OLR Bill Analysis
AN ACT CONCERNING A STATE-WIDE WAITING LIST FOR RESIDENTIAL PLACEMENT FOR PERSONS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES.
This bill requires the Department of Developmental Services (DDS) commissioner to:
1. maintain one statewide comprehensive residential waiting list for individuals with intellectual disability and update the list at least quarterly;
2. by July 1, 2018, develop a five- and 10-year care plan for each individual with intellectual disability who is eligible for DDS services and who has an individual plan from the department, and update the care plans annually;
3. starting by November 1, 2018, annually complete a statewide survey of such individuals and use the survey results to update the waiting list;
4. starting by December 1, 2018, annually review the survey results with the regional advisory councils and the Council on Developmental Services; and
5. starting by December 1, 2018, annually report to the Public Health and Appropriations committees on those results and the status of the waiting list, including trends in requested supports and services and projections for statewide needs for the following two-, five-, and 10-year periods.
EFFECTIVE DATE: Upon passage
DDS RESIDENTIAL WAITING LIST
The bill defines “waiting list” as a list the DDS commissioner maintains with the names of individuals with intellectual disability who:
1. have requested residential supports or services from DDS,
2. have been determined by the commissioner to need such supports or services, and
3. are unable to receive them because the demand for such supports or services exceeds the department's ability to provide them.
The bill requires the commissioner to develop and maintain one statewide comprehensive residential waiting list and update it at least quarterly. (In practice, DDS currently does this.) The bill specifies that the waiting list must:
1. be organized by geographic region,
2. identify such individuals' priority status for receiving supports or services, and
3. indicate the type of support or service each individual needs and the estimated time the individual will likely need them.
FIVE- AND TEN-YEAR PLANS
By July 1, 2018, the bill requires the DDS commissioner to develop long-term five- and 10-year care plans to meet the support and service needs of each individual with intellectual disability who (1) is eligible to receive a support or service from DDS and (2) has an individual plan from the department as specified under an existing law that references DDS plans for individuals receiving some level of DDS funding or services (see BACKGROUND).
The bill requires the commissioner to develop the five- and 10-year plans in consultation with each such individual and his or her parent, conservator, guardian, or other legal representative. The commissioner must update the plans annually, based on any changes in such individual plans.
Under the bill, the five- and 10-year plans must indicate how long each support or service will likely be needed based on the individual's annual level of need assessment (i.e., DDS' use of a standardized screening tool to determine an individual's need for DDS funding or services).
The bill requires the commissioner, starting by November 1, 2018, to annually complete a statewide survey of individuals with intellectual disability who (1) are eligible to receive DDS supports or services and (2) have an individual plan from the department under existing law.
Under the bill, the survey must be based on each individual's (1) level of need assessment and (2) five- and 10-year long-term care plans, as described above. After concluding the survey, the commissioner must update the statewide residential waiting list based on the survey's results.
Priority Status and Individual Plans
Under existing law, individuals DDS determines as eligible for department funding or services, or their legal guardians or representatives, may obtain from DDS a copy of (1) the individual's priority status for residential services, (2) his or her request for funding or services submitted to the regional planning and resource allocation team, and (3) any decision the team makes on the request.
Such individuals who receive annual funding or services from DDS, or their guardians or representatives, may also obtain a copy of their individual plan and level of need assessment (CGS § 17a-238a).
sSB 39, reported favorably by the Public Health Committee, makes various changes regarding DDS services, such as requiring the department to provide in-home support services to individuals and families on a DDS waiting list, or those seeking DDS services, by using employees who complete the department's Training Academy for Family Support program to deliver these services.
Public Health Committee