SPONSOR: |
Rep. M. Smith & Rep. Briggs King & Sen.
Blevins & Sen. Cloutier Reps. Baumbach
Bentz Bolden Heffernan J. Johnson Lynn Osienski Ramone B. Short Wilson ; Sens. Henry Lopez Marshall McDowell
Peterson Poore Richardson Sokola Townsend |
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HOUSE OF REPRESENTATIVES 148th GENERAL ASSEMBLY |
HOUSE BILL NO. 319 |
AN ACT TO AMEND TITLE 16 OF THE DELAWARE CODE RELATING TO SUBSTANCE EXPOSED INFANTS. |
Section 1. Amend Chapter 9, Title 16 of the Delaware Code by making deletions as shown by strike through and insertions as shown by underline as follows and redesignating accordingly:
Subchapter I.
Reports and Investigations of Abuse, and Neglect, and
Substance Exposed Infants
§ 901. Purpose.
The child welfare policy of this State shall serve to advance the best interests and secure the safety of the child, while preserving the family unit whenever the safety of the child is not jeopardized. The child welfare policy of this State extends to all child victims, whether victims of intra-familial or extra-familial abuse and neglect. To that end this chapter, among other things:
(1) Provides for comprehensive and protective services for abused and neglected children and substance exposed infants;
(2) Mandates
that reports of child abuse, or neglect, and substance exposed
infants be made to the appropriate authorities; and
(3) Requires
various agencies in Delaware's child protection system to work together to
ensure the safety of children who are the subject of reports of abuse or
neglect by conducting coordinated investigations, judicial proceedings and family
assessments, and by providing necessary services. services; and
(4)
Requires various agencies in Delaware’s child protection system to work
together to ensure the safety of substance exposed infants, while preserving
the family whenever the safety of the substance exposed infant is not
jeopardized, and in doing so, develop a plan of safe care for those cases that
are accepted by the Division for investigation or family assessment.
This chapter also provides for the protection of children in facilities or organizations primarily concerned with child welfare and care that are required to be licensed under Delaware law by requiring the Delaware Department of Justice to notify any such facility where an employee of, or other person associated with, the facility has been charged with or convicted of an offense involving child sexual abuse.
§ 902. Definitions.
As used in this chapter:
(10)
“Family assessment and services” shall mean a case management approach by the
Division of Family Services that provides for a prompt assessment of a child
and the child's family and the circumstances of the reported incident
(including the known history of the child and/or the alleged perpetrator) when
there has been a report to the Division that the child was a victim of abuse or
neglect, or at risk of maltreatment by a person responsible for that child's
care, custody or control. Family assessment and services shall be used in
conjunction with the investigation approach defined in paragraph (13) (14)
of this section but may not supplant it in circumstances which require an
investigation. The family assessment response shall focus on the integrity and
preservation of the family and shall assess the status of the child and the
family in terms of the risk of abuse and neglect and, if necessary, plan and
provide for the provision of community-based services to reduce the risk and to
otherwise support the family.
(12)
Health care provider is as defined in § 714 of this title.
(12) “Internal information system” shall mean a system of maintaining information related to all reports of abuse, neglect, investigations, family assessments, services and other relevant information.
(13) (14)
“Investigation” shall mean the collection of evidence in response to a
report of abuse, neglect, or risk of maltreatment by a person responsible for
that child's care, custody or control in order to determine if a child has been
abused, neglected, or is at risk of maltreatment. The Division shall develop
protocols for its investigations that focus on ensuring the well-being and
safety of the child. The Division may conduct an investigation in response to
any report of abuse, neglect, or risk of maltreatment but shall conduct an
investigation as enumerated under § 906(e)(3) 906(f)(3) of this
title.
