Connecticut 2019 Regular Session

Connecticut Senate Bill SB00936 Compare Versions

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	7	+	General Assembly Substitute Bill No. 936
	8	+	January Session, 2019
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4		-	Substitute Senate Bill No. 936
5		-
6		-	Public Act No. 19-121
7	12
8	13
9		-	AN ACT IMPLEMENTING THE RECOMMENDATIONS OF THE
10		-	~~OFFICE~~ OF EARLY CHILDHOOD.
	14	+	AN ACT IMPLEMENTING THE RECOMMENDATIONS OF THE OFFICE
	15	+	OF EARLY CHILDHOOD.
11	16		Be it enacted by the Senate and House of Representatives in General
12	17		Assembly convened:
13	18
14		-	Section 1. Subsections (a) to (c), inclusive, of section 17b-749 of the
15		-	general statutes are repealed and the following is substituted in lieu
16		-	thereof (Effective July 1, 2019):
17		-	(a) The Commissioner of Early Childhood shall establish and
18		-	operate a child care subsidy program to increase the availability,
19		-	affordability and quality of child care services for families with a
20		-	parent or caretaker who (1) is working or attending high school, or (2)
21		-	receives cash assistance under the temporary family assistance
22		-	program from the Department of Social Services and is participating in
23		-	an education, training or other job preparation activity approved
24		-	pursuant to subsection (b) of section 17b-688i or subsection (b) of
25		-	section 17b-689d. Services available under the child care subsidy
26		-	program shall include the provision of child care subsidies for children
27		-	under the age of thirteen or children under the age of nineteen with
28		-	special needs. The Office of Early Childhood shall open and maintain
29		-	enrollment for the child care subsidy program and shall administer
30		-	such program within the existing budgetary resources available. The
31		-	office shall issue a notice on the office's Internet web site any time the Substitute Senate Bill No. 936
	19	+	Section 1. Subsections (a) to (c), inclusive, of section 17b-749 of the 1
	20	+	general statutes are repealed and the following is substituted in lieu 2
	21	+	thereof (Effective July 1, 2019): 3
	22	+	(a) The Commissioner of Early Childhood shall establish and 4
	23	+	operate a child care subsidy program to increase the availability, 5
	24	+	affordability and quality of child care services for families with a 6
	25	+	parent or caretaker who (1) is working or attending high school, or (2) 7
	26	+	receives cash assistance under the temporary family assistance 8
	27	+	program from the Department of Social Services and is participating in 9
	28	+	an education, training or other job preparation activity approved 10
	29	+	pursuant to subsection (b) of section 17b-688i or subsection (b) of 11
	30	+	section 17b-689d. Services available under the child care subsidy 12
	31	+	program shall include the provision of child care subsidies for children 13
	32	+	under the age of thirteen or children under the age of nineteen with 14
	33	+	special needs. The Office of Early Childhood shall open and maintain 15
	34	+	enrollment for the child care subsidy program and shall administer 16
	35	+	such program within the existing budgetary resources available. The 17
	36	+	office shall issue a notice on the office's Internet web site any time the 18
	37	+	office closes the program to new applications, changes eligibility 19 Substitute Bill No. 936
32	38
33		-	Public Act No. 19-121 2 of 21
34	39
35		-	office closes the program to new applications, changes eligibility
36		-	requirements, changes program benefits or makes any other change to
37		-	the program's status or terms, except the office shall not be required to
38		-	issue such notice when the office expands program eligibility. Any
39		-	change in the office's acceptance of new applications, eligibility
40		-	requirements, program benefits or any other change to the program's
41		-	status or terms for which the office is required to give notice pursuant
42		-	to this subsection, shall not be effective until thirty days after the office
43		-	issues such notice.
44		-	(b) The commissioner shall establish income standards for
45		-	applicants and recipients at a level to include a family with gross
46		-	income up to fifty per cent of the state-wide median income, except the
47		-	commissioner (1) may increase the income level [to up to seventy-five
48		-	per cent of the state-wide median income] up to the maximum level
49		-	allowed under federal law, (2) upon the request of the Commissioner
50		-	of Children and Families, may waive the income standards for
51		-	adoptive families so that children adopted on or after October 1, 1999,
52		-	from the Department of Children and Families are eligible for the child
53		-	care subsidy program, and (3) on and after March 1, 2003, shall reduce
54		-	the income eligibility level to up to fifty-five per cent of the state-wide
55		-	median income for applicants and recipients who qualify based on
56		-	their loss of eligibility for temporary family assistance. The
57		-	commissioner may adopt regulations in accordance with chapter 54 to
58		-	establish income criteria and durational requirements for such waiver
59		-	of income standards.
60		-	(c) The commissioner, in consultation with the Commissioner of
61		-	Social Services, shall establish eligibility and program standards
62		-	including, but not limited to: (1) A priority intake and eligibility
63		-	system with preference given to serving (A) recipients of temporary
64		-	family assistance who are employed or engaged in employment
65		-	activities under the Department of Social Services' "Jobs First" Substitute Senate Bill No. 936
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66	43
67		-	Public Act No. 19-121 3 of 21
	44	+	requirements, changes program benefits or makes any other change to 20
	45	+	the program's status or terms, except the office shall not be required to 21
	46	+	issue such notice when the office expands program eligibility. Any 22
	47	+	change in the office's acceptance of new applications, eligibility 23
	48	+	requirements, program benefits or any other change to the program's 24
	49	+	status or terms for which the office is required to give notice pursuant 25
	50	+	to this subsection, shall not be effective until thirty days after the office 26
	51	+	issues such notice. 27
	52	+	(b) The commissioner shall establish income standards for 28
	53	+	applicants and recipients at a level to include a family with gross 29
	54	+	income up to fifty per cent of the state-wide median income, except the 30
	55	+	commissioner (1) may increase the income level [to up to seventy-five 31
	56	+	per cent of the state-wide median income] up to the maximum level 32
	57	+	allowed under federal law, (2) upon the request of the Commissioner 33
	58	+	of Children and Families, may waive the income standards for 34
	59	+	adoptive families so that children adopted on or after October 1, 1999, 35
	60	+	from the Department of Children and Families are eligible for the child 36
	61	+	care subsidy program, and (3) on and after March 1, 2003, shall reduce 37
	62	+	the income eligibility level to up to fifty-five per cent of the state-wide 38
	63	+	median income for applicants and recipients who qualify based on 39
	64	+	their loss of eligibility for temporary family assistance. The 40
	65	+	commissioner may adopt regulations in accordance with chapter 54 to 41
	66	+	establish income criteria and durational requirements for such waiver 42
	67	+	of income standards. 43
	68	+	(c) The commissioner, in consultation with the Commissioner of 44
	69	+	Social Services, shall establish eligibility and program standards 45
	70	+	including, but not limited to: (1) A priority intake and eligibility 46
	71	+	system with preference given to serving (A) recipients of temporary 47
	72	+	family assistance who are employed or engaged in employment 48
	73	+	activities under the Department of Social Services' "Jobs First" 49
	74	+	program, (B) working families whose temporary family assistance was 50
	75	+	discontinued not more than five years prior to the date of application 51
	76	+	for the child care subsidy program, (C) teen parents, (D) low-income 52 Substitute Bill No. 936
68	77
69		-	program, (B) working families whose temporary family assistance was
70		-	discontinued not more than five years prior to the date of application
71		-	for the child care subsidy program, (C) teen parents, (D) low-income
72		-	working families, (E) adoptive families of children who were adopted
73		-	from the Department of Children and Families and who are granted a
74		-	waiver of income standards under subdivision (2) of subsection (b) of
75		-	this section, and (F) working families who are at risk of welfare
76		-	dependency; [, and (G) any household with a child or children
77		-	participating in the Early Head Start-Child Care Partnership federal
78		-	grant program for a period of up to twelve months based on Early
79		-	Head Start eligibility criteria;] (2) health and safety standards for child
80		-	care providers not required to be licensed; (3) a reimbursement system
81		-	for child care services which account for differences in the age of the
82		-	child, number of children in the family, the geographic region and type
83		-	of care provided by licensed and unlicensed caregivers, the cost and
84		-	type of services provided by licensed and unlicensed caregivers,
85		-	successful completion of fifteen hours of annual in-service training or
86		-	credentialing of child care directors and administrators, and program
87		-	accreditation; (4) supplemental payment for special needs of the child
88		-	and extended nontraditional hours; (5) an annual rate review process
89		-	for providers which assures that reimbursement rates are maintained
90		-	at levels which permit equal access to a variety of child care settings;
91		-	(6) a sliding reimbursement scale for participating families; (7) an
92		-	administrative appeals process; (8) an administrative hearing process
93		-	to adjudicate cases of alleged fraud and abuse and to impose sanctions
94		-	and recover overpayments; (9) an extended period of program and
95		-	payment eligibility when a parent who is receiving a child care
96		-	subsidy experiences a temporary interruption in employment or other
97		-	approved activity; and (10) a waiting list for the child care subsidy
98		-	program that (A) allows the commissioner to exercise discretion in
99		-	prioritizing within and between existing priority groups, including,
100		-	but not limited to, children described in 45 CFR 98.46, as amended
101		-	from time to time, and households with an infant or toddler, and (B) Substitute Senate Bill No. 936
102	78
103		-	Public Act No. 19-121 4 of 21
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105		-	reflects the priority and eligibility system set forth in subdivision (1) of
106		-	this subsection, which is reviewed periodically, with the inclusion of
107		-	this information in the annual report required to be issued annually by
108		-	the office to the Governor and the General Assembly in accordance
109		-	with section 17b-733. Such action will include, but not be limited to,
110		-	family income, age of child, region of state and length of time on such
111		-	waiting list.
