LCO No. 1482 1 of 11 General Assembly Raised Bill No. 5218 February Session, 2020 LCO No. 1482 Referred to Committee on EDUCATION Introduced by: (ED) AN ACT IMPLEMENTING THE RECOMMENDATIONS OF THE OFFICE OF EARLY CHILDHOOD. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Subsection (c) of section 19a-80 of the general statutes is 1 repealed and the following is substituted in lieu thereof (Effective October 2 1, 2020): 3 (c) The commissioner [, within available appropriations,] shall 4 require [each prospective employee of] any person who is eighteen 5 years of age or older and a prospective employee of a child care center 6 or group child care home [in] for a position [requiring] that requires the 7 provision of care to a child or involves unsupervised access to any child 8 in such child care center or group child care home, to submit to 9 comprehensive background checks, including state and national 10 criminal history records checks. The criminal history records checks 11 required pursuant to this subsection shall be conducted in accordance 12 with section 29-17a. The commissioner shall also request a check of the 13 state child abuse registry established pursuant to section 17a-101k. [The 14 Department of Social Services may agree to transfer funds appropriated 15 Raised Bill No. 5218 LCO No. 1482 2 of 11 for criminal history records checks to the Office of Early Childhood.] 16 The Commissioner of Early Childhood shall notify each licensee of the 17 provisions of this subsection. No such prospective employee shall [have 18 unsupervised access to children in the child care center or group child 19 care home until such comprehensive background check is completed 20 and the Commissioner of Early Childhood permits such prospective 21 employee to work in such child care center or group child care home] 22 begin working in such child care center or group child care home until 23 the provisions of 45 CFR 98.43(d)(4), as amended from time to time, have 24 been satisfied. 25 Sec. 2. Subsection (c) of section 19a-87b of the 2020 supplement to the 26 general statutes is repealed and the following is substituted in lieu 27 thereof (Effective October 1, 2020): 28 (c) The commissioner [, within available appropriations,] shall 29 require each initial applicant or prospective employee of a family child 30 care home in a position requiring the provision of care to a child, 31 including an assistant or substitute staff member and each household 32 member who is [sixteen] eighteen years of age or older, to submit to 33 comprehensive background checks, including state and national 34 criminal history records checks. The criminal history records checks 35 required pursuant to this subsection shall be conducted in accordance 36 with section 29-17a. The commissioner shall also request a check of the 37 state child abuse registry established pursuant to section 17a-101k. The 38 commissioner shall notify each licensee of the provisions of this 39 subsection. For purposes of this subsection, "household member" means 40 any person, other than the person who is licensed to conduct, operate or 41 maintain a family child care home, who resides in the family child care 42 home, such as the licensee's spouse or children, tenants and any other 43 occupant. 44 Sec. 3. Section 10-530 of the 2020 supplement to the general statutes 45 is repealed and the following is substituted in lieu thereof (Effective 46 October 1, 2020): 47 Raised Bill No. 5218 LCO No. 1482 3 of 11 (a) As used in this section: 48 (1) "Child care facility" means a "child care center", "group child care 49 home" or "family child care home" that provides "child care services", 50 each as described in section 19a-77, or any provider of child care services 51 under the child care subsidy program established pursuant to section 52 17b-749; 53 (2) "Child care services provider or staff member" means any person 54 who is (A) a licensee, employee, volunteer or alternate staff, assistant, 55 substitute or household member of a child care facility, (B) a family child 56 care provider, or (C) any other person who provides child care services 57 under the child care subsidy program established pursuant to section 58 17b-749 but does not include a person who is providing child care 59 services under the child care subsidy program (i) exclusively to children 60 with whom such person is related, and (ii) without being issued a license 61 to provide child care services by the Office of Early Childhood; and 62 (3) "Family child care provider" means any person who provides 63 child care services under the child care subsidy program established 64 pursuant to section 17b-749 (A) in a family child care home, as [defined] 65 described in section 19a-77, or (B) in a home not requiring a license 66 pursuant to subdivision (4) of subsection (b) of section 19a-77. 