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

 

 

 

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.

 


BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF DELAWARE:

 


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.