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Mandatory Reporting Requirements: Elderly

Last Updated: 2016-02-05
State Who is required to report? What timing and procedural requirements apply to reports? Statutory citation(s):
Alabama^
  • Physicians;
  • Other practitioners of the healing arts; and
  • Caregivers (i.e., an individual who has the responsibility for the care of a protected person as a result of family relationship or who has assumed the responsibility for the care of the person voluntarily, by contract, or as a result of the ties of friendship).
  • An oral report, either by telephone or otherwise, must be made immediately, followed by a written report.

Ala. Code §§ 38-9-2, 38-9-8, 38-9-9, 38-9-10.

Alaska^
  • Physicians or other licensed health care providers;
  • Mental health professionals (see definition below), including marital and family therapists;
  • Pharmacists;
  • Administrators or employees of nursing homes or residential care or health care facilities;
  • Guardians or conservators;
  • Police officers;
  • Village public safety officers;
  • Village health aides;
  • Social workers;
  • Members of the clergy;
  • Staff employees of a project funded by the Department of Administration for the provision of services to older Alaskans, the Department of Health and Social Services, or the Council on Domestic Violence and Sexual Assault;
  • Employees of a personal care or home health aide program;
  • Emergency medical technicians or mobile intensive care paramedics;
  • Caregivers of the vulnerable adult (i.e., either a person who is providing care to a vulnerable adult as a result of a family relationship, or who has assumed responsibility for the care of a vulnerable adult voluntarily, by contract, as an employee of a business that provides care in an adult’s home, or by court order, or an employee of an out-of-home care facility who provides care to one or more vulnerable adults);
  • Certified nurse aides; and
  • Educators or administrative staff members of a public or private educational institution.
  • The report must be made not later than 24 hours after first having cause for the belief of abuse.

Alaska Stat. §§ 47.24.010, 47.24.130, 47.24.900.

Arizona^
  • Physicians;
  • Registered nurse practitioners;
  • Hospital interns or residents;
  • Surgeons;
  • Dentists;
  • Psychologists;
  • Social workers;
  • Peace officers;
  • Any person who has responsibility for the care of a vulnerable adult;
  • Attorneys;
  • Accountants;
  • Trustees;
  • Guardians;
  • Conservators;
  • Any person who has responsibility for preparing the tax records of a vulnerable adult; and
  • Any person who has responsibility for any other action concerning the use or preservation of the vulnerable adult’s property.
  • Reports must be made immediately in person or by telephone and shall be followed by a written report mailed or delivered within 48 hours or on the next working day if the 48 hours expire on a weekend or holiday.

Ariz. Rev. Stat. Ann. §§ 46-451, 46-454.

Arkansas^
  • Physicians;
  • Surgeons;
  • Coroners;
  • Dentists;
  • Dental hygienists;
  • Osteopaths;
  • Resident interns;
  • Nurses;
  • Members of a hospital’s personnel who are engaged in the administration, examination, care, or treatment of persons;
  • Social workers;
  • Case managers;
  • Home health workers;
  • Mental health professionals;
  • Peace officers;
  • Law enforcement officers;
  • Facility administrators and owners;
  • Employees in a facility;
  • Employees of the Department of Human Services;
  • Firefighters;
  • Emergency medical technicians;
  • Employees of a bank and other financial institutions;
  • Employees of the United States Postal Service;
  • Employees or volunteers of a program or organization funded partially or wholly by the Department of Human Services who enters the home of or has contact with an elderly person;
  • Persons associated with the care and treatment of animals, such as animal control officers and humane society officials;
  • Employees who enforces code requirements for a city, township, or municipality; and
  • Any clergy member, including without limitation, ministers, priests, rabbis, accredited Christian Science practitioners, or any other similar functionaries of a religious organization, or individuals reasonably believed to be a minister, a priest, a rabbi, an accredited Christian Science practitioner, or any other similar functionary of a religious organization by the person consulting him or her, except to the extent he or she:
    • (i) has acquired knowledge of suspected maltreatment through communications required to be kept confidential pursuant to the religious discipline of the relevant denomination or faith; or
    • (ii) received the knowledge of the suspected maltreatment from the offender in the context of a statement of admission
  • A report must be made immediately.

Adult and Long-Term Care Facility Resident Maltreatment Act, Ark. Code Ann. §§ 12-12-1701 through 12-12-1723.

California^
  • Any person who has assumed full or intermittent responsibility for the care or custody of an elder or dependent adult, whether or not he or she receives compensation, including administrators, supervisors, and any licensed staff of a public or private facility that provides care or services for elder or dependent adults;
  • Any elder or dependent adult care custodian;
  • A health practitioner (including a physician and surgeon, psychiatrist, psychologist, dentist, resident, intern, podiatrist, chiropractor, registered nurse, dental hygienist, licensed clinical social worker or associate clinical social worker, marriage and family, therapist, or any other person who is currently licensed under Division 2 (commencing with Section 500) of the Business and Professions Code, any emergency medical technician I or II, paramedic, or person certified pursuant to Division 2.5 (commencing with Section 1797) of the Health and Safety Code, a psychological assistant registered pursuant to Section 2913 of the Business and Professions Code, a marriage and family therapist intern, as defined in subdivision (c) of Section 4980.03 of the Business and Professions Code, or an unlicensed marriage and family therapist intern registered under Section 4980.44 of the Business and Professions Code, a clinical counselor trainee (as defined in subdivision (g) of Section 4999.12 of the Business and Professions Code), a clinical counselor intern registered under Section 4999.42 of the Business and Professions Code, a state or county public health or social service employee who treats an elder or a dependent adult for any condition, or a coroner);
  • A clergy member (including a priest, minister, rabbi, religious practitioner, or similar functionary of a church, synagogue, temple, mosque, or recognized religious denomination or organization, but excluding any unpaid volunteers whose principal occupation or vocation does not involve active or ordained ministry in a church, synagogue, temple, mosque, or recognized religious denomination or organization, and who periodically visit elder or dependent adults on behalf of that church, synagogue, temple, mosque, or recognized religious denomination or organization);
    • A clergy member who acquires knowledge or reasonable suspicion of elder or dependent adult abuse during a penitential communication is not a mandated reporter. “Penitential communication” means a communication that is intended to be in confidence, including, but not limited to, a sacramental confession made to a clergy member who, in the course of the discipline or practice of his or her church, denomination, or organization is authorized or accustomed to hear those communications and under the discipline tenets, customs, or practices of his or her church, denomination, or organization, has a duty to keep those communications secret. Nothing shall limit a clergy member’s duty to report known or suspected elder and dependent adult abuse when he or she is acting in the capacity of a care custodian, health practitioner, or employee of an adult protective services agency.
  • An employee of a county adult protective services agency or a local law enforcement agency;
  • All officers and employees of financial institutions are mandated reporters of suspected financial abuse; and
  • Any notary public who, in connection with providing notary services, has observed or has knowledge of suspected financial abuse of an elder or dependent adult is a mandatory reporter of suspected financial abuse.
  • A telephone report or confidential Internet reporting tool report shall be made immediately or as soon as practicably possible, and, if the initial report was made by telephone, a written report must be sent, or an Internet report shall be made, within two working days.
  • Also see timing requirements under “When is a report required and where does it go?” above for long-term care facilities, state mental hospitals and state developmental centers.

Elder Abuse and Dependent Adult Civil Protection Act, Ca. Welf. & Inst. §§ 15600 et seq.

Colorado^
  • The following persons are required to report abuse of at-risk elders and are urged, but not required, to report abuse of other at-risk adults:
    • Physicians, surgeons, physicians’ assistants, osteopaths, physicians in training, podiatrists, occupational therapists and physical therapists
    • Medical examiners or coroners;
    • Registered nurses, licensed practical nurses and nurse practitioners;
    • Emergency medical service providers;
    • Hospital and long term facility care personnel engaged in the admission, care or treatment of patients;
    • Chiropractors;
    • Psychologists and other mental health professionals;
    • Social work practitioners;
    • Clergy members (i.e., priests, rabbis, duly ordained, commissioned, or licensed ministers of a church, members of a religious order, or recognized leaders of any religious body) (but not if the reasonable cause is acquired through a privileged communication);
    • Dentists;
    • Law enforcement officials and personnel;
    • Court-appointed guardians and conservators;
    • Fire protection personnel;
    • Pharmacists;
    • Community-centered board staff;
    • Personnel of banks, savings and loan associations, credit unions, and other lending or financial institutions;
    • Any caretaker, staff member, or employee of or volunteer or consultant for any licensed care facility, agency, home, or governing board; and
    • Any caretaker, staff member, or employee of or volunteer or consultant for a home care placement agency.
  • Reports should be made within 24 hours after making the observation or discovery.