112		-	Sec. 2. Section 19a-79 of the general statutes is amended by adding
113		-	subsection (f) as follows (Effective July 1, 2019):
114		-	(NEW) (f) Any child care center or group child care home may
115		-	provide child care services to a foster child for a period not to exceed
116		-	forty-five days without complying with any provision in regulations
117		-	adopted pursuant to this section relating to immunization and physical
118		-	examination requirements. Any child care center or group child care
119		-	home that provides child care services to a foster child at such center
120		-	or home under this subsection shall maintain a record on file of such
121		-	foster child for a period of two years after such foster child is no longer
122		-	receiving child care services at such center or home. For purposes of
123		-	this subsection, "foster child" means a child who is in the care and
124		-	custody of the Commissioner of Children and Families and placed in a
125		-	foster home licensed pursuant to section 17a-114, foster home
126		-	approved by a child-placing agency licensed pursuant to section 17a-
127		-	149, facility licensed pursuant to section 17a-145 or with a relative or
128		-	fictive kin caregiver pursuant to section 17a-114.
129		-	Sec. 3. Section 19a-87b of the general statutes is amended by adding
130		-	subsection (i) as follows (Effective July 1, 2019):
131		-	(NEW) (i) Any family child care home may provide child care
132		-	services to a foster child for a period not to exceed forty-five days
133		-	without complying with any provision in regulations adopted
134		-	pursuant to this section relating to immunization and physical Substitute Senate Bill No. 936
	83	+	working families, (E) adoptive families of children who were adopted 53
	84	+	from the Department of Children and Families and who are granted a 54
	85	+	waiver of income standards under subdivision (2) of subsection (b) of 55
	86	+	this section, and (F) working families who are at risk of welfare 56
	87	+	dependency; [, and (G) any household with a child or children 57
	88	+	participating in the Early Head Start-Child Care Partnership federal 58
	89	+	grant program for a period of up to twelve months based on Early 59
	90	+	Head Start eligibility criteria;] (2) health and safety standards for child 60
	91	+	care providers not required to be licensed; (3) a reimbursement system 61
	92	+	for child care services which account for differences in the age of the 62
	93	+	child, number of children in the family, the geographic region and type 63
	94	+	of care provided by licensed and unlicensed caregivers, the cost and 64
	95	+	type of services provided by licensed and unlicensed caregivers, 65
	96	+	successful completion of fifteen hours of annual in-service training or 66
	97	+	credentialing of child care directors and administrators, and program 67
	98	+	accreditation; (4) supplemental payment for special needs of the child 68
	99	+	and extended nontraditional hours; (5) an annual rate review process 69
	100	+	for providers which assures that reimbursement rates are maintained 70
	101	+	at levels which permit equal access to a variety of child care settings; 71
	102	+	(6) a sliding reimbursement scale for participating families; (7) an 72
	103	+	administrative appeals process; (8) an administrative hearing process 73
	104	+	to adjudicate cases of alleged fraud and abuse and to impose sanctions 74
	105	+	and recover overpayments; (9) an extended period of program and 75
	106	+	payment eligibility when a parent who is receiving a child care 76
	107	+	subsidy experiences a temporary interruption in employment or other 77
	108	+	approved activity; and (10) a waiting list for the child care subsidy 78
	109	+	program that (A) allows the commissioner to exercise discretion in 79
	110	+	prioritizing within and between existing priority groups, including, 80
	111	+	but not limited to, children described in 45 CFR 98.46, as amended 81
	112	+	from time to time, and households with an infant or toddler, and (B) 82
	113	+	reflects the priority and eligibility system set forth in subdivision (1) of 83
	114	+	this subsection, which is reviewed periodically, with the inclusion of 84
	115	+	this information in the annual report required to be issued annually by 85
	116	+	the office to the Governor and the General Assembly in accordance 86
	117	+	with section 17b-733. Such action will include, but not be limited to, 87 Substitute Bill No. 936
135	118
136		-	Public Act No. 19-121 5 of 21
137	119
138		-	examination requirements. Any family child care home that provides
139		-	child care services to a foster child at such home under this subsection
140		-	shall maintain a record on file of such foster child for a period of two
141		-	years after such foster child is no longer receiving child care services at
142		-	such home. For purposes of this subsection, "foster child" means a
143		-	child who is in the care and custody of the Commissioner of Children
144		-	and Families and placed in a foster home licensed pursuant to section
145		-	17a-114, foster home approved by a child-placing agency licensed
146		-	pursuant to section 17a-149, facility licensed pursuant to section 17a-
147		-	145 or with a relative or fictive kin caregiver pursuant to section 17a-
148		-	114.
149		-	Sec. 4. Section 10-530 of the general statutes is repealed and the
150		-	following is substituted in lieu thereof (Effective July 1, 2019):
151		-	(a) As used in this section:
152		-	(1) "Child care facility" means a "child care center", "group child care
153		-	home" or "family child care home" that provides "child care services",
154		-	each as described in section 19a-77, or any provider of child care
155		-	services under the child care subsidy program established pursuant to
156		-	section 17b-749, as amended by this act;
157		-	(2) "Child care services provider or staff member" means any person
158		-	who is (A) a licensee, employee, volunteer or alternate staff, assistant,
159		-	substitute or household member of a child care facility, (B) a family
160		-	child care provider, or (C) any other person who provides child care
161		-	services under the child care subsidy program established pursuant to
162		-	section 17b-749, as amended by this act, but does not include a person
163		-	who is providing child care services under the child care subsidy
164		-	program (i) exclusively to children with whom such person is related,
165		-	and (ii) without being issued a license to provide child care services by
166		-	the Office of Early Childhood; and Substitute Senate Bill No. 936
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167	123
168		-	Public Act No. 19-121 6 of 21
	124	+	family income, age of child, region of state and length of time on such 88
	125	+	waiting list. 89
	126	+	Sec. 2. Section 19a-79 of the general statutes is amended by adding 90
	127	+	subsection (f) as follows (Effective July 1, 2019): 91
	128	+	(NEW) (f) Any child care center or group child care home may 92
	129	+	provide child care services to a foster child for a period not to exceed 93
	130	+	forty-five days without complying with any provision in regulations 94
	131	+	adopted pursuant to this section relating to immunization and physical 95
	132	+	examination requirements. Any child care center or group child care 96
	133	+	home that provides child care services to a foster child at such center 97
	134	+	or home under this subsection shall maintain a record on file of such 98
	135	+	foster child for a period of two years after such foster child is no longer 99
	136	+	receiving child care services at such center or home. For purposes of 100
	137	+	this subsection, "foster child" means a child who is in the care and 101
	138	+	custody of the Commissioner of Children and Families and placed in a 102
	139	+	foster home licensed pursuant to section 17a-114, foster home 103
	140	+	approved by a child-placing agency licensed pursuant to section 17a-104
	141	+	149 or facility licensed pursuant to section 17a-145. 105
	142	+	Sec. 3. Section 19a-87b of the general statutes is amended by adding 106
	143	+	subsection (i) as follows (Effective July 1, 2019): 107
	144	+	(NEW) (i) Any family child care home may provide child care 108
	145	+	services to a foster child for a period not to exceed forty-five days 109
	146	+	without complying with any provision in regulations adopted 110
	147	+	pursuant to this section relating to immunization and physical 111
	148	+	examination requirements. Any family child care home that provides 112
	149	+	child care services to a foster child at such home under this subsection 113
	150	+	shall maintain a record on file of such foster child for a period of two 114
	151	+	years after such foster child is no longer receiving child care services at 115
	152	+	such home. For purposes of this subsection, "foster child" means a 116
	153	+	child who is in the care and custody of the Commissioner of Children 117
	154	+	and Families and placed in a foster home licensed pursuant to section 118
	155	+	17a-114, foster home approved by a child-placing agency licensed 119 Substitute Bill No. 936
169	156
170		-	(3) "Family child care provider" means any person who provides
171		-	child care services under the child care subsidy program established
172		-	pursuant to section 17b-749, as amended by this act, (A) in a family
173		-	child care home, as defined in section 19a-77, or (B) in a home not
174		-	requiring a license pursuant to subdivision (4) of subsection (b) of
175		-	section 19a-77.
176		-	(b) The comprehensive background checks required pursuant to
177		-	subsection (c) of section 19a-80, subsection (c) of section 19a-87b, and
178		-	subsection (a) of section 17b-749k, shall be conducted at least once
179		-	every five years for each child care services provider or staff member
180		-	in accordance with the provisions of 45 CFR 98.43, as amended from
181		-	time to time.
182		-	(c) Any person who applies for a position at a child care facility in
183		-	the state shall not be required to submit to such comprehensive
184		-	background checks if such person (1) is an employee of a child care
185		-	facility in the state, or [was previously an employee of a child care
186		-	facility in the state during the previous one hundred eighty days] has
187		-	not been separated from employment as a child care services provider
188		-	or staff member in the state for a period of more than one hundred
189		-	eighty days, and (2) has successfully completed such comprehensive
190		-	background checks in the previous five years. Nothing in this section
191		-	prohibits the Commissioner of Early Childhood from requiring that
192		-	[an employee or prospective employee of a child care facility to] a
193		-	person applying for a position as a child care services provider or staff
194		-	member submit to comprehensive background checks more than once
195		-	during a five-year period. [For purposes of this section, "child care
196		-	facility" means a child care center, group child care home or family
197		-	child care home that provides "child care services", as described in
198		-	section 19a-77, and the home of a family child care provider, as defined
199		-	in section 17b-705.]
