LCO No. 4232 1 of 49 General Assembly Committee Bill No. 2 January Session, 2021 LCO No. 4232 Referred to Committee on COMMITTEE ON CHILDREN Introduced by: (KID) AN ACT CONCERNING SO CIAL EQUITY AND THE HEALTH, SAFETY AND EDUCATION OF CHILDREN. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. (NEW) (Effective July 1, 2021) (a) As used in this section, 1 "Question, Persuade and Refer (QPR) Institute Gatekeeper Training" 2 means an educational program designed to teach lay and professional 3 persons who work with youth the warning signs of a suicide crisis and 4 how to respond. The Youth Suicide Advisory Board, established 5 pursuant to section 17a-52 of the general statutes, and the Office of the 6 Child Advocate, shall jointly administer an evidence-based youth 7 suicide prevention training program in each district department of 8 health formed pursuant to section 19a-241 of the general statutes. The 9 training program shall provide certification in QPR Institute Gatekeeper 10 Training, utilizing a training model that will enable participants to 11 provide QPR Institute Gatekeeper Training to other individuals upon 12 completion of the training program. Such training program shall be 13 offered not later than July 1, 2022, and at least once every three years 14 thereafter. 15 (b) The director of health for each district department of health shall 16 Committee Bill No. 2 LCO No. 4232 2 of 49 determine the eligibility criteria for participation in the youth suicide 17 prevention training program. Participants shall be members of the 18 following groups within such district: (1) Employees of such health 19 department, (2) employees of youth service bureaus, (3) school 20 employees, as defined in section 10-222d of the general statutes, (4) 21 employees and volunteers of youth-serving organizations, (5) 22 employees and volunteers of operators of youth athletic activities, as 23 defined in section 21a-432 of the general statutes, (6) employees of 24 municipal social service agencies, (7) members of paid municipal or 25 volunteer fire departments, and (8) members of local police 26 departments. With respect to school employees, such training program 27 may be included as part of an in-service training program provided 28 pursuant to section 10-220a of the general statutes, as amended by this 29 act. 30 (c) Any individual who has received certification in QPR Institute 31 Gatekeeper Training through the training program administered 32 pursuant to subsection (a) of this section may, during the period in 33 which such certification is valid, provide QPR Institute Gatekeeper 34 Training to any member of a group described in subdivisions (1) to (8), 35 inclusive, of subsection (b) of this section and members of the public. 36 (d) The Youth Suicide Advisory Board and the Office of the Child 37 Advocate may contract with a nongovernmental entity that provides 38 evidence-based suicide prevention training to carry out the provisions 39 of this section. 40 Sec. 2. Subsection (a) of section 20-12b of the general statutes is 41 repealed and the following is substituted in lieu thereof (Effective July 1, 42 2021): 43 (a) The department may, upon receipt of a fee of one hundred ninety 44 dollars, issue a physician assistant license to an applicant who: (1) Holds 45 a baccalaureate or higher degree in any field from a regionally 46 accredited institution of higher education; (2) has graduated from an 47 accredited physician assistant program; (3) has passed the certification 48 Committee Bill No. 2 LCO No. 4232 3 of 49 examination of the national commission; (4) has satisfied the mandatory 49 continuing medical education requirements of the national commission 50 for current certification by such commission, [and] which, on and after 51 January 1, 2022, shall include not less than two hours of training or 52 education, approved by the Commissioner of Public Health, on (A) 53 screening for conditions such as post-traumatic stress disorder, risk of 54 suicide, depression and grief, and (B) suicide prevention training, 55 during the first renewal period in which continuing education is 56 required and not less than once every six years thereafter, (5) has passed 57 any examination or continued competency assessment the passage of 58 which may be required by the national commission for maintenance of 59 current certification by such commission; and [(5)] (6) has completed not 60 less than sixty hours of didactic instruction in pharmacology for 61 physician assistant practice approved by the department. 62 Sec. 3. Subsection (a) of section 20-73b of the general statutes is 63 repealed and the following is substituted in lieu thereof (Effective July 1, 64 2021): 65 (a) Except as otherwise provided in this section, each physical 66 therapist licensed pursuant to this chapter shall complete a minimum of 67 twenty hours of continuing education during each registration period. 68 For purposes of this section, registration period means the twelve-69 month period for which a license has been renewed in accordance with 70 section 19a-88 and is current and valid. The continuing education shall 71 be in areas related to the individual's practice, except, on and after 72 January 1, 2022, shall include not less than two hours of training or 73 education on (1) screening for conditions such as post-traumatic stress 74 disorder, risk of suicide, depression and grief, and (2) suicide prevention 75 training, during the first registration period in which continuing 76 education is required and not less than once every six years thereafter. 77 Qualifying continuing education activities include, but are not limited 78 to, courses offered or approved by the American Physical Therapy 79 Association or the Commissioner of Public Health or any component of 80 the American Physical Therapy Association, a hospital or other licensed 81 Committee Bill No. 2 LCO No. 4232 4 of 49 health care institution or a regionally accredited institution of higher 82 education. 83 Sec. 4. Section 20-74h of the general statutes is repealed and the 84 following is substituted in lieu thereof (Effective July 1, 2021): 85 Licenses for occupational therapists and occupational therapy 86 assistants issued under this chapter shall be subject to renewal once 87 every two years and shall expire unless renewed in the manner 88 prescribed by regulation upon the payment of two times the 89 professional services fee payable to the State Treasurer for class B as 90 defined in section 33-182l, plus five dollars. The department shall notify 91 any person or entity that fails to comply with the provisions of this 92 section that the person's or entity's license shall become void ninety days 93 after the time for its renewal unless it is so renewed. Any such license 94 shall become void upon the expiration of such ninety-day period. The 95 commissioner shall establish additional requirements for licensure 96 renewal which provide evidence of continued competency, which, on 97 and after January 1, 2022, shall include not less than two hours of 98 training or education, approved by the Commissioner of Public Health, 99 on (1) screening for conditions such as post-traumatic stress disorder, 100 risk of suicide, depression and grief, and (2) suicide prevention training 101 during the first renewal period and not less than once every six years 102 thereafter. The holder of an expired license may apply for and obtain a 103 valid license only upon compliance with all relevant requirements for 104 issuance of a new license. A suspended license is subject to expiration 105 and may be renewed as provided in this section, but such renewal shall 106 not entitle the licensee, while the license remains suspended and until it 107 is reinstated, to engage in the licensed activity, or in any other conduct 108 or activity in violation of the order or judgment by which the license was 109 suspended. If a license revoked on disciplinary grounds is reinstated, 110 the licensee, as a condition of reinstatement, shall pay the renewal fee. 111 Sec. 5. (NEW) (Effective July 1, 2021) (a) As used in this section: 112 (1) "Contact hour" means a minimum of fifty minutes of continuing 113 Committee Bill No. 2 LCO No. 4232 5 of 49 education and activities; and 114 (2) "Registration period" means the one-year period for which a 115 license has been renewed in accordance with section 19a-88 of the 116 general statutes and is current and valid. 117 (b) For registration periods beginning on and after January 1, 2022, a 118 registered nurse licensed pursuant to section 20-93 of the general 119 statutes and a licensed practical nurse licensed pursuant to section 20-120 96 of the general statutes applying for license renewal shall, during the 121 first renewal period and not less than once every six years thereafter, 122 earn not less than two contact hours of training or education on (1) 123 screening for conditions such as post-traumatic stress disorder, risk of 124 suicide, depression and grief, and (2) suicide prevention training. For 125 purposes of this section, qualifying continuing education activities 126 include, but are not limited to, courses, including on-line courses, 127 offered or approved by the American Nurses Association, Connecticut 128 Hospital Association, Connecticut Nurses Association, Connecticut 129 League for Nursing, a specialty nursing society or an equivalent 130 organization in another jurisdiction, an educational offering sponsored 131 by a hospital or other health care institution or a course offered by a 132 regionally accredited academic institution or a state or local health 133 department. The Commissioner of Public Health may grant a waiver of 134 not more than ten contact hours of continuing education for a registered 135 nurse or licensed practical nurse who: (A) Engages in activities related 136 to such nurse's service as a member of the Connecticut State Board of 137 Examiners for Nursing, established pursuant to section 20-88 of the 138 general statutes; or (B) assists the Department of Health with its duties 139 to boards and commissions as described in section 19a-14 of the general 140 statutes. 141 (c) Each registered nurse and licensed practical nurse applying for 142 license renewal pursuant to section 19a-88 of the general statutes shall 143 sign a statement attesting that he or she has satisfied the continuing 144 education requirements of subsection (b) of this section on a form 145 Committee Bill No. 2 LCO No. 4232 6 of 49 prescribed by the Department of Health. Each licensee shall retain 146 records of attendance or certificates of completion that demonstrate 147 compliance with the continuing education requirements of subsection 148 (b) of this section for a minimum of three years following the year in 149 which the continuing education was completed and shall submit such 150 records or certificates to the department for inspection not later than 151 forty-five days after a request by the department for such records or 152 certificates. 153 Sec. 6. Subsection (a) of section 20-102ee of the general statutes is 154 repealed and the following is substituted in lieu thereof (Effective July 1, 155 2021): 156 (a) The Commissioner of Public Health shall adopt regulations, in 157 accordance with the provisions of chapter 54, concerning the regulation 158 of nurse's aides. Such regulations shall require a training program for 159 nurse's aides of not less than one hundred hours. Not less than seventy-160 five of such hours shall include, but not be limited to, basic nursing 161 skills, personal care skills, care of cognitively impaired residents, 162 recognition of mental health and social service needs, basic restorative 163 services and residents' rights. Not less than twenty-five of such hours 164 shall include, but not be limited to, specialized training in 165 understanding and responding to challenging behaviors related to 166 physical, psychiatric, psychosocial and cognitive disorders. On and after 167 January 1, 2022, not less than two of such hours shall include screening 168 for conditions such as (1) post-traumatic stress disorder, risk of suicide, 169 depression and grief, and (2) suicide prevention training from training 170 or education providers approved by the commissioner. 171 Sec. 7. Subsection (b) of section 20-185k of the general statutes is 172 repealed and the following is substituted in lieu thereof (Effective July 1, 173 2021): 174 (b) A license issued under this section may be renewed annually. The 175 license shall be renewed in accordance with the provisions of section 176 19a-88, for a fee of one hundred seventy-five dollars. Each behavior 177 Committee Bill No. 2 LCO No. 4232 7 of 49 analyst applying for license renewal shall furnish evidence satisfactory 178 to the commissioner of (1) having current certification with the Behavior 179 Analyst Certification Board, and (2) on and after January 1, 2022, 180 completing not less than two hours of training or education, approved 181 by the Commissioner of Public Health, on (A) screening for conditions 182 such as post-traumatic stress disorder, risk of suicide, depression and 183 grief, and (B) suicide prevention training during the first renewal period 184 and not less than once every six years thereafter. 