LCO \\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002-R03- SB.docx 1 of 38 General Assembly Substitute Bill No. 2 January Session, 2021 AN ACT CONCERNING SO CIAL EQUITY AND THE HEALTH, SAFETY AND EDUCATION OF CHI LDREN. 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) 1 "evidence-based" describes a training program that (A) incorporates 2 methods demonstrated to be effective for the intended population 3 through scientifically based research, including statistically controlled 4 evaluations or randomized trials, (B) can be implemented with a set of 5 procedures to allow successful replication in the state, (C) achieves 6 sustained, desirable outcomes, and (D) when possible, has been 7 determined to be cost-beneficial, and (2) "Question, Persuade and Refer 8 (QPR) Institute Gatekeeper Training" means an educational program 9 designed to teach lay and professional persons who work with youth 10 the warning signs of a suicide crisis and how to respond. 11 (b) The Youth Suicide Advisory Board, established pursuant to 12 section 17a-52 of the general statutes, and the Office of the Child 13 Advocate, shall jointly administer an evidence-based youth suicide 14 prevention training program in each district department of health 15 formed pursuant to section 19a-241 of the general statutes. The training 16 program shall provide certification in QPR Institute Gatekeeper 17 Training, utilizing a training model that will enable participants to 18 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 2 of 38 provide QPR Institute Gatekeeper Training to other individuals upon 19 completion of the training program. Such training program shall be 20 offered not later than July 1, 2022, and at least once every three years 21 thereafter. 22 (c) The director of health for each district department of health shall 23 determine the eligibility criteria for participation in the youth suicide 24 prevention training program. Participants shall be members of the 25 following groups within such district: (1) Employees of such district 26 department of health, (2) employees of youth service bureaus 27 established pursuant to section 10-19m of the general statutes, (3) school 28 employees, as defined in section 10-222d of the general statutes, (4) 29 employees and volunteers of youth-serving organizations, (5) 30 employees and volunteers of operators of youth athletic activities, as 31 defined in section 21a-432 of the general statutes, (6) employees of 32 municipal social service agencies, (7) members of paid municipal or 33 volunteer fire departments, and (8) members of local police 34 departments. With respect to school employees, such training program 35 may be included as part of an in-service training program provided 36 pursuant to section 10-220a of the general statutes, as amended by this 37 act. 38 (d) Any individual who has received certification in QPR Institute 39 Gatekeeper Training through the training program administered 40 pursuant to subsection (b) of this section may, during the period in 41 which such certification is valid, provide QPR Institute Gatekeeper 42 Training to any member of a group described in subdivisions (1) to (8), 43 inclusive, of subsection (c) of this section and members of the public. 44 (e) The Youth Suicide Advisory Board and the Office of the Child 45 Advocate may contract with a nongovernmental entity that provides 46 evidence-based suicide prevention training to carry out the provisions 47 of this section. 48 Sec. 2. Subsection (a) of section 20-12b of the general statutes is 49 repealed and the following is substituted in lieu thereof (Effective July 1, 50 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 3 of 38 2021): 51 (a) The department may, upon receipt of a fee of one hundred ninety 52 dollars, issue a physician assistant license to an applicant who: (1) Holds 53 a baccalaureate or higher degree in any field from a regionally 54 accredited institution of higher education; (2) has graduated from an 55 accredited physician assistant program; (3) has passed the certification 56 examination of the national commission; (4) has satisfied the mandatory 57 continuing medical education requirements of the national commission 58 for current certification by such commission, [and] (5) on and after 59 January 1, 2022, has completed not less than two hours of training or 60 education, approved by the Commissioner of Public Health, on (A) 61 screening for conditions such as post-traumatic stress disorder, risk of 62 suicide, depression and grief, and (B) suicide prevention training, 63 during the first renewal period in which continuing education is 64 required and not less than once every six years thereafter, (6) has passed 65 any examination or continued competency assessment the passage of 66 which may be required by the national commission for maintenance of 67 current certification by such commission; and [(5)] (7) has completed not 68 less than sixty hours of didactic instruction in pharmacology for 69 physician assistant practice approved by the department. 70 Sec. 3. Subsection (a) of section 20-73b of the general statutes is 71 repealed and the following is substituted in lieu thereof (Effective July 1, 72 2021): 73 (a) Except as otherwise provided in this section, each physical 74 therapist licensed pursuant to this chapter shall complete a minimum of 75 twenty hours of continuing education during each registration period. 76 For purposes of this section, registration period means the twelve-77 month period for which a license has been renewed in accordance with 78 section 19a-88 and is current and valid. The continuing education shall 79 be in areas related to the individual's practice, except, on and after 80 January 1, 2022, shall include not less than two hours of training or 81 education on (1) screening for conditions such as post-traumatic stress 82 disorder, risk of suicide, depression and grief, and (2) suicide prevention 83 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 4 of 38 training, during the first registration period in which continuing 84 education is required and not less than once every six years thereafter. 85 Qualifying continuing education activities include, but are not limited 86 to, courses offered or approved by the American Physical Therapy 87 Association or the Commissioner of Public Health or any component of 88 the American Physical Therapy Association, a hospital or other licensed 89 health care institution or a regionally accredited institution of higher 90 education. 91 Sec. 4. Section 20-74h of the general statutes is repealed and the 92 following is substituted in lieu thereof (Effective July 1, 2021): 93 Licenses for occupational therapists and occupational therapy 94 assistants issued under this chapter shall be subject to renewal once 95 every two years and shall expire unless renewed in the manner 96 prescribed by regulation upon the payment of two times the 97 professional services fee payable to the State Treasurer for class B as 98 defined in section 33-182l, plus five dollars. The department shall notify 99 any person or entity that fails to comply with the provisions of this 100 section that the person's or entity's license shall become void ninety days 101 after the time for its renewal unless it is so renewed. Any such license 102 shall become void upon the expiration of such ninety-day period. The 103 commissioner shall establish additional requirements for licensure 104 renewal which provide evidence of continued competency, which, on 105 and after January 1, 2022, shall include not less than two hours of 106 training or education, approved by the Commissioner of Public Health, 107 on (1) screening for conditions such as post-traumatic stress disorder, 108 risk of suicide, depression and grief, and (2) suicide prevention training 109 during the first renewal period and not less than once every six years 110 thereafter. The holder of an expired license may apply for and obtain a 111 valid license only upon compliance with all relevant requirements for 112 issuance of a new license. A suspended license is subject to expiration 113 and may be renewed as provided in this section, but such renewal shall 114 not entitle the licensee, while the license remains suspended and until it 115 is reinstated, to engage in the licensed activity, or in any other conduct 116 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 5 of 38 or activity in violation of the order or judgment by which the license was 117 suspended. If a license revoked on disciplinary grounds is reinstated, 118 the licensee, as a condition of reinstatement, shall pay the renewal fee. 119 Sec. 5. (NEW) (Effective July 1, 2021) (a) As used in this section: 120 (1) "Contact hour" means a minimum of fifty minutes of continuing 121 education and activities; and 122 (2) "Registration period" means the one-year period for which a 123 license has been renewed in accordance with section 19a-88 of the 124 general statutes and is current and valid. 125 (b) For registration periods beginning on and after January 1, 2022, a 126 registered nurse licensed pursuant to section 20-93 of the general 127 statutes and a licensed practical nurse licensed pursuant to section 20-128 96 of the general statutes applying for license renewal shall, during the 129 first renewal period and not less than once every six years thereafter, 130 earn not less than two contact hours of training or education on (1) 131 screening for conditions such as post-traumatic stress disorder, risk of 132 suicide, depression and grief, and (2) suicide prevention training. For 133 purposes of this section, qualifying continuing education activities 134 include, but are not limited to, in-person and online courses offered or 135 approved by the American Nurses Association, Connecticut Hospital 136 Association, Connecticut Nurses Association, Connecticut League for 137 Nursing, a specialty nursing society or an equivalent organization in 138 another jurisdiction, an educational offering sponsored by a hospital or 139 other health care institution or a course offered by a regionally 140 accredited academic institution or a state or local health department. 141 The Commissioner of Public Health may grant a waiver of not more 142 than ten contact hours of continuing education for a registered nurse or 143 licensed practical nurse who: (A) Engages in activities related to such 144 nurse's service as a member of the Connecticut State Board of Examiners 145 for Nursing, established pursuant to section 20-88 of the general 146 statutes; or (B) assists the Department of Health with its duties to boards 147 and commissions as described in section 19a-14 of the general statutes. 