Substitute House Bill No. 6002
          Substitute House Bill No. 6002

              PUBLIC ACT NO. 97-288


AN ACT IMPLEMENTING  THE  RECOMMENDATIONS  OF  THE
HEALTHY FAMILIES TASK FORCE AND DESIGNATING FAMILY
DAY.


    Be  it  enacted  by  the  Senate  and House of
Representatives in General Assembly convened:
    Section 1. (NEW)  (a)  There  is established a
Healthy Families Advisory  Commission  to  monitor
the  state-wide  system   for   Healthy   Families
Connecticut developed pursuant  to  section 17a-56
of the general  statutes,  as amended by section 2
of this act.  The commission shall consist of: (1)
One member appointed  by  the speaker of the House
of Representatives and one member appointed by the
president pro tempore  of the Senate, who shall be
members of the  General  Assembly;  (2) one member
appointed by the  minority  leader of the House of
Representatives and one  member  appointed  by the
minority  leader  of  the  Senate,  who  shall  be
members   of   the   General   Assembly;   (3)   a
representative   of   the    Governor;   (4)   the
Commissioner  of Children  and  Families,  or  his
designee; (5) the Commissioner of Social Services,
or his designee;  (6)  the  Commissioner of Public
Health, or his  designee;  (7) the Commissioner of
Education, or his  designee;  (8) the Secretary of
the  Office  of  Policy  and  Management,  or  his
designee;  (9)  the   executive  director  of  the
Commission on Children,  or  his  designee; (10) a
representative of the Child Advocate's Office, who
shall be appointed  by  the minority leader of the
House    of   Representatives;    and    (11)    a
representative of the  Connecticut  Chapter of the
National  Committee to  Prevent  Child  Abuse  who
shall be appointed  by  the majority leader of the
Senate.
    (b) The commission  shall  be responsible for:
(1) Reviewing Healthy  Families  Connecticut pilot
sites  and  advising   the   General  Assembly  on
outcomes and recommending  program  modifications,
if necessary; (2)  preparing  plans  to  implement
Healthy  Families  Connecticut   on  a  state-wide
basis;  (3)  monitoring  cooperative,  coordinated
approaches of state  and private agencies involved
in Healthy Families Connecticut and expanding such
approaches   to   incorporate    other,    similar
activities;  (4)  studying   state  and  privately
funded home visitation programs as an initial step
in  establishing a  cost-effective,  collaborative
and  comprehensive healthy  families  system;  (5)
monitoring the effects  of  welfare  reform on the
factors associated with  the  risk of child abuse;
and (6) building  a  network of public and private
state, regional and  local  organizations  for the
purpose of collaborating to strengthen and support
families with newborns  and children up to the age
of five.
    Sec. 2. Section 17a-56 of the general statutes
is repealed and  the  following  is substituted in
lieu thereof:
    (a) The Commissioner  of Children and Families
shall establish the  structure  for  a  state-wide
system for Healthy  Families Connecticut, which is
based on the  national Healthy Families model, and
which is intended  to  demonstrate the benefits of
preventive services by  significantly reducing the
abuse and neglect  of  infants  and  by  enhancing
parent-child relationships through  hospital-based
assessment with home outreach follow-up on infants
and their families  within  families identified as
high risk.
    (b)  Within  available   appropriations,   the
Commissioner  of  Children   and   Families  shall
establish  healthy  families   pilot  programs  in
geographic areas which are not currently served by
prevention outreach services and which have a high
rate of confirmed  child abuse and neglect, a high
rate  of  infant  mortality  and  low  birthweight
infants, or a  high rate of teen pregnancy. ON AND
AFTER  JULY  1,   1997,   THE  COMMISSIONER  SHALL
ESTABLISH THREE ADDITIONAL  PILOT  SITES. Services
shall be provided on a voluntary basis to families
identified  through  the   assessment  process  as
having a high risk of child abuse or neglect.
    (c) The healthy families pilot programs shall:
(1) Provide a comprehensive risk assessment of all
newborn children and  their families; (2) identify
families that would benefit most from the program;
(3)  provide  and   coordinate   support  services
including,  but not  limited  to,  community-based
home visiting intervention  services,  counseling,
child care and  primary  health care services; and
(4) provide follow-up  and  support services until
the child attains the age of five.
    (d) The Commissioner  of Children and Families
shall:   (1)  Develop   the   comprehensive   risk
assessment to be  used  by the pilot programs; (2)
develop  the  training   program,  standards,  and
protocols for the pilot programs; and (3) develop,
issue  and  evaluate  requests  for  proposals  to
procure the services  required by this section. In
evaluating the proposals,  the  commissioner shall
take into consideration  the  most  effective  and
consistent service delivery  system  allowing  for
the continuation of  current  public  and  private
programs.
    (e) The Commissioner  of Children and Families
shall establish a  data system to enable the pilot
programs to document  the following information in
a standard manner:  (1) The level of screening and
assessment;  (2)  profiles   of  risk  and  family
demographics; (3) the incidence of child abuse and
neglect; (4) rates  of  child development; and (5)
any  other  information   the  commissioner  deems
appropriate.
    (f) The Commissioner  of Children and Families
shall  report  to  the  General  Assembly  on  the
establishment,  implementation  and   progress  of
Healthy Families Connecticut, on January first and
