*ES0266.2* February 21, 2022 ENGROSSED SENATE BILL No. 266 _____ DIGEST OF SB 266 (Updated February 21, 2022 1:29 pm - DI 125) Citations Affected: IC 12-15; IC 31-25; IC 31-27; IC 34-30; noncode. Synopsis: Department of child services matters. Requires the office of Medicaid policy and planning to review methods of calculating outlier payments in relation to final reimbursement amounts. Limits the civil liability of contractors that provide specified services under a contract with the department of child services (department). Provides that an individual may be employed by a child care provider before the state (Continued next page) Effective: Upon passage; July 1, 2022. Ford Jon, Rogers, Garten, Holdman, Bassler, Brown L, Ford J.D., Qaddoura, Donato, Charbonneau, Boehnlein, Crider (HOUSE SPONSORS — JETER, DEVON, GOODRICH, YOUNG J) January 10, 2022, read first time and referred to Committee on Family and Children Services. January 24, 2022, amended, reported favorably — Do Pass. January 27, 2022, read second time, amended, ordered engrossed. January 28, 2022, engrossed. February 1, 2022, read third time, passed. Yeas 48, nays 0. HOUSE ACTION February 7, 2022, read first time and referred to Committee on Family, Children and Human Affairs. February 17, 2022, amended, reported — Do Pass. Referred to Committee on Ways and Means pursuant to Rule 127. February 21, 2022, amended, reported — Do Pass. ES 266—LS 7075/DI 148 Digest Continued mandated criminal history check of the individual is completed if the following conditions are satisfied: (1) The individual's: (A) fingerprint based check of national crime information data bases; (B) national sex offender registry check; (C) in-state local criminal records check; and (D) in-state child protection index check; have been completed. (2) If the individual has resided outside Indiana at any time during the five years preceding the individual's date of hire, the individual's: (A) out- of-state child abuse registry check; and (B) out-of-state local criminal records check; have been requested. (3) The individual's employment before the completion of the state mandated criminal history check is limited to training during which the individual: (A) does not have contact with children who are under the care and control of the child care provider; and (B) does not have access to records containing information regarding children who are under the care and control of the child care provider. (4) The individual completes an attestation, under penalty of perjury, disclosing: (A) any abuse or neglect complaints made against the individual with the child welfare agency of a state other than Indiana in which the individual resided within the five years preceding the date of the attestation; and (B) any contact the individual had with a law enforcement agency in connection with the individual's suspected or alleged commission of a crime in a state other than Indiana in which the individual resided within the five years preceding the date of the attestation. Establishes a process by which a child caring institution, group home, or secure private facility may request a review of base rates and other cost based rates approved by the department. Allows the department to consider approval of costs that: (1) are proven by a residential treatment provider to have been previously approved by the department; or (2) relate to accreditation, staff safety, child safety, or a department requirement. Augments the amount of money appropriated to the department of child services for purposes of providing grants to child caring institutions, group homes, and secure private facilities for costs associated with increased wages for direct service staff. ES 266—LS 7075/DI 148ES 266—LS 7075/DI 148 February 21, 2022 Second Regular Session of the 122nd General Assembly (2022) PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana Constitution) is being amended, the text of the existing provision will appear in this style type, additions will appear in this style type, and deletions will appear in this style type. Additions: Whenever a new statutory provision is being enacted (or a new constitutional provision adopted), the text of the new provision will appear in this style type. Also, the word NEW will appear in that style type in the introductory clause of each SECTION that adds a new provision to the Indiana Code or the Indiana Constitution. Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts between statutes enacted by the 2021 Regular Session of the General Assembly. ENGROSSED SENATE BILL No. 266 A BILL FOR AN ACT to amend the Indiana Code concerning family law and juvenile law. Be it enacted by the General Assembly of the State of Indiana: 1 SECTION 1. IC 12-15-15-1.2, AS ADDED BY P.L.132-2021, 2 SECTION 2, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 3 UPON PASSAGE]: Sec. 1.2. (a) This section applies only to state fiscal 4 years beginning after June 30, 2021, and ending before July 1, 2023. 5 (b) As used in this section, "children's hospital" means: 6 (1) a freestanding general acute care hospital that: 7 (A) is designated by the Medicare program as a children's 8 hospital; or 9 (B) furnishes inpatient and outpatient health care services to 10 patients who are predominantly individuals less than nineteen 11 (19) years of age; or 12 (2) a facility located within a freestanding general acute care 13 hospital that: 14 (A) is designated by the Medicare program as a children's 15 hospital; or 16 (B) furnishes inpatient and outpatient health care services to 17 patients who are predominately individuals less than nineteen ES 266—LS 7075/DI 148 2 1 (19) years of age. 2 (c) This section applies to reimbursement for inpatient Medicaid 3 services and outpatient Medicaid services provided to a Medicaid 4 recipient who is less than nineteen (19) years of age at a children's 5 hospital that is located in a state bordering Indiana. This section does 6 not apply to reimbursement for non-emergency medical transportation. 7 (d) Subject to subsection (a), the office shall reimburse a children's 8 hospital for covered services provided to a Medicaid recipient that is 9 described in subsection (c) at a rate set by the secretary that is based on 10 a reimbursement formula that is: 11 (1) comparable to the current federal Medicare reimbursement 12 rate for the service provided by the children's hospital; or 13 (2) one hundred thirty percent (130%) of the Medicaid 14 reimbursement rate for a service that does not have a Medicare 15 reimbursement rate. 16 (e) Before September 1, 2021, the office shall apply to the United 17 States Department of Health and Human Services for any state plan 18 amendment or Medicaid waiver necessary to implement and administer 19 this section. 20 (f) The office may adopt rules under IC 4-22-2 necessary for the 21 implementation of this section. 22 (g) Not later than September 30, 2022, the office shall complete 23 a review of methods of calculating outlier payments in a way that 24 does not negatively impact final reimbursement determined 25 according to the rate set under subsection (d) as compared to final 26 reimbursement when calculated as if the rate adjustment was not 27 required under subsection (d). 28 (g) (h) This section expires July 1, 2023. 