the crime or founded child , 14 elder, or dependent adult abuse warrants prohibition of the 15 person’s participation as a volunteer in the Iowa veterans 16 home. The department of human services shall perform such 17 evaluation upon the request of the Iowa veterans home. 18 b. In an evaluation, the department of human services shall 19 consider the nature and seriousness of the crime or founded 20 child , elder, or dependent adult abuse in relation to the 21 position sought or held, the time elapsed since the commission 22 of the crime or founded child , elder, or dependent adult abuse, 23 the circumstances under which the crime or founded child , 24 elder, or dependent adult abuse was committed, the degree of 25 rehabilitation, the likelihood that the person will commit the 26 crime or founded child , elder, or dependent adult abuse again, 27 and the number of crimes or founded child , elder, or dependent 28 adult abuses committed by the person involved. 29 c. If the department of human services performs an 30 evaluation for the purposes of this section , the department 31 of human services has final authority in determining whether 32 prohibition of the person’s participation as a volunteer is 33 warranted. The department of human services may permit a 34 person who is evaluated to participate as a volunteer if the 35 -46- LSB 5795XS (13) 85 pf/rj 46/ 73
S.F. 2145 person complies with the department’s conditions relating to 1 participation as a volunteer which may include completion of 2 additional training. 3 Sec. 24. Section 125.14A, subsections 5 and 7, Code 2014, 4 are amended to read as follows: 5 5. In addition to the record checks required under this 6 section , the department of human services may conduct elder 7 and dependent adult abuse record checks in this state and may 8 conduct these checks in other states, on a random basis. The 9 provisions of this section , relative to an evaluation following 10 a determination that a person has been convicted of a crime 11 or has a record of founded child abuse, shall also apply to a 12 random check conducted under this subsection . 13 7. On or after July 1, 1994, a program or facility shall 14 include the following inquiry in an application for employment: 15 Do you have a record of founded child , elder, or dependent 16 adult abuse or have you ever been convicted of a crime, in this 17 state or any other state? 18 Sec. 25. Section 135.11, subsection 24, Code 2014, is 19 amended to read as follows: 20 24. Review and approve mandatory reporter training 21 curricula for those persons who work in a position 22 classification that under law makes the persons mandatory 23 reporters of child , elder, or dependent adult abuse and the 24 position classification does not have a mandatory reporter 25 training curriculum approved by a licensing or examining board. 26 Sec. 26. Section 135B.34, Code 2014, is amended to read as 27 follows: 28 135B.34 Hospital employees —— criminal history and child, 29 elder, and dependent adult abuse record checks —— penalty. 30 1. Prior to employment of a person in a hospital, the 31 hospital shall request that the department of public safety 32 perform a criminal history check and the department of human 33 services perform child and elder and dependent adult abuse 34 record checks of the person in this state. A hospital 35 -47- LSB 5795XS (13) 85 pf/rj 47/ 73
S.F. 2145 shall inform all persons prior to employment regarding the 1 performance of the record checks and shall obtain, from 2 the persons, a signed acknowledgment of the receipt of the 3 information. A hospital shall include the following inquiry in 4 an application for employment: 5 Do you have a record of founded child , elder, or dependent 6 adult abuse or have you ever been convicted of a crime, in this 7 state or any other state? 8 2. a. If it is determined that a person being considered 9 for employment in a hospital has committed a crime, the 10 department of public safety shall notify the hospital that 11 upon the request of the hospital the department of human 12 services will perform an evaluation to determine whether the 13 crime warrants prohibition of the person’s employment in the 14 hospital. 15 b. (1) If a person being considered for employment, other 16 than employment involving the operation of a motor vehicle, 17 has been convicted of a crime listed in subparagraph (2) but 18 does not have a record of founded child , elder, or dependent 19 adult abuse and the hospital has requested an evaluation in 20 accordance with paragraph “a” to determine whether the crime 21 warrants prohibition of the person’s employment, the hospital 22 may employ the person for not more than sixty calendar days 23 pending completion of the evaluation. 24 (2) Subparagraph (1) applies to a crime that is a simple 25 misdemeanor offense under section 123.47 or chapter 321 , and 26 to a crime that is a first offense of operating a motor vehicle 27 while intoxicated under section 321J.2, subsection 1 . 28 c. If a department of human services child or elder and 29 dependent adult abuse record check shows that the person has 30 a record of founded child , elder, or dependent adult abuse, 31 the department of human services shall notify the hospital 32 that upon the request of the hospital the department of human 33 services will perform an evaluation to determine whether 34 the founded child , elder, or dependent adult abuse warrants 35 -48- LSB 5795XS (13) 85 pf/rj 48/ 73
S.F. 2145 prohibition of the person’s employment in the hospital. 1 d. An evaluation performed under this subsection shall 2 be performed in accordance with procedures adopted for this 3 purpose by the department of human services. 4 e. (1) If a person owns or operates more than one hospital, 5 and an employee of one of such hospitals is transferred to 6 another such hospital without a lapse in employment, the 7 hospital is not required to request additional criminal and 8 child and elder and dependent adult abuse record checks of that 9 employee. 10 (2) If the ownership of a hospital is transferred, at the 11 time of transfer the record checks required by this section 12 shall be performed for each employee for whom there is no 13 documentation that such record checks have been performed. 14 The hospital may continue to employ such employee pending the 15 performance of the record checks and any related evaluation. 16 3. In an evaluation, the department of human services shall 17 consider the nature and seriousness of the crime or founded 18 child , elder, or dependent adult abuse in relation to the 19 position sought or held, the time elapsed since the commission 20 of the crime or founded child , elder, or dependent adult abuse, 21 the circumstances under which the crime or founded child , 22 elder, or dependent adult abuse was committed, the degree of 23 rehabilitation, the likelihood that the person will commit 24 the crime or founded child , elder, or dependent adult abuse 25 again, and the number of crimes or founded child , elder, or 26 dependent adult abuses committed by the person involved. If 27 the department of human services performs an evaluation for 28 the purposes of this section , the department of human services 29 has final authority in determining whether prohibition of the 30 person’s employment is warranted. 31 4. a. Except as provided in paragraph “b” and subsection 2 , 32 a person who has committed a crime or has a record of founded 33 child , elder, or dependent adult abuse shall not be employed in 34 a hospital licensed under this chapter unless an evaluation has 35 -49- LSB 5795XS (13) 85 pf/rj 49/ 73
