S-4132.2  _______________________________________________

                         SENATE BILL 6746

          _______________________________________________

State of Washington      56th Legislature     2000 Regular Session

By Senators Wojahn, Winsley, Thibaudeau, Deccio and Kohl‑Welles

Read first time 01/26/2000.  Referred to Committee on Health & Long‑Term Care.

Requiring certain immunizations of staff and residents of long-term care facilities.

    AN ACT Relating to immunizations at long-term care facilities; adding a new chapter to Title 70 RCW; and providing an effective date.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

NEW SECTION. Sec. 1.  It is the intent of the legislature to ensure that long-term care facilities are safe.

    (1) The long-term care resident and employee immunization act is intended to:

    (a) Prevent and reduce the occurrence and severity of the influenza virus and pneumococcal disease by increasing the use of immunizations licensed by the food and drug administration;

    (b) Avoid pain, suffering, and deaths that may result from the influenza virus and pneumococcal disease;

    (c) Improve the well-being and quality of life of residents and employees of long-term care facilities; and

    (d) Reduce avoidable costs associated with treating the influenza virus and pneumococcal disease.

    (2) The legislature finds that:

    (a) Recent studies show that it is important to immunize older citizens against the influenza virus and pneumococcal disease;

    (b) The centers for disease control and prevention recommend individuals over age sixty-five receive immunizations against the influenza virus and pneumococcal disease;

    (c) The influenza virus and pneumococcal disease have been identified as leading causes of death for citizens over age sixty-five;

    (d) Immunizations licensed by the food and drug administration are readily available and effective in reducing and preventing the severity of the influenza virus and pneumococcal disease in people over age sixty-five;

    (e) All types of long-term care facilities operating in the state are appropriate locations to improve immunization rates among residents over age sixty-five; and

    (f) Employees of long-term care facilities should be immunized against influenza and pneumococcal disease to prevent the spread of these diseases to the frail and elderly residents of long-term care facilities.

NEW SECTION. Sec. 2.  The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.

    (1) "Documentation" means evidence from a person's physician or health care provider in written format indicating the date and place when the individual received the influenza virus immunization and the pneumococcal pneumonia immunization.

    (2) "Long-term care facility" includes nursing homes licensed under chapter 18.51 RCW, boarding homes license under chapter 18.20 RCW, and adult family homes licensed under chapter 70.128 RCW.

    (3) "Medically contraindicated" means either that the influenza or pneumococcal immunizations should not be administered to an individual because of a condition that individual has that will be detrimental to the individual's health if the individual receives either of the immunizations.

NEW SECTION. Sec. 3.  Long-term care facilities shall:

    (1) Require that all employees and residents, unless otherwise exempted, have current documentation of influenza virus and pneumococcal disease immunization.  If an individual is unable to provide current documentation of immunization, the long-term care facility must provide access to the immunization within thirty days;

    (2) Require that each resident, or the resident's legal guardian, upon admission to a long-term care facility, provide informed consent for annual influenza virus and pneumococcal disease immunization; and

    (3) Require that all residents and employees of long-term care facilities update their immunizations by November 30th of each year.

NEW SECTION. Sec. 4.  All residents and employees of long-term care facilities must be immunized as required by this chapter unless:

    (1) The immunization is medically contraindicated, as described in the product labeling approved by the food and drug administration; or

    (2) Receiving an immunization is against the individual's religious beliefs.

NEW SECTION. Sec. 5.  Long-term care facilities that fail to comply with the terms of this chapter are subject to the provisions of RCW 18.20.060, 18.51.060, or 70.128.100.

NEW SECTION. Sec. 6.  This act shall be known and may be cited as the long-term care resident and employee immunization act of 2000.

NEW SECTION. Sec. 7.  Sections 1 through 6 of this act constitute a new chapter in Title 70 RCW.

NEW SECTION. Sec. 8.  This act takes effect July 1, 2000.

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