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

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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 [omitted material] is material to be omitted. Green numbers along left margin indicate location on the printed bill (e.g., 5-15 indicates page 5, line 15).

 

AN ACT relating to crimes; providing in skeleton form to make certain provisions concerning the protection of older persons from abuse, neglect, exploitation and isolation applicable to certain persons with mental disabilities; providing a penalty; and providing other matters properly relating thereto.

 

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:

1-2 200.5091 It is the policy of this state to provide for the cooperation of

1-3 law enforcement officials, courts of competent jurisdiction and all

1-4 appropriate state agencies providing human services in identifying the

1-5 abuse, neglect, exploitation and isolation of older persons and persons

1-6 with mental disabilities through the complete reporting of abuse, neglect,

1-7 exploitation and isolation of older persons [.] and persons with mental

1-8 disabilities.

1-9 Sec. 2. NRS 200.5092 is hereby amended to read as follows:

1-10 200.5092 As used in NRS 200.5091 to 200.50995, inclusive, unless

1-11 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 person [;] or

2-2 a person with a mental disability; or

2-3 (b) Deprivation of food, shelter, clothing or services which are

2-4 necessary to maintain the physical or mental health of an older person [.]

2-5 or a person with a mental disability.

2-6 2. "Exploitation" means any act taken by a person who has the trust

2-7 and confidence of an older person or a person with a mental disability or

2-8 any use of the power of attorney or guardianship of an older person or a

2-9 person with a mental disability to obtain control, through deception,

2-10 intimidation or undue influence, over the older person’s money, assets or

2-11 property or that of a person with a mental disability with the intention of

2-12 permanently depriving the older person or a person with a mental

2-13 disability of the ownership, use, benefit or possession of his money, assets

2-14 or property. As used in this subsection, "undue influence" does not include

2-15 the normal influence that one member of a family has over another.

2-16 3. "Isolation" means willfully, maliciously and intentionally

2-17 preventing an older person or a person with a mental disability from

2-18 having contact with another person by:

2-19 (a) Intentionally preventing the older person or a person with a mental

2-20 disability from receiving his visitors, mail or telephone calls, including,

2-21 without limitation, communicating to a person who comes to visit the older

2-22 person or a person with a mental disability or a person who telephones the

2-23 older person or a person with a mental disability that the older person or a

2-24 person with a mental disability is not present or does not want to meet

2-25 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 a

2-27 mental disability and intended to prevent the older person or a person with

2-28 a mental disability from having contact with the visitor; or

2-29 (b) Physically restraining the older person or a person with a mental

2-30 disability to prevent the older person or a person with a mental disability

2-31 from meeting with a person who comes to visit the older person [.] or a

2-32 person with a mental disability.

2-33 The term does not include an act intended to protect the property or

2-34 physical or mental welfare of the older person or a person with a mental

2-35 disability or an act performed pursuant to the instructions of a physician of

2-36 the older person [.] or a person with a mental disability.

2-37 4. "Neglect" means the failure of:

2-38 (a) A person who has assumed legal responsibility or a contractual

2-39 obligation for caring for an older person or a person with a mental

2-40 disability or who has voluntarily assumed responsibility for his care to

2-41 provide food, shelter, clothing or services which are necessary to maintain

2-42 the physical or mental health of the older person [;] or a person with a

2-43 mental disability; or

3-1 (b) An older person or a person with a mental disability to provide for

3-2 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 condition

3-5 described in NRS 433.164 or 433.174.

3-6 7. "Protective services" means services the purpose of which is to

3-7 prevent and remedy the abuse, neglect, exploitation and isolation of older

3-8 persons [.] or persons with mental disabilities. The services may include

3-9 investigation, evaluation, counseling, arrangement and referral for other

3-10 services and assistance.

3-11 Sec. 3. NRS 200.5093 is hereby amended to read as follows:

3-12 200.5093 1. A person required to make a report pursuant to this

3-13 section shall make the report immediately, but in no event later than 24

3-14 hours after there is reason to believe that an older person or a person with

3-15 a mental disability has been abused, neglected, exploited or isolated. [The]

3-16 Except as otherwise provided in this subsection, the report must be made

3-17 to:

3-18 (a) The local office of the welfare or aging services division of the

3-19 department of human resources [;] if the report concerns an older person;

3-20 (b) The mental hygiene and mental retardation division of the

3-21 department of human resources if the report concerns a person with a

3-22 mental disability;

3-23 (c) A police department or sheriff’s office;

3-24 [(c)] (d) The county’s office for protective services, if one exists in the

3-25 county where the suspected action occurred; or

3-26 [(d)] (e) A toll-free telephone service designated by the aging services

3-27 division of the department of human resources [.] if the report concerns an

3-28 older person.

