Connecticut 2025 Regular Session

Connecticut House Bill HB07108 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
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3		-	LCO 1 of 8
	3	+	LCO No. 5570 1 of 6
4	4
5		-	General Assembly ~~Substitute~~ Bill No. 7108
	5	+	General Assembly Raised Bill No. 7108
6	6		January Session, 2025
	7	+	LCO No. 5570
7	8
8	9
	10	+	Referred to Committee on HUMAN SERVICES
9	11
10	12
	13	+	Introduced by:
	14	+	(HS)
11	15
12		-	~~AN ACT CONCERNING AUTISM AND INTELLECTUAL DISABILITY~~
13		-	~~SERVICES~~ AND ~~ABUSE AND NEGLECT INVESTIGATIONS~~.
	16	+
	17	+	AN ACT CONCERNING AUTISM AND INTELLECTUAL DISABILITY.
14	18		Be it enacted by the Senate and House of Representatives in General
15	19		Assembly convened:
16	20
17	21		Section 1. (NEW) (Effective from passage) (a) As used in this section, 1
18	22		"general intellectual functioning or adaptive behavior" means the 2
19	23		effectiveness or degree with which an individual meets the standards of 3
20	24		personal independence and social responsibility expected for the 4
21	25		individual's age and cultural group as measured by assessments that are 5
22	26		individualized, standardized and clinically and culturally appropriate. 6
23	27		(b) The Secretary of the Office of Policy and Management, in 7
24	28		consultation with the Commissioners of Social Services, Developmental 8
25	29		Services, Aging and Disability Services and Public Health, the Council 9
26		-	on Developmental Disabilities, the Autism Spectrum Disorder ~~Advisory~~ 10
27		-	~~Council and the Rare Disease~~ Advisory Council, shall implement the 11
28		-	~~first two recommendations of a~~ November 15, 2024, report 12
29		-	~~commissioned by the Office of Policy and~~ Management entitled "The 13
30		-	~~Evaluation of Statutory Definitions and~~ Regulations: Intellectual 14
31		-	~~Disability and Related Programs".~~ 15
32		-	(c) In ~~implementing the provisions of subsection (b) of this section,~~ 16
33		-	~~the secretary shall (1) explore changes in~~ eligibility ~~to remove~~ 17
34		-	~~intelligence quotient scores as a component of eligibility for state 18 Substitute~~ Bill No. 7108
	30	+	on Developmental Disabilities and the Autism Spectrum Disorder 10
	31	+	Advisory Council, shall implement the first two recommendations of a 11
	32	+	November 15, 2024, report commissioned by the Office of Policy and 12
	33	+	Management entitled "The Evaluation of Statutory Definitions and 13
	34	+	Regulations: Intellectual Disability and Related Programs". 14
	35	+	(c) In implementing the provisions of subsection (b) of this section, 15
	36	+	the secretary shall (1) explore changes in eligibility to remove 16
	37	+	intelligence quotient scores as a component of eligibility for state 17
	38	+	Raised Bill No. 7108
35	39
36	40
37		-	LCO 2 of 8
38	41
39		-	services for persons with intellectual disability, (2) consider state 19
40		-	adoption of a broader definition of developmental disability that 20
41		-	includes intellectual disability, autism and any other condition that 21
42		-	results in impairment of general intellectual functioning or adaptive 22
43		-	behavior, (3) assess the level of need assessment tool used by the 23
44		-	Department of Developmental Services and the universal assessment 24
45		-	tool used by the Department of Social Services to determine eligibility 25
46		-	for services, and (4) analyze the impact of extending eligibility for the 26
47		-	home and community-based Medicaid waiver programs administered 27
48		-	by the Department of Developmental Services to individuals with an 28
49		-	intelligence quotient greater than sixty-nine and a level of need 29
50		-	assessment score of eight. 30
51		-	(d) Not later than January 1, 2026, the secretary shall file a report, in 31
52		-	accordance with the provisions of section 11-4a of the general statutes, 32
53		-	with the joint standing committees of the General Assembly having 33
54		-	cognizance of matters relating to human services and public health. The 34
55		-	report shall include recommendations concerning (1) the advisability of 35
56		-	changes in eligibility criteria to remove intelligence quotient scores, (2) 36
57		-	the utility of the level of need assessment tool used by the Department 37
58		-	of Developmental Services and the universal assessment tool used by 38
59		-	the Department of Social Services, (3) the impact of expanding eligibility 39
60		-	for the home and community-based Medicaid waiver programs 40
61		-	administered by the Department of Developmental Services, (4) the total 41
62		-	number of people waiting for autism services versus receiving autism 42
63		-	services and their associated levels of need, and (5) a plan for addressing 43
64		-	those with autism who have significant care needs. The secretary, in 44
