FIRSTREGULARSESSION HOUSEBILLNO.1227 103RDGENERALASSEMBLY INTRODUCEDBYREPRESENTATIVESCHMIDT. 2395H.01I JOSEPHENGLER,ChiefClerk ANACT Torepealsection210.110,RSMo,andtoenactinlieuthereofonenewsectionrelatingto healthscreeningsuponachild'sentryintocustody. BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows: SectionA.Section210.110,RSMo,isrepealedandonenewsectionenactedinlieu 2thereof,tobeknownassection210.110,toreadasfollows: 210.110.Asusedinsections210.109to210.165,andsections210.180to210.183, 2thefollowingtermsmean: 3 (1)"Abuse",anyphysicalinjury,sexualabuse,oremotionalabuseinflictedonachild 4otherthanbyaccidentalmeansbythoseresponsibleforthechild'scare,custody,andcontrol, 5exceptthatdisciplineincludingspanking,administeredinareasonablemanner,shallnotbe 6construedtobeabuse.Victimsofabuseshallalsoincludeanyvictimsofsextraffickingor 7severeformsoftraffickingasthosetermsaredefinedin[22U.S.C.78Section7102(9)-(10)] 822U.S.C.Section7102,asamended; 9 (2)"Assessmentandtreatmentservicesforchildren",anapproachtobedevelopedby 10thechildren'sdivisionwhichwillrecognizeandtreatthespecificneedsofat-riskandabused 11orneglectedchildren.Thedevelopmentalandmedicalassessmentmaybeabroadphysical, 12developmental,andmentalhealthscreening[tobecompletedwithinthirtydaysofachild's 13entryintocustodyand]thatshallbeinaccordancewiththetimeframessetforthunder 14paragraphs(a)and(b)ofthissubdivisionandtheperiodicityschedulesetforthbythe 15AmericanAcademyofPediatricsthereafteraslongasthechildremainsincare.Screenings 16maybeofferedatacentralizedlocationandshallinclude,ataminimum,thefollowing: EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 17 (a)Withinseventy-twohoursuponentryintocustody,acompletephysicaltobe 18performedbyapediatricianfamiliarwiththeeffectsofabuse[and] orneglectonyoung 19children. Thepediatricianwhoperformsthephysicalunderthisparagraphshallalso 20requestthechild'spastmedicalrecords,andafosterfamilyofthechildshallhave 21accesstoallmedicalrecordsunderthisparagraph.Anypersonreceivingsuchrequest 22shallfulfilltherequestwithinthirtydays; and 23 (b)Withinthirtydaysofthephysicalunderparagraph(a)ofthissubdivision,a 24developmental,behavioral,andemotionalscreeninginadditiontoearlyperiodicscreening, 25diagnosis,andtreatmentservices,includingacoresetofstandardizedandrecognized 26instrumentsaswellasinterviewswiththechildandappropriatecaregivers.Thescreening 27batterymaybeperformedbyalicensedmentalhealthprofessionalfamiliarwiththeeffectsof 28abuse[and]orneglectonyoungchildrenoraprimarycarephysicianusingastandardized 29assessmenttool,whowillthenserveastheliaisonbetweenallserviceprovidersinensuring 30thatneededservicesareprovided.Suchtreatmentservicesmayincludein-homeservices, 31out-of-homeplacement,intensivetwenty-four-hourtreatmentservices,familycounseling, 32parentingtrainingandotherbestpractices. 33 34Childrenwhosescreeningsindicateanareaofconcernmaycompleteacomprehensive,in- 35depthhealth,psychodiagnostic,ordevelopmentalassessmentwithinsixtydaysofentryinto 36custody; 37 (3)"Centralregistry",aregistryofpersonswherethedivisionhasfoundprobable 38causetobelievepriortoAugust28,2004,orbyapreponderanceoftheevidenceafterAugust 3928,2004,oracourthassubstantiatedthroughcourtadjudicationthattheindividualhas 40committedchildabuseorneglectorthepersonhaspledguiltyorhasbeenfoundguiltyofa 41crimepursuanttosection565.020,565.021,565.023,565.024,565.050,566.030,566.060,or 42567.050ifthevictimisachildlessthaneighteenyearsofage,oranyothercrimepursuantto 43chapter566ifthevictimisachildlessthaneighteenyearsofageandtheperpetratoris 44twenty-oneyearsofageorolder,acrimeundersection568.020,568.030,568.045,568.050, 