Connecticut 2021 2021 Regular Session

Connecticut Senate Bill SB00416 Comm Sub / Bill

Filed 03/09/2021

                     
 
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General Assembly  Substitute Bill No. 416  
January Session, 2021 
 
 
 
 
 
AN ACT CONCERNING VA RIOUS REVISIONS TO THE DEPARTMENT 
OF DEVELOPMENTAL SER VICES STATUTES.  
Be it enacted by the Senate and House of Representatives in General 
Assembly convened: 
 
Section 1. Subsection (c) of section 17a-247b of the general statutes is 1 
repealed and the following is substituted in lieu thereof (Effective from 2 
passage): 3 
(c) The department shall make information in the registry available 4 
only to: (1) Authorized agencies, for the purpose of protective service 5 
determinations; (2) employers who employ employees to provide 6 
services to an individual who receives services or funding from the 7 
department; (3) the Departments of Children and Families, Mental 8 
Health and Addiction Services, [and] Social Services and 9 
Administrative Services, for the purpose of determining whether an 10 
applicant for employment with the Departments of Children and 11 
Families, Developmental Services, Mental Health and Addiction 12 
Services and Social Services appears on the registry; or (4) charitable 13 
organizations that recruit volunteers to support programs for persons 14 
with intellectual disability or autism spectrum disorder, upon 15 
application to and approval by the commissioner, for purposes of 16 
conducting background checks on such volunteers. 17 
Sec. 2. Subsection (f) of section 17a-238 of the general statutes is 18  Substitute Bill No. 416 
 
 
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repealed and the following is substituted in lieu thereof (Effective from 19 
passage): 20 
(f) The Commissioner of Developmental Services shall require the 21 
attending physician of any person placed or treated in a residential 22 
facility under the direction of the commissioner to obtain informed 23 
written consent from the following persons prior to authorizing any 24 
[surgical procedure or any] medical treatment or surgical procedure, 25 
excluding routine medical treatment which is necessary to maintain the 26 
general health of the person or to prevent the spread of any 27 
communicable disease: (1) The person if such person is eighteen years 28 
of age or over or is legally emancipated and competent to give such 29 
consent; (2) the parent of a person under eighteen years of age who is 30 
not legally emancipated; or (3) the legal representative of a person of 31 
any age who is adjudicated unable to make informed decisions about 32 
matters relating to such person's medical care. The person whose 33 
consent is required shall be informed of the nature and consequences of 34 
the particular medical treatment or surgical procedure, the reasonable 35 
risks, benefits and purpose of such medical treatment or surgical 36 
procedure and any alternative medical treatment or surgical 37 
[procedures] procedure which [are] is available. The consent of any 38 
person or of any parent or legal representative of any person may be 39 
withdrawn at any time prior to the commencement of the medical 40 
treatment or surgical procedure. The regional or training school director 41 
having custody and control of a person living in a residential facility 42 
may authorize necessary [surgery] medical treatment or surgical 43 
procedure for such person where, in the opinion of the person's 44 
attending physician, the [surgery] medical treatment or surgical 45 
procedure is of an emergency nature and there is insufficient time to 46 
obtain the required written consent provided for in this section. The 47 
attending physician shall prepare a report describing the nature of the 48 
emergency which necessitated such [surgery] medical treatment or 49 
surgical procedure and shall file a copy of such report in the patient's 50 
record. 51  Substitute Bill No. 416 
 
 
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Sec. 3. Section 46a-11c of the general statutes is repealed and the 52 
following is substituted in lieu thereof (Effective from passage): 53 
(a) The commissioner, upon receiving a report that a person with 54 
intellectual disability allegedly is being or has been abused or neglected, 55 
shall make an initial determination whether such person has intellectual 56 
disability, shall determine if the report warrants investigation and shall 57 
cause, in cases that so warrant, a prompt, thorough evaluation to be 58 
made to determine whether the person has intellectual disability and 59 
has been abused or neglected. For the purposes of sections 46a-11a to 60 
46a-11g, inclusive, the determination of intellectual disability may be 61 
made by means of a review of records and shall not require the 62 
commissioner to conduct a full psychological examination of the person. 63 
Any delay in making such determination of intellectual disability shall 64 
not delay the investigation of abuse or neglect or recommendation of 65 
provision of protective services. The evaluation shall include a visit to 66 
the named person with intellectual disability and consultation with 67 
those individuals having knowledge of the facts of the particular case. 68 
All state, local and private agencies shall have a duty to cooperate with 69 
any investigation conducted by the Department of Developmental 70 
Services under this section, including the release of complete records of 71 
the named person for review, inspection and copying, except where the 72 
person with intellectual disability refuses to permit such records to be 73 
released. The commissioner shall have subpoena powers to compel any 74 
information related to such investigation. All records of the named 75 
person shall be kept confidential by said department. Upon completion 76 
of the evaluation of each case, written findings shall be prepared which 77 
shall include a determination of whether abuse or neglect has occurred 78 
and recommendations as to whether protective services are needed. The 79 
commissioner, except in cases where the legal representative is the 80 
alleged or substantiated perpetrator of abuse or neglect or is residing 81 
with the alleged or substantiated perpetrator, shall notify the legal 82 
representative, if any, of the person with intellectual disability if a report 83 
of abuse or neglect is made which the commissioner determines 84 
warrants investigation. The commissioner, except in cases where the 85  Substitute Bill No. 416 
 
