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2 | 2 | | SENATE DOCKET, NO. 1084 FILED ON: 1/18/2023 |
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3 | 3 | | SENATE . . . . . . . . . . . . . . No. 92 |
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4 | 4 | | The Commonwealth of Massachusetts |
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5 | 5 | | _________________ |
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6 | 6 | | PRESENTED BY: |
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7 | 7 | | Adam Gomez |
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8 | 8 | | _________________ |
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9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
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10 | 10 | | Court assembled: |
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11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
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12 | 12 | | An Act relative to child fatality review. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | NAME:DISTRICT/ADDRESS :Adam GomezHampden 1 of 7 |
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16 | 16 | | SENATE DOCKET, NO. 1084 FILED ON: 1/18/2023 |
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17 | 17 | | SENATE . . . . . . . . . . . . . . No. 92 |
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18 | 18 | | By Mr. Gomez, a petition (accompanied by bill, Senate, No. 92) of Adam Gomez for legislation |
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19 | 19 | | relative to child fatality review. Children, Families and Persons with Disabilities. |
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20 | 20 | | The Commonwealth of Massachusetts |
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21 | 21 | | _______________ |
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22 | 22 | | In the One Hundred and Ninety-Third General Court |
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23 | 23 | | (2023-2024) |
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24 | 24 | | _______________ |
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25 | 25 | | An Act relative to child fatality review. |
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26 | 26 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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27 | 27 | | of the same, as follows: |
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28 | 28 | | 1 SECTION 1: Chapter 18C of the General Laws is hereby amended by adding the |
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29 | 29 | | 2following section: |
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30 | 30 | | 3 Section 15: (a) As used in this section the following words shall, unless the context |
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31 | 31 | | 4clearly requires otherwise, have the following meanings: |
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32 | 32 | | 5 “Child”, a person under the age of 18. |
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33 | 33 | | 6 “Fatality”, a death of a child. |
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34 | 34 | | 7 “Local team”, a local child fatality review team established in subsection (c). |
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35 | 35 | | 8 “Near fatality”, an act that, as certified by a physician, places a child in serious or critical |
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36 | 36 | | 9condition. |
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37 | 37 | | 10 “State team”, the state child fatality review team established in subsection (b). |
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38 | 38 | | 11 “Team”, the state or a local team. 2 of 7 |
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39 | 39 | | 12 “Office”, the office of the child advocate. |
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40 | 40 | | 13 (b) There shall be a state child fatality review team within the office. Notwithstanding |
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41 | 41 | | 14section 172 of chapter 6, members of the state team shall be subject to criminal offender record |
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42 | 42 | | 15checks to be conducted by the colonel of state police on behalf of the child advocate. All |
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43 | 43 | | 16members shall serve without compensation for their duties associated with membership on the |
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44 | 44 | | 17state team. |
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45 | 45 | | 18 The state team shall consist of not less than: (i) the child advocate, or designee, who shall |
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46 | 46 | | 19serve as co-chair; (ii) the commissioner of public health, or designee, who shall serve as co- |
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47 | 47 | | 20chair; (iii) the chief medical examiner, or designee; (iv) the attorney general, or designee; (v) the |
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48 | 48 | | 21commissioner of children and families, or designee; (vi) the commissioner of elementary and |
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49 | 49 | | 22secondary education, or designee; (vii) a representative selected by the Massachusetts District |
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50 | 50 | | 23Attorneys Association; (viii) the colonel of state police, or designee; (ix) the commissioner of |
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51 | 51 | | 24mental health, or designee; (x) the commissioner of developmental services, or designee; (xi) the |
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52 | 52 | | 25director of the Massachusetts Center for Unexpected Infant and Child Death at Boston Medical |
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53 | 53 | | 26Center, or designee; (xii) the commissioner of youth services, or designee; (xiii) the |
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54 | 54 | | 27commissioner of early education and care, or designee; (xiv) a representative selected by the |
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55 | 55 | | 28Massachusetts chapter of the American Academy of Pediatrics who has experience in diagnosing |
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56 | 56 | | 29or treating child abuse and neglect; (xv) a representative selected by the Massachusetts Health |
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57 | 57 | | 30and Hospital Association, Inc.; (xvi) the president of the Massachusetts Chiefs of Police |
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58 | 58 | | 31Association Incorporated, or designee; and (xvii) any other person, selected by the co-chairs or |
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59 | 59 | | 32by majority vote of the members of the state team, with expertise or information relevant to an |
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60 | 60 | | 33individual case. The purpose of the state team shall be to decrease the incidence of preventable |
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61 | 61 | | 34child fatalities and near fatalities by: (1) developing an understanding of the causes and incidence 3 of 7 |
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62 | 62 | | 35of child fatalities and near fatalities; and (2) advising the governor, the general court and the |
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63 | 63 | | 36public by recommending changes in law, policy and practice to prevent child fatalities and near |
