*SB0169.1* January 30, 2024 SENATE BILL No. 169 _____ DIGEST OF SB 169 (Updated January 29, 2024 10:37 am - DI 119) Citations Affected: IC 31-9; IC 31-27; noncode. Synopsis: Child caring institutions and group homes. Requires specified types of residential child care facilities to: (1) implement specified personnel policies, including with regard to: (A) minimum qualifications for specified employee classifications; and (B) maintenance of personnel records; (2) comply with specified restrictions on caseloads; (3) obtain specified health records, immunizations, and examinations for each child under the facility's care; and (4) follow specified processes in providing medical care for children in the facility's care, including with regard to administering psychotropic medications. Makes conforming changes. Effective: July 1, 2024. Walker G, Johnson T January 8, 2024, read first time and referred to Committee on Family and Children Services. January 29, 2024, amended, reported favorably — Do Pass. SB 169—LS 6637/DI 148 January 30, 2024 Second Regular Session of the 123rd General Assembly (2024) 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 2023 Regular Session of the General Assembly. SENATE BILL No. 169 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 31-9-2-11, AS AMENDED BY P.L.146-2006, 2 SECTION 11, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 3 JULY 1, 2024]: Sec. 11. "Caseworker", for purposes of the juvenile law 4 (excluding IC 31-27), means an employee of the department of child 5 services who is classified as a family case manager. 6 SECTION 2. IC 31-9-2-43.6 IS ADDED TO THE INDIANA CODE 7 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 8 1, 2024]: Sec. 43.6. "Emergency shelter", for purposes of IC 31-27, 9 means a short term place of residence, other than a private secure 10 facility, that: 11 (1) is not locked to prevent a child's departure unless the 12 administrator determines that locking is necessary to protect 13 the child's health; and 14 (2) provides twenty-four (24) hours a day temporary care for 15 not more than sixty (60) consecutive days to an individual 16 child who is six (6) years of age or older admitted on an 17 emergency basis. SB 169—LS 6637/DI 148 2 1 SECTION 3. IC 31-9-2-96.5 IS ADDED TO THE INDIANA CODE 2 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 3 1, 2024]: Sec. 96.5. (a) Except as provided in subsection (b), 4 "private secure facility", for purposes of the juvenile law, means 5 the following: 6 (1) A facility that is licensed under IC 31-27 to operate as a 7 private secure facility. 8 (2) A private facility that is licensed in another state to 9 provide residential care and treatment to one (1) or more 10 children in a secure facility other than a detention center, 11 prison, jail, or similar correctional facility. 12 (b) "Private secure facility", for purposes of IC 31-27, means a 13 private secure facility other than the following: 14 (1) A juvenile detention facility established under IC 31-31-8 15 or IC 31-31-9 (or IC 31-6-9-5 or IC 31-6-9.5 before their 16 repeal). 17 (2) A facility operated by the department of correction. 18 (3) A county jail. 19 (4) A detention center operated by a county sheriff. 20 SECTION 4. IC 31-27-6-15.5 IS ADDED TO THE INDIANA 21 CODE AS A NEW SECTION TO READ AS FOLLOWS 22 [EFFECTIVE JULY 1, 2024]: Sec. 15.5. (a) A child placing agency 23 shall establish minimum qualifications for each classification of 24 employee. The standards in subsections (b) through (e) must be 25 used as a guide by each child placing agency in establishing 26 minimum qualifications for the classifications of an executive, a 27 casework supervisor, a caseworker, and a worker in training, and 28 by the department in the licensing of each child placing agency. 29 (b) An executive must have the following: 30 (1) A bachelor's degree. 31 (2) At least one (1) of the following: 32 (A) Five (5) years of paid experience in a field related to 33 social work, at least two (2) years of which were: 34 (i) in social work; or 35 (ii) in a supervisory or administrative capacity in a field 36 related to social work, including working for the 37 department. 