Arizona 2023 Regular Session

Arizona House Bill HB2530 Compare Versions

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1-Senate Engrossed House Bill substance exposure; pregnant women; neglect State of Arizona House of Representatives Fifty-sixth Legislature First Regular Session 2023 HOUSE BILL 2530 An Act amending section 8-455, Arizona Revised Statutes; amending title 8, chapter 4, article 8, Arizona Revised Statutes, by adding section 8-818; amending sections 8-819 and 13-3620, Arizona Revised Statutes; amending title 36, chapter 29, article 1, Arizona Revised Statutes, by adding section 36-2930.07; relating to child neglect. (TEXT OF BILL BEGINS ON NEXT PAGE)
1+House Engrossed substance exposure; pregnant women; neglect State of Arizona House of Representatives Fifty-sixth Legislature First Regular Session 2023 HOUSE BILL 2530 An Act amending section 8-455, Arizona Revised Statutes; amending title 8, chapter 4, article 8, Arizona Revised Statutes, by adding section 8-818; amending sections 8-819 and 13-3620, Arizona Revised Statutes; amending title 36, chapter 29, article 1, Arizona Revised Statutes, by adding section 36-2930.07; relating to child neglect. (TEXT OF BILL BEGINS ON NEXT PAGE)
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67- Be it enacted by the Legislature of the State of Arizona: Section 1. Section 8-455, Arizona Revised Statutes, is amended to read: START_STATUTE8-455. Centralized intake hotline; purposes; report of possible crime; DCS report; risk assessment tools; access to information; public awareness; definitions A. The department shall operate and maintain a centralized intake hotline to protect children by receiving at all times communications concerning suspected abuse or neglect. If a person communicates suspected abuse or neglect to a department employee other than through the hotline, the employee shall refer the person or communication to the hotline. B. The hotline is the first step in the safety assessment and investigation process and must be operated to: 1. Record communications made concerning suspected abuse or neglect. 2. Immediately take steps necessary to identify and locate prior communications and DCS reports related to the current communication using the department's data system and the central registry system of this state. 3. Quickly and efficiently provide information to a law enforcement agency or prepare a DCS report as required by this section. 4. Determine the proper initial priority level of investigation based on the report screening assessment and direct the DCS report to the appropriate part of the department based on this determination. C. If a communication provides a reason to believe that a criminal offense has been committed and the communication does not meet the criteria for a DCS report, the hotline worker shall immediately provide the information to the appropriate law enforcement agency. D. A hotline worker shall prepare a DCS report if the identity or current location of the child victim, the child's family or the person suspected of abuse or neglect is known or can be reasonably ascertained and all of the following are alleged: 1. The suspected conduct would constitute abuse or neglect. 2. The suspected victim of the conduct is under eighteen years of age. 3. The suspected victim of the conduct is a resident of or present in this state. 4. The person suspected of committing the abuse or neglect is the parent, guardian or custodian of the victim or an adult member of the victim's household. E. Except for criminal conduct allegations, the department is not required to prepare a DCS report if all of the following apply: 1. The suspected conduct occurred more than three years before the communication to the hotline. 2. There is no information or indication that a child is currently being abused or neglected. f. If the department receives a communication involving substance use by a pregnant woman, the department shall provide the caller with the contact information for the arizona health care cost containment system. The department shall transfer the call to the arizona health care cost containment system, if possible. the arizona health care cost containment system shall refer the woman to a provider for substance use treatment. The receipt of a communication involving substance use by a pregnant woman may not result in an investigation of abuse or neglect. notwithstanding any other law, receipt of a communication pursuant to this subsection may not be MAINTAINED by the department. F. g. Investigations of DCS reports shall be conducted as provided in section 8-456 except for investigations containing allegations of criminal conduct, which shall be conducted as provided in section 8-471. G. h. The department is not required to prepare a DCS report concerning alleged abuse or neglect if the alleged act or acts occurred in a foreign country and the child is in the custody of the federal government. H. i. The department shall develop and train hotline workers to use uniform risk assessment tools to determine: 1. Whether the suspected conduct constitutes abuse or neglect and the severity of the suspected abuse or neglect. 2. Whether the suspected abuse or neglect involves criminal conduct, even if the communication does not result in the preparation of a DCS report. 3. The appropriate investigative track for referral based on the risk to the child's safety. I. j. A DCS report must include, if available, all of the following: 1. The name, address or contact information for the person making the communication. 2. The name, address and other location or contact information for the parent, guardian or custodian of the child or other adult member of the child's household who is suspected of committing the abuse or neglect. 3. The name, address and other location or contact information for the child. 4. The nature and extent of the indications of the child's abuse or neglect, including any indication of physical injury. 5. Any information regarding possible prior abuse or neglect, including reference to any communication or DCS report involving the child, the child's siblings or the person suspected of committing the abuse or neglect. J. k. Information gathered through the hotline must be made available to an employee of the department in order to perform the employee's duties. The office of child welfare investigations and the inspections bureau must have immediate access to all records of the hotline. K. l. A representative of the: 1. Office of child welfare investigations must be embedded in the hotline to carry out the purposes of section 8-471. 2. Inspections bureau must be embedded in the hotline to carry out the purposes of section 8-458. L. m. The department shall publicize the availability and the purposes of the centralized intake hotline. M. n. For the purposes of this section: 1. "Centralized intake hotline" means the system developed pursuant to this section regardless of the communication methods or technologies used to implement the system. 2. "Criminal offense" means an allegation of conduct against a child by a person other than a parent, guardian or custodian of the child victim or another adult member of the child's household that, if true, would constitute a felony offense. END_STATUTE Sec. 2. Title 8, chapter 4, article 8, Arizona Revised Statutes, is amended by adding section 8-818, to read: START_STATUTE8-818. Prenatal substance use; services and support On a finding of a pregnant woman using alcohol or a dangerous drug or narcotic drug as defined in section 13-3401 and subject to the reporting requirements prescribed in section 13-3620, a health care professional who is licensed or certified pursuant to title 32 shall, with the woman's consent, refer the woman to substance use services and support to facilitate maternal and infant safety. END_STATUTE Sec. 3. Section 8-819, Arizona Revised Statutes, is amended to read: START_STATUTE8-819. Determination of neglect In determining if a child is neglected, consideration shall be given to: 1. The drug or alcohol abuse of the childs parent, guardian or custodian. 