3-29 If the report of abuse, neglect, exploitation or isolation of an older person

3-30 or a person with a mental disability involves an act or omission of the

3-31 welfare division, aging services division , mental hygiene and mental

3-32 retardation division or a law enforcement agency, the report must be made

3-33 to an agency other than the one alleged to have committed the act or

3-34 omission. Each agency, after reducing the report to writing, shall forward a

3-35 copy of the report to the aging services division of the department of

3-36 human resources [.] if the report concerns an older person, or to the

3-37 mental hygiene and mental retardation division of the department of

3-38 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 their

3-40 professional or occupational capacities, know or have reason to believe

3-41 that an older person or a person with a mental disability is being or has

3-42 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 or

4-3 practical nurse, physician’s assistant, psychiatrist, psychologist, marriage

4-4 and family therapist, alcohol or drug abuse counselor, driver of an

4-5 ambulance, advanced emergency medical technician or other person

4-6 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 mental

4-8 disability who appears to have been abused, neglected, exploited or

4-9 isolated.

4-10 (b) Any personnel of a hospital or similar institution engaged in the

4-11 admission, examination, care or treatment of persons or an administrator,

4-12 manager or other person in charge of a hospital or similar institution upon

4-13 notification of the suspected abuse, neglect, exploitation or isolation of an

4-14 older person or a person with a mental disability by a member of the staff

4-15 of the hospital.

4-16 (c) A coroner.

4-17 (d) Every clergyman, practitioner of Christian Science or religious

4-18 healer, unless he acquired the knowledge of abuse, neglect, exploitation or

4-19 isolation of the older person or a person with a mental disability from the

4-20 offender during a confession.

4-21 (e) Every person who maintains or is employed by an agency to provide

4-22 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 a

4-25 mental disability from a client who has been or may be accused of such

4-26 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 for

4-29 protective services or an adult or juvenile probation officer.

4-30 (i) Any person who maintains or is employed by a facility or

4-31 establishment that provides care for older persons [.] or persons with

4-32 mental disabilities.

4-33 (j) Any person who maintains, is employed by or serves as a volunteer

4-34 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 a

4-36 mental disability and refers them to persons and agencies where their

4-37 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 or

4-40 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 has

4-43 reasonable cause to believe that an older person or a person with a mental

5-1 disability has died as a result of abuse, neglect or isolation shall report this

5-2 belief to the appropriate medical examiner or coroner, who shall

5-3 investigate the cause of death of the older person or a person with a

5-4 mental disability and submit to the appropriate local law enforcement

5-5 agencies, the appropriate prosecuting attorney and the aging services

5-6 division of the department of human resources his written findings. The

5-7 written findings must include the information required pursuant to the

5-8 provisions of NRS 200.5094, when possible.

5-9 5. A division, office or department which receives a report pursuant to

5-10 this section shall cause the investigation of the report to commence within

5-11 3 working days. A copy of the final report of the investigation conducted

5-12 by a division, office or department, other than the aging services division

5-13 of the department of human resources [,] if the report concerns an older

5-14 person, or other than the mental hygiene and mental retardation division

5-15 of the department of human resources if the report involves a person with

5-16 a mental disability, must be forwarded within 90 days after the

5-17 completion of the report to [the] :

5-18 (a) The aging services division [within 90 days after the completion of

5-19 the report.] if the report concerns an older person; or

5-20 (b) The mental hygiene and mental retardation division if the report

5-21 concerns a person with a mental disability.

5-22 6. If the investigation of the report results in the belief that the older

5-23 person or a person with a mental disability is abused, neglected, exploited

5-24 or isolated, the welfare division of the department of human resources or

5-25 the county’s office for protective services may provide protective services

5-26 to the older person or a person with a mental disability if he is able and

5-27 willing to accept them.

