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 Subsection (c) of section 17a-247b of the general statutes is 1 repealed and the following is substituted in lieu thereof (Effective from 2 passage): 3 (c) The department shall make information in the registry available 4 only to: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 Subsection (f) of section 17a-238 of the general statutes is 20 repealed and the following is substituted in lieu thereof (Effective from 21 passage): 22 (f) The Commissioner of Developmental Services shall require the 23 attending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