Connecticut 2025 Regular Session

Connecticut House Bill HB07049 Compare Versions

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3-LCO 1 of 2
3+LCO No. 5121 1 of 10
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5-General Assembly Substitute Bill No. 7049
5+General Assembly Raised Bill No. 7049
66 January Session, 2025
7+LCO No. 5121
78
9+
10+Referred to Committee on PUBLIC HEALTH
11+
12+
13+Introduced by:
14+(PH)
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1219 AN ACT CONCERNING THE RECOMMENDATIONS OF THE OFFICE
13-OF THE CHILD ADVOCATE REGARDING THE INFANT MORTALITY
14-REVIEW PROGRAM.
20+OF THE CHILD ADVOCATE REGARDING OVERSIGHT OF
21+CHILDREN'S AUTISM SPECTRUM DISORDER SERVICES AND THE
22+INFANT MORTALITY REVIEW PROGRAM.
1523 Be it enacted by the Senate and House of Representatives in General
1624 Assembly convened:
1725
18-Section 1. Subsection (f) of section 19a-59j of the general statutes is 1
26+Section 1. Subsection (a) of section 20-185k of the general statutes is 1
1927 repealed and the following is substituted in lieu thereof (Effective October 2
2028 1, 2025): 3
21-(f) All information obtained by the commissioner, or the 4
22-commissioner's designee, for the infant mortality review program shall 5
23-be confidential pursuant to section 19a-25, except the commissioner may 6
24-disclose any information or data obtained for the infant mortality review 7
25-program to the Child Advocate, if the commissioner deems such 8
26-disclosure necessary for the Child Advocate to perform the duties set 9
27-forth in section 46a-13l. Any information or data disclosed to the Child 10
28-Advocate shall be confidential in accordance with section 46a-13n, as 11
29-amended by this act. 12
30-Sec. 2. Subsection (a) of section 46a-13n of the general statutes is 13
31-repealed and the following is substituted in lieu thereof (Effective October 14
32-1, 2025): 15
33-(a) The name, address and other personally identifiable information 16 Substitute Bill No. 7049
29+(a) The Commissioner of Public Health shall grant a license as a 4
30+behavior analyst to any applicant who (1) furnishes evidence 5
31+satisfactory to the commissioner that such applicant is certified as a 6
32+behavior analyst by the Behavior Analyst Certification Board, and (2) on 7
33+and after October 1, 2025, satisfies a comprehensive background check, 8
34+which shall include, but need not be limited to, (A) a criminal history 9
35+records check conducted in accordance with section 29-17a, and (B) a 10
36+search of the (i) state child abuse or neglect registry established pursuant 11
37+to section 17a-101k, (ii) registry established and maintained pursuant to 12
38+section 54-257, and (iii) National Sex Offender Registry Public Website 13
39+maintained by the United States Department of Justice . The 14
40+Raised Bill No. 7049
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3542
36-LCO 2 of 2
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38-of a person who makes a complaint to the Child Advocate as provided 17
39-in section 46a-13l, all information obtained or generated by the office in 18
40-the course of an investigation and all confidential records obtained by 19
41-the Child Advocate or a designee shall be confidential and shall not be 20
42-subject to disclosure under the Freedom of Information Act or 21
43-otherwise, except that such information and records, other than 22
44-confidential information concerning a pending law enforcement 23
45-investigation or a pending prosecution, may be disclosed if the Child 24
46-Advocate determines that disclosure is (1) in the general public interest 25
47-or (2) necessary to enable the Child Advocate to perform his 26
48-responsibilities under subsection (a) of section 46a-13l. If the Child 27
49-Advocate determines that disclosure of confidential information is not 28
50-in the public interest but is necessary to enable the Child Advocate to 29
51-perform responsibilities under subsection (a) of section 46a-13l, or to 30
52-identify, prevent or treat the abuse or neglect of a child, the Child 31
53-Advocate may disclose such information to the appropriate agency 32
54-responsible for the welfare of such child or the legal representative for 33
55-such child. The Child Advocate may disclose information or data 34
56-regarding fatalities of infants less than one year of age to the 35
57-Commissioner of Public Health if the Child Advocate determines such 36
58-disclosure is necessary for the purposes of the infant mortality review 37
59-program established pursuant to section 19a-59j, as amended by this act. 38
60-Any information or data disclosed to the Commissioner of Public Health 39
61-shall be confidential in accordance with the provisions of section 19a-25. 40
44+LCO No. 5121 2 of 10
45+
46+commissioner shall develop and provide application forms. The 15
