HOUSE BILL REPORT
SHB 2985



As Passed House:
February 9, 2006

Title: An act relating to creating a foster care health unit in the department of social and health services.

Brief Description: Creating a foster care health unit in the department of social and health services.

Sponsors: By House Committee on Children & Family Services (originally sponsored by Representatives Schual-Berke, Clibborn, Appleton, Moeller, Green, Cody, Morrell, Walsh, McIntire, Kagi, Kenney, Hasegawa and Simpson).

Brief History:

Children & Family Services: 1/25/06, 1/30/06 [DPS];

Appropriations: 2/3/06, 2/4/06 [DPS(CFS)].

Floor Activity:

Passed House: 2/9/06, 97-1.

Brief Summary of Substitute Bill
  • Creates a foster care health unit in the Department of Social and Health Services.


HOUSE COMMITTEE ON CHILDREN & FAMILY SERVICES

Majority Report: The substitute bill be substituted therefor and the substitute bill do pass. Signed by 8 members: Representatives Kagi, Chair; Roberts, Vice Chair; Walsh, Ranking Minority Member; Hinkle, Assistant Ranking Minority Member; Darneille, Dickerson, Haler and Pettigrew.

Minority Report: Without recommendation. Signed by 1 member: Representative Dunn.

Staff: Sonja Hallum (786-7092).


HOUSE COMMITTEE ON APPROPRIATIONS

Majority Report: The substitute bill by Committee on Children & Family Services be substituted therefor and the substitute bill do pass. Signed by 30 members: Representatives Sommers, Chair; Fromhold, Vice Chair; Alexander, Ranking Minority Member; Anderson, Assistant Ranking Minority Member; McDonald, Assistant Ranking Minority Member; Armstrong, Bailey, Buri, Chandler, Clements, Cody, Conway, Darneille, Dunshee, Grant, Haigh, Hinkle, Hunter, Kagi, Kenney, Kessler, Linville, McDermott, Miloscia, Pearson, Priest, Schual-Berke, P. Sullivan, Talcott and Walsh.

Staff: Amy Skei (786-7140).

Background:

If there are allegations of abandonment, abuse or neglect, or no parent who is capable of caring for a child, the state may investigate the allegations and initiate a dependency proceeding in juvenile court. If the court finds the statutory requirements have been met, the court will find the child to be a dependent of the state.

For children who are found to be dependent, the state provides all routine medical and dental examinations and care, and all necessary emergency care.

Summary of Substitute Bill:

The substitute bill clarifies that the Department of Social and Health Services (DSHS) may provide treatment for routine and necessary medical, dental, and mental health, or necessary emergency needs of a child in its care.

Within existing resources, the DSHS is required to establish a foster care health unit within the Children's Administration (CA) of the DSHS. The health unit is required to review and provide recommendations to the Legislature by September 1, 2006, regarding issues which include, but are not limited to, the following:

       for health care; however, the DSHS may not implement managed care
       for health care services for children without authorization from the
       Legislature;

   facilitate access to such information;

The foster care health unit, in collaboration with regional medical consultants, is required to develop a statewide, uniform role for the regional medical consultants with emphasis placed on the mental health needs of the children in foster care. By September 1, 2006, the DSHS shall implement the utilization of the statewide, uniform role for the regional medical consultants developed in (a) of this subsection.

Appropriation: None.

Fiscal Note: Available.

Effective Date: The bill takes effect 90 days after adjournment of session in which bill is passed.

Testimony For: (Children & Family Services) (Original bill) This legislation is necessary to provide direction to the DSHS to place appropriate focus on the special and highlighted needs of children in foster care. A medical home is necessary for children who have exceptional needs and move from home-to-home. Children in foster care have higher mental health needs that are not being met. The medical passport has not been an effective tool. The problem is not a lack of funding, it is disorganization. The agency is always reacting to crisis rather than coordinating the health care for children. One of the responses the DSHS is looking at now is managed care, but managed care doesn't work for these kids because their needs are too high.

Testimony For: (Appropriations) It is difficult to speak to the fiscal impact of a bill when you don't think there should be one. This bill as amended is an effort to keep things moving in the right direction regarding meeting the health care needs of foster children. We want to make sure the DSHS Medical Assistance Administration and the Children's Administration are working together to make improvements. People are already in place to work on these issues, and this bill will help make sure this happens.

Testimony Against: (Children & Family Services) (Original bill) We have concerns with the way the bill is written because it amends the definition of physical care to equate physical care with medical care. The bill seems to require more than the routine and emergency care currently authorized. The DSHS recognized these kids have unique needs and the DSHS will be considering an alternative for improvement including a Foster Care Health Unit. The bill doesn't define "medical home" or specify where the new office is to be located.

Testimony Against: (Appropriations) None.

Persons Testifying: (Children & Family Services) (In support of original bill) Representative Schual-Berke, prime sponsor; Abe Bergman, Harborview Medical Center; and Laurie Lippold, Children's Home Society.

(Opposed on original bill) Nancy Anderson, Department of Social and Health Services.

Persons Testifying: (Appropriations) Laurie Lippold, Children's Home Society.

Persons Signed In To Testify But Not Testifying: (Children & Family Services) None.

Persons Signed In To Testify But Not Testifying: (Appropriations) None.