SENATE BILL REPORT

                                    SB 5748

            AS REPORTED BY COMMITTEE ON CHILDREN & FAMILY SERVICES,

                               FEBRUARY 26, 1991

Brief Description:  Requiring the department of social and health services to develop a coordinated policy for long‑term care of children with special needs.

SPONSORS:Senator Roach.

SENATE COMMITTEE ON CHILDREN & FAMILY SERVICES

Majority Report:  That Substitute Senate Bill No. 5748 be substituted therefor, and the substitute bill do pass.

      Signed by Senators Roach, Chairman; L. Smith, Vice Chairman; Craswell, and Stratton. 

Staff:  Jan Sharar (786‑7747)

Hearing Dates:February 20, 1991; February 26, 1991

BACKGROUND:

Current residential options for special needs children, children who need skilled health care intervention and monitoring due to physical or developmental disabilities or illness, are limited.  Children infected with human immunodeficiency virus (HIV), drug affected children, etc. are currently limited to hospitals, nursing homes, and specialized foster care for residential care.  Families of these children currently receive limited support for the care of their children within their homes as well.

No minimum standards and guidelines exist for program options for special needs children outside of the options mentioned.  At least two programs are operating under a temporary "special group home" state license category.

SUMMARY:

Duties of the Department of Social and Health Services (DSHS) and the purpose of agencies created for the care of children, expectant mothers, and the developmentally disabled are amended to include creation of an array of residential and family support services for special needs children.

Special needs children are defined as individuals up to the age of 22 who have physical or developmental disabilities and illnesses that require skilled health care intervention and monitoring. 

DSHS is required to establish a children's long term care policy incorporating a continuum of family support options.  Residential care options and services are enumerated.  DSHS and the Department of Health are to establish minimum standards to guide the selection of facilities and agencies authorized to establish residential care options.  The Legislative Budget Committee (LBC) shall report to the Legislature on the development of this agreement and a children's long term care policy and provide oversight.

LBC is also directed to conduct an independent evaluation of residential options for medically fragile children.

EFFECT OF PROPOSED SUBSTITUTE:

Children who experience developmental delays are added as part of the definition of special needs.  Shared parenting is included as a residential care option.  The Legislative Budget Committee (LBC) is required to report to appropriate legislative committees by December 1, 1991.  Cost comparisons are required to be included in the evaluation required of the LBC.

Appropriation:  none

Revenue:  none

Fiscal Note:  requested

TESTIMONY FOR:

This bill addresses a long recognized need for a continuum of services for special needs children and their families.

TESTIMONY AGAINST:  None

TESTIFIED:  PRO:  Margaret Casey, Washington State Catholic Conference; Colleen Waterhouse, Acting Director DCFS/DSHS; Sharon Hansen, Dev. Disabilities Planning Council