THE GENERAL ASSEMBLY OF PENNSYLVANIA 

SENATE BILL

No.1102
Session of 2001

        INTRODUCED BY TARTAGLIONE, MUSTO, COSTA, SCHWARTZ, 
                                            WOZNIAK,
           LAVALLE, FUMO, STACK, KUKOVICH, MELLOW, WILLIAMS, HUGHES AND
           BOSCOLA, OCTOBER 9, 2001
 
        REFERRED TO LABOR AND INDUSTRY, OCTOBER 9, 2001
                                            
                                     
                                            AN ACT

     1  Prohibiting mandatory overtime and excessive duty hours of
     2  health care workers.
     3  The General Assembly of the Commonwealth of Pennsylvania
     4  hereby enacts as follows:
     5  Section 1.  Short title.
     6     This act shall be known and may be cited as the Restricted
     7  Overtime for Health Care Workers Act.
     8  Section 2.  Definitions.
     9     The following words and phrases when used in this act shall
    10  have the meanings given to them in this section unless the
    11  context clearly indicates otherwise:
    12     "Declared state of emergency."  An officially designated
    13  state of emergency that has been declared by a Federal, State or
    14  local government official having authority to declare that the
    15  State, county, municipality or locality is in a state of
    16  emergency. The term does not include a state of emergency which
    17  results from a labor dispute in the health care industry.
page 2 . . . .
     1     "Department."  The Department of Health of the Commonwealth.
     2     "Employee."  A nonsupervisory individual employed by a health
     3  care facility who receives an hourly wage or is classified as a
     4  nonsupervisory employee for collective bargaining purposes.
     5     "Health care facility."  A facility licensed by either the
     6  Department of Health or the Department of Corrections.
     7     "Nursing care."  Care which falls within the scope of
     8  practice set forth in the applicable nurse practice act or
     9  otherwise encompasses recognized professional standards of
    10  nursing practice.
    11     "Off-duty."  An individual that has no restrictions placed on
    12  his or her whereabouts and is free of all restraint or duty on
    13  behalf of the health care facility.
    14     "On-duty."  An individual that is required to be available
    15  and ready to perform services on request within or on behalf of
    16  the health care facility and includes any rest periods or breaks
    17  during which the individual's ability to leave the health care
    18  facility is restricted either expressly or by work-related
    19  circumstances beyond the individual's control.
    20  Section 3.  Prohibition.
    21     (a)  Mandatory overtime.--
    22         (1)  Notwithstanding any other provision of law to the
    23     contrary and subject only to the exceptions included in this
    24     section, a health care facility may not mandate or otherwise
    25     require, directly or indirectly, an employee to work or be in
    26     on-duty status in excess of any one of the following:
    27             (i)  the regularly scheduled work shift or duty
    28         period;
    29             (ii)  twelve hours in a 24-hour period; or
    30             (iii)  eighty hours in 14 consecutive-day period.
page 3 . . . . 
     1         (2)  As used in this act, the term "mandatory" or
     2     "mandate" means any request which if refused or declined by
     3     the employee may result in discharge, discipline, loss of
     4     promotion or other adverse employment consequence.
     5         (3)  Nothing in this subsection is intended to prohibit
     6     an employee from voluntarily working overtime.
     7     (b)  Maximum hours.--
     8         (1)  No employee may work or be in on-duty status more
     9     than 16 hours in any 24-hour period.
    10         (2)  Any employee working 16 hours in any 24-hour period
    11     must have at least eight consecutive hours off duty before
    12     being required to return to duty.
    13         (3)  No employee may be required to work or be on duty
    14     more than seven consecutive days without at least one
    15     consecutive 24-hour period off duty within that time.
    16  Section 4.  Exceptions.
    17     (a)  Declared state of emergency.--
    18         (1)  During a declared state of emergency in which a
    19     health care facility is requested or otherwise reasonably may
    20     be expected to provide an exceptional level of emergency or
    21     other medical services to the community, the mandatory
    22     overtime prohibition in section 3(a) shall be lifted to the
    23     following extent:
    24             (i)  Employees may be required to work or be on duty
    25         up to the maximum hour limitations set forth in section
    26         3(b) provided the health care facility has taken the
    27         steps set forth in this section.
    28             (ii)  Prior to requiring any employee to work
    29         mandatory overtime, the health care facility must make
    30         reasonable efforts to fill its immediate staffing needs
page 4 . . . . 
     1         through alternative efforts, including requesting off-
     2         duty staff to voluntarily report to work, requesting on-
     3         duty staff to volunteer for overtime hours and recruiting
     4         per diem to report to work.
     5             (iii)  This exemption shall not exceed the duration
     6         of the declared state of emergency or the health care
     7         facility's direct role in responding to medical needs
     8         resulting from the declared state of emergency, whichever
     9         is less.
    10         (2)  During a declared state of emergency in which a
    11     health care facility is requested to provide an exceptional
    12     level of emergency or other medical services to the
    13     community, the maximum hours limitation in section 3(b) shall
    14     be lifted to the following extent:
    15             (i)  Employees may work or remain on duty for more
    16         than the maximum hour limitations set forth in section
    17         3(b) provided:
    18                 (A)  The decision to work the additional time is
    19             voluntarily made by the individual employee affected.
    20                 (B)  The employee is given at least one
    21             uninterrupted four-hour rest period before the
    22             completion of the first 16 hours of duty and an
    23             uninterrupted eight-hour rest period at the
    24             completion of 24 hours of duty.
    25                 (C)  No employee may work or remain on duty for
    26             more than 24 consecutive hours in a 72-hour period.
    27                 (D)  An employee who has been on duty for more
    28             than 16 hours in a 24-hour period who informs the
    29             health care facility that he or she needs immediate
    30             rest must be relieved from duty as soon thereafter as
page 5 . . . . 
     1             possible consistent with patient safety needs and
     2             given at least eight hours uninterrupted hours off
     3             duty before being required to return for duty.
     4             (ii)  As used in this act, "rest period" means a
     5         period in which an individual may be required to remain
     6         on the premises of the health care facility but is free
     7         of all restraint or duty or responsibility for work or
     8         duty should the occasion arise.
     9             (iii)  This exemption shall not exceed the duration
    10         of the declared state of emergency or the health care
    11         facility's direct role in responding to medical needs
    12         resulting from the declared state of emergency, whichever
    13         is less.
    14     (b)  Penalty.--Any employer who violates or fails to comply
    15  with any of the provisions of this act is liable to the employee
    16  affected for an amount equal to eight times the employee's
    17  regular hourly wage less any amount actually paid to the
    18  employee by the employer.
    19  Section 5.  Effective date.
    20     This act shall take effect in 120 days
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