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64 | 64 | | 37fatalities. The state team may consult with the chief justice of the juvenile court department of |
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65 | 65 | | 38the trial court of the commonwealth on issues with a direct bearing upon the business of the |
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66 | 66 | | 39Massachusetts courts. |
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67 | 67 | | 40 To achieve its purpose, the state team shall: (i) develop model investigative and data |
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68 | 68 | | 41collection protocols for local teams; (ii) provide information to local teams and law enforcement |
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69 | 69 | | 42agencies for the purpose of protecting children; (iii) provide training and written materials to |
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70 | 70 | | 43local teams to assist them in carrying out their duties; (iv) review reports from local teams; (v) |
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71 | 71 | | 44study the incidence and causes of child fatalities and near fatalities in the commonwealth; (vi) |
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72 | 72 | | 45analyze community, public and private agency involvement with the children and their families |
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73 | 73 | | 46prior to and subsequent to fatalities or near fatalities; (vii) develop a protocol for the collection of |
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74 | 74 | | 47data regarding fatalities and near fatalities and provide training to local teams on the protocol; |
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75 | 75 | | 48(viii) develop and implement rules and procedures necessary for its own operation; and (ix) |
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76 | 76 | | 49provide the governor, the general court and the public with annual written reports, subject to |
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77 | 77 | | 50confidentiality restrictions, that shall include, but not be limited to, the state team’s findings and |
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78 | 78 | | 51recommendations. |
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79 | 79 | | 52 (c) There shall be a local child fatality review team in each district established under |
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80 | 80 | | 53section 13 of chapter 12. Notwithstanding section 172 of chapter 6, members of a local team |
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81 | 81 | | 54shall be subject to criminal offender record checks to be conducted by the district attorney. All |
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82 | 82 | | 55members shall serve without compensation for their duties associated with membership on a |
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83 | 83 | | 56local team. 4 of 7 |
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84 | 84 | | 57 Each local team shall include, but not be limited to: (i) the district attorney of the county, |
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85 | 85 | | 58who shall serve as chair; (ii) the chief medical examiner or, designee; (iii) the commissioner of |
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86 | 86 | | 59children and families or, designee; (iv) a pediatrician with experience in diagnosing or treating |
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87 | 87 | | 60child abuse and neglect, appointed by the state team; (v) a local police officer from a |
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88 | 88 | | 61municipality where a child fatality or near fatality occurred, appointed by the chief of police of |
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89 | 89 | | 62the municipality; (vi) a state law enforcement officer, appointed by the colonel of state police; |
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90 | 90 | | 63(vii) the director of the Massachusetts Center for Unexpected Infant and Child Death located at |
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91 | 91 | | 64Boston Medical Center or a designee; (viii) at least 1 representative from the department of |
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92 | 92 | | 65public health (ix) at least one representative from the office of the child advocate; and (x) any |
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93 | 93 | | 66other person with expertise or information relevant to an individual case who may attend |
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94 | 94 | | 67meetings, on an ad hoc basis, by agreement of the permanent members of each local team; |
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95 | 95 | | 68provided that such person may include, but shall not be limited to, a local or state law |
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96 | 96 | | 69enforcement officer, a hospital representative, a medical specialist or subspecialist, or a designee |
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97 | 97 | | 70of the commissioners of developmental services, mental health, youth services, education and |
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98 | 98 | | 71early education and care. |
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99 | 99 | | 72 The purpose of each local team shall be to decrease the incidence of preventable child |
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100 | 100 | | 73fatalities and near fatalities by: (i) coordinating the collection of information on fatalities and |
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101 | 101 | | 74near fatalities; (ii) promoting cooperation and coordination between agencies responding to |
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102 | 102 | | 75fatalities and near fatalities and in providing services to family members; (iii) developing an |
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103 | 103 | | 76understanding of the causes and incidence of child fatalities and near fatalities in the county; and |
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104 | 104 | | 77(iv) advising the state team on changes in law, policy or practice that may affect child fatalities |
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105 | 105 | | 78and near fatalities. 5 of 7 |
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106 | 106 | | 79 To achieve its purpose, each local team shall: (i) review, establish and implement model |
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107 | 107 | | 80protocols from the state team; (ii) review, subject to the approval of the local district attorney, all |
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108 | 108 | | 81individual fatalities and near fatalities in accordance with the established protocols; (iii) meet |
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109 | 109 | | 82periodically, not less than 2 times per calendar year, to review the status of fatality and near |
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110 | 110 | | 83fatality cases and recommend methods of improving coordination of services between member |
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111 | 111 | | 84agencies; (iv) collect, maintain and provide confidential data as required by the state team; and |
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112 | 112 | | 85(v) provide law enforcement or other agencies with information to protect children. |
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113 | 113 | | 86 At the request of the local district attorney, the local team shall be immediately provided |