Colo. Rev. Stat. §§ 18-6.5-102, 18-6.5-108; 26-3.1-101, 26.3.1-102.

Connecticut^
  • Physicians or surgeons;
  • Resident physicians or interns in any hospital in the state, whether or not so licensed;
  • Registered nurses;
  • Nursing home administrators;
  • Nurse’s aides or orderlies in a nursing home facility or residential care home;
  • Any person paid for caring for a patient in a nursing home facility or residential care home;
  • Any staff person employed by a nursing home facility or residential care home;
  • Patients’ advocates;
  • Licensed practical nurses;
  • Medical examiners;
  • Dentists;
  • Optometrist;
  • Chiropractors;
  • Podiatrists;
  • Social workers;
  • Clergymen;
  • Police officers;
  • Pharmacists;
  • Psychologists;
  • Physical therapists; and
  • Any person paid for caring for an elderly person by any institution, organization, agency or facility.
  • Reports must be made within 72 hours after such suspicion or belief arose.

Conn. Gen. Stat. § 17b-450, § 17b-451.

Delaware^
  • Any person.
  • Not specified in statute.

Del. Code Ann. tit. 31 §§ 3902, 3904, 3910.

District of Columbia^
  • Conservators;
  • Court-appointed mental retardation advocates;
  • Guardians;
  • Health-care administrators;
  • Licensed health professionals;
  • Police officers;
  • Humane officers of any agency charged with the enforcement of animal cruelty laws;
  • Bank managers;
  • Financial managers; and
  • Social workers.
  • Reports shall be made immediately and may be written or oral.

D.C. Code §§ 7-1901 et seq.

Florida^
  • Any person, including, but not limited to, any:
    • Physician, osteopathic physician, medical examiner, chiropractic physician, nurse, paramedic, emergency medical technician, or hospital personnel engaged in the admission, examination, care, or treatment of vulnerable adults;
    • Health professional or mental health professional;
    • Practitioner who relies solely on spiritual means for healing;
    • Nursing home staff, assisted living facility staff, adult day care center staff, adult family-care home staff, social worker, or other professional adult care, residential, or institutional staff;
    • State, county, or municipal criminal justice employee or law enforcement officer;
    • An employee of the Department of Business and Professional Regulation conducting inspections of public lodging establishments;
    • A Florida advocacy council or Disability Rights Florida member or a representative of the State Long-Term Care Ombudsman Program; or
    • Bank, savings and loan, or credit union officer, trustee, or employee.
  • Reports must be made immediately.

Adult Protective Services Act, Fla. Stat. §§ 415.102, 415.1034 and 415.111.

Georgia^
  • Physicians licensed to practice medicine, physicians assistants, interns or residents;
  • Hospital or medical personnel;
  • Dentist;
  • Licensed psychologists or persons participating in internships to obtain licensing;
  • Podiatrist;
  • Registered professional nurses or licensed practical nurses or nurses aids;
  • Professional counselors, social workers, or marriage and family therapists;
  • School teachers;
  • School administrators;
  • School guidance counselors, visiting teachers, school social workers or school psychologists;
  • Child welfare agency personnel;
  • Child counseling personnel;
  • Child service organization personnel;
  • Law enforcement personnel;
  • Reproductive health care facility or pregnancy resource center personnel and volunteers;
  • Physical therapist;
  • Occupational therapist;
  • Day-care personnel;
  • Coroner;
  • Medical examiner;
  • Emergency medical services personnel;
  • Any person who has been certified as an emergency medical technician, cardiac technician, paramedic or first responder;
  • Employee of a public or private agency engaged in professional health related services to elder persons or disabled adults;
  • Clergy members (see “Anything else I should know?” section below for exceptions); and
  • Any employee of a financial institution, except when that employee is acting as a fiduciary (but only for such assets that the employee is holding or managing in a fiduciary capacity).

For Long-Term Care Facilities:

  • Same as above, as well as administrators, managers, or other employees of hospitals or long-term care facilities.
  • Any other person who has knowledge that a resident or former resident has been abused or exploited while residing in a long-term care facility may report or cause a report to be made.
  • The report may be made by oral or written communication. The statute does not provide a timeframe in which reports must be made.

For Long-Term Care Facilities:

  • Report shall be made immediately by telephone or in person to the department.  
  • If an immediate report to the department is not possible, the report shall be made to the appropriate law enforcement agency or prosecuting attorney. A written report shall be made to the department within 24 hours after the initial report.

Disabled Adults and Elder Persons Protection Act; Ga. Code Ann. §§ 30-5-1 et seq. Long-term Care Facility Resident Abuse Reporting Act; Ga. Code Ann. §§ 31-8-80 et seq.

Guam^
  • Any person who, in the course of his or her employment, occupation or professional practice comes into contact with elderly or disabled adults, including but are not limited to:
    • physicians,
    • medical interns,
    • medical examiners,
    • nurses,
    • chiropractors,
    • hospital personnel engaged in the admission, examination, care or treatment of persons,
    • social workers,
    • employees of nursing homes, senior citizen centers and adult day care facilities,
    • police officers,
    • probation officers,
    • employees of homemaker and home health service agencies,
    • emergency medical service (EMS) providers,
    • non-emergency medical transport providers,
    • medical and allied health care providers,
    • banking or financial institution personnel,
    • pension providers, and
    • practicum students in the field of health and human services.

10 G.C.A. §21002, 21003, 21004, 21005.

  • “Elderly” refers to a person 60 years of age or older.
  • “Disabled Adult” means any person over the age of 18 years who:
    • Has a physical or mental impairment which substantially limits 1 or more major life activities; or
    • Has a history of, or has been classified as, having an impairment which substantially limits one or more major life activities.
  • “Major Life Activities” means functions such as, but not limited to, caring for one’s self, performing manual tasks, standing, walking, seeing, hearing, eating, sleeping, lifting, bending, speaking, breathing, learning, reading, concentrating, thinking and working.
  • “Elderly or Disabled Adult Abuse” means self-neglect or any 1 or more of the following acts inflicted on an elderly or disabled adult by other than accidental means by another person: physical abuse, neglect or abandonment.
Hawaii^

  • Any of the following persons, in the performance of their professional or official duties:
    • Any licensed or registered professional of the healing arts and any health-related occupation who examines, treats, or provides other professional or specialized services, including physicians, physicians in training, psychologists, dentists, nurses, osteopathic physicians and surgeons, optometrists, chiropractors, podiatrists, pharmacists, and other health-related professionals;
    • Employees or officers of any public or private agency or institution providing social, medical, hospital or mental health services, including financial assistance;
    • Employees of officers of any law enforcement agency, including the courts, police departments, correctional institutions, and parole or probation officers;
    • Employees or officers of any adult residential care home, adult day care center, or similar institution;
    • Medical examiners and coroners; and
    • Licensed social workers and non-licensed persons employed in a social worker position.
  • A financial institution whose employee or officer has direct contact with the elder, and observes or has knowledge of an incident the officer or employee believes in good faith appears to be financial abuse; or whose employee or officer reviews or approves the elder’s financial documents, records, or transactions, and has a good faith suspicion that financial abuse has occurred or may be occurring, based solely on the information present at the time of reviewing or approving a document, record, or transaction.
  • Oral report is to be made promptly. Written report should follow oral report as soon as possible.
  • Suspected financial abuse shall be reported immediately or as soon as practicably possible.

HRS §§ 346-222, 346-224, 346-250, 412:3-114.5.