148 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 6 of 38 (c) Each registered nurse and licensed practical nurse applying for 149 license renewal pursuant to section 19a-88 of the general statutes shall 150 sign a statement attesting that he or she has satisfied the continuing 151 education requirements of subsection (b) of this section on a form 152 prescribed by the Department of Public Health. Each licensee shall 153 retain records of attendance or certificates of completion that 154 demonstrate compliance with the continuing education requirements of 155 subsection (b) of this section for a minimum of three years following the 156 year in which the continuing education was completed and shall submit 157 such records or certificates to the department for inspection not later 158 than forty-five days after a request by the department for such records 159 or certificates. 160 Sec. 6. Subsection (a) of section 20-102ee of the general statutes is 161 repealed and the following is substituted in lieu thereof (Effective July 1, 162 2021): 163 (a) The Commissioner of Public Health shall adopt regulations, in 164 accordance with the provisions of chapter 54, concerning the regulation 165 of nurse's aides. Such regulations shall require a training program for 166 nurse's aides of not less than one hundred hours. Not less than seventy-167 five of such hours shall include, but not be limited to, basic nursing 168 skills, personal care skills, care of cognitively impaired residents, 169 recognition of mental health and social service needs, basic restorative 170 services and residents' rights. Not less than twenty-five of such hours 171 shall include, but not be limited to, specialized training in 172 understanding and responding to challenging behaviors related to 173 physical, psychiatric, psychosocial and cognitive disorders. On and after 174 January 1, 2022, not less than two of such hours shall include screening 175 for conditions such as (1) post-traumatic stress disorder, risk of suicide, 176 depression and grief, and (2) suicide prevention training from training 177 or education providers approved by the commissioner. 178 Sec. 7. Subsection (b) of section 20-185k of the general statutes is 179 repealed and the following is substituted in lieu thereof (Effective July 1, 180 2021): 181 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 7 of 38 (b) A license issued under this section may be renewed annually. The 182 license shall be renewed in accordance with the provisions of section 183 19a-88, for a fee of one hundred seventy-five dollars. Each behavior 184 analyst applying for license renewal shall furnish evidence satisfactory 185 to the commissioner of (1) having current certification with the Behavior 186 Analyst Certification Board, and (2) on and after January 1, 2022, 187 completing not less than two hours of training or education, approved 188 by the Commissioner of Public Health, on (A) screening for conditions 189 such as post-traumatic stress disorder, risk of suicide, depression and 190 grief, and (B) suicide prevention training during the first renewal period 191 and not less than once every six years thereafter. 192 Sec. 8. Subsection (f) of section 20-195ttt of the general statutes is 193 repealed and the following is substituted in lieu thereof (Effective July 1, 194 2021): 195 (f) A certification issued under this section may be renewed every 196 three years. The license shall be renewed in accordance with the 197 provisions of section 19a-88 for a fee of one hundred dollars. Each 198 certified community health worker applying for license renewal shall 199 furnish evidence satisfactory to the commissioner of having completed 200 a minimum of thirty hours of continuing education requirements, 201 including two hours focused on cultural competency, systemic racism 202 or systemic oppression, [and] two hours focused on social determinants 203 of health and on and after January 1, 2022, two hours of training on (1) 204 screening for conditions such as post-traumatic stress disorder, risk of 205 suicide, depression and grief, and (2) suicide prevention training, 206 provided by training or education providers approved by the 207 Commissioner of Public Health. 208 Sec. 9. Subsections (d) and (e) of section 20-206mm of the general 209 statutes are repealed and the following is substituted in lieu thereof 210 (Effective July 1, 2021): 211 (d) On or after January 1, 2020, each person seeking certification as an 212 emergency medical responder, emergency medical technician or 213 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 8 of 38 advanced emergency medical technician shall apply to the department 214 on forms prescribed by the commissioner. Applicants for certification 215 shall comply with the following requirements: (1) For initial 216 certification, an applicant shall present evidence satisfactory to the 217 commissioner that the applicant (A) has completed an initial training 218 program consistent with the National Emergency Medical Services 219 Education Standards, as promulgated by the National Highway Traffic 220 Safety Administration for the emergency medical responder, emergency 221 medical technician or advanced emergency medical technician 222 curriculum, (B) has passed the examination administered by the 223 national organization for emergency medical certification for an 224 emergency medical responder, emergency medical technician or 225 advanced emergency medical technician as necessary for the type of 226 certification sought by the applicant or an examination approved by the 227 department, and (C) has no pending disciplinary action or unresolved 228 complaints against such applicant, (2) a certificate issued under this 229 subsection shall be renewed once every two years in accordance with 230 the provisions of section 19a-88 upon presentation of evidence 231 satisfactory to the commissioner that the applicant (A) has successfully 232 completed continuing education for an emergency medical responder, 233 emergency medical technician or advanced emergency medical 234 technician as required by the national organization for emergency 235 medical certification or as approved by the department, (B) on and after 236 January 1, 2022, has completed not less than two hours of training or 237 education, approved by the Commissioner of Public Health, on (i) 238 screening for conditions such as post-traumatic stress disorder, risk of 239 suicide, depression and grief, and (ii) suicide prevention training during 240 the first renewal period and not less than once every six years thereafter, 241 or [(B)] (C) presents a current certification as an emergency medical 242 responder, emergency medical technician or advanced emergency 243 medical technician from the national organization for emergency 244 medical certification, or (3) for certification by endorsement from 245 another state, an applicant shall present evidence satisfactory to the 246 commissioner that the applicant (A) is currently certified as an 247 emergency medical responder, emergency medical technician or 248 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 9 of 38 advanced emergency medical technician in good standing by a state that 249 maintains certification or licensing requirements that the commissioner 250 determines are equal to or greater than those in this state, or (B) holds a 251 current certification as an emergency medical responder, emergency 252 medical technician or advanced emergency medical technician from the 253 national organization for emergency medical certification. 254 (e) On or after January 1, 2020, each person seeking certification as an 255 emergency medical services instructor shall apply to the department on 256 forms prescribed by the commissioner. Applicants for certification shall 257 comply with the following requirements: (1) For initial certification, an 258 applicant shall present evidence satisfactory to the commissioner that 259 the applicant (A) is currently certified by the department as an 260 emergency medical technician or advanced emergency medical 261 technician or licensed by the department as a paramedic, (B) has 262 completed a program of training as an emergency medical instructor 263 based on current national education standards within the prior two 264 years, (C) has completed twenty-five hours of teaching activity under 265 the supervision of a currently certified emergency medical services 266 instructor, (D) has completed written and practical examinations as 267 prescribed by the commissioner, (E) has no pending disciplinary action 268 or unresolved complaints against the applicant, and (F) effective on a 269 date prescribed by the commissioner, presents documentation 270 satisfactory to the commissioner that the applicant is currently certified 271 as an emergency medical technician, advanced emergency medical 272 technician or paramedic by the national organization for emergency 273 medical certification, or (2) for renewal certification, an applicant shall 274 present evidence satisfactory to the commissioner that the applicant (A) 275 has successfully completed continuing education and teaching activity 276 as required by the department, which, on and after January 1, 2022, shall 277 include not less than two hours of training or education, approved by 278 the Commissioner of Public Health, on (i) screening for conditions such 279 as post-traumatic stress disorder, risk of suicide, depression and grief, 280 and (ii) suicide prevention training, during the first renewal period and 281 not less than once every six years thereafter, (B) maintains current 282 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 10 of 38 certification by the department as an emergency medical technician, 283 advanced emergency medical technician or licensure by the department 284 as a paramedic, and (C) effective on a date as prescribed by the 285 commissioner, presents documentation satisfactory to the 286 commissioner that the applicant is currently certified as an emergency 287 medical technician, advanced emergency medical technician or 288 paramedic by the national organization for emergency medical 289 certification. 