(20) “Plan of safe care” or “plan” shall mean a
multidisciplinary plan for coordinated family services to ensure the
safety and well-being of the substance exposed infant. For cases accepted
by the Division for investigation or family assessment, the plan shall be
developed by the Division, or its contract agency, in collaboration with
the health care providers and other agencies involved with the care of the
substance exposed infant and parent(s). For these cases, the Division will
implement and monitor the plan. The plan shall be in writing and shared with
all health care providers and involved agencies prior to the substance exposed
infant’s discharge from the hospital. The plan shall address the needs of the
substance exposed infant, the areas of risk in the substance exposed infant’s
life, and shall identify any available family supports to assist with the care
of the substance exposed infant. The plan shall include, but not be limited to,
the following areas: safe sleeping education and confirmation of safe sleeping
arrangements for the substance exposed infant; referral of parent(s) to a
substance use disorder treatment program; if parent(s) is already involved in a
substance use disorder treatment program, the treatment providers shall be
notified of the birth of the substance exposed infant; referral of parent(s) to
appropriate home visiting programs; and the scheduling of the first pediatric
appointment for the substance exposed infant prior to discharge from the
hospital. If the Division implements a safety plan for the child, the safety
plan shall be incorporated into the plan of safe care and shared with all
healthcare providers and involved agencies prior to the substance exposed
infant’s discharge from the hospital. A plan of safe care implemented and
monitored by the Division shall end when the Division closes the investigation
case which is not transferred to the treatment unit, or when the treatment case
is closed.
(25) “Substance
exposed infant” shall mean a child not more than 4 weeks of age, born in this
State, who is born with and identified as being affected by illegal substance
abuse or withdrawal symptoms resulting from prenatal drug exposure or a Fetal
Alcohol Spectrum Disorder.
(28)
“Withdrawal symptoms resulting from prenatal drug exposure” shall mean a group
of behavioral and physiological features in the infant that follow the abrupt
discontinuation of a drug that has the capability of producing physical dependence. Withdrawal symptoms resulting exclusively
from a prescription drug used by the mother under the care of a prescribing
medical professional, in compliance with the directions for the administration
of the prescription as directed by the prescribing medical professional, and
its compliance and administration verified by the healthcare provider involved
in the delivery or care of the infant, is not included in the definition.
§ 903. Reports required.
(a) Any person, agency, organization or entity who knows or in good faith suspects child abuse or neglect shall make a report in accordance with § 904 of this title. For purposes of this section, "person" shall include, but shall not be limited to, any physician, any other person in the healing arts including any person licensed to render services in medicine, osteopathy or dentistry, any intern, resident, nurse, school employee, social worker, psychologist, medical examiner, hospital, health care institution, the Medical Society of Delaware or law-enforcement agency. In addition to and not in lieu of reporting to the Division of Family Services, any such person may also give oral or written notification of said knowledge or suspicion to any police officer who is in the presence of such person for the purpose of rendering assistance to the child in question or investigating the cause of the child's injuries or condition.
(b)
In accordance with § 904 of this title, a healthcare provider shall immediately
make a report or cause a report to be made to the Division if the provider is
involved in the delivery or care of an infant who is born with and identified
as being affected by any of the following:
(1)
Illegal substance use by the infant’s mother.
(2)
Withdrawal symptoms resulting from prenatal drug exposure unless the withdrawal
symptoms:
a.
Result exclusively from a prescription drug used by the mother under the care
of a prescribing medical professional; and
b.
The prescription drug use is in compliance with the directions for the
administration of a prescription drug as directed by the prescribing medical
professional; and
c.
Its compliance and administration has been verified by the healthcare provider
involved in the delivery or care of the infant.
(3)
A fetal alcohol spectrum disorder.
§ 904. Nature and content of report; to whom made.
Any report of
child abuse, or neglect, or substance exposed infant
required to be made under this chapter shall be made by contacting the Child
Abuse and Neglect Report Line for the Department of Services for Children,
Youth and Their Families. An immediate oral report shall be made by telephone
or otherwise. Reports and the contents thereof including a written report, if
requested, shall be made in accordance with the rules and regulations of the
Division, or in accordance with the rules and regulations adopted by the
Division. No individual with knowledge of child abuse or neglect or knowledge
that leads to a good faith suspicion of child abuse or neglect shall rely on
another individual who has less direct knowledge to call the aforementioned
report line.