185 Sec. 8. Subsection (f) of section 20-195ttt of the general statutes is 186 repealed and the following is substituted in lieu thereof (Effective July 1, 187 2021): 188 (f) A certification issued under this section may be renewed every 189 three years. The license shall be renewed in accordance with the 190 provisions of section 19a-88 for a fee of one hundred dollars. Each 191 certified community health worker applying for license renewal shall 192 furnish evidence satisfactory to the commissioner of having completed 193 a minimum of thirty hours of continuing education requirements, 194 including two hours focused on cultural competency, systemic racism 195 or systemic oppression, [and] two hours focused on social determinants 196 of health and on and after January 1, 2022, two hours of training on (1) 197 screening for conditions such as post-traumatic stress disorder, risk of 198 suicide, depression and grief, and (2) suicide prevention training, 199 provided by training or education providers approved by the 200 Commissioner of Public Health. 201 Sec. 9. Subsections (d) and (e) of section 20-206mm of the general 202 statutes are repealed and the following is substituted in lieu thereof 203 (Effective July 1, 2021): 204 (d) On or after January 1, 2020, each person seeking certification as an 205 emergency medical responder, emergency medical technician or 206 advanced emergency medical technician shall apply to the department 207 on forms prescribed by the commissioner. Applicants for certification 208 shall comply with the following requirements: (1) For initial 209 Committee Bill No. 2 LCO No. 4232 8 of 49 certification, an applicant shall present evidence satisfactory to the 210 commissioner that the applicant (A) has completed an initial training 211 program consistent with the National Emergency Medical Services 212 Education Standards, as promulgated by the National Highway Traffic 213 Safety Administration for the emergency medical responder, emergency 214 medical technician or advanced emergency medical technician 215 curriculum, (B) has passed the examination administered by the 216 national organization for emergency medical certification for an 217 emergency medical responder, emergency medical technician or 218 advanced emergency medical technician as necessary for the type of 219 certification sought by the applicant or an examination approved by the 220 department, and (C) has no pending disciplinary action or unresolved 221 complaints against such applicant, (2) a certificate issued under this 222 subsection shall be renewed once every two years in accordance with 223 the provisions of section 19a-88 upon presentation of evidence 224 satisfactory to the commissioner that the applicant (A) has successfully 225 completed continuing education for an emergency medical responder, 226 emergency medical technician or advanced emergency medical 227 technician as required by the national organization for emergency 228 medical certification or as approved by the department, which, on and 229 after January 1, 2022, shall include not less than two hours of training or 230 education, approved by the Commissioner of Public Health, on (i) 231 screening for conditions such as post-traumatic stress disorder, risk of 232 suicide, depression and grief, and (ii) suicide prevention training during 233 the first renewal period and not less than once every six years thereafter, 234 or (B) presents a current certification as an emergency medical 235 responder, emergency medical technician or advanced emergency 236 medical technician from the national organization for emergency 237 medical certification, or (3) for certification by endorsement from 238 another state, an applicant shall present evidence satisfactory to the 239 commissioner that the applicant (A) is currently certified as an 240 emergency medical responder, emergency medical technician or 241 advanced emergency medical technician in good standing by a state that 242 maintains certification or licensing requirements that the commissioner 243 Committee Bill No. 2 LCO No. 4232 9 of 49 determines are equal to or greater than those in this state, or (B) holds a 244 current certification as an emergency medical responder, emergency 245 medical technician or advanced emergency medical technician from the 246 national organization for emergency medical certification. 247 (e) On or after January 1, 2020, each person seeking certification as an 248 emergency medical services instructor shall apply to the department on 249 forms prescribed by the commissioner. Applicants for certification shall 250 comply with the following requirements: (1) For initial certification, an 251 applicant shall present evidence satisfactory to the commissioner that 252 the applicant (A) is currently certified by the department as an 253 emergency medical technician or advanced emergency medical 254 technician or licensed by the department as a paramedic, (B) has 255 completed a program of training as an emergency medical instructor 256 based on current national education standards within the prior two 257 years, (C) has completed twenty-five hours of teaching activity under 258 the supervision of a currently certified emergency medical services 259 instructor, (D) has completed written and practical examinations as 260 prescribed by the commissioner, (E) has no pending disciplinary action 261 or unresolved complaints against the applicant, and (F) effective on a 262 date prescribed by the commissioner, presents documentation 263 satisfactory to the commissioner that the applicant is currently certified 264 as an emergency medical technician, advanced emergency medical 265 technician or paramedic by the national organization for emergency 266 medical certification, or (2) for renewal certification, an applicant shall 267 present evidence satisfactory to the commissioner that the applicant (A) 268 has successfully completed continuing education and teaching activity 269 as required by the department, which, on and after January 1, 2022, shall 270 include not less than two hours of training or education, approved by 271 the Commissioner of Public Health, on (i) screening for conditions such 272 as post-traumatic stress disorder, risk of suicide, depression and grief, 273 and (ii) suicide prevention training, during the first renewal period and 274 not less than once every six years thereafter, (B) maintains current 275 certification by the department as an emergency medical technician, 276 advanced emergency medical technician or licensure by the department 277 Committee Bill No. 2 LCO No. 4232 10 of 49 as a paramedic, and (C) effective on a date as prescribed by the 278 commissioner, presents documentation satisfactory to the 279 commissioner that the applicant is currently certified as an emergency 280 medical technician, advanced emergency medical technician or 281 paramedic by the national organization for emergency medical 282 certification. 283 Sec. 10. Section 19a-14c of the general statutes is repealed and the 284 following is substituted in lieu thereof (Effective July 1, 2021): 285 (a) For the purposes of this section, "outpatient mental health 286 treatment" means the treatment of mental disorders, emotional 287 problems or maladjustments with the object of (1) removing, modifying 288 or retarding existing symptoms; (2) improving disturbed patterns of 289 behavior; and (3) promoting positive personality growth and 290 development. Treatment shall not include prescribing or otherwise 291 dispensing any medication which is a legend drug as defined in section 292 20-571. 293 (b) A psychiatrist licensed pursuant to chapter 370, a psychologist 294 licensed pursuant to chapter 383, an independent social worker certified 295 pursuant to chapter 383b or a marital and family therapist licensed 296 pursuant to chapter 383a may provide outpatient mental health 297 treatment to a minor without the consent or notification of a parent or 298 guardian at the request of the minor if (1) requiring the consent or 299 notification of a parent or guardian would cause the minor to reject such 300 treatment; (2) the provision of such treatment is clinically indicated; (3) 301 the failure to provide such treatment would be seriously detrimental to 302 the minor's well-being; (4) the minor has knowingly and voluntarily 303 sought such treatment; and (5) in the opinion of the provider of 304 treatment, the minor is mature enough to participate in treatment 305 productively. The provider of such treatment shall document the 306 reasons for any determination made to treat a minor without the consent 307 or notification of a parent or guardian and shall include such 308 documentation in the minor's clinical record, along with a written 309 Committee Bill No. 2 LCO No. 4232 11 of 49 statement signed by the minor stating that (A) [he] the minor is 310 voluntarily seeking such treatment; (B) [he] the minor has discussed 311 with the provider the possibility of involving his or her parent or 312 guardian in the decision to pursue such treatment; (C) [he] the minor 313 has determined it is not in his or her best interest to involve his or her 314 parent or guardian in such decision; and (D) [he] the minor has been 315 given adequate opportunity to ask the provider questions about the 316 course of his or her treatment. 317 (c) [After the sixth session of outpatient mental health treatment 318 provided to a minor pursuant to this section, the provider of such 319 treatment shall notify the minor that the consent, notification or 320 involvement of a parent or guardian is required to continue treatment, 321 unless such a requirement would be seriously detrimental to the minor's 322 well-being. If the provider determines such a requirement would be 323 seriously detrimental to the minor's well-being, he shall document such 324 determination in the minor's clinical record, review such determination 325 every sixth session thereafter and document each such review. If the 326 provider determines such a requirement would no longer be seriously 327 detrimental to the minor's well-being, he shall require the consent, 328 notification or involvement of a parent or guardian as a condition of 329 continuing treatment.] (1) Except as otherwise provided in subdivision 330 (2) of this subsection, a minor may request and receive as many 331 outpatient mental health treatment sessions as necessary without the 332 consent or notification of a parent or guardian. No provider shall notify 333 a parent or guardian of treatment provided pursuant to this section or 334 disclose any information concerning such treatment to a parent or 335 guardian without the consent of the minor. 336 (2) A provider may notify a parent or guardian of treatment provided 337 pursuant to this section or disclose certain information concerning such 338 treatment without the consent of the minor who receives such treatment 339 provided (A) such provider determines such notification or disclosure 340 is necessary for the minor's well-being, (B) the treatment provided to the 341 minor is solely for mental health and not for a substance use disorder, 342 Committee Bill No. 2 LCO No. 4232 12 of 49 and (C) the minor is provided an opportunity to express any objection 343 to such notification or disclosure. The provider shall document his or 344 her determination concerning such notification or disclosure and any 345 objections expressed by the minor in the minor's clinical record. A 346 provider may disclose to a minor's parent or guardian the following 347 information concerning such minor's outpatient mental health 348 treatment: (i) Diagnosis; (ii) treatment plan and progress in treatment; 349 (iii) recommended medications, including risks, benefits, side effects, 350 typical efficacy, dose and schedule; (iv) psychoeducation about the 351 minor's mental health; (v) referrals to community resources; (vi) 352 coaching on parenting or behavioral management strategies; and (vii) 353 crisis prevention planning and safety planning. A provider shall release 354 a minor's entire clinical record to another provider upon the request of 355 the minor or such minor's parent or guardian. 356 (d) A parent or guardian who is not informed of the provision of 357 outpatient mental health treatment for his or her minor child pursuant 358 to this section shall not be liable for the costs of the treatment provided. 359 Sec. 11. Subsection (a) of section 10-148a of the general statutes is 360 repealed and the following is substituted in lieu thereof (Effective July 1, 361 2021): 362 (a) For the school year commencing July 1, [2019] 2021, and each 363 school year thereafter, each certified employee shall participate in a 364 program of professional development. Each local and regional board of 365 education shall make available, annually, at no cost to its certified 366 employees, a program of professional development that is not fewer 367 than eighteen hours in length, of which a preponderance is in a small 368 group or individual instructional setting. Such program of professional 369 development shall (1) be a comprehensive, sustained and intensive 370 approach to improving teacher and administrator effectiveness in 371 increasing student knowledge achievement, (2) focus on refining and 372 improving various effective teaching methods that are shared between 373 and among educators, (3) foster collective responsibility for improved 374 Committee Bill No. 2 LCO No. 4232 13 of 49 student performance, (4) be comprised of professional learning that (A) 375 is aligned with rigorous state student academic achievement standards, 376 (B) is conducted among educators at the school and facilitated by 377 principals, coaches, mentors, distinguished educators, as described in 378 section 10-145s, or other appropriate teachers, (C) occurs frequently on 379 an individual basis or among groups of teachers in a job-embedded 380 process of continuous improvement, and (D) includes a repository of 381 best practices for teaching methods developed by educators within each 382 school that is continuously available to such educators for comment and 383 updating, and (5) include training in culturally responsive pedagogy 384 and practice. Each program of professional development shall include 385 professional development activities in accordance with the provisions 386 of subsection (b) of this section. The principles and practices of social-387 emotional learning shall be integrated throughout the components of 388 such program of professional development described in subdivisions (1) 389 to (5), inclusive, of this subsection. 