290 Sec. 10. Section 19a-14c of the general statutes is repealed and the 291 following is substituted in lieu thereof (Effective July 1, 2021): 292 (a) For the purposes of this section, "outpatient mental health 293 treatment" means the treatment of mental disorders, emotional 294 problems or maladjustments with the object of (1) removing, modifying 295 or retarding existing symptoms; (2) improving disturbed patterns of 296 behavior; and (3) promoting positive personality growth and 297 development. Treatment shall not include prescribing or otherwise 298 dispensing any medication which is a legend drug as defined in section 299 20-571. 300 (b) A psychiatrist licensed pursuant to chapter 370, a psychologist 301 licensed pursuant to chapter 383, an independent social worker certified 302 pursuant to chapter 383b or a marital and family therapist licensed 303 pursuant to chapter 383a may provide outpatient mental health 304 treatment to a minor without the consent or notification of a parent or 305 guardian at the request of the minor if (1) requiring the consent or 306 notification of a parent or guardian would cause the minor to reject such 307 treatment; (2) the provision of such treatment is clinically indicated; (3) 308 the failure to provide such treatment would be seriously detrimental to 309 the minor's well-being; (4) the minor has knowingly and voluntarily 310 sought such treatment; and (5) in the opinion of the provider of 311 treatment, the minor is mature enough to participate in treatment 312 productively. The provider of such treatment shall document the 313 reasons for any determination made to treat a minor without the consent 314 or notification of a parent or guardian and shall include such 315 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 11 of 38 documentation in the minor's clinical record, along with a written 316 statement signed by the minor stating that (A) [he] the minor is 317 voluntarily seeking such treatment; (B) [he] the minor has discussed 318 with the provider the possibility of involving his or her parent or 319 guardian in the decision to pursue such treatment; (C) [he] the minor 320 has determined it is not in his or her best interest to involve his or her 321 parent or guardian in such decision; and (D) [he] the minor has been 322 given adequate opportunity to ask the provider questions about the 323 course of his or her treatment. 324 (c) [After the sixth session of outpatient mental health treatment 325 provided to a minor pursuant to this section, the provider of such 326 treatment shall notify the minor that the consent, notification or 327 involvement of a parent or guardian is required to continue treatment, 328 unless such a requirement would be seriously detrimental to the minor's 329 well-being. If the provider determines such a requirement would be 330 seriously detrimental to the minor's well-being, he shall document such 331 determination in the minor's clinical record, review such determination 332 every sixth session thereafter and document each such review. If the 333 provider determines such a requirement would no longer be seriously 334 detrimental to the minor's well-being, he shall require the consent, 335 notification or involvement of a parent or guardian as a condition of 336 continuing treatment.] (1) Except as otherwise provided in subdivision 337 (2) of this subsection, a minor may request and receive as many 338 outpatient mental health treatment sessions as necessary without the 339 consent or notification of a parent or guardian. No provider shall notify 340 a parent or guardian of treatment provided pursuant to this section or 341 disclose any information concerning such treatment to a parent or 342 guardian without the consent of the minor. 343 (2) A provider may notify a parent or guardian of treatment provided 344 pursuant to this section or disclose certain information concerning such 345 treatment without the consent of the minor who receives such treatment 346 provided (A) such provider determines such notification or disclosure 347 is necessary for the minor's well-being, (B) the treatment provided to the 348 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 12 of 38 minor is solely for mental health and not for a substance use disorder, 349 and (C) the minor is provided an opportunity to express any objection 350 to such notification or disclosure. The provider shall document his or 351 her determination concerning such notification or disclosure and any 352 objections expressed by the minor in the minor's clinical record. A 353 provider may disclose to a minor's parent or guardian the following 354 information concerning such minor's outpatient mental health 355 treatment: (i) Diagnosis; (ii) treatment plan and progress in treatment; 356 (iii) recommended medications, including risks, benefits, side effects, 357 typical efficacy, dose and schedule; (iv) psychoeducation about the 358 minor's mental health; (v) referrals to community resources; (vi) 359 coaching on parenting or behavioral management strategies; and (vii) 360 crisis prevention planning and safety planning. A provider shall release 361 a minor's entire clinical record to another provider upon the request of 362 the minor or such minor's parent or guardian. 363 (d) A parent or guardian who is not informed of the provision of 364 outpatient mental health treatment for his or her minor child pursuant 365 to this section shall not be liable for the costs of the treatment provided. 366 Sec. 11. Subsection (a) of section 10-148a of the general statutes is 367 repealed and the following is substituted in lieu thereof (Effective July 1, 368 2021): 369 (a) For the school year commencing July 1, [2019] 2021, and each 370 school year thereafter, each certified employee shall participate in a 371 program of professional development. Each local and regional board of 372 education shall make available, annually, at no cost to its certified 373 employees, a program of professional development that is not fewer 374 than eighteen hours in length, of which a preponderance is in a small 375 group or individual instructional setting. Such program of professional 376 development shall (1) be a comprehensive, sustained and intensive 377 approach to improving teacher and administrator effectiveness in 378 increasing student knowledge achievement, (2) focus on refining and 379 improving various effective teaching methods that are shared between 380 and among educators, (3) foster collective responsibility for improved 381 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 13 of 38 student performance, (4) be comprised of professional learning that (A) 382 is aligned with rigorous state student academic achievement standards, 383 (B) is conducted among educators at the school and facilitated by 384 principals, coaches, mentors, distinguished educators, as described in 385 section 10-145s, or other appropriate teachers, (C) occurs frequently on 386 an individual basis or among groups of teachers in a job-embedded 387 process of continuous improvement, and (D) includes a repository of 388 best practices for teaching methods developed by educators within each 389 school that is continuously available to such educators for comment and 390 updating, and (5) include training in culturally responsive pedagogy 391 and practice. Each program of professional development shall include 392 professional development activities in accordance with the provisions 393 of subsection (b) of this section. The principles and practices of social-394 emotional learning shall be integrated throughout the components of 395 such program of professional development described in subdivisions (1) 396 to (5), inclusive, of this subsection. 397 Sec. 12. Subsection (b) of section 10-220a of the general statutes is 398 repealed and the following is substituted in lieu thereof (Effective July 1, 399 2021): 400 (b) Not later than a date prescribed by the commissioner, each local 401 and regional board of education shall establish a professional 402 development and evaluation committee. Such professional 403 development and evaluation committee shall consist of (1) at least one 404 teacher, as defined in subsection (a) of section 10-144d, selected by the 405 exclusive bargaining representative for certified employees chosen 406 pursuant to section 10-153b, (2) at least one administrator, as defined in 407 subsection (a) of section 10-144e, selected by the exclusive bargaining 408 representative for certified employees chosen pursuant to section 10-409 153b, and (3) such other school personnel as the board deems 410 appropriate. The duties of such committees shall include, but not be 411 limited to, participation in the development or adoption of a teacher 412 evaluation and support program for the district, pursuant to section 10-413 151b, and the development, evaluation and annual updating of a 414 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 14 of 38 comprehensive local professional development plan for certified 415 employees of the district. Such plan shall: (A) Be directly related to the 416 educational goals prepared by the local or regional board of education 417 pursuant to subsection (b) of section 10-220, as amended by this act, (B) 418 on and after July 1, [2011] 2021, be developed with full consideration of 419 the priorities and needs related to student social-emotional learning, in 420 accordance with the provisions of section 10-148a, as amended by this 421 act, and student academic outcomes as determined by the State Board 422 of Education, [and] (C) provide for the ongoing and systematic 423 assessment and improvement of both teacher evaluation and 424 professional development of the professional staff members of each 425 such board, including personnel management and evaluation training 426 or experience for administrators, [shall] and (D) be related to regular 427 and special student needs and may include provisions concerning 428 career incentives and parent involvement. The State Board of Education 429 shall develop guidelines to assist local and regional boards of education 430 in determining the objectives of the plans and in coordinating staff 431 development activities with student needs and school programs. 