29 SECTION 2. IC 31-25-2-2.5, AS ADDED BY P.L.146-2008, 30 SECTION 563, IS AMENDED TO READ AS FOLLOWS 31 [EFFECTIVE UPON PASSAGE]: Sec. 2.5. (a) The following are not 32 personally liable, except to the state, for an official act done or omitted 33 in connection with performance of duties under this title: 34 (1) The director of the department. 35 (2) Other officers and employees of the department. 36 (b) Except as provided in subsection (c), a nongovernmental 37 entity that contracts with the department, and the 38 nongovernmental entity's employee who is acting within the scope 39 of the contract, is immune from civil liability for injury to an 40 individual or an individual's property that occurs: 41 (1) under the nongovernmental entity's supervision; and 42 (2) while the individual is receiving services described in ES 266—LS 7075/DI 148 3 1 section 7(a)(6) of this chapter. 2 (c) Subsection (b) does not apply to the following: 3 (1) A qualified health care provider against whom a medical 4 malpractice claim is filed under IC 34-18. 5 (2) A person that commits: 6 (A) gross negligence; 7 (B) willful or wanton misconduct; or 8 (C) intentional misconduct. 9 SECTION 3. IC 31-27-3-3, AS AMENDED BY P.L.243-2019, 10 SECTION 7, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 11 UPON PASSAGE]: Sec. 3. (a) An applicant must apply for a child 12 caring institution license on forms provided by the department. 13 (b) An applicant must submit the required information as part of the 14 application. 15 (c) The applicant must submit with the application a statement 16 attesting the following: 17 (1) Whether the applicant has been convicted of: 18 (A) a felony; or 19 (B) a misdemeanor relating to the health and safety of 20 children. 21 (2) Whether the applicant has been charged with: 22 (A) a felony; or 23 (B) a misdemeanor relating to the health and safety of 24 children; 25 during the pendency of the application. 26 (d) The department, on behalf of an applicant, or, at the discretion 27 of the department, an applicant, shall conduct a criminal history check 28 of the following: 29 (1) Each individual who is an applicant. 30 (2) The director or manager of a facility where children will be 31 placed. 32 (3) Each employee, volunteer, or contractor of the applicant. 33 (e) If the applicant conducts a criminal history check under 34 subsection (d), the applicant shall: 35 (1) maintain records of the information it receives concerning 36 each individual who is the subject of a criminal history check; and 37 (2) submit to the department a copy of the information it receives 38 concerning each person described in subsection (d)(1) through 39 (d)(3). 40 (f) If the department conducts a criminal history check on behalf of 41 an applicant under subsection (d), the department shall: 42 (1) determine whether the subject of a national fingerprint based ES 266—LS 7075/DI 148 4 1 criminal history check has a record of: 2 (A) a conviction for a felony; 3 (B) a conviction for a misdemeanor relating to the health and 4 safety of a child; or 5 (C) a juvenile adjudication for a nonwaivable offense, as 6 defined in IC 31-9-2-84.8 that, if committed by an adult, 7 would be a felony; 8 (2) notify the applicant of the determination under subdivision (1) 9 without identifying a specific offense or other identifying 10 information concerning a conviction or juvenile adjudication 11 contained in the national criminal history record information; 12 (3) submit to the applicant a copy of any state limited criminal 13 history report that the department receives on behalf of any person 14 described in subsection (d); and 15 (4) maintain a record of every report and all information the 16 department receives concerning a person described in subsection 17 (d). 18 (g) Except as provided in subsection (h), a criminal history check 19 described in subsection (d) is required only at the time an application 20 for a new license or the renewal of an existing license is submitted. 21 (h) Except as provided in subsection (i), a criminal history check 22 of each person described in subsection (d)(2) or (d)(3) must be 23 completed on or before the date the person: 24 (1) is employed; 25 (2) is assigned as a volunteer; or 26 (3) enters into, or the person's employing entity enters into, a 27 contract with the applicant. 28 (i) An individual may be employed by a child caring institution 29 as an employee, volunteer, or contractor before a criminal history 30 check of the individual is completed as required under subsection 31 (h) if all of the following conditions are satisfied: 32 (1) The following checks have been completed regarding the 33 individual: 34 (A) A fingerprint based check of national crime 35 information data bases under IC 31-9-2-22.5(1). 36 (B) A national sex offender registry check under 37 IC 31-9-2-22.5(3). 38 (C) An in-state local criminal records check under 39 IC 31-9-2-22.5(4). 40 (D) An in-state child protection index check under 41 IC 31-33-26. 42 (2) If the individual has resided outside Indiana at any time ES 266—LS 7075/DI 148 5 1 during the five (5) years preceding the individual's date of 2 hiring by the child caring institution, the following checks 3 have been requested regarding the individual: 4 (A) An out-of-state child abuse registry check under 5 IC 31-9-2-22.5(2). 6 (B) An out-of-state local criminal records check under 7 IC 31-9-2-22.5(4). 8 (3) The individual's employment before the completion of the 9 criminal history check required under subsection (h) is 10 limited to training during which the individual: 11 (A) does not have contact with children who are under the 12 care and control of the child caring institution; and 13 (B) does not have access to records containing information 14 regarding children who are under the care and control of 15 the child caring institution. 16 (4) The individual completes an attestation, under penalty of 17 perjury, disclosing: 18 (A) any abuse or neglect complaints made against the 19 individual with the child welfare agency of a state other 20 than Indiana in which the individual resided within the five 21 (5) years preceding the date of the attestation; and 22 (B) any contact the individual had with a law enforcement 23 agency in connection with the individual's suspected or 24 alleged commission of a crime in a state other than Indiana 25 in which the individual resided within the five (5) years 26 preceding the date of the attestation. 27 (i) (j) The applicant or facility is responsible for any fees associated 28 with a criminal history check. 29 (j) (k) The department shall, at the applicant's request, inform the 30 applicant whether the department has or does not have a record of the 31 person who is the subject of a criminal history check and if the 32 department has identified the person as an alleged perpetrator of abuse 33 or neglect. The department may not provide to the applicant any details 34 or personally identifying information contained in any child protective 35 services investigation report. 36 (k) (l) A person who is the subject of a criminal history check 37 conducted in accordance with this section may request the state police 38 department to provide the person with a copy of any state or national 39 criminal history report concerning the person. 40 SECTION 4. IC 31-27-5-4, AS AMENDED BY P.L.243-2019, 41 SECTION 10, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 42 UPON PASSAGE]: Sec. 4. (a) An applicant must apply for a group ES 266—LS 7075/DI 148 6 1 home license on forms provided by the department. 