§ 905. Telephone reports, Child Protection Registry and information.
(a) The
Division shall establish and maintain a 24-hour statewide toll-free telephone
report line operating at all times and capable of receiving all reports of
alleged abuse, and neglect, and substance exposed infants
as defined in § 901 of Title 10 this chapter.
(b) The Division shall maintain a Child Protection Registry and an internal information system as defined by § 902 of this title. Reports unsubstantiated shall be kept in the internal information system by the Division.
(c) Every
report of child abuse, or neglect, or substance exposed infant
made to the Division shall be entered in the Division's internal information
system and each such report involving the death of, serious physical injury to,
or allegations of sexual abuse of a child shall also be entered in the
Department's multi-disciplinary tracking system.
(d) Although
reports of abuse and neglect may be made anonymously, the Division shall
in all cases, after obtaining relevant information regarding alleged abuse or
neglect, request the name and address of any person making a report. Reports of substance exposed infants shall
not be made anonymously.
(e) Upon receipt of a report, the Division shall immediately communicate such report to its appropriate Division staff, after a check has been made with the internal information system to determine whether previous reports have been made regarding actual or suspected abuse or neglect of the subject child, or any reports regarding any siblings, family members or the alleged perpetrator, including any previous reports of a substance exposed infant born to the mother of the subject child, and such information as may be contained from such previous reports. Such relevant information as may be contained in the internal information system shall also be forwarded to the appropriate Division staff.
(f) Upon
receipt of a report of child abuse, or neglect, or substance
exposed infant, the Division shall immediately notify the Investigation
Coordinator of the report, in sufficient detail to permit the Investigation
Coordinator to undertake the Investigation Coordinator's duties, as specified
in § 906 of this title.
§ 906. State
response to reports of abuse, or neglect, or substance exposed
infants.
(a) The
State's child protection system shall seek to promote the safety of children
and the integrity and preservation of their families by conducting
investigations and/or or family assessments in response to
reports of child abuse, or neglect, or substance exposed
infants. The system shall endeavor to coordinate community resources and
provide assistance or services to children and families identified to be at
risk, and to prevent and remedy child abuse and neglect.
(b) It is the policy of this State that the investigation and disposition of cases involving child abuse or neglect shall be conducted in a comprehensive, integrated, multi-disciplinary manner that:
(1) Provides civil and criminal protections to the child and the community;
(2) Encourages the use of collaborative decision-making and case management to reduce the number of times a child is interviewed and examined to minimize further trauma to the child; and
(3) Provides safety and treatment for a child and his or her family by coordinating a therapeutic services system.
(c) It is the
policy of this State that the investigation or family assessment of cases
involving substance exposed infants shall be conducted in a coordinated,
service integrated manner that:
(1)
Ensures the safety of the substance exposed infant while preserving the family
whenever the safety of the substance exposed infant is not jeopardized; and
(2)
Develops a plan of safe care for cases involving substance exposed infants that
are accepted by the Division for investigation or family assessment.