432 Sec. 13. Subsection (b) of section 10-220 of the general statutes is 433 repealed and the following is substituted in lieu thereof (Effective July 1, 434 2021): 435 (b) The board of education of each local or regional school district 436 shall, with the participation of parents, students, school administrators, 437 teachers, citizens, local elected officials and any other individuals or 438 groups such board shall deem appropriate, prepare a statement of 439 educational goals for such local or regional school district. The 440 statement of goals shall be consistent with state-wide goals pursuant to 441 subsection (c) of section 10-4 and include goals for the integration of 442 principles and practices of social-emotional learning in the program of 443 professional development for the school district, in accordance with the 444 provisions of section 10-148a, as amended by this act, and career 445 placement for students who do not pursue an advanced d egree 446 immediately after graduation. Each local or regional board of education 447 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 15 of 38 shall annually establish student objectives for the school year which 448 relate directly to the statement of educational goals prepared pursuant 449 to this subsection and which identify specific expectations for students 450 in terms of skills, knowledge and competence. 451 Sec. 14. Section 10-221 of the general statutes is repealed and the 452 following is substituted in lieu thereof (Effective July 1, 2021): 453 (a) As used in this section, "virtual learning" means instruction by 454 means of one or more Internet-based software platforms as part of a 455 remote learning model. 456 [(a)] (b) Boards of education shall prescribe rules for the management, 457 studies, classification and discipline of the public schools and, subject to 458 the control of the State Board of Education, the textbooks to be used; 459 shall make rules for the control, within their respective jurisdictions, of 460 school library media centers, including Internet access and content, and 461 approve the selection of books and other educational media therefor, 462 and shall approve plans for public school buildings and superintend 463 any high or graded school in the manner specified in this title. 464 [(b) Not later than July 1, 1985, each] (c) Each local and regional board 465 of education shall develop, adopt and implement written policies 466 concerning homework, attendance, promotion and retention. The 467 Department of Education shall make available model policies and 468 guidelines to assist local and regional boards of education in meeting 469 the responsibilities enumerated in this subsection. 470 [(c)] (d) Boards of education may prescribe rules to impose sanctions 471 against pupils who damage or fail to return textbooks, library materials 472 or other educational materials. Said boards may charge pupils for such 473 damaged or lost textbooks, library materials or other educational 474 materials and may withhold grades, transcripts or report cards until the 475 pupil pays for or returns the textbook, library book or other educational 476 material. 477 [(d) Not later than July 1, 1991, each] (e) Each local and regional board 478 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 16 of 38 of education shall develop, adopt and implement policies and 479 procedures in conformity with section 10-154a for (1) dealing with the 480 use, sale or possession of alcohol or controlled drugs, as defined in 481 subdivision (8) of section 21a-240, by public school students on school 482 property, including a process for coordination with, and referral of such 483 students to, appropriate agencies, and (2) cooperating with law 484 enforcement officials. 485 [(e) Not later than July 1, 1990, each] (f) Each local and regional board 486 of education shall adopt a written policy and procedures for dealing 487 with youth suicide prevention and youth suicide attempts. Each such 488 board of education may establish a student assistance program to 489 identify risk factors for youth suicide, procedures to intervene with such 490 youths, referral services and training for teachers and other school 491 professionals and students who provide assistance in the program. 492 [(f) Not later than September 1, 1998, each] (g) (1) Each local and 493 regional board of education shall develop, adopt and implement written 494 policies and procedures to encourage parent-teacher communication. 495 These policies and procedures may include monthly newsletters, 496 required regular contact with all parents, flexible parent-teacher 497 conferences, drop-in hours for parents, home visits and the use of 498 technology such as homework hot lines to allow parents to check on 499 their children's assignments and students to [get] receive assistance if 500 needed. [For the school year commencing July 1, 2010, and each school 501 year thereafter, such] Such policies and procedures shall require the 502 district to conduct two flexible parent-teacher conferences for each 503 school year. 504 (2) For the school year commencing July 1, 2021, and each school year 505 thereafter, the policies and procedures described in subdivision (1) of 506 this subsection shall require the district to (A) offer parents the option 507 of attending any parent-teacher conference by telephonic, video or other 508 conferencing platform, (B) conduct one parent-teacher conference, in 509 addition to those required pursuant to subdivision (1) of this subsection, 510 during periods when such district provides virtual learning for more 511 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 17 of 38 than three consecutive weeks, and one additional parent-teacher 512 conference every six months thereafter for the duration of such period 513 of virtual learning, and (C) request from each student's parent the name 514 and contact information of an emergency contact person who may be 515 contacted if the student's parent cannot be reached to schedule a parent-516 teacher conference required pursuant to subparagraph (B) of this 517 subdivision. 518 (3) On and after January 1, 2022, such policies and procedures shall 519 require (A) a teacher conducting a parent-teacher conference required 520 pursuant to subparagraph (B) of subdivision (2) of this subsection to 521 provide a copy of the document developed pursuant to section 15 of this 522 act to the parent prior to the parent-teacher conference, and (B) if a 523 teacher is unable to make contact with a student's parent in order to 524 schedule a parent-teacher conference required pursuant to 525 subparagraph (B) of subdivision (2) of this subsection after making three 526 attempts, such teacher shall report such inability to the school principal, 527 school counselor or other school administrator designated by the local 528 or regional board of education. Such principal, counselor or 529 administrator shall contact any emergency contact person designated by 530 the student's parent pursuant to subparagraph (C) of subdivision (2) of 531 this subsection to ascertain such student's and family's health and 532 safety. 533 Sec. 15. (NEW) (Effective from passage) Not later than December 1, 534 2021, the Department of Education shall develop, and annually update, 535 a document for use by local and regional boards of education that 536 provides information concerning educational, safety, mental health and 537 food insecurity resources and programs available for students and their 538 families. Such document shall contain, but need not be limited to, (1) 539 providers of such resources and programs, including, but not limited to, 540 the Departments of Education, Children and Families and Mental 541 Health and Addiction Services, the United Way of Connecticut and local 542 food banks, (2) descriptions of the relevant resources and programs 543 offered by each provider, including, but not limited to, (A) the "Talk it 544 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 18 of 38 Out" program administered by the Department of Children and 545 Families, and (B) any program that provides laptop computers, public 546 Internet access or home Internet service to students, (3) contact 547 information for each provider, resource and program, and (4) relevant 548 Internet web sites. The Department of Education shall annually 549 distribute such document electronically to each local and regional board 550 of education. 551 Sec. 16. (NEW) (Effective from passage) (a) As used in this section, 552 "virtual learning" means instruction by means of one or more Internet-553 based software platforms as part of a remote learning model. 554 (b) Not later than January 1, 2022, the Commissioner of Education 555 shall develop, and update as necessary, standards for virtual learning. 556 The standards shall not be deemed to be regulations, as defined in 557 section 4-166 of the general statutes. 558 (c) For the school year commencing July 1, 2022, and each school year 559 thereafter, a local or regional board of education may authorize virtual 560 learning for students in grades nine to twelve, inclusive, provided such 561 board (1) provides such instruction in compliance with the standards 562 developed pursuant to subsection (b) of this section, and (2) adopts a 563 policy regarding the requirements for student attendance during virtual 564 learning, which shall (A) be in compliance with the Department of 565 Education's guidance on student attendance during virtual learning, 566 and (B) count the attendance of any student who spends not less than 567 one-half of the school day during such instruction engaged in (i) virtual 568 classes, (ii) virtual meetings, (iii) activities on time-logged electronic 569 systems, and (iv) the completion and submission of assignments. 570 Sec. 17. Section 10-16 of the general statutes is repealed and the 571 following is substituted in lieu thereof (Effective July 1, 2021): 572 Each school district shall provide in each school year no less than one 573 hundred and eighty days of actual school sessions for grades 574 kindergarten to twelve, inclusive, nine hundred hours of actual school 575 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 19 of 38 work for full-day kindergarten and grades one to twelve, inclusive, and 576 four hundred and fifty hours of half-day kindergarten, provided school 577 districts shall not count more than seven hours of actual school work in 578 any school day towards the total required for the school year. Virtual 579 learning shall be considered an actual school session for purposes of this 580 section, provided, that, on and after January 1, 2022, such virtual 581 learning is conducted in compliance with the standards developed 582 pursuant to subsection (b) of section 16 of this act. If weather conditions 583 result in an early dismissal or a delayed opening of school, a school 584 district which maintains separate morning and afternoon half-day 585 kindergarten sessions may provide either a morning or afternoon half-586 day kindergarten session on such day. As used in this section, "virtual 587 learning" means instruction by means of one or more Internet-based 588 software platforms as part of a remote learning model. 