July first, of  each  year. The first report shall
be due on January 1, 1996.
    Sec. 3. Subsection  (a)  of section 17b-261 of
the general statutes is repealed and the following
is substituted in lieu thereof:
    (a) Medical assistance  shall  be provided for
any  otherwise  eligible   person   whose  income,
including  any  available   support  from  legally
liable relatives and  the  income of his spouse or
dependent child, is  not  more  than  one  hundred
forty-three  per  cent,   pending  approval  of  a
federal waiver applied  for pursuant to subsection
(d) of this section, of the benefit amount paid to
a person with  no income under the aid to families
with dependent children program in the appropriate
region of residence  and  if  such  person  is  an
institutionalized individual as defined in Section
1917(c)  of  the   Social  Security  Act,  42  USC
1396p(c),  and  has  not  made  an  assignment  or
transfer or other disposition of property for less
than  fair  market   value   for  the  purpose  of
establishing   eligibility   for    benefits    or
assistance   under   this    section.   Any   such
disposition shall be  treated  in  accordance with
Section 1917(c) of the Social Security Act, 42 USC
1396p(c).  Any disposition  of  property  made  on
behalf of an  applicant or recipient or his spouse
by a guardian,  conservator,  person authorized to
make  such disposition  pursuant  to  a  power  of
attorney or other  person  so  authorized  by  law
shall be attributed  to  such applicant, recipient
or spouse. A  disposition of property ordered by a
court shall be  evaluated  in  accordance with the
standards applied to  any  other  such disposition
for the purpose  of  determining  eligibility. The
commissioner  shall establish  the  standards  for
eligibility for medical  assistance at one hundred
forty-three per cent of the benefit amount paid to
a family unit  of  equal size with no income under
the  aid  to   families  with  dependent  children
program in the  appropriate  region  of residence,
pending federal approval,  except that the medical
assistance  program  shall   provide  coverage  to
persons  under the  age  of  nineteen  born  after
September 30, 1983,  up to one hundred eighty-five
per cent of  the  federal poverty level without an
asset limit. Such  levels  shall  be  based on the
regional differences in  such  benefit  amount, if
applicable, unless such  levels  based on regional
differences are not  in  conformance  with federal
law.  Any  income  in  excess  of  the  applicable
amounts shall be  applied  as  may  be required by
said federal law,  and assistance shall be granted
for the balance  of the cost of authorized medical
assistance.  ALL CONTRACTS  ENTERED  INTO  ON  AND
AFTER THE EFFECTIVE  DATE  OF THIS ACT PURSUANT TO
THIS   SECTION  SHALL   INCLUDE   PROVISIONS   FOR
COLLABORATION OF MANAGED  CARE  ORGANIZATIONS WITH
THE   HEALTHY   FAMILIES    CONNECTICUT    PROGRAM
ESTABLISHED PURSUANT TO SECTION 17a-56, AS AMENDED
BY SECTION 2 OF THIS ACT. The commissioner may, as
permitted by federal law, extend by six months the
eligibility for assistance  or benefits under this
section to former  recipients  of  aid to families
with dependent children who would otherwise become
ineligible to receive  such benefits or assistance
due to the loss of federally applicable disregards
on earnings. The  Commissioner  of Social Services
shall provide applicants for assistance under this
section,  at  the  time  of  application,  with  a
written statement advising  them  of the effect of
an assignment or  transfer or other disposition of
property   on   eligibility    for   benefits   or
assistance.
    Sec. 4. Section  4-67m of the general statutes
is repealed and  the  following  is substituted in
lieu thereof:
    (a) The Office  of  Policy  and Management, in
consultation  with  each  budgeted  state  agency,
shall  develop,  for   state  budgeting  purposes,
specific  biennial  goals   and   objectives   and
quantifiable outcome measures,  which shall not be
limited  to  measures   of  activities,  for  each
program, service and  state  grant administered or
provided by such  agency.  The  Secretary  of  the
Office of Policy  and  Management  shall submit an
annual report concerning  such  goals,  objectives
and measures to  the  joint  standing committee of
the General Assembly  having cognizance of matters
relating to appropriations  and the joint standing
committee having cognizance of matters relating to
the agency. FOR  THE  BIENNIUM  BEGINNING  JULY 1,
1995, AND FOR EACH BIENNIUM THEREAFTER, THE ANNUAL
REPORT SHALL INCLUDE  AN  EVALUATION OF THE IMPACT
OF EACH PROGRAM, SERVICE AND STATE CONTRACT ON THE
FAMILY.
    (b)  The  goals,   objectives   and   measures
developed  for  each   such   agency  pursuant  to
subsection  (a)  shall   be  implemented  for  the
biennium beginning July  1,  1993.  The  Office of
Policy and Management,  in  consultation with each
such agency, shall  review  and revise such goals,
objectives   and  measures   for   each   biennium
thereafter.
    (c) For the  biennium  beginning July 1, 1995,
and  for  each  biennium  thereafter,  the  annual
report submitted pursuant  to  subsection  (a)  of
this  section  shall   evaluate  the  progress  of
budgeted state agencies  in  achieving  benchmarks
established under section 4-67r.
    Sec. 5. Subsection  (a)  of  section 10-29a is
amended by adding subdivision (42) as follows:
    (NEW) (42) The  Governor  shall  proclaim  the
second Sunday in  September  of  each  year  to be
Family Day. Suitable  exercises  shall  be held in
the State Capitol  and  elsewhere  as the Governor
designates for the observance of the day.
    Sec. 6. This  act  shall  take  effect July 1,
1997.

Approved June 26, 1997