LCO 1 of 11 General Assembly Substitute Bill No. 7156 January Session, 2025 AN ACT CONCERNING THE DEPARTMENT OF DEVELOPMENTAL SERVICES' RECOMMENDATIONS REGARDING VARIOUS REVISIONS TO DEVELOPMENTAL SERVICES STATUTES. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Subdivision (1) of section 20-14h of the general statutes is 1 repealed and the following is substituted in lieu thereof (Effective from 2 passage): 3 (1) "Administration" means the direct application of a medication by 4 means other than injection to the body of a person but does not mean 5 the administration of epinephrine or insulin by auto injector to a person 6 residing in a facility licensed or certified by the Department of 7 Developmental Services to treat an acute allergic reaction or diabetes. 8 Sec. 2. Section 20-14i of the general statutes is repealed and the 9 following is substituted in lieu thereof (Effective from passage): 10 [Any provisions to the contrary notwithstanding,] Notwithstanding 11 any provisions of chapter 378, said chapter shall not prohibit the 12 administration of medication to persons (1) attending day programs, 13 residing in residential facilities or receiving individual and family 14 support, under the jurisdiction of the Departments of Children and 15 Families, Correction, Developmental Services and Mental Health and 16 Substitute Bill No. 7156 LCO 2 of 11 Addiction Services, (2) being detained in juvenile residential centers or 17 residing in residential facilities dually licensed by the Department of 18 Children and Families and the Department of Public Health, [or] (3) 19 residing in substance abuse treatment facilities licensed by the 20 Department of Children and Families pursuant to section 17a-145 when 21 such medication is administered by trained persons, pursuant to the 22 written order of a physician licensed under this chapter, a dentist 23 licensed under chapter 379, an advanced practice registered nurse 24 licensed to prescribe in accordance with section 20-94a or a physician 25 assistant licensed to prescribe in accordance with section 20-12d, 26 authorized to prescribe such medication, or (4) residing in facilities 27 licensed or certified by the Department of Developmental Services, 28 provided (A) such administration of medication is performed using an 29 auto injector and limited to the administration of epinephrine or insulin 30 to treat an acute allergic reaction or diabetes, and (B) such 31 administration of medication is performed by a trained person who has 32 received specialized training in the administration of medication by 33 auto injector, as prescribed by the Commissioner of Developmental 34 Services. The provisions of this section shall not apply to institutions, 35 facilities or programs licensed pursuant to chapter 368v. 36 Sec. 3. Subsection (a) of section 45a-677a of the general statutes is 37 repealed and the following is substituted in lieu thereof (Effective from 38 passage): 39 (a) A plenary or limited guardian appointed under section 45a-676, a 40 protected person or a protected person's legal representative, or the 41 Commissioner of Developmental Services, or the commissioner's 42 designee, may petition for a guardian to be granted authority to manage 43 the finances of a protected person whose assets do not exceed ten 44 thousand dollars. The petition shall be filed in the Probate Court that 45 appointed the guardian. If a petition under this section is filed 46 simultaneously with a guardianship petition under section 45a-670, the 47 court may conduct one hearing on both petitions. 48 Sec. 4. Section 17a-247a of the general statutes is repealed and the 49 Substitute Bill No. 7156 LCO 3 of 11 following is substituted in lieu thereof (Effective October 1, 2025): 50 As used in this section and sections 17a-247b to 17a-247f, inclusive, as 51 amended by this act: 52 (1) "Abuse" means (A) the wilful infliction by an employee of physical 53 pain or injury, financial exploitation, psychological abuse or verbal 54 abuse; (B) the wilful deprivation of services necessary to the physical 55 and mental health and safety of an individual who receives services or 56 funding from the department; or (C) sexual abuse. 57 (2) "Authorized agency" means any agency authorized in accordance 58 with the general statutes to conduct abuse and neglect investigations 59 and responsible for issuing or carrying out protective services for 60 persons with intellectual disability. 61 (3) "Commissioner" means the Commissioner of Developmental 62 Services, or his or her designee. 63 (4) "Community companion home licensee" means a person who (A) 64 provides residential supports and services to not more than three 65 individuals within such person's private residence, and (B) is licensed 66 to operate a community companion home pursuant to section 17a-227, 67 as amended by this act. 68 (5) "Community companion home designee" means any person who, 69 at the direction of a community companion home licensee, provides 70 support or services at a community companion home, licensed pursuant 71 to section 17a-227, as amended by this act, when the community 72 companion home licensee is absent from such community companion 73 home. 74 [(4)] (6) "Department" means the Department of Developmental 75 Services. 76 [(5)] (7) "Employee" means any person employed (A) by the 77 department, or (B) by an agency, organization or person that is licensed 78 or funded by the department. 79 Substitute Bill No. 7156 LCO 4 of 11 [(6)] (8) "Employer" means (A) the department, or (B) an agency, 80 organization or person that is licensed or funded by the department. 