589 Sec. 18. Section 10-198b of the general statutes is repealed and the 590 following is substituted in lieu thereof (Effective from passage): 591 [On or before July 1, 2012, the] The State Board of Education shall 592 define "excused absence", [and] "unexcused absence" [, and on or before 593 January 1, 2016, the State Board of Education shall define] and 594 "disciplinary absence" for use by local and regional boards of education 595 for the purposes of carrying out the provisions of section 10-198a, 596 reporting truancy, pursuant to subsection (c) of section 10-220, and 597 calculating the district chronic absenteeism rate and the school chronic 598 absenteeism rate pursuant to section 10-198c. On or before July 1, 2021, 599 the State Board of Education shall amend the definitions of "excused 600 absence" and "unexcused absence" to exclude a student's (1) (A) 601 engagement in virtual classes, (B) virtual meetings, (C) activities on 602 time-logged electronic systems, and (D) completion and submission of 603 assignments, if such engagement accounts for not less than one-half of 604 the school day during virtual learning authorized pursuant to section 16 605 of this act, and (2) absence resulting from such student taking a mental 606 health wellness day permitted pursuant to section 19 of this act. As used 607 in this section, "virtual learning" means instruction by means of one or 608 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 20 of 38 more Internet-based software platforms as part of a remote learning 609 model. 610 Sec. 19. (NEW) (Effective July 1, 2021) (a) As used in this section and 611 section 10-198b of the general statutes, as amended by this act, "mental 612 health wellness day" describes a school day during which a student 613 attends to such student's emotional and psychological well-being in lieu 614 of attending school. 615 (b) For the school year commencing July 1, 2021, and each school year 616 thereafter, a local or regional board of education shall permit any 617 student enrolled in grades kindergarten to twelve, inclusive, to take up 618 to four mental health wellness days during the school year, during 619 which day such student shall not be required to attend school. A student 620 shall not be required to present documentation or parental or guardian 621 consent to take a mental health wellness day, but, for purposes of the 622 school year limitation on such days pursuant to this subsection, shall 623 identify his or her absence as a mental health wellness day. 624 Sec. 20. Section 10-215 of the general statutes is repealed and the 625 following is substituted in lieu thereof (Effective July 1, 2021): 626 (a) Any local or regional board of education may establish and 627 operate a school lunch program for public school children, may operate 628 lunch services for its employees, may establish and operate a school 629 breakfast program, as provided under federal laws governing said 630 programs, or may establish and operate such other child feeding 631 programs as it deems necessary. Charges for such lunches, breakfasts or 632 other such feeding may be fixed by such boards and shall not exceed the 633 cost of food, wages and other expenses directly incurred in providing 634 such services. When such services are offered, a board shall provide free 635 lunches, breakfasts or other such feeding to children whose economic 636 needs require such action under the standards promulgated by said 637 federal laws. Such board is authorized to purchase equipment and 638 supplies that are necessary, to employ the necessary personnel, to utilize 639 the services of volunteers and to receive and expend any funds and 640 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 21 of 38 receive and use any equipment and supplies which may become 641 available to carry out the provisions of this section. Any town board of 642 education may vote to designate any volunteer organization within the 643 town to provide a school lunch program, school breakfast program or 644 other child feeding program in accordance with the provisions of this 645 section. 646 (b) For the school year commencing July 1, 2021, and each school year 647 thereafter, a local or regional board of education shall include in any 648 policy or procedure for the collection of unpaid charges for school 649 lunches, breakfasts or other such feeding (1) a prohibition on publicly 650 identifying or shaming a child for any such unpaid charges, including, 651 but not limited to, delaying or refusing to serve a meal to such child, 652 designating a specific meal option for such child or otherwise taking any 653 disciplinary action against such child, (2) a declaration of the right for 654 any child to purchase a meal, which meal may exclude any a la carte 655 items or be limited to one meal for any school lunch, breakfast or other 656 such feeding, and (3) a procedure for communicating with the parent or 657 legal guardian of a child for the purpose of collecting such unpaid 658 charges. Such communication shall include, but not be limited to, (A) 659 information regarding local food pantries, (B) applications for the school 660 district's program for free or reduced priced meals and for the 661 supplemental nutrition assistance program administered by the 662 Department of Social Services, and (C) a link to the Internet web site 663 maintained by the town for such school district listing any community 664 services available to the residents of such town. 665 (c) A local or regional board of education may accept gifts, donations 666 or grants from any public or private sources for the purpose of paying 667 off any unpaid charges for school lunches, breakfasts or other such 668 feeding. 669 Sec. 21. Section 17a-10a of the general statutes is repealed and the 670 following is substituted in lieu thereof (Effective July 1, 2021): 671 (a) The Commissioner of Children and Families shall ensure that a 672 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 22 of 38 child placed in the care and custody of the commissioner pursuant to an 673 order of temporary custody or an order of commitment is provided 674 visitation with such child's parents and siblings, unless otherwise 675 ordered by the court. In the event of a pandemic or outbreak of a 676 communicable disease resulting in a declaration of a public health 677 emergency by the Governor pursuant to section 19a-131a, or a 678 declaration of a national emergency by the President of the United 679 States, such child shall be provided opportunities to communicate with 680 such child's parents and siblings by telephonic, video or other 681 conferencing platform in lieu of in-person visitation, for the duration of 682 any such declaration. 683 (b) The commissioner shall ensure that such child's visits with his or 684 her parents, or opportunities to communicate with such child's parents 685 and siblings by telephonic, video or other conferencing platform in 686 accordance with the provisions of subsection (a) of this section, shall 687 occur as frequently as reasonably possible, based upon consideration of 688 the best interests of the child, including the age and developmental level 689 of the child, and shall be sufficient in number and duration to ensure 690 continuation of the relationship. 691 (c) If such child has an existing relationship with a sibling and is 692 separated from such sibling as a result of intervention by the 693 commissioner including, but not limited to, placement in a foster home 694 or in the home of a relative, the commissioner shall, based upon 695 consideration of the best interests of the child, ensure that such child has 696 access to and visitation rights with such sibling throughout the duration 697 of such placement. In determining the number, frequency and duration 698 of sibling visits, the commissioner shall consider the best interests of 699 each sibling, given each child's age and developmental level and the 700 continuation of the sibling relationship. If the child and his or her sibling 701 both reside within the state and within fifty miles of each other, the 702 commissioner shall, within available appropriations, ensure that such 703 child's visits with his or her sibling occur, on average, not less than once 704 per week, unless the commissioner finds that the frequency of such 705 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 23 of 38 visitation is not in the best interests of each sibling. 706 (d) Not later than January 1, 2022, the commissioner shall develop a 707 policy that requires the temporary cessation of in-person visitation 708 provided pursuant to this section, on a case-by-case basis, in the event 709 that a child or such child's parent or sibling is seriously ill due to a 710 communicable disease, and visitation could result in the contraction of 711 such disease by one or more participants in the visitation. Such policy 712 shall require that such child be provided an opportunity to 713 communicate with such child's parents and siblings by telephonic, video 714 or other conferencing platform in lieu of such visitation. The 715 commissioner shall define "seriously ill" and "communicable disease" 716 for the purposes of carrying out this subsection. 717 [(d)] (e) The commissioner shall include in each child's case record 718 information relating to the factors considered in making visitation 719 determinations pursuant to this section. If the commissioner determines 720 that such visits are not in the best interests of the child, that the 721 occurrence of, on average, not less than one visit per week with his or 722 her sibling is not in the best interests of each sibling, or that the number, 723 frequency or duration of the visits requested by the child's attorney or 724 guardian ad litem is not in the best interests of the child, the 725 commissioner shall include the reasons for such determination in the 726 child's case record. 