S.F. 2145 been performed by the department of human services. 1 b. A person with a criminal or child, elder, or dependent 2 adult abuse record who is or was employed by a hospital 3 licensed under this chapter and is hired by another hospital 4 shall be subject to the criminal history and child or elder 5 and dependent adults abuse record checks required pursuant 6 to subsection 1 . However, if an evaluation was previously 7 performed by the department of human services concerning the 8 person’s criminal or child, elder, or dependent adult abuse 9 record and it was determined that the record did not warrant 10 prohibition of the person’s employment and the latest record 11 checks do not indicate a crime was committed or founded child, 12 elder, or dependent adult abuse record was entered subsequent 13 to that evaluation, the person may commence employment with 14 the other hospital in accordance with the department of human 15 services’ evaluation and an exemption from the requirements 16 in paragraph “a” for reevaluation of the latest record checks 17 is authorized. Otherwise, the requirements of paragraph “a” 18 remain applicable to the person’s employment. Authorization 19 of an exemption under this paragraph “b” from requirements for 20 reevaluation of the latest record checks by the department of 21 human services is subject to all of the following provisions: 22 (1) The position with the subsequent employer is 23 substantially the same or has the same job responsibilities as 24 the position for which the previous evaluation was performed. 25 (2) Any restrictions placed on the person’s employment in 26 the previous evaluation by the department of human services 27 shall remain applicable in the person’s subsequent employment. 28 (3) The person subject to the record checks has maintained a 29 copy of the previous evaluation and provides the evaluation to 30 the subsequent employer or the previous employer provides the 31 previous evaluation from the person’s personnel file pursuant 32 to the person’s authorization. If a physical copy of the 33 previous evaluation is not provided to the subsequent employer, 34 the record checks shall be reevaluated. 35 -50- LSB 5795XS (13) 85 pf/rj 50/ 73
S.F. 2145 (4) Although an exemption under this lettered paragraph “b” 1 may be authorized, the subsequent employer may instead request 2 a reevaluation of the record checks and may employ the person 3 while the reevaluation is being performed. 4 5. a. If a person employed by a hospital that is subject 5 to this section is convicted of a crime or has a record of 6 founded child , elder, or dependent adult abuse entered in 7 the abuse registry after the person’s employment application 8 date, the person shall inform the hospital of such information 9 within forty-eight hours of the criminal conviction or entry 10 of the record of founded child , elder, or dependent adult 11 abuse. The hospital shall act to verify the information 12 within forty-eight hours of notification. If the information 13 is verified, the requirements of subsections 2, 3, and 4 14 regarding employability and evaluations shall be applied by the 15 hospital to determine whether or not the person’s employment 16 is continued. The hospital may continue to employ the person 17 pending the performance of an evaluation by the department of 18 human services to determine whether prohibition of the person’s 19 employment is warranted. A person who is required by this 20 subsection to inform the person’s employer of a conviction or 21 entry of an abuse record and fails to do so within the required 22 period commits a serious misdemeanor. 23 b. If a hospital receives credible information, as 24 determined by the hospital, that a person employed by the 25 hospital has been convicted of a crime or a record of founded 26 child , elder, or dependent adult abuse has been entered in the 27 abuse registry after employment from a person other than the 28 employee and the employee has not informed the hospital of such 29 information within the period required under paragraph “a” , the 30 hospital shall act to verify the credible information within 31 forty-eight hours of receipt of the credible information. If 32 the information is verified, the requirements of subsections 33 2, 3, and 4 regarding employability and evaluations shall 34 be applied by the hospital to determine whether or not the 35 -51- LSB 5795XS (13) 85 pf/rj 51/ 73
S.F. 2145 person’s employment is continued. 1 c. The hospital may notify the county attorney for the 2 county where the hospital is located of any violation or 3 failure by an employee to notify the hospital of a criminal 4 conviction or entry of an a child, elder, or dependent adult 5 abuse record within the period required under paragraph “a” . 6 6. A hospital licensed in this state may access the single 7 contact repository established by the department pursuant to 8 section 135C.33 as necessary for the hospital to perform record 9 checks of persons employed or being considered for employment 10 by the hospital. 11 Sec. 27. Section 135C.33, Code 2014, is amended to read as 12 follows: 13 135C.33 Employees and certified nurse aide trainees —— child 14 or , elder, and dependent adult abuse information and criminal 15 record checks —— evaluations —— application to other providers 16 —— penalty. 17 1. a. For the purposes of this section , the term “crime” 18 does not include offenses under chapter 321 classified as a 19 simple misdemeanor or equivalent simple misdemeanor offenses 20 from another jurisdiction. 21 b. Prior to employment of a person in a facility, the 22 facility shall request that the department of public safety 23 perform a criminal history check and the department of human 24 services perform child and elder and dependent adult abuse 25 record checks of the person in this state. A facility 26 shall inform all persons prior to employment regarding the 27 performance of the record checks and shall obtain, from 28 the persons, a signed acknowledgment of the receipt of the 29 information. A facility shall include the following inquiry in 30 an application for employment: 31 Do you have a record of founded child , elder, or dependent 32 adult abuse or have you ever been convicted of a crime 33 other than a simple misdemeanor offense relating to motor 34 vehicles and laws of the road under chapter 321 or equivalent 35 -52- LSB 5795XS (13) 85 pf/rj 52/ 73
