Kansas 2023-2024 Regular Session

Kansas House Bill HB2580 Compare Versions

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11 Session of 2024
22 HOUSE BILL No. 2580
33 By Committee on Child Welfare and Foster Care
44 Requested by Laura Howard on behalf of the Kansas Department for Children and
55 Families
66 1-24
77 AN ACT concerning children and minors; relating to the revised Kansas
88 code for care of children; providing authority for a court or a guardian
99 to consent to mental, emotional or behavioral health screening and
1010 treatment of a child alleged or adjudicated to be a child in need of care;
1111 granting immunity to providers who provide such screening and
1212 treatment in good faith; defining behavioral health treatment; amending
1313 K.S.A. 38-2217 and K.S.A. 2023 Supp. 38-2202 and repealing the
1414 existing sections; also repealing K.S.A. 2023 Supp. 38-2202a.
1515 Be it enacted by the Legislature of the State of Kansas:
1616 Section 1. K.S.A. 2023 Supp. 38-2202 is hereby amended to read as
1717 follows: 38-2202. As used in the revised Kansas code for care of children,
1818 unless the context otherwise indicates:
1919 (a) "Abandon" or "abandonment" means to forsake, desert or, without
2020 making appropriate provision for substitute care, cease providing care for
2121 the child.
2222 (b) "Adult correction facility" means any public or private facility,
2323 secure or nonsecure, that is used for the lawful custody of accused or
2424 convicted adult criminal offenders.
2525 (c) "Aggravated circumstances" means the abandonment, torture,
2626 chronic abuse, sexual abuse or chronic, life threatening neglect of a child.
2727 (d) "Child in need of care" means a person less than 18 years of age
2828 at the time of filing of the petition or issuance of an ex parte protective
2929 custody order pursuant to K.S.A. 38-2242, and amendments thereto, who:
3030 (1) Is without adequate parental care, control or subsistence and the
3131 condition is not due solely to the lack of financial means of the child's
3232 parents or other custodian;
3333 (2) is without the care or control necessary for the child's physical,
3434 mental or emotional health;
3535 (3) has been physically, mentally or emotionally abused or neglected
3636 or sexually abused;
3737 (4) has been placed for care or adoption in violation of law;
3838 (5) has been abandoned or does not have a known living parent;
3939 (6) is not attending school as required by K.S.A. 72-3421 or 72-3120,
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7474 and amendments thereto;
7575 (7) except in the case of a violation of K.S.A. 41-727, 74-8810(j), 79-
7676 3321(m) or (n), or K.S.A. 21-6301(a)(14), and amendments thereto, or,
7777 except as provided in paragraph (12), does an act which, when committed
7878 by a person under 18 years of age, is prohibited by state law, city
7979 ordinance or county resolution, but which is not prohibited when done by
8080 an adult;
8181 (8) while less than 10 years of age, commits any act that if done by an
8282 adult would constitute the commission of a felony or misdemeanor as
8383 defined by K.S.A. 21-5102, and amendments thereto;
8484 (9) is willfully and voluntarily absent from the child's home without
8585 the consent of the child's parent or other custodian;
8686 (10) is willfully and voluntarily absent at least a second time from a
8787 court ordered or designated placement, or a placement pursuant to court
8888 order, if the absence is without the consent of the person with whom the
8989 child is placed or, if the child is placed in a facility, without the consent of
9090 the person in charge of such facility or such person's designee;
9191 (11) has been residing in the same residence with a sibling or another
9292 person under 18 years of age, who has been physically, mentally or
9393 emotionally abused or neglected, or sexually abused;
9494 (12) while less than 10 years of age commits the offense defined in
9595 K.S.A. 21-6301(a)(14), and amendments thereto;
9696 (13) has had a permanent custodian appointed and the permanent
9797 custodian is no longer able or willing to serve; or
9898 (14) has been subjected to an act that would constitute human
9999 trafficking or aggravated human trafficking, as defined by K.S.A. 21-5426,
100100 and amendments thereto, or commercial sexual exploitation of a child, as
101101 defined by K.S.A. 21-6422, and amendments thereto, or has committed an
102102 act which, if committed by an adult, would constitute selling sexual
103103 relations, as defined by K.S.A. 21-6419, and amendments thereto.
104104 (e) "Child abuse medical resource center" means a medical institution
105105 affiliated with an accredited children's hospital or a recognized institution
106106 of higher education that has an accredited medical school program with
107107 board-certified child abuse pediatricians who provide training, support,
108108 mentoring and peer review to CARE providers on CARE exams.