47+application fee shall be three hundred fifty dollars. 16
48+Sec. 2. Subsection (b) of section 17a-101 of the general statutes is 17
49+repealed and the following is substituted in lieu thereof (Effective October 18
50+1, 2025): 19
51+(b) The following persons shall be mandated reporters: (1) Any 20
52+physician or surgeon licensed under the provisions of chapter 370, (2) 21
53+any resident physician or intern in any hospital in this state, whether or 22
54+not so licensed, (3) any registered nurse, (4) any licensed practical nurse, 23
55+(5) any medical examiner, (6) any dentist, (7) any dental hygienist, (8) 24
56+any psychologist, (9) any school employee, as defined in section 53a-65, 25
57+(10) any social worker, (11) any person who holds or is issued a coaching 26
58+permit by the State Board of Education, is a coach of intramural or 27
59+interscholastic athletics and is eighteen years of age or older, (12) any 28
60+individual who is employed as a coach or director of youth athletics and 29
61+is eighteen years of age or older, (13) any individual who is employed 30
62+as a coach or director of a private youth sports organization, league or 31
63+team and is eighteen years of age or older, (14) any paid administrator, 32
64+faculty, staff, athletic director, athletic coach or athletic trainer employed 33
65+by a public or private institution of higher education who is eighteen 34
66+years of age or older, excluding student employees, (15) any police 35
67+officer, (16) any juvenile or adult probation officer, (17) any juvenile or 36
68+adult parole officer, (18) any member of the clergy, (19) any pharmacist, 37
69+(20) any physical therapist, (21) any optometrist, (22) any chiropractor, 38
70+(23) any podiatrist, (24) any mental health professional, (25) any 39
71+physician assistant, (26) any person who is a licensed or certified 40
72+emergency medical services provider, (27) any person who is a licensed 41
73+or certified alcohol and drug counselor, (28) any person who is a 42
74+licensed marital and family therapist, (29) any person who is a sexual 43
75+assault counselor or a domestic violence counselor, as defined in section 44
76+52-146k, (30) any person who is a licensed professional counselor, (31) 45
77+any person who is a licensed foster parent, (32) any person paid to care 46
78+for a child in any public or private facility, child care center, group child 47
79+Raised Bill No. 7049
80+
81+
82+
83+LCO No. 5121 3 of 10
84+
85+care home or family child care home licensed by the state, (33) any 48
86+employee of the Department of Children and Families or any person 49
87+who, in the performance of such person's duties, has regular contact 50
88+with and provides services to or on behalf of children pursuant to a 51
89+contract with or credential issued by the Department of Children and 52
90+Families, (34) any employee of the Office of Early Childhood who is 53
91+responsible for the licensing of child care centers, group child care 54
92+homes, family child care homes or youth camps, (35) any paid youth 55
93+camp director, assistant director and staff member who is twenty-one 56
94+years of age or older, (36) the Child Advocate and any employee of the 57
95+Office of the Child Advocate, (37) any person who is (A) a licensed 58
96+behavior analyst, or (B) a person working under the clinical supervision 59
97+of a licensed behavior analyst, (38) any family relations counselor, 60
98+family relations counselor trainee or family services supervisor 61
99+employed by the Judicial Department, (39) any victim services advocate 62
100+employed by the Office of Victim Services within the Judicial 63
101+Department, (40) any employee of a juvenile justice program operated 64
102+by or pursuant to a contract with the Court Support Services Division of 65
103+the Judicial Department, and (41) any person employed, including any 66
104+person employed under contract and any independent ombudsperson, 67
105+to work at a juvenile detention facility or any other facility where 68
106+children under eighteen years of age are detained and who has direct 69
107+contact with children as part of such employment. 70
108+Sec. 3. (NEW) (Effective October 1, 2025) (a) Notwithstanding any 71
109+provision of the general statutes, not later than five business days after 72
110+the Commissioner of Children and Families concludes an investigation, 73
111+conducted pursuant to section 17a-101g of the general statutes, of a 74
112+report of child abuse and neglect in which (1) the alleged perpetrator of 75
113+such abuse or neglect is a behavior analyst licensed pursuant to chapter 76
114+382a of the general statutes, or (2) the child is an alleged victim of a crime 77
115+described in section 53a-70, 53a-70a, 53a-71, 53a-72a, 53a-72b or 53a-73a 78
116+of the general statutes, and the alleged perpetrator of such crime is a 79
