2012 -- S 2467

=======

LC01512

=======

STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2012

____________

A N A C T

RELATING TO BEHAVIORAL HEALTHCARE, DEVELOPMENTAL DISABILITIES AND

HOSPITALS - RIGHTS FOR PERSONS WITH DEVELOPMENTAL DISABILITIES

     

     

     Introduced By: Senators Doyle, Tassoni, and Gallo

     Date Introduced: February 16, 2012

     Referred To: Senate Finance

It is enacted by the General Assembly as follows:

1-1

     SECTION 1. Section 40.1-11-4.3 of the General Laws in Chapter 40.1-11 entitled

1-2

"Division of Developmental Disabilities" is hereby amended to read as follows:

1-3

     40.1-21-4.3. Definitions. -- As used in this chapter and in chapter 22 of this title the

1-4

words:

1-5

      (1) "Ancillary services" means those services provided, and shall include, but not be

1-6

limited to, transportation, housing, housing adaptation, personal attendant care, and homemaker

1-7

services.

1-8

      (2) "Case management" means the implementation of an individual's program by

1-9

providing information, by referral to appropriate service providers, by procurement of services,

1-10

and by the coordination of the necessary services.

1-11

      (3) "Department" means the Rhode Island department of mental health, retardation, and

1-12

hospitals.

1-13

      (4) "Developmental services" means those services provided to developmentally

1-14

disabled adults, and shall include, but not be limited to, habilitation and rehabilitation services,

1-15

and day services.

1-16

      (5) "Developmentally disabled adult" means a person, eighteen (18) years old or older

1-17

and not under the jurisdiction of the department of children, youth, and families who is either a

1-18

mentally retarded developmentally disabled adult or is a person with a severe, chronic disability

1-19

which:

2-1

      (i) Is attributable to a mental or physical impairment or combination of mental and

2-2

physical impairments;

2-3

      (ii) Is manifested before the person attains age twenty-two (22);

2-4

      (iii) Is likely to continue indefinitely;

2-5

      (iv) Results in substantial functional limitations in three (3) or more of the following

2-6

areas of major life activity:

2-7

      (A) Self care,

2-8

      (B) Receptive and expressive language,

2-9

      (C) Learning,

2-10

      (D) Mobility,

2-11

      (E) Self-direction,

2-12

      (F) Capacity for independent living,

2-13

      (G) Economic self-sufficiency; and

2-14

      (v) Reflects the person's need for a combination and sequence of special,

2-15

interdisciplinary, or generic care, treatment, or other services, which are of lifelong or extended

2-16

duration and are individually planned and coordinated. For purposes of funding, it is understood

2-17

that students enrolled in school will continue to receive education from their local education

2-18

authority in accordance with section 16-24-1 et seq.

2-19

      (6) "Diagnosis and evaluation" means a process to determine whether and to what extent

2-20

an individual is developmentally disabled and a study of the individual's condition, situation, and

2-21

needs which lead to a recommendation of what services, if any, would benefit the individual.

2-22

      (7) "Individualized program plan" or "general service plan" means a plan, however

2-23

named, which includes, but shall not be limited to, the following:

2-24

      (i) An evaluation of the strengths, difficulties, needs, and goals of the individual;

2-25

      (ii) A description of those services found to be necessary or appropriate to assist the

2-26

individual in realizing his or her potential for self-sufficiency in major life activities;

2-27

      (iii) A description of the agencies and/or individuals, which are proposed to provide each

2-28

of the recommended services;

2-29

      (iv) The intermediate and long-range objectives for the individual's development and

2-30

habilitation;

2-31

      (v) The expected duration for the provision of the services;

2-32

      (vi) A description of the tests and other evaluative devices used and their results;

2-33

      (vii) Proposed criteria for monitoring and evaluating the success of the services in

2-34

meeting the individual's needs; and

3-1

      (viii) The signatures of the preparers of the plan and the date.

3-2

      The individual program plan shall indicate developmental, supportive, or ancillary

3-3

services by function and frequency, the manner of subsidy and delivery and the categories of need

3-4

for services such as transportation, job training, or occupation, housing, housing adaptation,

3-5

personal attendant care, homemaker, or other services. This plan shall be reviewed at least

3-6

annually; provided, however, that authorizations for services and funding issued prior to July 1,

3-7

2011 are null and void. Authorizations will be paid at the rate effective in the quarter the service

3-8

was provided.; provided, further, that the authorized rates for the period of October 1, 2011 to

3-9

December 31, 2011, shall be the same as the rates in effect for the period of July 1, 2011 to

3-10

September 30, 2011.

3-11

      (8) "Mentally retarded developmentally disabled adult" means a person eighteen (18)

3-12

years old or older and not under the jurisdiction of the department of children, youth, and

3-13

families, with significant sub-average, general intellectual functioning two (2) standard deviations

3-14

below the norm, existing concurrently with deficits in adaptive behavior and manifested during

3-15

the developmental period. For purposes of funding, it is understood that students enrolled in

3-16

school will continue to receive education from their local education authority in accordance with

3-17

section 16-24-1 et seq.

3-18

      (9) "Service broker" means that individual who assists in facilitating the connection

3-19

between the developmentally disabled person and the services required by the individual program

3-20

plan.

