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| THE GENERAL ASSEMBLY OF PENNSYLVANIA |
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| SENATE BILL |
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| INTRODUCED BY BROWNE, STACK, FONTANA, TOMLINSON, MUSTO, O'PAKE, COSTA, WOZNIAK, WASHINGTON AND RAFFERTY, MARCH 2, 2009 |
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| REFERRED TO PUBLIC HEALTH AND WELFARE, MARCH 2, 2009 |
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| AN ACT |
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1 | Providing funding for standards and for implementation of a 211 |
2 | abbreviated dialing code for information and human services |
3 | referral telephone service; establishing the 211 Advisory |
4 | Board; and making an appropriation. |
5 | The General Assembly of the Commonwealth of Pennsylvania |
6 | hereby enacts as follows: |
7 | Section 1. Short title. |
8 | This act shall be known and may be cited as the Pennsylvania |
9 | 211 Telephone Service Implementation Act. |
10 | Section 2. Legislative findings. |
11 | The General Assembly finds and declares as follows: |
12 | (1) The dialing code 211 is the national abbreviated |
13 | dialing code approved by the Federal Communications |
14 | Commission for access to health and human services |
15 | information and referral. The dialing code 211 is a |
16 | universally recognizable number that makes it easier to |
17 | connect individuals and families in need with the appropriate |
18 | professional providers, community-based organizations and |
19 | government agencies that provide health and human services. |
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1 | (2) The dialing code 211 proved its value in several |
2 | states during the recent disasters related to terrorist |
3 | attacks on September 11, 2001. In Atlanta, 211 handled over |
4 | 14,000 calls in the week following the attacks. More than |
5 | 5,000 people offered help and 9,000 people requested |
6 | assistance. |
7 | (3) In Connecticut, various state agencies and nonprofit |
8 | groups used 211 to coordinate services during the attacks. |
9 | Connecticut calls to 211 involved families looking for |
10 | victims, frightened children and concerned parents, |
11 | individuals reliving other disasters, people who escaped the |
12 | World Trade Center and were experiencing guilt, information |
13 | on terrorist suspects, mentally ill persons feeling |
14 | overwhelmed with disaster, location of vigils and requests. |
15 | (4) Recent hurricanes in Florida showed the strength of |
16 | 211 when there was an increase in calls of over 100% during |
17 | and immediately after the hurricanes throughout that state. |
18 | Some 211 systems in affected areas were showing increases of |
19 | over 500%. The easy-to-remember number helped relieve the 911 |
20 | burden in those areas. |
21 | (5) The dialing code 211 helps to better address long- |
22 | term needs of victims and their families of the September 11, |
23 | 2001, attacks and other types of disasters. |
24 | (6) A study by the National Center on Addiction and |
25 | Substance Abuse at Columbia University and 13 states, |
26 | including Pennsylvania, have detected an increased demand for |
27 | alcohol and drug treatment since September 11, 2001. |
28 | (7) Research demonstrates that exposure to trauma puts |
29 | an individual at four-to-five times greater risk of substance |
30 | abuse, and stress is considered the most common cause of |
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1 | relapse to addiction to or abuse of alcohol, drugs and |
2 | smoking. |
3 | (8) Oklahoma experienced a dramatic increase in the need |
4 | for treatment services in the two years following the |
5 | domestic terrorist bombing of the Alfred P. Murrah Federal |
6 | Building on April 19, 1995. One year after the bombing, three |
7 | times as many residents of Oklahoma City reported increased |
8 | drinking. Rescue workers in Oklahoma City experienced |
9 | elevated rates of substance abuse, depression and suicide. |
10 | (9) The New York State Office of Alcoholism and |
11 | Substance Abuse Services reports that demand for alcohol and |
12 | drug treatment in New York City increased after the September |
13 | 11, 2001, attacks. |
14 | (10) Over 40 states in this nation and Canada have |
15 | implemented or are working to implement 211 in their |
16 | respective jurisdictions. While useful during times of |
17 | crisis, the importance of 211 is greatest for response to |
18 | everyday inquiries about needs such as unemployment |
19 | compensation, health care and its coverage, nursing homes, |
20 | Women's Infants and Children (WIC) program, prenatal care and |
21 | many beneficial services from government and nongovernmental |
22 | agencies. |
23 | (11) Many community groups also are viewing 211 as a |
24 | powerful neutral connecting point and 211 has provided help |
25 | to diverse populations, such as runaway children, senior |
26 | citizens and parents looking for child care. |
27 | (12) In Pennsylvania, the Health and Human Services Call |
28 | Center, a smaller scale, centralized pilot of the 211 |