200		-	Sec. 5. Section 19a-84 of the general statutes is repealed and the Substitute Senate Bill No. 936
201	157
202		-	Public Act No. 19-121 7 of 21
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203	161
204		-	following is substituted in lieu thereof (Effective July 1, 2019):
205		-	(a) When the Commissioner of Early Childhood has reason to
206		-	believe any person licensed under sections 19a-77 to 19a-80, inclusive,
207		-	and sections 19a-82 to 19a-87, inclusive, has failed substantially to
208		-	comply with the regulations adopted under said sections, the
209		-	commissioner may notify the licensee in writing of the commissioner's
210		-	intention to suspend or revoke the license or to impose a licensure
211		-	action. Such notice shall be served by certified mail stating the
212		-	particular reasons for the proposed action. The licensee may, if
213		-	aggrieved by such intended action, make application for a hearing in
214		-	writing over the licensee's signature to the commissioner. The licensee
215		-	shall state in the application in plain language the reasons why the
216		-	licensee claims to be aggrieved. The application shall be delivered to
217		-	the commissioner not later than thirty days after the licensee's receipt
218		-	of notification of the intended action. The commissioner shall
219		-	thereupon hold a hearing or cause a hearing to be held not later than
220		-	sixty days after receipt of such application and shall, at least ten days
221		-	prior to the date of such hearing, mail a notice, giving the time and
222		-	place of the hearing, to the licensee. The hearing may be conducted by
223		-	the commissioner or by a hearing officer appointed by the
224		-	commissioner in writing. The licensee and the commissioner or
225		-	hearing officer may issue subpoenas requiring the attendance of
226		-	witnesses. The licensee shall be entitled to be represented by counsel
227		-	and a transcript of the hearing shall be made. If the hearing is
228		-	conducted by a hearing officer, the hearing officer shall state the
229		-	hearing officer's findings and make a recommendation to the
230		-	commissioner on the issue of revocation or suspension or the intended
231		-	licensure action. The commissioner, based upon the findings and
232		-	recommendation of the hearing officer, or after a hearing conducted by
233		-	the commissioner, shall render the commissioner's decision in writing
234		-	suspending, revoking or continuing the license or regarding the
235		-	intended licensure action. A copy of the decision shall be sent by Substitute Senate Bill No. 936
	162	+	pursuant to section 17a-149 or facility licensed pursuant to section 17a-120
	163	+	145. 121
	164	+	Sec. 4. Section 10-530 of the general statutes is repealed and the 122
	165	+	following is substituted in lieu thereof (Effective July 1, 2019): 123
	166	+	(a) As used in this section: 124
	167	+	(1) "Child care facility" means a "child care center", "group child care 125
	168	+	home" or "family child care home" that provides "child care services", 126
	169	+	each as described in section 19a-77, or any provider of child care 127
	170	+	services under the child care subsidy program established pursuant to 128
	171	+	section 17b-749, as amended by this act; 129
	172	+	(2) "Child care services provider or staff member" means any person 130
	173	+	who is (A) a licensee, employee, volunteer or alternate staff, assistant, 131
	174	+	substitute or household member of a child care facility, (B) a family 132
	175	+	child care provider, or (C) any other person who provides child care 133
	176	+	services under the child care subsidy program established pursuant to 134
	177	+	section 17b-749, as amended by this act; and 135
	178	+	(3) "Family child care provider" means any person who provides 136
	179	+	child care services under the child care subsidy program established 137
	180	+	pursuant to section 17b-749, as amended by this act, (A) in a family 138
	181	+	child care home, as defined in section 19a-77, or (B) in a home not 139
	182	+	requiring a license pursuant to subdivision (4) of subsection (b) of 140
	183	+	section 19a-77. 141
	184	+	(b) The comprehensive background checks required pursuant to 142
	185	+	subsection (c) of section 19a-80, subsection (c) of section 19a-87b, and 143
	186	+	subsection (a) of section 17b-749k, shall be conducted at least once 144
	187	+	every five years for each child care services provider or staff member 145
	188	+	in accordance with the provisions of 45 CFR 98.43, as amended from 146
	189	+	time to time. 147
	190	+	(c) Any person who applies for a position at a child care facility in 148
	191	+	the state shall not be required to submit to such comprehensive 149 Substitute Bill No. 936
236	192
237		-	Public Act No. 19-121 8 of 21
238	193
239		-	certified mail to the licensee. The decision revoking or suspending the
240		-	license or a decision imposing a licensure action shall become effective
241		-	thirty days after it is mailed by registered or certified mail to the
242		-	licensee. A licensee aggrieved by the decision of the commissioner may
243		-	appeal as provided in section 19a-85. Any licensee whose license has
244		-	been revoked pursuant to this subsection shall be ineligible to apply
245		-	for a license for a period of one year from the effective date of
246		-	revocation.
247		-	(b) The provisions of this section shall not apply to the denial of an
248		-	initial application for a license under sections 19a-77 to 19a-80,
249		-	inclusive, and 19a-82 to 19a-87, inclusive, provided the commissioner
250		-	shall notify the applicant of any such denial and the reasons for such
251		-	denial by mailing written notice to the applicant at the applicant's
252		-	address shown on the license application.
253		-	(c) If the commissioner finds that public health, safety or welfare
254		-	imperatively requires emergency action, and incorporates a finding to
255		-	that effect in his or her order, the commissioner may order summary
256		-	suspension or summary probation of a license issued under sections
257		-	19a-77 to 19a-80, inclusive, and 19a-82 to 19a-87, inclusive, pending
258		-	proceedings for revocation or other action. These proceedings shall be
259		-	promptly instituted and determined.
260		-	Sec. 6. Section 19a-87e of the general statutes is repealed and the
261		-	following is substituted in lieu thereof (Effective July 1, 2019):
262		-	(a) The Commissioner of Early Childhood may (1) refuse to license
263		-	under section 19a-87b, as amended by this act, a person to own,
264		-	conduct, operate or maintain a family child care home, as defined in
265		-	section 19a-77, (2) refuse to approve under section 19a-87b, as
266		-	amended by this act, a person to act as an assistant or substitute staff
267		-	member in a family child care home, as defined in section 19a-77, or (3)
268		-	suspend or revoke the license or approval or take any other action that Substitute Senate Bill No. 936
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269	197
270		-	Public Act No. 19-121 9 of 21
	198	+	background checks if such person (1) is an employee of a child care 150
	199	+	facility in the state, or [was previously an employee of a child care 151
	200	+	facility in the state during the previous one hundred eighty days] has 152
	201	+	not been separated from employment as a child care services provider 153
	202	+	or staff member in the state for a period of more than one hundred 154
	203	+	eighty days, and (2) has successfully completed such comprehensive 155
	204	+	background checks in the previous five years. Nothing in this section 156
	205	+	prohibits the Commissioner of Early Childhood from requiring that 157
	206	+	[an employee or prospective employee of a child care facility to] a 158
	207	+	person applying for a position as a child care services provider or staff 159
	208	+	member submit to comprehensive background checks more than once 160
	209	+	during a five-year period. [For purposes of this section, "child care 161
	210	+	facility" means a child care center, group child care home or family 162
	211	+	child care home that provides "child care services", as described in 163
	212	+	section 19a-77, and the home of a family child care provider, as defined 164
	213	+	in section 17b-705.] 165
	214	+	Sec. 5. Section 19a-84 of the general statutes is repealed and the 166
	215	+	following is substituted in lieu thereof (Effective July 1, 2019): 167
	216	+	(a) When the Commissioner of Early Childhood has reason to 168
	217	+	believe any person licensed under sections 19a-77 to 19a-80, inclusive, 169
	218	+	and sections 19a-82 to 19a-87, inclusive, has failed substantially to 170
	219	+	comply with the regulations adopted under said sections, the 171
	220	+	commissioner may notify the licensee in writing of the commissioner's 172
	221	+	intention to suspend or revoke the license or to impose a licensure 173
	222	+	action. Such notice shall be served by certified mail stating the 174
	223	+	particular reasons for the proposed action. The licensee may, if 175
	224	+	aggrieved by such intended action, make application for a hearing in 176
	225	+	writing over the licensee's signature to the commissioner. The licensee 177
	226	+	shall state in the application in plain language the reasons why the 178
	227	+	licensee claims to be aggrieved. The application shall be delivered to 179
	228	+	the commissioner not later than thirty days after the licensee's receipt 180
	229	+	of notification of the intended action. The commissioner shall 181
	230	+	thereupon hold a hearing or cause a hearing to be held not later than 182 Substitute Bill No. 936
271	231
272		-	may be set forth in regulation that may be adopted pursuant to section
273		-	19a-79, as amended by this act, if the person who owns, conducts,
274		-	maintains or operates the family child care home, the person who acts
275		-	as an assistant or substitute staff member in a family child care home, a
276		-	person employed in such family child care home in a position
277		-	connected with the provision of care to a child receiving child care
278		-	services or a household member, as defined in subsection (c) of section
279		-	19a-87b, who is sixteen years of age or older and resides therein, has
280		-	been convicted, in this state or any other state of a felony, as defined in
281		-	section 53a-25, involving the use, attempted use or threatened use of
282		-	physical force against another person, or has a criminal record in this
283		-	state or any other state that the commissioner reasonably believes
284		-	renders the person unsuitable to own, conduct, operate or maintain or
285		-	be employed by a family child care home, or act as an assistant or
286		-	substitute staff member in a family child care home, or if such persons
287		-	or a household member has been convicted in this state or any other
288		-	state of cruelty to persons under section 53-20, injury or risk of injury
289		-	to or impairing morals of children under section 53-21, abandonment
290		-	of children under the age of six years under section 53-23, or any
291		-	felony where the victim of the felony is a child under eighteen years of
292		-	age, a violation of section 53a-70, 53a-70a, 53a-70b, 53a-71, 53a-72a, 53a-
293		-	72b or 53a-73a, illegal manufacture, distribution, sale, prescription,
294		-	dispensing or administration under section 21a-277 or 21a-278, or
295		-	illegal possession under section 21a-279, or if such person, a person
296		-	who acts as assistant or substitute staff member in a family child care
297		-	home or a person employed in such family child care home in a
298		-	position connected with the provision of care to a child receiving child
299		-	care services, either fails to substantially comply with the regulations
300		-	adopted pursuant to section 19a-87b, as amended by this act, or
301		-	conducts, operates or maintains the home in a manner which
302		-	endangers the health, safety and welfare of the children receiving child
303		-	care services. Any refusal of a license or approval pursuant to this
304		-	section shall be rendered in accordance with the provisions of sections Substitute Senate Bill No. 936
305	232
306		-	Public Act No. 19-121 10 of 21
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307	236
308		-	46a-79 to 46a-81, inclusive. Any person whose license or approval has
309		-	been revoked pursuant to this section shall be ineligible to apply for a
310		-	license or approval for a period of one year from the effective date of
311		-	revocation.