2 (b) An applicant must submit the required information as part of the 3 application. 4 (c) An applicant must submit with the application a statement 5 attesting the following: 6 (1) Whether the applicant has been convicted of: 7 (A) a felony; or 8 (B) a misdemeanor relating to the health and safety of 9 children. 10 (2) Whether the applicant has been charged with: 11 (A) a felony; or 12 (B) a misdemeanor relating to the health and safety of 13 children; 14 during the pendency of the application. 15 (d) The department on behalf of an applicant, or, at the discretion of 16 the department, an applicant, shall conduct a criminal history check of 17 the following: 18 (1) Each individual who is an applicant. 19 (2) The director or manager of a facility where children will be 20 placed. 21 (3) Each employee, volunteer, or contractor of the applicant. 22 (e) If the applicant conducts a criminal history check under 23 subsection (d), the applicant shall: 24 (1) maintain records of the information it receives concerning 25 each individual who is the subject of a criminal history check; and 26 (2) submit to the department a copy of the information the 27 applicant receives concerning each person described in subsection 28 (d)(1) through (d)(3). 29 (f) If the department conducts a criminal history check on behalf of 30 an applicant under subsection (d), the department shall: 31 (1) determine whether the subject of a national fingerprint based 32 criminal history check has a record of a: 33 (A) conviction for a felony; 34 (B) conviction for a misdemeanor relating to the health and 35 safety of a child; or 36 (C) juvenile adjudication for a nonwaivable offense, as defined 37 in IC 31-9-2-84.8 that, if committed by an adult, would be a 38 felony; 39 (2) notify the applicant of the determination under subdivision (1) 40 without identifying a specific offense or other identifying 41 information concerning a conviction or juvenile adjudication 42 contained in the national criminal history record information; ES 266—LS 7075/DI 148 7 1 (3) submit to the applicant a copy of any state limited criminal 2 history report that the department receives on behalf of any person 3 described in subsection (d); and 4 (4) maintain a record of every report and all information it 5 receives concerning a person described in subsection (d). 6 (g) Except as provided in subsection (h), a criminal history check 7 described in subsection (d) is required only at the time an application 8 for a new license or the renewal of an existing license is submitted. 9 (h) Except as provided in subsection (i), a criminal history check 10 of each person described in subsection (d)(2) or (d)(3) must be 11 completed on or before the date the person: 12 (1) is employed; 13 (2) is assigned as a volunteer; or 14 (3) enters into, or the person's employing entity enters into, a 15 contract with the applicant. 16 (i) An individual may be employed by a group home as an 17 employee, volunteer, or contractor before a criminal history check 18 of the individual is completed as required under subsection (h) if 19 all of the following conditions are satisfied: 20 (1) The following checks have been completed regarding the 21 individual: 22 (A) A fingerprint based check of national crime 23 information data bases under IC 31-9-2-22.5(1). 24 (B) A national sex offender registry check under 25 IC 31-9-2-22.5(3). 26 (C) An in-state local criminal records check under 27 IC 31-9-2-22.5(4). 28 (D) An in-state child protection index check under 29 IC 31-33-26. 30 (2) If the individual has resided outside Indiana at any time 31 during the five (5) years preceding the individual's date of 32 hiring by the group home, the following checks have been 33 requested regarding the individual: 34 (A) An out-of-state child abuse registry check under 35 IC 31-9-2-22.5(2). 36 (B) An out-of-state local criminal records check under 37 IC 31-9-2-22.5(4). 38 (3) The individual's employment before the completion of the 39 criminal history check required under subsection (h) is 40 limited to training during which the individual: 41 (A) does not have contact with children who are under the 42 care and control of the group home; and ES 266—LS 7075/DI 148 8 1 (B) does not have access to records containing information 2 regarding children who are under the care and control of 3 the group home. 4 (4) The individual completes an attestation, under penalty of 5 perjury, disclosing: 6 (A) any abuse or neglect complaints made against the 7 individual with the child welfare agency of a state other 8 than Indiana in which the individual resided within the five 9 (5) years preceding the date of the attestation; and 10 (B) any contact the individual had with a law enforcement 11 agency in connection with the individual's suspected or 12 alleged commission of a crime in a state other than Indiana 13 in which the individual resided within the five (5) years 14 preceding the date of the attestation. 15 (i) (j) The applicant is responsible for any fees associated with a 16 criminal history check. 17 (j) (k) The department shall, at the applicant's request, inform the 18 applicant as to whether the department has or does not have a record of 19 the person who is the subject of a criminal history check and whether 20 the department has identified the person as an alleged perpetrator of 21 abuse or neglect. The department may not provide to the applicant any 22 details or personally identifying information contained in any child 23 protective services investigation report. 24 (k) (l) A person who is the subject of a criminal history check 25 conducted in accordance with this section may request the state police 26 department to provide the person with a copy of any state or national 27 criminal history report concerning the person. 28 SECTION 5. IC 31-27-6-2, AS AMENDED BY P.L.243-2019, 29 SECTION 13, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 30 UPON PASSAGE]: Sec. 2. (a) An applicant must apply for a child 31 placing agency license on forms provided by the department. 32 (b) An applicant must submit the required information as part of the 33 application. 34 (c) The applicant must submit with the application a statement 35 attesting the following: 36 (1) Whether the applicant has been convicted of: 37 (A) a felony; or 38 (B) a misdemeanor relating to the health and safety of 39 children. 40 (2) Whether the applicant has been charged with: 41 (A) a felony; or 42 (B) a misdemeanor relating to the health and safety of ES 266—LS 7075/DI 148 9 1 children; 2 during the pendency of the application. 3 (d) The department on behalf of an applicant, or, at the discretion of 4 the department, an applicant, shall conduct a criminal history check of 5 the following: 6 (1) Each individual who is an applicant. 7 (2) The director or manager of a facility where children will be 8 placed. 9 (3) Each employee, volunteer, or contractor of the applicant. 10 (e) If the applicant conducts a criminal history check under 11 subsection (d), the applicant shall: 12 (1) maintain records of the information it receives concerning 13 each individual who is the subject of a criminal history check; and 14 (2) submit to the department a copy of the information it receives 15 concerning each person described in subsection (d)(1) through 16 (d)(3). 