109109 (f) "Child abuse review and evaluation exam" or "CARE exam"
110110 means a forensic medical evaluation of a child alleged to be a victim of
111111 abuse or neglect conducted by a CARE provider.
112112 (g) "Child abuse review and evaluation network" or "CARE network"
113113 means a network of CARE providers, child abuse medical resource centers
114114 and any medical provider associated with a child advocacy center that has
115115 the ability to conduct a CARE exam that collaborate to improve services
116116 provided to a child alleged to be a victim of abuse or neglect.
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160160 (h) "Child abuse review and evaluation provider" or "CARE
161161 provider" means a person licensed to practice medicine and surgery,
162162 advanced practice registered nurse or licensed physician assistant who
163163 performs CARE exams of and provides medical diagnosis and treatment to
164164 a child alleged to be a victim of abuse or neglect and who receives:
165165 (1) Kansas-based initial intensive training regarding child
166166 maltreatment from the CARE network;
167167 (2) continuous trainings on child maltreatment from the CARE
168168 network; and
169169 (3) peer review and new provider mentoring regarding medical
170170 evaluations from a child abuse medical resource center.
171171 (i) "Child abuse review and evaluation referral" or "CARE referral"
172172 means a brief written review of allegations of physical abuse, emotional
173173 abuse, medical neglect or physical neglect submitted by the secretary or
174174 law enforcement agency to a child abuse medical resource center for a
175175 recommendation of such child's need for medical care that may include a
176176 CARE exam.
177177 (j) "Citizen review board" is a group of community volunteers
178178 appointed by the court and whose duties are prescribed by K.S.A. 38-2207
179179 and 38-2208, and amendments thereto.
180180 (k) "Civil custody case" includes any case filed under chapter 23 of
181181 the Kansas Statutes Annotated, and amendments thereto, the Kansas
182182 family law code, article 11 of chapter 38 of the Kansas Statutes Annotated,
183183 and amendments thereto, determination of parentage, article 21 of chapter
184184 59 of the Kansas Statutes Annotated, and amendments thereto, adoption
185185 and relinquishment act, or article 30 of chapter 59 of the Kansas Statutes
186186 Annotated, and amendments thereto, guardians and conservators.
187187 (l) "Court-appointed special advocate" means a responsible adult
188188 other than an attorney guardian ad litem who is appointed by the court to
189189 represent the best interests of a child, as provided in K.S.A. 38-2206, and
190190 amendments thereto, in a proceeding pursuant to this code.
191191 (m) "Custody" whether temporary, protective or legal, means the
192192 status created by court order or statute that vests in a custodian, whether an
193193 individual or an agency, the right to physical possession of the child and
194194 the right to determine placement of the child, subject to restrictions placed
195195 by the court.
196196 (n) "Extended out of home placement" means a child has been in the
197197 custody of the secretary and placed with neither parent for 15 of the most
198198 recent 22 months beginning 60 days after the date at which a child in the
199199 custody of the secretary was removed from the child's home.
200200 (o) "Educational institution" means all schools at the elementary and
201201 secondary levels.
202202 (p) "Educator" means any administrator, teacher or other professional
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246246 or paraprofessional employee of an educational institution who has
247247 exposure to a pupil specified in K.S.A. 72-6143(a), and amendments
248248 thereto.
249249 (q) "Harm" means physical or psychological injury or damage.
250250 (r) "Interested party" means the grandparent of the child, a person
251251 with whom the child has been living for a significant period of time when
252252 the child in need of care petition is filed, and any person made an
253253 interested party by the court pursuant to K.S.A. 38-2241, and amendments
254254 thereto, or Indian tribe seeking to intervene that is not a party.
255255 (s) "Jail" means:
256256 (1) An adult jail or lockup; or
257257 (2) a facility in the same building or on the same grounds as an adult
258258 jail or lockup, unless the facility meets all applicable standards and
259259 licensure requirements under law and there is: (A) Total separation of the
260260 juvenile and adult facility spatial areas such that there could be no
261261 haphazard or accidental contact between juvenile and adult residents in the
262262 respective facilities; (B) total separation in all juvenile and adult program
263263 activities within the facilities, including recreation, education, counseling,
264264 health care, dining, sleeping and general living activities; and (C) separate
265265 juvenile and adult staff, including management, security staff and direct
266266 care staff such as recreational, educational and counseling.
