Chapter 368 |
2016 -- H 8069 SUBSTITUTE A Enacted 07/06/2016 |
A N A C T |
RELATING TO STATE AFFAIRS AND GOVERNMENT -- DEPARTMENT OF CHILDREN, YOUTH AND FAMILIES |
Introduced By: Representatives Ruggiero, McNamara, Tanzi, Carson, and McKiernan |
Date Introduced: April 13, 2016 |
It is enacted by the General Assembly as follows: |
SECTION 1. Section 23-4-3 of the General Laws in Chapter 23-4 entitled "Office of |
State Medical Examiners" is hereby amended to read as follows: |
23-4-3. Functions. -- The office of state medical examiners shall be responsible for: |
(1) The investigation of deaths within the state that, in its judgment, might reasonably be |
expected to involve causes of death enumerated in this chapter; |
(2) For the conduct of inquests when requested by the attorney general; |
(3) For the performance of autopsies, including the retention, examination, and |
appropriate disposal of tissue, when appropriate, for deaths which that, in its judgment, might |
reasonably be expected to involve causes of deaths enumerated in this chapter; |
(4) For the written determination of the causes of death investigated pursuant to this |
chapter; |
(5) For the presentation to the courts of Rhode Island of expert testimony relating to the |
cause of death; |
(6) For the keeping of complete records, including names, places, circumstances, and |
causes of deaths, of deaths investigated and reported, copies of which shall be delivered to the |
attorney general and of which written determinations of causes of death shall be made available |
for public inspection; |
(7) For the burial of bodies for which there is no other existing legal responsibility to do |
so; and |
(8) For the development and enforcement of procedures for the pronouncement of death |
and for the transplantation of organs from bodies of persons who have died within the state.; and |
(9) For a multi-disciplinary team review of child fatalities with the goal to decrease the |
prevalence of preventable child deaths and report recommendations for community- and systems- |
intervention strategies. A child death-review team shall include, but is not limited to, |
representation from state agencies, health care, child welfare, and law enforcement.; and |
(10) The department shall work with the department of children, youth and families and |
the office of the child advocate to develop a process to ensure the timely availability of autopsy |
reports on child deaths. |
SECTION 2. Section 42-72-8 of the General Laws in Chapter 42-72 entitled “Department |
of Children, Youth, and Families” is hereby amended to read as follows: |
42-72-8. Confidentiality of records. -- (a) Any records of the department pertaining to |
children and their families in need of service pursuant to the provisions of this chapter; or for |
whom an application for services has been made, shall be confidential and only disclosed as |
provided by law. |
(b) Records may be disclosed when necessary: |
(1) To individuals, or public or private agencies engaged in medical, psychological, or |
psychiatric diagnosis or treatment or education of the person under the supervision of the |
department; |
(2) To individuals or public or private agencies for the purposes of temporary or |
permanent placement of the person, and when the director determines that the disclosure is |
needed to accomplish that placement, including any and all health-care information obtained by |
the department in accordance with the provisions of chapter 5-37.3 Chapter 37.3 of title 5 of the |
general laws and applicable federal laws and regulations; |
(3) When the director determines that there is a risk of physical injury by the person to |
himself or herself or others, and that disclosure of the records is necessary to reduce that risk; |
(4) To the family court, including periodic reports regarding the care and treatment of |
children; provided, that if a child is represented by a guardian ad litem or attorney, a copy of the |
family court report will be made available to the guardian ad litem or attorney prior to its |
submission; |
(5) To inform any person who made a report of child abuse or neglect pursuant to § 40- |
11-3, whether services have been provided the child as a result of the report; provided, however, |
that no facts or information shall be released pursuant to this subsection other than the fact that |
services have been, or are being, provided; |
(6) To permit access to computer records relating to child-abuse and -neglect |
investigations by physicians who are examining a child when the physician believes that there is |
reasonable cause to suspect that a child may have been abused or neglected; |
(7) To the office of the department of attorney general, upon the request of the attorney |
general or assistant attorney general, when the office is engaged in the investigation of, or |
prosecution of, criminal conduct by another relating to the child or other children within the same |
family unit; |
(8) To the department of corrections in the case of an individual who has been transferred |
to the jurisdiction of that department pursuant to the provisions of § § 14-1-7.3 "certification" |
or § 14-1-7.1 "waiver of jurisdiction"; and |
(9) To the office of the department of the attorney general, upon the request of the |