45568.060,568.080,568.090,573.023,573.025,573.035,573.037,573.040,573.200,or 46573.205,oranattempttocommitanysuchcrimes.Anypersonsplacedontheregistryprior 47toAugust28,2004,shallremainontheregistryforthedurationoftimerequiredbysection 48210.152; 49 (4)"Child",anyperson,regardlessofphysicalormentalcondition,undereighteen 50yearsofage; 51 (5)"Children'sservicesprovidersandagencies",anypublic,quasi-public,orprivate 52entitywiththeappropriateandrelevanttrainingandexpertiseindeliveringservicesto 53childrenandtheirfamiliesasdeterminedbythechildren'sdivision,andcapableofproviding HB1227 2 54directservicesandotherfamilyservicesforchildreninthecustodyofthechildren'sdivision 55oranysuchentitiesoragenciesthatarereceivingstatemoneysforsuchservices; 56 (6)"Director",thedirectoroftheMissourichildren'sdivisionwithinthedepartment 57ofsocialservices; 58 (7)"Division",theMissourichildren'sdivisionwithinthedepartmentofsocial 59services; 60 (8)"Familyassessmentandservices",anapproachtobedevelopedbythechildren's 61divisionwhichwillprovideforapromptassessmentofachildwhohasbeenreportedtothe 62divisionasavictimofabuseorneglectbyapersonresponsibleforthatchild'scare,custody 63orcontrolandofthatchild'sfamily,includingriskofabuseandneglectand,ifnecessary,the 64provisionofcommunity-basedservicestoreducetheriskandsupportthefamily; 65 (9)"Familysupportteammeeting"or"teammeeting",ameetingconvenedbythe 66divisionorchildren'sservicesproviderinbehalfofthefamilyand/orchildforthepurposeof 67determiningserviceandtreatmentneeds,determiningtheneedforplacementanddeveloping 68aplanforreunificationorotherpermanencyoptions,determiningtheappropriateplacement 69ofthechild,evaluatingcaseprogress,andestablishingandrevisingthecaseplan; 70 (10)"Investigation",thecollectionofphysicaland[verbal] oralevidenceto 71determineifachildhasbeenabusedorneglected; 72 (11)"Jailordetentioncenterpersonnel",employeesandvolunteersworkinginany 73premisesorinstitutionwhereincarceration,evaluation,care,treatmentorrehabilitationis 74providedtopersonswhoarebeingheldundercustodyofthelaw; 75 (12)"Neglect",failuretoprovide,bythoseresponsibleforthecare,custody,and 76controlofthechild,theproperornecessarysupport,educationasrequiredbylaw,nutritionor 77medical,surgical,oranyothercarenecessaryforthechild'swell-being.Victimsofneglect 78shallalsoincludeanyvictimsofsextraffickingorsevereformsoftraffickingasthoseterms 79aredefinedin[22U.S.C.78Section7102(9)-(10)] 22U.S.C.Section7102,asamended; 80 (13)"Preponderanceoftheevidence",thatdegreeofevidencethatisofgreater 81weightormoreconvincingthantheevidencewhichisofferedinoppositiontoitorevidence 82whichasawholeshowsthefacttobeprovedtobemoreprobablethannot; 83 (14)"Probablecause",availablefactswhenviewedinthelightofsurrounding 84circumstanceswhichwouldcauseareasonablepersontobelieveachildwasabusedor 85neglected; 86 (15)"Report",thecommunicationofanallegationofchildabuseorneglecttothe 87divisionpursuanttosection210.115; 88 (16)"Thoseresponsibleforthecare,custody,andcontrolofthechild",includes,but 89isnotlimitedto: 90 (a)Theparentsorlegalguardiansofachild; HB1227 3 91 (b)Othermembersofthechild'shousehold; 92 (c)Thoseexercisingsupervisionoverachildforanypartofatwenty-four-hourday; 93 (d)Anyadultpersonwhohasaccesstothechildbasedonrelationshiptotheparents 94ofthechildormembersofthechild'shouseholdorthefamily; 95 (e)Anypersonwhotakescontrolofthechildbydeception,force,orcoercion;or 96 (f)Schoolpersonnel,contractors,andvolunteers,iftherelationshipwiththechild 97wasestablishedthroughtheschoolorthroughschool-relatedactivities,evenifthealleged 98abuseorneglectoccurredoutsideofschoolhoursoroffschoolgrounds. ✔ HB1227 4