SECTION 1. Chapter 111 of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting in section 236 subsection (f):-

Definition

“High Risk Patient”: Suffering from a series of chronic conditions that challenge the ability to access care. This may include but not limited to dementia, conditions resulting from diabetes related complications, stroke, and heart related issues.

A home health care agency shall ensure it receives the most updated treatment plan and the most updated medication list from both the primary care doctor and hospital including when a high risk patient is discharged. 

SECTION 2. Chapter 111 of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting in section 72 G the following:-

A home care agency shall take specific steps for high risk patients to ensure critical services including medication administration to high risk patients are not disrupted, and shall provide the most updated medication information including any changes to home visiting nurses. A home health agency shall ensure a substitute home visiting nurse has the most updated medication list and updated administration steps.

In cases where a home visiting nurses locks medication, a home health care agency shall ensure a high risk patient always has supply of critical medications. 

In case of inadvertent medical errors, a home visiting nurse shall report to medical errors to primary doctor and inform family members.

A home health care agency shall further establish a scheduling notification system for home visiting nurses, a high risk patient’s primary care doctor and family members.

There shall be a commission to study the rising needs of an increasing elder adult population including in low income communities and causes of patient harm in home health care. The commission shall study the causes of medical errors that result in patient harm including in high risk patients, the challenges for health care workers, and make recommendations to ensure the safety of patients, quality of home health care, and reduction of patient harm including in high risk patient populations.