(c) (d)(1) In
implementing the Investigation Coordinator's role in the child protection
system, the Investigation Coordinator, or the Investigation Coordinator's
designee, shall:
a. Have
the authority to track within the Department's internal information system each
reported case of alleged child abuse, or neglect, or substance
exposed infant;
(e) (f)
In implementing the Division's role in the child protection system, the
Division shall:
(3) The Division may investigate any report, but shall conduct an investigation involving all reports, which if true, would constitute violations against a child by a person responsible for the care, custody and control of the child of any of the following provisions of § 603, § 604, § 611, § 612, § 613, § 621, § 625, § 626, § 631, § 632, § 633, § 634, § 635, § 636, § 645, § 763, § 765, § 766, § 767, § 768, § 769, § 770, § 771, § 772, § 773, § 774, § 775, § 776, § 777, § 780, § 782, § 783, § 783A, § 791, § 1100A, § 1101, § 1102, § 1107, § 1108, § 1109, § 1110, § 1111, or § 1259 of Title 11, or an attempt to commit any such crimes. The Division staff shall also contact the Delaware Department of Justice and the appropriate law-enforcement agency upon receipt of any report under this section and shall provide such agency with a detailed description of the report received. The appropriate law-enforcement agency shall assist the Division in the investigation or provide the Division, within a reasonable time, an explanation detailing the reasons why it is unable to assist. Notwithstanding any provision of the Delaware Code to the contrary, to the extent the law-enforcement agency with jurisdiction over the case is unable to assist, the Division may request that the Delaware State Police exercise jurisdiction over the case and upon such request the Delaware State police may exercise such jurisdiction;
(7) The
Division shall have authority to secure a medical examination of a child,
without the consent of those responsible for the care, custody and control of
the child, if the child has been reported to be a victim of abuse or neglect;
provided, that such case is classified as an investigation pursuant to
paragraph (e)(3) (f)(3)of this section and the Director or the Director's
designee gives prior authorization for such examination upon finding that such
examination is necessary to protect the health and safety of the child;
(10) Commence
an immediate investigation if at any time during the family assessment and
services approach the Division determines that an investigation as delineated
in paragraph (e)(3) (f)(3) of this section is required or is
otherwise appropriate. The Division staff who have conducted the assessment may
remain involved in the provision of services to the child and family;
(22) Develop a
plan of safe care for cases involving a substance exposed infant that are
accepted for investigation or family assessment.
Section 2. Amend Section 929, Title 16 of the Delaware Code by making deletions as shown by strike through and insertions as shown by underline as follows:
§ 929. Removal of name from the Child Protection Registry [Effective until Apr. 7, 2016]
(e) Removal
from the Child Protection Registry means only that the person's name has been
removed from the Registry and may no longer be reported to employers pursuant
to Chapter 85 of Title 11. Notwithstanding removal from the Registry, the
person's name and other case information remains in the Division's internal
information system as substantiated for all other purposes, including, but not
limited to, the Division's use of the information for historical, treatment and
investigative purposes, child care licensing decisions, foster and adoptive
parent decisions, reporting pursuant to § 309 of Title 31, reporting to law
enforcement authorities, or any other purpose set forth in § 906(e) 906(f)
of this title.
§ 929 Removal of name from the Child Protection Registry [Effective Apr. 7, 2016]
(e) Removal
from the Child Protection Registry means only that the person's name has been
removed from the Registry and may no longer be reported to employers pursuant
to Chapter 85 of Title 11 or Chapter 3 of Title 31. Notwithstanding removal
from the Registry, the person's name and other case information remains in the
Division's internal information system as substantiated for all other purposes,
including, but not limited to, the Division's use of the information for historical,
treatment and investigative purposes, child-care licensing decisions, foster
and adoptive parent decisions, reporting to law-enforcement authorities, or any
other purpose set forth in § 906(e) 906(f) of this title.
Section 3. This act shall take effect 180 days after its enactment into law.
Section 4. This Act shall be known and may be cited as “Aiden’s Law”.
SYNOPSIS
This non-punitive, public health-oriented bill seeks to codify certain sections of the federal law known as the Child Abuse Prevention and Treatment Act (“CAPTA”) that requires States to have policies and procedures in place to address the needs of infants born with and identified as being affected by illegal substance abuse or withdrawal symptoms resulting from prenatal drug exposure, or a fetal alcohol spectrum disorder, including a requirement that healthcare providers involved in the delivery or care of such infants notify the child protective services system. Furthermore, CAPTA requires the development of a “plan of safe care” for these infants. This bill clarifies and formalizes a uniform, collaborative response protocol in accordance with CAPTA that will require Delaware’s child protection system partners to work together to ensure the safety of substance exposed infants and to provide support and services to the mothers and families of substance exposed infants. Section 2 of the bill makes a conforming change to Section 929 of Title 16 to reflect updated cross-references. |