Connecticut 2021 2021 Regular Session

Connecticut Senate Bill SB00416 Chaptered / Bill

Filed 06/24/2021

                     
 
 
Substitute Senate Bill No. 416 
 
Public Act No. 21-135 
 
 
AN ACT CONCERNING VARIOUS REVISIONS TO THE 
DEPARTMENT OF DEVELOPMENTAL SERVICES 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 
repealed and the following is substituted in lieu thereof (Effective from 
passage): 
(c) The department shall make information in the registry available 
only to: (1) Authorized agencies, for the purpose of protective service 
determinations; (2) employers who employ employees to provide 
services to an individual who receives services or funding from the 
department; (3) the Departments of Children and Families, Mental 
Health and Addiction Services, [and] Social Services and 
Administrative Services, for the purpose of determining whether an 
applicant for employment with the Departments of Children and 
Families, Developmental Services, Mental Health and Addiction 
Services and Social Services appears on the registry; or (4) charitable 
organizations that recruit volunteers to support programs for persons 
with intellectual disability or autism spectrum disorder, upon 
application to and approval by the commissioner, for purposes of 
conducting background checks on such volunteers.  Substitute Senate Bill No. 416 
 
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Sec. 2. Subsection (f) of section 17a-238 of the general statutes is 
repealed and the following is substituted in lieu thereof (Effective from 
passage): 
(f) The Commissioner of Developmental Services shall require the 
attending physician of any person placed or treated in a residential 
facility under the direction of the commissioner to obtain informed 
written consent from the following persons prior to authorizing any 
[surgical procedure or any] medical treatment or surgical procedure, 
excluding routine medical treatment which is necessary to maintain the 
general health of the person or to prevent the spread of any 
communicable disease: (1) The person if such person is eighteen years 
of age or over or is legally emancipated and competent to give such 
consent; (2) the parent of a person under eighteen years of age who is 
not legally emancipated; or (3) the legal representative of a person of 
any age who is adjudicated unable to make informed decisions about 
matters relating to such person's medical care. The person whose 
consent is required shall be informed of the nature and consequences of 
the particular medical treatment or surgical procedure, the reasonable 
risks, benefits and purpose of such medical treatment or surgical 
procedure and any alternative medical treatment or surgical 
[procedures] procedure which [are] is available. The consent of any 
person or of any parent or legal representative of any person may be 
withdrawn at any time prior to the commencement of the medical 
treatment or surgical procedure. The regional or training school director 
having custody and control of a person living in a residential facility 
may authorize necessary [surgery] medical treatment or surgical 
procedure for such person where, in the opinion of the person's 
attending physician, the [surgery] medical treatment or surgical 
procedure is of an emergency nature and there is insufficient time to 
obtain the required written consent provided for in this section. The 
attending physician shall prepare a report describing the nature of the 
emergency which necessitated such [surgery] medical treatment or  Substitute Senate Bill No. 416 
 
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surgical procedure and shall file a copy of such report in the patient's 
record. 
Sec. 3. Section 46a-11c of the general statutes is repealed and the 
following is substituted in lieu thereof (Effective from passage): 
(a) The commissioner, upon receiving a report that a person with 
intellectual disability allegedly is being or has been abused or neglected, 
shall make an initial determination whether such person has intellectual 
disability, shall determine if the report warrants investigation and shall 
cause, in cases that so warrant, a prompt, thorough evaluation to be 
made to determine whether the person has intellectual disability and 
has been abused or neglected. For the purposes of sections 46a-11a to 
46a-11g, inclusive, the determination of intellectual disability may be 
made by means of a review of records and shall not require the 
commissioner to conduct a full psychological examination of the person. 
Any delay in making such determination of intellectual disability shall 
not delay the investigation of abuse or neglect or recommendation of 
provision of protective services. The evaluation shall include a visit to 
the named person with intellectual disability and consultation with 
those individuals having knowledge of the facts of the particular case. 
All state, local and private agencies shall have a duty to cooperate with 
any investigation conducted by the Department of Developmental 
Services under this section, including the release of complete records of 
the named person for review, inspection and copying, except where the 
person with intellectual disability refuses to permit such records to be 
released. The commissioner shall have subpoena powers to compel any 
information related to such investigation. All records of the named 
person shall be kept confidential by said department. Upon completion 
of the evaluation of each case, written findings shall be prepared which 
shall include a determination of whether abuse or neglect has occurred 
and recommendations as to whether protective services are needed. The 
commissioner, except in cases where the legal representative is the  Substitute Senate Bill No. 416 
 