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114 | 114 | | 87with: (i) information and records relevant to the cause of the fatality or near fatality maintained |
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115 | 115 | | 88by providers of medical or other care, treatment or services, including dental and mental health |
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116 | 116 | | 89care; (ii) information and records relevant to the cause of the fatality or near fatality maintained |
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117 | 117 | | 90by any state, county or local government agency including, but not limited to, birth certificates, |
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118 | 118 | | 91medical examiner investigative data, parole and probation information records and law |
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119 | 119 | | 92enforcement data post-disposition, except that certain law enforcement records may be exempted |
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120 | 120 | | 93by the local district attorney; (iii) information and records of any provider of social services, |
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121 | 121 | | 94including the department of children and families, relevant to the child or the child's family, that |
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122 | 122 | | 95the local team deems relevant to the review; and (iv) demographic information relevant to the |
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123 | 123 | | 96child and the child's immediate family, including, but not limited to, address, age, race, gender |
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124 | 124 | | 97and economic status. The district attorney may enforce this paragraph by seeking an order of the |
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125 | 125 | | 98superior court. |
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126 | 126 | | 99 (d) Any privilege or restriction on disclosure established pursuant to chapter 66A, section |
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127 | 127 | | 10070 of chapter 111, section 11 of chapter 111B, section 18 of chapter 111E, chapter 112, chapter |
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128 | 128 | | 101123, section 20B, section 20J or section 20K of chapter 233 or any other law relating to 6 of 7 |
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129 | 129 | | 102confidential communications shall not prohibit the disclosure of this information to the chair of |
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130 | 130 | | 103the state team or a local team. Any information considered to be confidential pursuant to the |
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131 | 131 | | 104aforementioned statutes may be submitted for a team’s review upon the determination of that |
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132 | 132 | | 105team’s chair that the review of this information is necessary. The chair shall ensure that no |
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133 | 133 | | 106information submitted for a team’s review is disseminated to parties outside the team. No |
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134 | 134 | | 107member of a team shall violate the confidentiality provisions set forth in the aforementioned |
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135 | 135 | | 108statutes. |
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136 | 136 | | 109 Except as necessary to carry out a team’s purpose and duties, members of a team and |
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137 | 137 | | 110persons attending a team meeting shall not disclose any information relating to the team’s |
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138 | 138 | | 111business. |
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139 | 139 | | 112 Team meetings shall be closed to the public. Information and records acquired by the |
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140 | 140 | | 113state team or by a local team pursuant to this chapter shall be confidential, exempt from |
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141 | 141 | | 114disclosure under chapter 66 and may only be disclosed as necessary to carry out a team’s duties |
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142 | 142 | | 115and purposes. |
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143 | 143 | | 116 Statistical compilations of data that do not contain any information that would permit the |
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144 | 144 | | 117identification of any person may be disclosed to the public. |
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145 | 145 | | 118 (e) Members of a team, persons attending a team meeting and persons who present |
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146 | 146 | | 119information to a team shall not be questioned in any civil or criminal proceeding regarding |
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147 | 147 | | 120information presented in or opinions formed as a result of a team meeting. |
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148 | 148 | | 121 (f) Information, documents and records of the state team or of a local team shall not be |
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149 | 149 | | 122subject to subpoena, discovery or introduction into evidence in any civil or criminal proceeding; |
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150 | 150 | | 123provided, however, that information, documents and records otherwise available from any other 7 of 7 |
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151 | 151 | | 124source shall not be immune from subpoena, discovery or introduction into evidence through |
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152 | 152 | | 125these sources solely because they were presented during proceedings of a team or are maintained |
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153 | 153 | | 126by a team. |
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154 | 154 | | 127 (g) Nothing in this section shall limit the powers and duties of the child advocate or |
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155 | 155 | | 128district attorneys. |
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156 | 156 | | 129 SECTION 2. Section 2A of chapter 38 of the General Laws, as so appearing, is hereby |
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157 | 157 | | 130repealed. |
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158 | 158 | | 131 SECTION 3. Section 3 of said chapter 38, as so appearing, is hereby amended by adding |
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159 | 159 | | 132the following paragraph:- |
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160 | 160 | | 133 “The office shall immediately send any notification or report of a death under the |
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161 | 161 | | 134circumstances enumerated in clause (15) to the state child fatality review team established by |
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162 | 162 | | 135section 15 of chapter 18C, including, but not limited to, the known facts concerning the time, |
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163 | 163 | | 136place, manner, circumstances and cause of such death. The chief medical examiner shall provide |
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164 | 164 | | 137any additional information related to such notification or report to the state child fatality review |
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165 | 165 | | 138team upon request.” |
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