5-28 7. A person who knowingly and willfully violates any of the

5-29 provisions of this section is guilty of a misdemeanor.

5-30 Sec. 4. NRS 200.5099 is hereby amended to read as follows:

5-31 200.5099 1. Except as otherwise provided in subsection 6, any

5-32 person who abuses an older person [,] or a person with a mental disability,

5-33 causing the older person or a person with a mental disability to suffer

5-34 unjustifiable physical pain or mental suffering, is guilty of a category B

5-35 felony and shall be punished by imprisonment in the state prison for a

5-36 minimum term of not less than 2 years and a maximum term of not more

5-37 than 6 years, unless a more severe penalty is prescribed by law for the act

5-38 or omission which brings about the abuse.

5-39 2. Except as otherwise provided in subsection 7, any person who has

5-40 assumed responsibility, legally, voluntarily or pursuant to a contract, to

5-41 care for an older person or a person with a mental disability and who:

6-1 (a) Neglects the older person [,] or a person with a mental disability

6-2 causing the older person or a person with a mental disability to suffer

6-3 physical pain or mental suffering;

6-4 (b) Permits or allows the older person or a person with a mental

6-5 disability to suffer unjustifiable physical pain or mental suffering; or

6-6 (c) Permits or allows the older person or a person with a mental

6-7 disability to be placed in a situation where the older person or a person

6-8 with a mental disability may suffer physical pain or mental suffering as the

6-9 result of abuse or neglect,

6-10 is guilty of a gross misdemeanor unless a more severe penalty is prescribed

6-11 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 who

6-13 exploits an older person or a person with a mental disability shall be

6-14 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 county

6-16 jail for not more than 1 year, or by a fine of not more than $2,000, or by

6-17 both fine and imprisonment;

6-18 (b) Is at least $250, but less than $5,000, for a category B felony by

6-19 imprisonment in the state prison for a minimum term of not less than 2

6-20 years and a maximum term of not more than 10 years, or by a fine of not

6-21 more than $10,000, or by both fine and imprisonment; or

6-22 (c) Is $5,000 or more, for a category B felony by imprisonment in the

6-23 state prison for a minimum term of not less than 2 years and a maximum

6-24 term of not more than 20 years, or by a fine of not more than $25,000, or

6-25 by both fine and imprisonment,

6-26 unless a more severe penalty is prescribed by law for the act which brought

6-27 about the exploitation. The monetary value of all of the money, assets and

6-28 property of the older person or a person with a mental disability which

6-29 have been obtained or used, or both, may be combined for the purpose of

6-30 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 mental

6-32 disability and the monetary value of any money, assets and property

6-33 obtained cannot be determined, the person shall be punished for a gross

6-34 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 mental

6-37 disability is guilty:

6-38 (a) For the first offense, of a gross misdemeanor; or

6-39 (b) For any subsequent offense, of a category B felony and shall be

6-40 punished by imprisonment in the state prison for a minimum term of not

6-41 less than 2 years and a maximum term of not more than 10 years, and may

6-42 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 substantial

7-2 bodily or mental harm or death results to the older person [,] or a person

7-3 with a mental disability is guilty of a category B felony and shall be

7-4 punished by imprisonment in the state prison for a minimum term of not

7-5 less than 2 years and a maximum term of not more than 20 years, unless a

7-6 more severe penalty is prescribed by law for the act or omission which

7-7 brings about the abuse.

7-8 7. A person who violates any provision of subsection 2, if substantial

7-9 bodily or mental harm or death results to the older person [,] or a person

7-10 with a mental disability, shall be punished for a category B felony by

7-11 imprisonment in the state prison for a minimum term of not less than 2

7-12 years and a maximum term of not more than 6 years, unless a more severe

7-13 penalty is prescribed by law for the act or omission which brings about the

7-14 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 or

7-17 neglect of an older person or a person with a mental disability if the

7-18 person knows or has reason to know that the older person or a person with

7-19 a mental disability is being abused or neglected.

7-20 (b) "Permit" means permission that a reasonable person would not grant

7-21 and which amounts to a neglect of responsibility attending the care and

7-22 custody of an older person [.] or a person with a mental disability.

7-23 Sec. 5. The amendatory provisions of this act do not apply to offenses

7-24 that were committed before October 1, 1999.

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