312		-	(b) When the commissioner intends to suspend or revoke a license
313		-	or approval or take any other action against a license or approval set
314		-	forth in regulation adopted pursuant to section 19a-79, as amended by
315		-	this act, the commissioner shall notify the licensee or approved staff
316		-	member in writing of the commissioner's intended action. The licensee
317		-	or approved staff member may, if aggrieved by such intended action,
318		-	make application for a hearing in writing over the licensee's or
319		-	approved staff member's signature to the commissioner. The licensee
320		-	or approved staff member shall state in the application in plain
321		-	language the reasons why the licensee or approved staff member
322		-	claims to be aggrieved. The application shall be delivered to the
323		-	commissioner within thirty days of the licensee's or approved staff
324		-	member's receipt of notification of the intended action. The
325		-	commissioner shall thereupon hold a hearing within sixty days from
326		-	receipt of such application and shall, at least ten days prior to the date
327		-	of such hearing, mail a notice, giving the time and place of the hearing,
328		-	to the licensee or approved staff member. The provisions of this
329		-	subsection shall not apply to the denial of an initial application for a
330		-	license or approval under section 19a-87b, as amended by this act,
331		-	provided the commissioner shall notify the applicant of any such
332		-	denial and the reasons for such denial by mailing written notice to the
333		-	applicant at the applicant's address shown on the license or approval
334		-	application.
335		-	(c) Any person who is licensed to conduct, operate or maintain a
336		-	family child care home or approved to act as an assistant or substitute
337		-	staff member in a family child care home shall notify the commissioner
338		-	of any conviction of the owner, conductor, operator or maintainer of Substitute Senate Bill No. 936
	237	+	sixty days after receipt of such application and shall, at least ten days 183
	238	+	prior to the date of such hearing, mail a notice, giving the time and 184
	239	+	place of the hearing, to the licensee. The hearing may be conducted by 185
	240	+	the commissioner or by a hearing officer appointed by the 186
	241	+	commissioner in writing. The licensee and the commissioner or 187
	242	+	hearing officer may issue subpoenas requiring the attendance of 188
	243	+	witnesses. The licensee shall be entitled to be represented by counsel 189
	244	+	and a transcript of the hearing shall be made. If the hearing is 190
	245	+	conducted by a hearing officer, the hearing officer shall state the 191
	246	+	hearing officer's findings and make a recommendation to the 192
	247	+	commissioner on the issue of revocation or suspension or the intended 193
	248	+	licensure action. The commissioner, based upon the findings and 194
	249	+	recommendation of the hearing officer, or after a hearing conducted by 195
	250	+	the commissioner, shall render the commissioner's decision in writing 196
	251	+	suspending, revoking or continuing the license or regarding the 197
	252	+	intended licensure action. A copy of the decision shall be sent by 198
	253	+	certified mail to the licensee. The decision revoking or suspending the 199
	254	+	license or a decision imposing a licensure action shall become effective 200
	255	+	thirty days after it is mailed by registered or certified mail to the 201
	256	+	licensee. A licensee aggrieved by the decision of the commissioner may 202
	257	+	appeal as provided in section 19a-85. Any licensee whose license has 203
	258	+	been revoked pursuant to this subsection shall be ineligible to apply 204
	259	+	for a license for a period of one year from the effective date of 205
	260	+	revocation. 206
	261	+	(b) The provisions of this section shall not apply to the denial of an 207
	262	+	initial application for a license under sections 19a-77 to 19a-80, 208
	263	+	inclusive, and 19a-82 to 19a-87, inclusive, provided the commissioner 209
	264	+	shall notify the applicant of any such denial and the reasons for such 210
	265	+	denial by mailing written notice to the applicant at the applicant's 211
	266	+	address shown on the license application. 212
	267	+	(c) If the commissioner finds that public health, safety or welfare 213
	268	+	imperatively requires emergency action, and incorporates a finding to 214
	269	+	that effect in his or her order, the commissioner may order summary 215 Substitute Bill No. 936
339	270
340		-	Public Act No. 19-121 11 of 21
341	271
342		-	the family child care home or of any household member, as defined in
343		-	subsection (c) of section 19a-87b, who is sixteen years of age or older,
344		-	or any person employed in such family child care home in a position
345		-	connected with the provision of care to a child receiving child care
346		-	services, of a crime which affects the commissioner's discretion under
347		-	subsection (a) of this section, immediately upon obtaining knowledge
348		-	of such conviction. Failure to comply with the notification requirement
349		-	of this subsection may result in the suspension or revocation of the
350		-	license or approval or the taking of any other action against a license or
351		-	approval set forth in regulation adopted pursuant to section 19a-79, as
352		-	amended by this act, and shall subject the licensee or approved staff
353		-	member to a civil penalty of not more than one hundred dollars per
354		-	day for each day after the person obtained knowledge of the
355		-	conviction.
356		-	(d) It shall be a class A misdemeanor for any person seeking
357		-	employment in a position connected with the provision of care to a
358		-	child receiving family child care home services to make a false written
359		-	statement regarding prior criminal convictions pursuant to a form
360		-	bearing notice to the effect that such false statements are punishable,
361		-	which statement such person does not believe to be true and is
362		-	intended to mislead the prospective employer.
363		-	(e) Any person having reasonable cause to believe that a family
364		-	child care home, as defined in section 19a-77, is operating without a
365		-	current and valid license or in violation of the regulations adopted
366		-	under section 19a-87b, as amended by this act, or in a manner which
367		-	may pose a potential danger to the health, welfare and safety of a child
368		-	receiving child care services, may report such information to the Office
369		-	of Early Childhood. The office shall investigate any report or
370		-	complaint received pursuant to this subsection. The name of the
371		-	person making the report or complaint shall not be disclosed unless (1)
372		-	such person consents to such disclosure, (2) a judicial or administrative Substitute Senate Bill No. 936
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373	275
374		-	Public Act No. 19-121 12 of 21
	276	+	suspension or summary probation of a license issued under sections 216
	277	+	19a-77 to 19a-80, inclusive, and 19a-82 to 19a-87, inclusive, pending 217
	278	+	proceedings for revocation or other action. These proceedings shall be 218
	279	+	promptly instituted and determined. 219
	280	+	Sec. 6. Section 19a-87e of the general statutes is repealed and the 220
	281	+	following is substituted in lieu thereof (Effective July 1, 2019): 221
	282	+	(a) The Commissioner of Early Childhood may (1) refuse to license 222
	283	+	under section 19a-87b, as amended by this act, a person to own, 223
	284	+	conduct, operate or maintain a family child care home, as defined in 224
	285	+	section 19a-77, (2) refuse to approve under section 19a-87b, as 225
	286	+	amended by this act, a person to act as an assistant or substitute staff 226
	287	+	member in a family child care home, as defined in section 19a-77, or (3) 227
	288	+	suspend or revoke the license or approval or take any other action that 228
	289	+	may be set forth in regulation that may be adopted pursuant to section 229
	290	+	19a-79, as amended by this act, if the person who owns, conducts, 230
	291	+	maintains or operates the family child care home, the person who acts 231
	292	+	as an assistant or substitute staff member in a family child care home, a 232
	293	+	person employed in such family child care home in a position 233
	294	+	connected with the provision of care to a child receiving child care 234
	295	+	services or a household member, as defined in subsection (c) of section 235
	296	+	19a-87b, who is sixteen years of age or older and resides therein, has 236
	297	+	been convicted, in this state or any other state of a felony, as defined in 237
	298	+	section 53a-25, involving the use, attempted use or threatened use of 238
	299	+	physical force against another person, or has a criminal record in this 239
	300	+	state or any other state that the commissioner reasonably believes 240
	301	+	renders the person unsuitable to own, conduct, operate or maintain or 241
	302	+	be employed by a family child care home, or act as an assistant or 242
	303	+	substitute staff member in a family child care home, or if such persons 243
	304	+	or a household member has been convicted in this state or any other 244
	305	+	state of cruelty to persons under section 53-20, injury or risk of injury 245
	306	+	to or impairing morals of children under section 53-21, abandonment 246
	307	+	of children under the age of six years under section 53-23, or any 247
	308	+	felony where the victim of the felony is a child under eighteen years of 248 Substitute Bill No. 936
375	309
376		-	proceeding results from such report or complaint, or (3) a license
377		-	action pursuant to subsection (a) of this section results from such
378		-	report or complaint. All records obtained by the office in connection
379		-	with any such investigation shall not be subject to the provisions of
380		-	section 1-210 for a period of thirty days from the date of the petition or
381		-	other event initiating such investigation, or until such time as the
382		-	investigation is terminated pursuant to a withdrawal or other informal
383		-	disposition or until a hearing is convened pursuant to chapter 54,
384		-	whichever is earlier. A formal statement of charges issued by the office
385		-	shall be subject to the provisions of section 1-210 from the time that it is
386		-	served or mailed to the respondent. Records which are otherwise
387		-	public records shall not be deemed confidential merely because they
388		-	have been obtained in connection with an investigation under this
389		-	section.