 
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legal representative is the alleged or substantiated perpetrator of abuse 86 
or neglect or is residing with the alleged or substantiated perpetrator, 87 
shall provide the legal representative who the commissioner determines 88 
is entitled to such information with further information upon request. 89 
The person filing the report of abuse or neglect shall be notified of the 90 
findings upon such person's request. 91 
(b) The commissioner, upon receiving a report that a person who 92 
receives services from the Department of Social Services' Division of 93 
Autism Spectrum Disorder Services, allegedly is being or has been 94 
abused or neglected, shall make an initial determination whether such 95 
person receives funding or services from said division, shall determine 96 
if the report warrants investigation and shall cause, in cases that so 97 
warrant, a prompt, thorough evaluation, as described in subsection (b) 98 
of section 17a-247f, to be made by the Department of Developmental 99 
Services to determine whether the person has been abused or neglected. 100 
(c) In cases where there is a death of a person with intellectual 101 
disability for whom the Department of Developmental Services has 102 
direct or oversight responsibility for medical care, and there is 103 
reasonable cause to suspect or believe that such death may be due to 104 
abuse or neglect, the commissioner shall conduct an investigation to 105 
determine whether abuse or neglect occurred, except as may be 106 
otherwise required by court order. The commissioner shall establish 107 
protocols for conducting such investigations. 108 
(d) The commissioner shall maintain an electronic copy of the reports 109 
received of alleged abuse or neglect and all evaluation reports. 110 
(e) Neither the original report of alleged abuse or neglect nor the 111 
evaluation report of the investigator which includes findings and 112 
recommendations shall be deemed a public record for purposes of 113 
section 1-210. The original report of alleged abuse or neglect or the 114 
evaluation report of the investigator shall not be provided to a legal 115 
representative who is the alleged or substantiated perpetrator of abuse 116 
or neglect or is residing with the alleged or substantiated perpetrator. 117  Substitute Bill No. 416 
 
 
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The name of the person making the original report shall not be disclosed 118 
to any person unless the person making the original report consents to 119 
such disclosure or unless a judicial proceeding results therefrom. 120 
Sec. 4. Section 17a-217a of the general statutes is repealed and the 121 
following is substituted in lieu thereof (Effective from passage): 122 
(a) There shall be a Camp Harkness Advisory Committee to advise 123 
the Commissioner of Developmental Services with respect to issues 124 
concerning the health and safety of persons who attend and utilize the 125 
facilities at Camp Harkness. The advisory committee shall be composed 126 
of twelve members as follows: (1) Six members appointed by the 127 
Governor, one of whom shall be the director of Camp Harkness, who 128 
shall serve ex officio, one of whom shall represent [the Southeastern 129 
Connecticut Association for Developmental Disabilities] a mental health 130 
organization that uses the camp, one of whom shall represent the 131 
Southbury Training School, one of whom shall represent [the] The Arc 132 
of [New London County] Eastern Connecticut, one of whom shall be a 133 
person who uses the camp on a residential basis and one of whom shall 134 
be a relative or guardian of a person who uses the camp; and (2) six 135 
members appointed by the General Assembly, one of whom shall be a 136 
relative or guardian of a person who uses the camp, who shall be 137 
appointed by the president pro tempore of the Senate; one of whom 138 
shall be a [member of the Family Support Council established pursuant 139 
to section 17a-219c and represent persons who use the camp on a day 140 
basis] special education director, who shall be appointed by the speaker 141 
of the House of Representatives; one of whom shall represent the board 142 
of selectmen of the town of Waterford, who shall be appointed by the 143 
majority leader of the House of Representatives; one of whom shall 144 
represent a private nonprofit corporation that is: (A) Tax exempt under 145 
Section 501(c)(3) of the Internal Revenue Code of 1986, or any 146 
subsequent internal revenue code of the United States, as amended from 147 
time to time, and (B) established to promote and support Camp 148 
Harkness and its camping programs, who shall be appointed by the 149 
majority leader of the Senate; one of whom shall represent the 150  Substitute Bill No. 416 
 