17 (f) If the department conducts a criminal history check on behalf of 18 an applicant under subsection (d), the department shall: 19 (1) determine whether the subject of a national fingerprint based 20 criminal history check has a record of a: 21 (A) conviction for a felony; 22 (B) conviction for a misdemeanor relating to the health and 23 safety of a child; or 24 (C) juvenile adjudication for a nonwaivable offense, as defined 25 in IC 31-9-2-84.8 that, if committed by an adult, would be a 26 felony; 27 (2) notify the applicant of the determination under subdivision (1) 28 without identifying a specific offense or other identifying 29 information concerning a conviction or juvenile adjudication 30 contained in the national criminal history record information; 31 (3) submit to the applicant a copy of any state limited criminal 32 history report that the department receives on behalf of any person 33 described in subsection (d); and 34 (4) maintain a record of every report and all information the 35 department receives concerning a person described in subsection 36 (d). 37 (g) Except as provided in subsection (h), a criminal history check 38 described in subsection (d) is required only at the time an application 39 for a new license or the renewal of an existing license is submitted. 40 (h) Except as provided in subsection (i), a criminal history check 41 of each person described in subsection (d)(2) or (d)(3) must be 42 completed on or before the date the person: ES 266—LS 7075/DI 148 10 1 (1) is employed; 2 (2) is assigned as a volunteer; or 3 (3) enters into, or the person's employing entity enters into, a 4 contract with the applicant. 5 (i) An individual may be employed by a child placing agency as 6 an employee, volunteer, or contractor before a criminal history 7 check of the individual is completed as required under subsection 8 (h) if all of the following conditions are satisfied: 9 (1) The following checks have been completed regarding the 10 individual: 11 (A) A fingerprint based check of national crime 12 information data bases under IC 31-9-2-22.5(1). 13 (B) A national sex offender registry check under 14 IC 31-9-2-22.5(3). 15 (C) An in-state local criminal records check under 16 IC 31-9-2-22.5(4). 17 (D) An in-state child protection index check under 18 IC 31-33-26. 19 (2) If the individual has resided outside Indiana at any time 20 during the five (5) years preceding the individual's date of 21 hiring by the child placing agency, the following checks have 22 been requested regarding the individual: 23 (A) An out-of-state child abuse registry check under 24 IC 31-9-2-22.5(2). 25 (B) An out-of-state local criminal records check under 26 IC 31-9-2-22.5(4). 27 (3) The individual's employment before the completion of the 28 criminal history check required under subsection (h) is 29 limited to training during which the individual: 30 (A) does not have contact with children who are under the 31 care and control of the child placing agency; and 32 (B) does not have access to records containing information 33 regarding children who are under the care and control of 34 the child placing agency. 35 (4) The individual completes an attestation, under penalty of 36 perjury, disclosing: 37 (A) any abuse or neglect complaints made against the 38 individual with the child welfare agency of a state other 39 than Indiana in which the individual resided within the five 40 (5) years preceding the date of the attestation; and 41 (B) any contact the individual had with a law enforcement 42 agency in connection with the individual's suspected or ES 266—LS 7075/DI 148 11 1 alleged commission of a crime in a state other than Indiana 2 in which the individual resided within the five (5) years 3 preceding the date of the attestation. 4 (i) (j) The applicant or facility is responsible for any fees associated 5 with a criminal history check. 6 (j) (k) The department shall, at the applicant's request, inform the 7 applicant whether the department has or does not have a record of the 8 person who is the subject of a criminal history check and if the 9 department has identified the person as an alleged perpetrator of abuse 10 or neglect. The department may not provide to the applicant any details 11 or personally identifying information contained in any child protective 12 investigation report. 13 (k) (l) A person who is the subject of a criminal history check 14 conducted in accordance with this section may request the state police 15 department to provide the person with a copy of any state or national 16 criminal history report concerning the person. 17 SECTION 6. IC 31-27-7 IS ADDED TO THE INDIANA CODE AS 18 A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE JULY 19 1, 2022]: 20 Chapter 7. Department Base Rates Review 21 Sec. 1. As used in this chapter, "base rate" has the same 22 meaning as set forth in 465 IAC 2-16-4 (as in effect on December 23 31, 2021). 24 Sec. 2. As used in this chapter, "cost report" has the same 25 meaning as set forth in 465 IAC 2-16-5 (as in effect on December 26 31, 2021). 27 Sec. 3. As used in this chapter, "residential treatment services 28 provider" means the following: 29 (1) A child caring institution, as defined in IC 31-9-2-16.7. 30 (2) A group home, as defined in IC 31-9-2-48.5. 31 (3) A secure private facility, as defined in IC 31-9-2-115. 32 Sec. 4. For purposes of this chapter, the department shall 33 determine whether a cost is reasonable based on what a reasonable 34 person would pay in the same or similar circumstances for the 35 same or similar item or service. 36 Sec. 5. (a) A residential treatment services provider may request 37 a review of the base rates approved by the department if the 38 residential treatment services provider believes that an error or 39 omission was made in the: 40 (1) cost report that the residential treatment services provider 41 submitted to the department; 42 (2) department's calculation of the base rate; or ES 266—LS 7075/DI 148 12 1 (3) department's determination of the reasonableness of a 2 cost. 3 (b) A request for review under subsection (a) must be: 4 (1) submitted in writing to the department; and 5 (2) received by the department not more than thirty (30) days 6 after the date on which the department mailed a rate letter to 7 the residential treatment services provider. 8 Compliance with subdivision (2) is determined in the same manner 9 by which compliance with the requirements for actions related to 10 administrative proceedings is determined under IC 4-21.5-3-1 and 11 IC 4-21.5-3-2. 12 (c) A residential treatment services provider making a request 13 for review under subsection (a) shall submit the request for review 14 in the form and manner specified by the department, including: 15 (1) identification of the current base rate and approved new 16 base rate, as applicable to a specific program or service 17 offered by the residential treatment services provider; 18 (2) an itemized statement of administrative and indirect costs 19 that the residential treatment services provider considers 20 allowable under this chapter; 21 (3) a clear, concise statement of the reasons for the requested 22 change; and 23 (4) a detailed statement supporting the requested change. 24 The department shall not accept or process an incomplete request 25 for review. 26 (d) If a residential treatment services provider that submits a 27 request for review under this chapter has a current license that is 28 subject to current revocation proceedings, the department shall not 29 act upon the request for review. 