67 (b) The comprehensive background checks required pursuant to 68 subsection (c) of section 19a-80, as amended by this act, subsection (c) of 69 section 19a-87b, as amended by this act, [and] subsection (a) of section 70 17b-749k, and subsection (b) of section 19a-421 shall be conducted at 71 least once every five years for each child care services provider or staff 72 member in accordance with the provisions of 45 CFR 98.43, as amended 73 from time to time. 74 (c) Any person who applies for a position at a child care facility in the 75 state shall not be required to submit to such comprehensive background 76 checks if such person (1) is an employee of a child care facility in the 77 state, or has not been separated from employment as a child care 78 services provider or staff member in the state for a period of more than 79 Raised Bill No. 5218 LCO No. 1482 4 of 11 one hundred eighty days, and (2) has successfully completed such 80 comprehensive background checks in the previous five years. Nothing 81 in this section prohibits the Commissioner of Early Childhood from 82 requiring that a person applying for a position as a child care services 83 provider or staff member submit to comprehensive background checks 84 more than once during a five-year period. 85 (d) Any person required to submit to comprehensive background 86 checks pursuant to subsection (c) of section 19a-80, as amended by this 87 act, subsection (c) of section 19a-87b, as amended by this act, subsection 88 (a) of section 17b-749k and subsection (b) of section 19a-421, may make 89 a request, in writing, to the Commissioner of Early Childhood for a 90 waiver of the requirement to submit fingerprints. Such written waiver 91 request shall include such person's name and date of birth, and evidence 92 that such person is unable to satisfy such fingerprints requirement due 93 to a medical condition, including, but not limited to, a birth defect, 94 physical deformity, skin condition or psychiatric condition. Upon 95 granting a waiver to a person under this subsection, the Office of Early 96 Childhood shall conduct a state criminal history records check of such 97 person based on the name and date of birth of such person that is 98 included in the written waiver request. 99 Sec. 4. Section 17b-751b of the general statutes is repealed and the 100 following is substituted in lieu thereof (Effective July 1, 2020): 101 (a) The Commissioner of Early Childhood shall establish the 102 structure for a state-wide [system for a Nurturing Families Network] 103 Connecticut Home Visiting System, which demonstrates the benefits of 104 preventive services by significantly reducing the abuse and neglect of 105 infants and young children, and by enhancing parent-child 106 relationships through [hospital-based] community-based assessment 107 with home outreach follow-up on infants and their families within 108 families identified as high risk. 109 (b) The commissioner shall: (1) [Develop the comprehensive risk 110 assessment to be used by the Nurturing Families Network's providers; 111 Raised Bill No. 5218 LCO No. 1482 5 of 11 (2) develop the training program, standards, and protocols for the pilot 112 programs;] Ensure that all home visiting programs are evidence-based 113 home visiting models that meet the criteria for evidence of effectiveness 114 of the United States Department of Health and Human Services; (2) 115 provide oversight to home visiting programs to ensure model fidelity; 116 and (3) develop, issue and evaluate requests for proposals to procure 117 the services required by this section. In evaluating the proposals, the 118 commissioner shall take into consideration the most effective and 119 consistent service delivery system allowing for the continuation of 120 current public and private programs. 121 (c) The commissioner shall establish a data system to enable the 122 programs to document the following information in a standard manner: 123 (1) The level of screening and assessment; (2) profiles of risk and family 124 demographics; (3) the incidence of child abuse and neglect; (4) rates of 125 child development; and (5) any other information the commissioner 126 deems appropriate. 127 (d) The commissioner shall report to the General Assembly, in 128 accordance with the provisions of section 11-4a, on the establishment, 129 implementation and progress of the [Nurturing Families Network,] 130 Connecticut Home Visiting System, on July 1, 2021, and on July first of 131 each year thereafter. 132 (e) The commissioner may expend an amount not to exceed two per 133 cent of the amount appropriated for purposes of this section in a manner 134 consistent with the provisions of section 10-509, as amended by this act. 135 Sec. 5. Section 17b-751d of the general statutes is repealed and the 136 following is substituted in lieu thereof (Effective July 1, 2020): 137 The Office of Early Childhood shall be the lead state agency for 138 community-based, prevention-focused programs and activities 139 designed to strengthen and support families to prevent child abuse and 140 neglect. The responsibilities of the office shall include, but not be limited 141 to, collaborating with state agencies, hospitals, clinics, schools and 142 community service organizations, to: (1) Initiate programs to support 143 Raised Bill No. 5218 LCO No. 1482 6 of 11 families at risk for child abuse or neglect; (2) assist organizations to 144 recognize child abuse and neglect; (3) encourage community safety; (4) 145 increase broad-based efforts to prevent child abuse and neglect; (5) 146 create a network of agencies to advance child abuse and neglect 147 prevention; and (6) increase public awareness of child abuse and neglect 148 issues. The office, subject to available state, federal and private funding, 149 shall be responsible for implementing and maintaining programs and 150 services, including, but not limited to: (A) The [Nurturing Families 151 Network] Connecticut Home Visiting System, established pursuant to 152 subsection (a) of section 17b-751b, as amended by this act; (B) [Family 153 Empowerment Initiative programs; (C)] Help Me Grow; [(D) Family 154 School Connection; (E) support services for residents of a respite group 155 home for girls; (F) volunteer services; (G)] (C) family development 156 training; [(H)] (D) shaken baby syndrome prevention; and [(I)] (E) child 157 sexual abuse prevention. 