38 (B) A master's degree in social work, counseling, or a 39 related human services area and at least two (2) years of 40 paid experience: 41 (i) in social work; or 42 (ii) in a supervisory or administrative capacity in a field SB 169—LS 6637/DI 148 3 1 related to social work, including working for the 2 department. 3 (c) A casework supervisor must have the following: 4 (1) A bachelor's degree. 5 (2) One (1) year of graduate training in social work, 6 counseling, or a related human service area of study. 7 (3) At least one (1) of the following: 8 (A) Three (3) years of supervised paid casework 9 experience, at least one (1) year of which was with a 10 licensed child placing agency or with the department. 11 (B) A master's degree from a recognized school of social 12 work and at least one (1) year of supervised paid casework 13 experience in a licensed child placing agency or with the 14 department. 15 (d) A caseworker must have the following: 16 (1) A bachelor's degree. 17 (2) At least one (1) of the following: 18 (A) Three (3) years of supervised paid casework 19 experience. 20 (B) One (1) year of supervised paid casework experience in 21 a licensed child placing agency or with the department. 22 (C) One (1) year of graduate training in a recognized 23 school of social work. 24 (e) A worker in training must have a bachelor's degree. 25 (f) A child placing agency must only employ a staff member who 26 is: 27 (1) duly qualified; 28 (2) of good moral character; and 29 (3) in satisfactory health. 30 (g) An employee who is in a position on January 1, 2012, and 31 who qualified for that position on December 31, 2011, is exempt 32 from the requirements of this section. 33 SECTION 5. IC 31-27-6-15.7 IS ADDED TO THE INDIANA 34 CODE AS A NEW SECTION TO READ AS FOLLOWS 35 [EFFECTIVE JULY 1, 2024]: Sec. 15.7. (a) The following 36 restrictions apply to caseworker caseloads: 37 (1) Except as otherwise provided in this section, a caseworker 38 may not supervise more than eighteen (18) children. 39 (2) The department shall determine the appropriate 40 caseworker to child ratio, which may be between 1:8 and 1:12 41 for children requiring enhanced supervision. 42 (3) A caseworker with a caseload, including some children SB 169—LS 6637/DI 148 4 1 requiring enhanced supervision may not supervise more than 2 fifteen (15) children. The caseworker may, if needed, carry a 3 reduced caseload of not more than ten (10) children based on 4 the level of enhanced supervision required for the children 5 being served. 6 (b) A casework supervisor may supervise at least five (5) 7 caseworkers but not more than eight (8) caseworkers, depending 8 on the level of enhanced supervision required for the children 9 being served. 10 SECTION 6. IC 31-27-6-15.8 IS ADDED TO THE INDIANA 11 CODE AS A NEW SECTION TO READ AS FOLLOWS 12 [EFFECTIVE JULY 1, 2024]: Sec. 15.8. (a) A child placing agency 13 shall employ a sufficient number of office staff members to 14 properly maintain office administrative procedures on a current 15 basis. 16 (b) A child placing agency shall adopt specific written policies 17 regarding personnel practices affecting staff members of the 18 agency. 19 SECTION 7. IC 31-27-6-15.9 IS ADDED TO THE INDIANA 20 CODE AS A NEW SECTION TO READ AS FOLLOWS 21 [EFFECTIVE JULY 1, 2024]: Sec. 15.9. (a) A child placing agency 22 providing medical or dental care to a child in the agency's care 23 must only use: 24 (1) the services of licensed professionals; and 25 (2) the services rendered must be within the licensed 26 professional's scope of practice. 27 (b) Each child must receive a thorough physical examination 28 once the child placing agency accepts the child for placement in 29 foster care. The physical examination must be performed by a 30 licensed professional in Indiana whose scope of practice includes 31 providing physical examinations. The child placing agency shall 32 make every effort to arrange for any treatment recommended by 33 the examining licensed professional. 