3-21

      (10) "Subsidized access to service" means the provisions of financial resources through

3-22

vouchers to a developmentally disabled person to enable the person to gain access to appropriate

3-23

generic and/or special services as required by the individual program plan.

3-24

      (11) "Supportive services" means those services provided to developmentally disabled

3-25

adults, and shall include, but not be limited to, occupational therapy, physical therapy,

3-26

psychological services, counseling, nursing services, and medical services.

3-27

     SECTION 2. Section 40.1-26-2 of the General Laws in Chapter 40.1-26 entitled "Rights

3-28

for Persons with Developmental Disabilities" is hereby amended to read as follows:

3-29

     40.1-26-2. Definitions. -- As used in this chapter:

3-30

      (1) "Advocate" means: (i) a legal guardian; or (ii) an individual acting on behalf of a

3-31

person with a developmental disability in a manner clearly consistent with the interests of the

3-32

person with a developmental disability and includes a family member, friend, or professional

3-33

advocate. Whenever possible an advocate should be selected by the person with a disability.

4-34

      (2) "Agency" means any person or organization which provides day program services,

4-35

residential services, support services or advocacy services for persons with developmental

4-36

disabilities, and which is licensed by the department of mental health, retardation, and hospitals

4-37

pursuant to section 40.1-24-1 et seq.

4-38

      (3) "Applicant" means any person with a developmental disability who has applied for

4-39

services from the division of developmental disabilities and/or any agency licensed by the

4-40

department of mental health, retardation, and hospitals pursuant to section 40.1-24-1 et seq.

4-41

      (4) "Aversive interventions" means a class of stimuli that are followed by escape or

4-42

avoidance response.

4-43

      (5) "Behavioral Treatment Intervention" means any intervention or treatment to develop

4-44

or strengthen adaptive appropriate behaviors through the application of behavioral interventions

4-45

and to simultaneously reduce the frequency of maladaptive or inappropriate behaviors. Behavior

4-46

interventions encompass interventions, which refer to purposeful, clinical manipulation of

4-47

behavior.

4-48

      (6) "Competent" means the ability to understand the likely risks and benefits of a

4-49

procedure or plan when the risks and benefits are presented to the participant in a manner most

4-50

likely to be understood by the participant in light of his or her cognitive abilities and learning

4-51

style.

4-52

      (7) "Department" means the department of mental health, retardation, and hospitals.

4-53

      (8) "Developmental disability" means a severe chronic disability which is attributable to

4-54

a mental or physical impairment or combination of impairments; is manifested before the person

4-55

attains age twenty-two (22); is likely to continue indefinitely; results in substantial functional

4-56

limitations in three (3) or more of the following areas of major life activity: self-care, receptive

4-57

and expressive language, learning, mobility, self-direction, capacity for independent living,

4-58

economic self-sufficiency; and reflects the person's need for a combination and sequence of

4-59

special, interdisciplinary or generic care, treatment, or other services which are of life long or

4-60

extended duration and are individually planned and coordinated.

4-61

      (9) "Individualized plan" means the personalized document which describes an

4-62

individualized profile of the participant highlighting his or her capabilities, preferences and

4-63

interests. The plan describes specific supports in the areas of vocational, social, medical,

4-64

supported living, and rehabilitation required to meet the specific needs of the participant. The

4-65

plan includes quality indicators that demonstrate the plan has met the expectations of the

4-66

participant and the participant is satisfied with the support services he or she is receiving;

4-67

provided, however, that authorizations for services and funding issued prior to July 1, 2011 are

4-68

null and void. Authorizations for services will be paid at the rate effective when in the quarter the

5-1

service was provided.; provided, further, that the authorized rates for the period of October 1,

5-2

2011 to December 31, 2011, shall be the same as the rates in effect for the period of July 1, 2011

5-3

to September 30, 2011.

5-4

      (10) "Participant" means any person eighteen (18) years or older, with a developmental

5-5

disability who receives services from the division of developmental disabilities and/or an agency

5-6

licensed by the department of mental health, retardation, and hospitals.

5-7

      (11) "Relative" means a member of the participant's or applicant's family who has been

5-8

actively involved in the participant's or applicant's life, has an ongoing relationship with the

5-9

participant or applicant, and is supportive in a manner clearly consistent with the best interests of

5-10

the participant or applicant.

5-11

      (12) "Seclusion" means placing a participant alone in a locked room without supervision.

5-12

      (13) "Serious incidents" means any situation involving a person with developmental

5-13

disabilities in which the person:

5-14

      (i) Has sustained an injury, which requires medical care or treatment beyond routine first

5-15

aid;

5-16

      (ii) Has been missing;

5-17

      (iii) Has died;

5-18

      (iv) Has been involved in a criminal act;

5-19

      (v) Has been subject to a medication error.

5-20

     SECTION 3. This act shall take effect upon passage.

     

=======

LC01512

========

EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N A C T

RELATING TO BEHAVIORAL HEALTHCARE, DEVELOPMENTAL DISABILITIES AND

HOSPITALS - RIGHTS FOR PERSONS WITH DEVELOPMENTAL DISABILITIES

***

6-1

     This act would rescind the quarterly financial authorization for services to persons with

6-2

developmental disabilities and would restore such funding to be based on an annual basis.

6-3

     This act would take effect upon passage.

     

=======

LC01512

=======

S2467