WBRH&B Health Law Newsletter                                        September 1997  
CRIMINAL HISTORY BACKGROUND CHECKS FOR PERSONS WHO CARE FOR THE ELDERLY
On May 12, 1997, Governor Whitman signed legislation requiring criminal history background checks for persons who regularly care for the elderly. The legislation becomes effective November 1, 1997 and does not apply to any employee hired prior to that date. While the statute is primarily directed at long term care facilities, it also covers, among others, general, special and psychiatric hospitals, as well as licensed home health care agencies. The elderly are defined as persons 60 years or older receiving treatment or care in a covered facility. The term "receiving treatment or care" is defined broadly to include admission, discharge, transfer and "instances related to such status".

The legislation prohibits the hiring of any unlicensed person serving in a position involving regular contact with elderly patients for whom a background check with the Federal Bureau of Investigation, Identification Division or the State Bureau of Identification in the Division of State Police discloses certain criminal convictions. The pertinent convictions include a crime or disorderly persons offense involving danger to a person, against the family, children or incompetents; involving theft or involving a controlled dangerous substance. Additionally, convictions of crimes in any other jurisdiction which, if committed in New Jersey, would constitute any of the above mentioned offenses, similarly disqualifies the person from such employment.

An applicant for employment is required to submit to the Commissioner of Health and Senior Services his or her name, address and fingerprints on a standard fingerprint card taken by a law enforcement agency. Upon receipt of the background check from either the FBI or the State Police, the Commissioner will immediately notify the applicant and prospective employer, in writing, of the persons qualification or disqualification. In the event of disqualification, the conviction which is the basis for the disqualification must be contained in the notice to the applicant but not to the employer.

Thereafter, the applicant has 30 days from the date of the notice to petition the Commissioner for a hearing on the accuracy of the information or to affirmatively demonstrate through clear and convincing evidence that they have been rehabilitated. The statute contains criteria to be applied by the Commissioner when determining if rehabilitation has occurred. The Commissioner will notify the prospective employer that the applicant has requested a hearing.

The statute allows a facility to conditionally employ a person without supervision for a period not to exceed 180 days pending the completion of a background check, provided the applicant submits to the Commissioner, a sworn statement attesting that he or she has not been convicted of any of the included offenses. The submission of a false statement not only disqualifies the person from employment or the ability to prove rehabilitation but may also subject them to a fine of $1000.00. A conditionally employed person who disputes the accuracy of the information and requests a hearing may remain employed pending the Commissioner's determination but the facility cannot permit the employee to have regular contact with the elderly unless supervision is provided.

It is important to note that the statute makes no provisions for the immunity of an employer who conditionally hires an employee whose sworn statement proves false and during the course of their employment cause injury to a patient or to themselves. This could have an impact on the employers general liability insurance as well as workers' compensation. In light of the absence of an immunity provision you should be aware that the statute does not require you to conditionally hire an employee pending the background check. The language is permissive and therefore you may opt to wait for the completion of the background check.

If a person refuses to consent to or cooperate in securing a background check, the Commissioner shall direct the administrator of the employing facility not to consider the person for employment. Employers who fail to comply with the provisions of the statute may be subject to a fine of $1000.00. A further provision indicates that the prospective employer will assume the cost of the background check but they may require the employee to pay.

Identical provisions are contained in a statute which applies to any home health agency, nurses registry, employment agency or temporary help agency licensed or regulated by the Division of Consumer Affairs.

Regulations to implement these various statutes are being drafted by the involved agencies. If we can be of assistance to you regarding compliance with the statute, please do not hesitate to contact Kathleen O. Curley.

WBRH&B Health Law News is a service of the firm's Healthcare Practice Group. It is not intended as a substitute for legal advice.

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