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H.B. 47 Enrolled





Chief Sponsor: Carol Spackman Moss

Senate Sponsor: Gene Davis

             6      Cosponsors:
             7      Johnny Anderson
             8      Patrice M. Arent
             9      Stewart Barlow
             10      Melvin R. Brown
             11      Rebecca Chavez-Houck
             12      Bradley M. Daw
             13      Brian DoughtyJack R. Draxler
Susan Duckworth
Rebecca P. Edwards
Janice M. Fisher
Richard A. Greenwood
Stephen G. Handy
Neal B. Hendrickson
Gregory H. HughesBrian S. King
Rebecca D. Lockhart
Merlynn T. Newbold
Lee B. Perry
Marie H. Poulson
Jennifer M. Seelig              14     
             15      LONG TITLE
             16      General Description:
             17          This bill modifies Chapter 3, Aging and Adult Services, of Title 62A, Utah Human
             18      Services Code, by amending definitions.
             19      Highlighted Provisions:
             20          This bill:
             21          .    amends the definition of "emotional or psychological abuse;" and
             22          .    makes technical changes.
             23      Money Appropriated in this Bill:
             24          None
             25      Other Special Clauses:
             26          None
             27      Utah Code Sections Affected:
             28      AMENDS:

             29          62A-3-301, as last amended by Laws of Utah 2011, Chapter 320
             31      Be it enacted by the Legislature of the state of Utah:
             32          Section 1. Section 62A-3-301 is amended to read:
             33           62A-3-301. Definitions.
             34          As used in this part:
             35          (1) "Abandonment" means any knowing or intentional action or failure to act,
             36      including desertion, by a person or entity acting as a caretaker for a vulnerable adult that leaves
             37      the vulnerable adult without the means or ability to obtain necessary food, clothing, shelter, or
             38      medical or other health care.
             39          (2) "Abuse" means:
             40          (a) knowingly or intentionally:
             41          (i) attempting to cause harm;
             42          (ii) causing harm; or
             43          (iii) placing another in fear of harm;
             44          (b) unreasonable or inappropriate use of physical restraint, medication, or isolation that
             45      causes or is likely to cause harm to a vulnerable adult;
             46          (c) emotional or psychological abuse;
             47          (d) a sexual offense as described in Title 76, Chapter 5, Offenses Against the Person;
             48      or
             49          (e) deprivation of life sustaining treatment, or medical or mental health treatment,
             50      except:
             51          (i) as provided in Title 75, Chapter 2a, Advance Health Care Directive Act; or
             52          (ii) when informed consent, as defined in Section 76-5-111 , has been obtained.
             53          (3) "Adult" means a person who is 18 years of age or older.
             54          (4) "Adult protection case file" means a record, stored in any format, contained in a
             55      case file maintained by Adult Protective Services.
             56          (5) "Adult Protective Services" means the unit within the division responsible to

             57      investigate abuse, neglect, and exploitation of vulnerable adults and provide appropriate
             58      protective services.
             59          (6) "Capacity to consent" means the ability of a person to understand and communicate
             60      regarding the nature and consequences of decisions relating to the person, and relating to the
             61      person's property and lifestyle, including a decision to accept or refuse services.
             62          (7) "Caretaker" means each person, entity, corporation, or public institution that
             63      assumes the responsibility to provide a vulnerable adult with care, food, shelter, clothing,
             64      supervision, medical or other health care, resource management, or other necessities.
             65          (8) "Counsel" means an attorney licensed to practice law in this state.
             66          (9) "Database" means the statewide database maintained by the division under Section
             67      62A-3-311.1 .
             68          (10) "Elder abuse" means abuse, neglect, or exploitation of an elder adult.
             69          (11) "Elder adult" means a person 65 years of age or older.
             70          (12) "Emergency" means a circumstance in which a vulnerable adult is at an immediate
             71      risk of death, serious physical injury, or serious physical, emotional, or financial harm.
             72          (13) (a) "Emotional or psychological abuse" means knowing or intentional verbal or
             73      nonverbal conduct directed at a vulnerable adult that results [or could result] in the vulnerable
             74      adult suffering mental anguish, emotional distress, fear, humiliation, degradation, agitation, or
             75      confusion.
             76          (b) "Emotional or psychological abuse" includes [ridiculing,] intimidating, [yelling,
             77      swearing,] threatening, isolating, coercing, or harassing.
             78          (c) "Emotional or psychological abuse" does not include verbal or non-verbal conduct
             79      by a vulnerable adult who lacks the capacity to intentionally or knowingly:
             80          (i) engage in the conduct; or
             81          (ii) cause mental anguish, emotional distress, fear, humiliation, degradation, agitation,
             82      or confusion.
             83          (14) "Exploitation" means an offense described in Subsection 76-5-111 (4) or Section
             84      76-5b-202 .