34 (c) Each child in foster care must receive a physical examination 35 described in subsection (b) at least one (1) time every calendar 36 year. 37 (d) Each child must receive a dental examination once the child 38 placing agency accepts the child for placement in foster care. The 39 child placing agency shall arrange for any treatment recommended 40 by the examining dentist. 41 (e) Each child in foster care must receive a dental examination 42 at least one (1) time every calendar year. However, the child SB 169—LS 6637/DI 148 5 1 placing agency shall arrange for an additional examination and 2 any required treatment if the child's condition indicates the need. 3 (f) The child placing agency shall maintain a record of the 4 medical and dental history and treatment for each child. 5 SECTION 8. IC 31-27-8 IS ADDED TO THE INDIANA CODE AS 6 A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE JULY 7 1, 2024]: 8 Chapter 8. Personnel Records and Qualifications 9 Sec. 1. For purposes of this chapter, the following definitions 10 apply: 11 (1) "Caseworker" includes staff who perform casework, 12 group work tasks, or planning of services for children and 13 their families. 14 (2) "Licensee" means a person who is licensed to operate one 15 (1) or more of the following: 16 (A) A children's home. 17 (B) A child caring institution. 18 (C) An emergency shelter care. 19 (D) A private secure facility. 20 (E) A group home. 21 (F) An emergency shelter care group home. 22 Sec. 2. (a) A caseworker shall meet one (1) of the following 23 requirements: 24 (1) Have a bachelor's degree. 25 (2) Have an associate's degree and at least two (2) years of 26 human services job experience. 27 (3) Completed thirty (30) college credit hours from an 28 accredited institution and at least four (4) years of human 29 services job experience. 30 (4) Have a high school diploma and at least five (5) years of 31 human services job experience. 32 (b) Except as provided in subsection (c), a licensee shall have at 33 least one (1) caseworker for every twenty-four (24) children in 34 care. 35 (c) A private secure facility shall have one (1) caseworker for 36 every fifteen (15) children in care. 37 (d) A licensee shall employ a supervisor for casework staff when 38 the institution employs six (6) or more caseworkers. 39 Sec. 3. (a) A licensee shall establish and maintain an individual 40 record for each staff member. 41 (b) The record must include the following information before 42 employment: SB 169—LS 6637/DI 148 6 1 (1) Application. 2 (2) Name, address, and telephone number. 3 (3) Name, address, and telephone number of the person to be 4 notified in the event of an emergency. 5 (4) Documentation of training, education, experience, and any 6 other required qualifications. 7 (5) Reference notes or reports, with evaluations of ability, 8 character, and suitability for working with children. 9 (6) Signed, notarized criminal history affidavit. 10 (c) The record must include the following information after 11 employment: 12 (1) Documentation of initial physical examination and results 13 of initial tuberculosis test. 14 (2) Annual report of tuberculosis screening results. 15 (3) Annual evaluation of employee's performance. 16 (4) Documentation of workshops or training sessions attended 17 and of courses of study successfully completed. 18 (5) Dates of employment and termination with any reason for 19 termination. 20 (6) Copies of any incident report involving the staff member. 21 Sec. 4. A licensee shall maintain the following information for 22 each volunteer: 23 (1) Name, address, and telephone number. 24 (2) Name, address, and telephone number of the person to be 25 notified in the event of emergency. 26 (3) Documentation of reference with an evaluation of the 27 following: 28 (A) Ability, character, and suitability for working with 29 children. 30 (B) Orientation and training, as required by 465 31 IAC 2-9-54 (in effect on January 1, 2023). 32 (4) Documentation of initial physical examination and annual 33 tuberculosis testing, if working in food service or having 34 direct contact with children. 