2. The use by the mother of a dangerous drug, a narcotic drug or alcohol during pregnancy if the child, at birth or within a year after birth, is demonstrably adversely affected by this use. For the purposes of this paragraph, "dangerous drug" and "narcotic drug" have the same meaning meanings prescribed in section 13-3401. 3. Proof that the mother was referred for substance use services and support pursuant to section 8-818 and participated in substance use treatment certified by a health care professional who is regulated pursuant to title 32. Proof of the mother's participation in substance use treatment may be considered a mitigating factor in determining neglect. END_STATUTE Sec. 4. Section 13-3620, Arizona Revised Statutes, is amended to read: START_STATUTE13-3620. Duty to report abuse, physical injury, neglect and denial or deprivation of medical or surgical care or nourishment of minors; medical records; exception; violation; classification; definitions A. Any person who reasonably believes that a minor is or has been the victim of physical injury, abuse, child abuse, a reportable offense or neglect that appears to have been inflicted on the minor by other than accidental means or that is not explained by the available medical history as being accidental in nature or who reasonably believes there has been a denial or deprivation of necessary medical treatment or surgical care or nourishment with the intent to cause or allow the death of an infant who is protected under section 36-2281 shall immediately report or cause reports to be made of this information to a peace officer, to the department of child safety or to a tribal law enforcement or social services agency for any Indian minor who resides on an Indian reservation, except if the report concerns a person who does not have care, custody or control of the minor, the report shall be made to a peace officer only. A member of the clergy, a Christian Science practitioner or a priest who has received a confidential communication or a confession in that person's role as a member of the clergy, as a Christian Science practitioner or as a priest in the course of the discipline enjoined by the church to which the member of the clergy, the Christian Science practitioner or the priest belongs may withhold reporting of the communication or confession if the member of the clergy, the Christian Science practitioner or the priest determines that it is reasonable and necessary within the concepts of the religion. This exemption applies only to the communication or confession and not to personal observations the member of the clergy, the Christian Science practitioner or the priest may otherwise make of the minor. For the purposes of this subsection, "person" means: 1. Any physician, physician's assistant, optometrist, dentist, osteopathic physician, chiropractor, podiatrist, behavioral health professional, nurse, psychologist, counselor or social worker who develops the reasonable belief in the course of treating a patient. 2. Any peace officer, child welfare investigator, child safety worker, member of the clergy, priest or Christian Science practitioner. 3. The parent, stepparent or guardian of the minor. 4. School personnel, domestic violence victim advocates or sexual assault victim advocates who develop the reasonable belief in the course of their employment. 5. Any other person who has responsibility for the care or treatment of the minor. 6. Any person who is employed as the immediate or next higher level supervisor to or administrator of a person who is listed in paragraph 1, 2, 4 or 5 of this subsection and who develops the reasonable belief in the course of the supervisor's or administrator's employment, except that if the supervisor or administrator reasonably believes that the report has been made by a person who is required to report pursuant to paragraph 1, 2, 4 or 5 of this subsection, the supervisor or administrator is not required to report pursuant to this paragraph. B. A report is not required under this section either: 1. For conduct prescribed by sections 13-1404 and 13-1405 if the conduct involves only minors who are fourteen, fifteen, sixteen or seventeen years of age and there is nothing to indicate that the conduct is other than consensual. 2. If a minor is of elementary school age, the physical injury occurs accidentally in the course of typical playground activity during a school day, occurs on the premises of the school that the minor attends and is reported to the legal parent or guardian of the minor and the school maintains a written record of the incident. C. If a physician, psychologist or behavioral health professional receives a statement from a person other than a parent, stepparent, guardian or custodian of the minor during the course of providing sex offender treatment that is not court ordered or that does not occur while the offender is incarcerated in the state department of corrections or the department of juvenile corrections, the physician, psychologist or behavioral health professional may withhold the reporting of that statement if the physician, psychologist or behavioral health professional determines it is reasonable and necessary to accomplish the purposes of the treatment. D. Reports shall be made immediately either electronically or by telephone. The reports shall contain the following information, if known: 1. The names and addresses of the minor and the minor's parents or the person or persons having custody of the minor. 2. The minor's age and the nature and extent of the minor's abuse, child abuse, physical injury or neglect, including any evidence of previous abuse, child abuse, physical injury or neglect. 3. Any other information that the person believes might be helpful in establishing the cause of the abuse, child abuse, physical injury or neglect. E. A health care professional who is regulated pursuant to title 32 and who: , 1. After a routine newborn physical assessment of a newborn infant's health status or following and notification of positive toxicology screens of a newborn infant, reasonably believes that the newborn infant may be affected by the presence of alcohol or a drug listed in section 13-3401 shall immediately report this information, or cause a report to be made, to the department of child safety. For the purposes of this subsection paragraph, "newborn infant" means a newborn infant who is under thirty days of age. 2. Through clinical indicators in the prenatal period, including maternal presentation or positive toxicology or other laboratory tests, suspects the use of alcohol or a dangerous drug or narcotic drug as defined in section 13-3401 shall, with the woman's consent, immediately refer the woman to substance use services and support pursuant to section 8-818. The presence of prenatal clinical indicators or the woman's history of substance use or participation in substance use services and support alone may not be the basis of a report pursuant to this subsection of SUSPECTED NEGLECT made to the department of child safety on the birth of the child. F. Any person other than one required to report or cause reports to be made under subsection A of this section who reasonably believes that a minor is or has been a victim of abuse, child abuse, physical injury, a reportable offense or neglect may report the information to a peace officer or to the department of child safety, except if the report concerns a person who does not have care, custody or control of the minor, the report shall be made to a peace officer only. G. A person who has custody or control of medical records of a minor for whom a report is required or authorized under this section shall make the records, or a copy of the records, available to a peace officer, child welfare investigator or child safety worker investigating the minor's neglect, child abuse, physical injury or abuse on written request for the records signed by the peace officer, child welfare investigator or child safety worker. Records disclosed pursuant to this subsection are confidential and may be used only in a judicial or administrative proceeding or investigation resulting from a report required or authorized under this section. H. When reports are received by a