30 (e) Not more than thirty (30) days after the date on which the 31 department receives a request for review submitted under this 32 chapter, the department shall conduct a review and: 33 (1) provide the same written notice and an explanation of the 34 department's decision to the residential treatment services 35 provider; and 36 (2) publish the notice and explanation on the department's 37 Internet web site. 38 (f) The explanation of the department's decision under 39 subsection (e) must include a detailed explanation of the following: 40 (1) The specific portion of the disputed cost that is being 41 approved or denied for reimbursement. 42 (2) Why the disputed cost being denied is unreasonable. ES 266—LS 7075/DI 148 13 1 (3) The information the department used to make its 2 determination. 3 Sec. 6. If the residential treatment services provider proves that 4 a cost was previously covered for any provider, or is associated 5 with: 6 (1) accreditation; 7 (2) staff safety; 8 (3) child safety; or 9 (4) a department requirement; 10 the department may consider approval of the cost. 11 SECTION 7. IC 34-30-2-133.6, AS ADDED BY P.L.146-2008, 12 SECTION 680, IS AMENDED TO READ AS FOLLOWS 13 [EFFECTIVE UPON PASSAGE]: Sec. 133.6. IC 31-25-2-2.5 14 (Concerning the officers, and other employees, and certain 15 contractors of the department of child services). 16 SECTION 8. [EFFECTIVE JULY 1, 2022] (a) As used in this 17 SECTION, "child caring institution" has the meaning set forth in 18 IC 31-9-2-16.7. 19 (b) As used in this SECTION, "department" has the meaning 20 set forth in IC 31-9-2-38.5. 21 (c) As used in this SECTION, "group home" has the meaning 22 set forth in IC 31-9-2-48.5. 23 (d) As used in this SECTION, "secure private facility" has the 24 meaning set forth in IC 31-9-2-115. 25 (e) For the state fiscal year beginning July 1, 2022, and ending 26 June 30, 2023, the budget agency shall augment from the state 27 general fund the amount of money appropriated for the 28 department's family and children fund in P.L.165-2021 by fifteen 29 million dollars ($15,000,000) to be used by the department to 30 provide grants to child caring institutions, group homes, and 31 secure private facilities for costs associated with increased wages 32 for direct service staff. 33 (f) A child caring institution, group home, or secure private 34 facility may apply for a grant under this SECTION in a manner 35 prescribed by the department. 36 (g) Costs paid using a grant received under this SECTION may 37 not be disallowed when setting rates for subsequent state fiscal 38 years. 39 (h) This SECTION expires July 1, 2025. 40 SECTION 9. An emergency is declared for this act. ES 266—LS 7075/DI 148 14 COMMITTEE REPORT Madam President: The Senate Committee on Family and Children Services, to which was referred Senate Bill No. 266, has had the same under consideration and begs leave to report the same back to the Senate with the recommendation that said bill be AMENDED as follows: Page 3, line 2, delete "and send notice of" and insert "and: (1) mail written notice and an explanation of the department's decision to: (A) the residential treatment services provider; (B) the state representative and senator of the district in which the residential treatment services provider is located; (C) the chairperson of the house committee on family, children, and human affairs; and (D) the chairperson of the senate committee on family and children services; and (2) publish the notice and explanation on the department's Internet web site.". Page 3, delete lines 3 through 5, begin a new paragraph and insert: "(f) The explanation of the department's decision under subsection (e) must include a robust explanation of the following:". Page 3, line 15, delete "approve the cost." and insert "give special consideration to approval of the cost.". and when so amended that said bill do pass. (Reference is to SB 266 as introduced.) ROGERS, Chairperson Committee Vote: Yeas 6, Nays 0. _____ SENATE MOTION Madam President: I move that Senate Bill 266 be amended to read as follows: Page 3, after line 27, begin a new paragraph and insert: "SECTION 2. [EFFECTIVE UPON PASSAGE] (a) The legislative council is urged to assign to the appropriate interim study committee the topic of privatizing the department of child services. ES 266—LS 7075/DI 148 15 (b) This SECTION expires January 1, 2023. SECTION 3. An emergency is declared for this act.". Renumber all SECTIONS consecutively. (Reference is to SB 266 as printed January 25, 2022.) HOLDMAN _____ COMMITTEE REPORT Mr. Speaker: Your Committee on Family, Children and Human Affairs, to which was referred Senate Bill 266, has had the same under consideration and begs leave to report the same back to the House with the recommendation that said bill be amended as follows: Page 1, between the enacting clause and line 1, begin a new paragraph and insert the following: "SECTION 1. IC 31-25-2-2.5, AS ADDED BY P.L.146-2008, SECTION 563, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 2.5. (a) The following are not personally liable, except to the state, for an official act done or omitted in connection with performance of duties under this title: (1) The director of the department. (2) Other officers and employees of the department. (b) An individual or a nonprofit corporation organized under the laws of Indiana is not liable, except to the state, for an act done or omitted in connection with the individual's or nonprofit corporation's provision of services described in section 7(a) of this chapter under a contract entered into with the department. SECTION 2. IC 31-27-3-3, AS AMENDED BY P.L.243-2019, SECTION 7, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 3. (a) An applicant must apply for a child caring institution license on forms provided by the department. (b) An applicant must submit the required information as part of the application. (c) The applicant must submit with the application a statement attesting the following: (1) Whether the applicant has been convicted of: (A) a felony; or (B) a misdemeanor relating to the health and safety of children. (2) Whether the applicant has been charged with: ES 266—LS 7075/DI 148 16 (A) a felony; or (B) a misdemeanor relating to the health and safety of children; during the pendency of the application. (d) The department, on behalf of an applicant, or, at the discretion of the department, an applicant, shall conduct a criminal history check of the following: (1) Each individual who is an applicant. (2) The director or manager of a facility where children will be placed. (3) Each employee, volunteer, or contractor of the applicant. (e) If the applicant conducts a criminal history check under subsection (d), the applicant shall: (1) maintain records of the information it receives concerning each individual who is the subject of a criminal history check; and (2) submit to the department a copy of the information it receives concerning each person described in subsection (d)(1) through (d)(3). (f) If the department conducts a criminal history check on behalf of an applicant under subsection (d), the department shall: (1) determine whether the subject of a national fingerprint based criminal history check has a record of: (A) a conviction for a felony; (B) a conviction for a misdemeanor