81 [(7)] (9) "Financial exploitation" means the theft, misappropriation or 82 unauthorized or improper use of property, money or other resource that 83 is intended to be used by or for an individual who receives services or 84 funding from the department. 85 [(8)] (10) "Neglect" means the failure by an employee, through action 86 or inaction, to provide an individual who receives services or funding 87 from the department with the services necessary to maintain such 88 individual's physical and mental health and safety. 89 [(9)] (11) "Protective services" has the same meaning as provided in 90 section 46a-11a. 91 [(10)] (12) "Psychological abuse" means an act intended to (A) 92 humiliate, intimidate, degrade or demean an individual who receives 93 services or funding from the department, (B) inflict emotional harm or 94 invoke fear in such individual, or (C) otherwise negatively impact the 95 mental health of such individual. 96 [(11)] (13) "Registry" means a centralized data base containing 97 information regarding substantiated abuse or neglect. 98 [(12)] (14) "Sexual abuse" means (A) any sexual contact between an 99 individual who receives services or funding from the department, 100 regardless of such individual's ability to consent, and an employee, or 101 (B) the encouragement by an employee of an individual who receives 102 services or funding from the department to engage in sexual activity. 103 [(13)] (15) "Substantiated abuse or neglect" means a determination by 104 an authorized agency, following an investigation conducted or 105 monitored by such agency, that (A) abuse or neglect of an individual 106 who receives services or funding from the department, or (B) there has 107 been a criminal conviction of a felony or misdemeanor involving abuse 108 or neglect. 109 Substitute Bill No. 7156 LCO 5 of 11 [(14)] (16) "Verbal abuse" means the use of offensive or intimidating 110 language that is intended to provoke or cause the distress of an 111 individual who receives services or funding from the department. 112 Sec. 5. Section 17a-247b of the general statutes is repealed and the 113 following is substituted in lieu thereof (Effective October 1, 2025): 114 (a) The Department of Developmental Services shall establish and 115 maintain a registry of (1) former employees who have been terminated 116 or separated from employment as a result of substantiated abuse or 117 neglect, (2) community companion home licensees whose licenses have 118 been revoked or who have surrendered their licenses as a result of 119 substantiated abuse or neglect, and (3) community companion home 120 designees against whom an authorized agency has made a finding 121 substantiating abuse or neglect. The department shall, for the purposes 122 of maintaining the registry, be capable of responding to inquiries in 123 accordance with subsection (c) of this section as to whether a former 124 employee has been terminated or separated from employment as a 125 result of substantiated abuse or neglect, whether a community 126 companion home licensee has had his or her license revoked or has 127 surrendered his or her license as a result of substantiated abuse or 128 neglect, and whether an authorized agency has made a finding 129 substantiating abuse or neglect against a community companion home 130 designee. Such capability may include response by telephone voice mail 131 or other automated response for initial inquiries. 132 (b) The registry shall include, but not be limited to, the following: (1) 133 The names, addresses and Social Security numbers of [those] (A) former 134 employees terminated or separated from employment as a result of 135 substantiated abuse or neglect, (B) community companion home 136 licensees whose licenses have been revoked or who have surrendered 137 their licenses as a result of substantiated abuse or neglect, and (C) 138 community companion home designees against whom an authorized 139 agency has made a finding substantiating abuse or neglect; (2) the date 140 of (A) termination or separation, (B) license revocation or surrender, as 141 applicable, and (C) for community companion home designees, an 142 Substitute Bill No. 7156 LCO 6 of 11 authorized agency's finding substantiating abuse or neglect; (3) the type 143 of abuse or neglect; and (4) the name of any employer or authorized 144 agency requesting information from the registry, the reason for the 145 request and the date of the request. 146 (c) The department shall make information in the registry available 147 only to: (1) Authorized agencies, for the purpose of protective service 148 determinations; (2) employers who employ employees to provide 149 services to an individual who receives services or funding from the 150 department; (3) the Departments of Children and Families, Mental 151 Health and Addiction Services, Social Services and Administrative 152 Services and the Office of Labor Relations, for the purpose of 153 determining whether an applicant for employment with the 154 Departments of Children and Families, Developmental Services, Mental 155 Health and Addiction Services and Social Services appears on the 156 registry; (4) the Office of the Probate Court Administrator, for the 157 purpose of determining whether a person proposed for appointment as 158 a guardian pursuant to part V of chapter 802h appears on the registry; 159 or [(4)] (5) charitable organizations that recruit volunteers to support 160 programs for persons with intellectual disability or autism spectrum 161 disorder, upon application to and approval by the commissioner, for 162 purposes of conducting background checks on such volunteers. 