29 | concept, has provided a 45% reduction in costs with a 25% |
30 | increase in call productivity, serving more needs with one |
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1 | call. Intangible benefits include those for callers who do |
2 | not know whom they should call. |
3 | Section 3. Definitions. |
4 | The following words and phrases when used in this act shall |
5 | have the meanings given to them in this section unless the |
6 | context clearly indicates otherwise: |
7 | "211." An abbreviated dialing code approved by the Federal |
8 | Communications Commission for access to health and human |
9 | services information and referral. |
10 | "Advisory board" or "board." The 211 Advisory Board |
11 | established by this act. |
12 | "AIRS." The Alliance of Information and Referral Systems. |
13 | "Applicant." A vendor experienced in providing information |
14 | and referral services that assist individuals in need of health |
15 | and human services to obtain assistance from appropriate |
16 | providers and organizations. |
17 | "Governmental units." The term shall include all cities, |
18 | regardless of their class, counties, municipalities, townships, |
19 | boroughs or other political subdivisions. |
20 | "Human Service Single Point of Contact." The agency-approved |
21 | first point at which calls for health and human services |
22 | assistance from individuals are answered, operated 24 hours a |
23 | day on every day of the year. |
24 | "Public agency." The Commonwealth or a political |
25 | subdivision, public authority, municipal authority or any |
26 | organization located in whole or in part within this |
27 | Commonwealth which provides or has the authority to provide |
28 | human services. |
29 | "Service level agreements." Levels, such as average speed of |
30 | answer, at which services are provided through contract |
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1 | agreement between the Department of General Services and the |
2 | vendor. |
3 | Section 4. Duties of department. |
4 | The Department of General Services shall approve a single |
5 | performance-based contract with an applicant that meets the |
6 | eligibility requirements of this act. The contract shall be used |
7 | by the Department of Health to implement and administer 211 |
8 | service to the citizens of this Commonwealth. |
9 | Section 5. Eligibility requirements. |
10 | An applicant shall do all of the following: |
11 | (1) Agree to follow any policies, procedures or |
12 | standards developed by the advisory board. |
13 | (2) Provide a written plan that details procedures to |
14 | assure network security, security of archival information, |
15 | protection of health information and adherence to the Health |
16 | Insurance Portability and Accountability Act of 1996 (Public |
17 | Law 104-191, 110 Stat. 1936), appropriate anonymity and |
18 | confidentiality for 211 callers and data. |
19 | (3) Agree to establish a comprehensive and Statewide |
20 | system by the end of the third year of the contract and |
21 | ensure the provision of 24-hour, year-round telephone |
22 | information and referral services within one year of the |
23 | awarding of the contract. |
24 | (4) Within one year of funding: |
25 | (i) Demonstrate adherence to the AIRS or National |
26 | Standards for Information and Referral. |
27 | (ii) Have software capable of tracking call volume, |
28 | number of abandoned calls, average speed of answering and |
29 | average call length. |
30 | (iii) Demonstrate how the applicant will publicize |
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1 | 211 services and educate the public on an ongoing basis. |
2 | (iv) Provide direct access for the deaf to the 211 |
3 | number and multilingual accessibility either through |
4 | access to live translation or by using at least 10% |
5 | information and referral specialists who are fluent in a |
6 | language other than English, at least half of whom shall |
7 | be fluent in Spanish. |
8 | (v) Have written policies and procedures in place as |
9 | well as necessary software to manage donations and |
10 | volunteers or written agreements with another agency that |
11 | provides these services for them. |
12 | (vi) Establish an Internet website that provides |
13 | accessible information and referral resources in formats |
14 | that are easily used by persons with disabilities. |
15 | Section 6. Subcontractors. |
16 | A 211 provider may subcontract for a specific service. It |
17 | shall be the 211 provider's responsibility to ensure through the |
18 | contract that the subcontractor follows all applicable |
19 | standards. |
20 | Section 7. Request for proposal. |
21 | The department shall issue a request for proposal for |
22 | issuance of a single contract. The apportionment of funding |
23 | under subcontracts shall be subject to approval by the |
24 | Department of General Services. |
25 | Section 8. 211 Advisory Board. |
26 | (a) Establishment.--The 211 Advisory Board is hereby |
27 | established. |
28 | (b) Membership.--Members of the board shall be appointed by |
29 | the Secretary of Health. The board shall have at least 16 |