S.F. 2145 provisions, in this state or any other state? 1 2. a. If it is determined that a person being considered 2 for employment in a facility has been convicted of a crime 3 under a law of any state, the department of public safety shall 4 notify the licensee that upon the request of the licensee 5 the department of human services will perform an evaluation 6 to determine whether the crime warrants prohibition of the 7 person’s employment in the facility. 8 b. (1) If a person being considered for employment, other 9 than employment involving the operation of a motor vehicle, 10 has been convicted of a crime listed in subparagraph (2) but 11 does not have a record of founded child , elder, or dependent 12 adult abuse and the licensee has requested an evaluation in 13 accordance with paragraph “a” to determine whether the crime 14 warrants prohibition of the person’s employment, the licensee 15 may employ the person for not more than sixty calendar days 16 pending completion of the evaluation. 17 (2) Subparagraph (1) applies to a crime that is a simple 18 misdemeanor offense under section 123.47 or chapter 321 , and 19 to a crime that is a first offense of operating a motor vehicle 20 while intoxicated under section 321J.2, subsection 1 . 21 c. If a department of human services child or elder and 22 dependent adult abuse record check shows that such person has 23 a record of founded child , elder, or dependent adult abuse, 24 the department of human services shall notify the licensee 25 that upon the request of the licensee the department of human 26 services will perform an evaluation to determine whether 27 the founded child , elder, or dependent adult abuse warrants 28 prohibition of employment in the facility. 29 d. An evaluation performed under this subsection shall 30 be performed in accordance with procedures adopted for this 31 purpose by the department of human services. 32 e. (1) If a person owns or operates more than one facility, 33 and an employee of one of such facilities is transferred to 34 another such facility without a lapse in employment, the 35 -53- LSB 5795XS (13) 85 pf/rj 53/ 73
S.F. 2145 facility is not required to request additional criminal and 1 child and elder and dependent adult abuse record checks of that 2 employee. 3 (2) If the ownership of a facility is transferred, at the 4 time of transfer the record checks required by this section 5 shall be performed for each employee for whom there is no 6 documentation that such record checks have been performed. 7 The facility may continue to employ such employee pending the 8 performance of the record checks and any related evaluation. 9 3. In an evaluation, the department of human services shall 10 consider the nature and seriousness of the crime or founded 11 child , elder, or dependent adult abuse in relation to the 12 position sought or held, the time elapsed since the commission 13 of the crime or founded child , elder, or dependent adult abuse, 14 the circumstances under which the crime or founded child , 15 elder, or dependent adult abuse was committed, the degree of 16 rehabilitation, the likelihood that the person will commit 17 the crime or founded child , elder, or dependent adult abuse 18 again, and the number of crimes or founded child , elder, or 19 dependent adult abuses committed by the person involved. If 20 the department of human services performs an evaluation for 21 the purposes of this section , the department of human services 22 has final authority in determining whether prohibition of the 23 person’s employment is warranted. 24 4. a. Except as provided in paragraph “b” and subsection 2 , 25 a person who has committed a crime or has a record of founded 26 child , elder, or dependent adult abuse shall not be employed in 27 a facility licensed under this chapter unless an evaluation has 28 been performed by the department of human services. 29 b. A person with a criminal or child or elder and dependent 30 adult abuse record who is or was employed by a facility 31 licensed under this chapter and is hired by another licensee 32 shall be subject to the criminal history and child or elder 33 and dependent adult abuse record checks required pursuant 34 to subsection 1 . However, if an evaluation was previously 35 -54- LSB 5795XS (13) 85 pf/rj 54/ 73
S.F. 2145 performed by the department of human services concerning 1 the person’s criminal or child or elder and dependent adult 2 abuse record and it was determined that the record did not 3 warrant prohibition of the person’s employment and the 4 latest record checks do not indicate a crime was committed or 5 founded child or elder and dependent adult abuse record was 6 entered subsequent to that evaluation, the person may commence 7 employment with the other licensee in accordance with the 8 department of human services’ evaluation and an exemption from 9 the requirements in paragraph “a” for reevaluation of the latest 10 record checks is authorized. Otherwise, the requirements of 11 paragraph “a” remain applicable to the person’s employment. 12 Authorization of an exemption under this paragraph “b” from 13 requirements for reevaluation of the latest record checks by 14 the department of human services is subject to all of the 15 following provisions: 16 (1) The position with the subsequent employer is 17 substantially the same or has the same job responsibilities as 18 the position for which the previous evaluation was performed. 19 (2) Any restrictions placed on the person’s employment in 20 the previous evaluation by the department of human services 21 shall remain applicable in the person’s subsequent employment. 22 (3) The person subject to the record checks has maintained a 23 copy of the previous evaluation and provides the evaluation to 24 the subsequent employer or the previous employer provides the 25 previous evaluation from the person’s personnel file pursuant 26 to the person’s authorization. If a physical copy of the 27 previous evaluation is not provided to the subsequent employer, 28 the record checks shall be reevaluated. 29 (4) Although an exemption under this paragraph “b” may 30 be authorized, the subsequent employer may instead request a 31 reevaluation of the record checks and may employ the person 32 while the reevaluation is being performed. 33 5. a. This section shall also apply to prospective 34 employees of all of the following, if the provider is regulated 35 -55- LSB 5795XS (13) 85 pf/rj 55/ 73
S.F. 2145 by the state or receives any state or federal funding: 1 (1) An employee of a homemaker-home health aide, home care 2 aide, adult day services, or other provider of in-home services 3 if the employee provides direct services to consumers. 4 (2) An employee of a hospice, if the employee provides 5 direct services to consumers. 6 (3) An employee who provides direct services to consumers 7 under a federal home and community-based services waiver. 8 (4) An employee of an elder group home certified under 9 chapter 231B , if the employee provides direct services to 10 consumers. 11 (5) An employee of an assisted living program certified 12 under chapter 231C , if the employee provides direct services 13 to consumers. 14 b. In substantial conformance with the provisions of this 15 section , prior to the employment of such an employee, the 16 provider shall request the performance of the criminal and 17 child and elder and dependent adult abuse record checks. The 18 provider shall inform the prospective employee and obtain 19 the prospective employee’s signed acknowledgment. The 20 department of human services shall perform the evaluation of 21 any criminal record or founded child or elder and dependent 22 adult abuse record and shall make the determination of whether 23 a prospective employee of a provider shall not be employed by 24 the provider. 25 6. a. The department of inspections and appeals, in 26 conjunction with other departments and agencies of state 27 government involved with criminal history and abuse registry 28 information, shall establish a single contact repository for 29 facilities and other providers to have electronic access to 30 data to perform background checks for purposes of employment, 31 as required of the facilities and other providers under this 32 section . 33 b. The department may access the single contact repository 34 for any of the following purposes: 35 -56- LSB 5795XS (13) 85 pf/rj 56/ 73