attorney general or assistant attorney general, when the office is engaged in the investigation of, |
or prosecution of, criminal conduct as defined in § 40-11-3.2. |
(10) To individuals employed by a state or county child-welfare agency outside of Rhode |
Island when the director determines that the information is needed to ensure the care, protection, |
and/or treatment of any child; provided, however, any records relating to allegations previously |
determined to be unfounded, unsubstantiated, or not indicated shall not be disclosed. |
(11) Whenever a person previously under the supervision of the training school becomes |
subject to the jurisdiction of the department of corrections as an adult offender, the director of |
corrections, or his or her designee, shall receive, upon request, the portions of the person's |
training-school records limited to the escape history, disciplinary record, and juvenile |
classification history. |
(12) In an administrative hearing held pursuant to § 42-35-9, the records, or exact copies |
of the records, shall be delivered to the administrative-hearing officer pursuant to a written |
request by one of the parties, and shall be delivered to the party making the request or shall be |
reviewed in camera by the administrative-hearing officer for purposes of making a determination |
of relevancy to the merits of the administrative matter pending before the hearing officer, as the |
hearing officer may direct. If the records or a portion are relevant to the matter, those records may |
be viewed and/or copied by counsel of record, at the expense of the party requesting the records. |
The records shall not be disseminated in any form beyond the parties, counsel of record and their |
agents, and any experts, except as otherwise specifically authorized by the hearing officer, and |
provided further that at the conclusion of the action, the records shall be sealed. |
(13) In a criminal or civil action, the records, or exact copies of the records, shall be |
delivered to a court of proper jurisdiction pursuant to a subpoena duces tecum, properly issued by |
one of the parties, and shall be delivered to the party issuing the subpoena, or shall be reviewed in |
camera by the trial justice for purposes of making a determination of relevancy to the merits of |
the civil or criminal action pending before the court, as the court may direct. If the records or a |
portion are relevant to the civil or criminal action, those records may be viewed and/or copied by |
counsel of record, at the expense of the party requesting the records. The court shall issue a |
protective order preventing dissemination of the records in any form beyond the parties, counsel |
of record and their agents, and any experts, except as otherwise specifically authorized by the |
court, and provided, further, that at the conclusion of the action, all records shall be sealed. |
(c) The director may disclose the findings or other information about a case as the |
director deems necessary in a case of child abuse or neglect which has resulted in a child fatality |
or near fatality. Disclosure required. (1) The director shall notify the office of the child advocate |
verbally and electronically, in writing, within 48 hours of a confirmed fatality or near fatality of a |
child who is the subject of a DCYF case. The department shall provide the office of the child |
advocate with access to any written material about the case. For purposes of this chapter, "near |
fatality" shall mean a child in serious or critical condition as certified by a physician as a result of |
abuse, neglect, self-harm or other unnatural causes. |
(2) The director shall make public disclosure of a confirmed fatality or near fatality of a |
child who is the subject of a DCYF case within 48 hours of confirmation, provided disclosure of |
such information is in general terms and does not jeopardize a pending criminal investigation; |
(3) The director shall disclose to the office of the child advocate information, within five |
(5) days of completion of the department's investigation, when there is a substantiated finding of |
child abuse or neglect that resulted in a child fatality or near fatality. The department may |
disclose the same information to the office of the attorney general and other entities allowable |
under 42 U.S.C. §5106a. |
(4) The information that must be disclosed in accordance with subdivision (c)(3) |
includes: |
(i) A summary of the report of abuse or neglect and a factual description of the contents |
of the report; |
(ii) The date of birth and gender of the child; |
(iii) The date that the child suffered the fatality or near fatality; |
(iv) The cause of the fatality or near fatality, if such information has been determined; |
(v) Whether the department of children, youth and families, or a court-appointed special |
advocate, had any contact with the child before the fatality or near fatality and, if so: |
(A) The frequency of any contact or communication with the child or a member of the |
child's family or household before the fatality or near fatality and the date on which the last |
contact or communication occurred before the fatality or near fatality; |
(B) Whether the department provided any child-welfare services to the child, or to a |