peace officer, the officer shall immediately notify the department of child safety. Notwithstanding any other statute, when the department receives these reports, it shall immediately notify a peace officer in the appropriate jurisdiction. I. Any person who is required to receive reports pursuant to subsection A of this section may take or cause to be taken photographs of the minor and the vicinity involved. Medical examinations of the involved minor may be performed. J. A person who furnishes a report, information or records required or authorized under this section, or a person who participates in a judicial or administrative proceeding or investigation resulting from a report, information or records required or authorized under this section, is immune from any civil or criminal liability by reason of that action unless the person acted with malice or unless the person has been charged with or is suspected of abusing or neglecting the child or children in question. K. Except for the attorney client privilege or the privilege under subsection L of this section, no privilege applies to any: 1. Civil or criminal litigation or administrative proceeding in which a minor's neglect, dependency, abuse, child abuse, physical injury or abandonment is an issue. 2. Judicial or administrative proceeding resulting from a report, information or records submitted pursuant to this section. 3. Investigation of a minor's child abuse, physical injury, neglect or abuse conducted by a peace officer or the department of child safety. L. In any civil or criminal litigation in which a child's neglect, dependency, physical injury, abuse, child abuse or abandonment is an issue, a member of the clergy, a Christian Science practitioner or a priest shall not, without his consent, be examined as a witness concerning any confession made to him in his role as a member of the clergy, a Christian Science practitioner or a priest in the course of the discipline enjoined by the church to which he belongs. This subsection does not discharge a member of the clergy, a Christian Science practitioner or a priest from the duty to report pursuant to subsection A of this section. M. If psychiatric records are requested pursuant to subsection G of this section, the custodian of the records shall notify the attending psychiatrist, who may excise from the records, before they are made available: 1. Personal information about individuals other than the patient. 2. Information regarding specific diagnosis or treatment of a psychiatric condition, if the attending psychiatrist certifies in writing that release of the information would be detrimental to the patient's health or treatment. N. If any portion of a psychiatric record is excised pursuant to subsection M of this section, a court, on application of a peace officer, child welfare investigator or child safety worker, may order that the entire record or any portion of the record that contains information relevant to the reported abuse, child abuse, physical injury or neglect be made available to the peace officer, child welfare investigator or child safety worker investigating the abuse, child abuse, physical injury or neglect. O. A person who violates this section is guilty of a class 1 misdemeanor, except if the failure to report involves a reportable offense, the person is guilty of a class 6 felony. P. For the purposes of this section: 1. "Abuse" has the same meaning prescribed in section 8-201. 2. "Child abuse" means child abuse pursuant to section 13-3623. 3. "Neglect" has the same meaning prescribed in section 8-201. 4. "Reportable offense" means any of the following: (a) Any offense listed in chapters 14 and 35.1 of this title or section 13-3506.01. (b) Surreptitious photographing, videotaping, filming or digitally recording or viewing a minor pursuant to section 13-3019. (c) Child sex trafficking pursuant to section 13-3212. (d) Incest pursuant to section 13-3608. (e) Unlawful mutilation pursuant to section 13-1214. END_STATUTE Sec. 5. Title 36, chapter 29, article 1, Arizona Revised Statutes, is amended by adding section 36-2930.07, to read: START_STATUTE36-2930.07. Prenatal substance use; services and support ON a finding or report to the department of child safety of a pregnant woman using alcohol or a dangerous drug or narcotic drug as defined in section 13-3401, a health care professional who is licensed pursuant to title 32 shall refer the woman to substance use services and support to FACILITATE MATERNAL and infant safety. END_STATUTE
65+ Be it enacted by the Legislature of the State of Arizona: Section 1. Section 8-455, Arizona Revised Statutes, is amended to read: START_STATUTE8-455. Centralized intake hotline; purposes; report of possible crime; DCS report; risk assessment tools; access to information; public awareness; definitions A. The department shall operate and maintain a centralized intake hotline to protect children by receiving at all times communications concerning suspected abuse or neglect. If a person communicates suspected abuse or neglect to a department employee other than through the hotline, the employee shall refer the person or communication to the hotline. B. The hotline is the first step in the safety assessment and investigation process and must be operated to: 1. Record communications made concerning suspected abuse or neglect. 2. Immediately take steps necessary to identify and locate prior communications and DCS reports related to the current communication using the department's data system and the central registry system of this state. 3. Quickly and efficiently provide information to a law enforcement agency or prepare a DCS report as required by this section. 4. Determine the proper initial priority level of investigation based on the report screening assessment and direct the DCS report to the appropriate part of the department based on this determination. C. If a communication provides a reason to believe that a criminal offense has been committed and the communication does not meet the criteria for a DCS report, the hotline worker shall immediately provide the information to the appropriate law enforcement agency. D. A hotline worker shall prepare a DCS report if the identity or current location of the child victim, the child's family or the person suspected of abuse or neglect is known or can be reasonably ascertained and all of the following are alleged: 1. The suspected conduct would constitute abuse or neglect. 2. The suspected victim of the conduct is under eighteen years of age. 3. The suspected victim of the conduct is a resident of or present in this state. 4. The person suspected of committing the abuse or neglect is the parent, guardian or custodian of the victim or an adult member of the victim's household. E. Except for criminal conduct allegations, the department is not required to prepare a DCS report if all of the following apply: 1. The suspected conduct occurred more than three years before the communication to the hotline. 2. There is no information or indication that a child is currently being abused or neglected. f. If the department receives a communication involving substance use by a pregnant woman, the department shall provide information regarding the communication to the arizona health care cost containment system, which shall refer the woman to a provider for substance use treatment. The receipt of a communication involving substance use by a pregnant woman may not result in an investigation of abuse or neglect. F. g. Investigations of DCS reports shall be conducted as provided in section 8-456 except for investigations containing allegations of criminal conduct, which shall be conducted as provided in section 8-471. G. h. The department is not required to prepare a DCS report concerning alleged abuse or neglect if the alleged act or acts occurred in a foreign country and the child is in the custody of the federal government. H. i. The department shall develop and train hotline workers to use uniform risk assessment tools to determine: 1. Whether the suspected conduct constitutes abuse or neglect and the severity of the suspected abuse or neglect. 