Idaho^
  • Physicians;
  • Nurses;
  • Employees of a public or private health facility, or a state licensed or certified residential facility serving vulnerable adults;
  • Medical examiners;
  • Dentists;
  • Ombudsmen for the elderly;
  • Osteopaths;
  • Optometrists;
  • Chiropractors;
  • Podiatrists;
  • Social workers;
  • Police officers;
  • Pharmacists;
  • Physical therapists; and
  • Home care workers.
  • Must report immediately.
  • When there is reasonable cause to believe that abuse or sexual assault has resulted in death or serious physical injury jeopardizing the life, health or safety of a vulnerable adult, must also report within 4 hours to the appropriate law enforcement agency.

Adult Abuse, Neglect and Exploitation Act, Id. Code §§ 39-5302; 39-5303; 39-5303A; 39-5304; 18-113.

Illinois^

Any of the following persons, while engaged in carrying out their professional duties:

  • A professional or professional’s delegate while engaged in:
    • social services,
    • law enforcement,
    • education,
    • the care of an eligible adult or eligible adults, or
    • any of the occupations required to be licensed under:
      • The Clinical Psychologist Licensing Act;
      • The Clinical Social Work and Social Work Practice Act;
      • The Illinois Dental Practice Act;
      • The Dietetic and Nutrition Services Practice Act;
      • The Marriage and Family Therapy Licensing Act;
      • The Medical Practice Act of 1987;
      • The Naprapathic Practice Act;
      • The Nurse Practice Act;
      • The Nursing Home Administrators Licensing and Disciplinary Act;
      • The Illinois Occupational Therapy Practice Act;
      • The Illinois Optometric Practice Act of 1987;
      • The Pharmacy Practice Act;
      • The Illinois Physical Therapy Act;
      • The Physician Assistant Practice Act of 1987;
      • The Podiatric Medical Practice Act of 1987;
      • The Respiratory Care Practice Act;
      • The Professional Counselor and Clinical Professional Counselor Licensing Act;
      • The Illinois Speech-Language Pathology and Audiology Practice Act;
      • The Veterinary Medicine and Surgery Practice Act of 2004; and
      • The Illinois Public Accounting Act.
  • An employee of an entity providing developmental disabilities services or service coordination funded by the Department of Human Services;
  • An employee of a vocational rehabilitation facility prescribed or supervised by the Department of Human Services;
  • An administrator, employee, or person providing services in or through an unlicensed community based facility;
  • Any religious practitioner who provides treatment by prayer or spiritual means alone in accordance with the tenets and practices of a recognized church or religious denomination, except as to information received in any confession or sacred communication held by the denomination to be confidential;
  • Field personnel of the Department of Healthcare and Family Services, Department of Public Health, and Department of Human Services, and any county or municipal health department;
  • Personnel of the Department of Human Services, the Guardianship and Advocacy Commission, the State Fire Marshal, local fire departments, the Department on Aging and its subsidiary Area Agencies on Aging and provider agencies, and the Office of State Long Term Care Ombudsman;
  • Any employee of the State of Illinois not otherwise specified herein who is involved in providing services to eligible adults, including professionals providing medical or rehabilitation services and all other persons having direct contact with eligible adults;
  • A person who performs the duties of a coroner or medical examiner; and
  • A person who performs the duties of a paramedic or an emergency medical technician.
  • Report must be made within 24 hours after developing the belief that an eligible adult has been subjected to abuse, neglect, or financial exploitation.

320 ILCS §§ 20/2, 20/4, 20/4.2.

Indiana^
  • Any person who believes or has reason to believe that another individual is an endangered adult.
  • Reports must be made immediately.

Ind. Code Ann. §§ 12-10-3-2, 12-10-3-6, 12-10-3-9, 12-10-3-10, 12-10-3-11, 12-10-3-12.

Iowa^
  • Any person, who in the course of employment, examines, attends, counsels, or treats a dependent adult, including the following:
    • A member of the staff of a community mental health center;
    • A peace officer;
    • An in-home homemaker-home health aide;
    • An individual employed as an outreach person;
    • A health practitioner, as regulated by the state;
    • A member of the staff or an employee of a supported community living service, sheltered workshop, or work activity center;
    • A social worker; and
    • A certified psychologist.
  • Must report immediately.

Iowa Code §§ 235B.2, 235B.3.

Kansas^
  • Residents: Any of the following:
    • Any person who is licensed to practice any branch of the healing arts;
    • A licensed psychologist;
    • A licensed master level psychologist;
    • A licensed clinical psychotherapist;
    • The chief administrative officer of a medical care facility;
    • An adult care home administrator or operator;
    • A licensed social worker;
    • A licensed professional nurse;
    • A licensed practical nurse;
    • A licensed marriage and family therapist;
    • A licensed clinical marriage and family therapist;
    • Licensed professional counselor;
    • Licensed clinical professional counselor;
    • Registered alcohol and drug abuse counselor;
    • A teacher;
    • A bank trust officer or any other officers of financial institutions;
    • A legal representative; or
    • A governmental assistance provider.
  • Adults: Any of the following:
    • Any person who is licensed to practice any branch of the healing arts;
    • A licensed psychologist;
    • A licensed master level psychologist;
    • A licensed clinical psychotherapist;
    • The chief administrative officer of a medical care facility;
    • A teacher;
    • A licensed social worker;
    • A licensed professional nurse;
    • A licensed practical nurse;
    • A licensed dentist;
    • A licensed marriage and family therapist;
    • A licensed clinical marriage and family therapist;
    • Licensed professional counselor;
    • Licensed clinical professional counselor;
    • Registered alcohol and drug abuse counselor;
    • A law enforcement officer;
    • A case manager;
    • A rehabilitation counselor;
    • A bank trust officer or any other officers of financial institutions;
    • A legal representative;
    • A governmental assistance provider;
    • An owner or operator of a residential care facility;
    • An independent living counselor and the chief administrative officer of a licensed home health agency;
    • The chief administrative officer of an adult family home; and
    • The chief administrative officer of a community services provider and/or its affiliates, which is operated, funded, licensed by the state.
  • Report must be made immediately upon receipt of the information.
  • K.S.A. §§ 21-5417, 39-1401, 39-1402, 39-1403, 39-1430, 39-1431, 39-1432; and
  • Kansas Attorney General Opinion No. 2002-5.
Kentucky^
  • Any person, including but not limited to physician, law enforcement officer, nurse, social worker, cabinet personnel, coroner, medical examiner, alternate care facility employee, or caretaker.
  • Oral or written report shall be made immediately.

K.R.S. §§ 209.020, 209.030, 209.050, 209.990.

Louisiana^
  • Any person (including but not limited to a health, mental health, and social service practitioner). 
  • Not specified in statute.

La. R.S. 15:1503, 15:1504, 15:1505, 14:403.2.

Maine^
  • Any of the following persons, while acting in a professional capacity:
    • Allopathic or osteopathic physician;
    • Medical resident or intern;
    • Medical examiner;
    • Physician’s assistant;
    • Dentist, dental hygienist, or dental assistant;
    • Chiropractor;
    • Podiatrist;
    • Registered or licensed practical nurse;
    • Certified nursing assistant;
    • Social worker;
    • Psychologist;
    • Pharmacist;
    • Physical therapist;
    • Speech therapist;
    • Occupational therapist;
    • Mental health professional;
    • Law enforcement official, corrections officer, or other person holding a certification from the Maine Criminal Justice Academy;
    • Emergency room personnel;
    • Ambulance attendant;
    • Emergency medical technician, or other licensed medical service provider;
    • Unlicensed assistive personnel;
    • Member of the clergy acquiring the information as a result of clerical professional work (except for information learned through confidential communications);
    • Humane agent employed by the Department of Agriculture, Food and
    • Rural Resources;
    • Sexual assault counselors;
    • Family or domestic violence victim advocates;
    • Naturopathic doctor;
    • Respiratory therapist;
    • Court-appointed guardian or conservator; and
    • Chair of a professional licensing board that has jurisdiction over mandatory reporters;
  • Any person who has assumed full, intermittent, or occasional responsibility for the care and custody of the incapacitated or dependent adult, regardless of whether that person is compensated;
  • Any person affiliated with a church or religious institution who serves in an administrative capacity or has otherwise assumed a position of trust or responsibility to the members of that church or religious institution, while acting in that capacity, regardless of whether that person is compensated; and
  • Any person providing transportation services as a volunteer or employee of an agency, business or other entity, regardless of whether the services are provided for compensation.
  • A mandatory reporter acting in their professional capacity is not required to report when all of the following are met:
    • The factual basis for knowing or suspecting abuse, neglect or exploitation derives from the professional’s treatment of the person suspected of causing the abuse, neglect or exploitation;
    • The treatment was sought by the person for a problem relating to the abuse, neglect or exploitation; and
    • Their opinion is that the abused, neglected or exploited adult’s life or health is not immediately threatened.
  • A mandatory reporter acting in their professional capacity is also not required to report when all of the following are met:
    • The factual basis for knowing or suspecting abuse, neglect or exploitation derives from the professional’s treatment of the person suspected of being abused, neglected or exploited;
    • The treatment was sought by the person for a problem relating to the abuse, neglect or exploitation; and
    • Their opinion is that the person is not incapacitated and their life or health is not immediately threatened.
  • Must make oral report of suspected abuse or neglect immediately.  If requested by the Department of Health and Human Services, must follow with a written report within 48 hours.