35 SECTION 9. IC 31-27-9 IS ADDED TO THE INDIANA CODE AS 36 A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE JULY 37 1, 2024]: 38 Chapter 9. Health Records and Medications 39 Sec. 1. For purposes of this chapter, the following definitions 40 apply: 41 (1) "Caseworker" includes staff who perform casework, 42 group work tasks, or planning of services for children and SB 169—LS 6637/DI 148 7 1 their families. 2 (2) "Licensee" means a person who is licensed to operate one 3 (1) or more of the following: 4 (A) A children's home. 5 (B) A child caring institution. 6 (C) An emergency shelter care. 7 (D) A private secure facility. 8 (E) A group home. 9 (F) An emergency shelter care group home. 10 Sec. 2. (a) A licensee shall obtain from the placing agency or 11 placing parent a statement indicating whether or not the child has, 12 to the best of the applicant's knowledge, been exposed to a 13 communicable disease within three (3) weeks before the date of 14 admission. 15 (b) Each child must receive a health examination by a licensed 16 professional within three (3) months before admission, or not later 17 than three (3) weeks after admission. The examination must 18 include the following: 19 (1) Health history. 20 (2) Physical examination. 21 (3) Vision and hearing screening. 22 (4) A test for tuberculosis if the last such test is known to be 23 negative or if there is no record of a test. If the test is positive 24 the child shall have a diagnostic chest x-ray and other 25 indicated laboratory tests to determine whether or not the 26 disease is in an infectious state. 27 (5) A written statement from the licensed professional that in 28 the professional's opinion there is no health condition that 29 would be hazardous either to the child or to other children in 30 the child caring institution. 31 (6) A statement of the medical findings, including physical 32 defects and need for dental care, state of development, and 33 ability of the child to take part in group activities, or a 34 schedule of permitted activities if activities need to be limited. 35 (7) A health examination, including a tuberculosis screen 36 annually and a tuberculosis test whenever there is reason to 37 suspect that the child may have a condition hazardous or 38 potentially hazardous to others or whenever the child's 39 general condition indicates the need for an examination. 40 (c) Each child must receive a dental examination from a licensed 41 dentist as follows: 42 (1) Within thirty (30) days of admission unless the child SB 169—LS 6637/DI 148 8 1 caring institution has documentation of a dental examination 2 within the six (6) months before admission. 3 (2) Annually. 4 (3) Whenever an interim condition indicates the need for 5 examination or treatment. 6 (d) Any treatment or corrective measures required by the 7 licensed professional or dentist must be arranged by the licensee, 8 as approved by a parent, legal guardian, or placing agency. 9 (e) A licensee, after attempting to determine the child's 10 immunization history, shall ensure that each child has received all 11 immunizations and booster shots which are required by the 12 Indiana department of health. 13 (f) All children must be immunized against routine childhood 14 diseases unless exempted by a licensed professional's statement. 15 (g) A child may be exempted from immunizations against 16 routine childhood diseases upon the good faith religious belief 17 statement of the parent or guardian. 18 (h) The adequate immunizing doses and the child's age for 19 administering each vaccine must be those recommended by the 20 American Academy of Pediatrics or by the Advisory Committee on 21 Immunization Practices. 22 (i) Adequate documentation of an immunization history must 23 consist of one (1) of the following: 24 (1) A licensed professional's certificate, including the number 25 and dates of doses administered. 26 (2) Immunization records forwarded from a school 27 corporation, including the number and dates of doses 28 administered. 