727 [(e)] (f) On or before October first of each year, the commissioner shall 728 report, in accordance with the provisions of section 11-4a, to the joint 729 standing committee of the General Assembly having cognizance of 730 matters relating to children, data sufficient to demonstrate compliance 731 with subsections (a), (c) and [(d)] (e) of this section. Such data shall 732 include the total annual number of children in out-of-home placements 733 who have siblings, the total number of child cases with documented 734 sibling visitation and the number of individual siblings involved in each 735 case. 736 Sec. 22. Section 17a-103a of the general statutes is repealed and the 737 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 24 of 38 following is substituted in lieu thereof (Effective July 1, 2021): 738 (a) The Commissioner of Children and Families shall establish and 739 operate the telephone Careline for child abuse and neglect that shall be 740 dedicated to receive reports of child abuse or neglect and to provide 741 information concerning child abuse or neglect. The Careline shall accept 742 all reports of child abuse or neglect regardless of the relationship of the 743 alleged perpetrator to the child who is the alleged victim and regardless 744 of the alleged perpetrator's affiliation with any organization or other 745 entity in any capacity. The commissioner shall classify and evaluate all 746 reports pursuant to the provisions of section 17a-101g. 747 (b) Not later than July 1, 2022, the Commissioner of Children and 748 Families shall expand the operation of the telephone Careline to 749 accommodate the receipt and provision of information concerning child 750 abuse or neglect by text message or mobile telephone application. Such 751 expanded operation shall be monitored twenty-four hours per day and 752 seven days per week by the Department of Children and Families. 753 Sec. 23. (NEW) (Effective July 1, 2021) If the Commissioner of Children 754 and Families, or the commissioner's designee, has authorized the 755 immediate removal of a child from such child's home pursuant to 756 subsection (e) of section 17a-101g of the general statutes, or is 757 considering removing a child from such child's home, the commissioner 758 shall provide written notice to the parent or guardian of such child. Such 759 notice shall be in the parent or guardian's primary language, and 760 contain (1) the date, time and location of any removal meeting the 761 commissioner has scheduled, (2) a plain language explanation of the 762 removal process, steps the commissioner intends to take and legal rights 763 of the parent or guardian, (3) a list of local organizations that provide 764 free or reduced-cost legal services and how to access such services, and 765 (4) a check box for such parent or guardian to request the services of an 766 interpreter at any such meeting. Such notice shall be provided as soon 767 as is practicable prior to the date of any removal meeting, or, if 768 immediate removal was authorized, not later than twenty-four hours 769 after such removal. The commissioner shall obtain the signature of such 770 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 25 of 38 parent or guardian acknowledging receipt of such notice and provide 771 the services of an interpreter at any such meeting for which an 772 interpreter has been requested by such parent or guardian. 773 Sec. 24. Section 17a-248g of the general statutes is repealed and the 774 following is substituted in lieu thereof (Effective July 1, 2022): 775 (a) Subject to the provisions of this section, funds appropriated to the 776 lead agency for purposes of section 17a-248, sections 17a-248b to 17a-777 248f, inclusive, this section and sections 38a-490a and 38a-516a shall not 778 be used to satisfy a financial commitment for services that would have 779 been paid from another public or private source but for the enactment 780 of said sections, except for federal funds available pursuant to Part C of 781 the Individuals with Disabilities Education Act, 20 USC 1431 et seq., 782 except that whenever considered necessary to prevent the delay in the 783 receipt of appropriate early intervention services by the eligible child or 784 family in a timely fashion, funds provided under said sections may be 785 used to pay the service provider pending reimbursement from the 786 public or private source that has ultimate responsibility for the payment. 787 (b) Nothing in section 17a-248, sections 17a-248b to 17a-248f, 788 inclusive, this section and sections 38a-490a and 38a-516a shall be 789 construed to permit the Department of Social Services or any other state 790 agency to reduce medical assistance pursuant to this chapter or other 791 assistance or services available to eligible children. Notwithstanding 792 any provision of the general statutes, costs incurred for early 793 intervention services that otherwise qualify as medical assistance that 794 are furnished to an eligible child who is also eligible for benefits 795 pursuant to this chapter shall be considered medical assistance for 796 purposes of payments to providers and state reimbursement to the 797 extent that federal financial participation is available for such services. 798 (c) Providers of early intervention services shall, in the first instance 799 and where applicable, seek payment from all third-party payers prior to 800 claiming payment from the birth-to-three system for services rendered 801 to eligible children, provided, for the purpose of seeking payment from 802 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 26 of 38 the Medicaid program or from other third-party payers as agreed upon 803 by the provider, the obligation to seek payment shall not apply to a 804 payment from a third-party payer who is not prohibited from applying 805 such payment, and who will apply such payment, to an annual or 806 lifetime limit specified in the third-party payer's policy or contract. 807 (d) The commissioner, in consultation with the Office of Policy and 808 Management and the Insurance Commissioner, shall adopt regulations, 809 pursuant to chapter 54, providing public reimbursement for deductibles 810 and copayments imposed under an insurance policy or health benefit 811 plan to the extent that such deductibles and copayments are applicable 812 to early intervention services. 813 (e) [The commissioner shall establish and periodically revise, in 814 accordance with this section, a schedule of fees based on a sliding scale 815 for early intervention services. The schedule of fees shall consider the 816 cost of such services relative to the financial resources of the state and 817 the parents or legal guardians of eligible children, provided that on and 818 after October 6, 2009, the commissioner shall (1) charge fees to such 819 parents or legal guardians that are sixty per cent greater than the 820 amount of the fees charged on the date prior to October 6, 2009; and (2) 821 charge fees for all services provided, including those services provided 822 in the first two months following the enrollment of a child in the 823 program. Fees may be charged to any such parent or guardian, 824 regardless of income, and shall be charged to any such parent or 825 guardian with a gross annual family income of forty-five thousand 826 dollars or more, except that no fee may be charged to the parent or 827 guardian of a child who is eligible for Medicaid. Notwithstanding the 828 provisions of subdivision (8) of section 17a-248, as used in this 829 subsection, "parent" means the biological or adoptive parent or legal 830 guardian of any child receiving early intervention services. The lead 831 agency may assign its right to collect fees to a designee or provider 832 participating in the early intervention program and providing services 833 to a recipient in order to assist the provider in obtaining payment for 834 such services. The commissioner may implement procedures for the 835 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 27 of 38 collection of the schedule of fees while in the process of adopting or 836 amending such criteria in regulation, provided the commissioner posts 837 notice of intention to adopt or amend the regulations on the 838 eRegulations System, established pursuant to section 4-173b, within 839 twenty days of implementing the policy. Such collection procedures and 840 schedule of fees shall be valid until the time the final regulations or 841 amendments are effective] The commissioner shall not charge a fee for 842 early intervention services to the parents or legal guardians of eligible 843 children. 844 (f) [The] With respect to early intervention services rendered prior to 845 July 1, 2022, the commissioner shall develop and implement procedures 846 to hold a recipient harmless for the impact of pursuit of payment for 847 [early intervention] such services against lifetime insurance limits. 848 (g) Notwithstanding any provision of title 38a relating to the 849 permissible exclusion of payments for services under governmental 850 programs, no such exclusion shall apply with respect to payments made 851 pursuant to section 17a-248, sections 17a-248b to 17a-248f, inclusive, this 852 section and sections 38a-490a and 38a-516a. Except as provided in this 853 subsection, nothing in this section shall increase or enhance coverages 854 provided for within an insurance contract subject to the provisions of 855 section 10-94f, subsection (a) of section 10-94g, subsection (a) of section 856 17a-219b, subsection (a) of section 17a-219c, sections 17a-248, 17a-248b 857 to 17a-248f, inclusive, this section, and sections 38a-490a and 38a-516a. 858 Sec. 25. Subdivision (10) of subsection (a) of section 10-76d of the 859 general statutes is repealed and the following is substituted in lieu 860 thereof (Effective July 1, 2021): 861 (10) (A) Each local and regional board of education responsible for 862 providing special education and related services to a child or pupil shall 863 notify the parent or guardian of a child who requires or who may 864 require special education, a pupil if such pupil is an emancipated minor 865 or eighteen years of age or older who requires or who may require 866 special education or a surrogate parent appointed pursuant to section 867 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 28 of 38 10-94g, in writing, at least five school days before such board proposes 868 to, or refuses to, initiate or change the child's or pupil's identification, 869 evaluation or educational placement or the provision of a free 870 appropriate public education to the child or pupil. 871 (B) Upon request by a parent, guardian, pupil or surrogate parent, 872 the responsible local or regional board of education shall provide such 873 parent, guardian, pupil or surrogate parent an opportunity to meet with 874 a member of the planning and placement team designated by such 875 board prior to the referral planning and placement team meeting at 876 which the assessments and evaluations of the child or pupil who 877 requires or may require special education is presented to such parent, 878 guardian, pupil or surrogate parent for the first time. Such meeting shall 879 be for the sole purpose of discussing the planning and placement team 880 process and any concerns such parent, guardian, pupil or surrogate 881 parent has regarding the child or pupil who requires or may require 882 special education. 