65		-	consultation with the Commissioner of Developmental Services, shall 45
66		-	report twice annually to said committees on the number of persons with 46
67		-	intellectual disability who are denied either day program care or 47
68		-	residential services because of their level of need. 48
69		-	Sec. 2. (NEW) (Effective from passage) (a) As used in this section, 49
70		-	"individual with profound autism" means an individual who (1) has an 50
71		-	intelligence quotient of less than fifty, (2) is nonverbal or minimally 51
72		-	verbal, (3) needs help with tasks of daily living, such as dressing, 52 Substitute Bill No. 7108
	42	+	LCO No. 5570 2 of 6
	43	+
	44	+	services for persons with intellectual disability, (2) consider state 18
	45	+	adoption of a broader definition of developmental disability that 19
	46	+	includes intellectual disability, autism and any other condition that 20
	47	+	results in impairment of general intellectual functioning or adaptive 21
	48	+	behavior, (3) assess the level of need assessment tool used by the 22
	49	+	Department of Developmental Services and the universal assessment 23
	50	+	tool used by the Department of Social Services to determine eligibility 24
	51	+	for services, and (4) analyze the impact of extending eligibility for the 25
	52	+	home and community-based Medicaid waiver programs administered 26
	53	+	by the Department of Developmental Services to individuals with an 27
	54	+	intelligence quotient greater than sixty-nine and a level of need 28
	55	+	assessment score of eight. 29
	56	+	(d) Not later than January 1, 2026, the secretary shall file a report, in 30
	57	+	accordance with the provisions of section 11-4a of the general statutes, 31
	58	+	with the joint standing committees of the General Assembly having 32
	59	+	cognizance of matters relating to human services and public health. The 33
	60	+	report shall include recommendations concerning (1) the advisability of 34
	61	+	changes in eligibility criteria to remove intelligence quotient scores, (2) 35
	62	+	the utility of the level of need assessment tool used by the Department 36
	63	+	of Developmental Services and the universal assessment tool used by 37
	64	+	the Department of Social Services, (3) the impact of expanding eligibility 38
	65	+	for the home and community-based Medicaid waiver programs 39
	66	+	administered by the Department of Developmental Services, (4) the total 40
	67	+	number of people waiting for autism services versus receiving autism 41
	68	+	services and their associated levels of need, and (5) a plan for addressing 42
	69	+	those with autism with high care needs. The secretary, in consultation 43
	70	+	with the Commissioner of Developmental Services, shall report twice 44
	71	+	annually to said committees on the number of persons with intellectual 45
	72	+	disability who are denied either day program care or residential services 46
	73	+	because of their level of need. 47
	74	+	Sec. 2. Section 4-67bb of the general statutes is repealed and the 48
	75	+	following is substituted in lieu thereof (Effective July 1, 2025): 49
	76	+	Raised Bill No. 7108
73	77
74	78
75		-	LCO 3 of 8
76	79
77		-	bathing and preparing meals, or (4) may have medical issues, including, 53
78		-	but not limited to, epilepsy and behaviors such as self-injury and 54
79		-	aggression that interfere with safety and well-being. 55
80		-	(b) The Commissioner of Developmental Services, in consultation 56
81		-	with the Commissioner of Social Services and the Secretary of the Office 57
82		-	of Policy and Management, shall evaluate services for persons with (1) 58
83		-	profound autism, and (2) autism spectrum disorder in addition to 59
84		-	intellectual disability. 60
85		-	(c) Not later than October 1, 2025, the commissioner shall file a report, 61
86		-	in accordance with the provisions of section 11-4a of the general statutes, 62
87		-	with the joint standing committees of the General Assembly having 63
88		-	cognizance of matters relating to appropriations and the budgets of state 64
89		-	agencies, human services and public health. The report shall include, 65
90		-	but need not be limited to: (1) The efficacy of services for (A) persons 66
91		-	with profound autism, and (B) persons with autism spectrum disorder 67
92		-	in addition to intellectual disability by the levels of need of such persons, 68
93		-	(2) numbers of such persons on emergency waiting lists for Medicaid 69
94		-	waiver programs or other programs, (3) numbers of such persons on 70
95		-	urgent waiting lists for such programs, (4) recommendations to expand 71
96		-	and improve services offered in such programs, and (5) state 72
97		-	appropriations needed to expand and improve such services. 73
98		-	Sec. 3. Section 4-67bb of the general statutes is repealed and the 74