2. Whether the suspected abuse or neglect involves criminal conduct, even if the communication does not result in the preparation of a DCS report. 3. The appropriate investigative track for referral based on the risk to the child's safety. I. j. A DCS report must include, if available, all of the following: 1. The name, address or contact information for the person making the communication. 2. The name, address and other location or contact information for the parent, guardian or custodian of the child or other adult member of the child's household who is suspected of committing the abuse or neglect. 3. The name, address and other location or contact information for the child. 4. The nature and extent of the indications of the child's abuse or neglect, including any indication of physical injury. 5. Any information regarding possible prior abuse or neglect, including reference to any communication or DCS report involving the child, the child's siblings or the person suspected of committing the abuse or neglect. J. k. Information gathered through the hotline must be made available to an employee of the department in order to perform the employee's duties. The office of child welfare investigations and the inspections bureau must have immediate access to all records of the hotline. K. l. A representative of the: 1. Office of child welfare investigations must be embedded in the hotline to carry out the purposes of section 8-471. 2. Inspections bureau must be embedded in the hotline to carry out the purposes of section 8-458. L. m. The department shall publicize the availability and the purposes of the centralized intake hotline. M. n. For the purposes of this section: 1. "Centralized intake hotline" means the system developed pursuant to this section regardless of the communication methods or technologies used to implement the system. 2. "Criminal offense" means an allegation of conduct against a child by a person other than a parent, guardian or custodian of the child victim or another adult member of the child's household that, if true, would constitute a felony offense. END_STATUTE Sec. 2. Title 8, chapter 4, article 8, Arizona Revised Statutes, is amended by adding section 8-818, to read: START_STATUTE8-818. Prenatal substance use; services and support On a finding of a pregnant woman using alcohol or a dangerous drug or narcotic drug as defined in section 13-3401 and subject to the reporting requirements prescribed in section 13-3620, a health care professional who is licensed or certified pursuant to title 32 shall refer the woman to substance use services and support to facilitate maternal and infant safety.END_STATUTE Sec. 3. Section 8-819, Arizona Revised Statutes, is amended to read: START_STATUTE8-819. Determination of neglect In determining if a child is neglected, consideration shall be given to: 1. The drug or alcohol abuse of the childs parent, guardian or custodian. 2. The use by the mother of a dangerous drug, a narcotic drug or alcohol during pregnancy if the child, at birth or within a year after birth, is demonstrably adversely affected by this use. For the purposes of this paragraph, "dangerous drug" and "narcotic drug" have the same meaning meanings prescribed in section 13-3401. 3. Proof that the mother was referred for substance use services and support pursuant to section 8-818 and participated in substance use treatment certified by a health care professional who is regulated pursuant to title 32. Proof of the mother's participation in substance use treatment may be considered a mitigating factor in determining neglect.END_STATUTE Sec. 4. Section 13-3620, Arizona Revised Statutes, is amended to read: START_STATUTE13-3620. Duty to report abuse, physical injury, neglect and denial or deprivation of medical or surgical care or nourishment of minors; medical records; exception; violation; classification; definitions A. Any person who reasonably believes that a minor is or has been the victim of physical injury, abuse, child abuse, a reportable offense or neglect that appears to have been inflicted on the minor by other than accidental means or that is not explained by the available medical history as being accidental in nature or who reasonably believes there has been a denial or deprivation of necessary medical treatment or surgical care or nourishment with the intent to cause or allow the death of an infant who is protected under section 36-2281 shall immediately report or cause reports to be made of this information to a peace officer, to the department of child safety or to a tribal law enforcement or social services agency for any Indian minor who resides on an Indian reservation, except if the report concerns a person who does not have care, custody or control of the minor, the report shall be made to a peace officer only. A member of the clergy, a Christian Science practitioner or a priest who has received a confidential communication or a confession in that person's role as a member of the clergy, as a Christian Science practitioner or as a priest in the course of the discipline enjoined by the church to which the member of the clergy, the Christian Science practitioner or the priest belongs may withhold reporting of the communication or confession if the member of the clergy, the Christian Science practitioner or the priest determines that it is reasonable and necessary within the concepts of the religion. This exemption applies only to the communication or confession and not to personal observations the member of the clergy, the Christian Science practitioner or the priest may otherwise make of the minor. For the purposes of this subsection, "person" means: 1. Any physician, physician's assistant, optometrist, dentist, osteopathic physician, chiropractor, podiatrist, behavioral health professional, nurse, psychologist, counselor or social worker who develops the reasonable belief in the course of treating a patient. 2. Any peace officer, child welfare investigator, child safety worker, member of the clergy, priest or Christian Science practitioner. 3. The parent, stepparent or guardian of the minor. 4. School personnel, domestic violence victim advocates or sexual assault victim advocates who develop the reasonable belief in the course of their employment. 5. Any other person who has responsibility for the care or treatment of the minor. 6. Any person who is employed as the immediate or next higher level supervisor to or administrator of a person who is listed in paragraph 1, 2, 4 or 5 of this subsection and who develops the reasonable belief in the course of the supervisor's or administrator's employment, except that if the supervisor or administrator reasonably believes that the report has been made by a person who is required to report pursuant to paragraph 1, 2, 4 or 5 of this subsection, the supervisor or administrator is not required to report pursuant to this paragraph. B. A report is not required under this section either: 1. For conduct prescribed by sections 13-1404 and 13-1405 if the conduct involves only minors who are fourteen, fifteen, sixteen or seventeen years of age and there is nothing to indicate that the conduct is other than consensual. 2. If a minor is of elementary school age, the physical injury occurs accidentally in the course of typical playground activity during a school day, occurs on the premises of the school that the minor attends and is reported to the legal parent or guardian of the minor and the school maintains a written record of the incident. C. If a physician, psychologist or behavioral health professional receives a statement from a person other than a parent, stepparent, guardian or custodian of the minor during the course of providing sex offender treatment that is not court ordered or that does not occur while the offender is incarcerated in the state department of corrections or the department of juvenile corrections, the physician, psychologist or behavioral health professional may withhold the reporting of that statement if the physician, psychologist or behavioral health professional determines it is reasonable and necessary to accomplish the purposes of the treatment. D. Reports shall be made immediately either electronically or by telephone. The reports shall contain the following information, if known: 1. The names and addresses of the minor and the minor's parents or the person or persons having custody of the minor. 