relating to the health and safety of a child; or (C) a juvenile adjudication for a nonwaivable offense, as defined in IC 31-9-2-84.8 that, if committed by an adult, would be a felony; (2) notify the applicant of the determination under subdivision (1) without identifying a specific offense or other identifying information concerning a conviction or juvenile adjudication contained in the national criminal history record information; (3) submit to the applicant a copy of any state limited criminal history report that the department receives on behalf of any person described in subsection (d); and (4) maintain a record of every report and all information the department receives concerning a person described in subsection (d). (g) Except as provided in subsection (h), a criminal history check described in subsection (d) is required only at the time an application for a new license or the renewal of an existing license is submitted. (h) Except as provided in subsection (i), a criminal history check ES 266—LS 7075/DI 148 17 of each person described in subsection (d)(2) or (d)(3) must be completed on or before the date the person: (1) is employed; (2) is assigned as a volunteer; or (3) enters into, or the person's employing entity enters into, a contract with the applicant. (i) An individual may be employed by a child caring institution as an employee, volunteer, or contractor before a criminal history check of the individual is completed as required under subsection (h) if all of the following conditions are satisfied: (1) The following checks have been completed regarding the individual: (A) A fingerprint based check of national crime information data bases under IC 31-9-2-22.5(1). (B) A national sex offender registry check under IC 31-9-2-22.5(3). (C) An in-state local criminal records check under IC 31-9-2-22.5(4). (D) An in-state child protection index check under IC 31-33-26. (2) If the individual has resided outside Indiana at any time during the five (5) years preceding the individual's date of hiring by the child caring institution, the following checks have been requested regarding the individual: (A) An out-of-state child abuse registry check under IC 31-9-2-22.5(2). (B) An out-of-state local criminal records check under IC 31-9-2-22.5(4). (3) The individual's employment before the completion of the criminal history check required under subsection (h) is limited to training during which the individual: (A) does not have contact with children who are under the care and control of the child caring institution; and (B) does not have access to records containing information regarding children who are under the care and control of the child caring institution. (4) The individual completes an attestation, under penalty of perjury, disclosing: (A) any abuse or neglect complaints made against the individual with the child welfare agency of a state other than Indiana in which the individual resided within the five (5) years preceding the date of the attestation; and ES 266—LS 7075/DI 148 18 (B) any contact the individual had with a law enforcement agency in connection with the individual's suspected or alleged commission of a crime in a state other than Indiana in which the individual resided within the five (5) years preceding the date of the attestation. (i) (j) The applicant or facility is responsible for any fees associated with a criminal history check. (j) (k) The department shall, at the applicant's request, inform the applicant whether the department has or does not have a record of the person who is the subject of a criminal history check and if the department has identified the person as an alleged perpetrator of abuse or neglect. The department may not provide to the applicant any details or personally identifying information contained in any child protective services investigation report. (k) (l) A person who is the subject of a criminal history check conducted in accordance with this section may request the state police department to provide the person with a copy of any state or national criminal history report concerning the person. SECTION 3. IC 31-27-5-4, AS AMENDED BY P.L.243-2019, SECTION 10, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 4. (a) An applicant must apply for a group home license on forms provided by the department. (b) An applicant must submit the required information as part of the application. (c) An applicant must submit with the application a statement attesting the following: (1) Whether the applicant has been convicted of: (A) a felony; or (B) a misdemeanor relating to the health and safety of children. (2) Whether the applicant has been charged with: (A) a felony; or (B) a misdemeanor relating to the health and safety of children; during the pendency of the application. (d) The department on behalf of an applicant, or, at the discretion of the department, an applicant, shall conduct a criminal history check of the following: (1) Each individual who is an applicant. (2) The director or manager of a facility where children will be placed. (3) Each employee, volunteer, or contractor of the applicant. ES 266—LS 7075/DI 148 19 (e) If the applicant conducts a criminal history check under subsection (d), the applicant shall: (1) maintain records of the information it receives concerning each individual who is the subject of a criminal history check; and (2) submit to the department a copy of the information the applicant receives concerning each person described in subsection (d)(1) through (d)(3). (f) If the department conducts a criminal history check on behalf of an applicant under subsection (d), the department shall: (1) determine whether the subject of a national fingerprint based criminal history check has a record of a: (A) conviction for a felony; (B) conviction for a misdemeanor relating to the health and safety of a child; or (C) juvenile adjudication for a nonwaivable offense, as defined in IC 31-9-2-84.8 that, if committed by an adult, would be a felony; (2) notify the applicant of the determination under subdivision (1) without identifying a specific offense or other identifying information concerning a conviction or juvenile adjudication contained in the national criminal history record information; (3) submit to the applicant a copy of any state limited criminal history report that the department receives on behalf of any person described in subsection (d); and (4) maintain a record of every report and all information it receives concerning a person described in subsection (d). (g) Except as provided in subsection (h), a criminal history check described in subsection (d) is required only at the time an application for a new license or the renewal of an existing license is submitted. (h) Except as provided in subsection (i), a criminal history check of each person described in subsection (d)(2) or (d)(3) must be completed on or before the date the person: (1) is employed; (2) is assigned as a volunteer; or (3) enters into, or the person's employing entity enters into, a contract with the applicant. (i) An individual may be employed by a group home as an employee, volunteer, or contractor before a criminal history check of the individual is completed as required under subsection (h) if all of the following conditions are satisfied: (1) The following checks have been completed regarding the individual: ES 266—LS 7075/DI 148 20 (A) A fingerprint based check of