390		-	(f) If the commissioner finds that public health, safety or welfare
391		-	imperatively requires emergency action, and incorporates a finding to
392		-	that effect in his or her order, the commissioner may order summary
393		-	suspension or summary probation of a license issued under section
394		-	19a-87b, as amended by this act, pending proceedings for revocation or
395		-	other action. These proceedings shall be promptly instituted and
396		-	determined.
397		-	Sec. 7. (NEW) (Effective July 1, 2019) (a) Any licensee child care
398		-	center or group child care home, as described in section 19a-77 of the
399		-	general statutes, that fails to provide written notice to (1) the Office of
400		-	Early Childhood, (2) all staff employed at such child care center or
401		-	group child care home, and (3) the parents or guardians of children
402		-	receiving child care services, as described in section 19a-77 of the
403		-	general statutes, at such child care center or group child care home, at
404		-	least thirty days prior to the effective date of a proposed closure of
405		-	such child care center or group child care home, shall be subject to a
406		-	civil penalty of not more than five thousand dollars. Substitute Senate Bill No. 936
407	310
408		-	Public Act No. 19-121 13 of 21
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409	314
410		-	(b) If the Commissioner of Early Childhood has reason to believe
411		-	that a violation has occurred for which a civil penalty is authorized by
412		-	subsection (a) of this section, he or she may send to such licensee by
413		-	certified mail, return receipt requested, or personally serve upon such
414		-	licensee, a notice which shall include: (1) A reference to the section or
415		-	sections of the general statutes or regulations involved; (2) a short and
416		-	plain statement of the matters asserted or charged; (3) a statement of
417		-	the maximum civil penalty which may be imposed for such violation;
418		-	and (4) a statement of the licensee's right to request a hearing, such
419		-	request to be submitted in writing to the commissioner not later than
420		-	thirty days after the notice is mailed or served.
421		-	(c) If such licensee so requests, the commissioner shall cause a
422		-	hearing to be held. The hearing shall be held in accordance with the
423		-	provisions of chapter 54 of the general statutes. If such licensee fails to
424		-	request a hearing or fails to appear at the hearing or if, after the
425		-	hearing, the commissioner finds that the licensee has committed such
426		-	violation, the commissioner may, in his or her discretion, order that a
427		-	civil penalty be imposed that is not greater than the penalty stated in
428		-	the notice. The commissioner shall send a copy of any order issued
429		-	pursuant to this subsection by certified mail, return receipt requested,
430		-	to the licensee named in such order.
431		-	Sec. 8. Section 10-520a of the general statutes is repealed and the
432		-	following is substituted in lieu thereof (Effective from passage):
433		-	Not later than [July] January first, annually, the Office of Early
434		-	Childhood shall submit a report regarding the status of school
435		-	readiness program providers' compliance with the staff qualifications
436		-	requirement, described in subsection (b) of section 10-16p, to the joint
437		-	standing committee of the General Assembly having cognizance of
438		-	matters relating to education, in accordance with the provisions of
439		-	section 11-4a. Substitute Senate Bill No. 936
	315	+	age, a violation of section 53a-70, 53a-70a, 53a-70b, 53a-71, 53a-72a, 53a-249
	316	+	72b or 53a-73a, illegal manufacture, distribution, sale, prescription, 250
	317	+	dispensing or administration under section 21a-277 or 21a-278, or 251
	318	+	illegal possession under section 21a-279, or if such person, a person 252
	319	+	who acts as assistant or substitute staff member in a family child care 253
	320	+	home or a person employed in such family child care home in a 254
	321	+	position connected with the provision of care to a child receiving child 255
	322	+	care services, either fails to substantially comply with the regulations 256
	323	+	adopted pursuant to section 19a-87b, as amended by this act, or 257
	324	+	conducts, operates or maintains the home in a manner which 258
	325	+	endangers the health, safety and welfare of the children receiving child 259
	326	+	care services. Any refusal of a license or approval pursuant to this 260
	327	+	section shall be rendered in accordance with the provisions of sections 261
	328	+	46a-79 to 46a-81, inclusive. Any person whose license or approval has 262
	329	+	been revoked pursuant to this section shall be ineligible to apply for a 263
	330	+	license or approval for a period of one year from the effective date of 264
	331	+	revocation. 265
	332	+	(b) When the commissioner intends to suspend or revoke a license 266
	333	+	or approval or take any other action against a license or approval set 267
	334	+	forth in regulation adopted pursuant to section 19a-79, as amended by 268
	335	+	this act, the commissioner shall notify the licensee or approved staff 269
	336	+	member in writing of the commissioner's intended action. The licensee 270
	337	+	or approved staff member may, if aggrieved by such intended action, 271
	338	+	make application for a hearing in writing over the licensee's or 272
	339	+	approved staff member's signature to the commissioner. The licensee 273
	340	+	or approved staff member shall state in the application in plain 274
	341	+	language the reasons why the licensee or approved staff member 275
	342	+	claims to be aggrieved. The application shall be delivered to the 276
	343	+	commissioner within thirty days of the licensee's or approved staff 277
	344	+	member's receipt of notification of the intended action. The 278
	345	+	commissioner shall thereupon hold a hearing within sixty days from 279
	346	+	receipt of such application and shall, at least ten days prior to the date 280
	347	+	of such hearing, mail a notice, giving the time and place of the hearing, 281
	348	+	to the licensee or approved staff member. The provisions of this 282 Substitute Bill No. 936
440	349
441		-	Public Act No. 19-121 14 of 21
442	350
443		-	Sec. 9. Subdivision (1) of subsection (d) of section 10-16p of the
444		-	general statutes is repealed and the following is substituted in lieu
445		-	thereof (Effective July 1, 2019):
446		-	(d) (1) The commissioner shall establish a competitive grant
447		-	program to provide spaces in accredited school readiness programs or
448		-	school readiness programs seeking accreditation located in (A) an area
449		-	served by a priority school or a former priority school, (B) a town
450		-	ranked one to fifty when all towns are ranked in ascending order
451		-	according to town wealth, as defined in subdivision (26) of section 10-
452		-	262f, whose school district is not a priority school district pursuant to
453		-	section 10-266p, (C) a town formerly a town described in subparagraph
454		-	(B) of this subdivision, as provided for in subdivision (2) of this
455		-	subsection, or (D) a town designated as an alliance district, as defined
456		-	in section 10-262u, whose school district is not a priority school district
457		-	pursuant to section 10-266p. A town in which a priority school is
458		-	located, a regional school readiness council, pursuant to subsection (c)
459		-	of section 10-16r, for a region in which such a school is located or a
460		-	town described in subparagraph (B) of this subdivision may apply for
461		-	such a grant in an amount equal to the number of spaces in an
462		-	accredited school readiness program or a school readiness program
463		-	seeking accreditation multiplied by the per child cost set forth in
464		-	subdivision (1) of subsection (b) of section 10-16q. Eligibility shall be
465		-	determined for a [five-year] three-year period based on an applicant's
466		-	designation as having a priority school or being a town described in
467		-	subparagraph (B) of this subdivision for the initial year of application.
468		-	Grant awards shall be made annually contingent upon available
469		-	funding and a satisfactory annual evaluation. The chief elected official
470		-	of such town and the superintendent of schools of the school district or
471		-	the regional school readiness council shall submit a plan, as described
472		-	in subsection (c) of this section, for the expenditure of such grant funds
473		-	to the commissioner. In awarding grants pursuant to this subsection,
474		-	the commissioner shall give preference to applications submitted by Substitute Senate Bill No. 936
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475	354
476		-	Public Act No. 19-121 15 of 21
	355	+	subsection shall not apply to the denial of an initial application for a 283
	356	+	license or approval under section 19a-87b, as amended by this act, 284
	357	+	provided the commissioner shall notify the applicant of any such 285
	358	+	denial and the reasons for such denial by mailing written notice to the 286
	359	+	applicant at the applicant's address shown on the license or approval 287
	360	+	application. 288
	361	+	(c) Any person who is licensed to conduct, operate or maintain a 289
	362	+	family child care home or approved to act as an assistant or substitute 290
	363	+	staff member in a family child care home shall notify the commissioner 291
	364	+	of any conviction of the owner, conductor, operator or maintainer of 292
	365	+	the family child care home or of any household member, as defined in 293
	366	+	subsection (c) of section 19a-87b, who is sixteen years of age or older, 294
	367	+	or any person employed in such family child care home in a position 295
	368	+	connected with the provision of care to a child receiving child care 296
	369	+	services, of a crime which affects the commissioner's discretion under 297
	370	+	subsection (a) of this section, immediately upon obtaining knowledge 298
	371	+	of such conviction. Failure to comply with the notification requirement 299
	372	+	of this subsection may result in the suspension or revocation of the 300
	373	+	license or approval or the taking of any other action against a license or 301
	374	+	approval set forth in regulation adopted pursuant to section 19a-79, as 302
	375	+	amended by this act, and shall subject the licensee or approved staff 303
	376	+	member to a civil penalty of not more than one hundred dollars per 304
	377	+	day for each day after the person obtained knowledge of the 305
	378	+	conviction. 306
	379	+	(d) It shall be a class A misdemeanor for any person seeking 307
	380	+	employment in a position connected with the provision of care to a 308
	381	+	child receiving family child care home services to make a false written 309
	382	+	statement regarding prior criminal convictions pursuant to a form 310
	383	+	bearing notice to the effect that such false statements are punishable, 311
	384	+	which statement such person does not believe to be true and is 312
	385	+	intended to mislead the prospective employer. 313
	386	+	(e) Any person having reasonable cause to believe that a family 314
	387	+	child care home, as defined in section 19a-77, is operating without a 315 Substitute Bill No. 936
477	388
478		-	regional school readiness councils and may, within available
479		-	appropriations, provide a grant to such town or regional school
480		-	readiness council that increases the number of spaces for eligible
481		-	children who reside in an area or town described in subparagraphs (A)
482		-	to (D), inclusive, of this subdivision, in an accredited school readiness
483		-	program or a school readiness program seeking accreditation. A town
484		-	or regional school readiness council awarded a grant pursuant to this
485		-	subsection shall use the funds to purchase spaces for such children
486		-	from providers of accredited school readiness programs or school
487		-	readiness programs seeking accreditation.