390 Sec. 12. Subsection (b) of section 10-220a of the general statutes is 391 repealed and the following is substituted in lieu thereof (Effective July 1, 392 2021): 393 (b) Not later than a date prescribed by the commissioner, each local 394 and regional board of education shall establish a professional 395 development and evaluation committee. Such professional 396 development and evaluation committee shall consist of (1) at least one 397 teacher, as defined in subsection (a) of section 10-144d, selected by the 398 exclusive bargaining representative for certified employees chosen 399 pursuant to section 10-153b, (2) at least one administrator, as defined in 400 subsection (a) of section 10-144e, selected by the exclusive bargaining 401 representative for certified employees chosen pursuant to section 10-402 153b, and (3) such other school personnel as the board deems 403 appropriate. The duties of such committees shall include, but not be 404 limited to, participation in the development or adoption of a teacher 405 evaluation and support program for the district, pursuant to section 10-406 151b, and the development, evaluation and annual updating of a 407 Committee Bill No. 2 LCO No. 4232 14 of 49 comprehensive local professional development plan for certified 408 employees of the district. Such plan shall: (A) Be directly related to the 409 educational goals prepared by the local or regional board of education 410 pursuant to subsection (b) of section 10-220, as amended by this act, (B) 411 on and after July 1, [2011] 2021, be developed with full consideration of 412 the priorities and needs related to student social-emotional learning, in 413 accordance with the provisions of section 10-148a, as amended by this 414 act, and student academic outcomes as determined by the State Board 415 of Education, [and] (C) provide for the ongoing and systematic 416 assessment and improvement of both teacher evaluation and 417 professional development of the professional staff members of each 418 such board, including personnel management and evaluation training 419 or experience for administrators, [shall] and (D) be related to regular 420 and special student needs and may include provisions concerning 421 career incentives and parent involvement. The State Board of Education 422 shall develop guidelines to assist local and regional boards of education 423 in determining the objectives of the plans and in coordinating staff 424 development activities with student needs and school programs. 425 Sec. 13. Subsection (b) of section 10-220 of the general statutes is 426 repealed and the following is substituted in lieu thereof (Effective July 1, 427 2021): 428 (b) The board of education of each local or regional school district 429 shall, with the participation of parents, students, school administrators, 430 teachers, citizens, local elected officials and any other individuals or 431 groups such board shall deem appropriate, prepare a statement of 432 educational goals for such local or regional school district. The 433 statement of goals shall be consistent with state-wide goals pursuant to 434 subsection (c) of section 10-4 and include goals for the integration of 435 principles and practices of social-emotional learning in the program of 436 professional development for the school district, in accordance with the 437 provisions of section 10-148a, as amended by this act, and career 438 placement for students who do not pursue an advanced degree 439 immediately after graduation. Each local or regional board of education 440 Committee Bill No. 2 LCO No. 4232 15 of 49 shall annually establish student objectives for the school year which 441 relate directly to the statement of educational goals prepared pursuant 442 to this subsection and which identify specific expectations for students 443 in terms of skills, knowledge and competence. 444 Sec. 14. Subsection (f) of section 10-221 of the general statutes is 445 repealed and the following is substituted in lieu thereof (Effective July 1, 446 2021): 447 (f) (1) Not later than September 1, 1998, each local and regional board 448 of education shall develop, adopt and implement written policies and 449 procedures to encourage parent-teacher communication. These policies 450 and procedures may include monthly newsletters, required regular 451 contact with all parents, flexible parent-teacher conferences, drop-in 452 hours for parents, home visits and the use of technology such as 453 homework hot lines to allow parents to check on their children's 454 assignments and students to get assistance if needed. For the school year 455 commencing July 1, 2010, and each school year thereafter, such policies 456 and procedures shall require the district to conduct two flexible parent-457 teacher conferences for each school year. 458 (2) For the school year commencing July 1, 2021, and each school year 459 thereafter, the policies and procedures described in subdivision (1) of 460 this subsection shall require the district to (A) offer parents the option 461 of attending any parent-teacher conference by telephone, video 462 conference or on a virtual platform, (B) conduct one parent-teacher 463 conference, in addition to those required pursuant to subdivision (1) of 464 this subsection, during periods when such district conducts school 465 sessions on a virtual platform or as part of a remote learning model for 466 more than three consecutive weeks, and one additional parent-teacher 467 conference every six months thereafter if such sessions continue to be 468 conducted on such platform or as part of such model, and (C) obtain 469 from each student's parent the name and contact information of an 470 emergency contact person who may be contacted if the student's parent 471 cannot be reached to schedule a parent-teacher conference required 472 Committee Bill No. 2 LCO No. 4232 16 of 49 pursuant to subparagraph (B) of this subdivision. 473 (3) On and after January 1, 2022, such policies and procedures shall 474 require (A) a teacher conducting a parent-teacher conference pursuant 475 to subparagraph (B) of subdivision (2) of this subsection to make an 476 effort to assess the student's safety in the student's home and inquire 477 into any hardships the student's family may be experiencing, and if such 478 teacher determines that such family may benefit from being provided 479 the information contained in the document developed pursuant to 480 section 15 of this act, provide a copy of such document to such parent, 481 and (B) if a teacher is unable to make contact with a student's parent in 482 order to schedule a parent-teacher conference required pursuant to 483 subparagraph (B) of subdivision (2) of this subsection after making three 484 attempts, such teacher shall report such inability to the school principal, 485 school counselor or other school administrator designated by the local 486 or regional board of education. Such principal, counselor or 487 administrator shall contact the emergency contact person designated by 488 the student's parent pursuant to subparagraph (C) of subdivision (2) of 489 this subsection to ascertain such student and family's health and safety. 490 Sec. 15. (NEW) (Effective from passage) Not later than December 1, 491 2021, the Department of Education shall develop, and annually update, 492 a document for use by local and regional boards of education that 493 provides information concerning safety, mental health and food 494 insecurity resources and programs available for students and their 495 families. Such document shall contain, but need not be limited to, (1) 496 providers of such resources and programs, including, but not limited to, 497 the Department of Children and Families, the Department of Mental 498 Health and Addiction Services, the United Way of Connecticut and local 499 food banks, (2) descriptions of the relevant resources and programs 500 offered by each provider, including, but not limited to, the "Talk it Out" 501 program administered by the Department of Children and Families, (3) 502 contact information for each provider, resource and program, and (4) 503 relevant Internet web sites. The Department of Education shall annually 504 distribute such document electronically to each local and regional board 505 Committee Bill No. 2 LCO No. 4232 17 of 49 of education. 506 Sec. 16. (NEW) (Effective from passage) For the school year 507 commencing July 1, 2021, and each school year thereafter, a local or 508 regional board of education may authorize instruction to students in 509 grades nine to twelve, inclusive, to be provided on a virtual platform or 510 as part of a remote learning model, provided such board (1) receives 511 permission for such instruction from the Commissioner of Education, 512 and (2) specifies the requirements for what constitutes student 513 attendance during such instruction. 514 Sec. 17. Section 10-16 of the general statutes is repealed and the 515 following is substituted in lieu thereof (Effective July 1, 2021): 516 Each school district shall provide in each school year no less than one 517 hundred and eighty days of actual school sessions for grades 518 kindergarten to twelve, inclusive, nine hundred hours of actual school 519 work for full-day kindergarten and grades one to twelve, inclusive, and 520 four hundred and fifty hours of half-day kindergarten, provided school 521 districts shall not count more than seven hours of actual school work in 522 any school day towards the total required for the school year. 523 Instruction that is conducted on a virtual platform or as part of a remote 524 learning model shall be considered an actual school session for purposes 525 of this section, provided the Commissioner of Education has granted 526 permission for such instruction. If weather conditions result in an early 527 dismissal or a delayed opening of school, a school district which 528 maintains separate morning and afternoon half-day kindergarten 529 sessions may provide either a morning or afternoon half -day 530 kindergarten session on such day. 531 Sec. 18. Section 10-198b of the general statutes is repealed and the 532 following is substituted in lieu thereof (Effective from passage): 533 On or before July 1, 2012, the State Board of Education shall define 534 "excused absence" and "unexcused absence". [, and on] On or before 535 January 1, 2016, the State Board of Education shall define "disciplinary 536 Committee Bill No. 2 LCO No. 4232 18 of 49 absence" for use by local and regional boards of education for the 537 purposes of carrying out the provisions of section 10-198a, reporting 538 truancy, pursuant to subsection (c) of section 10-220, as amended by this 539 act, and calculating the district chronic absenteeism rate and the school 540 chronic absenteeism rate pursuant to section 10-198c. On or before July 541 1, 2021, the State Board of Education shall amend the definitions of 542 "excused absence" and "unexcused absence" to exclude (1) school 543 lessons that are conducted on a virtual platform or as part of a remote 544 learning model pursuant to section 10-16, as amended by this act, and 545 (2) a student's absence resulting from such student's taking a mental 546 health wellness day permitted pursuant to section 21 of this act. 547 Sec. 19. (NEW) (Effective July 1, 2021) For the school year commencing 548 July 1, 2021, and each school year thereafter, a local or regional board of 549 education shall permit any student enrolled in grades kindergarten to 550 twelve, inclusive, to take up to four mental health wellness days during 551 the school year, during which day such student shall not be required to 552 attend school. 553 Sec. 20. Section 10-10a of the general statutes is repealed and the 554 following is substituted in lieu thereof (Effective July 1, 2021): 555 (a) As used in this section: 556 (1) "Adverse childhood experience" means a potentially traumatic 557 event occurring in childhood, including, but not limited to, (A) 558 experiencing or witnessing violence, abuse, neglect, substance misuse, a 559 suicide attempt or death by suicide, or (B) experiencing instability due 560 to parental separation or incarceration. 561 [(1)] (2) "Teacher" means any certified professional employee below 562 the rank of superintendent employed by a board of education for at least 563 ninety days in a position requiring a certificate issued by the State Board 564 of Education; and 565 [(2)] (3) "Teacher preparation program" means a program designed 566 Committee Bill No. 2 LCO No. 4232 19 of 49 to qualify an individual for professional certification as an educator 567 provided by institutions of higher education or other providers 568 approved by the Department of Education, including, but not limited 569 to, an alternate route to certification program. 