117+behavior analyst licensed pursuant to chapter 382a of the general 80
118+Raised Bill No. 7049
119+
120+
121+
122+LCO No. 5121 4 of 10
123+
124+statutes, the Commissioner of Children and Families shall notify the 81
125+Department of Public Health of the results of such investigation and 82
126+provide any records relating to such investigation to such department, 83
127+regardless of whether such records were created by the Department of 84
128+Children and Families. The Commissioner of Children and Families 85
129+shall provide such notification and records regardless of whether the 86
130+child was a patient of a behavior analyst. Upon receiving such 87
131+notification and any such records, the Department of Public Health shall 88
132+treat such notification as a complaint, conduct an investigation of the 89
133+behavior analyst and take any disciplinary action, in accordance with 90
134+sections 19a-17 and 20-185m of the general statutes, that the 91
135+Commissioner of Public Health deems appropriate. If, after such 92
136+investigation, the Commissioner of Public Health takes disciplinary 93
137+action against the behavior analyst or, if the disciplinary action is 94
138+resolved through voluntary surrender of a license or an agreement not 95
139+to renew or reinstate a license, the Commissioner of Public Health shall 96
140+notify the employer of the behavior analyst if such behavior analyst was 97
141+employed as a behavior analyst at the time of the complaint. 98
142+(b) If the Commissioner of Children and Families, based upon the 99
143+results of an investigation described in subsection (a) of this section, has 100
144+reasonable cause to believe that (1) (A) a child has been abused or 101
145+neglected, as such terms are defined in section 46b-120 of the general 102
146+statutes, by a behavior analyst, and (B) the Commissioner of Children 103
147+and Families recommends that such behavior analyst be placed on the 104
148+child abuse and neglect registry established pursuant to section 17a-105
149+101k of the general statutes, or (2) the child is an alleged victim of a crime 106
150+described in section 53a-70, 53a-70a, 53a-71, 53a-72a, 53a-72b or 53a-73a 107
151+of the general statutes, and the alleged perpetrator of such crime is a 108
152+behavior analyst licensed pursuant to chapter 382a of the general 109
153+statutes, the Commissioner of Children and Families shall notify the 110
154+Commissioner of Public Health, who shall, not later than seventy-two 111
155+hours after the receipt of such notification, suspend the behavior 112
156+analyst's license pending completion of an investigation and, if such 113
157+Raised Bill No. 7049
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159+
160+
161+LCO No. 5121 5 of 10
162+
163+behavior analyst is currently employed as a behavior analyst, notify the 114
164+behavior analyst's employer of such suspension and investigation. 115
165+Upon completion of such investigation, the Commissioner of Public 116
166+Health shall notify the behavior analyst's employer, if such behavior 117
167+analyst was employed as a behavior analyst at the time of the complaint, 118
168+of the results of such investigation. 119
169+(c) If a behavior analyst is convicted of (1) a crime involving an act of 120
170+child abuse or neglect, as described in section 46-120, 53-21, 53a-71 or 121
171+53a-73a of the general statutes against any person, or (2) a crime, as 122
172+described in section 53a-70, 53a-70a, 53a-72a or 53a-72b of the general 123
173+statutes, against a victim, as described in subdivision (2) of subsection 124
174+(a) of section 17a-101a of the general statutes, the state's attorney of the 125
175+judicial district where such conviction occurred shall notify the 126
176+Commissioner of Public Health, in writing, of such conviction. Not later 127
177+than seventy-two hours after the receipt of such notification, the 128
178+Commissioner of Public Health shall suspend the behavior analyst's 129
179+license pending completion of an investigation and, if such behavior 130
180+analyst is currently employed as a behavior analyst at the time of the 131
181+complaint, notify the behavior analyst's employer of such suspension 132
182+and investigation. Upon completion of such investigation, the 133
183+Commissioner of Public Health shall notify the behavior analyst's 134
184+employer, if such behavior analyst was employed as a behavior analyst 135
185+at the time of the complaint, of the results of such investigation. 136
186+Sec. 4. (NEW) (Effective October 1, 2025) Each employer of a behavior 137
187+analyst, licensed pursuant to chapter 382a of the general statutes, shall 138
188+provide to each patient of a behavior analyst, or, if the patient is under 139
189+eighteen years of age, such patient's parents or legal guardians, (1) the 140