S.F. 2145 (1) To verify data transferred from the department’s nurse 1 aide registry to the repository. 2 (2) To conduct record checks of applicants for employment 3 with the department. 4 7. a. If a person employed by a facility, service, or 5 program employer that is subject to this section is convicted 6 of a crime or has a record of founded child , elder, or 7 dependent adult abuse entered in the abuse registry after 8 the person’s employment application date, the person shall 9 inform the employer of such information within forty-eight 10 hours of the criminal conviction or entry of the record of 11 founded child , elder, or dependent adult abuse. The employer 12 shall act to verify the information within forty-eight 13 hours of notification. If the information is verified, the 14 requirements of subsections 2, 3, and 4 regarding employability 15 and evaluations shall be applied by the employer to determine 16 whether or not the person’s employment is continued. The 17 employer may continue to employ the person pending the 18 performance of an evaluation by the department of human 19 services to determine whether prohibition of the person’s 20 employment is warranted. A person who is required by this 21 subsection to inform the person’s employer of a conviction or 22 entry of an abuse record and fails to do so within the required 23 period commits a serious misdemeanor. 24 b. If a facility, service, or program employer receives 25 credible information, as determined by the employer, that a 26 person employed by the employer has been convicted of a crime 27 or a record of founded child , elder, or dependent adult abuse 28 has been entered in the abuse registry after employment from 29 a person other than the employee and the employee has not 30 informed the employer of such information within the period 31 required under paragraph “a” , the employer shall act to verify 32 the credible information within forty-eight hours of receipt of 33 the credible information. If the information is verified, the 34 requirements of subsections 2, 3, and 4 regarding employability 35 -57- LSB 5795XS (13) 85 pf/rj 57/ 73
S.F. 2145 and evaluations shall be applied to determine whether or not 1 the person’s employment is continued. 2 c. The employer may notify the county attorney for the 3 county where the employer is located of any violation or 4 failure by an employee to notify the employer of a criminal 5 conviction or entry of an abuse record within the period 6 required under paragraph “a” . 7 8. a. For the purposes of this subsection , unless the 8 context otherwise requires: 9 (1) “Certified nurse aide training program” means a program 10 approved in accordance with the rules for such programs adopted 11 by the department of human services for the training of persons 12 seeking to be a certified nurse aide for employment in any of 13 the facilities or programs this section applies to or in a 14 hospital, as defined in section 135B.1 . 15 (2) “Student” means a person applying for, enrolled in, or 16 returning to a certified nurse aide training program. 17 b. Prior to a student beginning or returning to a certified 18 nurse aide training program, the program shall request that the 19 department of public safety perform a criminal history check 20 and the department of human services perform child and elder 21 and dependent adult abuse record checks, in this state, of the 22 student. The program may access the single contact repository 23 established pursuant to this section as necessary for the 24 program to initiate the record checks. 25 c. If a student has a criminal record or a record of founded 26 child , elder, or dependent adult abuse, the student shall not 27 be involved in a clinical education component of the certified 28 nurse aide training program involving children , elders, or 29 dependent adults unless an evaluation has been performed by the 30 department of human services. Upon request of the certified 31 nurse aide training program, the department of human services 32 shall perform an evaluation to determine whether the record 33 warrants prohibition of the student’s involvement in a clinical 34 education component of the certified nurse aide training 35 -58- LSB 5795XS (13) 85 pf/rj 58/ 73
S.F. 2145 program involving children , elders, or dependent adults. The 1 evaluation shall be performed in accordance with the criteria 2 specified in subsection 3 , and the department of human services 3 shall report the results of the evaluation to the certified 4 nurse aide training program. The department of human services 5 has final authority in determining whether prohibition of the 6 student’s involvement in the clinical education component is 7 warranted. 8 d. (1) If a student’s clinical education component of 9 the training program involves children , elders, or dependent 10 adults but does not involve operation of a motor vehicle, 11 and the student has been convicted of a crime listed in 12 subparagraph (2), but does not have a record of founded child , 13 elder, or dependent adult abuse, and the training program 14 has requested an evaluation in accordance with paragraph “c” 15 to determine whether the crime warrants prohibition of the 16 student’s involvement in such clinical education component, the 17 training program may allow the student’s participation in the 18 component for not more than sixty days pending completion of 19 the evaluation. 20 (2) Subparagraph (1) applies to a crime that is a simple 21 misdemeanor offense under section 123.47 or chapter 321 , and 22 to a crime that is a first offense of operating a motor vehicle 23 while intoxicated under section 321J.2, subsection 1 . 24 e. (1) If a student is convicted of a crime or has a 25 record of founded child , elder, or dependent adult abuse 26 entered in the abuse registry after the record checks and any 27 evaluation have been performed, the student shall inform the 28 certified nurse aide training program of such information 29 within forty-eight hours of the criminal conviction or entry 30 of the record of founded child , elder, or dependent adult 31 abuse. The program shall act to verify the information within 32 forty-eight hours of notification. If the information is 33 verified, the requirements of paragraph “c” shall be applied 34 by the program to determine whether or not the student’s 35 -59- LSB 5795XS (13) 85 pf/rj 59/ 73