99		-	following is substituted in lieu thereof (Effective July 1, 2025): 75
100		-	(a) Not later than October 1, 2023, the Secretary of the Office of Policy 76
101		-	and Management shall establish two new staff positions, (1) one of 77
102		-	whom shall serve as state-wide coordinator of programs and services 78
103		-	provided by state agencies for individuals with autism spectrum 79
104		-	disorder, and (2) one of whom shall (A) identify programs and services 80
105		-	provided by state agencies for individuals who have an intellectual or 81
106		-	developmental disability other than autism spectrum disorder; and (B) 82
107		-	help commissioners of such agencies to coordinate such programs and 83
108		-	services. On and after July 1, 2025, the state-wide autism services 84 Substitute Bill No. 7108
	80	+	LCO No. 5570 3 of 6
	81	+
	82	+	(a) Not later than October 1, 2023, the Secretary of the Office of Policy 50
	83	+	and Management shall establish two new staff positions, (1) one of 51
	84	+	whom shall serve as state-wide coordinator of programs and services 52
	85	+	provided by state agencies for individuals with autism spectrum 53
	86	+	disorder, and (2) one of whom shall (A) identify programs and services 54
	87	+	provided by state agencies for individuals who have an intellectual or 55
	88	+	developmental disability other than autism spectrum disorder; and (B) 56
	89	+	help commissioners of such agencies to coordinate such programs and 57
	90	+	services. On and after July 1, 2025, the state-wide autism services 58
	91	+	coordinator, in consultation with the staff member assisting agencies 59
	92	+	that serve persons with an intellectual or developmental disability other 60
	93	+	than autism spectrum disorder, shall serve as a liaison to hospitals in the 61
	94	+	state caring for such persons. 62
	95	+	(b) The secretary shall establish an interagency coalition, which shall 63
	96	+	include, but need not be limited to, representatives from the Department 64
	97	+	of Developmental Services, in its capacity as the lead agency for persons 65
	98	+	with an intellectual or developmental disability pursuant to section 17a-66
	99	+	210, and the Department of Social Services, in its capacity as the lead 67
	100	+	agency for persons with autism spectrum disorder pursuant to section 68
	101	+	17a-215c. The coalition shall meet not less than quarterly and work on 69
	102	+	strategies to reduce silos in the provision of state agency services for 70
	103	+	such persons. 71
	104	+	(c) Not later than July 1, 2025, the secretary shall submit a report, in 72
	105	+	accordance with the provisions of section 11-4a, on the progress of the 73
	106	+	interagency coalition in reducing silos of services with the joint standing 74
	107	+	committees of the General Assembly having cognizance of matters 75
	108	+	relating to human services and public health. Not later than July 1, 2026, 76
	109	+	the secretary shall file a report with said committees on the efforts of the 77
	110	+	liaison to hospitals, pursuant to subsection (a) of this section, to provide 78
	111	+	information and assistance to hospitals on state programs and services 79
	112	+	that may provide an alternative to hospitalization for certain persons 80
	113	+	with autism spectrum disorder, intellectual disability or a 81
	114	+	developmental disability other than autism spectrum disorder. 82
	115	+	Raised Bill No. 7108
109	116
110	117
111		-	LCO 4 of 8
112	118
113		-	coordinator, in consultation with the staff member assisting agencies 85
114		-	that serve persons with an intellectual or developmental disability other 86
115		-	than autism spectrum disorder, shall serve as a liaison to hospitals in the 87
116		-	state caring for such persons. 88
117		-	(b) The secretary shall establish an interagency coalition, which shall 89
118		-	include, but need not be limited to, representatives from the Department 90
119		-	of Developmental Services, in its capacity as the lead agency for persons 91
120		-	with an intellectual or developmental disability pursuant to section 17a-92
121		-	210, and the Department of Social Services, in its capacity as the lead 93
122		-	agency for persons with autism spectrum disorder pursuant to section 94
123		-	17a-215c. The coalition shall meet not less than quarterly and work on 95
124		-	strategies to reduce silos in the provision of state agency services for 96
125		-	such persons. 97
126		-	(c) Not later than July 1, 2025, the secretary shall submit a report, in 98
127		-	accordance with the provisions of section 11-4a, on the progress of the 99
128		-	interagency coalition in reducing silos of services with the joint standing 100
129		-	committees of the General Assembly having cognizance of matters 101
130		-	relating to human services and public health. Not later than July 1, 2026, 102