158 Sec. 6. Subsection (a) of section 10-509 of the general statutes is 159 repealed and the following is substituted in lieu thereof (Effective July 1, 160 2020): 161 (a) As used in this subsection, "early care and education and 162 childhood development programs" includes the child care subsidy 163 program, established pursuant to section 17b-749, the school readiness 164 program, as defined in section 10-16p, the supplemental quality 165 enhancement grant program, established pursuant to section 17b-749c, 166 the [Nurturing Families Network] Connecticut Home Visiting System, 167 established pursuant to section 17b-751b, as amended by this act, and 168 the program for state financial assistance for neighborhood facilities, 169 including child care centers, pursuant to section 8-210. 170 Sec. 7. Subsection (a) of section 17b-261 of the 2020 supplement to the 171 general statutes is repealed and the following is substituted in lieu 172 thereof (Effective July 1, 2020): 173 (a) Medical assistance shall be provided for any otherwise eligible 174 person whose income, including any available support from legally 175 Raised Bill No. 5218 LCO No. 1482 7 of 11 liable relatives and the income of the person's spouse or dependent 176 child, is not more than one hundred forty-three per cent, pending 177 approval of a federal waiver applied for pursuant to subsection (e) of 178 this section, of the benefit amount paid to a person with no income 179 under the temporary family assistance program in the appropriate 180 region of residence and if such person is an institutionalized individual 181 as defined in Section 1917 of the Social Security Act, 42 USC 1396p(h)(3), 182 and has not made an assignment or transfer or other disposition of 183 property for less than fair market value for the purpose of establishing 184 eligibility for benefits or assistance under this section. Any such 185 disposition shall be treated in accordance with Section 1917(c) of the 186 Social Security Act, 42 USC 1396p(c). Any disposition of property made 187 on behalf of an applicant or recipient or the spouse of an applicant or 188 recipient by a guardian, conservator, person authorized to make such 189 disposition pursuant to a power of attorney or other person so 190 authorized by law shall be attributed to such applicant, recipient or 191 spouse. A disposition of property ordered by a court shall be evaluated 192 in accordance with the standards applied to any other such disposition 193 for the purpose of determining eligibility. The commissioner shall 194 establish the standards for eligibility for medical assistance at one 195 hundred forty-three per cent of the benefit amount paid to a household 196 of equal size with no income under the temporary family assistance 197 program in the appropriate region of residence. In determining 198 eligibility, the commissioner shall not consider as income Aid and 199 Attendance pension benefits granted to a veteran, as defined in section 200 27-103, or the surviving spouse of such veteran. Except as provided in 201 section 17b-277 and section 17b-292, the medical assistance program 202 shall provide coverage to persons under the age of nineteen with 203 household income up to one hundred ninety-six per cent of the federal 204 poverty level without an asset limit and to persons under the age of 205 nineteen, who qualify for coverage under Section 1931 of the Social 206 Security Act, with household income not exceeding one hundred 207 ninety-six per cent of the federal poverty level without an asset limit, 208 and their parents and needy caretaker relatives, who qualify for 209 coverage under Section 1931 of the Social Security Act, with household 210 Raised Bill No. 5218 LCO No. 1482 8 of 11 income not exceeding one hundred fifty-five per cent of the federal 211 poverty level without an asset limit. Such levels shall be based on the 212 regional differences in such benefit amount, if applicable, unless such 213 levels based on regional differences are not in conformance with federal 214 law. Any income in excess of the applicable amounts shall be applied as 215 may be required by said federal law, and assistance shall be granted for 216 the balance of the cost of authorized medical assistance. The 217 Commissioner of Social Services shall provide applicants for assistance 218 under this section, at the time of application, with a written statement 219 advising them of (1) the effect of an assignment or transfer or other 220 disposition of property on eligibility for benefits or assistance, (2) the 221 effect that having income that exceeds the limits prescribed in this 222 subsection will have with respect to program eligibility, and (3) the 223 availability of, and eligibility for, services provided by the [Nurturing 224 Families Network] Connecticut Home Visiting System, established 225 pursuant to section 17b-751b, as amended by this act. For coverage dates 226 on or after January 1, 2014, the department shall use the modified 227 adjusted gross income financial eligibility rules set forth in Section 228 1902(e)(14) of the Social Security Act and the implementing regulations 229 to determine eligibility for HUSKY A, HUSKY B and HUSKY D 230 applicants, as defined in section 17b-290. Persons who are determined 231 ineligible for assistance pursuant to this section shall be provided a 232 written statement notifying such persons of their ineligibility and 233 advising such persons of their potential eligibility for one of the other 234 insurance affordability programs as defined in 42 CFR 435.4. 