LCO No. 3761 1 of 9 General Assembly Committee Bill No. 452 January Session, 2019 LCO No. 3761 Referred to Committee on COMMITTEE ON CHILDREN Introduced by: (KID) AN ACT ESTABLISHING THE STATE OVERSIGHT COUN CIL ON CHILDREN AND FAMILIES. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. (NEW) (Effective July 1, 2019) (a) There shall be a State 1 Oversight Council on Children and Families which shall consist of the 2 following members: (1) Six members appointed by the Governor, 3 including two persons who are child care professionals, two persons 4 eighteen to twenty-five years of age, inclusive, served by the 5 Department of Children and Families, one person who is a child 6 psychiatrist licensed to practice medicine in this state and one person 7 who is an attorney who has expertise in legal issues related to children 8 and youth; (2) one member appointed by the speaker of the House of 9 Representatives, who has expertise in providing services to children 10 and youths; (3) one member appointed by the president pro tempore 11 of the Senate, who has expertise in providing behavioral health 12 services to children and youths served by the Department of Children 13 and Families; (4) one member appointed by the majority leader of the 14 House of Representatives, who is a parent, foster parent or family 15 member of a child or youth who has received or is receiving behavioral 16 Committee Bill No. 452 LCO No. 3761 2 of 9 health services, child welfare services or juvenile services; (5) one 17 member appointed by the majority leader of the Senate, who is a 18 parent, foster parent or family member of a child or youth who has 19 received or is receiving behavioral health services, child welfare 20 services or juvenile services; (6) one member appointed by the 21 minority leader of the House of Representatives, who is a parent, foster 22 parent or family member of a child or youth who has received or is 23 receiving behavioral health services, child welfare services or juvenile 24 services; (7) one member appointed by the minority leader of the 25 Senate, who is an advocate for children and youths; and (8) six 26 members representing the regional advisory councils established 27 pursuant to section 17a-30 of the general statutes, appointed one each 28 by the members of each council. No more than half the members of the 29 council shall be persons who receive income from a private practice or 30 any public or private agency that delivers mental health, substance 31 abuse, child abuse prevention and treatment or child welfare services. 32 Members of the council shall serve without compensation, except for 33 necessary expenses incurred in the performance of their duties. The 34 Department of Children and Families shall provide the council with 35 funding to facilitate the participation of those members representing 36 families and youth, as well as for other administrative support 37 services. Members shall serve on the council for terms of two years 38 each and no member shall serve for more than three consecutive terms. 39 The commissioner shall be an ex-officio member of the council without 40 vote and shall attend its meetings. Any member who fails to attend 41 three consecutive meetings or fifty per cent of all meetings during any 42 calendar year shall be deemed to have resigned. Any vacancy shall be 43 filled by the appointing authority. The council shall elect two 44 chairpersons from among its members. 45 (b) The State Oversight Council on Children and Families shall meet 46 quarterly, and more often upon the call of the chairpersons or a 47 majority of the members. The council's meetings shall be held at 48 locations that facilitate participation by members of the public, and its 49 agenda and minutes shall be posted on the Internet web site of the 50 Committee Bill No. 452 LCO No. 3761 3 of 9 Department of Children and Families. A majority of the members 51 present shall constitute a quorum. The council shall have complete 52 access to all records of the institutions and facilities of the department 53 in furtherance of its duties, while at all times protecting the right of 54 privacy of all individuals involved, as provided in section 17a-28 of the 55 general statutes. 56 (c) The duties of the State Oversight Council on Children and 57 Families shall be to: (1) Recommend to the commissioner and the joint 58 standing committee of the General Assembly having cognizance of 59 matters relating to children programs, legislation or other matters that 60 will improve services for children and youths, including behavioral 61 health services; (2) annually review and advise the commissioner 62 regarding the proposed budget; (3) interpret to the community at large 63 the policies, duties and programs of the department; (4) issue any 64 reports it deems necessary to the Governor, the Commissioner of 65 Children and Families and, in accordance with the provisions of 66 section 11-4a of the general statutes, the joint standing committee of 67 the General Assembly having cognizance of matters relating to 68 children; (5) assist in the development of and review and comment on 69 the strategic plan developed by the department pursuant to subsection 70 (b) of section 17a-3 of the general statutes, as amended by this act; (6) 71 receive on a quarterly basis from the commissioner a status report on 72 the department's progress in carrying out the strategic plan; (7) 73 independently monitor the department's progress in achieving its 74 goals as expressed in the strategic plan; and (8) offer assistance and 75 provide an outside perspective to the department so that it may be able 76 to achieve the goals expressed in the strategic plan. 77 (d) (1) Not later than July 1, 2020, and annually thereafter, the State 78 Oversight Council on Children and Families shall submit a report, in 79 accordance with the provisions of section 11-4a of the general statutes, 80 to the joint standing committees of the General Assembly having 81 cognizance of matters relating to appropriations and children. Such 82 report shall include, but not be limited to, (A) findings and 83 Committee Bill No. 452 LCO No. 3761 4 of 9 recommendations regarding the policies and practices of the 84 Department of Children and Families; (B) information regarding the 85 impact of such policies on safety, permanency and well-being 86 outcomes for children and youths; and (C) any recommendations for 87 legislation. 