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4 | 4 | | LCO No. 1637 1 of 6 |
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5 | 5 | | |
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6 | 6 | | General Assembly Raised Bill No. 246 |
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7 | 7 | | February Session, 2020 |
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8 | 8 | | LCO No. 1637 |
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9 | 9 | | |
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10 | 10 | | |
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11 | 11 | | Referred to Committee on PUBLIC HEALTH |
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12 | 12 | | |
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13 | 13 | | |
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14 | 14 | | Introduced by: |
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15 | 15 | | (PH) |
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16 | 16 | | |
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17 | 17 | | |
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18 | 18 | | |
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19 | 19 | | |
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20 | 20 | | AN ACT CONCERNING VA RIOUS REVISIONS TO THE DEPARTMENT |
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21 | 21 | | OF DEVELOPMENTAL SER VICES STATUTES. |
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22 | 22 | | Be it enacted by the Senate and House of Representatives in General |
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23 | 23 | | Assembly convened: |
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24 | 24 | | |
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25 | 25 | | Section 1. Subsection (c) of section 17a-247b of the general statutes is 1 |
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26 | 26 | | repealed and the following is substituted in lieu thereof (Effective from 2 |
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27 | 27 | | passage): 3 |
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28 | 28 | | (c) The department shall make information in the registry available 4 |
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29 | 29 | | only to: (1) Authorized agencies, for the purpose of protective service 5 |
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30 | 30 | | determinations; (2) employers who employ employees to provide 6 |
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31 | 31 | | services to an individual who receives services or funding from the 7 |
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32 | 32 | | department; (3) [the Departments of Children and Families, Mental 8 |
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33 | 33 | | Health and Addiction Services, and Social Services, for the purpose of 9 |
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34 | 34 | | determining whether an applicant for employment appears on the 10 |
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35 | 35 | | registry] the Department of Administrative Services, for the purpose of 11 |
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36 | 36 | | determining whether an applicant for employment with the 12 |
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37 | 37 | | Departments of Children and Families, Developmental Services, Mental 13 |
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38 | 38 | | Health and Addiction Services and Social Services appears on the 14 |
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39 | 39 | | registry; or (4) charitable organizations that recruit volunteers to 15 Raised Bill No. 246 |
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40 | 40 | | |
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41 | 41 | | |
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42 | 42 | | |
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43 | 43 | | LCO No. 1637 2 of 6 |
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44 | 44 | | |
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45 | 45 | | support programs for persons with intellectual disability or autism 16 |
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46 | 46 | | spectrum disorder, upon application to and approval by the 17 |
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47 | 47 | | commissioner, for purposes of conducting background checks on such 18 |
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48 | 48 | | volunteers. 19 |
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49 | 49 | | Sec. 2. Subsection (f) of section 17a-238 of the general statutes is 20 |
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50 | 50 | | repealed and the following is substituted in lieu thereof (Effective from 21 |
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51 | 51 | | passage): 22 |
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52 | 52 | | (f) The Commissioner of Developmental Services shall require the 23 |
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53 | 53 | | attending physician of any person placed or treated in a residential 24 |
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54 | 54 | | facility under the direction of the commissioner to obtain informed 25 |
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55 | 55 | | written consent from the following persons prior to authorizing any 26 |
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56 | 56 | | [surgical procedure or any] medical treatment or surgical procedure, 27 |
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57 | 57 | | excluding routine medical treatment which is necessary to maintain the 28 |
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58 | 58 | | general health of the person or to prevent the spread of any 29 |
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59 | 59 | | communicable disease: (1) The person if such person is eighteen years 30 |
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60 | 60 | | of age or over or is legally emancipated and competent to give such 31 |
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61 | 61 | | consent; (2) the parent of a person under eighteen years of age who is 32 |
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62 | 62 | | not legally emancipated; or (3) the legal representative of a person of 33 |
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63 | 63 | | any age who is adjudicated unable to make informed decisions about 34 |
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64 | 64 | | matters relating to such person's medical care. The person whose 35 |
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65 | 65 | | consent is required shall be informed of the nature and consequences of 36 |
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66 | 66 | | the particular medical treatment or surgical procedure, the reasonable 37 |
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67 | 67 | | risks, benefits and purpose of such treatment or [surgical] procedure 38 |
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68 | 68 | | and any alternative treatment or surgical [procedures] procedure which 39 |
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69 | 69 | | [are] is available. The consent of any person or of any parent or legal 40 |
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70 | 70 | | representative of any person may be withdrawn at any time prior to the 41 |
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71 | 71 | | commencement of the medical treatment or surgical procedure. The 42 |
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72 | 72 | | regional or training school director having custody and control of a 43 |
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73 | 73 | | person living in a residential facility may authorize necessary [surgery] 44 |
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74 | 74 | | medical treatment or surgical procedure for such person where, in the 45 |
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75 | 75 | | opinion of the person's attending physician, the [surgery] medical 46 |
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76 | 76 | | treatment or surgical procedure is of an emergency nature and there is 47 |
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77 | 77 | | insufficient time to obtain the required written consent provided for in 48 |
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78 | 78 | | this section. The attending physician shall prepare a report describing 49 Raised Bill No. 246 |