267267 (t) "Juvenile detention facility" means any secure public or private
268268 facility used for the lawful custody of accused or adjudicated juvenile
269269 offenders that must not be a jail.
270270 (u) "Juvenile intake and assessment worker" means a responsible
271271 adult authorized to perform intake and assessment services as part of the
272272 intake and assessment system established pursuant to K.S.A. 75-7023, and
273273 amendments thereto.
274274 (v) "Kinship care placement" means the placement of a child in the
275275 home of an adult with whom the child or the child's parent already has
276276 close emotional ties.
277277 (w) "Kinship caregiver" means an adult who the secretary has
278278 selected for placement for a child in need of care with whom the child or
279279 the child's parent already has close emotional ties.
280280 (x) "Law enforcement officer" means any person who by virtue of
281281 office or public employment is vested by law with a duty to maintain
282282 public order or to make arrests for crimes, whether that duty extends to all
283283 crimes or is limited to specific crimes.
284284 (y) "Multidisciplinary team" means a group of persons, appointed by
285285 the court under K.S.A. 38-2228, and amendments thereto, that has
286286 knowledge of the circumstances of a child in need of care.
287287 (z) "Neglect" means acts or omissions by a parent, guardian or person
288288 responsible for the care of a child resulting in harm to a child, or
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332332 presenting a likelihood of harm, and the acts or omissions are not due
333333 solely to the lack of financial means of the child's parents or other
334334 custodian. Neglect may include, but shall not be limited to:
335335 (1) Failure to provide the child with food, clothing or shelter
336336 necessary to sustain the life or health of the child;
337337 (2) failure to provide adequate supervision of a child or to remove a
338338 child from a situation that requires judgment or actions beyond the child's
339339 level of maturity, physical condition or mental abilities and that results in
340340 bodily injury or a likelihood of harm to the child; or
341341 (3) failure to use resources available to treat a diagnosed medical
342342 condition if such treatment will make a child substantially more
343343 comfortable, reduce pain and suffering, or correct or substantially diminish
344344 a crippling condition from worsening. A parent legitimately practicing
345345 religious beliefs who does not provide specified medical treatment for a
346346 child because of religious beliefs shall, not for that reason, be considered a
347347 negligent parent; however, this exception shall not preclude a court from
348348 entering an order pursuant to K.S.A. 38-2217(a)(2), and amendments
349349 thereto.
350350 (aa) "Parent" when used in relation to a child or children, includes a
351351 guardian and every person who is by law liable to maintain, care for or
352352 support the child.
353353 (bb) "Party" means the state, the petitioner, the child, any parent of
354354 the child and an Indian child's tribe intervening pursuant to the Indian
355355 child welfare act.
356356 (cc) "Permanency goal" means the outcome of the permanency
357357 planning process, which may be reintegration, adoption, appointment of a
358358 permanent custodian or another planned permanent living arrangement.
359359 (dd) "Permanent custodian" means a judicially approved permanent
360360 guardian of a child pursuant to K.S.A. 38-2272, and amendments thereto.
361361 (ee) "Physical, mental or emotional abuse" means the infliction of
362362 physical, mental or emotional harm or the causing of a deterioration of a
363363 child and may include, but shall not be limited to, maltreatment or
364364 exploiting a child to the extent that the child's health or emotional well-
365365 being is endangered.
366366 (ff) "Placement" means the designation by the individual or agency
367367 having custody of where and with whom the child will live.
368368 (gg) "Qualified residential treatment program" means a program
369369 designated by the secretary for children and families as a qualified
370370 residential treatment program pursuant to federal law.
371371 (hh) "Reasonable and prudent parenting standard" means the standard
372372 characterized by careful and sensible parental decisions that maintain the
373373 health, safety and best interests of a child while at the same time
374374 encouraging the emotional and developmental growth of the child, that a
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418418 caregiver shall use when determining whether to allow a child in foster
419419 care under the responsibility of the state to participate in extracurricular,
420420 enrichment, cultural and social activities.
421421 (ii) "Relative" means a person related by blood, marriage or adoption.
422422 (jj) "Runaway" means a child who is willfully and voluntarily absent
423423 from the child's home without the consent of the child's parent or other
424424 custodian.
425425 (kk) "Secretary" means the secretary for children and families or the
426426 secretary's designee.