29 (3) A record maintained by the parent or guardian showing 30 the month, day, and year during which each dose of vaccine 31 was administered. 32 (j) If a licensed professional certifies in writing that a particular 33 immunization required under this section is detrimental, or may be 34 detrimental, to the child's health, the requirements for that 35 particular immunization are not applicable for that child until the 36 immunization is found no longer to be detrimental to the child's 37 health. 38 (k) A licensee shall maintain a health record for each child. The 39 record must include the following: 40 (1) Admission and periodic health and dental examination 41 information. 42 (2) A licensed professional's written instructions with regard SB 169—LS 6637/DI 148 9 1 to special dietary or health care required. 2 (3) Record of all medications and treatments. 3 (4) Record of observations and incidents, including accidents, 4 injuries, or any other condition which may be associated with 5 a health condition or possible abuse or neglect. 6 Sec. 3. (a) A licensee shall provide psychotropic medications to 7 a child only as prescribed by a licensed professional in Indiana: 8 (1) whose scope of work includes prescribing psychotropic 9 medications; and 10 (2) who has the responsibility for the diagnosis, treatment, 11 and therapeutic planning for the child. 12 (b) A licensee shall obtain from the prescribing licensed 13 professional a written report at least every calendar month for 14 each child receiving psychotropic medication. The written report 15 must state the reasons medication is being continued, discontinued, 16 or changed, as well as any recommended changes in the treatment 17 goals and planning. The report must be based on the licensed 18 professional's review of reports by staff as well as the 19 professional's actual observation of the child at least every three 20 (3) calendar months. 21 SECTION 10. [EFFECTIVE JULY 1, 2024] (a) The following 22 administrative rules are void: 23 (1) 465 IAC 2-2-5. 24 (2) 465 IAC 2-2-6. 25 (3) 465 IAC 2-2-11. 26 (4) 465 IAC 2-9-44. 27 (5) 465 IAC 2-9-49. 28 (6) 465 IAC 2-9-73. 29 (7) 465 IAC 2-9-75. 30 (8) 465 IAC 2-10-44. 31 (9) 465 IAC 2-10-45. 32 (10) 465 IAC 2-10-49. 33 (11) 465 IAC 2-10-73. 34 (12) 465 IAC 2-10-75. 35 (13) 465 IAC 2-11-44. 36 (14) 465 IAC 2-11-45. 37 (15) 465 IAC 2-11-49. 38 (16) 465 IAC 2-11-73. 39 (17) 465 IAC 2-11-75. 40 (18) 465 IAC 2-12-44. 41 (19) 465 IAC 2-12-45. 42 (20) 465 IAC 2-12-49. SB 169—LS 6637/DI 148 10 1 (21) 465 IAC 2-12-71. 2 (22) 465 IAC 2-12-73. 3 (23) 465 IAC 2-13-44. 4 (24) 465 IAC 2-13-45. 5 (25) 465 IAC 2-13-49. 6 (26) 465 IAC 2-13-71. 7 (b) The publisher of the Indiana Administrative Code and 8 Indiana Register shall remove the following provisions from the 9 Indiana Administrative Code: 10 (1) 465 IAC 2-2-5. 11 (2) 465 IAC 2-2-6. 12 (3) 465 IAC 2-2-11. 13 (4) 465 IAC 2-9-44. 14 (5) 465 IAC 2-9-49. 15 (6) 465 IAC 2-9-73. 16 (7) 465 IAC 2-9-75. 17 (8) 465 IAC 2-10-44. 18 (9) 465 IAC 2-10-45. 19 (10) 465 IAC 2-10-49. 20 (11) 465 IAC 2-10-73. 21 (12) 465 IAC 2-10-75. 22 (13) 465 IAC 2-11-44. 23 (14) 465 IAC 2-11-45. 24 (15) 465 IAC 2-11-49. 25 (16) 465 IAC 2-11-73. 26 (17) 465 IAC 2-11-75. 27 (18) 465 IAC 2-12-44. 28 (19) 465 IAC 2-12-45. 29 (20) 465 IAC 2-12-49. 30 (21) 465 IAC 2-12-71. 31 (22) 465 IAC 2-12-73. 32 (23) 465 IAC 2-13-44. 33 (24) 465 IAC 2-13-45. 34 (25) 465 IAC 2-13-49. 35 (26) 465 IAC 2-13-71. 36 (c) This SECTION expires July 1, 2025. SB 169—LS 6637/DI 148 11 COMMITTEE REPORT Madam President: The Senate Committee on Family and Children Services, to which was referred Senate Bill No. 169, 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 5, line 32, after "(b)" delete "A" and insert "Except as provided in subsection (c), a". Page 5, between lines 33 and 34, begin a new paragraph and insert: "(c) A private secure facility shall have one (1) caseworker for every fifteen (15) children in care.". Page 5, line 34, delete "(c)" and insert "(d)". and when so amended that said bill do pass. (Reference is to SB 169 as introduced.) WALKER G, Chairperson Committee Vote: Yeas 8, Nays 0. SB 169—LS 6637/DI 148