22 M.R.S.A. §§ 3472, 3475, 3477, 3478, 3479, 3479-A, 3026.

Maryland^
  • Vulnerable adult: Any health practitioner, police officer, or human service worker who contacts, examines, attends, or treats an alleged vulnerable adult.
  • Developmental Disabled: Any person.
  • Resident in Facility: Any person.
  • Resident of Related Institution: Any person.
  • Vulnerable adult:
    • The report must be made by telephone, direct communication, or in writing as soon as possible.
  • Disabled:
    • Reports may be oral or written, and must be made “promptly.”
  • Resident in Facility:
    • Reports may be oral or written, and must be made “promptly.”    
  • Resident of Related Institution:
    • Reports may be oral or written, and must be made “promptly.”  
    • Any employee of a related institution who does not report within 3 days of learning of the abuse may be fined.
  • MD Code, Criminal Law, § 3-301
  • Vulnerable adult: Md. Code Ann., Fam. Law §§ 14-101, 14-302, 14-309; Md. Code Ann., Courts and Judicial Proceedings § 5-622.
  • Developmental Disabled: Md. Code Ann., Health-Gen. §§ 7-101, 7-1001, 7-1005; Md. Code Ann., Courts and Judicial Proceedings § 5-625.
  • Resident in Facility: Md. Code Ann., Health-Gen. §§ 10-705; Md. Code Ann., Courts and Judicial Proceedings § 5-626.
  • Resident of Related Institution: Md. Code Ann., Health-Gen. §§ 19-301, 19-347, Md. Code Ann., Courts and Judicial Proceedings § 5-631.
Massachusetts^
  • Elderly: Any of the following:
    • physician, physician assistant, medical intern, dentist, nurse;
    • family counselor;
    • probation officer;
    • social worker;
    • policeman, firefighter, emergency medical technician;
    • licensed psychologist;
    • coroner;
    • registered physical or occupational therapist;
    • osteopath;
    • podiatrist;
    • director of or outreach worker employed by a council on aging;
    • executive director of a licensed home health agency; or
    • executive director of a homemaker service agency or manager of an assisted living residence. 
  • Disabled: Any of the following, when acting in his or her professional capacity:
    • Physician, medical intern, hospital personnel engaged in the examination, care or treatment of persons, medical examiner, dentist, psychologist, nurse, chiropractor, podiatrist, osteopath;
    • Public or private school teacher, educational administrator, guidance or family counselor, day care worker;
    • Probation officer, social worker, foster parent, police officer or person employed by a state agency within the executive office of health and human services (see below for further detail), or employed by a private agency providing services to disabled persons. 
    • The above includes:
      • the department of elder affairs;
      • the office of health services (which houses the department of public health, the department of mental health, the division of medical assistance, and the Betsy Lehman center for patient safety and medical error reduction);
      • the office of children, youth and family services (which houses the department of children and families, the department of transitional assistance, the department of youth services, the child abuse prevention board, and the office for refugees and immigrants);
      • the office of disabilities and community services (which houses the department of developmental services, the MA rehabilitation commission, the MA commission for the blind, and the MA commission for the deaf and hard of hearing);
      • the department of veterans’ services (which houses the Soldiers’ Home in Massachusetts and the Soldiers’ Home in Holyoke);
      • the managed care oversight board; and
      • the health facilities appeals board.
  • Elderly: Reporters must make a verbal report immediately followed within 48 hours by a written report to the Department of Elder Affairs.
  • Disabled: Reporters must make an oral report immediately followed within 48 hours by a written report to the DPCC.
  • Elderly:   Mass. Gen. Laws ch. 19A, §§ 14, 15.
  • Disabled:   Mass. Gen. Laws ch. 19C, §§ 1, 10.
Michigan^
  • A person who is employed, licensed, registered or certified to provide health care, educational, social welfare, mental health or other human services;
  • An employee of an agency licensed to provide health care, educational, social welfare, mental health or other human services;
  • A law enforcement officer; and
  • An employee of the office of the county medical examiner. 
  • Reporter must report immediately by telephone or otherwise.

Mich. Comp. Laws §§ 400.11, 400.11a, 400.11e.

Minnesota^
  • A professional, or professional’s delegate, while engaged in: 
    • social services;
    • law enforcement;
    • education;
    • care of vulnerable adults;
    • nursing home administrators;
    • unlicensed complementary and alternative healthcare providers;
    • physicians;
    • nurses;
    • chiropractors;
    • optometrists;
    • physical therapists;
    • psychologists;
    • social workers;
    • marriage and family therapists;
    • behavioral health and therapy practitioners;
    • dieticians and nutritionists;
    • dentists;
    • pharmacists;
    • podiatrists;
    • employees of a rehabilitation facility certified by the state;
    • employees of any hospital, nursing home, or hospice facility; and
    • anyone that performs the duties of the medical examiner or coroner.
  • An oral report must be made immediately via telephone or otherwise.

Minn. St. §§ 214.01, 626.557, 626.5572.

Mississippi^
  • Any person, including any:
    • attorney;
    • physician;
    • osteopathic physician;
    • medical examiner, chiropractor, nurse engaged in:
      • the admission, examination, care or treatment of vulnerable persons;
    • other health professional or mental health professional;
    • practitioner who relies solely on spiritual means for healing;
    • social worker;
    • family protection worker;
    • family protection specialist or other professional care, residential or institutional staff;
    • state, county, or municipal criminal justice employee or law enforcement officer;
    • human rights advocacy committee or long-term care ombudsman council member;
    • accountant, stockbroker, financial advisor or consultant; and
    • insurance agent or consultant, investment advisor or consultant, financial planner, or any officer or employee of a bank, savings and loan, credit union or any other financial service provider.
  • If a reporter is reporting in the scope of his or her employment at a care facility, the report must be given orally or telephonically (excluding Saturdays, Sundays and legal holidays) within 24 hours of discovery and a written report must be submitted within 72 hours of discovery.
  • All others must report immediately orally or in writing, but where the report is made orally, it shall be followed up by a written report.

Miss. Code Ann. §§ 43-47-5, 43-47-7, 43-47-37.