427427 (ll) "Secure facility" means a facility, other than a staff secure facility
428428 or juvenile detention facility, that is operated or structured so as to ensure
429429 that all entrances and exits from the facility are under the exclusive control
430430 of the staff of the facility, whether or not the person being detained has
431431 freedom of movement within the perimeters of the facility, or that relies on
432432 locked rooms and buildings, fences or physical restraint in order to control
433433 behavior of its residents. No secure facility shall be in a city or county jail.
434434 (mm) "Sexual abuse" means any contact or interaction with a child in
435435 which the child is being used for the sexual stimulation of the perpetrator,
436436 the child or another person. Sexual abuse shall include, but is not limited
437437 to, allowing, permitting or encouraging a child to:
438438 (1) Be photographed, filmed or depicted in pornographic material; or
439439 (2) be subjected to aggravated human trafficking, as defined in
440440 K.S.A. 21-5426(b), and amendments thereto, if committed in whole or in
441441 part for the purpose of the sexual gratification of the offender or another,
442442 or be subjected to an act that would constitute conduct proscribed by
443443 article 55 of chapter 21 of the Kansas Statutes Annotated or K.S.A. 21-
444444 6419 or 21-6422, and amendments thereto.
445445 (nn) "Shelter facility" means any public or private facility or home,
446446 other than a juvenile detention facility or staff secure facility, that may be
447447 used in accordance with this code for the purpose of providing either
448448 temporary placement for children in need of care prior to the issuance of a
449449 dispositional order or longer term care under a dispositional order.
450450 (oo) "Staff secure facility" means a facility described in K.S.A. 65-
451451 535, and amendments thereto: (1) That does not include construction
452452 features designed to physically restrict the movements and activities of
453453 juvenile residents who are placed therein; (2) that may establish reasonable
454454 rules restricting entrance to and egress from the facility; and (3) in which
455455 the movements and activities of individual juvenile residents may, for
456456 treatment purposes, be restricted or subject to control through the use of
457457 intensive staff supervision. No staff secure facility shall be in a city or
458458 county jail.
459459 (pp) "Transition plan" means, when used in relation to a youth in the
460460 custody of the secretary, an individualized strategy for the provision of
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504504 medical, mental health, education, employment and housing supports as
505505 needed for the adult and, if applicable, for any minor child of the adult, to
506506 live independently and specifically provides for the supports and any
507507 services for which an adult with a disability is eligible including, but not
508508 limited to, funding for home and community based services waivers.
509509 (qq) "Youth residential facility" means any home, foster home or
510510 structure that provides 24-hour-a-day care for children and that is licensed
511511 pursuant to article 5 of chapter 65 of the Kansas Statutes Annotated, and
512512 amendments thereto.
513513 (rr) "Behavioral health crisis" means behavioral and conduct issues
514514 that impact the safety or health of a child, members of the child's
515515 household or family or members of the community, including, but not
516516 limited to, non-life threatening mental health and substance abuse
517517 concerns.
518518 (ss) "Behavioral health treatment" means any service intended to
519519 promote the mental health of a child alleged or adjudicated to be a child
520520 in need of care and rendered by a qualified professional, licensed or
521521 certified by the state to provide such service as an independent
522522 practitioner or under the supervision of such practitioner and the broad
523523 range of emergency intermediate and inpatient services and care,
524524 including, but not limited to, diagnostic evaluation, medical, psychiatric,
525525 psychological and social service care, vocational rehabilitation and
526526 career counseling, which may be extended to persons with an alcohol or
527527 substance abuse problem.
528528 Sec. 2. K.S.A. 38-2217 is hereby amended to read as follows: 38-
529529 2217. (a) Physical or, mental care, emotional or behavioral health
530530 screening and treatment. (1) When a child less than 18 years of age is
531531 alleged to have been physically, mentally or emotionally abused or
532532 neglected or sexually abused, no consent shall be required to medically
533533 examine the child to determine whether the child has been abused or
534534 neglected. Unless the child is alleged or suspected to have been abused by
535535 the parent or guardian, the investigating officer shall notify or attempt to
536536 notify the parent or guardian of the medical examination of the child.
537537 (2) When the health or condition of a child who is subject to
538538 jurisdiction of the court requires it, the court may consent to the
539539 performing and furnishing of hospital, medical, surgical or dental
540540 treatment or procedures, mental, emotional or behavioral health screening
541541 and treatment, including the release and inspection of medical or dental
542542 and mental, emotional or behavioral health records. A child, or parent of
543543 any child, who is opposed to certain medical procedures or mental,
544544 emotional or behavioral health screening and treatment authorized by this
545545 subsection may request an opportunity for a hearing thereon before the
546546 court. Subsequent to the hearing, the court may limit the performance of
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590590 matters provided for in this subsection or may authorize the performance
591591 of those matters subject to terms and conditions the court considers proper.