570 (b) The Department of Education shall develop and implement a 571 state-wide public school information system. The system shall be 572 designed for the purpose of establishing a standardized electronic data 573 collection and reporting protocol that will facilitate compliance with 574 state and federal reporting requirements, improve school-to-school and 575 district-to-district information exchanges, and maintain the 576 confidentiality of individual student and staff data. The initial design 577 shall focus on student information, provided the system shall be created 578 to allow for future compatibility with financial, facility and staff data. 579 The system shall provide for the tracking of the performance of 580 individual students on each of the state-wide mastery examinations 581 under section 10-14n in order to allow the department to compare the 582 progress of the same cohort of students who take each examination and 583 to better analyze school performance. The department shall assign a 584 unique student identifier to each student prior to tracking the 585 performance of a student in the public school information system. 586 (c) The state-wide public school information system shall: 587 (1) Track and report data relating to student, teacher and school and 588 district performance growth and make such information available to 589 local and regional boards of education for use in evaluating educational 590 performance and growth of teachers and students enrolled in public 591 schools in the state. Such information shall be collected or calculated 592 based on information received from local and regional boards of 593 education and other relevant sources. Such information shall include, 594 but not be limited to: 595 (A) In addition to performance on state-wide mastery examinations 596 pursuant to subsection (b) of this section, data relating to students shall 597 include, but not be limited to, (i) the primary language spoken at the 598 Committee Bill No. 2 LCO No. 4232 20 of 49 home of a student, (ii) student transcripts, (iii) student attendance and 599 student mobility, (iv) reliable, valid assessments of a student's readiness 600 to enter public school at the kindergarten level, [and] (v) data collected, 601 if any, from the preschool experience survey, described in section 10-602 515, and (vi) data collected concerning adverse childhood experiences 603 suffered by students; 604 (B) Data relating to teachers shall include, but not be limited to, (i) 605 teacher credentials, such as master's degrees, teacher preparation 606 programs completed and certification levels and endorsement areas, (ii) 607 teacher assessments, such as whether a teacher is deemed highly 608 qualified pursuant to the No Child Left Behind Act, P.L. 107-110, or 609 deemed to meet such other designations as may be established by 610 federal law or regulations for the purposes of tracking the equitable 611 distribution of instructional staff, (iii) the presence of substitute teachers 612 in a teacher's classroom, (iv) class size, (v) numbers relating to 613 absenteeism in a teacher's classroom, and (vi) the presence of a teacher's 614 aide. The department shall assign a unique teacher identifier to each 615 teacher prior to collecting such data in the public school information 616 system; 617 (C) Data relating to schools and districts shall include, but not be 618 limited to, (i) school population, (ii) annual student graduation rates, 619 (iii) annual teacher retention rates, (iv) school disciplinary records, such 620 as data relating to suspensions, expulsions and other disciplinary 621 actions, (v) the percentage of students whose primary language is not 622 English, (vi) the number of and professional credentials of support 623 personnel, (vii) information relating to instructional technology, such as 624 access to computers, and (viii) disaggregated measures of school-based 625 arrests pursuant to section 10-233n. 626 (2) Collect data relating to student enrollment in and graduation from 627 institutions of higher education for any student who had been assigned 628 a unique student identifier pursuant to subsection (b) of this section, 629 provided such data is available. 630 Committee Bill No. 2 LCO No. 4232 21 of 49 (3) Develop means for access to and data sharing with the data 631 systems of public institutions of higher education in the state. 632 (d) On or before July 1, 2011, and each year thereafter until July 1, 633 2013, the Commissioner of Education shall report, in accordance with 634 the provisions of section 11-4a, to the joint standing committee of the 635 General Assembly having cognizance of matters relating to education 636 on the progress of the department's efforts to expand the state-wide 637 public school information system pursuant to subsection (c) of this 638 section. The report shall include a full statement of those data elements 639 that are currently included in the system and those data elements that 640 will be added on or before July 1, 2013. 641 (e) The system database of student information shall not be 642 considered a public record for the purposes of section 1-210. Nothing in 643 this section shall be construed to limit the ability of a full-time 644 permanent employee of a nonprofit organization that is exempt from 645 taxation under Section 501(c)(3) of the Internal Revenue Code of 1986, 646 or any subsequent corresponding internal revenue code of the United 647 States, as from time to time amended, and that is organized and 648 operated for educational purposes, to obtain information in accordance 649 with the provisions of subsection (h) of this section. 650 (f) All school districts shall participate in the system, and report all 651 necessary information required by this section, provided the 652 department provides for technical assistance and training of school staff 653 in the use of the system. 654 (g) Local and regional boards of education and preschool programs 655 which receive state or federal funding shall participate, in a manner 656 prescribed by the Commissioner of Education, in the state-wide public 657 school information system described in subsection (b) of this section. 658 Participation for purposes of this subsection shall include, but not be 659 limited to, reporting on (1) student experiences in preschool by program 660 type and by numbers of months in each such program, and (2) the 661 readiness of students entering kindergarten and student progress in 662 Committee Bill No. 2 LCO No. 4232 22 of 49 kindergarten. Such reporting shall be done by October 1, 2007, and 663 annually thereafter. 664 (h) On and after August 1, 2009, upon receipt of a written request to 665 access data maintained under this section by a full-time permanent 666 employee of a nonprofit organization that is exempt from taxation 667 under Section 501(c)(3) of the Internal Revenue Code of 1986, or any 668 subsequent corresponding internal revenue code of the United States, 669 as from time to time amended, and that is organized and operated for 670 educational purposes, the Department of Education shall provide such 671 data to such requesting party not later than sixty days after such request, 672 provided such requesting party shall be responsible for the reasonable 673 cost of such request. The Department of Administrative Services shall 674 monitor the calculation of such fees charged for access to or copies of 675 such records to ensure that such fees are reasonable and consistent with 676 those charged by other state agencies. The Department of Education 677 shall respond to written requests under this section in the order in which 678 they are received. 679 (i) The superintendent of schools of a school district, or his or her 680 designee, may access information in the state-wide public school 681 information system regarding the state-wide mastery examination 682 under section 10-14n. Such access shall be for the limited purpose of 683 determining examination dates, examination scores and levels of 684 student achievement on such examinations for students enrolled in or 685 transferring to the school district of such superintendent. 686 Sec. 21. Subsection (c) of section 10-220 of the general statutes is 687 repealed and the following is substituted in lieu thereof (Effective July 1, 688 2021): 689 (c) Annually, each local and regional board of education shall submit 690 to the Commissioner of Education a strategic school profile report for 691 each school and school or program of alternative education, as defined 692 in section 10-74j, under its jurisdiction and for the school district as a 693 whole. The superintendent of each local and regional school district 694 Committee Bill No. 2 LCO No. 4232 23 of 49 shall present the profile report at the next regularly scheduled public 695 meeting of the board of education after each November first. The profile 696 report shall provide information on measures of (1) student needs, (2) 697 school resources, including technological resources and utilization of 698 such resources and infrastructure, (3) student and school performance, 699 including in-school suspensions, out-of-school suspensions and 700 expulsions, the number of truants, as defined in section 10-198a, and 701 chronically absent children, as defined in section 10-198c, (4) the number 702 of students enrolled in an adult high school credit diploma program, 703 pursuant to section 10-69, operated by a local or regional board of 704 education or a regional educational service center, (5) equitable 705 allocation of resources among its schools, (6) reduction of racial, ethnic 706 and economic isolation, (7) special education, [and] (8) school-based 707 arrests, as defined in section 10-233n, and (9) adverse childhood 708 experiences, as defined in section 10-10a, as amended by this act, 709 suffered by students. For purposes of this subsection, measures of 710 special education include (A) special education identification rates by 711 disability, (B) rates at which special education students are exempted 712 from mastery testing pursuant to section 10-14q, (C) expenditures for 713 special education, including such expenditures as a percentage of total 714 expenditures, (D) achievement data for special education students, (E) 715 rates at which students identified as requiring special education are no 716 longer identified as requiring special education, (F) the availability of 717 supplemental educational services for students lacking basic 718 educational skills, (G) the amount of special education student 719 instructional time with nondisabled peers, (H) the number of students 720 placed out-of-district, and (I) the actions taken by the school district to 721 improve special education programs, as indicated by analyses of the 722 local data provided in subparagraphs (A) to (H), inclusive, of this 723 subdivision. The superintendent shall include in the narrative portion 724 of the report information about parental involvement and any measures 725 the district has taken to improve parental involvement, including, but 726 not limited to, employment of methods to engage parents in the 727 planning and improvement of school programs and methods to increase 728 Committee Bill No. 2 LCO No. 4232 24 of 49 support to parents working at home with their children on learning 729 activities. For purposes of this subsection, measures of truancy include 730 the type of data that is required to be collected by the Department of 731 Education regarding attendance and unexcused absences in order for 732 the department to comply with federal reporting requirements and the 733 actions taken by the local or regional board of education to reduce 734 truancy in the school district. Such truancy data shall be considered a 735 public record, as defined in section 1-200. 736 Sec. 22. Section 17a-10a of the general statutes is repealed and the 737 following is substituted in lieu thereof (Effective July 1, 2021): 738 (a) The Commissioner of Children and Families shall ensure that a 739 child placed in the care and custody of the commissioner pursuant to an 740 order of temporary custody or an order of commitment is provided 741 visitation with such child's parents and siblings, unless otherwise 742 ordered by the court. In the event of a pandemic or outbreak of a 743 communicable disease and (1) the Governor has made a declaration of 744 a public health emergency pursuant to section 19a-131a, due to such 745 pandemic or outbreak, or (2) the commissioner determines that such 746 pandemic or outbreak has rendered visitation a risk to the health of such 747 child or such child's parents or siblings, such child shall be provided 748 opportunities to communicate with such child's parents and siblings by 749 video conference or on a virtual platform in lieu of visitation, for the 750 duration of the Governor's declaration, or, if no declaration was made 751 or such declaration has been terminated, until such time as the 752 commissioner determines such risk has abated. 753 (b) The commissioner shall ensure that such child's visits with his or 754 her parents, or opportunities to communicate with such child's parents 755 and siblings by video conference or on a virtual platform, shall occur as 756 frequently as reasonably possible, based upon consideration of the best 757 interests of the child, including the age and developmental level of the 758 child, and shall be sufficient in number and duration to ensure 759 continuation of the relationship. 