Assembly Bill No. 372–Assemblymen Giunchigliani, Arberry, Williams, Parks, Neighbors, Collins, Manendo, Ohrenschall, Price, Gibbons, Chowning, Freeman, de Braga, Evans, Leslie, Nolan, Claborn, Mortenson, Lee, Buckley, Bache, Anderson, Perkins, Koivisto, McClain and Parnell
March 3, 1999
____________
Referred to Committee on Judiciary
SUMMARY—Makes certain provisions concerning protection of older persons from abuse, neglect, exploitation and isolation applicable to certain persons with mental disabilities. (BDR 15-1672)
FISCAL NOTE: Effect on Local Government: Yes.
Effect on the State or on Industrial Insurance: Yes.
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EXPLANATION – Matter in
bolded italics is new; matter between brackets
THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:
1-1
Section 1. NRS 200.5091 is hereby amended to read as follows: 200.5091 It is the policy of this state to provide for the cooperation of1-3
law enforcement officials, courts of competent jurisdiction and all1-4
appropriate state agencies providing human services in identifying the1-5
abuse, neglect, exploitation and isolation of older persons and persons1-6
with mental disabilities through the complete reporting of abuse, neglect,1-7
exploitation and isolation of older persons1-8
disabilities.1-9
Sec. 2. NRS 200.5092 is hereby amended to read as follows: 200.5092 As used in NRS 200.5091 to 200.50995, inclusive, unless1-11
the context otherwise requires:1-12
1. "Abuse" means willful and unjustified:2-1
(a) Infliction of pain, injury or mental anguish on an older person2-2
a person with a mental disability; or2-3
(b) Deprivation of food, shelter, clothing or services which are2-4
necessary to maintain the physical or mental health of an older person2-5
or a person with a mental disability.2-6
2. "Exploitation" means any act taken by a person who has the trust2-7
and confidence of an older person or a person with a mental disability or2-8
any use of the power of attorney or guardianship of an older person or a2-9
person with a mental disability to obtain control, through deception,2-10
intimidation or undue influence, over the older person’s money, assets or2-11
property or that of a person with a mental disability with the intention of2-12
permanently depriving the older person or a person with a mental2-13
disability of the ownership, use, benefit or possession of his money, assets2-14
or property. As used in this subsection, "undue influence" does not include2-15
the normal influence that one member of a family has over another.2-16
3. "Isolation" means willfully, maliciously and intentionally2-17
preventing an older person or a person with a mental disability from2-18
having contact with another person by:2-19
(a) Intentionally preventing the older person or a person with a mental2-20
disability from receiving his visitors, mail or telephone calls, including,2-21
without limitation, communicating to a person who comes to visit the older2-22
person or a person with a mental disability or a person who telephones the2-23
older person or a person with a mental disability that the older person or a2-24
person with a mental disability is not present or does not want to meet2-25
with or talk to the visitor or caller knowing that the statement is false,2-26
contrary to the express wishes of the older person or a person with a2-27
mental disability and intended to prevent the older person or a person with2-28
a mental disability from having contact with the visitor; or2-29
(b) Physically restraining the older person or a person with a mental2-30
disability to prevent the older person or a person with a mental disability2-31
from meeting with a person who comes to visit the older person2-32
person with a mental disability.2-33
The term does not include an act intended to protect the property or2-34
physical or mental welfare of the older person or a person with a mental2-35
disability or an act performed pursuant to the instructions of a physician of2-36
the older person2-37
4. "Neglect" means the failure of:2-38
(a) A person who has assumed legal responsibility or a contractual2-39
obligation for caring for an older person or a person with a mental2-40
disability or who has voluntarily assumed responsibility for his care to2-41
provide food, shelter, clothing or services which are necessary to maintain2-42
the physical or mental health of the older person2-43
mental disability; or3-1
(b) An older person or a person with a mental disability to provide for3-2
his own needs because of inability to do so.3-3
5. "Older person" means a person who is 60 years of age or older.3-4
6. "Person with a mental disability" means a person with a condition3-5
described in NRS 433.164 or 433.174.3-6
7. "Protective services" means services the purpose of which is to3-7
prevent and remedy the abuse, neglect, exploitation and isolation of older3-8
persons3-9
investigation, evaluation, counseling, arrangement and referral for other3-10
services and assistance.3-11
Sec. 3. NRS 200.5093 is hereby amended to read as follows: 200.5093 1. A person required to make a report pursuant to this3-13
section shall make the report immediately, but in no event later than 243-14
hours after there is reason to believe that an older person or a person with3-15
a mental disability has been abused, neglected, exploited or isolated.3-16
Except as otherwise provided in this subsection, the report must be made3-17
to:3-18
(a) The local office of the welfare or aging services division of the3-19