S.F. 2145 involvement in a clinical education component may continue. 1 The program may allow the student involvement to continue 2 pending the performance of an evaluation by the department of 3 human services. A student who is required by this subparagraph 4 to inform the program of a conviction or entry of an abuse 5 record and fails to do so within the required period commits 6 a serious misdemeanor. 7 (2) If a program receives credible information, as 8 determined by the program, that a student has been convicted of 9 a crime or a record of founded child , elder, or dependent adult 10 abuse has been entered in the abuse registry after the record 11 checks and any evaluation have been performed, from a person 12 other than the student and the student has not informed the 13 program of such information within the period required under 14 subparagraph (1), the program shall act to verify the credible 15 information within forty-eight hours of receipt of the credible 16 information. If the information is verified, the requirements 17 of paragraph “c” shall be applied to determine whether or not 18 the student’s involvement in a clinical education component may 19 continue. 20 (3) The program may notify the county attorney for the 21 county where the program is located of any violation or failure 22 by a student to notify the program of a criminal conviction 23 or entry of an abuse record within the period required under 24 subparagraph (1). 25 f. If a certified nurse aide training program is conducted 26 by a health care facility and a student of that program 27 subsequently accepts and begins employment with the facility 28 within thirty days of completing the program, the criminal 29 history and abuse registry checks of the student performed 30 pursuant to this subsection shall be deemed to fulfill the 31 requirements for such checks prior to employment pursuant to 32 subsection 1 . 33 Sec. 28. Section 135H.7, subsections 4 and 6, Code 2014, are 34 amended to read as follows: 35 -60- LSB 5795XS (13) 85 pf/rj 60/ 73
S.F. 2145 4. In addition to the record checks required under 1 subsection 2 , the department of human services may conduct 2 elder and dependent adult abuse record checks in this state 3 and may conduct these checks in other states, on a random 4 basis. The provisions of subsections 2 and 3 , relative to an 5 evaluation following a determination that a person has been 6 convicted of a crime or has a record of founded child abuse, 7 shall also apply to a random elder and dependent adult abuse 8 record check conducted under this subsection . 9 6. On or after July 1, 1994, a licensee shall include the 10 following inquiry in an application for employment: 11 Do you have a record of founded child , elder, or dependent 12 adult abuse or have you ever been convicted of a crime, in this 13 state or any other state? 14 Sec. 29. Section 135O.3, subsection 4, Code 2014, is amended 15 to read as follows: 16 4. If the department or a multidisciplinary team has 17 probable cause to believe that a boarding home is in violation 18 of this chapter or licensing or other regulatory requirements 19 of the department of human services, department of inspections 20 and appeals, or department of public health, or that elder or 21 dependent adult abuse of any individual living in a boarding 22 home has occurred, and upon producing proper identification, is 23 denied entry to the boarding home or access to any individual 24 living in the boarding home for the purpose of making an 25 inspection or conducting an investigation, the department or 26 multidisciplinary team may, with the assistance of the county 27 attorney of the county in which the boarding home is located, 28 apply to the district court for an order requiring the owner or 29 lessee to permit entry to the boarding home and access to the 30 individuals living in the boarding home. 31 Sec. 30. Section 144A.11, subsection 1, Code 2014, is 32 amended to read as follows: 33 1. Death resulting from the withholding or withdrawal 34 of life-sustaining procedures pursuant to a declaration or 35 -61- LSB 5795XS (13) 85 pf/rj 61/ 73
S.F. 2145 out-of-hospital do-not-resuscitate order and in accordance with 1 this chapter does not, for any purpose, constitute a suicide, 2 homicide, or elder or dependent adult abuse. 3 Sec. 31. Section 144D.4, subsection 4, Code 2014, is amended 4 to read as follows: 5 4. Death resulting from the withholding or withdrawal of 6 life-sustaining procedures pursuant to an executed POST form 7 and in accordance with this chapter does not, for any purpose, 8 constitute a suicide, homicide, or elder or dependent adult 9 abuse. 10 Sec. 32. Section 152.5, subsection 3, paragraphs c and d, 11 Code 2014, are amended to read as follows: 12 c. A nursing program shall request that the department 13 of public safety perform a criminal history check and the 14 department of human services perform child and elder and 15 dependent adult abuse record checks in this state on the 16 nursing program’s students. 17 d. If a student has a criminal record or a record of 18 founded child , elder, or dependent adult abuse, upon request 19 of the nursing program, the department of human services shall 20 perform an evaluation to determine whether the record warrants 21 prohibition of the person’s involvement in a clinical education 22 component of a nursing program involving children , elders, 23 or dependent adults. The department of human services shall 24 utilize the criteria provided in section 135C.33 in performing 25 the evaluation and shall report the results of the evaluation 26 to the nursing program. The department of human services has 27 final authority in determining whether prohibition of the 28 person’s involvement in a clinical education component is 29 warranted. 30 Sec. 33. Section 216A.136, subsection 3, Code 2014, is 31 amended to read as follows: 32 3. Dependent Elder and dependent adult abuse records 33 maintained under chapter 235B . 34 Sec. 34. Section 217.44, subsections 1, 2, and 4, Code 2014, 35 -62- LSB 5795XS (13) 85 pf/rj 62/ 73
S.F. 2145 are amended to read as follows: 1 1. The department shall conduct criminal and child and 2 elder and dependent adult abuse record checks of persons who 3 are potential employees, employees, potential volunteers, and 4 volunteers in service area offices in a position having direct 5 contact with the department’s clients. The record checks shall 6 be performed in this state and the department may conduct these 7 checks in other states. If the department determines that a 8 person has been convicted of a crime or has a record of founded 9 child , elder, or dependent adult abuse, the department shall 10 perform an evaluation to determine whether the crime or founded 11 abuse warrants prohibition of the person’s employment or 12 participation as a volunteer. The record checks and evaluation 13 shall be performed in accordance with procedures adopted for 14 this purpose by the department. 15 2. In an evaluation, the department shall consider 16 the nature and seriousness of the crime or founded child , 17 elder, or dependent adult abuse in relation to the position 18 sought or held, the time elapsed since the commission of the 19 crime or founded child, elder, or dependent adult abuse, 20 the circumstances under which the crime or founded child, 21 elder, or dependent adult abuse was committed, the degree of 22 rehabilitation, the likelihood that the person will commit the 23 crime or founded child, elder, or dependent adult abuse again, 24 and the number of crimes or founded child, elder, or dependent 25 adult abuses committed by the person involved. 26 4. If the department determines that the person has 27 committed a crime or has a record of founded child , elder, or 28 dependent adult abuse which warrants prohibition of employment 29 or participation as a volunteer, the person shall not be 30 employed by or participate as a volunteer in a department 31 service area office in a position having direct contact with 32 the department’s clients. 33 Sec. 35. Section 218.13, subsections 2, 3, 4, and 5, Code 34 2014, are amended to read as follows: 35 -63- LSB 5795XS (13) 85 pf/rj 63/ 73
