Massachusetts 2023-2024 Regular Session

Massachusetts Senate Bill S92 Compare Versions

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22 SENATE DOCKET, NO. 1084 FILED ON: 1/18/2023
33 SENATE . . . . . . . . . . . . . . No. 92
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Adam Gomez
88 _________________
99 To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
1010 Court assembled:
1111 The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
1212 An Act relative to child fatality review.
1313 _______________
1414 PETITION OF:
1515 NAME:DISTRICT/ADDRESS :Adam GomezHampden 1 of 7
1616 SENATE DOCKET, NO. 1084 FILED ON: 1/18/2023
1717 SENATE . . . . . . . . . . . . . . No. 92
1818 By Mr. Gomez, a petition (accompanied by bill, Senate, No. 92) of Adam Gomez for legislation
1919 relative to child fatality review. Children, Families and Persons with Disabilities.
2020 The Commonwealth of Massachusetts
2121 _______________
2222 In the One Hundred and Ninety-Third General Court
2323 (2023-2024)
2424 _______________
2525 An Act relative to child fatality review.
2626 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
2727 of the same, as follows:
2828 1 SECTION 1: Chapter 18C of the General Laws is hereby amended by adding the
2929 2following section:
3030 3 Section 15: (a) As used in this section the following words shall, unless the context
3131 4clearly requires otherwise, have the following meanings:
3232 5 “Child”, a person under the age of 18.
3333 6 “Fatality”, a death of a child.
3434 7 “Local team”, a local child fatality review team established in subsection (c).
3535 8 “Near fatality”, an act that, as certified by a physician, places a child in serious or critical
3636 9condition.
3737 10 “State team”, the state child fatality review team established in subsection (b).
3838 11 “Team”, the state or a local team. 2 of 7
3939 12 “Office”, the office of the child advocate.
4040 13 (b) There shall be a state child fatality review team within the office. Notwithstanding
4141 14section 172 of chapter 6, members of the state team shall be subject to criminal offender record
4242 15checks to be conducted by the colonel of state police on behalf of the child advocate. All
4343 16members shall serve without compensation for their duties associated with membership on the
4444 17state team.
4545 18 The state team shall consist of not less than: (i) the child advocate, or designee, who shall
4646 19serve as co-chair; (ii) the commissioner of public health, or designee, who shall serve as co-
4747 20chair; (iii) the chief medical examiner, or designee; (iv) the attorney general, or designee; (v) the
4848 21commissioner of children and families, or designee; (vi) the commissioner of elementary and
4949 22secondary education, or designee; (vii) a representative selected by the Massachusetts District
5050 23Attorneys Association; (viii) the colonel of state police, or designee; (ix) the commissioner of
5151 24mental health, or designee; (x) the commissioner of developmental services, or designee; (xi) the
5252 25director of the Massachusetts Center for Unexpected Infant and Child Death at Boston Medical
5353 26Center, or designee; (xii) the commissioner of youth services, or designee; (xiii) the
5454 27commissioner of early education and care, or designee; (xiv) a representative selected by the
5555 28Massachusetts chapter of the American Academy of Pediatrics who has experience in diagnosing
5656 29or treating child abuse and neglect; (xv) a representative selected by the Massachusetts Health
5757 30and Hospital Association, Inc.; (xvi) the president of the Massachusetts Chiefs of Police
5858 31Association Incorporated, or designee; and (xvii) any other person, selected by the co-chairs or
5959 32by majority vote of the members of the state team, with expertise or information relevant to an
6060 33individual case. The purpose of the state team shall be to decrease the incidence of preventable
6161 34child fatalities and near fatalities by: (1) developing an understanding of the causes and incidence 3 of 7
6262 35of child fatalities and near fatalities; and (2) advising the governor, the general court and the
6363 36public by recommending changes in law, policy and practice to prevent child fatalities and near
6464 37fatalities. The state team may consult with the chief justice of the juvenile court department of
6565 38the trial court of the commonwealth on issues with a direct bearing upon the business of the
6666 39Massachusetts courts.
6767 40 To achieve its purpose, the state team shall: (i) develop model investigative and data
6868 41collection protocols for local teams; (ii) provide information to local teams and law enforcement
6969 42agencies for the purpose of protecting children; (iii) provide training and written materials to
7070 43local teams to assist them in carrying out their duties; (iv) review reports from local teams; (v)
7171 44study the incidence and causes of child fatalities and near fatalities in the commonwealth; (vi)
7272 45analyze community, public and private agency involvement with the children and their families
7373 46prior to and subsequent to fatalities or near fatalities; (vii) develop a protocol for the collection of
7474 47data regarding fatalities and near fatalities and provide training to local teams on the protocol;
7575 48(viii) develop and implement rules and procedures necessary for its own operation; and (ix)
7676 49provide the governor, the general court and the public with annual written reports, subject to
7777 50confidentiality restrictions, that shall include, but not be limited to, the state team’s findings and
7878 51recommendations.