488		-	Sec. 10. Section 10-265n of the general statutes is repealed and the
489		-	following is substituted in lieu thereof (Effective July 1, 2019):
490		-	The Office of Early Childhood shall administer, within available
491		-	appropriations, an even start family literacy program [, in accordance
492		-	with the William F. Goodling Even Start Family Literacy Program
493		-	under the No Child Left Behind Act, P.L. 107-111,] to provide grants to
494		-	establish new or expand existing local family literacy programs that
495		-	provide literacy services for children and the parents or guardians of
496		-	such children.
497		-	Sec. 11. Subsection (c) of section 17a-248e of the general statutes is
498		-	repealed and the following is substituted in lieu thereof (Effective July
499		-	1, 2019):
500		-	(c) The individualized family service plan shall be [developed in
501		-	consultation with the child's pediatrician or primary care physician]
502		-	signed by the child's pediatrician or a primary care provider or
503		-	qualified personnel, as those terms are defined in section 17a-248.
504		-	Sec. 12. Section 17a-248g of the general statutes is repealed and the
505		-	following is substituted in lieu thereof (Effective July 1, 2019):
506		-	(a) Subject to the provisions of this section, funds appropriated to Substitute Senate Bill No. 936
507	389
508		-	Public Act No. 19-121 16 of 21
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509	393
510		-	the lead agency for purposes of section 17a-248, sections 17a-248b to
511		-	17a-248f, inclusive, this section and sections 38a-490a and 38a-516a
512		-	shall not be used to satisfy a financial commitment for services that
513		-	would have been paid from another public or private source but for
514		-	the enactment of said sections, except for federal funds available
515		-	pursuant to Part C of the Individuals with Disabilities Education Act,
516		-	20 USC 1431 et seq., except that whenever considered necessary to
517		-	prevent the delay in the receipt of appropriate early intervention
518		-	services by the eligible child or family in a timely fashion, funds
519		-	provided under said sections may be used to pay the service provider
520		-	pending reimbursement from the public or private source that has
521		-	ultimate responsibility for the payment.
522		-	(b) Nothing in section 17a-248, sections 17a-248b to 17a-248f,
523		-	inclusive, this section and sections 38a-490a and 38a-516a shall be
524		-	construed to permit the Department of Social Services or any other
525		-	state agency to reduce medical assistance pursuant to this chapter or
526		-	other assistance or services available to eligible children.
527		-	Notwithstanding any provision of the general statutes, costs incurred
528		-	for early intervention services that otherwise qualify as medical
529		-	assistance that are furnished to an eligible child who is also eligible for
530		-	benefits pursuant to this chapter shall be considered medical assistance
531		-	for purposes of payments to providers and state reimbursement to the
532		-	extent that federal financial participation is available for such services.
533		-	(c) Providers of early intervention services shall, in the first instance
534		-	and where applicable, seek payment from all third-party payers prior
535		-	to claiming payment from the birth-to-three system for services
536		-	rendered to eligible children, provided, for the purpose of seeking
537		-	payment from the Medicaid program or from other third-party payers
538		-	as agreed upon by the provider, the obligation to seek payment shall
539		-	not apply to a payment from a third-party payer who is not prohibited
540		-	from applying such payment, and who will apply such payment, to an Substitute Senate Bill No. 936
	394	+	current and valid license or in violation of the regulations adopted 316
	395	+	under section 19a-87b, as amended by this act, or in a manner which 317
	396	+	may pose a potential danger to the health, welfare and safety of a child 318
	397	+	receiving child care services, may report such information to the Office 319
	398	+	of Early Childhood. The office shall investigate any report or 320
	399	+	complaint received pursuant to this subsection. The name of the 321
	400	+	person making the report or complaint shall not be disclosed unless (1) 322
	401	+	such person consents to such disclosure, (2) a judicial or administrative 323
	402	+	proceeding results from such report or complaint, or (3) a license 324
	403	+	action pursuant to subsection (a) of this section results from such 325
	404	+	report or complaint. All records obtained by the office in connection 326
	405	+	with any such investigation shall not be subject to the provisions of 327
	406	+	section 1-210 for a period of thirty days from the date of the petition or 328
	407	+	other event initiating such investigation, or until such time as the 329
	408	+	investigation is terminated pursuant to a withdrawal or other informal 330
	409	+	disposition or until a hearing is convened pursuant to chapter 54, 331
	410	+	whichever is earlier. A formal statement of charges issued by the office 332
	411	+	shall be subject to the provisions of section 1-210 from the time that it is 333
	412	+	served or mailed to the respondent. Records which are otherwise 334
	413	+	public records shall not be deemed confidential merely because they 335
	414	+	have been obtained in connection with an investigation under this 336
	415	+	section. 337
	416	+	(f) If the commissioner finds that public health, safety or welfare 338
	417	+	imperatively requires emergency action, and incorporates a finding to 339
	418	+	that effect in his or her order, the commissioner may order summary 340
	419	+	suspension or summary probation of a license issued under section 341
	420	+	19a-87b, as amended by this act, pending proceedings for revocation or 342
	421	+	other action. These proceedings shall be promptly instituted and 343
	422	+	determined. 344
	423	+	Sec. 7. (NEW) (Effective July 1, 2019) (a) Any licensee child care 345
	424	+	center or group child care home, as described in section 19a-77 of the 346
	425	+	general statutes, that fails to provide written notice to (1) the Office of 347
	426	+	Early Childhood, (2) all staff employed at such child care center or 348 Substitute Bill No. 936
541	427
542		-	Public Act No. 19-121 17 of 21
543	428
544		-	annual or lifetime limit specified in the third-party payer's policy or
545		-	contract.
546		-	(d) The commissioner, in consultation with the Office of Policy and
547		-	Management and the Insurance Commissioner, shall adopt
548		-	regulations, pursuant to chapter 54, providing public reimbursement
549		-	for deductibles and copayments imposed under an insurance policy or
550		-	health benefit plan to the extent that such deductibles and copayments
551		-	are applicable to early intervention services.
552		-	(e) The commissioner shall establish and periodically revise, in
553		-	accordance with this section, a schedule of fees based on a sliding scale
554		-	for early intervention services. The schedule of fees shall consider the
555		-	cost of such services relative to the financial resources of the state and
556		-	the parents or legal guardians of eligible children, provided that on
557		-	and after October 6, 2009, the commissioner shall (1) charge fees to
558		-	such parents or legal guardians that are sixty per cent greater than the
559		-	amount of the fees charged on the date prior to October 6, 2009; and (2)
560		-	charge fees for all services provided, including those services provided
561		-	in the first two months following the enrollment of a child in the
562		-	program. Fees may be charged to any such parent or guardian,
563		-	regardless of income, and shall be charged to any such parent or
564		-	guardian with a gross annual family income of forty-five thousand
565		-	dollars or more, except that no fee may be charged to the parent or
566		-	guardian of a child who is eligible for Medicaid. Notwithstanding the
567		-	provisions of subdivision (8) of section 17a-248, as used in this
568		-	subsection, "parent" means the biological or adoptive parent or legal
569		-	guardian of any child receiving early intervention services. The lead
570		-	agency may assign its right to collect fees to a designee or provider
571		-	participating in the early intervention program and providing services
572		-	to a recipient in order to assist the provider in obtaining payment for
573		-	such services. The commissioner may implement procedures for the
574		-	collection of the schedule of fees while in the process of adopting or Substitute Senate Bill No. 936
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575	432
576		-	Public Act No. 19-121 18 of 21
	433	+	group child care home, and (3) the parents or guardians of children 349
	434	+	receiving child care services, as described in section 19a-77 of the 350
	435	+	general statutes, at such child care center or group child care home, at 351
	436	+	least thirty days prior to the effective date of a proposed closure of 352
	437	+	such child care center or group child care home, shall be subject to a 353
	438	+	civil penalty of not more than five thousand dollars. 354
	439	+	(b) If the Commissioner of Early Childhood has reason to believe 355
	440	+	that a violation has occurred for which a civil penalty is authorized by 356
	441	+	subsection (a) of this section, he or she may send to such licensee by 357
	442	+	certified mail, return receipt requested, or personally serve upon such 358
	443	+	licensee, a notice which shall include: (1) A reference to the section or 359
	444	+	sections of the general statutes or regulations involved; (2) a short and 360
	445	+	plain statement of the matters asserted or charged; (3) a statement of 361
	446	+	the maximum civil penalty which may be imposed for such violation; 362
	447	+	and (4) a statement of the licensee's right to request a hearing, such 363
	448	+	request to be submitted in writing to the commissioner not later than 364
	449	+	thirty days after the notice is mailed or served. 365
	450	+	(c) If such licensee so requests, the commissioner shall cause a 366
	451	+	hearing to be held. The hearing shall be held in accordance with the 367
	452	+	provisions of chapter 54 of the general statutes. If such licensee fails to 368
	453	+	request a hearing or fails to appear at the hearing or if, after the 369
	454	+	hearing, the commissioner finds that the licensee has committed such 370
	455	+	violation, the commissioner may, in his or her discretion, order that a 371
	456	+	civil penalty be imposed that is not greater than the penalty stated in 372
	457	+	the notice. The commissioner shall send a copy of any order issued 373
	458	+	pursuant to this subsection by certified mail, return receipt requested, 374
	459	+	to the licensee named in such order. 375
	460	+	Sec. 8. Section 10-520a of the general statutes is repealed and the 376
	461	+	following is substituted in lieu thereof (Effective from passage): 377
	462	+	Not later than [July] January first, annually, the Office of Early 378
	463	+	Childhood shall submit a report regarding the status of school 379
	464	+	readiness program providers' compliance with the staff qualifications 380 Substitute Bill No. 936
577	465
578		-	amending such criteria in regulation, provided the commissioner posts
579		-	notice of intention to adopt or amend the regulations on the
580		-	eRegulations System, established pursuant to section 4-173b, within
581		-	twenty days of implementing the policy. Such collection procedures
582		-	and schedule of fees shall be valid until the time the final regulations
583		-	or amendments are effective.