S.F. 2145 2. If a person is being considered for employment involving 1 direct responsibility for a resident or with access to a 2 resident when the resident is alone, or if a person will reside 3 in a facility utilized by an institution, and if the person 4 has been convicted of a crime or has a record of founded 5 child , elder, or dependent adult abuse, the department shall 6 perform an evaluation to determine whether the crime or founded 7 abuse warrants prohibition of employment or residence in the 8 facility. The department shall conduct criminal and child and 9 elder and dependent adult abuse record checks of the person in 10 this state and may conduct these checks in other states. The 11 investigation and evaluation shall be performed in accordance 12 with procedures adopted for this purpose by the department. 13 3. If the department determines that a person, who is 14 employed by an institution or resides in a facility utilized 15 by an institution, has been convicted of a crime or has a 16 record of founded child , elder, or dependent adult abuse, 17 the department shall perform an evaluation to determine 18 whether prohibition of the person’s employment or residence is 19 warranted. The evaluation shall be performed in accordance 20 with procedures adopted for this purpose by the department. 21 4. In an evaluation, the department shall consider 22 the nature and seriousness of the crime or founded child , 23 elder, or dependent adult abuse in relation to the position 24 sought or held, the time elapsed since the commission of the 25 crime or founded child, elder, or dependent adult abuse, 26 the circumstances under which the crime or founded child, 27 elder, or dependent adult abuse was committed, the degree of 28 rehabilitation, the likelihood that the person will commit the 29 crime or founded child, elder, or dependent adult abuse again, 30 and the number of crimes or founded child, elder, or dependent 31 adult abuses committed by the person involved. The department 32 may permit a person who is evaluated to be employed or reside 33 or to continue employment or residence if the person complies 34 with the department’s conditions relating to employment or 35 -64- LSB 5795XS (13) 85 pf/rj 64/ 73
S.F. 2145 residence which may include completion of additional training. 1 5. If the department determines that the person has 2 committed a crime or has a record of founded child , elder, 3 or dependent adult abuse which warrants prohibition of 4 employment or residence, the person shall not be employed by an 5 institution or reside in a facility utilized by an institution. 6 Sec. 36. Section 231B.10, subsection 1, paragraph f, Code 7 2014, is amended to read as follows: 8 f. Founded elder or dependent adult abuse as defined in 9 section 235B.2 . 10 Sec. 37. Section 231C.10, subsection 1, paragraph f, Code 11 2014, is amended to read as follows: 12 f. Failure to protect tenants from elder or dependent adult 13 abuse as defined in section 235E.1 235B.2 . 14 Sec. 38. Section 231D.5, subsection 1, paragraph g, Code 15 2014, is amended to read as follows: 16 g. Founded elder or dependent adult abuse as defined in 17 section 235B.2 . 18 Sec. 39. Section 232.71B, subsection 9, Code 2014, is 19 amended to read as follows: 20 9. Protective disclosure. If the department determines 21 that disclosure is necessary for the protection of a child, 22 the department may disclose to a subject of a child abuse 23 report referred to in section 235A.15, subsection 2 , paragraph 24 “a” , that an individual is listed in the child or elder and 25 dependent adult abuse registry or is required to register with 26 the sex offender registry in accordance with chapter 692A . 27 Sec. 40. Section 237.8, subsections 3 and 5, Code 2014, are 28 amended to read as follows: 29 3. In addition to the record checks required under 30 subsection 2 , the department of human services may conduct 31 elder and dependent adult abuse record checks in this state and 32 may conduct these checks in other states, on a random basis. 33 The provisions of subsection 2 , relative to an evaluation 34 following a determination that a person has been convicted of a 35 -65- LSB 5795XS (13) 85 pf/rj 65/ 73
S.F. 2145 crime or has a record of founded child abuse, shall also apply 1 to a random check conducted under this subsection . 2 5. On or after July 1, 1994, a licensee shall include the 3 following inquiry in an application for employment: 4 Do you have a record of founded child , elder, or dependent 5 adult abuse or have you ever been convicted of a crime, in this 6 state or any other state? 7 Sec. 41. Section 237A.5, subsection 2, paragraph a, 8 subparagraph (3), subparagraph division (b), Code 2014, is 9 amended to read as follows: 10 (b) A record of having committed founded child , elder, or 11 dependent adult abuse. 12 Sec. 42. Section 237A.5, subsection 2, paragraph c, Code 13 2014, is amended to read as follows: 14 c. Unless a record check has already been conducted in 15 accordance with paragraph “b” , the department shall conduct 16 a an elder and dependent adult and criminal and child abuse 17 record check in this state for a person who is subject to a 18 record check and may conduct such a check in other states. In 19 addition, the department may conduct a dependent adult abuse, 20 sex offender registry, or other public or civil offense record 21 check in this state or in other states for a person who is 22 subject to a record check. 23 Sec. 43. Section 237A.5, subsection 2, paragraph i, 24 subparagraph (1), unnumbered paragraph 1, Code 2014, is amended 25 to read as follows: 26 A person subject to an evaluation shall be prohibited 27 from involvement with child care if the person has a record 28 of founded child , elder, or dependent adult abuse that was 29 determined to be sexual abuse, the person is listed on the 30 sex offender registry under chapter 692A , or the person has 31 committed any of the following felony-level offenses: 32 Sec. 44. Section 237A.5, subsection 4, Code 2014, is amended 33 to read as follows: 34 4. On or after July 1, 1994, a licensee or registrant shall 35 -66- LSB 5795XS (13) 85 pf/rj 66/ 73