163 (d) The department shall limit responses to requests for identifying 164 information from the registry established under this section to (1) 165 identification of (A) the former employee terminated or separated from 166 employment for substantiated abuse or neglect, (B) the community 167 companion home licensee whose license has been revoked or 168 surrendered for substantiated abuse or neglect, or (C) the community 169 companion home designee against whom an authorized agency has 170 made a finding substantiating abuse or neglect, and (2) the type of abuse 171 or neglect so substantiated. 172 (e) Not later than five business days [following] after receipt of 173 written notification by an authorized agency of the substantiation of 174 abuse or neglect by (1) a former employee who has been terminated or 175 Substitute Bill No. 7156 LCO 7 of 11 separated from employment for such abuse or neglect, (2) a community 176 companion home licensee whose license has been revoked or 177 surrendered as a result of such abuse or neglect, or (3) a community 178 companion home designee, an employer or, in the case of a community 179 companion home designee, a community companion home, shall 180 submit to the department the name of such former employee or 181 community companion home designee and such other information as 182 the department may request. Upon receipt of any such notification, [of 183 such termination or separation,] the department shall conduct a hearing 184 in accordance with sections 4-177 to 4-181a, inclusive, governing 185 contested cases. The department shall not place a former [employee's] 186 employee, community companion home licensee or community 187 companion home designee's name on the registry until the department 188 has completed the hearing and the hearing has resulted in a decision to 189 place the former [employee's] employee, community companion home 190 licensee or community companion home designee's name on the 191 registry. 192 (f) Upon completion of an investigation in which the department 193 determines that a community companion home licensee committed 194 substantiated abuse and neglect, the department shall notify such 195 community companion home licensee that his or her license may be 196 revoked and his or her name is to be placed on the registry. Any such 197 community companion home licensee may request an administrative 198 hearing to contest such license revocation and registry placement. Such 199 hearing shall be conducted in conjunction with a revocation hearing 200 requested pursuant to section 17a-227, as amended by this act. If such 201 community companion home licensee submits such a revocation 202 hearing request, the department shall not place such community 203 companion home licensee's name on the registry until the department 204 has completed the hearing and the hearing has resulted in a decision to 205 place the community companion home licensee's name on the registry. 206 [(f)] (g) The department shall remove a former [employee's] 207 employee, community companion home licensee or community 208 companion home designee's name from the registry (1) if an arbitration 209 Substitute Bill No. 7156 LCO 8 of 11 or a legal proceeding results in a finding that the former employee was 210 unfairly terminated from employment, or (2) upon the submittal to the 211 department of such employee, community companion home licensee or 212 community companion home designee's death certificate. 213 [(g)] (h) No employer shall be liable in any civil action for damages 214 brought by an employee, former employee or an applicant for 215 employment whose name appears on the registry established by this 216 section arising out of the conduct of the employer in (1) making any 217 report in good faith pursuant to subsection (e) of this section, (2) 218 testifying under oath in any administrative or judicial proceeding 219 arising from such report, (3) refusing to hire or to retain any person 220 whose name appears on the registry established under this section, or 221 (4) taking any other action to conform to the requirements of this section. 222 The immunity provided in this subsection shall not apply to gross 223 negligence or to wilful or wanton misconduct. 224 Sec. 6. Subsection (g) of section 17a-227 of the general statutes is 225 repealed and the following is substituted in lieu thereof (Effective October 226 1, 2025): 227 (g) If the commissioner determines, after investigation of a report 228 received pursuant to the provisions of section 46a-11b, that a person, 229 firm or corporation licensed to operate a community living arrangement 230 or community companion home committed abuse or neglect against a 231 person receiving support or services from the department during a 232 licensure period, and such determination resulted in the revocation or 233 surrender of such person, firm or corporation's license, the 234 commissioner may disclose (1) the name of such person, firm or 235 corporation, (2) the date of such revocation or surrender, and (3) the 236 type of abuse or neglect committed to (A) authorized agencies, as 237 defined in section 17a-247a, as amended by this act, for the purpose of 238 protective service determinations, (B) employers whose employees 239 provide services to persons who receive support or services from the 240 department, [and] (C) the Departments of Children and Families, 241 Mental Health and Addiction Services, Social Services and 242 Substitute Bill No. 7156 LCO 9 of 11 Administrative Services for the purpose of making a determination on 243 an application for (i) employment with, or (ii) licensure or certification 244 as a provider for the Departments of Children and Families, Mental 245 Health and Addiction Services, Social Services and Developmental 246 Services, and (D) the Office of the Probate Court Administrator for the 247 purpose of making determinations on petitions for guardianship 248 pursuant to part V of chapter 802h appears on the registry. 