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alleged or substantiated perpetrator of abuse or neglect or is residing 
with the alleged or substantiated perpetrator, shall notify the legal 
representative, if any, of the person with intellectual disability if a report 
of abuse or neglect is made which the commissioner determines 
warrants investigation. The commissioner, except in cases where the 
legal representative is the alleged or substantiated perpetrator of abuse 
or neglect or is residing with the alleged or substantiated perpetrator, 
shall provide the legal representative who the commissioner determines 
is entitled to such information with further information upon request. 
The person filing the report of abuse or neglect shall be notified of the 
findings upon such person's request. 
(b) The commissioner, upon receiving a report that a person who 
receives services from the Department of Social Services' Division of 
Autism Spectrum Disorder Services, allegedly is being or has been 
abused or neglected, shall make an initial determination whether such 
person receives funding or services from said division, shall determine 
if the report warrants investigation and shall cause, in cases that so 
warrant, a prompt, thorough evaluation, as described in subsection (b) 
of section 17a-247f, to be made by the Department of Developmental 
Services to determine whether the person has been abused or neglected. 
(c) In cases where there is a death of a person with intellectual 
disability for whom the Department of Developmental Services has 
direct or oversight responsibility for medical care, and there is 
reasonable cause to suspect or believe that such death may be due to 
abuse or neglect, the commissioner shall conduct an investigation to 
determine whether abuse or neglect occurred, except as may be 
otherwise required by court order. The commissioner shall establish 
protocols for conducting such investigations. 
(d) The commissioner shall maintain an electronic copy of the reports 
received of alleged abuse or neglect and all evaluation reports.  Substitute Senate Bill No. 416 
 
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(e) Neither the original report of alleged abuse or neglect nor the 
evaluation report of the investigator which includes findings and 
recommendations shall be deemed a public record for purposes of 
section 1-210. The original report of alleged abuse or neglect or the 
evaluation report of the investigator shall not be provided to a legal 
representative who is the alleged or substantiated perpetrator of abuse 
or neglect or is residing with the alleged or substantiated perpetrator. 
The name of the person making the original report shall not be disclosed 
to any person unless the person making the original report consents to 
such disclosure or unless a judicial proceeding results therefrom. 
Sec. 4. Section 17a-217a of the general statutes is repealed and the 
following is substituted in lieu thereof (Effective from passage): 
(a) There shall be a Camp Harkness Advisory Committee to advise 
the Commissioner of Developmental Services with respect to issues 
concerning the health and safety of persons who attend and utilize the 
facilities at Camp Harkness. The advisory committee shall be composed 
of twelve members as follows: (1) Six members appointed by the 
Governor, one of whom shall be the director of Camp Harkness, who 
shall serve ex officio, one of whom shall represent [the Southeastern 
Connecticut Association for Developmental Disabilities] a mental health 
organization that uses the camp, one of whom shall represent the 
Southbury Training School, one of whom shall represent [the] The Arc 
of [New London County] Eastern Connecticut, one of whom shall be a 
person who uses the camp on a residential basis and one of whom shall 
be a relative or guardian of a person who uses the camp; and (2) six 
members appointed by the General Assembly, one of whom shall be a 
relative or guardian of a person who uses the camp, who shall be 
appointed by the president pro tempore of the Senate; one of whom 
shall be a [member of the Family Support Council established pursuant 
to section 17a-219c and represent persons who use the camp on a day 
basis] special education director, who shall be appointed by the speaker  Substitute Senate Bill No. 416 
 