national crime information data bases under IC 31-9-2-22.5(1). (B) A national sex offender registry check under IC 31-9-2-22.5(3). (C) An in-state local criminal records check under IC 31-9-2-22.5(4). (D) An in-state child protection index check under IC 31-33-26. (2) If the individual has resided outside Indiana at any time during the five (5) years preceding the individual's date of hiring by the group home, the following checks have been requested regarding the individual: (A) An out-of-state child abuse registry check under IC 31-9-2-22.5(2). (B) An out-of-state local criminal records check under IC 31-9-2-22.5(4). (3) The individual's employment before the completion of the criminal history check required under subsection (h) is limited to training during which the individual: (A) does not have contact with children who are under the care and control of the group home; and (B) does not have access to records containing information regarding children who are under the care and control of the group home. (4) The individual completes an attestation, under penalty of perjury, disclosing: (A) any abuse or neglect complaints made against the individual with the child welfare agency of a state other than Indiana in which the individual resided within the five (5) years preceding the date of the attestation; and (B) any contact the individual had with a law enforcement agency in connection with the individual's suspected or alleged commission of a crime in a state other than Indiana in which the individual resided within the five (5) years preceding the date of the attestation. (i) (j) The applicant is responsible for any fees associated with a criminal history check. (j) (k) The department shall, at the applicant's request, inform the applicant as to whether the department has or does not have a record of the person who is the subject of a criminal history check and whether the department has identified the person as an alleged perpetrator of abuse or neglect. The department may not provide to the applicant any ES 266—LS 7075/DI 148 21 details or personally identifying information contained in any child protective services investigation report. (k) (l) A person who is the subject of a criminal history check conducted in accordance with this section may request the state police department to provide the person with a copy of any state or national criminal history report concerning the person. SECTION 4. IC 31-27-6-2, AS AMENDED BY P.L.243-2019, SECTION 13, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 2. (a) An applicant must apply for a child placing agency license on forms provided by the department. (b) An applicant must submit the required information as part of the application. (c) The applicant must submit with the application a statement attesting the following: (1) Whether the applicant has been convicted of: (A) a felony; or (B) a misdemeanor relating to the health and safety of children. (2) Whether the applicant has been charged with: (A) a felony; or (B) a misdemeanor relating to the health and safety of children; during the pendency of the application. (d) The department on behalf of an applicant, or, at the discretion of the department, an applicant, shall conduct a criminal history check of the following: (1) Each individual who is an applicant. (2) The director or manager of a facility where children will be placed. (3) Each employee, volunteer, or contractor of the applicant. (e) If the applicant conducts a criminal history check under subsection (d), the applicant shall: (1) maintain records of the information it receives concerning each individual who is the subject of a criminal history check; and (2) submit to the department a copy of the information it receives concerning each person described in subsection (d)(1) through (d)(3). (f) If the department conducts a criminal history check on behalf of an applicant under subsection (d), the department shall: (1) determine whether the subject of a national fingerprint based criminal history check has a record of a: (A) conviction for a felony; ES 266—LS 7075/DI 148 22 (B) conviction for a misdemeanor relating to the health and safety of a child; or (C) juvenile adjudication for a nonwaivable offense, as defined in IC 31-9-2-84.8 that, if committed by an adult, would be a felony; (2) notify the applicant of the determination under subdivision (1) without identifying a specific offense or other identifying information concerning a conviction or juvenile adjudication contained in the national criminal history record information; (3) submit to the applicant a copy of any state limited criminal history report that the department receives on behalf of any person described in subsection (d); and (4) maintain a record of every report and all information the department receives concerning a person described in subsection (d). (g) Except as provided in subsection (h), a criminal history check described in subsection (d) is required only at the time an application for a new license or the renewal of an existing license is submitted. (h) Except as provided in subsection (i), a criminal history check of each person described in subsection (d)(2) or (d)(3) must be completed on or before the date the person: (1) is employed; (2) is assigned as a volunteer; or (3) enters into, or the person's employing entity enters into, a contract with the applicant. (i) An individual may be employed by a child placing agency as an employee, volunteer, or contractor before a criminal history check of the individual is completed as required under subsection (h) if all of the following conditions are satisfied: (1) The following checks have been completed regarding the individual: (A) A fingerprint based check of national crime information data bases under IC 31-9-2-22.5(1). (B) A national sex offender registry check under IC 31-9-2-22.5(3). (C) An in-state local criminal records check under IC 31-9-2-22.5(4). (D) An in-state child protection index check under IC 31-33-26. (2) If the individual has resided outside Indiana at any time during the five (5) years preceding the individual's date of hiring by the child placing agency, the following checks have ES 266—LS 7075/DI 148 23 been requested regarding the individual: (A) An out-of-state child abuse registry check under IC 31-9-2-22.5(2). (B) An out-of-state local criminal records check under IC 31-9-2-22.5(4). (3) The individual's employment before the completion of the criminal history check required under subsection (h) is limited to training during which the individual: (A) does not have contact with children who are under the care and control of the child placing agency; and (B) does not have access to records containing information regarding children who are under the care and control of the child placing agency. (4) The individual completes an attestation, under penalty of perjury, disclosing: (A) any abuse or neglect complaints made against the individual with the child welfare agency of a state other than Indiana in which the individual resided within the five (5) years preceding the date of the attestation; and (B) any contact the individual had with a law enforcement agency in connection with the individual's suspected or alleged commission of a crime in a state other than Indiana in which the individual resided within the five (5) years preceding the date of the attestation. (i) (j) The applicant or