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79 | 79 | | |
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80 | 80 | | |
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81 | 81 | | |
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82 | 82 | | LCO No. 1637 3 of 6 |
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83 | 83 | | |
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84 | 84 | | the nature of the emergency which necessitated such [surgery] medical 50 |
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85 | 85 | | treatment or surgical procedure and shall file a copy of such report in 51 |
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86 | 86 | | the patient's record. 52 |
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87 | 87 | | Sec. 3. Section 46a-11c of the general statutes is repealed and the 53 |
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88 | 88 | | following is substituted in lieu thereof (Effective from passage): 54 |
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89 | 89 | | (a) The commissioner, upon receiving a report that a person with 55 |
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90 | 90 | | intellectual disability allegedly is being or has been abused or neglected, 56 |
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91 | 91 | | shall make an initial determination whether such person has intellectual 57 |
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92 | 92 | | disability, shall determine if the report warrants investigation and shall 58 |
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93 | 93 | | cause, in cases that so warrant, a prompt, thorough evaluation to be 59 |
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94 | 94 | | made to determine whether the person has intellectual disability and 60 |
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95 | 95 | | has been abused or neglected. For the purposes of sections 46a-11a to 61 |
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96 | 96 | | 46a-11g, inclusive, the determination of intellectual disability may be 62 |
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97 | 97 | | made by means of a review of records and shall not require the 63 |
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98 | 98 | | commissioner to conduct a full psychological examination of the person. 64 |
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99 | 99 | | Any delay in making such determination of intellectual disability shall 65 |
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100 | 100 | | not delay the investigation of abuse or neglect or recommendation of 66 |
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101 | 101 | | provision of protective services. The evaluation shall include a visit to 67 |
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102 | 102 | | the named person with intellectual disability and consultation with 68 |
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103 | 103 | | those individuals having knowledge of the facts of the particular case. 69 |
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104 | 104 | | All state, local and private agencies shall have a duty to cooperate with 70 |
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105 | 105 | | any investigation conducted by the Department of Developmental 71 |
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106 | 106 | | Services under this section, including the release of complete records of 72 |
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107 | 107 | | the named person for review, inspection and copying, except where the 73 |
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108 | 108 | | person with intellectual disability refuses to permit such records to be 74 |
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109 | 109 | | released. The commissioner shall have subpoena powers to compel any 75 |
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110 | 110 | | information related to such investigation. All records of the named 76 |
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111 | 111 | | person shall be kept confidential by said department. Upon completion 77 |
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112 | 112 | | of the evaluation of each case, written findings shall be prepared which 78 |
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113 | 113 | | shall include a determination of whether abuse or neglect has occurred 79 |
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114 | 114 | | and recommendations as to whether protective services are needed. The 80 |
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115 | 115 | | commissioner, except in cases where the legal representative is the 81 |
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116 | 116 | | alleged or substantiated perpetrator of abuse or neglect or is residing 82 |
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117 | 117 | | with the alleged or substantiated perpetrator, shall notify the legal 83 Raised Bill No. 246 |
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118 | 118 | | |
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119 | 119 | | |
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120 | 120 | | |
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121 | 121 | | LCO No. 1637 4 of 6 |
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122 | 122 | | |
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123 | 123 | | representative, if any, of the person with intellectual disability if a report 84 |
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124 | 124 | | of abuse or neglect is made which the commissioner determines 85 |
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125 | 125 | | warrants investigation. The commissioner, except in cases where the 86 |
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126 | 126 | | legal representative is the alleged or substantiated perpetrator of abuse 87 |
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127 | 127 | | or neglect or is residing with the alleged or substantiated perpetrator, 88 |
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128 | 128 | | shall provide the legal representative who the commissioner determines 89 |
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129 | 129 | | is entitled to such information with further information upon request. 90 |
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130 | 130 | | The person filing the report of abuse or neglect shall be notified of the 91 |
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131 | 131 | | findings upon such person's request. 92 |
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132 | 132 | | (b) The commissioner, upon receiving a report that a person who 93 |
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133 | 133 | | receives services from the Department of Social Services' Division of 94 |
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134 | 134 | | Autism Spectrum Disorder Services, allegedly is being or has been 95 |
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135 | 135 | | abused or neglected, shall make an initial determination whether such 96 |
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136 | 136 | | person receives funding or services from said division, shall determine 97 |
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137 | 137 | | if the report warrants investigation and shall cause, in cases that so 98 |
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138 | 138 | | warrant, a prompt, thorough evaluation, as described in subsection (b) 99 |
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139 | 139 | | of section 17a-247f, to be made by the Department of Developmental 100 |
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140 | 140 | | Services to determine whether the person has been abused or neglected. 101 |
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141 | 141 | | (c) In cases where there is a death of a person with intellectual 102 |
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142 | 142 | | disability for whom the Department of Developmental Services has 103 |
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143 | 143 | | direct or oversight responsibility for medical care, and there is 104 |
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144 | 144 | | reasonable cause to suspect or believe that such death may be due to 105 |