Missouri^
  • Group A (eligible adult) – Any person.
  • Group B (elderly) – Any adult day care worker; chiropractor; Christian Science practitioner; coroner; dentist; embalmer; employee of the departments of social services, mental health, or health and senior services; employee of a local area agency on aging or an organized area agency on aging program; funeral director; home health agency or home health agency employee; hospital and clinic personnel engaged in examination, care, or treatment of persons; in-home services owner, provider, operator, or employee; law enforcement officer; long-term care facility administrator or employee; medical examiner; medical resident or intern; mental health professional; minister; nurse; nurse practitioner; optometrist; other health practitioner; peace officer; pharmacist; physical therapist; physician; physician’s assistant; podiatrist; probation or parole officer; psychologist; social worker; or other person with responsibility for the care of a person 60 years of age or older.
  • Group C (elderly residing in a facility) – Any adult day care worker; chiropractor; Christian Science practitioner; coroner; dentist; embalmer; employee of the departments of social services, mental health, or health and senior services; employee of a local area agency on aging or an organized area agency on aging program; funeral director; home health agency or home health agency employee; hospital and clinic personnel engaged in examination, care, or treatment of persons; in-home services owner, provider, operator, or employee; law enforcement officer; long-term care facility administrator or employee; medical examiner; medical resident or intern; mental health professional; minister; nurse; nurse practitioner; optometrist; other health practitioner; peace officer; pharmacist; physical therapist; physician; physician’s assistant; podiatrist; probation or parole officer; psychologist; social worker; or other person with responsibility for the care of a person 60 years of age or older.
  • Group D (in-home services client) – Any adult day care worker; chiropractor; Christian Science practitioner; coroner; dentist; embalmer; employee of the departments of social services, mental health, or health and senior services; employee of a local area agency on aging or an organized area agency on aging program; funeral director; home health agency or home health agency employee; hospital and clinic personnel engaged in examination, care, or treatment of persons; in-home services owner, provider, operator, or employee; law enforcement officer; long-term care facility administrator or employee; medical examiner; medical resident or intern; mental health professional; minister; nurse; nurse practitioner; optometrist; other health practitioner; peace officer; pharmacist; physical therapist; physician; physician’s assistant; podiatrist; probation or parole officer; psychologist; or social worker.
  • Group E (personal care assistance services consumer) – Any adult day care worker; chiropractor, Christian Science practitioner, coroner, dentist, embalmer, employee of the departments of social services, mental health, or health and senior services; employee of a local area agency on aging or an organized area agency on aging program; funeral director; home health agency or home health agency employee; hospital and clinic personnel engaged in examination, care, or treatment of persons; in-home services owner, provider, operator, or employee; law enforcement officer; long-term care facility administrator or employee; medical examiner; medical resident or intern; mental health professional; minister; nurse; nurse practitioner; optometrist; other health practitioner; peace officer; pharmacist; physical therapist; physician; physician’s assistant; podiatrist; probation or parole officer; psychologist; vendor (i.e., any organization having a written agreement with the department to provide services including monitoring and oversight of the personal care attendant, orientation, and training of the consumer, and fiscal conduit services necessary for delivery of personal care assistance services to consumers); personal care attendant; or social worker.
  • Group F (vulnerable person) – Any person.
  • Group G (vulnerable person) – Any physician, physician assistant, dentist, chiropractor, optometrist, podiatrist, intern, resident, nurse, nurse practitioner, medical examiner, social worker, licensed professional counselor, certified substance abuse counselor, psychologist, physical therapist, pharmacist, other health practitioner, minister, Christian Science practitioner, facility administrator, nurse’s aide or orderly in a residential facility, day program or specialized service operated, funded or licensed by the department or in a mental health facility or mental health program in which people may be admitted on a voluntary basis or are civilly detained pursuant to chapter 632; or employee of the departments of social services, mental health, or health and senior services; or home health agency or home health agency employee; hospital and clinic personnel engaged in examination, care, or treatment of persons; in-home services owner, provider, operator, or employee; law enforcement officer; long-term care facility administrator or employee; mental health professional; peace officer; probation or parole officer; or other nonfamilial person with responsibility for the care of a vulnerable person.
  • Those persons listed above who must report reasonable cause to believe that a resident of a facility, a physically disabled person eligible to receive personal assistance services, a person 60 years of age or older in their care, or a person in the custody, care, or control of the Department of Mental Health, has been abused or neglected must make their report immediately. There is no timeframe listed for others reporting.
  • Reports may be made orally or in writing.

Mo. Rev. Stat. §§ 192.2005, 192.2400, 192.2410, 192.2475, 198.070, 208.900, 208.912, 565.188, 565.218, 630.005, 630.163, 630.165.

Montana^
  • Any of the following persons, as a result of information they receive in their professional capacity:
    • A physician, resident, intern, professional or practical nurse, physician assistant, or member of a hospital staff engaged in the admission, examination, care, or treatment of persons;
    • An osteopath, dentist, denturist, chiropractor, optometrist, podiatrist, medical examiner, coroner, or any other health or mental health professional;
    • An ambulance attendant;
    • A social worker or other employee of the state, a county, or a municipality assisting an older person or a person with a developmental disability in the application for or receipt of public assistance payments or services;
    • A person who maintains or is employed by a rooming house, retirement home or complex, nursing home, group home, adult foster care home, adult day-care center, or assisted living facility or an agency or individual that provides home health services or personal care in the home;
    • An attorney, unless the attorney acquired knowledge of the facts required to be reported from a client and the attorney-client privilege applies;
    • A peace officer or other law enforcement official;
    • A person providing services to an older person or a person with a developmental disability pursuant to a contract with a state or federal agency; and
    • An employee of the department of public health and human services while in the conduct of the employee’s duties.
  • Timing not specified in statute.
  • Reports can be made orally, by telephone or in person, or in writing.

Mont. Code Ann. §§ 52-3-803, 52-3-811, 52-3-812, 52-3-825, 53-20-102.

Nebraska^
  • Physician, psychologist, physician assistant, nurse, nursing assistant or other medical, developmental disability, or mental health professional;
  • Law enforcement personnel;
  • Caregiver or employee of caregiver;
  • Operator or employee of a sheltered workshop;
  • Owner, operator or employee of any facility licensed by the Department of Health and Human Services; and
  • Human services professional or paraprofessional not including members of the clergy.
  • Timing is not specified, except that if requested by the department, a telephone report must be followed by a written report within 48 hours.

Neb. Rev. Stat. §§ 28-351, 28-356, 28-358, 28-359, 28-361.01, 28-371, 28-372, 28-384.

Nevada^
  • For older and vulnerable persons:
    • Every physician, dentist, dental hygienist, chiropractor, optometrist, podiatric physician, medical examiner, resident, intern, professional or practical nurse, licensed physician assistant, perfusionist, psychiatrist, psychologist, marriage and family therapist, clinical professional counselor, clinical alcohol and drug abuse counselor, alcohol and drug abuse counselor, music therapist, athletic trainer, driver of an ambulance, paramedic, licensed dietician, or other person providing medical services licensed or certified to practice in Nevada, who examines, attends or treats an older person or vulnerable person who appears to have been abused, neglected, exploited or isolated;
    • Any personnel of a hospital or similar institution engaged in the admission, examination, care or treatment of persons or an administrator, manager or other person in charge of a hospital or similar institution upon notification of the suspected abuse, neglect, exploitation or isolation of an older person or vulnerable person by a member of the staff of the hospital;
    • A coroner;
    • Every person who maintains or is employed by an agency to provide nursing in the home;
    • Any employee of the Department of Health and Human Services;
    • Any employee of a law enforcement agency or a county’s office for protective services or an adult or juvenile probation officer;
    • Any person who maintains or is employed by a facility or establishment that provides care for older persons or vulnerable persons;
    • Any person who maintains, is employed by or serves as a volunteer for an agency or service which advises persons regarding the abuse, neglect, exploitation or isolation of an older person or vulnerable person and refers them to persons and agencies where their requests and needs can be met;
    • Every social worker; and
    • Any person who owns or is employed by a funeral home or mortuary.
  • Additionally, for older persons:
    • Every person who maintains or is employed by an agency to provide personal care services in the home; and
    • Every person who operates, who is employed by or who contracts to provide services for an intermediary service organization (including an organization that provides services relating to background checks, payroll and other services related to employment of personal assistants and financial services).
  • Reports must be made as soon as reasonably practicable, but no later than 24 hours. A person acts “as soon as reasonably practicable” if, in light of all the surrounding facts and circumstances which are known or which reasonably should be known to the person at the time, a reasonable person would act within approximately the same period under those facts and circumstances.
  • Reports are to be made by telephone or (given all the facts and circumstances known or which reasonably should be known) other means of oral, written or electronic communications that would be reliable and swift under the circumstances.