760 Committee Bill No. 2 LCO No. 4232 25 of 49 (c) If such child has an existing relationship with a sibling and is 761 separated from such sibling as a result of intervention by the 762 commissioner including, but not limited to, placement in a foster home 763 or in the home of a relative, the commissioner shall, based upon 764 consideration of the best interests of the child, ensure that such child has 765 access to and visitation rights with such sibling throughout the duration 766 of such placement. In determining the number, frequency and duration 767 of sibling visits, the commissioner shall consider the best interests of 768 each sibling, given each child's age and developmental level and the 769 continuation of the sibling relationship. If the child and his or her sibling 770 both reside within the state and within fifty miles of each other, the 771 commissioner shall, within available appropriations, ensure that such 772 child's visits with his or her sibling occur, on average, not less than once 773 per week, unless the commissioner finds that the frequency of such 774 visitation is not in the best interests of each sibling. 775 (d) Not later than January 1, 2022, the commissioner shall develop a 776 policy that requires the temporary cessation of in-person visitation 777 provided pursuant to this section, on a case-by-case basis, in the event 778 that a child or such child's parent or sibling is seriously ill due to a 779 communicable disease, and visitation could result in the contraction of 780 such disease by one or more participants in the visitation. Such policy 781 shall require that such child shall be provided an opportunity to 782 communicate with such child's parents and siblings by video conference 783 or on a virtual platform in lieu of such visitation. The commissioner shall 784 define "seriously ill" and "communicable disease" for the purposes of 785 carrying out this subsection. 786 [(d)] (e) The commissioner shall include in each child's case record 787 information relating to the factors considered in making visitation 788 determinations pursuant to this section. If the commissioner determines 789 that such visits are not in the best interests of the child, that the 790 occurrence of, on average, not less than one visit per week with his or 791 her sibling is not in the best interests of each sibling, or that the number, 792 frequency or duration of the visits requested by the child's attorney or 793 Committee Bill No. 2 LCO No. 4232 26 of 49 guardian ad litem is not in the best interests of the child, the 794 commissioner shall include the reasons for such determination in the 795 child's case record. 796 [(e)] (f) On or before October first of each year, the commissioner shall 797 report, in accordance with the provisions of section 11-4a, to the joint 798 standing committee of the General Assembly having cognizance of 799 matters relating to children, data sufficient to demonstrate compliance 800 with subsections (a), (c) and [(d)] (e) of this section. Such data shall 801 include the total annual number of children in out-of-home placements 802 who have siblings, the total number of child cases with documented 803 sibling visitation and the number of individual siblings involved in each 804 case. 805 Sec. 23. Section 17a-103a of the general statutes is repealed and the 806 following is substituted in lieu thereof (Effective July 1, 2021): 807 (a) The Commissioner of Children and Families shall establish and 808 operate the telephone Careline for child abuse and neglect that shall be 809 dedicated to receive reports of child abuse or neglect and to provide 810 information concerning child abuse or neglect. The Careline shall accept 811 all reports of child abuse or neglect regardless of the relationship of the 812 alleged perpetrator to the child who is the alleged victim and regardless 813 of the alleged perpetrator's affiliation with any organization or other 814 entity in any capacity. The commissioner shall classify and evaluate all 815 reports pursuant to the provisions of section 17a-101g. 816 (b) Not later than July 1, 2022, the Commissioner of Children and 817 Families shall expand the operation of the telephone Careline to 818 accommodate the receipt and provision of information concerning child 819 abuse or neglect by text message. 820 Sec. 24. (NEW) (Effective July 1, 2021) Except where the Commissioner 821 of Children and Families, or the commissioner's designee, has 822 authorized the immediate removal of a child from such child's home 823 pursuant to subsection (e) of section 17a-101g of the general statutes, the 824 Committee Bill No. 2 LCO No. 4232 27 of 49 commissioner shall provide written notice to the parent or guardian of 825 any child whom the commissioner is considering removing from such 826 child's home. Such notice shall be in the parent or guardian's primary 827 language, and contain (1) the date, time and location of any removal 828 meeting the commissioner has scheduled, (2) a plain language 829 explanation of the removal process, steps the commissioner intends to 830 take and legal rights of the parent or guardian, (3) a list of local 831 organizations that provide free or reduced-cost legal services and how 832 to access such services, and (4) a check box for such parent or guardian 833 to request the services of an interpreter at any such meeting. The 834 commissioner shall obtain the signature of such parent or guardian 835 acknowledging receipt of such notice and provide the services of an 836 interpreter at any such meeting for which an interpreter has been 837 requested by such parent or guardian. 838 Sec. 25. (NEW) (Effective July 1, 2021) Not later than July 1, 2022, the 839 Commissioner of Early Childhood shall develop and implement a plan 840 to expand the birth-to-three program, established pursuant to section 841 17a-248b of the general statutes, as amended by this act, to provide early 842 intervention services to children five years of age and under. The 843 commissioner may adopt regulations in accordance with chapter 54 of 844 the general statutes to implement the provisions of this section. 845 Sec. 26. Section 17a-248 of the general statutes is repealed and the 846 following is substituted in lieu thereof (Effective July 1, 2022): 847 As used in this section and sections 17a-248b to 17a-248g, inclusive, 848 as amended by this act, 38a-490a, as amended by this act, and 38a-516a, 849 as amended by this act, unless the context otherwise requires: 850 (1) "Commissioner" means the Commissioner of Early Childhood. 851 (2) "Council" means the State Interagency [Birth-to-Three] Birth-to-852 Five Coordinating Council established pursuant to section 17a-248b, as 853 amended by this act. 854 Committee Bill No. 2 LCO No. 4232 28 of 49 (3) "Early intervention services" means early intervention services, as 855 defined in 34 CFR Part 303.13, as from time to time amended, and 856 similar services that are appropriate for children who are four and five 857 years of age. 858 (4) "Eligible children" means children from birth to [thirty-six 859 months] five years of age, who are not eligible for special education and 860 related services pursuant to sections 10-76a to 10-76h, inclusive, and 861 who need early intervention services because such children are: 862 (A) Experiencing a significant developmental delay as measured by 863 standardized diagnostic instruments and procedures, including 864 informed clinical opinion, in one or more of the following areas: (i) 865 Cognitive development; (ii) physical development, including vision or 866 hearing; (iii) communication development; (iv) social or emotional 867 development; or (v) adaptive skills; or 868 (B) Diagnosed as having a physical or mental condition that has a 869 high probability of resulting in developmental delay. 870 (5) "Evaluation" means a multidisciplinary professional, objective 871 assessment conducted by appropriately qualified personnel in order to 872 determine a child's eligibility for early intervention services. 873 (6) "Individualized family service plan" means a written plan for 874 providing early intervention services to an eligible child and the child's 875 family. 876 (7) "Lead agency" means the Office of Early Childhood, the public 877 agency responsible for the administration of the [birth-to-three] birth-878 to-five system in collaboration with the participating agencies. 879 (8) "Parent" means (A) a biological, adoptive or foster parent of a 880 child; (B) a guardian, except for the Commissioner of Children and 881 Families; (C) an individual acting in the place of a biological or adoptive 882 parent, including, but not limited to, a grandparent, stepparent, or other 883 relative with whom the child lives; (D) an individual who is legally 884 Committee Bill No. 2 LCO No. 4232 29 of 49 responsible for the child's welfare; or (E) an individual appointed to be 885 a surrogate parent. 886 (9) "Participating agencies" includes, but is not limited to, the 887 Departments of Education, Social Services, Public Health, Children and 888 Families and Developmental Services, the Office of Early Childhood, the 889 Insurance Department and the Department of Aging and Disability 890 Services. 891 (10) "Qualified personnel" means persons who meet the standards 892 specified in 34 CFR Part 303.31, as from time to time amended, and who 893 are licensed physicians or psychologists or persons holding a state-894 approved or recognized license, certificate or registration in one or more 895 of the following fields: (A) Special education, including teaching of the 896 blind and the deaf; (B) speech and language pathology and audiology; 897 (C) occupational therapy; (D) physical therapy; (E) social work; (F) 898 nursing; (G) dietary or nutritional counseling; and (H) other fields 899 designated by the commissioner that meet requirements that apply to 900 the area in which the person is providing early intervention services, 901 provided there is no conflict with existing professional licensing, 902 certification and registration requirements. 903 (11) "Service coordinator" means a person carrying out service 904 coordination services, as defined in 34 CFR Part 303.34, as from time to 905 time amended. 906 (12) "Primary care provider" means physicians and advanced practice 907 registered nurses, licensed by the Department of Public Health, who are 908 responsible for performing or directly supervising the primary care 909 services for children enrolled in the [birth-to-three] birth-to-five 910 program. 911 Sec. 27. Section 17a-248a of the general statutes is repealed and the 912 following is substituted in lieu thereof (Effective July 1, 2022): 913 The [birth-to-three] birth-to-five program established pursuant to 914 Committee Bill No. 2 LCO No. 4232 30 of 49 section 25 of this act and 17a-248b, as amended by this act, shall not be 915 considered a humane institution, as defined in section 17b-222. 916 Sec. 28. Section 17a-248b of the general statutes is repealed and the 917 following is substituted in lieu thereof (Effective July 1, 2022): 918 (a) The lead agency shall establish a State Interagency [Birth-to-919 Three] Birth-to-Five Coordinating Council and shall provide staff 920 assistance and other resources to the council. The council shall consist 921 of the following members, appointed by the Governor: (1) Parents, 922 including minority parents, of children with disabilities twelve years of 923 age or younger, with knowledge of, or experience with, programs for 924 children with disabilities from birth to [thirty-six months] five years of 925 age, the total number of whom shall equal not less than twenty per cent 926 of the total membership of the council, and at least one of whom shall 927 be a parent of a child six years of age or younger, with a disability; (2) 928 two members of the General Assembly at the time of their appointment, 929 one of whom shall be designated by the speaker of the House of 930 Representatives and one of whom shall be designated by the president 931 pro tempore of the Senate; (3) one person involved in the training of 932 personnel who provide early intervention services; (4) one person who 933 is a member of the American Academy of Pediatrics; (5) the state 934 coordinator of education for homeless children and youth, the state 935 coordinator for early childhood special education and one person from 936 each of the participating agencies, except the Department of Education, 937 who shall be designated by the commissioner or executive director of 938 the participating agency and who have authority to engage in policy 939 planning and implementation on behalf of the participating agency; (6) 940 public or private providers of early intervention services, the total 941 number of whom shall equal not less than twenty per cent of the total 942 membership of the council; and (7) a representative of a Head Start 943 program or agency. The Governor shall designate the chairperson of the 944 council who shall not be the designee of the lead agency. 945 (b) The Governor shall appoint all members of the council for terms 946 Committee Bill No. 2 LCO No. 4232 31 of 49 of three years. No appointed member of the council may serve more 947 than two consecutive terms, except a member may continue to serve 948 until a successor is appointed. 949 (c) The council shall meet at least quarterly and shall provide public 950 notice of its meetings, which shall be open and accessible to the general 951 public. Special meetings may be called by the chairperson and shall be 952 called at the request of the commissioner. 