883 (C) Such parent, guardian, pupil or surrogate parent shall (i) be given 884 at least five school days' prior notice of any planning and placement 885 team meeting conducted for such child or pupil, (ii) have the right to be 886 present at and participate in all portions of such meeting at which an 887 educational program for such child or pupil is developed, reviewed or 888 revised, [and] (iii) have the right to have (I) advisors of such person's 889 own choosing and at such person's own expense, [and to have] (II) the 890 school paraprofessional assigned to such child or pupil, if any, [to be 891 present at and to] and (III) such child or pupil's birth-to-three service 892 coordinator, if any, attend and participate in all portions of such meeting 893 at which an educational program for such child or pupil is developed, 894 reviewed or revised, and (iv) have the right to have each 895 recommendation made in such child or pupil's birth -to-three 896 individualized transition plan, as required by section 17a-248e, as 897 amended by this act, if any, addressed by the planning and placement 898 team during such meeting at which an educational program for such 899 child or pupil is developed. 900 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 29 of 38 (D) Immediately upon the formal identification of any child as a child 901 requiring special education and at each planning and placement team 902 meeting for such child, the responsible local or regional board of 903 education shall inform the parent or guardian of such child or surrogate 904 parent or, in the case of a pupil who is an emancipated minor or eighteen 905 years of age or older, the pupil of (i) the laws relating to special 906 education, (ii) the rights of such parent, guardian, surrogate parent or 907 pupil under such laws and the regulations adopted by the State Board 908 of Education relating to special education, including the right of a 909 parent, guardian or surrogate parent to (I) withhold from enrolling such 910 child in kindergarten, in accordance with the provisions of section 10-911 184, and (II) have advisors and the school paraprofessional assigned to 912 such child or pupil [to be present at, and to] attend and participate in [,] 913 all portions of such meeting at which an educational program for such 914 child or pupil is developed, reviewed or revised, in accordance with the 915 provisions of subparagraph (C) of this subdivision, and (iii) any relevant 916 information and resources relating to individualized education 917 programs created by the Department of Education, including, but not 918 limited to, information relating to transition resources and services for 919 high school students. If such parent, guardian, surrogate parent or pupil 920 does not attend a planning and placement team meeting, the responsible 921 local or regional board of education shall mail such information to such 922 person. 923 (E) Each local and regional board of education shall have in effect at 924 the beginning of each school year an educational program for each child 925 or pupil who has been identified as eligible for special education. 926 (F) At each initial planning and placement team meeting for a child 927 or pupil, the responsible local or regional board of education shall 928 inform the parent, guardian, surrogate parent or pupil of (i) the laws 929 relating to physical restraint and seclusion pursuant to section 10-236b 930 and the rights of such parent, guardian, surrogate parent or pupil under 931 such laws and the regulations adopted by the State Board of Education 932 relating to physical restraint and seclusion, and (ii) the right of such 933 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 30 of 38 parent, guardian, surrogate parent or pupil, during such meeting at 934 which an educational program for such child or pupil is developed, to 935 have (I) such child or pupil's birth-to-three service coordinator attend 936 and participate in all portions of such meeting, and (II) each 937 recommendation made in the transition plan, as required by section 17a-938 248e, as amended by this act, by such child or pupil's birth-to-three 939 service coordinator addressed by the planning and placement team. 940 (G) Upon request by a parent, guardian, pupil or surrogate parent, 941 the responsible local or regional board of education shall provide the 942 results of the assessments and evaluations used in the determination of 943 eligibility for special education for a child or pupil to such parent, 944 guardian, surrogate parent or pupil at least three school days before the 945 referral planning and placement team meeting at which such results of 946 the assessments and evaluations will be discussed for the first time. 947 Sec. 26. Subsection (i) of section 10-76d of the general statutes is 948 repealed and the following is substituted in lieu thereof (Effective July 1, 949 2021): 950 (i) (1) No local or regional board of education shall discipline, 951 suspend, terminate or otherwise punish any member of a planning and 952 placement team employed by such board who discusses or makes 953 recommendations concerning the provision of special education and 954 related services for a child during a planning and placement team 955 meeting for such child. 956 (2) No birth-to-three service coordinator or qualified personnel, as 957 those terms are defined in section 17a-248, who discusses or makes 958 recommendations concerning the provision of special education and 959 related services for a child during a planning and placement team 960 meeting for such child or in a transition plan, as required by section 17a-961 248e, as amended by this act, shall be subject to discipline, suspension, 962 termination or other punishment on the basis of such recommendations. 963 Sec. 27. Section 17a-248e of the general statutes is repealed and the 964 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 31 of 38 following is substituted in lieu thereof (Effective July 1, 2021): 965 (a) Each eligible child and his or her family shall receive (1) a 966 multidisciplinary assessment of the child's unique needs and the 967 identification of services appropriate to meet such needs, (2) a written 968 individualized family service plan developed by a multidisciplinary 969 team, including the parent, within forty-five days after the referral, 970 [and] (3) review of the individualized family service plan with the 971 family at least every six months, with evaluation of the individualized 972 family service plan at least annually, and (4) if the child is ineligible for 973 participation in preschool programs under Part B of the Individuals 974 with Disabilities Act, 20 USC 1471 et seq., a screening for developmental 975 and social-emotional delays using validated assessment tools, such as 976 the Ages and Stages Questionnaire and the Ages and Stages Social-977 Emotional Questionnaire, or their equivalents. 978 (b) The individualized family service plan shall be in writing and 979 contain: (1) A statement of the child's present level of physical 980 development, cognitive development, language and speech 981 development and self-help skills, based on acceptable objective criteria; 982 (2) a statement of the family's priority, resources and concerns relating 983 to enhancing the development of the eligible child; (3) a statement of the 984 major outcomes expected to be achieved for the child and the family and 985 the criteria, procedures and timelines used to determine the degree to 986 which progress toward achieving the outcomes are being made, and 987 whether modifications or revisions of the outcomes are necessary; (4) a 988 statement of specific early intervention services necessary to meet the 989 unique needs of the eligible child and the family, including the 990 frequency, intensity and the method of delivering services; (5) a 991 statement of the natural environments in which the services shall be 992 provided; (6) the projected dates for initiation of services and the 993 anticipated duration of such services; (7) the name of the approved 994 comprehensive service provider that will provide or procure the 995 services specified in the individualized family service plan; (8) the name 996 of the individual service coordinator from the profession most 997 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 32 of 38 immediately relevant to the eligible child's or the family's needs who 998 will be responsible for the implementation of the plan and coordination 999 with the other agencies and providers or an otherwise qualified 1000 provider selected by a parent; and (9) the steps to be taken to support 1001 the transition of the child who is eligible for participation in preschool 1002 programs under Part B of the Individuals with Disabilities Act, 20 USC 1003 1471 et seq., as appropriate. 1004 (c) The individualized family service plan shall be signed by the 1005 child's pediatrician or a primary care provider or qualified personnel, as 1006 those terms are defined in section 17a-248. 1007 (d) The lead agency may provide early intervention services, arrange 1008 for the delivery of early intervention services by participating agencies 1009 or contract with providers to deliver early intervention services to 1010 eligible children and the families of such children. The lead agency in 1011 providing, arranging or contracting for early intervention services shall 1012 monitor all birth-to-three service providers for quality and 1013 accountability in accordance with Section 616 of the Individuals with 1014 Disabilities Education Act, 20 USC 1416 and establish state-wide rates 1015 for such services. 1016 Sec. 28. (NEW) (Effective July 1, 2021) Not later than July 1, 2022, the 1017 Commissioner of Early Childhood shall develop and implement a plan 1018 to expand the birth-to-three program, established pursuant to section 1019 17a-248b of the general statutes, as amended by this act, to provide early 1020 intervention services to any child who is (1) enrolled in the program, (2) 1021 turns three years of age on or after May 1 and not later than the first day 1022 of the next school year commencing July 1, and (3) is eligible for 1023 participation in preschool programs under Part B of the Individuals 1024 with Disabilities Act, 20 USC 1471 et seq., provided such services shall 1025 terminate upon such child's participation in such a preschool program. 