88 (2) Not later than thirty days after the receipt of the report 89 submitted pursuant to this subsection, the chairpersons of the State 90 Oversight Council on Children and Families shall appear before the 91 joint standing committees of the General Assembly having cognizance 92 of matters relating to appropriations and children to discuss said 93 report. 94 Sec. 2. Subdivision (2) of section 17a-1 of the general statutes is 95 repealed and the following is substituted in lieu thereof (Effective July 96 1, 2019): 97 (2) "Council" means the State [Advisory] Oversight Council on 98 Children and Families; 99 Sec. 3. Subsection (b) of section 17a-3 of the general statutes is 100 repealed and the following is substituted in lieu thereof (Effective July 101 1, 2019): 102 (b) (1) The department, with the assistance of the State [Advisory] 103 Oversight Council on Children and Families, and in consultation with 104 representatives of the children and families served by the department, 105 providers of services to children and families, advocates, and others 106 interested in the well-being of children and families in this state, shall 107 develop and regularly update a single, comprehensive strategic plan 108 for meeting the needs of children and families served by the 109 department. In developing and updating the strategic plan, the 110 department shall identify and define agency goals and indicators of 111 progress, including benchmarks, in achieving such goals. The strategic 112 plan shall include, but not be limited to: (A) The department's mission 113 statement; (B) the expected results for the department and each of its 114 Committee Bill No. 452 LCO No. 3761 5 of 9 mandated areas of responsibility; (C) a schedule of action steps and a 115 time frame for achieving such results and fulfilling the department's 116 mission that includes strategies for working with other state agencies 117 to leverage resources and coordinate service delivery; (D) strategies, 118 informed by data on referrals, substantiations, removal, placements 119 and retention, by which the department shall identify racial and ethnic 120 disparities within child welfare practice and work to eliminate such 121 disparities; (E) priorities for services and estimates of the funding and 122 other resources necessary to carry them out; (F) standards for 123 programs and services that are based on research-based best practices, 124 when available; and (G) relevant measures of performance. 125 (2) The department shall begin the strategic planning process on 126 July 1, 2009. The department shall hold regional meetings on the plan 127 to ensure public input and shall post the plan and the plan's updates 128 and progress reports on the department's web site. The department 129 shall submit the strategic plan to the State [Advisory] Oversight 130 Council on Children and Families for review and comment prior to its 131 final submission to the General Assembly and the Governor. On or 132 before July 1, 2010, the department shall submit the strategic plan, in 133 accordance with section 11-4a, to the General Assembly and the 134 Governor. 135 (3) The commissioner shall track and report on progress in 136 achieving the strategic plan's goals not later than October 1, 2010, and 137 quarterly thereafter, to [said State Advisory Council] the State 138 Oversight Council on Children and Families. The commissioner shall 139 submit a status report on progress in achieving the results in the 140 strategic plan, in accordance with section 11-4a, not later than July 1, 141 2011, and annually thereafter to the General Assembly, the joint 142 standing committee of the General Assembly having cognizance of 143 matters relating to children and the Governor. 144 Sec. 4. Subsections (e) and (f) of section 17a-4a of the general statutes 145 are repealed and the following is substituted in lieu thereof (Effective 146 Committee Bill No. 452 LCO No. 3761 6 of 9 July 1, 2019): 147 (e) Not later than October first of each year, the advisory committee 148 shall submit a status report on local systems of care and practice 149 standards for state-funded behavioral health programs to the 150 Commissioner of Children and Families and the State [Advisory] 151 Oversight Council on Children and Families. 152 (f) Not later than October first of each odd-numbered year, the 153 advisory committee shall submit recommendations concerning the 154 provision of behavioral health services for all children in the state to 155 the Commissioner of Children and Families and the State [Advisory] 156 Oversight Council on Children and Families. The recommendations 157 shall address, but shall not be limited to, the following: (1) The target 158 population for children with behavioral health needs, and assessment 159 and benefit options for children with such needs; (2) the 160 appropriateness and quality of care for children with behavioral health 161 needs; (3) the coordination of behavioral health services provided 162 under the HUSKY Health program with services provided by other 163 publicly-funded programs; (4) performance standards for preventive 164 services, family supports and emergency service training programs; (5) 165 assessments of community-based and residential care programs; (6) 166 outcome measurements by reviewing provider practice; and (7) a 167 medication protocol and standards for the monitoring of medication 168 and after-care programs. 