Nev. Rev. Stat. §§ 200.5092, 200.50925, 200.5093, 200.50935, 200.5094, 449.4308.

New Hampshire^
  • Any person.
  • An oral report must be made immediately by telephone or otherwise and followed by a written report, if requested.

N.H. Rev. Stat. Ann. §§ 161-F:1, 161-F:43, 161-F:46, 161-F:50.

New Jersey^
  • For an Institutionalized Elderly Person: Any of the following, as a result of information obtained in the course of his or her employment:
    • Caretaker;
    • Social worker;
    • Physician;
    • Registered or licensed practical nurse; and
    • Any other professional.
  • For a Resident of a Residential Health Care Facility, Rooming House or Boarding House:
    • Any person.
  • For a Vulnerable Adult, any of the following:
    • Health care professional;
    • Law enforcement officer;
    • Firefighter; and
    • Paramedic or emergency medical technician.
  • Report must be made in a timely manner.

N.J. Stat. Ann. §§ 30:1A-3, 52:27D-407, 52:27D-409, 52:27G-2, 52:27G -7.1.

New Mexico^
  • Resident Abuse and Neglect Act: Any person paid in whole or part for providing to a resident any treatment, care, good, service or medication. This includes family members providing in-home care.
  • Adult Protective Services: Any person, including financial institutions.
  • Report must be made immediately. Report can be made orally or in writing.

N.M. Stat. §§ 27-7-16, 27-7-30 (Adult Protective Services); 30-47-3, 30-47-9(B), 31-19-1(A) (Resident Abuse and Neglect).

New York^
  • Required to report:
    • Operators and employees of a residential health care facility;
    • Persons (or employees of any corporation, partnership, organization or other entity) under contract to provide patient care services in a residential health care facility;
    • Nursing home administrators;
    • Physicians;
    • Medical examiners;
    • Coroners;
    • Physician’s associates;
    • Specialist’s assistants;
    • Osteopaths;
    • Chiropractors;
    • Physical therapists;
    • Occupational therapists;
    • Registered professional nurses;
    • Licensed practical nurses;
    • Dentists;
    • Podiatrists;
    • Optometrists;
    • Pharmacists;
    • Psychologists;
    • Licensed master social workers;
    • Licensed clinical social workers;
    • Speech pathologists; and
    • Audiologists.

Anyone may report physical abuse, mistreatment or neglect if suspected.

  • Must immediately report by telephone, followed by a written report within 48 hours. 
  • N.Y. Pub. Health Law §§ 12, 2801, 2803-d; and
  • For information regarding vulnerable adults in New York generally, please see N.Y. Social Services Law §§ 473, 488, 489, 491, 492, 550
North Carolina^
  • Any person.
  • Timing not specified. Reports may be made orally or in writing.

N.C. Gen. Stat. §§ 108A-101, 108A-102.

North Dakota^
  • When acting in his or her official or professional capacity, every medical or mental health professional or personnel, including:
    • Physician;
    • Nurse;
    • Medical examiner;
    • Coroner;
    • Dentist;
    • Dental hygienist;
    • Optometrist;
    • Pharmacist;
    • Chiropractor;
    • Podiatrist;
    • Physical therapist;
    • Occupational therapist;
    • Addiction counselor;
    • Counselor;
    • Marriage and family therapist;
    • Social worker;
    • Mental health professional;
    • Emergency medical services personnel;
    • Hospital personnel;
    • Nursing home personnel;
    • Congregate care personnel; and
    • Any other person providing medical and mental health services to a vulnerable adult.
  • And any:
    • law enforcement officer;
    • firefighter; or
    • member of the clergy (except a member of the clergy is not required to report if the information is received in the capacity of spiritual adviser).
  • And in addition, for any adult with developmental disabilities or mental illness, any of the following having knowledge of or reasonable cause to suspect that an adult with developmental disabilities or mental illness coming before the individual providing services in that individual’s official or professional capacity is abused, neglected, or exploited:
    • Every medical, mental health, or developmental disabilities professional,
    • Educational professional;
    • Police or law enforcement officer; or
    • Caretaker.
  • Educational professional” means a professional providing educational services either at a school, academy, or other educational facility, or at a private facility or residence, as a teacher, professor, tutor, aide, administrator, or other education professional.
  • Medical, mental health, or developmental disabilities professional” means a professional providing health care or services to persons with developmental disabilities or mental illnesses, on a full-time or part-time basis, on an individual basis or at the request of a caretaker, and includes a physician, medical examiner, coroner, dentist, optometrist, chiropractor, nurse, physical therapist, mental health professional, hospital personnel, nursing home personnel, congregate care personnel, social worker, or any other person providing medical, mental health, or developmental disabilities services.
  • Caregiver” means any person who has assumed the legal responsibility or a contractual obligation for the care of a vulnerable adult or has voluntarily assumed responsibility for the care of a vulnerable adult. The term includes a facility operated by any public or private agency, organization, or institution which provides services to, and has assumed responsibility for the care of, a vulnerable adult.
  • Caretaker” means a person, organization, association, or facility who has assumed legal responsibility or a contractual obligation for the care of a person with developmental disabilities or mental illness, or a parent, spouse, sibling, other relative, or person who has voluntarily assumed responsibility for the person’s care.
  • Report” means a verbal or written communication, including an anonymous communication, alleging the abuse, neglect, or exploitation of a person with developmental disabilities or mental illness.
  • Abuse” means any willful act or omission of a caregiver or any other person which results in physical injury, mental anguish, unreasonable confinement, sexual abuse or exploitation, or financial exploitation to or of a vulnerable adult.
  • Adult” includes a minor emancipated by marriage.

  • Report can be oral or written.
  • Timing requirements not specified in statute.

N.D. Cent. Code §§ 12.1-32-01, 25-01.2-01, 25-01.3-01, 25-01.3-04, 25-01.3-12, 50-25.2-01, 50-25.2-03, 50-25.2-10.

Ohio^
  • Note: This mandatory reporting statute does not apply to employees of certain hospitals licensed by the Department of Mental Health and Addiction Services.
  • Elders: Any:
    • Attorney;
    • Physician;
    • Osteopath;
    • Podiatrist;
    • Chiropractor;
    • Dentist;
    • Psychologist;
    • Hospital employee;
    • Licensed nurse;
    • Ambulatory health facility employee;
    • Home health agency employee;
    • Adult care facility employee;
    • Nursing home employee;
    • Employee of a residential care facility that provides care for 3-16 unrelated adults;
    • Employee of a home for the aging,
    • Senior service provider;
    • Peace officer;
    • Coroner;
    • Member of the clergy;
    • Employee of a community mental health facility; and
    • A person engaged in professional counseling, social work, or marriage and family therapy.
  • Disabled: Any:
    • Physician (including a hospital intern or resident);
    • Dentist;
    • Podiatrist;
    • Chiropractor;
    • Practitioner of a limited branch of medicine;
    • Hospital administrator or employee;
    • Licensed nurse;
    • Ambulatory health facility employee;
    • Home health agency employee;
    • Adult care facility employee;
    • Community mental health facility employee;
    • School teacher or authority;
    • Licensed professional clinical counselor;
    • Licensed professional counselor;
    • Social worker;
    • Marriage and family therapist;
    • Psychologist;
    • Attorney;
    • Peace officer;
    • Coroner;
    • Residents’ rights advocate;
    • Superintendent, board member, or employee of a county board of developmental disabilities;
    • Administrator, board member, or employee of a residential facility;
    • Administrator, board member, or employee of any other public or private provider of services to a person with mental retardation or a developmental disability;
    • Mental Retardation and Developmental Disabilities employee (i.e., an employee of the Ohio Department of Developmental Disabilities);
    • Member of a citizen’s advisory council established at an institution or branch institution of the department of developmental disabilities;
    • Member of the clergy who is employed in a position that includes providing specialized services to an individual with mental retardation or another developmental disability (while acting in an official or professional capacity in that position); and
    • A person who is employed in a position that includes providing specialized services to an individual with mental retardation or another developmental disability and who (while acting in an official or professional capacity) renders spiritual treatment through prayer in accordance with the tenets of an organized religion.
  • Elders: Reports must be must be made immediately and can be oral or written. Oral report must be followed by a written report, if requested.
  • Disabled: Reports must be made immediately by telephone or in person, and must be followed by a written report.
  • Elders: Ohio Rev. Code Ann. §§ 5101.60, 5101.61.
  • Disabled: Ohio Rev. Code Ann. §§ 5120.173, 5123.01, 5123.61.
Oklahoma^
  • Any person. Persons required to make reports pursuant to this Section shall include, but not be limited to:
    • Physicians;
    • Operators of emergency response vehicles and other medical professionals;
    • Social workers and mental health professionals;
    • Law enforcement officials;
    • Staff of domestic violence programs;
    • Long-term care facility personnel (including staff of nursing facilities, intermediate care facilities for persons with mental retardation, assisted living facilities, and residential care facilities);
    • Other health care professionals;
    • Persons entering into transactions with a caretaker or other person who has assumed the role of financial management for a vulnerable adult;
    • Staff of residential care facilities, group homes, or employment settings for individuals with developmental disabilities;
    • Job coaches, community service workers, and personal care assistants; and
    • Municipal employees.
  • Report must be made as soon as the reporter is aware of the situation and can be oral or in writing. If the report is not made in writing in the first instance, as soon as possible after it is initially made by telephone or otherwise, the report shall be reduced to writing by the Department of Human Services.
  • An employee or agent of a facility who becomes aware of abuse, neglect or exploitation of a resident prohibited by the Nursing Home Care Act shall immediately report the matter to the facility administrator, who shall immediately act to rectify the problem and shall make a report of the incident and its correction to the Department of Health. The following serious incidents must be reported within 24 hours: communicable diseases; deaths by unusual occurrence, including accidental deaths or deaths other than by natural causes, and deaths that may be attributed to a medical device; missing residents (also to local law enforcement agencies within 2 hours); situations arising where rape or a criminal act is suspected (also to local law enforcement immediately); and resident abuse, neglect and misappropriation of the property of a resident.
  • All initial written reports of incidents or situations shall be mailed to the Department within 5 working days after the incident or situation.