30 | members and be composed of critical stakeholders, including |
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1 | business, law enforcement, private sector benefactors, State and |
2 | local government, community and charitable organizations and |
3 | information and referral experts. A minimum of two members shall |
4 | be citizen users of the 211 service and a minimum of two members |
5 | shall be providers who are users of the 211 service. |
6 | (c) Duties.--The duties of the board are as follows: |
7 | (1) Develop standards for service level agreements. |
8 | (2) Develop database standards to include the annual |
9 | update of each active referral source. |
10 | (3) Develop follow-up standards for the purpose of |
11 | evaluating the vendor's performance from the user's |
12 | perspective. |
13 | (4) Develop uniform reporting standards. |
14 | (5) Ensure that the contracting process covers the |
15 | entire State, so that every citizen can reach 211 through |
16 | their landline phone within the first year. |
17 | (6) Work toward cell phone coverage so that every |
18 | citizen can reach 211 through their cell phone. |
19 | (7) Require and approve appropriate call routing and |
20 | prioritization capacity to ensure calls are answered within |
21 | service level agreements established under the contract. |
22 | (8) Approve a vendor-developed disaster recovery plan to |
23 | ensure that a seamless system will be in place to take calls, |
24 | regardless of the nature of the interruption. |
25 | (9) Work in collaboration with the Department of |
26 | Community and Economic Development, the Pennsylvania |
27 | Emergency Management Agency, the Pennsylvania Public Utility |
28 | Commission, the Pennsylvania State Police and all State |
29 | agencies providing health and human services. As necessary, |
30 | this shall include the funding, through a memorandum of |
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1 | understanding, of key positions in health and human services |
2 | agencies, including the Department of Health. |
3 | (10) Adopt and oversee a plan to implement the standards |
4 | in section 5 and develop any standards, policies or |
5 | procedures necessary to run a Statewide networked 211 system. |
6 | (11) Assure that funding is linked to standards through |
7 | performance-based contracting. |
8 | (12) Provide necessary technical assistance. |
9 | (13) Assist in the establishment of a long-range plan to |
10 | assure that every Pennsylvanian has access to 211 within the |
11 | first year of enactment of this act. |
12 | (d) Staffing.--The Department of Health shall provide |
13 | adequate staff to assist the board with its duties. |
14 | Section 9. Appropriation. |
15 | The sum of $10,000,000 is hereby appropriated to the |
16 | Department of Health for the purpose of administering this act. |
17 | Section 10. Public disclosure and confidentiality of |
18 | information. |
19 | (a) Annual report of the board.--The annual report of the |
20 | board shall be a public document. |
21 | (b) Prohibition against release of information.--Neither the |
22 | public agency, nor any employee, agent or representative of the |
23 | Human Service Single Point of Contact or public agency shall |
24 | divulge any information acquired with respect to any 211 |
25 | service, its customers, revenues or expenses, trade secrets, |
26 | commercial information and such other proprietary information |
27 | while acting or claiming to act as such employee, agent or |
28 | representative, and all such information is hereby required to |
29 | be kept confidential except that aggregations of information |
30 | which do not identify or effectively identify numbers of |
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1 | customers, revenues or expenses, trade secrets, commercial |
2 | information and such other proprietary information attributable |
3 | to any 211 services provider may be made public. |
4 | Section 11. Immunity. |
5 | (a) Generally.--No 211 services provider or its officers, |
6 | directors, employees, agents or vendors shall be liable to any |
7 | person for civil damages resulting from or caused by such |
8 | providers', its officers', directors', employees', agents' or |
9 | suppliers' participation in or acts, failures or omissions in |
10 | connection with that participation in the development, design, |
11 | installation, operation, maintenance, performance or provision |
12 | 211 service, except for willful or wanton misconduct. |
13 | (b) Release of information.--No 211 provider or its |
14 | employees or agents shall be liable to any person for releasing |
15 | customer information to the agency or to any 211 system, public |
16 | agency or Human Service Single Point of Contact as required by |
17 | this act. |
18 | (c) Local governmental immunity.--Any part of the 211 system |
19 | that is a local agency shall enjoy local governmental immunity |
20 | as provided under 42 Pa.C.S. Ch. 85 Subch. C (relating to |
21 | actions against local parties). |
22 | Section 12. Effective date. |
23 | This act shall take effect immediately. |
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