190+behavior analyst's license number, and (2) instructions regarding the 141
191+manner in which to report complaints regarding the conduct of the 142
192+behavior analyst to the Department of Public Health. 143
193+Sec. 5. (Effective from passage) (a) There is established a task force to 144
194+review the delivery of applied behavior analyses services to children 145
195+Raised Bill No. 7049
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197+
198+
199+LCO No. 5121 6 of 10
200+
201+and make recommendations for a statutory and regulatory framework 146
202+for the delivery of such services. Such review shall include, but need not 147
203+be limited to, a review of (1) current legislative and regulatory oversight 148
204+applicable to such services, (2) potential statutory and regulatory 149
205+frameworks for oversight of such services, including the need for any 150
206+oversight structure to include expertise in the provision of child care and 151
207+applied behavioral analyses services to children with autism spectrum 152
208+disorder, (3) whether employees of any entity delivering child care or 153
209+applied behavioral analyses services to children should be mandated 154
210+reporters, and (4) whether employees of applied behavioral analyses 155
211+services providers should submit to comprehensive background checks. 156
212+(b) The task force shall consist of the following members: 157
213+(1) The chairpersons and ranking members of the joint standing 158
214+committee of the General Assembly having cognizance of matters 159
215+relating to public health; 160
216+(2) The Commissioner of Early Childhood, or the commissioner's 161
217+designee; 162
218+(3) The Commissioner of Public Health, or the commissioner's 163
219+designee; 164
220+(4) The Commissioner of Social Services, or the commissioner's 165
221+designee; 166
222+(5) The Commissioner of Children and Families, or the 167
223+commissioner's designee; 168
224+(6) The Commissioner of Developmental Services, or the 169
225+commissioner's designee; 170
226+(7) The Commissioner of Education, or the commissioner's designee; 171
227+(8) The Child Advocate, or the Child Advocate's designee; 172
228+Raised Bill No. 7049
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230+
231+
232+LCO No. 5121 7 of 10
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234+(9) One appointed by the House chairperson of the joint standing 173
235+committee of the General Assembly having cognizance of matters 174
236+relating to public health, who shall be a parent of a child with autism 175
237+spectrum disorder; 176
238+(10) One appointed by the Senate chairperson of the joint standing 177
239+committee of the General Assembly having cognizance of matters 178
240+relating to public health, who shall be a representative of an 179
241+organization dedicated to advocacy for children with autism spectrum 180
242+disorder; 181
243+(11) One appointed by the House ranking member of the joint 182
244+standing committee of the General Assembly having cognizance of 183
245+matters relating to public health, who shall be a board certified behavior 184
246+analyst who provides services to children; and 185
247+(12) One appointed by the Senate ranking member of the joint 186
248+standing committee of the General Assembly having cognizance of 187
249+matters relating to public health, who shall be a psychiatrist with 188
250+expertise in the delivery of services to children with autism spectrum 189
251+disorder. 190
252+(c) Any member of the task force appointed under subdivision (9), 191
253+(10), (11) or (12) of subsection (b) of this section may be a member of the 192
254+General Assembly. 193
255+(d) All initial appointments to the task force shall be made not later 194
256+than thirty days after the effective date of this section. Any vacancy shall 195
257+be filled by the appointing authority. 196
258+(e) The chairpersons of the joint standing committee of the General 197
259+Assembly having cognizance of matters relating to public health shall 198
260+serve as the chairpersons of the task force, or may designate a member 199
261+of the task force to serve as the chairperson. Such chairpersons shall 200
262+schedule the first meeting of the task force, which shall be held not later 201
263+than sixty days after the effective date of this section. 202
264+Raised Bill No. 7049
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266+
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268+LCO No. 5121 8 of 10
269+
270+(f) The administrative staff of the joint standing committee of the 203
271+General Assembly having cognizance of matters relating to public 204
272+health shall serve as administrative staff of the task force. 205
273+(g) Not later than November 1, 2025, the task force shall submit a 206