43A Okla. Stat. Ann. §§ 10-103, 10-104; 63 Okla. Stat. Ann. §§ 1-1902, 1-1939.

Oregon^
  • Elders: Any “public or private official,” which means:
    • Physician;
    • Naturopathic physician;
    • Chiropractor;
    • Physician assistant (including any intern or resident);
    • Licensed practical nurse;
    • Registered nurse;
    • Nurse practitioner;
    • Nurse’s aide;
    • Home health aide, or employee of an in-home health service; employee of the Department of Human Services or community developmental disabilities program;
    • Employee of the Oregon Health Authority, county health department or community mental health program;
    • Peace officer;
    • Member of the clergy;
    • Regulated social worker;
    • Physical, speech, or occupational therapist;
    • Senior center employee;
    • Information and referral or outreach worker;
    • Licensed professional counselor or licensed marriage and family therapist;
    • Member of the Legislative Assembly
    • Firefighter or emergency medical technician;
    • Psychologist (see exception in section “What timing and procedural requirements apply to reports” below);
    • Provider of adult foster care or an employee of the provider; audiologist;
    • Audiologist;
    • Speech-language pathologist;
    • Attorney
    • Dentist; or
    • Optometrist.

 

  • Disabled: Any “public or private official,” which means any:
    • Physician;
    • naturopathic physician;
    • psychologist;
    • chiropractor;
    • licensed practical nurse;
    • registered nurse;
    • nurse’s aide;
    • home health aide;
    • employee of an in-home health service;
    • employee of the Department of Human Services or Oregon Health Authority, county health department, community mental health program or community developmental disabilities program, or private agency contracting with a public body to provide any community mental health service;
    • peace officer;
    • member of the clergy;
    • regulated social worker;
    • physical, speech, or occupational therapist;
    • information and referral, outreach, or crisis worker;
    • attorney;
    • licensed professional counselor or licensed marriage and family therapist;
    • public official who comes in contact with adults in the performance of the official’s duties; or
    • firefighter or emergency medical services provider.
  • Elders: Oral report must be made by telephone or otherwise immediately to the local office of the Department of Human Services or to a law enforcement agency within the county where the person making the report is at the time of contact. A psychiatrist or psychologist or member of the clergy is not required to report information communicated by a person if the communication is privileged.
  • Disabled: Oral report must be made by telephone or otherwise immediately.
  • Elders: Or. Rev. Stat. §§ 124.050, 124.060, 124.065, 124.070, 124.075, 124.085, 124.095.
  • Disabled: Or. Rev. Stat. §§ 430.735, 430.743, 430.753, 430.765.
Pennsylvania^
  • An employee of:
    • A domiciliary care home;
    • A home health care agency;
    • A long-term care nursing facility;
    • An older adult daily living center; and
    • A personal care home.
  • The term “employee” includes contract employees who have direct contact with residents or unsupervised access to their personal living quarters, and any person who is employed or who enters into a contractual relationship to provide care to a care-dependent individual for monetary consideration in the individual’s place of residence.
  • A person responsible for the administration of any of the above listed facilities, including persons responsible for employment decisions and independent contractors.
  • Reports must be made orally and immediately.
  • Written reports must follow within 48 hours of making the oral report.

35 P.S. §§ 10225.103, 10225.302, 10225.701, 10225.705, 10225.706, 10225.707.

Puerto Rico^
  • Any person, including:
    • Professionals or public officials, public or private and privatized entities that in their professional capacity and in the discharge of their functions learn or suspect that an elderly person is, has been, or is at risk of being a victim of abuse, institutional abuse, abuse by negligence and/or abuse by institutional negligence; and health, education, social work and law enforcement professionals, and persons engaged in directing or working in care institutions or establishments that offer care services during a 24-hour day or part thereof.
  • Not specified.

8 L.P.R.A. §§ 342; 346j; 346k.

Rhode Island^
  • Elders: Any person.
  • Disabled: Any person, including any physician, medical intern, registered nurse, licensed practical nurse, nurse’s aide, orderly, certified nursing assistant, medical examiner, dentist, optometrist, optician, chiropractor, podiatrist, coroner, police officer, emergency medical technician, fire-fighter, speech pathologist, audiologist, social worker, pharmacist, physical or occupational therapist, health officer, or any person who acquired the requisite knowledge or reasonable cause to believe within the scope of their employment at a facility or in their professional capacity. Any other person may make a report if that person has reasonable cause to believe that a patient or resident of a facility has been abused, mistreated, or neglected.
  • Developmentally Disabled (in a Program): Any person who within scope of their employment at a program (as defined below) or in their professional capacity has knowledge of or reasonable cause to believe that a participant in a program has been abused, mistreated or neglected. Any other person may make a report if that person has reasonable cause to believe that a participant has been abused, mistreated, or neglected.
  • Disabled: Report must be made within 24 hours or by the end of the next business day.   Telephone reports must be followed up by a written report within 3 business days.
  • Developmentally Disabled (in a Program): Written report must be made within 24 hours or by the end of the next business day.  
  • Elders: R.I. Gen. Laws §§ 42-66-4.1, 42-66-8, 42-66-8.2, 42-66-10, 42-66-11.
  • Disabled: R.I. Gen. Laws §§ 23-17.8-1, 23-17.8-2, 23-17.8-3, 23-17.8-3.1, 23-17.8-4.
  • Developmentally Disabled (in a Program): R.I. Gen. Laws §§ 40.1-27-1, 40.1-27-2, 40.1-27-4, 40.1-27-5, 40.1-27-6.
South Carolina^
  • Physician;
  • Nurse;
  • Dentist;
  • Optometrist;
  • Medical examiner;
  • Coroner;
  • Other medical, mental health, or allied health professional;
  • Christian Science practitioner;
  • Religious healer;
  • School teacher;
  • Counselor;
  • Psychologist;
  • Mental health or mental retardation specialist;
  • Social or public assistance worker;
  • Caregiver;
  • Staff or volunteer of an adult day care center or facility;
  • Law enforcement officer; and

Anyone with actual knowledge of abuse, neglect, or exploitation.