953 (d) Council members who are parents of children with disabilities 954 shall be reimbursed for reasonable and necessary expenses incurred in 955 the performance of their duties under this section. 956 (e) The council shall: (1) Assist the lead agency in the effective 957 performance of the lead agency's responsibilities under section 17a-248, 958 as amended by this act, this section and sections 17a-248c to 17a-248g, 959 inclusive, as amended by this act, 38a-490a, as amended by this act, and 960 38a-516a, as amended by this act, including identifying the sources of 961 fiscal support for early intervention services and programs, assignment 962 of financial responsibility to the appropriate agency, promotion of 963 interagency agreements and preparing applications and amendments 964 required pursuant to federal law; (2) advise and assist the commissioner 965 and other participating agencies in the development of standards and 966 procedures pursuant to said sections; (3) advise and assist the 967 commissioner and the Commissioner of Education regarding the 968 transition of children with disabilities to services provided under 969 sections 10-76a to 10-76h, inclusive; (4) advise and assist the 970 commissioner in identifying barriers that impede timely and effective 971 service delivery, including advice and assistance with regard to 972 interagency disputes; and (5) prepare and submit an annual report in 973 accordance with section 11-4a to the Governor and the General 974 Assembly on the status of the [birth-to-three] birth-to-five system. At 975 least thirty days prior to the commissioner's final approval of rules and 976 regulations pursuant to section 17a-248, as amended by this act, this 977 section, sections 17a-248c to 17a-248g, inclusive, as amended by this act, 978 Committee Bill No. 2 LCO No. 4232 32 of 49 38a-490a, as amended by this act, and 38a-516a, as amended by this act, 979 other than emergency rules and regulations, the commissioner shall 980 submit proposed rules and regulations to the council for its review. The 981 council shall review all proposed rules and regulations and report its 982 recommendations thereon to the commissioner within thirty days. The 983 commissioner shall not act in a manner inconsistent with the 984 recommendations of the council without first providing the reasons for 985 such action. The council, upon a majority vote of its members, may 986 require that an alternative approach to the proposed rules and 987 regulations be published with a notice of the proposed rules and 988 regulations pursuant to chapter 54. When an alternative approach is 989 published pursuant to this section, the commissioner shall state the 990 reasons for not selecting such alternative approach. 991 Sec. 29. Subsection (a) of section 17a-248c of the general statutes is 992 repealed and the following is substituted in lieu thereof (Effective July 1, 993 2022): 994 (a) The commissioner may establish one local interagency 995 coordinating council in each region of the state. Each council shall 996 consist of five or more individuals interested in the welfare of children 997 ages birth to [three] five years with disabilities or developmental delays. 998 Sec. 30. Section 17a-248d of the general statutes is repealed and the 999 following is substituted in lieu thereof (Effective July 1, 2022): 1000 (a) The lead agency, in coordination with the participating agencies 1001 and in consultation with the council, shall establish and maintain a state-1002 wide birth-to-three system of early intervention services pursuant to 1003 Part C of the Individuals with Disabilities Education Act, 20 USC 1431 1004 et seq., for eligible children and families of such children, and, on and 1005 after July 1, 2022, expand the provision of such services to children who 1006 are four and five years of age in accordance with section 25 of this act. 1007 (b) The state-wide system shall include a system for compiling data 1008 on the number of eligible children in the state in need of appropriate 1009 Committee Bill No. 2 LCO No. 4232 33 of 49 early intervention services, the number of such eligible children and 1010 their families served, the types of services provided and other 1011 information as deemed necessary by the lead agency. 1012 (c) The state-wide system shall include a comprehensive child-find 1013 system and public awareness program to ensure that eligible children 1014 are identified, located, referred to the system and evaluated. The 1015 following persons and entities, as soon as possible but not later than 1016 seven calendar days after identifying a child from birth to [three] five 1017 years of age suspected of having a developmental delay or of being at 1018 risk of having a developmental delay, shall refer the parent of such child 1019 to the early intervention system unless the person knows the child has 1020 already been referred: (1) Hospitals; (2) child health care providers; (3) 1021 local school districts; (4) public health facilities; (5) early intervention 1022 service providers; (6) participating agencies; and (7) such other social 1023 service and health care agencies and providers as the commissioner 1024 specifies in regulation. 1025 (d) The commissioner, in coordination with the participating 1026 agencies and in consultation with the council, shall adopt regulations, 1027 pursuant to chapter 54, to carry out the provisions of section 17a-248, as 1028 amended by this act, and sections 17a-248b to 17a-248g, inclusive, as 1029 amended by this act, 38a-490a, as amended by this act, and 38a-516a, as 1030 amended by this act. 1031 (e) The state-wide system shall include a system for required 1032 notification to any local or regional school board of education no later 1033 than January first of each year of any child who resides in the local or 1034 regional school district, participates in the state-wide program and will 1035 attain the age of three during the next fiscal year. Such system of 1036 notification shall include provisions for preserving the confidentiality of 1037 such child and of the parent or guardian of such child. 1038 Sec. 31. Subsection (d) of section 17a-248e of the general statutes is 1039 repealed and the following is substituted in lieu thereof (Effective July 1, 1040 2022): 1041 Committee Bill No. 2 LCO No. 4232 34 of 49 (d) The lead agency may provide early intervention services, arrange 1042 for the delivery of early intervention services by participating agencies 1043 or contract with providers to deliver early intervention services to 1044 eligible children and the families of such children. The lead agency in 1045 providing, arranging or contracting for early intervention services shall 1046 (1) monitor all [birth-to-three] birth-to-five service providers for quality 1047 and accountability in accordance with Section 616 of the Individuals 1048 with Disabilities Education Act, 20 USC 1416 and the plan developed 1049 pursuant to section 25 of this act, and (2) establish state-wide rates for 1050 such services. 1051 Sec. 32. Section 17a-248g of the general statutes is repealed and the 1052 following is substituted in lieu thereof (Effective July 1, 2022): 1053 (a) Subject to the provisions of this section, funds appropriated to the 1054 lead agency for purposes of section 17a-248, as amended by this act, 1055 sections 17a-248b to 17a-248f, inclusive, this section and sections 38a-1056 490a, as amended by this act, and 38a-516a, as amended by this act, shall 1057 not be used to satisfy a financial commitment for services that would 1058 have been paid from another public or private source but for the 1059 enactment of said sections, except for federal funds available pursuant 1060 to Part C of the Individuals with Disabilities Education Act, 20 USC 1431 1061 et seq., except that whenever considered necessary to prevent the delay 1062 in the receipt of appropriate early intervention services by the eligible 1063 child or family in a timely fashion, funds provided under said sections 1064 may be used to pay the service provider pending reimbursement from 1065 the public or private source that has ultimate responsibility for the 1066 payment. 1067 (b) Nothing in section 17a-248, as amended by this act, sections 17a-1068 248b to 17a-248f, inclusive, as amended by this act, this section and 1069 sections 38a-490a, as amended by this act, and 38a-516a, as amended by 1070 this act, shall be construed to permit the Department of Social Services 1071 or any other state agency to reduce medical assistance pursuant to this 1072 chapter or other assistance or services available to eligible children. 1073 Committee Bill No. 2 LCO No. 4232 35 of 49 Notwithstanding any provision of the general statutes, costs incurred 1074 for early intervention services that otherwise qualify as medical 1075 assistance that are furnished to an eligible child who is also eligible for 1076 benefits pursuant to this chapter shall be considered medical assistance 1077 for purposes of payments to providers and state reimbursement to the 1078 extent that federal financial participation is available for such services. 1079 (c) Providers of early intervention services shall, in the first instance 1080 and where applicable, seek payment from all third-party payers prior to 1081 claiming payment from the [birth-to-three] birth-to-five system for 1082 services rendered to eligible children, provided, for the purpose of 1083 seeking payment from the Medicaid program or from other third-party 1084 payers as agreed upon by the provider, the obligation to seek payment 1085 shall not apply to a payment from a third-party payer who is not 1086 prohibited from applying such payment, and who will apply such 1087 payment, to an annual or lifetime limit specified in the third-party 1088 payer's policy or contract. 1089 (d) The commissioner, in consultation with the Office of Policy and 1090 Management and the Insurance Commissioner, shall adopt regulations, 1091 pursuant to chapter 54, providing public reimbursement for deductibles 1092 and copayments imposed under an insurance policy or health benefit 1093 plan to the extent that such deductibles and copayments are applicable 1094 to early intervention services. 1095 (e) [The commissioner shall establish and periodically revise, in 1096 accordance with this section, a schedule of fees based on a sliding scale 1097 for early intervention services. The schedule of fees shall consider the 1098 cost of such services relative to the financial resources of the state and 1099 the parents or legal guardians of eligible children, provided that on and 1100 after October 6, 2009, the commissioner shall (1) charge fees to such 1101 parents or legal guardians that are sixty per cent greater than the 1102 amount of the fees charged on the date prior to October 6, 2009; and (2) 1103 charge fees for all services provided, including those services provided 1104 in the first two months following the enrollment of a child in the 1105 Committee Bill No. 2 LCO No. 4232 36 of 49 program. Fees may be charged to any such parent or guardian, 1106 regardless of income, and shall be charged to any such parent or 1107 guardian with a gross annual family income of forty-five thousand 1108 dollars or more, except that no fee may be charged to the parent or 1109 guardian of a child who is eligible for Medicaid. Notwithstanding the 1110 provisions of subdivision (8) of section 17a-248, as used in this 1111 subsection, "parent" means the biological or adoptive parent or legal 1112 guardian of any child receiving early intervention services. The lead 1113 agency may assign its right to collect fees to a designee or provider 1114 participating in the early intervention program and providing services 1115 to a recipient in order to assist the provider in obtaining payment for 1116 such services. The commissioner may implement procedures for the 1117 collection of the schedule of fees while in the process of adopting or 1118 amending such criteria in regulation, provided the commissioner posts 1119 notice of intention to adopt or amend the regulations on the 1120 eRegulations System, established pursuant to section 4-173b, within 1121 twenty days of implementing the policy. Such collection procedures and 1122 schedule of fees shall be valid until the time the final regulations or 1123 amendments are effective] The commissioner shall not charge a fee for 1124 early intervention services to the parents or legal guardians of eligible 1125 children. 1126 (f) [The] With respect to early intervention services rendered prior to 1127 July 1, 2022, the commissioner shall develop and implement procedures 1128 to hold a recipient harmless for the impact of pursuit of payment for 1129 [early intervention] such services against lifetime insurance limits. 