1026 The commissioner may adopt regulations in accordance with chapter 54 1027 of the general statutes to implement the provisions of this section. 1028 Sec. 29. (NEW) (Effective July 1, 2021) For the school year commencing 1029 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 33 of 38 July 1, 2022, and each school year thereafter, in any school district that 1030 serves a town that has not convened or established a local or regional 1031 school readiness council pursuant to section 10-16r of the general 1032 statutes, the local or regional board of education for such school district 1033 shall designate a school readiness liaison. Such liaison shall (1) be an 1034 existing employee of such school district, and (2) serve as an 1035 informational resource for parents of children transitioning from the 1036 birth-to-three program established pursuant to section 17a-248b of the 1037 general statutes, to enrollment in a public elementary school in such 1038 school district. 1039 Sec. 30. (Effective from passage) (a) As used in this section, (1) "adverse 1040 childhood experience" means a potentially traumatic event occurring in 1041 childhood, including, but not limited to, (A) experiencing or witnessing 1042 violence, abuse, neglect, a substance abuse disorder, a suicide attempt 1043 or death by suicide, or (B) experiencing instability due to parental 1044 separation or incarceration, and (2)"participating municipalities" means 1045 the municipalities of Bridgeport, Cheshire, East Hartford, Killingworth, 1046 Orange and South Windsor. 1047 (b) The Department of Education shall establish an adverse 1048 childhood experience survey pilot program to be administered in 1049 participating municipalities. Such pilot program shall be for the purpose 1050 of collecting data concerning adverse childhood experiences suffered by 1051 students in grades four to twelve, inclusive, enrolled in public schools 1052 in participating municipalities. 1053 (c) Not later than October 1, 2021, the Department of Education shall 1054 develop a survey that requires the student taking the survey to indicate 1055 whether the student has witnessed or experienced one or more 1056 potentially traumatic events, including, but not limited to, (1) violence, 1057 abuse, neglect, a substance abuse disorder, a suicide attempt or death 1058 by suicide, or (2) instability due to parental separation or incarceration. 1059 The survey shall (A) be tailored to the developmental stages of the 1060 students administered the survey, and (B) not include any personally 1061 identifying information. 1062 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 34 of 38 (d) Not later than August 1, 2022, the Department of Education shall 1063 require each public school enrolling students in grades four to twelve, 1064 inclusive, in participating municipalities to administer the survey 1065 developed pursuant to subsection (c) of this section, and report the 1066 results of the survey to the department in a form and manner prescribed 1067 by the department. Such report shall (1) include, but not be limited to, 1068 the number of students in each grade who have suffered each type of 1069 potentially traumatic event, and (2) not include any data concerning the 1070 number or types of potentially traumatic events suffered by any one 1071 student. 1072 (e) Not later than December 1, 2022, the Department of Education 1073 shall submit a report, in accordance with the provisions of section 11-4a 1074 of the general statutes, to the joint standing committee of the General 1075 Assembly having cognizance of matters relating to children. Such report 1076 shall include a summary of the number of students in each grade in each 1077 participating municipality who have suffered each type of potentially 1078 traumatic event. 1079 Sec. 31. (Effective from passage) (a) There is established a task force to 1080 study the comprehensive needs of children in the state and the extent to 1081 which such needs are being met by educators, community members and 1082 local and state agencies. The task force shall (1) assess the needs of 1083 children using the following tenets of the whole child initiative 1084 developed by the Association for Supervision and Curriculum 1085 Development: (A) Each student enters school healthy and learns about 1086 and practices a healthy lifestyle, (B) each student learns in an 1087 environment that is physically and emotionally safe for students and 1088 adults, (C) each student is actively engaged in learning and is connected 1089 to the school and broader community, (D) each student has access to 1090 personalized learning and is supported by qualified, caring adults, and 1091 (E) each student is challenged academically and prepared for success in 1092 college or further study and for employment and participation in a 1093 global environment, (2) recommend new programs or changes to 1094 existing programs operated by educators or local or state agencies to 1095 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 35 of 38 better address the needs of children in the state, and (3) recognize any 1096 exceptional efforts to meet the comprehensive needs of children by 1097 educators, community members or local or state agencies. As used in 1098 this section, "community member" means any individual or private 1099 organization that provides services or programs for children. 1100 (b) The task force shall consist of the following members: 1101 (1) Two appointed by the speaker of the House of Representatives, 1102 one of whom is an educator employed by a local or regional board of 1103 education and one of whom is a social worker licensed pursuant to 1104 chapter 383b of the general statutes who works with children; 1105 (2) Two appointed by the president pro tempore of the Senate, one of 1106 whom is a representative of the board of directors of the Association for 1107 Supervision and Curriculum Development affiliate in the state, and one 1108 of whom is representative of an institution of higher education in the 1109 state; 1110 (3) One appointed by the majority leader of the House of 1111 Representatives, who is a school administrator employed by a local or 1112 regional board of education; 1113 (4) One appointed by the majority leader of the Senate, who is a 1114 chairperson of a local or regional board of education; 1115 (5) One appointed by the minority leader of the House of 1116 Representatives, who is a director or employee of a private nonprofit 1117 organization in the state that provides services or programs for children; 1118 (6) One appointed by the minority leader of the Senate, who is a 1119 director or employee of a private nonprofit organization in the state that 1120 provides health-related services or programs for children; 1121 (7) The Commissioner of Education, or the commissioner's designee; 1122 (8) The Commissioner of Early Childhood, or the commissioner's 1123 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 36 of 38 designee; 1124 (9) The Healthcare Advocate, or the advocate's designee; 1125 (10) The Labor Commissioner, or the commissioner's designee; 1126 (11) The executive director of the Commission on Human Rights and 1127 Opportunities, or the executive director's designee; 1128 (12) The Commissioner of Agriculture, or the commissioner's 1129 designee; 1130 (13) The Commissioner of Economic and Community Development, 1131 or the commissioner's designee; 1132 (14) The Commissioner of Housing, or the commissioner's designee; 1133 (15) The Commissioner of Public Health, or the commissioner's 1134 designee; 1135 (16) The Commissioner of Developmental Service s, or the 1136 commissioner's designee; 1137 (17) The Commissioner of Mental Health and Addiction Services, or 1138 the commissioner's designee; 1139 (18) The Commissioner of Transportation, or the commissioner's 1140 designee; 1141 (19) The Commissioner of Social Services, or the commissioner's 1142 designee; 1143 (20) The superintendent of the Technical Education and Career 1144 System, or the superintendent's designee; 1145 (21) The Commissioner of Children and Families, or the 1146 commissioner's designee; and 1147 (22) The Chief Court Administrator, or the Chie f Court 1148 Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 37 of 38 Administrator's designee. 1149 (c) Any member of the task force appointed under subdivisions (1) to 1150 (6), inclusive, of subsection (b) of this section may be a member of the 1151 General Assembly. 1152 (d) All initial appointments to the task force shall be made not later 1153 than thirty days after the effective date of this section. Any vacancy shall 1154 be filled by the appointing authority not later than thirty days after the 1155 vacancy occurs. If a vacancy is not filled by the appointing authority, the 1156 chairpersons of the task force may fill such vacancy. 1157 (e) The speaker of the House of Representatives and the president pro 1158 tempore of the Senate shall select the chairpersons of the task force from 1159 among the members of the task force. Such chairpersons shall schedule 1160 the first meeting of the task force, which shall be held not later than sixty 1161 days after the effective date of this section. 1162 (f) The administrative staff of the joint standing committee of the 1163 General Assembly having cognizance of matters relating to children 1164 shall serve as administrative staff of the task force. 1165 (g) Not later than January 1, 2022, the task force shall submit a report 1166 on its findings and recommendations to the joint standing committee of 1167 the General Assembly having cognizance of matters relating to children, 1168 in accordance with the provisions of section 11-4a of the general statutes. 1169 The task force shall terminate on the date that it submits such report or 1170 January 1, 2022, whichever is later. 1171 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) Substitute Bill No. 2 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00002- R03-SB.docx } 38 of 38 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 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 10-215 Sec. 21 July 1, 2021 17a-10a Sec. 22 July 1, 2021 17a-103a Sec. 23 July 1, 2021 New section Sec. 24 July 1, 2022 17a-248g Sec. 25 July 1, 2021 10-76d(a)(10) Sec. 26 July 1, 2021 10-76d(i) Sec. 27 July 1, 2021 17a-248e Sec. 28 July 1, 2021 New section Sec. 29 July 1, 2021 New section Sec. 30 from passage New section Sec. 31 from passage New section KID Joint Favorable Subst. APP Joint Favorable