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145 | 145 | | abuse or neglect, the commissioner shall conduct an investigation to 106 |
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146 | 146 | | determine whether abuse or neglect occurred, except as may be 107 |
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147 | 147 | | otherwise required by court order. The commissioner shall establish 108 |
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148 | 148 | | protocols for conducting such investigations. 109 |
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149 | 149 | | (d) The commissioner shall maintain an electronic copy of the reports 110 |
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150 | 150 | | received of alleged abuse or neglect and all evaluation reports. 111 |
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151 | 151 | | (e) Neither the original report of alleged abuse or neglect nor the 112 |
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152 | 152 | | evaluation report of the investigator which includes findings and 113 |
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153 | 153 | | recommendations shall be deemed a public record for purposes of 114 |
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154 | 154 | | section 1-210. The original report of alleged abuse or neglect or the 115 Raised Bill No. 246 |
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155 | 155 | | |
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156 | 156 | | |
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157 | 157 | | |
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158 | 158 | | LCO No. 1637 5 of 6 |
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159 | 159 | | |
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160 | 160 | | evaluation report of the investigator shall not be provided to a legal 116 |
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161 | 161 | | representative who is the alleged or substantiated perpetrator of abuse 117 |
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162 | 162 | | or neglect or is residing with the alleged or substantiated perpetrator. 118 |
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163 | 163 | | The name of the person making the original report shall not be disclosed 119 |
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164 | 164 | | to any person unless the person making the original report consents to 120 |
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165 | 165 | | such disclosure or unless a judicial proceeding results therefrom. 121 |
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166 | 166 | | Sec. 4. (NEW) (Effective from passage) (a) The Department of 122 |
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167 | 167 | | Developmental Services shall encourage each operator of a residential 123 |
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168 | 168 | | facility, licensed pursuant to section 17a-227 of the general statutes, to 124 |
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169 | 169 | | adopt standards and practices that promote energy efficiency and 125 |
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170 | 170 | | incorporate environmentally friendly construction materials and 126 |
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171 | 171 | | techniques in the construction of any new residential facility. 127 |
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172 | 172 | | (b) Any residential facility licensed pursuant to section 17a-227 of the 128 |
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173 | 173 | | general statutes may participate in any energy assessment program 129 |
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174 | 174 | | available under section 16-245m of the general statutes. A residential 130 |
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175 | 175 | | facility participating in such energy assessment program shall provide 131 |
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176 | 176 | | a copy of any energy assessment report received by such facility to the 132 |
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177 | 177 | | Department of Developmental Services. 133 |
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178 | 178 | | (c) Not later than July 1, 2021, the Commissioner of Developmental 134 |
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179 | 179 | | Services shall report, in accordance with the provisions of section 11-4a 135 |
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180 | 180 | | of the general statutes, to the joint standing committee of the General 136 |
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181 | 181 | | Assembly having cognizance of matters relating to public health on (1) 137 |
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182 | 182 | | the findings of the energy assessments performed on licensed 138 |
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183 | 183 | | residential facilities pursuant to subsection (b) of this section, and (2) 139 |
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184 | 184 | | recommendations for energy efficiency improvement in facilities 140 |
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185 | 185 | | licensed pursuant to section 17a-227 of the general statutes. 141 |
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186 | 186 | | This act shall take effect as follows and shall amend the following |
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187 | 187 | | sections: |
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188 | 188 | | |
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189 | 189 | | Section 1 from passage 17a-247b(c) |
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190 | 190 | | Sec. 2 from passage 17a-238(f) |
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191 | 191 | | Sec. 3 from passage 46a-11c |
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192 | 192 | | Sec. 4 from passage New section Raised Bill No. 246 |
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194 | 194 | | |
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195 | 195 | | |
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196 | 196 | | LCO No. 1637 6 of 6 |
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197 | 197 | | |
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198 | 198 | | |
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199 | 199 | | Statement of Purpose: |
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200 | 200 | | To (1) make information in the Department of Developmental Services' |
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201 | 201 | | abuse and neglect registry available to the Department of |
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202 | 202 | | Administrative Services, (2) allow the Commissioner of Developmental |
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203 | 203 | | Services or a Department of Developmental Services regional or training |
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204 | 204 | | school director to consent to emergency medical treatment for an |
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205 | 205 | | individual under the custody or control of the department, (3) restrict |
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206 | 206 | | legal representatives of persons with intellectual disabilities from |
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207 | 207 | | accessing abuse and neglect reports when the legal representative is the |
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208 | 208 | | alleged perpetrator of such abuse or neglect or is residing with the |
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209 | 209 | | alleged perpetrator, and (4) encourage licensed residential facilities to |
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210 | 210 | | adopt standards that promote energy efficiency and incorporate |
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211 | 211 | | environmentally friendly building materials. |
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212 | 212 | | [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except |
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213 | 213 | | that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not |
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214 | 214 | | underlined.] |
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215 | 215 | | |
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