SECTION 1. Section 72F of chapter 111 of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by inserting after the definition of “abuse” the following definition:-

“Assisted living residence”, an entity required to be certified under chapter 19D.

SECTION 2. Said section 72F of said chapter 111, as so appearing, is hereby further amended by inserting after the definition of “patient” the following definition:-

“Personal care services provider”, a person providing personal care services as defined in 651 CMR 12.02.

SECTION 3. Said section 72F of said chapter 111, as so appearing, is hereby further amended by inserting after the figure “71”, in line 44, the following words:- or an assisted living residence certified under chapter 19D.

SECTION 4. Section 72G of said chapter 111, as so appearing, is hereby amended by inserting after the word “therapist”, in lines 6 and 7, the following words:- , personal care services provider, nurse practitioner, registered dietician.

SECTION 5. Said section 72G of said chapter 111, as so appearing, is hereby further amended by inserting after the word “agency”, in lines 28 and 33, in each instance, the following words:- , assisted living residence.

SECTION 6. Said section 72G of said chapter 111, as so appearing, is hereby further amended by inserting after the word “facility” , in lines 39 and 40, the following words:- or assisted living residence.

SECTION 7. Section 72H of said chapter 111, as so appearing, is hereby amended by inserting after the word “program”, in line 10, the following words:- , assisted living residence.

SECTION 8. Said section 72H of said chapter 111, as so appearing, is hereby further amended by inserting after the word “facility”, in lines 17 and 19, in each instance,  the following words:- or assisted living residence.

SECTION 9. Section 72J of said chapter 111, as so appearing, is hereby amended by striking out the second and third paragraphs and inserting in place thereof the following 4 paragraphs:-

The registry shall also contain specific documented findings by the department, made in accordance with this section, of patient or resident abuse, mistreatment, neglect or misappropriation of patient or resident property involving an individual listed on the registry, a home health aide, a homemaker or a personal care services provider and a brief statement by the individual disputing those findings. In the case of inquiries to the registry concerning a nurse aide, a home health aide, a homemaker or a personal care services provider, any information disclosed concerning a finding of patient or resident abuse, mistreatment, neglect or misappropriation of patient or resident property shall also include a disclosure of any statement in the registry relating to the finding or a clear and accurate summary of any such statement. All facilities, home health agencies, assisted living residences and homemaker agencies shall contact the registry prior to hiring an employee to ascertain if there is a finding of patient or resident abuse, mistreatment, neglect or misappropriation of patient or resident property against a nurse aide, home health aide, homemaker or personal care services provider. No facility, home health agency, assisted living residence or homemaker agency shall hire an individual whose name appears in the registry with an adjudicated finding of patient or resident abuse, mistreatment, neglect or misappropriation of patient or resident property if that individual is under a suspension imposed by the department under the terms of this section.

The department shall make a finding as to the accuracy of allegations of patient or resident abuse, mistreatment, neglect or misappropriation of patient or resident property after providing notice to the nurse aide, home health aide, homemaker or personal care services provider involved in the allegation and a reasonable opportunity for a hearing for the individual to rebut such allegations. If the department finds that a nurse aide, home health aide, homemaker or personal care services provider abused, mistreated or neglected a patient or resident or misappropriated patient or resident property, the department shall notify the nurse aide, home health aide, homemaker or personal care services provider and the employer thereof and the registry of that finding. The department shall not make a finding that an individual has neglected a patient or resident if the individual demonstrates that such neglect was caused by factors beyond the control of the individual. Upon making a finding of patient or resident abuse, mistreatment, neglect or misappropriation of patient or resident property, the department may suspend the right of such individual to work as a nurse aide, home health aide, homemaker or personal care services provider. The department shall include the terms of any such suspension in the registry and no facility, home health agency, assisted living residence or homemaker agency shall hire that individual until the suspension has been served to its completion.

If the individual is charged with and convicted of a crime arising out of a report of abuse, the department shall permanently suspend the individual’s ability to work as a nurse aide, home health aide, homemaker or personal care services provider; provided, however, that if an individual’s finding of guilt is overturned on appeal, the individual may appeal to the department to overturn the suspension.

If a case is continued without a finding, the department may permanently suspend an individual’s ability to work as a nurse aide, home health aide, homemaker or personal care services provider and shall make such a finding on the record to that effect after notice to that individual and an opportunity to appeal; provided, however, that a case continued without a finding shall appear in the registry as part of the registrant’s record for not less than the length of probation or sanction imposed on the individual by the court. A person who is subject to a temporary or permanent suspension shall not offer services, whether publicly or privately funded, as a caregiver or in another direct service capacity to persons with a physical, intellectual or developmental disability, a mental illness or to children or elderly persons. An individual in violation of this paragraph shall be subject to a fine of not more than $5,000.