584		-	(f) The commissioner shall develop and implement procedures to
585		-	hold a recipient harmless for the impact of pursuit of payment for
586		-	early intervention services against lifetime insurance limits.
587		-	(g) Notwithstanding any provision of title 38a relating to the
588		-	permissible exclusion of payments for services under governmental
589		-	programs, no such exclusion shall apply with respect to payments
590		-	made pursuant to section 17a-248, sections 17a-248b to 17a-248f,
591		-	inclusive, this section and sections 38a-490a and 38a-516a. Except as
592		-	provided in this subsection, nothing in this section shall increase or
593		-	enhance coverages provided for within an insurance contract subject to
594		-	the provisions of section 10-94f, subsection (a) of section 10-94g,
595		-	subsection (a) of section 17a-219b, subsection (a) of section 17a-219c,
596		-	sections 17a-248, 17a-248b to 17a-248f, inclusive, this section, and
597		-	sections 38a-490a and 38a-516a.
598		-	[(h) Notwithstanding any provision of the general statutes or the
599		-	regulations of Connecticut state agencies, the signature on an
600		-	individualized family service plan of an advanced practice registered
601		-	nurse, working within said nurse's scope of practice in collaboration
602		-	with a physician licensed to practice medicine in this state, in
603		-	accordance with section 20-87a, and performing or directly supervising
604		-	the primary care services for children enrolled in the birth-to-three
605		-	program, shall be deemed sufficient to order all such services included
606		-	in the individualized family service plan and shall be deemed
607		-	sufficient by the Department of Social Services to substantiate a claim
608		-	for federal financial participation.] Substitute Senate Bill No. 936
609	466
610		-	Public Act No. 19-121 19 of 21
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611	470
612		-	Sec. 13. (NEW) (Effective July 1, 2019) (a) Upon receipt of an
613		-	application for approval to work as a head teacher or an educational
614		-	consultant in a licensed child care center or group child care home, the
615		-	Commissioner of Early Childhood shall issue such approval to any
616		-	person who satisfies the requirements established by regulations
617		-	adopted pursuant to section 19a-79 of the general statutes, as amended
618		-	by this act.
619		-	(b) Whenever the Commissioner of Early Childhood has reason to
620		-	believe that any person who has been issued an approval to work as a
621		-	head teacher or an educational consultant in a licensed child care
622		-	center or group child care home, pursuant to subsection (a) of this
623		-	section, (1) has failed substantially to comply with the regulations
624		-	adopted pursuant to section 19a-79 of the general statutes, as amended
625		-	by this act, (2) has knowingly made or causes to be made any false or
626		-	misleading statements to the Office of Early Childhood, or (3) has
627		-	engaged in any other behavior that renders the person unsuitable to so
628		-	work as a head teacher or an educational consultant, the commissioner
629		-	may notify such person in writing of the commissioner's intention to
630		-	suspend or revoke such approval. Such notice shall be served by
631		-	certified mail stating the particular reasons for the intended
632		-	suspension or revocation. Such person may, if aggrieved by such
633		-	intended suspension or revocation, make application for a hearing in
634		-	writing over such person's signature to the commissioner. Such person
635		-	shall state in the application in plain language the reasons why such
636		-	person claims to be aggrieved. The application shall be delivered to the
637		-	commissioner not later than thirty days after such person's receipt of
638		-	notification of the intended suspension or revocation. The
639		-	commissioner shall thereupon hold a hearing or cause a hearing to be
640		-	held not later than sixty days after receipt of such application and
641		-	shall, at least ten days prior to the date of such hearing, mail a notice,
642		-	giving the time and place of the hearing, to such person. The hearing
643		-	may be conducted by the commissioner or by a hearing officer Substitute Senate Bill No. 936
	471	+	requirement, described in subsection (b) of section 10-16p, to the joint 381
	472	+	standing committee of the General Assembly having cognizance of 382
	473	+	matters relating to education, in accordance with the provisions of 383
	474	+	section 11-4a. 384
	475	+	Sec. 9. Subdivision (1) of subsection (d) of section 10-16p of the 385
	476	+	general statutes is repealed and the following is substituted in lieu 386
	477	+	thereof (Effective July 1, 2019): 387
	478	+	(d) (1) The commissioner shall establish a competitive grant 388
	479	+	program to provide spaces in accredited school readiness programs or 389
	480	+	school readiness programs seeking accreditation located in (A) an area 390
	481	+	served by a priority school or a former priority school, (B) a town 391
	482	+	ranked one to fifty when all towns are ranked in ascending order 392
	483	+	according to town wealth, as defined in subdivision (26) of section 10-393
	484	+	262f, whose school district is not a priority school district pursuant to 394
	485	+	section 10-266p, (C) a town formerly a town described in subparagraph 395
	486	+	(B) of this subdivision, as provided for in subdivision (2) of this 396
	487	+	subsection, or (D) a town designated as an alliance district, as defined 397
	488	+	in section 10-262u, whose school district is not a priority school district 398
	489	+	pursuant to section 10-266p. A town in which a priority school is 399
	490	+	located, a regional school readiness council, pursuant to subsection (c) 400
	491	+	of section 10-16r, for a region in which such a school is located or a 401
	492	+	town described in subparagraph (B) of this subdivision may apply for 402
	493	+	such a grant in an amount equal to the number of spaces in an 403
	494	+	accredited school readiness program or a school readiness program 404
	495	+	seeking accreditation multiplied by the per child cost set forth in 405
	496	+	subdivision (1) of subsection (b) of section 10-16q. Eligibility shall be 406
	497	+	determined for a [five-year] three-year period based on an applicant's 407
	498	+	designation as having a priority school or being a town described in 408
	499	+	subparagraph (B) of this subdivision for the initial year of application. 409
	500	+	Grant awards shall be made annually contingent upon available 410
	501	+	funding and a satisfactory annual evaluation. The chief elected official 411
	502	+	of such town and the superintendent of schools of the school district or 412
	503	+	the regional school readiness council shall submit a plan, as described 413 Substitute Bill No. 936
644	504
645		-	Public Act No. 19-121 20 of 21
646	505
647		-	appointed by the commissioner in writing. Such person and the
648		-	commissioner or hearing officer may issue subpoenas requiring the
649		-	attendance of witnesses. Such person shall be entitled to be
650		-	represented by counsel and a transcript of the hearing shall be made. If
651		-	the hearing is conducted by a hearing officer, the hearing officer shall
652		-	state the hearing officer's findings and make a recommendation to the
653		-	commissioner on the issue of suspension or revocation. The
654		-	commissioner, based upon the findings and recommendation of the
655		-	hearing officer, or after a hearing conducted by the commissioner, shall
656		-	render the commissioner's decision in writing suspending, revoking or
657		-	continuing such approval. A copy of the decision shall be sent by
658		-	certified mail to such person. The decision suspending or revoking
659		-	such approval shall become effective thirty days after it is mailed by
660		-	registered or certified mail to such person. Any person aggrieved by
661		-	the decision of the commissioner may appeal as provided in section
662		-	19a-85 of the general statutes. Any person whose approval has been
663		-	revoked pursuant to this subsection shall be ineligible to apply for an
664		-	approval for a period of one year from the effective date of revocation.
665		-	(c) The provisions of this section shall not apply to the denial of an
666		-	initial application for an approval to work as a head teacher or an
667		-	educational consultant in a licensed child care center or group child
668		-	care home, pursuant to subsection (a) of this section, provided the
669		-	commissioner shall notify the applicant of any such denial and the
670		-	reasons for such denial by mailing written notice to the applicant at the
671		-	applicant's address shown on the application for such approval.