2. The minor's age and the nature and extent of the minor's abuse, child abuse, physical injury or neglect, including any evidence of previous abuse, child abuse, physical injury or neglect. 3. Any other information that the person believes might be helpful in establishing the cause of the abuse, child abuse, physical injury or neglect. E. A health care professional who is regulated pursuant to title 32 and who: , 1. After a routine newborn physical assessment of a newborn infant's health status or following and notification of positive toxicology screens of a newborn infant, reasonably believes that the newborn infant may be affected by the presence of alcohol or a drug listed in section 13-3401 shall immediately report this information, or cause a report to be made, to the department of child safety. For the purposes of this subsection paragraph, "newborn infant" means a newborn infant who is under thirty days of age. 2. Through clinical indicators in the prenatal period, including maternal presentation or positive toxicology or other laboratory tests, suspects the use of alcohol or a dangerous drug or narcotic drug as defined in section 13-3401 shall immediately refer the woman to the arizona health care cost containment SYSTEM for substance use services and support pursuant to section 8-818. The presence of prenatal clinical indicators or the woman's history of substance use or participation in substance use services and support alone may not be the basis of a report pursuant to this subsection of SUSPECTED NEGLECT made to the department of child safety on the birth of the child. F. Any person other than one required to report or cause reports to be made under subsection A of this section who reasonably believes that a minor is or has been a victim of abuse, child abuse, physical injury, a reportable offense or neglect may report the information to a peace officer or to the department of child safety, except if the report concerns a person who does not have care, custody or control of the minor, the report shall be made to a peace officer only. G. A person who has custody or control of medical records of a minor for whom a report is required or authorized under this section shall make the records, or a copy of the records, available to a peace officer, child welfare investigator or child safety worker investigating the minor's neglect, child abuse, physical injury or abuse on written request for the records signed by the peace officer, child welfare investigator or child safety worker. Records disclosed pursuant to this subsection are confidential and may be used only in a judicial or administrative proceeding or investigation resulting from a report required or authorized under this section. H. When reports are received by a peace officer, the officer shall immediately notify the department of child safety. Notwithstanding any other statute, when the department receives these reports, it shall immediately notify a peace officer in the appropriate jurisdiction. I. Any person who is required to receive reports pursuant to subsection A of this section may take or cause to be taken photographs of the minor and the vicinity involved. Medical examinations of the involved minor may be performed. J. A person who furnishes a report, information or records required or authorized under this section, or a person who participates in a judicial or administrative proceeding or investigation resulting from a report, information or records required or authorized under this section, is immune from any civil or criminal liability by reason of that action unless the person acted with malice or unless the person has been charged with or is suspected of abusing or neglecting the child or children in question. K. Except for the attorney client privilege or the privilege under subsection L of this section, no privilege applies to any: 1. Civil or criminal litigation or administrative proceeding in which a minor's neglect, dependency, abuse, child abuse, physical injury or abandonment is an issue. 2. Judicial or administrative proceeding resulting from a report, information or records submitted pursuant to this section. 3. Investigation of a minor's child abuse, physical injury, neglect or abuse conducted by a peace officer or the department of child safety. L. In any civil or criminal litigation in which a child's neglect, dependency, physical injury, abuse, child abuse or abandonment is an issue, a member of the clergy, a Christian Science practitioner or a priest shall not, without his consent, be examined as a witness concerning any confession made to him in his role as a member of the clergy, a Christian Science practitioner or a priest in the course of the discipline enjoined by the church to which he belongs. This subsection does not discharge a member of the clergy, a Christian Science practitioner or a priest from the duty to report pursuant to subsection A of this section. M. If psychiatric records are requested pursuant to subsection G of this section, the custodian of the records shall notify the attending psychiatrist, who may excise from the records, before they are made available: 1. Personal information about individuals other than the patient. 2. Information regarding specific diagnosis or treatment of a psychiatric condition, if the attending psychiatrist certifies in writing that release of the information would be detrimental to the patient's health or treatment. N. If any portion of a psychiatric record is excised pursuant to subsection M of this section, a court, on application of a peace officer, child welfare investigator or child safety worker, may order that the entire record or any portion of the record that contains information relevant to the reported abuse, child abuse, physical injury or neglect be made available to the peace officer, child welfare investigator or child safety worker investigating the abuse, child abuse, physical injury or neglect. O. A person who violates this section is guilty of a class 1 misdemeanor, except if the failure to report involves a reportable offense, the person is guilty of a class 6 felony. P. For the purposes of this section: 1. "Abuse" has the same meaning prescribed in section 8-201. 2. "Child abuse" means child abuse pursuant to section 13-3623. 3. "Neglect" has the same meaning prescribed in section 8-201. 4. "Reportable offense" means any of the following: (a) Any offense listed in chapters 14 and 35.1 of this title or section 13-3506.01. (b) Surreptitious photographing, videotaping, filming or digitally recording or viewing a minor pursuant to section 13-3019. (c) Child sex trafficking pursuant to section 13-3212. (d) Incest pursuant to section 13-3608. (e) Unlawful mutilation pursuant to section 13-1214. END_STATUTE Sec. 5. Title 36, chapter 29, article 1, Arizona Revised Statutes, is amended by adding section 36-2930.07, to read: START_STATUTE36-2930.07. Prenatal substance use; services and support ON a finding or report to the department of child safety of a pregnant woman using alcohol or a dangerous drug or narcotic as defined in section 13-3401, a health care professional who is licensed pursuant to title 32 shall refer the woman to substance use services and support to FACILITATE MATERNAL and infant safety. END_STATUTE
6866
6967 Be it enacted by the Legislature of the State of Arizona:
7068
7169 Section 1. Section 8-455, Arizona Revised Statutes, is amended to read:
7270
7371 START_STATUTE8-455. Centralized intake hotline; purposes; report of possible crime; DCS report; risk assessment tools; access to information; public awareness; definitions
7472
7573 A. The department shall operate and maintain a centralized intake hotline to protect children by receiving at all times communications concerning suspected abuse or neglect. If a person communicates suspected abuse or neglect to a department employee other than through the hotline, the employee shall refer the person or communication to the hotline.