592592 (3) The custodian or agent of the custodian is the personal
593593 representative for the purpose of consenting to disclosure of otherwise
594594 protected health information and may give consent to the following:
595595 (A) Dental treatment for the child by a licensed dentist;
596596 (B) diagnostic examinations of the child, including but not limited to
597597 the withdrawal of blood or other body fluids, x-rays and other laboratory
598598 examinations;
599599 (C) releases and inspections of the child's medical history records;
600600 (D) immunizations for the child;
601601 (E) administration of lawfully prescribed drugs to the child;
602602 (F) examinations of the child including, but not limited to, the
603603 withdrawal of blood or other body fluids or tissues for the purpose of
604604 determining the child's parentage; and
605605 (G) subject to limitations in K.S.A. 59-3075(e)(4), (5) and (6), and
606606 amendments thereto, medical or surgical care determined by a physician to
607607 be necessary for the welfare of such child, if the parents are not available
608608 or refuse to consent; and
609609 (H) mental, emotional or behavioral health screening and treatment
610610 of such child, other than inpatient treatment at a state psychiatric hospital,
611611 including the release and inspection of medical or hospital records, the
612612 court considers proper subject to limitations in K.S.A. 59-3075(e)(4), (5)
613613 and (6), and amendments thereto.
614614 (4) When the court has adjudicated a child to be in need of care, the
615615 custodian or an agent designated by the custodian is the personal
616616 representative for the purpose of consenting to disclosure of otherwise
617617 protected health information and shall have authority to consent to the
618618 performance and furnishing of hospital, medical, surgical or dental
619619 treatment or procedures or mental care or, emotional or behavioral health
620620 screening and treatment other than inpatient treatment at a state psychiatric
621621 hospital, including the release and inspection of medical or hospital
622622 records, subject to terms and conditions the court considers proper and
623623 subject to the limitations of K.S.A. 59-3075 (e)(4), (5) and (6), and
624624 amendments thereto.
625625 (5) Any health care provider who in good faith renders hospital,
626626 medical, surgical, mental, emotional, or behavioral health or dental care or
627627 treatment to any child or discloses protected health information as
628628 authorized by this section shall not be liable in any civil or criminal action
629629 for failure to obtain consent of a parent.
630630 (6) Nothing in this section shall be construed to mean that any person
631631 shall be relieved of legal responsibility to provide care and support for a
632632 child.
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676676 (b) Care and treatment requiring court action. If it is brought to the
677677 court's attention, while the court is exercising jurisdiction over the person
678678 of a child under this code, that the child may be a mentally ill person as
679679 defined in K.S.A. 59-2946, and amendments thereto, or a person with an
680680 alcohol or substance abuse problem as defined in K.S.A. 59-29b46, and
681681 amendments thereto, the court may:
682682 (1) Direct or authorize the county or district attorney or the person
683683 supplying the information to file the petition provided for in K.S.A. 59-
684684 2957, and amendments thereto, and proceed to hear and determine the
685685 issues raised by the application as provided in the care and treatment act
686686 for mentally ill persons or the petition provided for in K.S.A. 59-29b57,
687687 and amendments thereto, and proceed to hear and determine the issues
688688 raised by the application as provided in the care and treatment act for
689689 persons with an alcohol or substance abuse problem; or
690690 (2) authorize that the child seek voluntary admission to a treatment
691691 facility as provided in K.S.A. 59-2949, and amendments thereto, or K.S.A.
692692 59-29b49, and amendments thereto.
693693 The application to determine whether the child is a mentally ill person
694694 or a person with an alcohol or substance abuse problem may be filed in the
695695 same proceedings as the petition alleging the child to be a child in need of
696696 care, or may be brought in separate proceedings. In either event, the court
697697 may enter an order staying any further proceedings under this code until
698698 all proceedings have been concluded under the care and treatment act for
699699 mentally ill persons or the care and treatment act for persons with an
700700 alcohol or substance abuse problem.
701701 Sec. 3. K.S.A. 38-2217 and K.S.A. 2023 Supp. 38-2202 and 38-
702702 2202a are hereby repealed.
703703 Sec. 4. This act shall take effect and be in force from and after its
704704 publication in the statute book.
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