 
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Connecticut Institute for the Blind and the Oak Hill School, who shall 151 
be appointed by the minority leader of the House of Representatives; 152 
and one of whom shall represent [the United Cerebral Palsy 153 
Association] Sunrise Northeast, Inc., who shall be appointed by the 154 
minority leader of the Senate. 155 
(b) The advisory committee shall promote communication regarding 156 
camp services and develop recommendations for the commissioner 157 
regarding the use of Camp Harkness. 158 
Sec. 5. Section 45a-681 of the general statutes is repealed and the 159 
following is substituted in lieu thereof (Effective from passage): 160 
(a) The court shall review each guardianship at least every three years 161 
and shall either continue, modify or terminate the order for 162 
guardianship. Pursuant to such review: 163 
(1) The court shall receive and review written evidence as to the 164 
condition of the protected person. Except as provided in subdivision (2) 165 
of this subsection, the guardian and a Department of Developmental 166 
Services professional or, if requested by the protected person or by the 167 
court, an assessment team appointed by the Commissioner of 168 
Developmental Services or the commissioner's designee shall each 169 
submit a written report to the court not later than forty-five days after 170 
the court's request for such report. 171 
(2) In the case of a protected person who is functioning adaptively 172 
and intellectually within the severe or profound range of intellectual 173 
disability, as determined by the Department of Developmental Services, 174 
the court shall receive and review written reports as to the condition of 175 
the protected person only from the guardian, except that the court may 176 
require a Department of Developmental Services professional or 177 
assessment team to submit a written report as to the condition of the 178 
protected person. 179 
(3) The Department of Developmental Services professional or 180 
assessment team shall personally observe or examine the protected 181  Substitute Bill No. 416 
 
 
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person within the forty-five-day period preceding the date it submits 182 
any report under subdivision (4) of this subsection. 183 
(4) Each written report shall be submitted to the court not later than 184 
forty-five days after the court's request for such report. On receipt of a 185 
written report from the guardian or a Department of Developmental 186 
Services professional or assessment team, the court shall provide a copy 187 
of the report to the attorney for the protected person. 188 
(5) The written report or testimony by the Department of 189 
Developmental Services professional or assessment team shall not be 190 
required for the court's review of guardianship pursuant to this section 191 
if the protected person has been determined ineligible for services of the 192 
Department of Developmental Services by the commissioner or his or 193 
her designee, provided such denial of eligibility is based on the 194 
determination that the individual does not have intellectual disability as 195 
defined in section 1-1g. A copy of the eligibility determination letter 196 
indicating that the basis of ineligibility is the absence of intellectual 197 
disability, as defined in section 1-1g, shall be provided to the court in 198 
lieu of a report by the assessment team and no further assessment by the 199 
team shall be required. 200 
[(5)] (6) Not later than thirty days after the attorney for the protected 201 
person receives a copy of a report pursuant to subdivision (4) of this 202 
subsection, the protected person's attorney shall (A) meet with the 203 
protected person concerning the report, and (B) provide written notice 204 
to the court (i) that the protected person's attorney has met with the 205 
protected person, and (ii) indicating whether a hearing is requested. 206 
Nothing in this section shall prevent the protected person or the 207 
protected person's attorney from requesting a hearing at any other time 208 
as permitted by law. 209 
[(6)] (7) If the protected person is unable to request or obtain an 210 
attorney, the court shall appoint an attorney for the protected person. If 211 
the protected person is unable to pay for the services of the attorney, the 212 
reasonable compensation of such attorney shall be established by, and 213  Substitute Bill No. 416 
 
 
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paid from funds appropriated to, the Judicial Department; however, if 214 
funds have not been included in the budget of the Judicial Department 215 
for such purposes, such compensation shall be established by the 216 
Probate Court Administrator and paid from the Probate Court 217 
Administration Fund. 218 
(b) If the court determines, after receipt of the reports from the 219 
Department of Developmental Services professional or assessment team 220 
and the guardian, and notice from the attorney for the protected person, 221 
that there has been no change in the condition of the protected person 222 
since the last preceding review by the court, a hearing on the condition 223 
of the protected person shall not be required, but the court, in its 224 
discretion, may hold such hearing. If the protected person's attorney, the 225 
Department of Developmental Services professional or assessment team 226 
or the guardian requests a hearing, the court shall hold a hearing within 227 
thirty days of such request. No order expanding or reducing the powers 228 
and responsibilities of a guardian shall be issued unless such hearing is 229 
held.  230 
This act shall take effect as follows and shall amend the following 
sections: 
 
Section 1 from passage 17a-247b(c) 
Sec. 2 from passage 17a-238(f) 
Sec. 3 from passage 46a-11c 
Sec. 4 from passage 17a-217a 
Sec. 5 from passage 45a-681 
 
PH Joint Favorable Subst.