member of the child's family or household, before, or at the time of, the fatality or near fatality; |
(C) Whether the department made any referrals for child-welfare services for the child or |
for a member of the child's family or household, before or at the time of the fatality or near |
fatality; |
(D) Whether the department took any other action concerning the welfare of the child |
before or at the time of the fatality or near fatality; and |
(E) A summary of the status of the child's case at the time of the fatality or near fatality, |
including, without limitation, whether the child's case was closed by the department before the |
fatality or near fatality and if so, the reasons why the case was closed; and |
(vi) Whether the department, in response to the fatality or near fatality: |
(A) Has provided, or intends to provide and/or make, a referral for child-welfare services |
to the child, or to a member of the child's family or household; and |
(B) Has taken, or intends to take, any other action concerning the welfare and safety of |
the child, or any member of the child's family or household. |
(d) If a public panel is convened or established by the department to evaluate the extent to |
which the department is discharging its child-protection responsibilities, the panel, or any of its |
members or staff, shall not disclose identifying information about a specific child-protection case, |
nor make public any identifying information provided by the department, except as may be |
authorized by law. Any person who violates this subsection shall be subject to civil sanctions as |
provided by law. |
(e) If a public panel is convened or established by the department, this panel, in the |
course of its evaluation, may review, but shall not investigate, any child fatality that is under the |
jurisdiction of the child advocate in accordance with the provisions of § 42-73-7(2). |
(f) In the event records and information contained within DCYF records are shared with |
individuals or public or private agencies as specified in subsection (b) above, any such individual, |
and/or public or private agency, shall be advised that the shared information cannot be further |
disclosed, except as specifically provided for under applicable federal and/or state law and |
regulation. Any individual and/or public or private agency who that violates this subsection shall |
be subject to civil sanctions as provided in chapter 37.3 of title 5, and any other federal or state |
law pertinent thereto. |
SECTION 3. Section 42-73-6 of the General Laws in Chapter 42-73 entitled “Child |
Advocate Office” is hereby amended to read as follows: |
42-73-6. Annual report. -- The child advocate shall annually submit, to the governor and |
the general assembly, a detailed report analyzing the work of his or her office and any |
recommendations resulting therefrom., including non-identifying child-fatality and near-fatality |
information and recommendations. The report shall be posted on the office of the child advocate's |
website. |
SECTION 3. Chapter 42-73 of the General Laws entitled "Child Advocate Office" is |
hereby amended by adding thereto the following section: |
42-73-2.3. Child fatality reviews. -- (a) The department of children, youth and families |
shall notify the office of the child advocate verbally and electronically within forty-eight (48) |
hours of a confirmed fatality or near fatality of a child who is the subject of a DCYF case and |
shall provide the office of the child advocate with access to any written material about the case. |
(b) The child advocate, working with a voluntary and confidential child-fatality-review |
panel, whose members may vary on a case-by-case basis, shall review the case records of all |
notifications in accordance with §42-73-2.3(a) of fatalities and near fatalities of children under |
twenty-one (21) years of age, if: |
(1) The fatality or near fatality occurs while in the custody of, or involved with, the |
department, or if the child's family previously received services from the department; |
(2) The fatality or near fatality is alleged to be from abuse or neglect of the child; or |
(3) A sibling, household member, or day care provider has been the subject of a child |
abuse and neglect investigation within the previous twelve (12) months, including, without |
limitation, cases in which the report was unsubstantiated or the investigation is currently pending. |
(c) The child-fatality-review panel shall assess and analyze such cases; make |
recommendations regarding such cases; and make recommendations for improvements to laws, |
policies, and practices that support the safety of children. Each report shall be made public within |
thirty (30) days of its completion. |
(d) The members of the child-fatality-review panel, established in accordance with this |
section, shall be subject to the confidentiality provisions of §42-73-10. |
(e) The child advocate shall publically announce the convening of a child-fatality-review |
panel, including the age of the child involved. |
SECTION 4. This act shall take effect upon passage. |
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LC005673/SUB A |
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