  • Not specified.

S.C. Code Ann. §§ 43-35-10, 43-35-13, 43-35-15, 43-35-25, 43-35-35, 43-35-50, 43-35-75, 43-35-85.

South Dakota^
  • Physician, dentist, doctor of osteopathy, chiropractor, optometrist, podiatrist, religious healing practitioner, hospital intern or resident, nurse, paramedic, emergency medical technician, social worker, or any health care professional;
  • Long-term care ombudsman;
  • Psychologist, licensed mental health professional, or counselor engaged in professional counseling;
  • State, county, or municipal criminal justice employee or law enforcement officer; or
  • Any staff member of a nursing facility, assisted living facility, adult day care center, or community support provider, or any residential care giver, individual providing homemaker services, victim advocate, or hospital personnel engaged in the admission, examination, care, or treatment of elderly or disabled adults.
  • Within 24 hours.

S.D.C.L. §§ 22-6-2, 22-46-1, 22-46-7, 22-46-8, 22-46-9, 22-46-10, 22-46-11, 34-12-51.

Tennessee^
  • Any person, including, but not limited to, a physician, nurse, social worker, department of human services personnel, coroner, medical examiner, alternate care facility employee, or caretaker.
  • Reports may be oral or written must be made immediately upon knowledge of the occurrence of the suspected abuse, neglect or exploitation of an adult.

Tenn. Code Ann. §§ 40-35-111, 71-6-101 to 103, 71-6-105, 71-6-110, 71-6-122, 71-6-123.

Texas^
  • Any person.
  • Reports are to be made immediately and can be made orally or in writing.

Tex. Hum. Res. Code §§ 48.002, 48.051, 48.052, 48.053, 48.054; Tex. Health and Safety Code § 260A.002; Tex. Penal Code § 12.21.

Utah^
  • Any person.
  • Report to be made immediately.

U.C.A. §§ 62A-3-301, 62A-3-304, 62A-3-305, 76-3-201, 76-3-204, 76-3-301, 76-5-111, 76-5-111.1.

Vermont^
  • Employees, contractors and grantees of the Vermont agency of Human Services who are involved in caregiving;
  • Physician, osteopath, chiropractor or physician’s assistant, nurse, medical examiner, licensed nursing assistant, emergency medical services personnel, dentist, or psychologist;
  • School teacher, school librarian, school administrator, school guidance counselor, school aide, school bus driver, or school employee or school contractor who works regularly with students;
  • Mental health professional, social worker, person or organization that offers, provides, or arranges for personal care for vulnerable adults, a caregiver employed by a vulnerable adult, employee of or contractor involved in caregiving for a community mental health center, and an individual who works regularly with vulnerable adults and who is an employee of an adult day care center, area agency on aging, senior center, or meal program designed primarily to serve vulnerable adults;
  • Law enforcement officer; and
  • Hospital, nursing home, residential care home, home health agency or any entity providing nursing or nursing related services for remuneration, intermediate care facility for adults with developmental disabilities, therapeutic community residence, group home, developmental home, school or contractor involved in caregiving, or an operator or employee of any of these facilities or agencies.
  • Note: A crisis worker acting pursuant to a Vermont statute is not required to report.
  • Oral or written report to be made as soon as possible but in no event later than 48 hours, followed-up (if oral) within 1 week by a written report. The address for the written report should be requested when providing the oral report.

12 V.S.A. §1614; 33 V.S.A. §§ 6902, 6903, 6904, 6908, 6909, 6913.

Virgin Islands^
  • Any person who has assumed full or intermittent responsibility for care or custody of an elder or dependent adult, whether or not that person receives compensation, including administrators, supervisors, and any licensed staff of a public or private facility that provides care or services for elder or dependent adults; any elder or dependent adult custodian, health practitioner, clergy member, or employee of the Department Human Services or a local law enforcement agency and are required by law to report abuse or neglect of an elder or dependent adult.
  • Oral report should be made by telephone immediately or as soon as reasonably practicable, and by a written report sent within two working days from the date of the reported incident.
  • If the conduct involves criminal activity, a mandated reporter or any person shall report it immediately to the appropriate law enforcement agency.

34 V.I.C. § 452, 453, 454, 458.

Virginia^
  • Any of the following persons acting in their professional capacity:
    • Any person licensed, certified, or registered by health regulatory boards, with the exception of persons licensed by the Board of Veterinary Medicine
    • Any mental health services provider
    • Any emergency medical services provider certified by the Board of Health unless such provider immediately reports the suspected abuse, neglect or exploitation directly to the attending physician at the hospital to which the adult is transported (who shall make such report forthwith)
    • Any guardian or conservator of an adult
    • Any person employed by or contracted with a public or private agency or facility and working with adults in an administrative, supportive or direct care capacity
    • Any person providing full, intermittent or occasional care to an adult for compensation, including but not limited to companion, chore, homemaker, and personal care workers
    • Any law enforcement officer.
  • Report must be made immediately orally or in writing upon the reporting person’s determination that there is reason to suspect abuse, neglect or exploitation.

Va. Code Ann. §§ 63.2-100, 63.2-1603, 63.2-1606.

Washington^
  • An employee of the Washington Department of Social and Health Services;
  • Law enforcement officer;
  • Social worker;
  • Professional school personnel;
  • Individual provider;
  • An employee or operator of a facility (e.g., assisted living facility, nursing home, adult family home, soldiers’ home, residential habilitation center or any other facility licensed or required to be licensed by the Washington Department of Social and Health Services);
  • An employee of a social service, welfare, mental health, adult day health, adult day care, home health, home care or hospice agency;
  • County coroner or medical examiner;
  • Christian Science practitioner; and
  • Healthcare provider subject to 18.130 RCW “Regulation of Health Professions – Uniform Disciplinary Act”.
  • Initial report to be made immediately either orally or in writing.

Wash. Rev. Code §§ 9A.20.021, 74.34.020, 74.34.035, 74.34.053.

West Virginia^
  • Any medical, dental or mental health professional;
  • Christian Science practitioner or religious healer;
  • Social service worker;
  • Law enforcement official or humane officer;
  • State or regional long-term care ombudsman; and

Any employee of any nursing home or other residential facility.

  • Reports must be made immediately by telephone and followed by a written report within 48 hours thereafter. Either the reporter or the person receiving the report must follow-up with the written report. Ask the person receiving the telephone report if you need to make any additional written report.

W. Va. Code, §§ 9-6-1, 9-6-9, 9-6-10, 9-6-11, 9-6-13, 9-6-14.

Wisconsin^
  • Any of the following who has seen an elder adult at risk or adult at risk in the course of the person’s professional duties:
    • An employee of any entity that is licensed, certified, or approved by or registered with the Department of Health and Family Services;
    • Any licensed health care provider, including any:
      • Nurse;
      • Chiropractor;
      • Dentist;
      • Physician;
      • physician assistant;
      • perfusionist;
      • podiatrist;
      • physical therapist;
      • physical therapist assistant;
      • occupational therapist or occupational therapy assistant;
      • a person practicing Christian Science treatment
      • optometrist;
      • psychologist;
      • a partnership, corporation or limited liability company thereof that provides health care services;
      • a cooperative health care association (organized under a specific statute) that directly provides services through salaried employees in its own facility; and
      • a home health agency; and
    • A social worker, professional counselor, or marriage and family therapist certified under Wisconsin law.
  • A person specified above is not required to file a report:
    • If the person believes that filing a report would not be in the best interest of the elder adult at risk or adult at risk. If the person so believes, the person shall document the reasons for this belief in the case file that the person maintains on the elder adult at risk or adult at risk; or
    • If a health care provider provides treatment by spiritual means through prayer for healing in lieu of medical care in accordance with his or her religious tradition and his or her communications with patients are required by his or her religious denomination to be held confidential.
  • Not specified in statute.

Wis. Stat. Ann. §§ 46.90, 55.01, 55.043.

Wyoming^
  • Any person or agency.
  • Report must be made immediately either orally or in writing.

Wyo. Stat. Ann. §§ 35-20-102, 35-20-103, 35-20-111.




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