S.F. 2145 include the following inquiry in an application for employment: 1 Do you have a record of founded child , elder, or dependent 2 adult abuse or have you ever been convicted of a crime, in this 3 state or any other state? 4 Sec. 45. Section 249A.29, subsection 2, Code 2014, is 5 amended to read as follows: 6 2. If a person is being considered by a provider for 7 employment involving direct responsibility for a consumer or 8 with access to a consumer when the consumer is alone, and if 9 the person has been convicted of a crime or has a record of 10 founded child , elder, or dependent adult abuse, the department 11 shall perform an evaluation to determine whether the crime 12 or founded child, elder, or dependent adult abuse warrants 13 prohibition of employment by the provider. The department 14 shall conduct criminal and child and elder and dependent 15 adult abuse records checks of the person in this state and 16 may conduct these checks in other states. The records checks 17 and evaluations required by this section shall be performed 18 in accordance with procedures adopted for this purpose by the 19 department. 20 Sec. 46. Section 272.2, subsection 17, Code 2014, is amended 21 to read as follows: 22 17. Adopt rules to require that a background investigation 23 be conducted by the division of criminal investigation of the 24 department of public safety on all initial applicants for 25 licensure. The board shall also require all initial applicants 26 to submit a completed fingerprint packet and shall use the 27 packet to facilitate a national criminal history background 28 check. The board shall have access to, and shall review 29 the sex offender registry information under section 692A.121 30 available to the general public, the central registry for child 31 abuse information established under chapter 235A , and the elder 32 and dependent adult abuse records maintained under chapter 235B 33 for information regarding applicants for license renewal. 34 Sec. 47. Section 279.13, subsection 1, paragraph b, 35 -67- LSB 5795XS (13) 85 pf/rj 67/ 73
S.F. 2145 subparagraph (1), Code 2014, is amended to read as follows: 1 (1) Prior to entering into an initial contract with a 2 teacher who holds a license other than an initial license 3 issued by the board of educational examiners under chapter 272 , 4 the school district shall initiate a state criminal history 5 record check of the applicant through the division of criminal 6 investigation of the department of public safety, submit the 7 applicant’s fingerprints to the division for submission to the 8 federal bureau of investigation for a national criminal history 9 record check, and review the sex offender registry information 10 under section 692A.121 available to the general public, the 11 central registry for child abuse information established 12 under section 235A.14 , and the central registry for elder and 13 dependent adult abuse information established under section 14 235B.5 for information regarding the applicant for employment 15 as a teacher. 16 Sec. 48. Section 279.69, subsections 1 and 2, Code 2014, are 17 amended to read as follows: 18 1. Prior to hiring an applicant for a school employee 19 position, a school district shall have access to and shall 20 review the information in the Iowa court information system 21 available to the general public, the sex offender registry 22 information under section 692A.121 available to the general 23 public, the central registry for child abuse information 24 established under section 235A.14 , and the central registry 25 for elder and dependent adult abuse information established 26 under section 235B.5 for information regarding the applicant. 27 A school district shall follow the same procedure by June 30, 28 2014, for each school employee employed by the school district 29 as of July 1, 2013. A school district shall implement a 30 consistent policy to follow the same procedure for each school 31 employee employed by the school district on or after July 1, 32 2013, at least every five years after the school employee’s 33 initial date of hire. A school district shall not charge 34 an employee for the cost of the registry checks conducted 35 -68- LSB 5795XS (13) 85 pf/rj 68/ 73
S.F. 2145 pursuant to this subsection . A school district shall maintain 1 documentation demonstrating compliance with this subsection . 2 2. Being listed in the sex offender registry established 3 under chapter 692A , the central registry for child abuse 4 information established under section 235A.14 , or the central 5 registry for elder and dependent adult abuse information 6 established under section 235B.5 shall constitute grounds for 7 the immediate suspension from duties of a school employee, 8 pending a termination hearing by the board of directors of a 9 school district. A termination hearing conducted pursuant to 10 this subsection shall be limited to the question of whether the 11 school employee was incorrectly listed in the registry. 12 Sec. 49. Section 321.375, subsection 2, Code 2014, is 13 amended to read as follows: 14 2. Prior to hiring an applicant for a school bus driver 15 position, including a contract position, an employer shall have 16 access to and shall review the information in the Iowa court 17 information system available to the general public, the sex 18 offender registry information under section 692A.121 available 19 to the general public, the central registry for child abuse 20 information established under section 235A.14 , and the central 21 registry for elder and dependent adult abuse information 22 established under section 235B.5 for information regarding the 23 applicant. An employer shall follow the same procedure upon 24 the renewal of an employee’s or contract employee’s school bus 25 driver’s license issued by the department of transportation 26 valid for the operation of a school bus. An employer shall 27 pay for the cost of the registry checks conducted pursuant to 28 this subsection . An employer shall maintain documentation 29 demonstrating compliance with this subsection . 30 Sec. 50. Section 321.375, subsection 3, paragraph e, Code 31 2014, is amended to read as follows: 32 e. The school bus driver is listed in the sex offender 33 registry established under chapter 692A , the central registry 34 for child abuse information established under section 235A.14 , 35 -69- LSB 5795XS (13) 85 pf/rj 69/ 73