1130 (g) Notwithstanding any provision of title 38a relating to the 1131 permissible exclusion of payments for services under governmental 1132 programs, no such exclusion shall apply with respect to payments made 1133 pursuant to section 17a-248, as amended by this act, sections 17a-248b 1134 to 17a-248f, inclusive, this section and sections 38a-490a, as amended by 1135 this act, and 38a-516a, as amended by this act. Except as provided in this 1136 subsection, nothing in this section shall increase or enhance coverages 1137 provided for within an insurance contract subject to the provisions of 1138 Committee Bill No. 2 LCO No. 4232 37 of 49 section 10-94f, subsection (a) of section 10-94g, subsection (a) of section 1139 17a-219b, subsection (a) of section 17a-219c, as amended by this act, 1140 sections 17a-248, as amended by this act, 17a-248b to 17a-248f, inclusive, 1141 as amended by this act, this section, and sections 38a-490a, as amended 1142 by this act, and 38a-516a, as amended by this act. 1143 Sec. 33. Section 17a-248h of the general statutes is repealed and the 1144 following is substituted in lieu thereof (Effective July 1, 2022): 1145 The [birth-to-three] birth-to-five program, established under section 1146 25 of this act and section 17a-248b, as amended by this act, and 1147 administered by the Office of Early Childhood, shall provide mental 1148 health services to any child eligible for early intervention services 1149 pursuant to Part C of the Individuals with Disabilities Education Act, 20 1150 USC 1431 et seq., as amended from time to time and in accordance with 1151 the plan developed pursuant to section 25 of this act. Any child not 1152 eligible for services under said act shall be referred by the program to a 1153 licensed mental health care provider for evaluation and treatment, as 1154 needed. 1155 Sec. 34. Subsection (a) of section 17a-248i of the general statutes is 1156 repealed and the following is substituted in lieu thereof (Effective July 1, 1157 2022): 1158 (a) [Not later than October 1, 2015] On and after July 1, 2022, the 1159 Commissioner of Early Childhood shall require, as part of the [birth-to-1160 three] birth-to-five program established under section 25 of this act and 1161 17a-248b, as amended by this act, that the parent or guardian of a child 1162 who is (1) receiving services under the [birth-to-three] birth-to-five 1163 program, and (2) exhibiting delayed speech, language or hearing 1164 development, be notified of the availability of hearing testing for such 1165 child. Such notification may include, but need not be limited to, 1166 information regarding (A) the benefits of hearing testing for children, 1167 (B) the resources available to the parent or guardian for hearing testing 1168 and treatment, and (C) any financial assistance that may be available for 1169 such testing. 1170 Committee Bill No. 2 LCO No. 4232 38 of 49 Sec. 35. Subsection (g) of section 10-145d of the general statutes is 1171 repealed and the following is substituted in lieu thereof (Effective July 1, 1172 2022): 1173 (g) For the purposes of issuance of certificates, permits and 1174 authorizations by the State Board of Education under the provisions of 1175 sections 10-144o to 10-149, inclusive, teaching experience in approved 1176 nonpublic schools shall include teaching experience in [birth-to-three] 1177 birth-to-five programs approved by the Department of Developmental 1178 Services. 1179 Sec. 36. Subdivision (26) of subsection (b) of section 10-500 of the 1180 general statutes is repealed and the following is substituted in lieu 1181 thereof (Effective July 1, 2022): 1182 (26) Promoting the delivery of services to infants, [and] toddlers and 1183 young children to ensure optimal health, safety and learning of children 1184 from birth to [three] five years of age. 1185 Sec. 37. Subdivision (5) of subsection (b) of section 17a-22gg of the 1186 general statutes is repealed and the following is substituted in lieu 1187 thereof (Effective July 1, 2022): 1188 (5) One representing the [birth-to-three] birth-to-five program 1189 established under section 17a-248b, as amended by this act; 1190 Sec. 38. Subdivision (29) of subsection (g) of section 17a-28 of the 1191 general statutes is repealed and the following is substituted in lieu 1192 thereof (Effective July 1, 2022): 1193 (29) The [birth-to-three] birth-to-five program's referral intake office 1194 for the purpose of (A) determining eligibility of, (B) facilitating 1195 enrollment for, and (C) providing services to (i) substantiated victims of 1196 child abuse and neglect with suspected developmental delays, and (ii) 1197 newborns impacted by withdrawal symptoms resulting from prenatal 1198 drug exposure; and 1199 Committee Bill No. 2 LCO No. 4232 39 of 49 Sec. 39. Section 17a-106e of the general statutes is repealed and the 1200 following is substituted in lieu thereof (Effective July 1, 2022): 1201 (a) (1) On and after October 1, 2013, the Department of Children and 1202 Families shall, within available appropriations, ensure that each child 1203 thirty-six months of age or younger who has been substantiated as a 1204 victim of abuse or neglect is screened for both developmental and social-1205 emotional delays using validated assessment tools such as the Ages and 1206 Stages and the Ages and Stages-Social/Emotional Questionnaires, or 1207 their equivalents. The department shall ensure that such screenings are 1208 administered to any such child twice annually, unless such child has 1209 been found to be eligible for the [birth-to-three] birth-to-five program, 1210 established under section 17a-248b, as amended by this act. 1211 (2) On and after July 1, 2015, the department shall ensure that each 1212 child thirty-six months of age or younger who is being served through 1213 the department's family assessment response program, established 1214 under section 17a-101g, is screened for both developmental and social-1215 emotional delays using validated assessment tools such as the Ages and 1216 Stages and the Ages and Stages-Social/Emotional Questionnaires, or 1217 their equivalents, unless such child has been found to be eligible for the 1218 [birth-to-three] birth-to-five program. 1219 (b) The department shall refer any child exhibiting developmental or 1220 social-emotional delays pursuant to such screenings to the [birth-to-1221 three] birth-to-five program. The department shall refer any child who 1222 is not found eligible for services under the [birth-to-three] birth-to-five 1223 program to the Help Me Grow prevention program under the Office of 1224 Early Childhood, pursuant to section 17b-751d, or a similar program 1225 that the department deems appropriate. 1226 (c) Not later than July 1, 2014, and annually thereafter, the 1227 department shall submit, in accordance with the provisions of section 1228 11-4a, a report to the joint standing committee of the General Assembly 1229 having cognizance of matters relating to children for inclusion in the 1230 annual report card prepared pursuant to section 2-53m on the status of 1231 Committee Bill No. 2 LCO No. 4232 40 of 49 the screening and referral program authorized pursuant to subsection 1232 (a) of this section. Such report shall include: (1) The number of children 1233 thirty-six months of age or younger within the state who have been 1234 substantiated as victims of abuse or neglect within the preceding twelve 1235 months; (2) the number of children thirty-six months of age or younger 1236 within the state who have been served through the department's family 1237 assessment response program within the preceding twelve months; (3) 1238 the number of children who were screened for developmental and 1239 social-emotional delays pursuant to subsection (a) of this section by the 1240 department or by a provider contracted by the department within the 1241 preceding twelve months; (4) the number of children in subdivisions (1) 1242 and (2) of this subsection referred for evaluation under the [birth-to-1243 three] birth-to-five program within the preceding twelve months, the 1244 number of such children actually evaluated under such program, the 1245 number of such children found eligible for services under such program 1246 and the services for which such children were found eligible under such 1247 program; and (5) the number of children described in subdivisions (1) 1248 and (2) of this subsection receiving evidence-based developmental 1249 support services through the [birth-to-three] birth-to-five program or 1250 through a provider contracted by the department within the preceding 1251 twelve months. 1252 Sec. 40. Subsection (a) of section 17a-219c of the general statutes is 1253 repealed and the following is substituted in lieu thereof (Effective July 1, 1254 2022): 1255 (a) There is established a Family Support Council to assist the 1256 Department of Developmental Services and other state agencies that 1257 administer or fund family support services to act in concert and, within 1258 available appropriations, to (1) establish a comprehensive, coordinated 1259 system of family support services, (2) use existing state and other 1260 resources efficiently and effectively as appropriate for such services, (3) 1261 identify and address services that are needed for families of children 1262 with disabilities, and (4) promote state-wide availability of such 1263 services. The council shall consist of twenty-six voting members 1264 Committee Bill No. 2 LCO No. 4232 41 of 49 including the Commissioners of Public Health, Developmental Services, 1265 Children and Families, Education and Social Services, or their 1266 designees, the Child Advocate or the Child Advocate's designee, the 1267 chairperson of the State Interagency [Birth-to-Three] Birth-to-Five 1268 Coordinating Council, established pursuant to section 17a-248b, or the 1269 chairperson's designee, the executive director of the Commission on 1270 Women, Children, Seniors, Equity and Opportunity, or the executive 1271 director's designee, and family members of, or individuals who 1272 advocate for, children with disabilities. The family members or 1273 individuals who advocate for children with disabilities shall comprise 1274 two-thirds of the council and shall be appointed as follows: Six by the 1275 Governor, three by the president pro tempore of the Senate, two by the 1276 majority leader of the Senate, one by the minority leader of the Senate, 1277 three by the speaker of the House of Representatives, two by the 1278 majority leader of the House of Representatives and one by the minority 1279 leader of the House of Representatives. All appointed members serving 1280 on or after October 5, 2009, including members appointed prior to 1281 October 5, 2009, shall serve in accordance with the provisions of section 1282 4-1a. Members serving on or after October 5, 2009, including members 1283 appointed prior to October 5, 2009, shall serve no more than eight 1284 consecutive years on the council. The council shall meet at least 1285 quarterly and shall select its own chairperson. Council members shall 1286 serve without compensation but shall be reimbursed for necessary 1287 expenses incurred. The costs of administering the council shall be within 1288 available appropriations in accordance with this section and sections 1289 17a-219a and 17a-219b. 1290 Sec. 41. Subsection (d) of section 19a-110 of the general statutes is 1291 repealed and the following is substituted in lieu thereof (Effective July 1, 1292 2022): 1293 (d) The director of health of the town, city, borough or district shall 1294 provide or cause to be provided, to the parent or guardian of a child 1295 who is (1) known to have a confirmed venous blood lead level of five 1296 micrograms per deciliter of blood or more, or (2) the subject of a report 1297 Committee Bill No. 2 LCO No. 4232 42 of 49 by an institution or clinical laboratory, pursuant to subsection (a) of this 1298 section, with information describing the dangers of lead poisoning, 1299 precautions to reduce the risk of lead poisoning, information about 1300 potential eligibility for services for children from birth to [three] five 1301 years of age pursuant to sections 17a-248 to 17a-248g, inclusive, as 1302 amended by this act, and laws and regulations concerning lead 1303 abatement. The director of health need only provide, or cause to be 1304 provided, such information to such parent or guardian on one occasion 1305 after receipt of an initial report of an abnormal blood lead level as 1306 described in subdivisions (1) and (2) of this subsection. Such 1307 information shall be developed by the Department of Public Health and 1308 provided to each local and district director of health. With respect to the 1309 child reported, the director shall conduct an on-site inspection to 1310 identify the source of the lead causing a confirmed venous blood lead 1311 level equal to or greater than fifteen micrograms per deciliter but less 1312 than twenty micrograms per deciliter in two tests taken at least three 1313 months apart and order remediation of such sources by the appropriate 1314 persons responsible for the conditions at such source. On and after 1315 January 1, 2012, if one per cent or more of children in this state under 1316 the age of six report blood lead levels equal to or greater than ten 1317 micrograms per deciliter, the director shall conduct such on-site 1318 inspection and order such remediation for any child having a confirmed 1319 venous blood lead level equal to or greater than ten micrograms per 1320 deciliter in two tests taken at least three months apart. 1321 Sec. 42. Subsection (a) of section 38a-490a of the general statutes is 1322 repealed and the following is substituted in lieu thereof (Effective July 1, 1323 2022): 1324 (a) Each individual health insurance policy providing coverage of the 1325 type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 1326 delivered, issued for delivery, renewed, amended or continued in this 1327 state shall provide coverage for medically necessary early intervention 1328 services provided as part of an individualized family service plan 1329 pursuant to section 17a-248e, as amended by this act. Such policy shall 1330 Committee Bill No. 2 LCO No. 4232 43 of 49 provide coverage for such services provided by qualified personnel, as 1331 defined in section 17a-248, as amended by this act, for a child from birth 1332 until the child's [third] fifth birthday. 