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of the House of Representatives; one of whom shall represent the board 
of selectmen of the town of Waterford, who shall be appointed by the 
majority leader of the House of Representatives; one of whom shall 
represent a private nonprofit corporation that is: (A) Tax exempt under 
Section 501(c)(3) of the Internal Revenue Code of 1986, or any 
subsequent internal revenue code of the United States, as amended from 
time to time, and (B) established to promote and support Camp 
Harkness and its camping programs, who shall be appointed by the 
majority leader of the Senate; one of whom shall represent the 
Connecticut Institute for the Blind and the Oak Hill School, who shall 
be appointed by the minority leader of the House of Representatives; 
and one of whom shall rep resent [the United Cerebral Palsy 
Association] Sunrise Northeast, Inc., who shall be appointed by the 
minority leader of the Senate. 
(b) The advisory committee shall promote communication regarding 
camp services and develop recommendations for the commissioner 
regarding the use of Camp Harkness. 
Sec. 5. Section 45a-681 of the general statutes is repealed and the 
following is substituted in lieu thereof (Effective from passage): 
(a) The court shall review each guardianship at least every three years 
and shall either continue, modify or terminate the order for 
guardianship. Pursuant to such review: 
(1) The court shall receive and review written evidence as to the 
condition of the protected person. Except as provided in subdivision (2) 
of this subsection, the guardian and a Department of Developmental 
Services professional or, if requested by the protected person or by the 
court, an assessment team appointed by the Commissioner of 
Developmental Services or the commissioner's designee shall each 
submit a written report to the court not later than forty-five days after 
the court's request for such report.  Substitute Senate Bill No. 416 
 
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(2) In the case of a protected person who is functioning adaptively 
and intellectually within the severe or profound range of intellectual 
disability, as determined by the Department of Developmental Services, 
the court shall receive and review written reports as to the condition of 
the protected person only from the guardian, except that the court may 
require a Department of Developmental Services professional or 
assessment team to submit a written report as to the condition of the 
protected person. 
(3) The Department of Developmental Services professional or 
assessment team shall personally observe or examine the protected 
person within the forty-five-day period preceding the date it submits 
any report under subdivision (4) of this subsection. 
(4) Each written report shall be submitted to the court not later than 
forty-five days after the court's request for such report. On receipt of a 
written report from the guardian or a Department of Developmental 
Services professional or assessment team, the court shall provide a copy 
of the report to the attorney for the protected person. 
(5) The written report or testimony by the Department of 
Developmental Services professional or assessment team shall not be 
required for the court's review of guardianship pursuant to this section 
if the protected person has been determined ineligible for services of the 
Department of Developmental Services by the commissioner or his or 
her designee, provided such denial of eligibility is based on the 
determination that the individual does not have intellectual disability as 
defined in section 1-1g. A copy of the eligibility determination letter 
indicating that the basis of ineligibility is the absence of intellectual 
disability, as defined in section 1-1g, shall be provided to the court in 
lieu of a report by the assessment team and no further assessment by the 
team shall be required. 
[(5)] (6) Not later than thirty days after the attorney for the protected  Substitute Senate Bill No. 416 
 
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person receives a copy of a report pursuant to subdivision (4) of this 
subsection, the protected person's attorney shall (A) meet with the 
protected person concerning the report, and (B) provide written notice 
to the court (i) that the protected person's attorney has met with the 
protected person, and (ii) indicating whether a hearing is requested. 
Nothing in this section shall prevent the protected person or the 
protected person's attorney from requesting a hearing at any other time 
as permitted by law. 
[(6)] (7) If the protected person is unable to request or obtain an 
attorney, the court shall appoint an attorney for the protected person. If 
the protected person is unable to pay for the services of the attorney, the 
reasonable compensation of such attorney shall be established by, and 
paid from funds appropriated to, the Judicial Department; however, if 
funds have not been included in the budget of the Judicial Department 
for such purposes, such compensation shall be established by the 
Probate Court Administrator and paid from the Probate Court 
Administration Fund. 
(b) If the court determines, after receipt of the reports from the 
Department of Developmental Services professional or assessment team 
and the guardian, and notice from the attorney for the protected person, 
that there has been no change in the condition of the protected person 
since the last preceding review by the court, a hearing on the condition 
of the protected person shall not be required, but the court, in its 
discretion, may hold such hearing. If the protected person's attorney, the 
Department of Developmental Services professional or assessment team 
or the guardian requests a hearing, the court shall hold a hearing within 
thirty days of such request. No order expanding or reducing the powers 
and responsibilities of a guardian shall be issued unless such hearing is 
held.