249 Sec. 7. Subdivision (13) of subsection (g) of section 17a-28 of the 250 general statutes is repealed and the following is substituted in lieu 251 thereof (Effective October 1, 2025): 252 (13) The Department of Developmental Services, to allow said 253 department to determine eligibility, facilitate enrollment and plan for 254 the provision of services to a child who is a client of said department 255 and who is applying to enroll in or is enrolled in said department's 256 behavioral services program. At the time that a parent or guardian 257 completes an application for enrollment of a child in the Department of 258 Developmental Services' [behavioral] children's services program, or at 259 the time that said department updates a child's annual individualized 260 plan of care, said department shall notify such parent or guardian that 261 the Department of Children and Families may provide records to the 262 Department of Developmental Services for the purposes specified in this 263 subdivision without the consent of such parent or guardian; 264 Sec. 8. Subsection (c) of section 17a-238a of the general statutes is 265 repealed and the following is substituted in lieu thereof (Effective October 266 1, 2025): 267 (c) The Commissioner of Developmental Services shall report, in 268 accordance with the provisions of section 11-4a, at least annually, to the 269 joint standing committees of the General Assembly having cognizance 270 of matters relating to public health and appropriations and the budgets 271 of state agencies concerning the number of individuals determined by 272 the department to be eligible for funding or services from the 273 department and who (1) have unmet residential care needs, (2) have 274 Substitute Bill No. 7156 LCO 10 of 11 unmet employment opportunity and day service needs, or (3) are 275 eligible for the department's [behavioral] children's services program 276 and are waiting for a funding allocation. The commissioner shall post 277 such report on the department's Internet web site. 278 Sec. 9. Subsection (i) of section 17b-261 of the general statutes is 279 repealed and the following is substituted in lieu thereof (Effective October 280 1, 2025): 281 (i) Medical assistance shall be provided, in accordance with the 282 provisions of subsection (e) of section 17a-6, to any child under the 283 supervision of the Commissioner of Children and Families who is not 284 receiving Medicaid benefits, has not yet qualified for Medicaid benefits 285 or is otherwise ineligible for such benefits. Medical assistance shall also 286 be provided to any child in the [behavioral] children's services program 287 operated by the Department of Developmental Services who is not 288 receiving Medicaid benefits, has not yet qualified for Medicaid benefits 289 or is otherwise ineligible for benefits. To the extent practicable, the 290 Commissioner of Children and Families and the Commissioner of 291 Developmental Services shall apply for, or assist such child in qualifying 292 for, the Medicaid program. 293 Sec. 10. Subsection (b) of section 17a-210 of the general statutes is 294 repealed and the following is substituted in lieu thereof (Effective from 295 passage): 296 (b) In the event of the death of a person with intellectual disability for 297 whom the department has direct or oversight responsibility for medical 298 care, the commissioner shall ensure that a comprehensive and timely 299 review of the events, overall care, quality of life issues and medical care 300 preceding such death is conducted by the department and shall, as 301 requested, provide information and assistance to the Independent 302 Mortality Review Board established by Executive Order No. 57 of 303 Governor Dannel P. Malloy. The commissioner shall report to the board 304 and the board shall review any death: (1) Involving an allegation of 305 abuse or neglect; (2) for which the Office of the Chief Medical Examiner 306 Substitute Bill No. 7156 LCO 11 of 11 or local medical examiner has accepted jurisdiction; (3) in which an 307 autopsy was performed; (4) which was sudden and unexpected; or (5) 308 in which the commissioner's review raises questions about the 309 appropriateness of care. The department's mortality review process and 310 the Independent Mortality Review Board shall operate in accordance 311 with the peer review provisions established under section 19a-17b for 312 medical review teams and confidentiality of records provisions 313 established under section 19a-25 for the Department of Public Health. 314 Each health care provider, as defined in section 19a-17b, shall, at the 315 request of the commissioner, and to the extent permissible under the 316 Health Insurance Portability and Accountability Act of 1996, P.L. 104-317 191, as amended from time to time, and any other federal law, provide 318 any information deemed necessary by the commissioner to complete a 319 review pursuant to the provisions of this subsection, provided the 320 commissioner, when making such a request, identifies any provision of 321 said act that allows a health care provider to provide such information 322 to the commissioner. 323 This act shall take effect as follows and shall amend the following sections: Section 1 from passage 20-14h(1) Sec. 2 from passage 20-14i Sec. 3 from passage 45a-677a(a) Sec. 4 October 1, 2025 17a-247a Sec. 5 October 1, 2025 17a-247b Sec. 6 October 1, 2025 17a-227(g) Sec. 7 October 1, 2025 17a-28(g)(13) Sec. 8 October 1, 2025 17a-238a(c) Sec. 9 October 1, 2025 17b-261(i) Sec. 10 from passage 17a-210(b) Statement of Legislative Commissioners: In Section 1, "but does not include" was changed to "but does not mean" for clarity. PH Joint Favorable Subst.