131		-	the secretary shall file a report with said committees on the efforts of the 103
132		-	liaison to hospitals, pursuant to subsection (a) of this section, to provide 104
133		-	information and assistance to hospitals on state programs and services 105
134		-	that may provide an alternative to hospitalization for certain persons 106
135		-	with autism spectrum disorder, intellectual disability or a 107
136		-	developmental disability other than autism spectrum disorder. 108
137		-	Sec. 4. Section 17a-247b of the general statutes is amended by adding 109
138		-	subsection (h) as follows (Effective July 1, 2025): 110
139		-	(NEW) (h) Notwithstanding the provisions of subsection (c) of this 111
	119	+	LCO No. 5570 4 of 6
	120	+
	121	+	Sec. 3. Section 17a-247b of the general statutes is amended by adding 83
	122	+	subsection (h) as follows (Effective July 1, 2025): 84
	123	+	(NEW) (h) Notwithstanding the provisions of subsection (c) of this 85
	124	+	section, the Commissioner of Developmental Services shall file a report 86
	125	+	not later than January 15, 2026, and annually thereafter, identifying (1) 87
	126	+	the number of abuse and neglect complaints against former employees 88
	127	+	received in the previous calendar year, (2) the disposition of such 89
	128	+	complaints, and (3) any backlog of investigations relating to such 90
	129	+	complaints. The commissioner shall post the report on the department's 91
	130	+	Internet web site and file the report, in accordance with the provisions 92
	131	+	of section 11-4a, with the joint standing committees of the General 93
	132	+	Assembly having cognizance of matters relating to human services and 94
	133	+	public health. 95
	134	+	Sec. 4. Section 17a-247f of the general statutes is amended by adding 96
	135	+	subsection (c) as follows (Effective July 1, 2025): 97
	136	+	(NEW) (c) Notwithstanding the provisions of subsection (b) of this 98
	137	+	section, the Commissioner of Developmental Services shall file a report 99
	138	+	not later than January 15, 2026, and annually thereafter, identifying (1) 100
	139	+	the number of abuse and neglect complaints received and investigated 101
	140	+	pursuant to this section in the previous calendar year, (2) the disposition 102
	141	+	of such complaints, and (3) any backlog of investigations relating to such 103
	142	+	complaints. The commissioner shall post the report on the department's 104
	143	+	Internet web site and file the report, in accordance with the provisions 105
	144	+	of section 11-4a, with the joint standing committees of the General 106
	145	+	Assembly having cognizance of matters relating to human services and 107
	146	+	public health. 108
	147	+	Sec. 5. Section 46a-11c of the general statutes is amended by adding 109
	148	+	subsection (f) as follows (Effective July 1, 2025): 110
	149	+	(NEW) (f) Notwithstanding the provisions of subsection (e) of this 111
140	150		section, the Commissioner of Developmental Services shall file a report 112
141	151		not later than January 15, 2026, and annually thereafter, identifying (1) 113
142		-	the number of abuse and neglect complaints against former employees 114
143		-	received in the previous calendar year, (2) the disposition of such 115
144		-	complaints, and (3) any backlog of investigations relating to such 116 Substitute Bill No. 7108
	152	+	Raised Bill No. 7108
145	153
146	154
147		-	LCO 5 of 8
148	155
149		-	complaints. The commissioner shall post the report on the department's 117
150		-	Internet web site and file the report, in accordance with the provisions 118
151		-	of section 11-4a, with the joint standing committees of the General 119
152		-	Assembly having cognizance of matters relating to human services and 120
153		-	public health. 121
154		-	Sec. 5. Section 17a-247f of the general statutes is amended by adding 122
155		-	subsection (c) as follows (Effective July 1, 2025): 123
156		-	(NEW) (c) Notwithstanding the provisions of subsection (b) of this 124
157		-	section, the Commissioner of Developmental Services shall file a report 125
158		-	not later than January 15, 2026, and annually thereafter, identifying (1) 126
159		-	the number of abuse and neglect complaints received and investigated 127
160		-	pursuant to this section in the previous calendar year, (2) the number of 128
161		-	complaints that were investigated by a contracted provider and the 129
162		-	number of complaints investigated by the Department of 130
163		-	Developmental Services and the dispositions of complaints investigated 131
164		-	by a contracted provider and the department in each category of 132
165		-	complaint investigations, (3) the median length of time for completion 133
166		-	of the investigations, (4) the number of programmatic neglect findings 134
167		-	arising from the abuse or neglect investigations, (5) the number of 135