department of human resources3-20
(b) The mental hygiene and mental retardation division of the3-21
department of human resources if the report concerns a person with a3-22
mental disability;3-23
(c) A police department or sheriff’s office;3-24
3-25
county where the suspected action occurred; or3-26
3-27
division of the department of human resources3-28
older person.3-29
If the report of abuse, neglect, exploitation or isolation of an older person3-30
or a person with a mental disability involves an act or omission of the3-31
welfare division, aging services division , mental hygiene and mental3-32
retardation division or a law enforcement agency, the report must be made3-33
to an agency other than the one alleged to have committed the act or3-34
omission. Each agency, after reducing the report to writing, shall forward a3-35
copy of the report to the aging services division of the department of3-36
human resources3-37
mental hygiene and mental retardation division of the department of3-38
human resources if the report concerns a person with a mental disability.3-39
2. Reports must be made by the following persons who, in their3-40
professional or occupational capacities, know or have reason to believe3-41
that an older person or a person with a mental disability is being or has3-42
been abused, neglected, exploited or isolated:4-1
(a) Every physician, dentist, dental hygienist, chiropractor, optometrist,4-2
podiatric physician, medical examiner, resident, intern, professional or4-3
practical nurse, physician’s assistant, psychiatrist, psychologist, marriage4-4
and family therapist, alcohol or drug abuse counselor, driver of an4-5
ambulance, advanced emergency medical technician or other person4-6
providing medical services licensed or certified to practice in this state,4-7
who examines, attends or treats an older person or a person with a mental4-8
disability who appears to have been abused, neglected, exploited or4-9
isolated.4-10
(b) Any personnel of a hospital or similar institution engaged in the4-11
admission, examination, care or treatment of persons or an administrator,4-12
manager or other person in charge of a hospital or similar institution upon4-13
notification of the suspected abuse, neglect, exploitation or isolation of an4-14
older person or a person with a mental disability by a member of the staff4-15
of the hospital.4-16
(c) A coroner.4-17
(d) Every clergyman, practitioner of Christian Science or religious4-18
healer, unless he acquired the knowledge of abuse, neglect, exploitation or4-19
isolation of the older person or a person with a mental disability from the4-20
offender during a confession.4-21
(e) Every person who maintains or is employed by an agency to provide4-22
nursing in the home.4-23
(f) Every attorney, unless he has acquired the knowledge of abuse,4-24
neglect, exploitation or isolation of the older person or a person with a4-25
mental disability from a client who has been or may be accused of such4-26
abuse, neglect, exploitation or isolation.4-27
(g) Any employee of the department of human resources.4-28
(h) Any employee of a law enforcement agency or a county’s office for4-29
protective services or an adult or juvenile probation officer.4-30
(i) Any person who maintains or is employed by a facility or4-31
establishment that provides care for older persons4-32
mental disabilities.4-33
(j) Any person who maintains, is employed by or serves as a volunteer4-34
for an agency or service which advises persons regarding the abuse,4-35
neglect, exploitation or isolation of an older person or a person with a4-36
mental disability and refers them to persons and agencies where their4-37
requests and needs can be met.4-38
(k) Every social worker.4-39
(l) Any person who owns or is employed by a funeral home or4-40
mortuary.4-41
3. A report may be filed by any other person.4-42
4. A person required to make a report pursuant to this section who has4-43
reasonable cause to believe that an older person or a person with a mental5-1
disability has died as a result of abuse, neglect or isolation shall report this5-2
belief to the appropriate medical examiner or coroner, who shall5-3
investigate the cause of death of the older person or a person with a5-4
mental disability and submit to the appropriate local law enforcement5-5
agencies, the appropriate prosecuting attorney and the aging services5-6
division of the department of human resources his written findings. The5-7
written findings must include the information required pursuant to the5-8
provisions of NRS 200.5094, when possible.5-9
5. A division, office or department which receives a report pursuant to5-10
this section shall cause the investigation of the report to commence within5-11
3 working days. A copy of the final report of the investigation conducted5-12
by a division, office or department, other than the aging services division5-13
of the department of human resources5-14
person, or other than the mental hygiene and mental retardation division5-15
of the department of human resources if the report involves a person with5-16
a mental disability, must be forwarded within 90 days after the5-17
completion of the report to5-18
(a) The aging services division5-19
5-20
(b) The mental hygiene and mental retardation division if the report5-21
concerns a person with a mental disability.5-22
6. If the investigation of the report results in the belief that the older5-23
person or a person with a mental disability is abused, neglected, exploited5-24
or isolated, the welfare division of the department of human resources or5-25