1333 Sec. 43. Subsection (a) of section 38a-516a of the general statutes is 1334 repealed and the following is substituted in lieu thereof (Effective July 1, 1335 2022): 1336 (a) Each group health insurance policy providing coverage of the type 1337 specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 1338 delivered, issued for delivery, renewed, amended or continued in this 1339 state shall provide coverage for medically necessary early intervention 1340 services provided as part of an individualized family service plan 1341 pursuant to section 17a-248e, as amended by this act. Such policy shall 1342 provide coverage for such services provided by qualified personnel, as 1343 defined in section 17a-248, as amended by this act, for a child from birth 1344 until the child's [third] fifth birthday. 1345 Sec. 44. (NEW) (Effective July 1, 2021) (a) As used in this section: 1346 (1) "Broadband Internet access service" means a mass-market retail 1347 service by wire or radio that provides the capability to transmit data to 1348 and receive data from all or substantially all Internet endpoints, 1349 including any capabilities that are incidental to and enable the operation 1350 of the communications service, but excluding dial-up Internet access 1351 service; and 1352 (2) "Wi-Fi hotspot" means a wireless access point that provides the 1353 capability to transmit data to and receive data from all or substantially 1354 all Internet endpoints, including any capabilities that are incidental to 1355 and enable the operation of the communications service, but excluding 1356 dial-up Internet access service. 1357 (b) Not later than September 1, 2021, the Commissioner of Education 1358 shall establish an Internet access grant program. Such program shall 1359 award grants to local and regional boards of education to purchase 1360 Committee Bill No. 2 LCO No. 4232 44 of 49 broadband Internet access service or Wi-Fi hotspots for the purpose of 1361 providing students, educators and staff with reliable Internet access 1362 during school sessions that are conducted on a virtual platform or as 1363 part of a remote learning model. The commissioner shall prioritize the 1364 awarding of grants under this section to a local or regional board of 1365 education for (1) a town designated as an alliance district pursuant to 1366 section 10-262u of the general statutes, (2) a school district in which a 1367 high percentage of students are eligible for free and reduced priced 1368 lunches, and (3) a school district in which a high percentage of students 1369 lack Internet access as shown by the last official United States census. 1370 (c) A local or regional board of education that is conducting school 1371 sessions on a virtual platform or as part of a remote learning model shall 1372 submit an application to the Commissioner of Education in the manner 1373 and form prescribed by the commissioner, which shall include, but not 1374 be limited to: (1) The amount of funds requested, (2) the plan and 1375 timeline for the purchase of broadband Internet access service or Wi-Fi 1376 hotspots, (3) the number of students who lack Internet access and how 1377 the board determined such number, and (4) any other information 1378 deemed necessary by the commissioner. 1379 (d) Not later than January 1, 2023, and annually thereafter, the 1380 Commissioner of Education shall submit a report, in accordance with 1381 the provisions of section 11-4a of the general statutes, to the joint 1382 standing committees of the General Assembly having cognizance of 1383 matters relating to education and children regarding the grants 1384 awarded pursuant to the Internet access grant program. 1385 Sec. 45. (Effective from passage) (a) There is established a task force to 1386 study the comprehensive needs of children in the state and the extent to 1387 which such needs are being met by educators, community members and 1388 local and state agencies. The task force shall (1) assess the needs of 1389 children using the following tenets of the whole child initiative 1390 developed by the Association for Supervision and Curriculum 1391 Development: (A) Each student enters school healthy and learns about 1392 Committee Bill No. 2 LCO No. 4232 45 of 49 and practices a healthy lifestyle, (B) each student learns in an 1393 environment that is physically and emotionally safe for students and 1394 adults, (C) each student is actively engaged in learning and is connected 1395 to the school and broader community, (D) each student has access to 1396 personalized learning and is supported by qualified, caring adults, and 1397 (E) each student is challenged academically and prepared for success in 1398 college or further study and for employment and participation in a 1399 global environment, (2) recommend new programs or changes to 1400 existing programs operated by educators or local or state agencies to 1401 better address the needs of children in the state, and (3) recognize any 1402 exceptional efforts to meet the comprehensive needs of children by 1403 educators, community members or local or state agencies. As used in 1404 this section, "community member" means any individual or private 1405 organization that provides services or programs for children. 1406 (b) The task force shall consist of the following members: 1407 (1) Two appointed by the speaker of the House of Representatives, 1408 one of whom is an educator employed by a local or regional board of 1409 education and one of whom is a parent of a child who attends school in 1410 the state; 1411 (2) Two appointed by the president pro tempore of the Senate, one of 1412 whom has expertise in early childhood education and one of whom is a 1413 parent of a child who attends an early childhood education program in 1414 the state; 1415 (3) One appointed by the majority leader of the House of 1416 Representatives, who is a school administrator employed by a local or 1417 regional board of education; 1418 (4) One appointed by the majority leader of the Senate, who is a 1419 chairperson of a local or regional board of education; 1420 (5) One appointed by the minority leader of the House of 1421 Representatives, who is a director or employee of a private nonprofit 1422 Committee Bill No. 2 LCO No. 4232 46 of 49 organization in the state that provides recreational services or programs 1423 for children; 1424 (6) One appointed by the minority leader of the Senate, who is a 1425 director or employee of a private nonprofit organization in the state that 1426 provides health-related services programs for children; 1427 (7) The Commissioner of Education, or the commissioner's designee; 1428 and 1429 (8) The Commissioner of Early Childhood, or the commissioner's 1430 designee. 1431 (c) Any member of the task force appointed under subdivision (1), 1432 (2), (3), (4), (5) or (6) of subsection (b) of this section may be a member 1433 of the General Assembly. 1434 (d) All initial appointments to the task force shall be made not later 1435 than thirty days after the effective date of this section. Any vacancy shall 1436 be filled by the appointing authority not later than thirty days after the 1437 vacancy occurs. If a vacancy is not filled by the appointing authority, the 1438 chairpersons of the task force may fill such vacancy. 1439 (e) The speaker of the House of Representatives and the president pro 1440 tempore of the Senate shall select the chairpersons of the task force from 1441 among the members of the task force. Such chairpersons shall schedule 1442 the first meeting of the task force, which shall be held not later than sixty 1443 days after the effective date of this section. 1444 (f) The administrative staff of the joint standing committee of the 1445 General Assembly having cognizance of matters relating to children 1446 shall serve as administrative staff of the task force. 1447 (g) Not later than January 1, 2022, the task force shall submit a report 1448 on its findings and recommendations to the joint standing committee of 1449 the General Assembly having cognizance of matters relating to children, 1450 in accordance with the provisions of section 11-4a of the general statutes. 1451 Committee Bill No. 2 LCO No. 4232 47 of 49 The task force shall terminate on the date that it submits such report or 1452 January 1, 2022, whichever is later. 1453 This act shall take effect as follows and shall amend the following sections: Section 1 July 1, 2021 New section Sec. 2 July 1, 2021 20-12b(a) Sec. 3 July 1, 2021 20-73b(a) Sec. 4 July 1, 2021 20-74h Sec. 5 July 1, 2021 New section Sec. 6 July 1, 2021 20-102ee(a) Sec. 7 July 1, 2021 20-185k(b) Sec. 8 July 1, 2021 20-195ttt(f) Sec. 9 July 1, 2021 20-206mm(d) and (e) Sec. 10 July 1, 2021 19a-14c Sec. 11 July 1, 2021 10-148a(a) Sec. 12 July 1, 2021 10-220a(b) Sec. 13 July 1, 2021 10-220(b) Sec. 14 July 1, 2021 10-221(f) Sec. 15 from passage New section Sec. 16 from passage New section Sec. 17 July 1, 2021 10-16 Sec. 18 from passage 10-198b Sec. 19 July 1, 2021 New section Sec. 20 July 1, 2021 10-10a Sec. 21 July 1, 2021 10-220(c) Sec. 22 July 1, 2021 17a-10a Sec. 23 July 1, 2021 17a-103a Sec. 24 July 1, 2021 New section Sec. 25 July 1, 2021 New section Sec. 26 July 1, 2022 17a-248 Sec. 27 July 1, 2022 17a-248a Sec. 28 July 1, 2022 17a-248b Sec. 29 July 1, 2022 17a-248c(a) Sec. 30 July 1, 2022 17a-248d Sec. 31 July 1, 2022 17a-248e(d) Sec. 32 July 1, 2022 17a-248g Sec. 33 July 1, 2022 17a-248h Sec. 34 July 1, 2022 17a-248i(a) Committee Bill No. 2 LCO No. 4232 48 of 49 Sec. 35 July 1, 2022 10-145d(g) Sec. 36 July 1, 2022 10-500(b)(26) Sec. 37 July 1, 2022 17a-22gg(b)(5) Sec. 38 July 1, 2022 17a-28(g)(29) Sec. 39 July 1, 2022 17a-106e Sec. 40 July 1, 2022 17a-219c(a) Sec. 41 July 1, 2022 19a-110(d) Sec. 42 July 1, 2022 38a-490a(a) Sec. 43 July 1, 2022 38a-516a(a) Sec. 44 July 1, 2021 New section Sec. 45 from passage New section Statement of Purpose: To (1) establish a youth suicide prevention training program, (2) require certain licensed health care professionals to complete mental health and suicide screening and prevention training, (3) permit minors to receive more than six outpatient mental health treatment sessions without the consent of a parent or guardian, (4) require local and regional boards of education to integrate the principles and practices of social-emotional learning into programs of professional development and statements of educational goals, (5) permit parents to attend parent-teacher conferences remotely, (6) require additional parent-teacher conferences during periods when a school district conducts school sessions remotely, (7) require the provision of information by teachers concerning safety, mental health and food insecurity during such conferences, (8) permit local and regional boards of education to provide instruction to high school students remotely and prohibit such boards from deeming absent a student who attends school remotely, (9) require local and regional boards of education to permit students to take up to four mental health wellness days per school year, (10) require the collection of adverse childhood experiences data by local and regional boards of education and the Department of Education, (11) require the Commissioner of Children and Families to provide children in the care and custody of the commissioner remote visitation opportunities in lieu of in-person visitation, in the event of a pandemic or outbreak of communicable disease, (12) require the Commissioner of Children and Families to develop a policy requiring the cessation of in-person visitation on a case-by-case basis in the event that such visitation could result in the contraction of a communicable disease by one or more participants, (13) expand the operation of the Department of Children and Families telephone Careline to accommodate the receipt and Committee Bill No. 2 LCO No. 4232 49 of 49 provision of information concerning child abuse and neglect by text message, (14) require the Commissioner of Children and Families to provide certain notice to parents and guardians in the event that the commissioner is considering removal of a child from the home, and the services of a translator, if necessary, during any meeting to discuss such removal, (15) require the Commissioner of Early Childhood to develop and implement a plan to expand the birth-to-three program to provide early intervention services to children five years of age and under and eliminate parent fees for such services, (16) require the Commissioner of Education to establish an Internet access grant program for local and regional boards of education to provide students, educators and staff with Internet access during school sessions that are conducted remotely, and (17) establish a task force to study the comprehensive needs of children in the state. [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.] Co-Sponsors: SEN. LOONEY, 11th Dist.; SEN. DUFF, 25th Dist. SEN. MCCRORY, 2nd Dist.; SEN. ANWAR, 3rd Dist. SEN. CASSANO, 4th Dist.; SEN. SLAP, 5th Dist. SEN. LESSER, 9th Dist.; SEN. WINFIELD, 10th Dist. SEN. DAUGHERTY ABRAMS, 13th Dist.; SEN. CABRERA, 17th Dist. SEN. MOORE, 22nd Dist.; SEN. KUSHNER, 24th Dist. SEN. HASKELL, 26th Dist.; SEN. FLEXER, 29th Dist. SEN. KASSER, 36th Dist.; SEN. BRADLEY, 23rd Dist. REP. CONLEY, 40th Dist.; REP. SIMMS, 140th Dist. SEN. OSTEN, 19th Dist.; REP. TURCO, 27th Dist. REP. MORRIN BELLO, 28th Dist. S.B. 2