7979 52 (c) There shall be a local child fatality review team in each district established under
8080 53section 13 of chapter 12. Notwithstanding section 172 of chapter 6, members of a local team
8181 54shall be subject to criminal offender record checks to be conducted by the district attorney. All
8282 55members shall serve without compensation for their duties associated with membership on a
8383 56local team. 4 of 7
8484 57 Each local team shall include, but not be limited to: (i) the district attorney of the county,
8585 58who shall serve as chair; (ii) the chief medical examiner or, designee; (iii) the commissioner of
8686 59children and families or, designee; (iv) a pediatrician with experience in diagnosing or treating
8787 60child abuse and neglect, appointed by the state team; (v) a local police officer from a
8888 61municipality where a child fatality or near fatality occurred, appointed by the chief of police of
8989 62the municipality; (vi) a state law enforcement officer, appointed by the colonel of state police;
9090 63(vii) the director of the Massachusetts Center for Unexpected Infant and Child Death located at
9191 64Boston Medical Center or a designee; (viii) at least 1 representative from the department of
9292 65public health (ix) at least one representative from the office of the child advocate; and (x) any
9393 66other person with expertise or information relevant to an individual case who may attend
9494 67meetings, on an ad hoc basis, by agreement of the permanent members of each local team;
9595 68provided that such person may include, but shall not be limited to, a local or state law
9696 69enforcement officer, a hospital representative, a medical specialist or subspecialist, or a designee
9797 70of the commissioners of developmental services, mental health, youth services, education and
9898 71early education and care.
9999 72 The purpose of each local team shall be to decrease the incidence of preventable child
100100 73fatalities and near fatalities by: (i) coordinating the collection of information on fatalities and
101101 74near fatalities; (ii) promoting cooperation and coordination between agencies responding to
102102 75fatalities and near fatalities and in providing services to family members; (iii) developing an
103103 76understanding of the causes and incidence of child fatalities and near fatalities in the county; and
104104 77(iv) advising the state team on changes in law, policy or practice that may affect child fatalities
105105 78and near fatalities. 5 of 7
106106 79 To achieve its purpose, each local team shall: (i) review, establish and implement model
107107 80protocols from the state team; (ii) review, subject to the approval of the local district attorney, all
108108 81individual fatalities and near fatalities in accordance with the established protocols; (iii) meet
109109 82periodically, not less than 2 times per calendar year, to review the status of fatality and near
110110 83fatality cases and recommend methods of improving coordination of services between member
111111 84agencies; (iv) collect, maintain and provide confidential data as required by the state team; and
112112 85(v) provide law enforcement or other agencies with information to protect children.
113113 86 At the request of the local district attorney, the local team shall be immediately provided
114114 87with: (i) information and records relevant to the cause of the fatality or near fatality maintained
115115 88by providers of medical or other care, treatment or services, including dental and mental health
116116 89care; (ii) information and records relevant to the cause of the fatality or near fatality maintained
117117 90by any state, county or local government agency including, but not limited to, birth certificates,
118118 91medical examiner investigative data, parole and probation information records and law
119119 92enforcement data post-disposition, except that certain law enforcement records may be exempted
120120 93by the local district attorney; (iii) information and records of any provider of social services,
121121 94including the department of children and families, relevant to the child or the child's family, that
122122 95the local team deems relevant to the review; and (iv) demographic information relevant to the
123123 96child and the child's immediate family, including, but not limited to, address, age, race, gender
124124 97and economic status. The district attorney may enforce this paragraph by seeking an order of the
125125 98superior court.
126126 99 (d) Any privilege or restriction on disclosure established pursuant to chapter 66A, section
127127 10070 of chapter 111, section 11 of chapter 111B, section 18 of chapter 111E, chapter 112, chapter
128128 101123, section 20B, section 20J or section 20K of chapter 233 or any other law relating to 6 of 7
129129 102confidential communications shall not prohibit the disclosure of this information to the chair of
130130 103the state team or a local team. Any information considered to be confidential pursuant to the
131131 104aforementioned statutes may be submitted for a team’s review upon the determination of that
132132 105team’s chair that the review of this information is necessary. The chair shall ensure that no
133133 106information submitted for a team’s review is disseminated to parties outside the team. No
134134 107member of a team shall violate the confidentiality provisions set forth in the aforementioned
135135 108statutes.
136136 109 Except as necessary to carry out a team’s purpose and duties, members of a team and
137137 110persons attending a team meeting shall not disclose any information relating to the team’s
138138 111business.
139139 112 Team meetings shall be closed to the public. Information and records acquired by the
140140 113state team or by a local team pursuant to this chapter shall be confidential, exempt from
141141 114disclosure under chapter 66 and may only be disclosed as necessary to carry out a team’s duties
142142 115and purposes.
143143 116 Statistical compilations of data that do not contain any information that would permit the
144144 117identification of any person may be disclosed to the public.
145145 118 (e) Members of a team, persons attending a team meeting and persons who present
146146 119information to a team shall not be questioned in any civil or criminal proceeding regarding
147147 120information presented in or opinions formed as a result of a team meeting.
148148 121 (f) Information, documents and records of the state team or of a local team shall not be
149149 122subject to subpoena, discovery or introduction into evidence in any civil or criminal proceeding;
150150 123provided, however, that information, documents and records otherwise available from any other 7 of 7
151151 124source shall not be immune from subpoena, discovery or introduction into evidence through
152152 125these sources solely because they were presented during proceedings of a team or are maintained
153153 126by a team.
154154 127 (g) Nothing in this section shall limit the powers and duties of the child advocate or
155155 128district attorneys.
156156 129 SECTION 2. Section 2A of chapter 38 of the General Laws, as so appearing, is hereby
157157 130repealed.
158158 131 SECTION 3. Section 3 of said chapter 38, as so appearing, is hereby amended by adding
159159 132the following paragraph:-
160160 133 “The office shall immediately send any notification or report of a death under the
161161 134circumstances enumerated in clause (15) to the state child fatality review team established by
162162 135section 15 of chapter 18C, including, but not limited to, the known facts concerning the time,
163163 136place, manner, circumstances and cause of such death. The chief medical examiner shall provide
164164 137any additional information related to such notification or report to the state child fatality review
165165 138team upon request.”