the county’s office for protective services may provide protective services5-26
to the older person or a person with a mental disability if he is able and5-27
willing to accept them.5-28
7. A person who knowingly and willfully violates any of the5-29
provisions of this section is guilty of a misdemeanor.5-30
Sec. 4. NRS 200.5099 is hereby amended to read as follows: 200.5099 1. Except as otherwise provided in subsection 6, any5-32
person who abuses an older person5-33
causing the older person or a person with a mental disability to suffer5-34
unjustifiable physical pain or mental suffering, is guilty of a category B5-35
felony and shall be punished by imprisonment in the state prison for a5-36
minimum term of not less than 2 years and a maximum term of not more5-37
than 6 years, unless a more severe penalty is prescribed by law for the act5-38
or omission which brings about the abuse.5-39
2. Except as otherwise provided in subsection 7, any person who has5-40
assumed responsibility, legally, voluntarily or pursuant to a contract, to5-41
care for an older person or a person with a mental disability and who:6-1
(a) Neglects the older person6-2
causing the older person or a person with a mental disability to suffer6-3
physical pain or mental suffering;6-4
(b) Permits or allows the older person or a person with a mental6-5
disability to suffer unjustifiable physical pain or mental suffering; or6-6
(c) Permits or allows the older person or a person with a mental6-7
disability to be placed in a situation where the older person or a person6-8
with a mental disability may suffer physical pain or mental suffering as the6-9
result of abuse or neglect,6-10
is guilty of a gross misdemeanor unless a more severe penalty is prescribed6-11
by law for the act or omission which brings about the abuse or neglect.6-12
3. Except as otherwise provided in subsection 4, any person who6-13
exploits an older person or a person with a mental disability shall be6-14
punished, if the value of any money, assets and property obtained or used:6-15
(a) Is less than $250, for a misdemeanor by imprisonment in the county6-16
jail for not more than 1 year, or by a fine of not more than $2,000, or by6-17
both fine and imprisonment;6-18
(b) Is at least $250, but less than $5,000, for a category B felony by6-19
imprisonment in the state prison for a minimum term of not less than 26-20
years and a maximum term of not more than 10 years, or by a fine of not6-21
more than $10,000, or by both fine and imprisonment; or6-22
(c) Is $5,000 or more, for a category B felony by imprisonment in the6-23
state prison for a minimum term of not less than 2 years and a maximum6-24
term of not more than 20 years, or by a fine of not more than $25,000, or6-25
by both fine and imprisonment,6-26
unless a more severe penalty is prescribed by law for the act which brought6-27
about the exploitation. The monetary value of all of the money, assets and6-28
property of the older person or a person with a mental disability which6-29
have been obtained or used, or both, may be combined for the purpose of6-30
imposing punishment for an offense charged pursuant to this subsection.6-31
4. If a person exploits an older person or a person with a mental6-32
disability and the monetary value of any money, assets and property6-33
obtained cannot be determined, the person shall be punished for a gross6-34
misdemeanor by imprisonment in the county jail for not more than 1 year,6-35
or by a fine of not more than $2,000, or by both fine and imprisonment.6-36
5. Any person who isolates an older person or a person with a mental6-37
disability is guilty:6-38
(a) For the first offense, of a gross misdemeanor; or6-39
(b) For any subsequent offense, of a category B felony and shall be6-40
punished by imprisonment in the state prison for a minimum term of not6-41
less than 2 years and a maximum term of not more than 10 years, and may6-42
be further punished by a fine of not more than $5,000.7-1
6. A person who violates any provision of subsection 1, if substantial7-2
bodily or mental harm or death results to the older person7-3
with a mental disability is guilty of a category B felony and shall be7-4
punished by imprisonment in the state prison for a minimum term of not7-5
less than 2 years and a maximum term of not more than 20 years, unless a7-6
more severe penalty is prescribed by law for the act or omission which7-7
brings about the abuse.7-8
7. A person who violates any provision of subsection 2, if substantial7-9
bodily or mental harm or death results to the older person7-10
with a mental disability, shall be punished for a category B felony by7-11
imprisonment in the state prison for a minimum term of not less than 27-12
years and a maximum term of not more than 6 years, unless a more severe7-13
penalty is prescribed by law for the act or omission which brings about the7-14
abuse or neglect.7-15
8. As used in this section:7-16
(a) "Allow" means to take no action to prevent or stop the abuse or7-17
neglect of an older person or a person with a mental disability if the7-18
person knows or has reason to know that the older person or a person with7-19
a mental disability is being abused or neglected.7-20
(b) "Permit" means permission that a reasonable person would not grant7-21
and which amounts to a neglect of responsibility attending the care and7-22
custody of an older person7-23
Sec. 5. The amendatory provisions of this act do not apply to offenses7-24
that were committed before October 1, 1999.~