             85          (15) "Harm" means pain, mental anguish, emotional distress, hurt, physical or
             86      psychological damage, physical injury, serious physical injury, suffering, or distress inflicted
             87      knowingly or intentionally.
             88          (16) "Inconclusive" means a finding by the division that there is not a reasonable basis
             89      to conclude that abuse, neglect, or exploitation occurred.
             90          (17) "Intimidation" means communication through verbal or nonverbal conduct which
             91      threatens deprivation of money, food, clothing, medicine, shelter, social interaction,
             92      supervision, health care, or companionship, or which threatens isolation or abuse.
             93          (18) (a) "Isolation" means knowingly or intentionally preventing a vulnerable adult
             94      from having contact with another person by:
             95          (i) preventing the vulnerable adult from receiving visitors, mail, or telephone calls,
             96      contrary to the expressed wishes of the vulnerable adult, including communicating to a visitor
             97      that the vulnerable adult is not present or does not want to meet with or talk to the visitor,
             98      knowing that communication to be false;
             99          (ii) physically restraining the vulnerable adult in order to prevent the vulnerable adult
             100      from meeting with a visitor; or
             101          (iii) making false or misleading statements to the vulnerable adult in order to induce
             102      the vulnerable adult to refuse to receive communication from visitors or other family members.
             103          (b) The term "isolation" does not include an act intended to protect the physical or
             104      mental welfare of the vulnerable adult or an act performed pursuant to the treatment plan or
             105      instructions of a physician or other professional advisor of the vulnerable adult.
             106          (19) "Lacks capacity to consent" is as defined in Section 76-5-111 .
             107          (20) (a) "Neglect" means:
             108          (i) (A) failure of a caretaker to provide necessary care, including nutrition, clothing,
             109      shelter, supervision, personal care, or dental, medical, or other health care for a vulnerable
             110      adult, unless the vulnerable adult is able to provide or obtain the necessary care without
             111      assistance; or
             112          (B) failure of a caretaker to provide protection from health and safety hazards or

             113      maltreatment;
             114          (ii) failure of a caretaker to provide care to a vulnerable adult in a timely manner and
             115      with the degree of care that a reasonable person in a like position would exercise;
             116          (iii) a pattern of conduct by a caretaker, without the vulnerable adult's informed
             117      consent, resulting in deprivation of food, water, medication, health care, shelter, cooling,
             118      heating, or other services necessary to maintain the vulnerable adult's well being;
             119          (iv) knowing or intentional failure by a caretaker to carry out a prescribed treatment
             120      plan that causes or is likely to cause harm to the vulnerable adult;
             121          (v) self-neglect by the vulnerable adult; or
             122          (vi) abandonment by a caretaker.
             123          (b) "Neglect" does not include conduct, or failure to take action, that is permitted or
             124      excused under Title 75, Chapter 2a, Advance Health Care Directive Act.
             125          (21) "Physical injury" includes the damage and conditions described in Section
             126      76-5-111 .
             127          (22) "Protected person" means a vulnerable adult for whom the court has ordered
             128      protective services.
             129          (23) "Protective services" means services to protect a vulnerable adult from abuse,
             130      neglect, or exploitation.
             131          (24) "Self-neglect" means the failure of a vulnerable adult to provide or obtain food,
             132      water, medication, health care, shelter, cooling, heating, safety, or other services necessary to
             133      maintain the vulnerable adult's well being when that failure is the result of the adult's mental or
             134      physical impairment. Choice of lifestyle or living arrangements may not, by themselves, be
             135      evidence of self-neglect.
             136          (25) "Serious physical injury" is as defined in Section 76-5-111 .
             137          (26) "Supported" means a finding by the division that there is a reasonable basis to
             138      conclude that abuse, neglect, or exploitation occurred.
             139          (27) "Undue influence" occurs when a person uses the person's role, relationship, or
             140      power to exploit, or knowingly assist or cause another to exploit, the trust, dependency, or fear

             141      of a vulnerable adult, or uses the person's role, relationship, or power to gain control
             142      deceptively over the decision making of the vulnerable adult.
             143          (28) "Vulnerable adult" means an elder adult, or an adult who has a mental or physical
             144      impairment which substantially affects that person's ability to:
             145          (a) provide personal protection;
             146          (b) provide necessities such as food, shelter, clothing, or mental or other health care;
             147          (c) obtain services necessary for health, safety, or welfare;
             148          (d) carry out the activities of daily living;
             149          (e) manage the adult's own financial resources; or
             150          (f) comprehend the nature and consequences of remaining in a situation of abuse,
             151      neglect, or exploitation.
             152          (29) "Without merit" means a finding that abuse, neglect, or exploitation did not occur.

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