168		-	investigations that led to a directive for corrective action, (6) the steps 136
169		-	the department took to address programmatic neglect findings and 137
170		-	ensure corrective actions were implemented, (7) the percentage of cases 138
171		-	in which a directive for corrective action was issued and the department 139
172		-	revisited the provider to review implementation of the corrective action 140
173		-	categorized by department response times of (A) not more than thirty 141
174		-	days, (B) not more than sixty days, and (C) in excess of sixty days from 142
175		-	the date the corrective action directive was issued, (8) the processes and 143
176		-	timelines by which guardians and parents of individuals with 144
177		-	disabilities were informed of the results of investigations and directives 145
178		-	for corrective action, and (9) any backlog of investigations relating to 146
179		-	such complaints. The commissioner shall post the report on the 147
180		-	department's Internet web site and file the report, in accordance with 148
181		-	the provisions of section 11-4a, with the joint standing committees of the 149
182		-	General Assembly having cognizance of matters relating to human 150 Substitute Bill No. 7108
	156	+	LCO No. 5570 5 of 6
183	157
184		-
185		-	LCO 6 of 8
186		-
187		-	services and public health. 151
188		-	Sec. 6. Section 46a-11c of the general statutes is amended by adding 152
189		-	subsection (f) as follows (Effective July 1, 2025): 153
190		-	(NEW) (f) Notwithstanding the provisions of subsection (e) of this 154
191		-	section, the Commissioner of Developmental Services shall file a report 155
192		-	not later than January 15, 2026, and annually thereafter, identifying (1) 156
193		-	the number of abuse and neglect complaints received and investigated 157
194		-	pursuant to this section in the previous calendar year, including deaths 158
195		-	investigated pursuant to subsection (c) of this section, (2) the number of 159
196		-	complaints that were investigated by a contracted provider and the 160
197		-	number of complaints investigated by the Department of 161
198		-	Developmental Services and the dispositions of complaints investigated 162
199		-	by a contracted provider and the department in each category of 163
200		-	complaint investigations, (3) the median length of time for completion 164
201		-	of the investigations, (4) the number of programmatic neglect findings 165
202		-	arising from the abuse or neglect investigations, (5) the number of 166
203		-	investigations that led to a directive for corrective action, (6) the steps 167
204		-	the department took to address programmatic neglect findings and 168
205		-	ensure corrective actions were implemented, (7) the percentage of cases 169
206		-	in which a directive for corrective action was issued and the department 170
207		-	revisited the provider to review implementation of the corrective action 171
208		-	categorized by department response times of (A) not more than thirty 172
209		-	days, (B) not more than sixty days, and (C) in excess of sixty days from 173
210		-	the date the corrective action directive was issued, (8) the processes and 174
211		-	timelines by which guardians and parents of individuals with 175
212		-	disabilities were informed of the results of investigations and directives 176
213		-	for corrective action, and (9) any backlog of investigations relating to 177
214		-	such complaints. The commissioner shall post the report on the 178
215		-	department's Internet web site and file the report, in accordance with 179
216		-	the provisions of section 11-4a, with the joint standing committees of the 180
217		-	General Assembly having cognizance of matters relating to human 181
218		-	services and public health. 182
219		-	Sec. 7. (NEW) (Effective July 1, 2025) Not later than September 30, 2025, 183 Substitute Bill No. 7108
220		-
221		-
222		-	LCO 7 of 8
223		-
224		-	and quarterly thereafter, the Commissioner of Developmental Services 184
225		-	shall file a report describing (1) progress in expending funds 185
226		-	appropriated for programs administered by the Department of 186
227		-	Developmental Services, (2) what services they were spent on, (3) 187
228		-	whether lapsed funds are anticipated at the end of the fiscal year ending 188
229		-	on June thirtieth, (4) if applicable, reasons appropriated funds were not 189
230		-	expended, and (5) waiting lists for services provided by the department. 190
231		-	The commissioner shall file the report, in accordance with the provisions 191
232		-	of section 11-4a of the general statutes, with the joint standing 192
233		-	committees of the General Assembly having cognizance of matters 193
234		-	relating to human services and public health and post the report on the 194
