Connecticut 2025 Regular Session

Connecticut House Bill HB07156 Latest Draft

Bill / Comm Sub Version Filed 03/27/2025

                             
 
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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repealed and the following is substituted in lieu thereof (Effective from 2 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 Section 20-14i of the general statutes is repealed and the 9 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 
 
 
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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 
 
 
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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 
 
 
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[(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 
 
 
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[(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 
 
 
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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 
 
 
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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 
 
 
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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 
 
 
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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 
 
 
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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 
 
 
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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.