facility is responsible for any fees associated with a criminal history check. (j) (k) The department shall, at the applicant's request, inform the applicant whether the department has or does not have a record of the person who is the subject of a criminal history check and if the department has identified the person as an alleged perpetrator of abuse or neglect. The department may not provide to the applicant any details or personally identifying information contained in any child protective investigation report. (k) (l) A person who is the subject of a criminal history check conducted in accordance with this section may request the state police department to provide the person with a copy of any state or national criminal history report concerning the person.". Page 3, line 3, after "mail" insert "the same". Page 3, line 16, delete "robust" and insert "detailed". Page 3, line 17, delete "department's approval or denial." and insert "specific portion of the disputed cost that is being approved or denied for reimbursement.". ES 266—LS 7075/DI 148 24 Page 3, line 18, delete "The reasonableness of each disputed cost." and insert "Why the disputed cost being denied is unreasonable.". Page 3, between lines 18 and 19, begin a new line block indented and insert: "(3) The information the department used to make its determination.". Page 3, between lines 27 and 28, begin a new paragraph and insert: "SECTION 6. IC 34-30-2-133.6, AS ADDED BY P.L.146-2008, SECTION 680, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 133.6. IC 31-25-2-2.5 (Concerning the officers, and other employees, and certain contractors of the department of child services).". Renumber all SECTIONS consecutively. and when so amended that said bill do pass. (Reference is to SB 266 as reprinted January 28, 2022.) DEVON Committee Vote: yeas 12, nays 0. _____ COMMITTEE REPORT Mr. Speaker: Your Committee on Ways and Means, to which was referred Engrossed Senate Bill 266, has had the same under consideration and begs leave to report the same back to the House with the recommendation that said bill be amended as follows: Page 1, between the enacting clause and line 1, begin a new paragraph and insert: "SECTION 1. IC 12-15-15-1.2, AS ADDED BY P.L.132-2021, SECTION 2, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 1.2. (a) This section applies only to state fiscal years beginning after June 30, 2021, and ending before July 1, 2023. (b) As used in this section, "children's hospital" means: (1) a freestanding general acute care hospital that: (A) is designated by the Medicare program as a children's hospital; or (B) furnishes inpatient and outpatient health care services to patients who are predominantly individuals less than nineteen (19) years of age; or ES 266—LS 7075/DI 148 25 (2) a facility located within a freestanding general acute care hospital that: (A) is designated by the Medicare program as a children's hospital; or (B) furnishes inpatient and outpatient health care services to patients who are predominately individuals less than nineteen (19) years of age. (c) This section applies to reimbursement for inpatient Medicaid services and outpatient Medicaid services provided to a Medicaid recipient who is less than nineteen (19) years of age at a children's hospital that is located in a state bordering Indiana. This section does not apply to reimbursement for non-emergency medical transportation. (d) Subject to subsection (a), the office shall reimburse a children's hospital for covered services provided to a Medicaid recipient that is described in subsection (c) at a rate set by the secretary that is based on a reimbursement formula that is: (1) comparable to the current federal Medicare reimbursement rate for the service provided by the children's hospital; or (2) one hundred thirty percent (130%) of the Medicaid reimbursement rate for a service that does not have a Medicare reimbursement rate. (e) Before September 1, 2021, the office shall apply to the United States Department of Health and Human Services for any state plan amendment or Medicaid waiver necessary to implement and administer this section. (f) The office may adopt rules under IC 4-22-2 necessary for the implementation of this section. (g) Not later than September 30, 2022, the office shall complete a review of methods of calculating outlier payments in a way that does not negatively impact final reimbursement determined according to the rate set under subsection (d) as compared to final reimbursement when calculated as if the rate adjustment was not required under subsection (d). (g) (h) This section expires July 1, 2023.". Page 1, delete lines 8 through 12, begin a new paragraph and insert: "(b) Except as provided in subsection (c), a nongovernmental entity that contracts with the department, and the nongovernmental entity's employee who is acting within the scope of the contract, is immune from civil liability for injury to an individual or an individual's property that occurs: (1) under the nongovernmental entity's supervision; and (2) while the individual is receiving services described in ES 266—LS 7075/DI 148 26 section 7(a)(6) of this chapter. (c) Subsection (b) does not apply to the following: (1) A qualified health care provider against whom a medical malpractice claim is filed under IC 34-18. (2) A person that commits: (A) gross negligence; (B) willful or wanton misconduct; or (C) intentional misconduct.". Page 10, line 11, delete "means a report" and insert "has the same meaning as set forth in 465 IAC 2-16-5 (as in effect on December 31, 2021).". Page 10, delete lines 12 through 14. Page 10, delete lines 20 through 21. Page 11, line 23, delete "mail" and insert "provide". Page 11, line 24, delete "to:" and insert "to the residential treatment services provider; and". Page 11, delete lines 25 through 32. Page 12, line 7, delete "shall give special consideration to" and insert "may consider". Page 12, delete lines 14 through 17, begin a new paragraph and insert: "SECTION 8. [EFFECTIVE JULY 1, 2022] (a) As used in this SECTION, "child caring institution" has the meaning set forth in IC 31-9-2-16.7. (b) As used in this SECTION, "department" has the meaning set forth in IC 31-9-2-38.5. (c) As used in this SECTION, "group home" has the meaning set forth in IC 31-9-2-48.5. (d) As used in this SECTION, "secure private facility" has the meaning set forth in IC 31-9-2-115. (e) For the state fiscal year beginning July 1, 2022, and ending June 30, 2023, the budget agency shall augment from the state general fund the amount of money appropriated for the department's family and children fund in P.L.165-2021 by fifteen million dollars ($15,000,000) to be used by the department to provide grants to child caring institutions, group homes, and secure private facilities for costs associated with increased wages for direct service staff. (f) A child caring institution, group home, or secure private facility may apply for a grant under this SECTION in a manner prescribed by the department. (g) Costs paid using a grant received under this SECTION may ES 266—LS 7075/DI 148 27 not be disallowed when setting rates for subsequent state fiscal years. (h) This SECTION expires July 1, 2025.". Renumber all SECTIONS consecutively. and when so amended that said bill do pass. (Reference is to ESB 266 as printed February 17, 2022.) BROWN T Committee Vote: yeas 19, nays 0. ES 266—LS 7075/DI 148