672		-	Sec. 14. (NEW) (Effective July 1, 2019) Any child care center or group
673		-	child care home that is licensed with a preschool endorsement, in
674		-	accordance with regulations adopted pursuant to section 19a-79 of the
675		-	general statutes, as amended by this act, may deem a child who is
676		-	thirty-two to thirty-six months of age, inclusive, to be three years of
677		-	age for purposes of enrolling such child in a preschool program Substitute Senate Bill No. 936
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678	509
679		-	Public Act No. 19-121 21 of 21
	510	+	in subsection (c) of this section, for the expenditure of such grant funds 414
	511	+	to the commissioner. In awarding grants pursuant to this subsection, 415
	512	+	the commissioner shall give preference to applications submitted by 416
	513	+	regional school readiness councils and may, within available 417
	514	+	appropriations, provide a grant to such town or regional school 418
	515	+	readiness council that increases the number of spaces for eligible 419
	516	+	children who reside in an area or town described in subparagraphs (A) 420
	517	+	to (D), inclusive, of this subdivision, in an accredited school readiness 421
	518	+	program or a school readiness program seeking accreditation. A town 422
	519	+	or regional school readiness council awarded a grant pursuant to this 423
	520	+	subsection shall use the funds to purchase spaces for such children 424
	521	+	from providers of accredited school readiness programs or school 425
	522	+	readiness programs seeking accreditation. 426
	523	+	Sec. 10. Section 10-265n of the general statutes is repealed and the 427
	524	+	following is substituted in lieu thereof (Effective July 1, 2019): 428
	525	+	The Office of Early Childhood shall administer, within available 429
	526	+	appropriations, an even start family literacy program [, in accordance 430
	527	+	with the William F. Goodling Even Start Family Literacy Program 431
	528	+	under the No Child Left Behind Act, P.L. 107-111,] to provide grants to 432
	529	+	establish new or expand existing local family literacy programs that 433
	530	+	provide literacy services for children and the parents or guardians of 434
	531	+	such children. 435
	532	+	Sec. 11. Subsection (c) of section 17a-248e of the general statutes is 436
	533	+	repealed and the following is substituted in lieu thereof (Effective July 437
	534	+	1, 2019): 438
	535	+	(c) The individualized family service plan shall be [developed in 439
	536	+	consultation with the child's pediatrician or primary care physician] 440
	537	+	signed by the child's pediatrician or a primary care provider or 441
	538	+	qualified personnel, as those terms are defined in section 17a-248. 442
	539	+	Sec. 12. Section 17a-248g of the general statutes is repealed and the 443
	540	+	following is substituted in lieu thereof (Effective July 1, 2019): 444 Substitute Bill No. 936
680	541
681		-	provided by such center or home, provided such center or home
682		-	receives written authorization from such child's parent or guardian
683		-	and the program director to so enroll such child in the preschool
684		-	program.
685		-	Sec. 15. Section 10-520 of the general statutes is repealed. (Effective
686		-	from passage)
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	546	+
	547	+	(a) Subject to the provisions of this section, funds appropriated to 445
	548	+	the lead agency for purposes of section 17a-248, sections 17a-248b to 446
	549	+	17a-248f, inclusive, this section and sections 38a-490a and 38a-516a 447
	550	+	shall not be used to satisfy a financial commitment for services that 448
	551	+	would have been paid from another public or private source but for 449
	552	+	the enactment of said sections, except for federal funds available 450
	553	+	pursuant to Part C of the Individuals with Disabilities Education Act, 451
	554	+	20 USC 1431 et seq., except that whenever considered necessary to 452
	555	+	prevent the delay in the receipt of appropriate early intervention 453
	556	+	services by the eligible child or family in a timely fashion, funds 454
	557	+	provided under said sections may be used to pay the service provider 455
	558	+	pending reimbursement from the public or private source that has 456
	559	+	ultimate responsibility for the payment. 457
	560	+	(b) Nothing in section 17a-248, sections 17a-248b to 17a-248f, 458
	561	+	inclusive, this section and sections 38a-490a and 38a-516a shall be 459
	562	+	construed to permit the Department of Social Services or any other 460
	563	+	state agency to reduce medical assistance pursuant to this chapter or 461
	564	+	other assistance or services available to eligible children. 462
	565	+	Notwithstanding any provision of the general statutes, costs incurred 463
	566	+	for early intervention services that otherwise qualify as medical 464
	567	+	assistance that are furnished to an eligible child who is also eligible for 465
	568	+	benefits pursuant to this chapter shall be considered medical assistance 466
	569	+	for purposes of payments to providers and state reimbursement to the 467
	570	+	extent that federal financial participation is available for such services. 468
	571	+	(c) Providers of early intervention services shall, in the first instance 469
	572	+	and where applicable, seek payment from all third-party payers prior 470
	573	+	to claiming payment from the birth-to-three system for services 471
	574	+	rendered to eligible children, provided, for the purpose of seeking 472
	575	+	payment from the Medicaid program or from other third-party payers 473
	576	+	as agreed upon by the provider, the obligation to seek payment shall 474
	577	+	not apply to a payment from a third-party payer who is not prohibited 475
	578	+	from applying such payment, and who will apply such payment, to an 476
	579	+	annual or lifetime limit specified in the third-party payer's policy or 477 Substitute Bill No. 936
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	585	+
	586	+	contract. 478
	587	+	(d) The commissioner, in consultation with the Office of Policy and 479
	588	+	Management and the Insurance Commissioner, shall adopt 480
	589	+	regulations, pursuant to chapter 54, providing public reimbursement 481
	590	+	for deductibles and copayments imposed under an insurance policy or 482
	591	+	health benefit plan to the extent that such deductibles and copayments 483
	592	+	are applicable to early intervention services. 484
	593	+	(e) The commissioner shall establish and periodically revise, in 485
	594	+	accordance with this section, a schedule of fees based on a sliding scale 486
	595	+	for early intervention services. The schedule of fees shall consider the 487
	596	+	cost of such services relative to the financial resources of the state and 488
	597	+	the parents or legal guardians of eligible children, provided that on 489
	598	+	and after October 6, 2009, the commissioner shall (1) charge fees to 490
	599	+	such parents or legal guardians that are sixty per cent greater than the 491
	600	+	amount of the fees charged on the date prior to October 6, 2009; and (2) 492
	601	+	charge fees for all services provided, including those services provided 493
	602	+	in the first two months following the enrollment of a child in the 494
	603	+	program. Fees may be charged to any such parent or guardian, 495
	604	+	regardless of income, and shall be charged to any such parent or 496
	605	+	guardian with a gross annual family income of forty-five thousand 497
	606	+	dollars or more, except that no fee may be charged to the parent or 498
	607	+	guardian of a child who is eligible for Medicaid. Notwithstanding the 499
	608	+	provisions of subdivision (8) of section 17a-248, as used in this 500
	609	+	subsection, "parent" means the biological or adoptive parent or legal 501
	610	+	guardian of any child receiving early intervention services. The lead 502
	611	+	agency may assign its right to collect fees to a designee or provider 503
	612	+	participating in the early intervention program and providing services 504
	613	+	to a recipient in order to assist the provider in obtaining payment for 505
	614	+	such services. The commissioner may implement procedures for the 506
	615	+	collection of the schedule of fees while in the process of adopting or 507
	616	+	amending such criteria in regulation, provided the commissioner posts 508
	617	+	notice of intention to adopt or amend the regulations on the 509
	618	+	eRegulations System, established pursuant to section 4-173b, within 510 Substitute Bill No. 936
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	624	+
	625	+	twenty days of implementing the policy. Such collection procedures 511
	626	+	and schedule of fees shall be valid until the time the final regulations 512
	627	+	or amendments are effective. 513
	628	+	(f) The commissioner shall develop and implement procedures to 514
	629	+	hold a recipient harmless for the impact of pursuit of payment for 515
	630	+	early intervention services against lifetime insurance limits. 516
	631	+	(g) Notwithstanding any provision of title 38a relating to the 517
	632	+	permissible exclusion of payments for services under governmental 518
	633	+	programs, no such exclusion shall apply with respect to payments 519
	634	+	made pursuant to section 17a-248, sections 17a-248b to 17a-248f, 520
	635	+	inclusive, this section and sections 38a-490a and 38a-516a. Except as 521
	636	+	provided in this subsection, nothing in this section shall increase or 522
	637	+	enhance coverages provided for within an insurance contract subject to 523
	638	+	the provisions of section 10-94f, subsection (a) of section 10-94g, 524
	639	+	subsection (a) of section 17a-219b, subsection (a) of section 17a-219c, 525
	640	+	sections 17a-248, 17a-248b to 17a-248f, inclusive, this section, and 526
	641	+	sections 38a-490a and 38a-516a. 527
	642	+	[(h) Notwithstanding any provision of the general statutes or the 528
	643	+	regulations of Connecticut state agencies, the signature on an 529
	644	+	individualized family service plan of an advanced practice registered 530
	645	+	nurse, working within said nurse's scope of practice in collaboration 531
	646	+	with a physician licensed to practice medicine in this state, in 532
	647	+	accordance with section 20-87a, and performing or directly supervising 533
	648	+	the primary care services for children enrolled in the birth-to-three 534
	649	+	program, shall be deemed sufficient to order all such services included 535
	650	+	in the individualized family service plan and shall be deemed 536
	651	+	sufficient by the Department of Social Services to substantiate a claim 537
	652	+	for federal financial participation.] 538
	653	+	Sec. 13. Section 10-520 of the general statutes is repealed. (Effective 539
	654	+	from passage) 540 Substitute Bill No. 936
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	660	+
	661	+	This act shall take effect as follows and shall amend the following
	662	+	sections:
	663	+
	664	+	Section 1 July 1, 2019 17b-749(a) to (c)
	665	+	Sec. 2 July 1, 2019 19a-79
	666	+	Sec. 3 July 1, 2019 19a-87b
	667	+	Sec. 4 July 1, 2019 10-530
	668	+	Sec. 5 July 1, 2019 19a-84
	669	+	Sec. 6 July 1, 2019 19a-87e
	670	+	Sec. 7 July 1, 2019 New section
	671	+	Sec. 8 from passage 10-520a
	672	+	Sec. 9 July 1, 2019 10-16p(d)(1)
	673	+	Sec. 10 July 1, 2019 10-265n
	674	+	Sec. 11 July 1, 2019 17a-248e(c)
	675	+	Sec. 12 July 1, 2019 17a-248g
	676	+	Sec. 13 from passage Repealer section
	677	+
	678	+	ED Joint Favorable Subst.
	679	+	JUD Joint Favorable
687	680