S.F. 2145 or the central registry for elder and dependent adult abuse 1 information established under section 235B.5 . A termination 2 hearing conducted pursuant to this paragraph shall be 3 limited to the question of whether the school bus driver was 4 incorrectly listed in the registry. 5 Sec. 51. Section 331.909, subsection 2, Code 2014, is 6 amended to read as follows: 7 2. The activities of a multidisciplinary community services 8 team shall not duplicate the activities of a multidisciplinary 9 team for child abuse under section 235A.13 , elder and dependent 10 adult abuse activities under section 235B.6 , or child victim 11 services provided under section 915.35 . 12 Sec. 52. Section 598.41D, subsection 4, paragraph b, 13 subparagraph (3), Code 2014, is amended to read as follows: 14 (3) That the specified family member does not have a record 15 of founded child , elder, or dependent adult abuse. 16 Sec. 53. Section 692A.102, subsection 1, paragraph b, 17 subparagraph (17), Code 2014, is amended to read as follows: 18 (17) Incest committed against an elder or a dependent adult 19 as defined in section 235B.2 in violation of section 726.2 . 20 Sec. 54. Section 692A.115, Code 2014, is amended to read as 21 follows: 22 692A.115 Employment where elders or dependent adults reside. 23 1. Unless authorized as provided in subsection 2 , a sex 24 offender shall not be an employee of a facility providing 25 services for elders or dependent adults or at events where 26 dependent adults participate in programming and shall not 27 loiter on the premises or grounds of a facility or at an event 28 providing such services or programming. 29 2. An adult sex offender who is a patient or resident 30 of a health care facility as defined in section 135C.1 , 31 a participant in a medical assistance program home and 32 community-based services waiver program, or a participant in a 33 medical assistance state plan employment services as part of 34 the participant’s habilitation plan shall not be considered to 35 -70- LSB 5795XS (13) 85 pf/rj 70/ 73
S.F. 2145 be in violation of subsection 1 . 1 Sec. 55. Section 726.8, Code 2014, is amended to read as 2 follows: 3 726.8 Wanton neglect or nonsupport of an elder or a dependent 4 adult. 5 1. A caretaker commits wanton neglect of an elder or a 6 dependent adult if the caretaker knowingly acts in a manner 7 likely to be injurious to the physical, mental, or emotional 8 welfare of an elder or a dependent adult. Wanton neglect of an 9 elder or a dependent adult is a serious misdemeanor. 10 2. A person who has legal responsibility either through 11 contract or court order for support of an elder or a dependent 12 adult and who fails or refuses to provide support commits 13 nonsupport. Nonsupport is a class “D” felony. 14 3. A person alleged to have committed wanton neglect or 15 nonsupport of an elder or a dependent adult shall be charged 16 with the respective offense unless a charge may be brought 17 based upon a more serious offense, in which case the charge 18 of the more serious offense shall supersede the less serious 19 charge. 20 4. For the purposes of this section , “dependent adult” means 21 a dependent adult as defined in section 235B.2, subsection 4 , 22 “elder” , and “caretaker” means a caretaker mean the same as 23 defined in section 235B.2 , subsection 1 . 24 Sec. 56. Section 915.84, subsection 3, Code 2014, is amended 25 to read as follows: 26 3. Notwithstanding subsection 2 , a victim under the age of 27 eighteen or an elder or a dependent adult as defined in section 28 235B.2 who has been sexually abused or subjected to any other 29 unlawful sexual conduct under chapter 709 or 726 or who has 30 been the subject of a forcible felony is not required to report 31 the crime to the local police department or county sheriff 32 department to be eligible for compensation if the crime was 33 allegedly committed upon a child by a person responsible for 34 the care of a child, as defined in section 232.68, subsection 35 -71- LSB 5795XS (13) 85 pf/rj 71/ 73
S.F. 2145 8 , or upon an elder as defined in section 235B.2 by any person, 1 or upon a dependent adult by a caretaker as defined in section 2 235B.2 , and was reported to an employee of the department of 3 human services and the employee verifies the report to the 4 department. 5 EXPLANATION 6 The inclusion of this explanation does not constitute agreement with 7 the explanation’s substance by the members of the general assembly. 8 This bill expands provisions relating to dependent adult 9 abuse including reporting of dependent adult abuse, the 10 dependent adult abuse registry, and provision of protective 11 services to be applicable to elders and elder abuse. The bill 12 defines “elder” to be a resident of this state who is 65 years 13 of age or older. 14 The bill eliminates the restriction of the definition 15 of abuse to only perpetration of abuse by caretakers and 16 instead provides that abuse may be perpetrated by any person 17 including a caretaker. The bill defines “abuse” to include 18 financial exploitation which means the illegal, unauthorized, 19 or improper taking or use of an elder’s or dependent adult’s 20 funds, property, or assets for the personal or pecuniary profit 21 or benefit of a person other than the elder or dependent 22 adult. Financial exploitation includes but is not limited to 23 possessing or using an elder’s or dependent adult’s funds, 24 property, or other assets through undue influence, harassment, 25 duress, deception, or misrepresentation for the profit or 26 benefit of a person other than the elder or dependent adult. 27 However, the bill specifically excludes from the definition 28 of abuse, good-faith assistance in managing the financial 29 affairs of an elder or dependent adult by a family or household 30 member or other person, undertaken at the request of an elder, 31 dependent adult, or a family member, guardian or conservator 32 of an elder or dependent adult. 33 The bill adds a provision regarding the making of a report 34 of suspected elder or dependent adult abuse to provide that a 35 -72- LSB 5795XS (13) 85 pf/rj 72/ 73
S.F. 2145 person making a report who reasonably believes that an elder or 1 dependent adult is in immediate danger shall also make a report 2 to the appropriate law enforcement agency. 3 The bill provides other criminal relief for older 4 individuals. 5 The bill establishes the crime of theft against an older 6 individual which enhances the penalties for the existing crime 7 of theft by one degree based upon the victim being an older 8 individual. 9 The bill amends the criminal provision providing for 10 additional civil penalties for consumer frauds against the 11 elderly to apply to the provision to consumer frauds against 12 older individuals 60 years of age or older. 13 The bill establishes the crime of financial exploitation of 14 an older individual. A person commits financial exploitation 15 of an older individual when the person stands in a position of 16 trust or confidence with the older individual and knowingly 17 and by undue influence, deception, coercion, fraud, breach of 18 fiduciary duty, or extortion, obtains control over or otherwise 19 uses the benefits, property, resources, belongings, or assets 20 of the older individual. The criminal penalties range from a 21 serious misdemeanor to a class “B” felony based on the amount 22 of benefits, property, resources, belongings, or assets of the 23 older individual involved. In addition, the application of 24 the class “B” felony is adjusted based on the increased age of 25 the older individual in addition to the value of the benefits, 26 property, resources, belongings, or assets involved. 27 The bill makes conforming changes throughout the Code to 28 provide that provisions currently applicable to dependent adult 29 abuse are also applicable to elder abuse. 30 -73- LSB 5795XS (13) 85 pf/rj 73/ 73
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