235 Sec. 8. Section 17b-277a of the general statutes is repealed and the 236 following is substituted in lieu thereof (Effective July 1, 2020): 237 The Commissioners of Public Health, Social Services and Mental 238 Health and Addiction Services shall jointly establish a program to 239 inform applicants to the Healthy Start program about the availability of, 240 and eligibility for, services provided by the [Nurturing Families 241 Network] Connecticut Home Visiting System, established pursuant to 242 section 17b-751b, as amended by this act. 243 Raised Bill No. 5218 LCO No. 1482 9 of 11 Sec. 9. (NEW) (Effective July 1, 2020) Upon request of the director of 244 an early intervention service program participating in the birth-to-three 245 program, established pursuant to section 17a-248b of the general 246 statutes, the Commissioner of Education may permit any person who 247 holds an endorsement in the areas of comprehensive special education, 248 integrated early childhood and special education, partially sighted, 249 blind, and hard of hearing, to teach within the birth-to-three program. 250 Such permission shall be valid during the period of such person's 251 certificate, permit or authorization, and may be extended by the 252 commissioner, upon request of the birth-to-three service provider, upon 253 renewal of such person's certificate, permit or authorization by the 254 commissioner. 255 Sec. 10. Section 19a-425 of the general statutes is repealed and the 256 following is substituted in lieu thereof (Effective from passage): 257 (a) Any person or officer of an association, organization or 258 corporation who establishes, conducts or maintains a youth camp 259 without a license as required by this chapter for a first offense shall be 260 subject to a civil penalty of not more than one thousand dollars, and for 261 a second or subsequent offense shall be subject to a civil penalty of not 262 more than one thousand five hundred dollars, and each day during 263 which a youth camp is conducted or maintained without a license, after 264 notification to such person by the commissioner, shall constitute a 265 separate offense. The commissioner may apply to the superior court for 266 the judicial district of Hartford, or for the judicial district where the 267 defendant named in such application resides, for an injunction to 268 restrain the operation or maintenance of a youth camp by any person 269 other than a licensed operator. The application for such injunction or the 270 issuance of the same shall be in addition to and shall not relieve any 271 such person from the imposition of a civil penalty under this section. In 272 connection with any such application for an injunction, it shall not be 273 necessary to prove that an adequate remedy at law does not exist. 274 (b) If the Commissioner of Early Childhood has reason to believe that 275 a violation has occurred for which a civil penalty is authorized by 276 Raised Bill No. 5218 LCO No. 1482 10 of 11 subsection (a) of this section, the commissioner may send to such person 277 or officer by certified mail, return receipt requested or personally serve 278 upon such person or officer, a notice that shall include: (1) A reference 279 to the section or sections of the general statutes or regulations involved; 280 (2) a short and plain statement of the matters asserted or charged; (3) a 281 statement of the maximum civil penalty that may be imposed for such 282 violation; and (4) a statement of the party's right to request a hearing. 283 Such person or officer shall submit any request for a hearing in writing 284 to the commissioner not later than thirty days after the notice is mailed 285 or served. 286 (c) If such person or officer so requests, the commissioner shall cause 287 a hearing to be held. The hearing shall be held in accordance with the 288 provisions of chapter 54. If such person or officer fails to request a 289 hearing or fails to appear at the hearing or if, after the hearing, the 290 commissioner finds that the person or officer has committed such 291 violation, the commissioner may, in his or her discretion, order that a 292 civil penalty be imposed that is not greater than the penalty stated in the 293 notice. The commissioner shall send a copy of any order issued pursuant 294 to this subsection by certified mail, return receipt requested, to the 295 person or officer named in such order. 296 This act shall take effect as follows and shall amend the following sections: Section 1 October 1, 2020 19a-80(c) Sec. 2 October 1, 2020 19a-87b(c) Sec. 3 October 1, 2020 10-530 Sec. 4 July 1, 2020 17b-751b Sec. 5 July 1, 2020 17b-751d Sec. 6 July 1, 2020 10-509(a) Sec. 7 July 1, 2020 17b-261(a) Sec. 8 July 1, 2020 17b-277a Sec. 9 July 1, 2020 New section Sec. 10 from passage 19a-425 Statement of Purpose: To implement the recommendations of the Office of Early Childhood. Raised Bill No. 5218 LCO No. 1482 11 of 11 [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.]