7674
7775 B. The hotline is the first step in the safety assessment and investigation process and must be operated to:
7876
7977 1. Record communications made concerning suspected abuse or neglect.
8078
8179 2. Immediately take steps necessary to identify and locate prior communications and DCS reports related to the current communication using the department's data system and the central registry system of this state.
8280
8381 3. Quickly and efficiently provide information to a law enforcement agency or prepare a DCS report as required by this section.
8482
8583 4. Determine the proper initial priority level of investigation based on the report screening assessment and direct the DCS report to the appropriate part of the department based on this determination.
8684
8785 C. If a communication provides a reason to believe that a criminal offense has been committed and the communication does not meet the criteria for a DCS report, the hotline worker shall immediately provide the information to the appropriate law enforcement agency.
8886
8987 D. A hotline worker shall prepare a DCS report if the identity or current location of the child victim, the child's family or the person suspected of abuse or neglect is known or can be reasonably ascertained and all of the following are alleged:
9088
9189 1. The suspected conduct would constitute abuse or neglect.
9290
9391 2. The suspected victim of the conduct is under eighteen years of age.
9492
9593 3. The suspected victim of the conduct is a resident of or present in this state.
9694
9795 4. The person suspected of committing the abuse or neglect is the parent, guardian or custodian of the victim or an adult member of the victim's household.
9896
9997 E. Except for criminal conduct allegations, the department is not required to prepare a DCS report if all of the following apply:
10098
10199 1. The suspected conduct occurred more than three years before the communication to the hotline.
102100
103101 2. There is no information or indication that a child is currently being abused or neglected.
104102
105-f. If the department receives a communication involving substance use by a pregnant woman, the department shall provide the caller with the contact information for the arizona health care cost containment system. The department shall transfer the call to the arizona health care cost containment system, if possible. the arizona health care cost containment system shall refer the woman to a provider for substance use treatment. The receipt of a communication involving substance use by a pregnant woman may not result in an investigation of abuse or neglect. notwithstanding any other law, receipt of a communication pursuant to this subsection may not be MAINTAINED by the department.
103+f. If the department receives a communication involving substance use by a pregnant woman, the department shall provide information regarding the communication to the arizona health care cost containment system, which shall refer the woman to a provider for substance use treatment. The receipt of a communication involving substance use by a pregnant woman may not result in an investigation of abuse or neglect.
106104
107105 F. g. Investigations of DCS reports shall be conducted as provided in section 8-456 except for investigations containing allegations of criminal conduct, which shall be conducted as provided in section 8-471.
108106
109107 G. h. The department is not required to prepare a DCS report concerning alleged abuse or neglect if the alleged act or acts occurred in a foreign country and the child is in the custody of the federal government.
110108
111109 H. i. The department shall develop and train hotline workers to use uniform risk assessment tools to determine:
112110
113111 1. Whether the suspected conduct constitutes abuse or neglect and the severity of the suspected abuse or neglect.
114112
115113 2. Whether the suspected abuse or neglect involves criminal conduct, even if the communication does not result in the preparation of a DCS report.
116114
117115 3. The appropriate investigative track for referral based on the risk to the child's safety.
118116
119117 I. j. A DCS report must include, if available, all of the following:
120118
121119 1. The name, address or contact information for the person making the communication.
122120
123121 2. The name, address and other location or contact information for the parent, guardian or custodian of the child or other adult member of the child's household who is suspected of committing the abuse or neglect.
124122
125123 3. The name, address and other location or contact information for the child.
126124
127125 4. The nature and extent of the indications of the child's abuse or neglect, including any indication of physical injury.
128126
129127 5. Any information regarding possible prior abuse or neglect, including reference to any communication or DCS report involving the child, the child's siblings or the person suspected of committing the abuse or neglect.
130128
131129 J. k. Information gathered through the hotline must be made available to an employee of the department in order to perform the employee's duties. The office of child welfare investigations and the inspections bureau must have immediate access to all records of the hotline.
132130
133131 K. l. A representative of the:
134132
135133 1. Office of child welfare investigations must be embedded in the hotline to carry out the purposes of section 8-471.
136134
137135 2. Inspections bureau must be embedded in the hotline to carry out the purposes of section 8-458.
138136
139137 L. m. The department shall publicize the availability and the purposes of the centralized intake hotline.
140138
141139 M. n. For the purposes of this section:
142140
143141 1. "Centralized intake hotline" means the system developed pursuant to this section regardless of the communication methods or technologies used to implement the system.
