HB 521-FN - AS AMENDED BY THE HOUSE
HOUSE BILL 521-FN
SPONSORS: Rep. Berrien, Rock. 18; Rep. Fothergill, Coos 1; Rep. Wallner, Merr. 10; Rep. Gordon, Graf. 9; Sen. Carson, Dist 14; Sen. Hennessey, Dist 5; Sen. Feltes, Dist 15
COMMITTEE: Children and Family Law
This bill establishes a child abuse specialized medical evaluation program in the department of health and human services.
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Explanation: Matter added to current law appears in bold italics.
Matter removed from current law appears [in brackets and struckthrough.]
Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
27Feb2019... 0543h 19-0258
STATE OF NEW HAMPSHIRE
In the Year of Our Lord Two Thousand Nineteen
Be it Enacted by the Senate and House of Representatives in General Court convened:
I. The state of New Hampshire has over 10,000 cases of suspected child abuse or neglect investigated annually.
II. Standard policies of the American Academy of Pediatrics and accreditation requirements of the National Children’s Alliance, which accredits child advocacy centers, include the specialized evaluation of child victims of abuse and neglect by health care providers trained in such evaluations.
III. Of 2100 suspected sexually and physically abused children referred to Children’s Advocacy Centers for forensic interview annually, less than 13 percent receive a specialized medical evaluation.
IV. The state of New Hampshire does not have an established system to medically evaluate children who may have been physically or sexually abused.
V. The state of New Hampshire Medicaid program pays health care providers inadequately to perform the specialized medical evaluation.
VI. Therefore, a child abuse specialized medical evaluation program shall be implemented by the department of health and human services in collaboration with existing and future public and private resources and services in New Hampshire.
Child Abuse Specialized Medical Evaluation Program
169-C:39-l Child Abuse Specialized Medical Evaluation Program Established. A child abuse specialized medical evaluation program is hereby established in the department. The program shall include the following elements:
I. Child protective service workers shall have on-call access, 24 hours a day and 7 days a week, to an experienced health care professional who is trained in and can advise on the standardized diagnostic methods, treatment, and disposition of suspected child sexual abuse and physical abuse.
II. Department nurses and child protective service workers performing screenings and assessments of reported cases of child abuse shall receive pre-service training in the standardized medical diagnostic methods, treatment, and disposition as well as periodic in-service training by health care providers experienced in child abuse and neglect.
III. Annually, a limited number of designated health care providers geographically distributed shall be trained in nationally recognized curricula to respond to initial presentations of child sexual abuse, physical abuse, and neglect.
IV. Health care professionals who participate in the training or are members of a multidisciplinary team, working with the department of health and human services or law enforcement, shall participate in periodic peer or expert reviews of their evaluations and undertake continuing education in the medical evaluation of child abuse and neglect according to professional standards.
V. The department shall contract with a health care provider with experience in child abuse and neglect to administer the program in collaboration with participating private and public entities.
VI. Reimbursement rates for health care providers who participate in the program shall reflect the average cost to deliver such services, including the participation in multidisciplinary team activities and associated court proceedings. The rates shall be periodically reviewed and, if necessary, revised.
VII. The commissioner of the department shall adopt rules, under RSA 541-A, relative to the medical evaluation program, training and continuing education requirements, and reimbursement rates.
HB 521-FN- FISCAL NOTE
AS AMENDED BY THE HOUSE (AMENDMENT #2019-0543h)
AN ACT establishing a child abuse specialized medical evaluation program in the department of health and human services.
FISCAL IMPACT: [ X ] State [ ] County [ ] Local [ ] None
Estimated Increase / (Decrease)
[ X ] General [ ] Education [ ] Highway [ X ] Other - Federal matching funds
This bill establishes a Child Abuse Specialized Medical Evaluation Program within the Department of Health and Human Services. The Department is required to contract with health care providers with on-call availability 24/7 to respond to Child Protective Services Workers and advise on methods, treatment, and disposition of alleged child sexual abuse and physical abuse. A limited unspecified number of health care providers would also receive nationally recognized training to respond to child sexual abuse, physical abuse, and neglect. Per the bill, health care providers will administer the program, are required to have experience with child abuse and neglect, and will be reimbursed at a rate which reflects the average cost to deliver such services. The Department provided the following assumptions:
According to the Department, there were 13,766 individual alleged victims with 12,141 assessments accepted for further investigation in FY 2018. Of these, 5,472 had at least one allegation of medical neglect, physical abuse, or sexual abuse involved in an accepted assessment. The Department assumes that initially, due to an insufficient provider network, it will be unable to serve the entire population of alleged victims. In the first two years of implementation, the Department anticipates serving approximately 1,100 (20 percent) of the 5,472 victims annually, with that number growing as capacity increases.
The Department reported it does not have sufficient information to estimate the necessary rate increase to implement the program and reimburse health care providers. There will be an indeterminable increase to State expenditures which could affect any matching federal funds available for program implementation and administration.
Department of Health and Human Services
|Feb. 12, 2019||House||Hearing|
|Feb. 19, 2019||House||Exec Session|
|Feb. 27, 2019||House||Floor Vote|
|March 27, 2019||House||Exec Session|
|Nov. 12, 2019||House||Exec Session|
|Jan. 3, 2019||Introduced 01/03/2019 and referred to Children and Family Law HJ 3 P. 18|
|Feb. 12, 2019||Public Hearing: 02/12/2019 01:00 pm LOB 206|
|Feb. 19, 2019||Executive Session: 02/19/2019 01:00 pm LOB 206|
|Feb. 27, 2019||Committee Report: Ought to Pass with Amendment # 2019-0543h for 02/27/2019 (Vote 16-1; CC) HC 13 P. 2|
|Feb. 27, 2019||Amendment # 2019-0543h: AA VV 02/27/2019 HJ 6 P. 2|
|Feb. 27, 2019||Ought to Pass with Amendment 2019-0543h: MA VV 02/27/2019 HJ 6 P. 2|
|Feb. 27, 2019||Referred to Finance 02/27/2019 HJ 6 P. 2|
|March 4, 2019||Finance Division III Work Session: 03/04/2019 01:00 pm LOB 210-211|
|March 11, 2019||Finance Division III Work Session: 03/11/2019 01:30 pm LOB 210-211|
|March 13, 2019||Finance Division III Work Session: 03/13/2019 01:00 pm LOB 210-211|
|March 22, 2019||Finance Division III Work Session: 03/22/2019 10:00 am LOB 209|
|March 26, 2019||Finance Division III Work Session: 03/26/2019 09:30 am LOB 210-211|
|March 27, 2019||Executive Session: 03/27/2019 10:00 am LOB 210-211|
|Retained in Committee|
|Oct. 29, 2019||Division III Work Session: 10/29/2019 10:00 am LOB 210-211|
|Oct. 30, 2019||==CANCELLED== Division III Work Session: 10/30/2019 10:00 am LOB 210-211|
|Nov. 12, 2019||Executive Session: 11/12/2019 10:00 am LOB 210-211|
|Committee Report: Inexpedient to Legislate (Vote 19-0; CC) HC 50 P. 10|
|Jan. 8, 2020||Inexpedient to Legislate: MA VV 01/08/2020 HJ 1 P. 45|