169 Sec. 5. Subsection (l) of section 17a-6 of the general statutes is 170 repealed and the following is substituted in lieu thereof (Effective July 171 1, 2019): 172 (l) Submit to the [state advisory council] State Oversight Council on 173 Children and Families for its comment proposals for new policies or 174 programs and the proposed budget for the department; 175 Sec. 6. Section 17a-9 of the general statutes is repealed and the 176 following is substituted in lieu thereof (Effective July 1, 2019): 177 Committee Bill No. 452 LCO No. 3761 7 of 9 (a) The commissioner shall appoint, after consultation with the 178 [state advisory council] State Oversight Council on Children and 179 Families, and may remove in a like manner, two deputy 180 commissioners who shall be in the unclassified service. The deputy 181 commissioner for program services shall be a clinically competent 182 professional person experienced in one or more fields of children's 183 services and in the administration of such services, and shall be 184 responsible for the supervision of all clinical treatment and program 185 services of the department. The deputy commissioner of 186 administrative services shall have experience in business or 187 institutional administration and shall be responsible for the 188 organizational and general administrative services of the department. 189 (b) The commissioner shall appoint, after consultation with the 190 [state advisory council] State Oversight Council on Children and 191 Families, and may remove in like manner, not more than two program 192 directors who shall be in the unclassified service, provided the title or 193 duties of any director appointed pursuant to this subsection may be 194 changed as the commissioner deems necessary after consultation with 195 the [state advisory council] State Oversight Council on Children and 196 Families. Such directors may oversee community programs and 197 services and the operation of institutions and facilities. 198 (c) The commissioner shall, in accordance with chapter 67 and after 199 consultation with the [state advisory council] State Oversight Council 200 on Children and Families, appoint the administrative heads of all of 201 the institutions and facilities transferred to the department and such 202 other institutions and facilities as now are or hereafter may be 203 established by or transferred to the department. Such administrative 204 heads shall have skill and experience in the administration of 205 children's services and shall manage their institutions and facilities in 206 accordance with the regulations and orders of the commissioner. 207 (d) The commissioner shall, after consultation with the [state 208 advisory council] State Oversight Council on Children and Families, 209 Committee Bill No. 452 LCO No. 3761 8 of 9 appoint and may remove in a like manner, up to six regional directors 210 who shall be in the unclassified service. Each regional director shall 211 have skill and experience in the field of children's services and in the 212 administration of such services. Each regional director shall be subject 213 to the direction of the commissioner and shall be responsible for the 214 operation and administration of services provided or funded by the 215 department in the regions created by the commissioner pursuant to 216 subsection (a) of section 17a-30. 217 Sec. 7. Subsection (a) of section 17a-32a of the general statutes is 218 repealed and the following is substituted in lieu thereof (Effective July 219 1, 2019): 220 (a) The facilities that come under the jurisdiction of the Department 221 of Children and Families, as enumerated in section 17a-32, shall submit 222 an annual report to the State [Advisory] Oversight Council on 223 Children and Families and to their respective advisory groups, 224 established pursuant to subsection (b) of section 17a-6. The report shall 225 include, but not be limited to: (1) Aggregate profiles of the residents; 226 (2) a description of and update on major initiatives; (3) key outcome 227 indicators and results; (4) costs associated with operating the facility; 228 and (5) a description of educational, vocational and literacy programs, 229 and behavioral, treatment and other services available to the residents 230 and their outcomes. Each report submitted pursuant to this subsection 231 shall be posted on the department's web site. 232 Sec. 8. Section 17a-4 of the general statutes is repealed. (Effective July 233 1, 2019) 234 This act shall take effect as follows and shall amend the following sections: Section 1 July 1, 2019 New section Sec. 2 July 1, 2019 17a-1(2) Sec. 3 July 1, 2019 17a-3(b) Sec. 4 July 1, 2019 17a-4a(e) and (f) Sec. 5 July 1, 2019 17a-6(l) Committee Bill No. 452 LCO No. 3761 9 of 9 Sec. 6 July 1, 2019 17a-9 Sec. 7 July 1, 2019 17a-32a(a) Sec. 8 July 1, 2019 Repealer section Statement of Purpose: To establish a State Oversight Council on Children and Families in place of the State Advisory Council on Children and Families, and require the State Oversight Council on Children and Families to report annually to the joint standing committees of the General Assembly having cognizance of matters relating to appropriations and children. [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.] Co-Sponsors: SEN. FASANO, 34th Dist.; SEN. WITKOS, 8th Dist. SEN. SOMERS, 18th Dist. S.B. 452