144142
145143 2. "Criminal offense" means an allegation of conduct against a child by a person other than a parent, guardian or custodian of the child victim or another adult member of the child's household that, if true, would constitute a felony offense. END_STATUTE
146144
147145 Sec. 2. Title 8, chapter 4, article 8, Arizona Revised Statutes, is amended by adding section 8-818, to read:
148146
149147 START_STATUTE8-818. Prenatal substance use; services and support
150148
151-On a finding of a pregnant woman using alcohol or a dangerous drug or narcotic drug as defined in section 13-3401 and subject to the reporting requirements prescribed in section 13-3620, a health care professional who is licensed or certified pursuant to title 32 shall, with the woman's consent, refer the woman to substance use services and support to facilitate maternal and infant safety. END_STATUTE
149+On a finding of a pregnant woman using alcohol or a dangerous drug or narcotic drug as defined in section 13-3401 and subject to the reporting requirements prescribed in section 13-3620, a health care professional who is licensed or certified pursuant to title 32 shall refer the woman to substance use services and support to facilitate maternal and infant safety.END_STATUTE
152150
153151 Sec. 3. Section 8-819, Arizona Revised Statutes, is amended to read:
154152
155153 START_STATUTE8-819. Determination of neglect
156154
157155 In determining if a child is neglected, consideration shall be given to:
158156
159157 1. The drug or alcohol abuse of the childs parent, guardian or custodian.
160158
161159 2. The use by the mother of a dangerous drug, a narcotic drug or alcohol during pregnancy if the child, at birth or within a year after birth, is demonstrably adversely affected by this use. For the purposes of this paragraph, "dangerous drug" and "narcotic drug" have the same meaning meanings prescribed in section 13-3401.
162160
163161 3. Proof that the mother was referred for substance use services and support pursuant to section 8-818 and participated in substance use treatment certified by a health care professional who is regulated pursuant to title 32. Proof of the mother's participation in substance use treatment may be considered a mitigating factor in determining neglect.END_STATUTE
164162
165163 Sec. 4. Section 13-3620, Arizona Revised Statutes, is amended to read:
166164
167165 START_STATUTE13-3620. Duty to report abuse, physical injury, neglect and denial or deprivation of medical or surgical care or nourishment of minors; medical records; exception; violation; classification; definitions
168166
169167 A. Any person who reasonably believes that a minor is or has been the victim of physical injury, abuse, child abuse, a reportable offense or neglect that appears to have been inflicted on the minor by other than accidental means or that is not explained by the available medical history as being accidental in nature or who reasonably believes there has been a denial or deprivation of necessary medical treatment or surgical care or nourishment with the intent to cause or allow the death of an infant who is protected under section 36-2281 shall immediately report or cause reports to be made of this information to a peace officer, to the department of child safety or to a tribal law enforcement or social services agency for any Indian minor who resides on an Indian reservation, except if the report concerns a person who does not have care, custody or control of the minor, the report shall be made to a peace officer only. A member of the clergy, a Christian Science practitioner or a priest who has received a confidential communication or a confession in that person's role as a member of the clergy, as a Christian Science practitioner or as a priest in the course of the discipline enjoined by the church to which the member of the clergy, the Christian Science practitioner or the priest belongs may withhold reporting of the communication or confession if the member of the clergy, the Christian Science practitioner or the priest determines that it is reasonable and necessary within the concepts of the religion. This exemption applies only to the communication or confession and not to personal observations the member of the clergy, the Christian Science practitioner or the priest may otherwise make of the minor. For the purposes of this subsection, "person" means:
170168
171169 1. Any physician, physician's assistant, optometrist, dentist, osteopathic physician, chiropractor, podiatrist, behavioral health professional, nurse, psychologist, counselor or social worker who develops the reasonable belief in the course of treating a patient.
172170
173171 2. Any peace officer, child welfare investigator, child safety worker, member of the clergy, priest or Christian Science practitioner.
174172
175173 3. The parent, stepparent or guardian of the minor.
176174
177175 4. School personnel, domestic violence victim advocates or sexual assault victim advocates who develop the reasonable belief in the course of their employment.
178176
179177 5. Any other person who has responsibility for the care or treatment of the minor.
180178
181179 6. Any person who is employed as the immediate or next higher level supervisor to or administrator of a person who is listed in paragraph 1, 2, 4 or 5 of this subsection and who develops the reasonable belief in the course of the supervisor's or administrator's employment, except that if the supervisor or administrator reasonably believes that the report has been made by a person who is required to report pursuant to paragraph 1, 2, 4 or 5 of this subsection, the supervisor or administrator is not required to report pursuant to this paragraph.
182180
183181 B. A report is not required under this section either:
184182
185183 1. For conduct prescribed by sections 13-1404 and 13-1405 if the conduct involves only minors who are fourteen, fifteen, sixteen or seventeen years of age and there is nothing to indicate that the conduct is other than consensual.
186184
187185 2. If a minor is of elementary school age, the physical injury occurs accidentally in the course of typical playground activity during a school day, occurs on the premises of the school that the minor attends and is reported to the legal parent or guardian of the minor and the school maintains a written record of the incident.
188186
189187 C. If a physician, psychologist or behavioral health professional receives a statement from a person other than a parent, stepparent, guardian or custodian of the minor during the course of providing sex offender treatment that is not court ordered or that does not occur while the offender is incarcerated in the state department of corrections or the department of juvenile corrections, the physician, psychologist or behavioral health professional may withhold the reporting of that statement if the physician, psychologist or behavioral health professional determines it is reasonable and necessary to accomplish the purposes of the treatment.
190188
191189 D. Reports shall be made immediately either electronically or by telephone. The reports shall contain the following information, if known:
192190
193191 1. The names and addresses of the minor and the minor's parents or the person or persons having custody of the minor.
194192
195193 2. The minor's age and the nature and extent of the minor's abuse, child abuse, physical injury or neglect, including any evidence of previous abuse, child abuse, physical injury or neglect.
196194
197195 3. Any other information that the person believes might be helpful in establishing the cause of the abuse, child abuse, physical injury or neglect.
198196
199197 E. A health care professional who is regulated pursuant to title 32 and who: ,
200198
201199 1. After a routine newborn physical assessment of a newborn infant's health status or following and notification of positive toxicology screens of a newborn infant, reasonably believes that the newborn infant may be affected by the presence of alcohol or a drug listed in section 13-3401 shall immediately report this information, or cause a report to be made, to the department of child safety. For the purposes of this subsection paragraph, "newborn infant" means a newborn infant who is under thirty days of age.