274+report on its findings and recommendations to the joint standing 207
275+committee of the General Assembly having cognizance of matters 208
276+relating to public health, in accordance with the provisions of section 11-209
277+4a of the general statutes. The task force shall terminate on the date that 210
278+it submits such report or November 1, 2025, whichever is later. 211
279+Sec. 6. Subsection (f) of section 19a-59j of the general statutes is 212
280+repealed and the following is substituted in lieu thereof (Effective October 213
281+1, 2025): 214
282+(f) All information obtained by the commissioner, or the 215
283+commissioner's designee, for the infant mortality review program shall 216
284+be confidential pursuant to section 19a-25, except the commissioner may 217
285+disclose any information or data obtained for the infant mortality review 218
286+program to the Child Advocate, if the commissioner deems such 219
287+disclosure necessary for the Child Advocate to perform the duties set 220
288+forth in section 46a-13l. Any information or data disclosed to the Child 221
289+Advocate shall be confidential in accordance with section 46a-13n, as 222
290+amended by this act. 223
291+Sec. 7. Subsection (a) of section 46a-13n of the general statutes is 224
292+repealed and the following is substituted in lieu thereof (Effective October 225
293+1, 2025): 226
294+(a) The name, address and other personally identifiable information 227
295+of a person who makes a complaint to the Child Advocate as provided 228
296+in section 46a-13l, all information obtained or generated by the office in 229
297+the course of an investigation and all confidential records obtained by 230
298+the Child Advocate or a designee shall be confidential and shall not be 231
299+subject to disclosure under the Freedom of Information Act or 232
300+otherwise, except that such information and records, other than 233
301+Raised Bill No. 7049
302+
303+
304+
305+LCO No. 5121 9 of 10
306+
307+confidential information concerning a pending law enforcement 234
308+investigation or a pending prosecution, may be disclosed if the Child 235
309+Advocate determines that disclosure is (1) in the general public interest 236
310+or (2) necessary to enable the Child Advocate to perform his 237
311+responsibilities under subsection (a) of section 46a-13l. If the Child 238
312+Advocate determines that disclosure of confidential information is not 239
313+in the public interest but is necessary to enable the Child Advocate to 240
314+perform responsibilities under subsection (a) of section 46a-13l, or to 241
315+identify, prevent or treat the abuse or neglect of a child, the Child 242
316+Advocate may disclose such information to the appropriate agency 243
317+responsible for the welfare of such child or the legal representative for 244
318+such child. The Child Advocate may disclose information or data 245
319+regarding fatalities of infants less than one year of age to the 246
320+Commissioner of Public Health if the Child Advocate determines such 247
321+disclosure is necessary for the purposes of the infant mortality review 248
322+program established pursuant to section 19a-59j, as amended by this act. 249
323+Any information or data disclosed to the Commissioner of Public Health 250
324+shall be confidential in accordance with the provisions of section 19a-25. 251
62325 This act shall take effect as follows and shall amend the following
63326 sections:
64327
65-Section 1 October 1, 2025 19a-59j(f)
66-Sec. 2 October 1, 2025 46a-13n(a)
328+Section 1 October 1, 2025 20-185k(a)
329+Sec. 2 October 1, 2025 17a-101(b)
330+Sec. 3 October 1, 2025 New section
331+Sec. 4 October 1, 2025 New section
332+Sec. 5 from passage New section
333+Sec. 6 October 1, 2025 19a-59j(f)
334+Sec. 7 October 1, 2025 46a-13n(a)
67335
68-PH Joint Favorable Subst.
336+Statement of Purpose:
337+To make various revisions concerning the practice of behavior analysts,
338+including (1) requiring behavior analysts to submit to a comprehensive
339+background check when applying for licensure, (2) designating persons
340+working under the supervision of behavior analysts as mandated
341+reporters, (3) establishing certain notification and disciplinary
342+requirements relating to behavior analysts who abuse or neglect
343+Raised Bill No. 7049
344+
345+
346+
347+LCO No. 5121 10 of 10
348+
349+children, (4) requiring employers of behavior analysts to notify patients
350+regarding complaint procedures, (5) establishing a task force to study
351+issues relating to behavior analysts, and (6) allowing the Commissioner
352+of Public Health and Child Advocate to share information and data for
353+the purposes of the infant mortality review program.
354+
355+[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
356+that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
357+underlined.]
69358