235		-	Internet web site of the Department of Developmental Services. 195
236		-	Sec. 8. (NEW) (Effective July 1, 2025) The joint standing committees of 196
237		-	the General Assembly having cognizance of matters relating to public 197
238		-	health, human services and appropriations and the budgets of state 198
239		-	agencies shall annually hold a joint informational hearing to review the 199
240		-	status of efforts by the Department of Developmental Services and the 200
241		-	Department of Social Services to ensure the safety and quality of care 201
242		-	for individuals with disabilities receiving services funded by federal 202
243		-	Medicaid waiver programs. The hearings shall address matters 203
244		-	including, but not limited to, how the agencies are addressing audit 204
245		-	findings and recommendations made by the Office of the Inspector 205
246		-	General for the United States Department of Health and Human 206
247		-	Services and the state Auditors of Public Accounts concerning 207
248		-	prevention, timely reporting and corrective action related to complaints 208
249		-	of abuse and neglect of such individuals. 209
	158	+	the number of abuse and neglect complaints received and investigated 114
	159	+	pursuant to this section in the previous calendar year, including deaths 115
	160	+	investigated pursuant to subsection (c) of this section, (2) the disposition 116
	161	+	of such complaints, and (3) any backlog of investigations relating to such 117
	162	+	complaints. The commissioner shall post the report on the department's 118
	163	+	Internet web site and file the report, in accordance with the provisions 119
	164	+	of section 11-4a, with the joint standing committees of the General 120
	165	+	Assembly having cognizance of matters relating to human services and 121
	166	+	public health. 122
	167	+	Sec. 6. (NEW) (Effective July 1, 2025) Not later than September 30, 2025, 123
	168	+	and quarterly thereafter, the Commissioner of Developmental Services 124
	169	+	shall file a report describing (1) progress in expending funds 125
	170	+	appropriated for programs administered by the Department of 126
	171	+	Developmental Services, (2) what services they were spent on, (3) 127
	172	+	whether lapsed funds are anticipated at the end of the fiscal year ending 128
	173	+	on June thirtieth, (4) if applicable, reasons appropriated funds were not 129
	174	+	expended, and (5) waiting lists for services provided by the department. 130
	175	+	The commissioner shall file the report, in accordance with the provisions 131
	176	+	of section 11-4a of the general statutes, with the joint standing 132
	177	+	committees of the General Assembly having cognizance of matters 133
	178	+	relating to human services and public health and post the report on the 134
	179	+	Internet web site of the Department of Developmental Services. 135
250	180		This act shall take effect as follows and shall amend the following
251	181		sections:
252	182
253	183		Section 1 from passage New section
254		-	Sec. 2 from passage New section
255		-	Sec. 3 July 1, 2025 4-67bb
256		-	Sec. 4 July 1, 2025 17a-247b(h)
257		-	Sec. 5 July 1, 2025 17a-247f(c)
258		-	Sec. 6 July 1, 2025 46a-11c(f) Substitute Bill No. 7108
	184	+	Sec. 2 July 1, 2025 4-67bb
	185	+	Sec. 3 July 1, 2025 17a-247b(h)
	186	+	Sec. 4 July 1, 2025 17a-247f(c)
	187	+	Sec. 5 July 1, 2025 46a-11c(f)
	188	+	Sec. 6 July 1, 2025 New section
	189	+
	190	+	Raised Bill No. 7108
259	191
260	192
261		-	LCO 8 of 8
262	193
263		-	Sec. 7 July 1, 2025 New section
264		-	Sec. 8 July 1, 2025 New section
	194	+	LCO No. 5570 6 of 6
265	195
266		-	Statement of Legislative Commissioners:
267		-	The title was changed; in Section 1(d)(5), "with high" was changed to
268		-	"who have significant" for clarity; in Section 2(c), subdivisions (1)(B) and
269		-	(2) were redrafted and "need" was inserted before "not be limited" for
270		-	clarity; the second reference to "Sec. 4" was changed to "Sec. 5" for
271		-	accuracy; in newly designated Section 5(c)(2) and Section 6(f)(2),
272		-	"investigated by a contracted provider and the department" was
273		-	inserted before "in each category" for clarity; in Section 5(c)(7) and
274		-	Section 6(f)(7), "department" was inserted before "response times" for
275		-	clarity; and in Sections (5)(a)(7)(B) and 6(f)(7)(B), "sixty days" was
276		-	changed to "not more than sixty days" for internal consistency.
	196	+	Statement of Purpose:
	197	+	To consider expanded eligibility criteria and require greater
	198	+	transparency regarding abuse, neglect and death investigations and use
	199	+	of state appropriations.
277	200
278		-	HS Joint Favorable Subst.
	201	+	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
	202	+	that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
	203	+	underlined.]
279	204