202200
203-2. Through clinical indicators in the prenatal period, including maternal presentation or positive toxicology or other laboratory tests, suspects the use of alcohol or a dangerous drug or narcotic drug as defined in section 13-3401 shall, with the woman's consent, immediately refer the woman to substance use services and support pursuant to section 8-818. The presence of prenatal clinical indicators or the woman's history of substance use or participation in substance use services and support alone may not be the basis of a report pursuant to this subsection of SUSPECTED NEGLECT made to the department of child safety on the birth of the child.
201+2. Through clinical indicators in the prenatal period, including maternal presentation or positive toxicology or other laboratory tests, suspects the use of alcohol or a dangerous drug or narcotic drug as defined in section 13-3401 shall immediately refer the woman to the arizona health care cost containment SYSTEM for substance use services and support pursuant to section 8-818. The presence of prenatal clinical indicators or the woman's history of substance use or participation in substance use services and support alone may not be the basis of a report pursuant to this subsection of SUSPECTED NEGLECT made to the department of child safety on the birth of the child.
204202
205203 F. Any person other than one required to report or cause reports to be made under subsection A of this section who reasonably believes that a minor is or has been a victim of abuse, child abuse, physical injury, a reportable offense or neglect may report the information to a peace officer or to the department of child safety, except if the report concerns a person who does not have care, custody or control of the minor, the report shall be made to a peace officer only.
206204
207205 G. A person who has custody or control of medical records of a minor for whom a report is required or authorized under this section shall make the records, or a copy of the records, available to a peace officer, child welfare investigator or child safety worker investigating the minor's neglect, child abuse, physical injury or abuse on written request for the records signed by the peace officer, child welfare investigator or child safety worker. Records disclosed pursuant to this subsection are confidential and may be used only in a judicial or administrative proceeding or investigation resulting from a report required or authorized under this section.
208206
209207 H. When reports are received by a peace officer, the officer shall immediately notify the department of child safety. Notwithstanding any other statute, when the department receives these reports, it shall immediately notify a peace officer in the appropriate jurisdiction.
210208
211209 I. Any person who is required to receive reports pursuant to subsection A of this section may take or cause to be taken photographs of the minor and the vicinity involved. Medical examinations of the involved minor may be performed.
212210
213211 J. A person who furnishes a report, information or records required or authorized under this section, or a person who participates in a judicial or administrative proceeding or investigation resulting from a report, information or records required or authorized under this section, is immune from any civil or criminal liability by reason of that action unless the person acted with malice or unless the person has been charged with or is suspected of abusing or neglecting the child or children in question.
214212
215213 K. Except for the attorney client privilege or the privilege under subsection L of this section, no privilege applies to any:
216214
217215 1. Civil or criminal litigation or administrative proceeding in which a minor's neglect, dependency, abuse, child abuse, physical injury or abandonment is an issue.
218216
219217 2. Judicial or administrative proceeding resulting from a report, information or records submitted pursuant to this section.
220218
221219 3. Investigation of a minor's child abuse, physical injury, neglect or abuse conducted by a peace officer or the department of child safety.
222220
223221 L. In any civil or criminal litigation in which a child's neglect, dependency, physical injury, abuse, child abuse or abandonment is an issue, a member of the clergy, a Christian Science practitioner or a priest shall not, without his consent, be examined as a witness concerning any confession made to him in his role as a member of the clergy, a Christian Science practitioner or a priest in the course of the discipline enjoined by the church to which he belongs. This subsection does not discharge a member of the clergy, a Christian Science practitioner or a priest from the duty to report pursuant to subsection A of this section.
224222
225223 M. If psychiatric records are requested pursuant to subsection G of this section, the custodian of the records shall notify the attending psychiatrist, who may excise from the records, before they are made available:
226224
227225 1. Personal information about individuals other than the patient.
228226
229227 2. Information regarding specific diagnosis or treatment of a psychiatric condition, if the attending psychiatrist certifies in writing that release of the information would be detrimental to the patient's health or treatment.
230228
231229 N. If any portion of a psychiatric record is excised pursuant to subsection M of this section, a court, on application of a peace officer, child welfare investigator or child safety worker, may order that the entire record or any portion of the record that contains information relevant to the reported abuse, child abuse, physical injury or neglect be made available to the peace officer, child welfare investigator or child safety worker investigating the abuse, child abuse, physical injury or neglect.
232230
233231 O. A person who violates this section is guilty of a class 1 misdemeanor, except if the failure to report involves a reportable offense, the person is guilty of a class 6 felony.
234232
235233 P. For the purposes of this section:
236234
237235 1. "Abuse" has the same meaning prescribed in section 8-201.
238236
239237 2. "Child abuse" means child abuse pursuant to section 13-3623.
240238
241239 3. "Neglect" has the same meaning prescribed in section 8-201.
242240
243241 4. "Reportable offense" means any of the following:
244242
245243 (a) Any offense listed in chapters 14 and 35.1 of this title or section 13-3506.01.
246244
247245 (b) Surreptitious photographing, videotaping, filming or digitally recording or viewing a minor pursuant to section 13-3019.
248246
249247 (c) Child sex trafficking pursuant to section 13-3212.
250248
251249 (d) Incest pursuant to section 13-3608.
252250
253251 (e) Unlawful mutilation pursuant to section 13-1214. END_STATUTE
254252
255253 Sec. 5. Title 36, chapter 29, article 1, Arizona Revised Statutes, is amended by adding section 36-2930.07, to read:
256254
257255 START_STATUTE36-2930.07. Prenatal substance use; services and support
258256
259-ON a finding or report to the department of child safety of a pregnant woman using alcohol or a dangerous drug or narcotic drug as defined in section 13-3401, a health care professional who is licensed pursuant to title 32 shall refer the woman to substance use services and support to FACILITATE MATERNAL and infant safety. END_STATUTE
257+ON a finding or report to the department of child safety of a pregnant woman using alcohol or a dangerous drug or narcotic as defined in section 13-3401, a health care professional who is licensed pursuant to title 32 shall refer the woman to substance use services and support to FACILITATE MATERNAL and infant safety. END_STATUTE