Brief Summary of Bill

Requires the Department of Health and Social Services (Department) to adopt rules and policies to allow the reinstatement of medical assistance coverage for a person with developmental disabilities upon his or her release from incarceration.
Requires the Department, with the Washington Association of Sheriffs and Police Chiefs, the Department of Corrections (DOC), and local jail personnel to establish procedures for prompt reinstatement of medical assistance when a person with developmental disabilities is released from incarceration.
Requires, by July 1, 2010, the Developmental Disabilities Council (DDC) to contract for the development and implementation of a screening tool to identify persons with developmental disabilities who are booked into jail.
Requires the Department to respond within 24 hours to an inquiry by jail personnel whether a person in jail is a client of the Division of Developmental Disabilities (Division), and to conduct, within 48 hours, an in-person screening if the person is not a client and has not previously been found ineligible.
Requires jail or correctional staff, upon consultation with the Division, to determine reasonable accommodations necessary for a person with developmental disabilities who is incarcerated in the facility.
Requires the DDC to develop, in consultation with the DOC, the Department, local jail representatives, and others to develop short and concise training tools for jail and correctional staff regarding offenders with developmental disabilities.
Requires the Department, by 2010, in consultation with the DOC, jail representatives, the DDC, and other stakeholders to develop a transition program for clients being released from jail to the community.

Background:

In 2006 a 41-year-old man with developmental disabilities was booked into a county jail pursuant to a 911 call for misdemeanor assault. The person who called 911 was the man's mother, and the alleged assault was treated as a domestic violence matter. Thus, the responding officers were required to take the person considered to be the aggressor to jail. The man had the physical abilities of an adult, but had not developed mentally beyond a child-like stage. He was in jail for approximately two weeks and released. Several hours after his release, he was returned to jail because his mother again called 911. He was released seven days later, having spent a total of 22 days in jail in solitary confinement. While in jail, the man refused food and water, and his physical and mental health deteriorated significantly.

Eligibility for Services.

A person who has been assessed as being eligible for services provided by the Division of Developmental Disabilities (Division) is eligible for both state assistance and federal medical assistance. Medical assistance benefits allow for medical care as provided under Title XIX of the federal Social Security Act. If an eligible person is booked into a correctional facility, he or she does not receive state-funded services while in custody, and the person is no longer eligible for medical assistance.

In 2008, a work group convened to examine the feasibility of expediting the eligibility reinstatement process for individuals who were receiving medical assistance at the time of incarceration. In January 2009, the Department of Social and Health Services released a report to the Legislature in which it proposed a five-phase model for promptly reinstating the eligibility for any person who was receiving medical assistance at the time of incarceration.

Training for Law Enforcement Personnel.

In 2003 the Legislature required the Criminal Justice Training Commission to develop a training session on law enforcement interaction with persons who suffer from mental illness and who have developmental disabilities. At the minimum, the training was required to address the following:

the cause and nature of mental illnesses and developmental disabilities;
how to identify indicators of mental illness and developmental disabilities
how to respond appropriately in common situations;
conflict resolution and de-escalation techniques for potentially dangerous situations involving persons with mental illness or developmental disabilities;
appropriate language use;
alternatives to lethal force; and
community and state resources available to persons who have a mental illness or developmental disabilities.

The statute passed by the Legislature in 2003 did not include a requirement for training to personnel for city and county jail facilities.

Summary of Bill:

Eligibility for Division of Developmental Disability Services.

A person who is booked into a correctional facility would remain eligible for services provided by the Division of Developmental Disabilities (Division). Prior to the person's release from custody or upon his or her release, the person shall be assessed by the Division to determine whether a change in the level of support is necessary.

Reinstatement of Medical Assistance.

The Department of Health and Social Services (Department) must adopt rules and policies which provide that if a person with developmental disabilities is enrolled in medical assistance at the time of incarceration, the medical assistance coverage will be fully reinstated on the day of release, subject to any expedited review of continued eligibility required under federal or state law.

The Department, in collaboration with the Washington Association of Sheriffs and Police Chiefs, the Department of Corrections (DOC), and local jail personnel must establish procedures for coordinating local offices of the Department, correctional institutions, and local jails to ensure prompt reinstatement of eligibility or special eligibility determination for persons likely to be eligible for medical assistance upon release from confinement.

Screening Tool to Identify Persons with Developmental Disabilities.

The Developmental Disabilities Council (DDC) is directed to contract for the development and implementation by, July 1, 2010, of a screening tool to identify persons booked into jail who have a developmental disability. Once a person with a developmental disability is identified, jail or correctional staff must contact the local office of the Department and request whether the person is already a client. The Department must respond within 24 hours. If the person is not already a client, and the Department has not previously determined that the person is ineligible, the Department must, within 48 hours, perform an in-person eligibility determination.

Reasonable Accommodations.

Once a person with a developmental disability is identified, jail or correctional staff must determine reasonable accommodations required for the person while in jail. If the person is eligible for services by the Division, the jail or correctional staff shall consult with the Division in determining what accommodations are necessary.

The DDC is directed, in consultation with the DOC, Department, representatives of local jails, representatives of the state-designated protection and advocacy system and other advocates, to develop short and concise training tools for correctional and jail staff regarding offenders with developmental disabilities.

Transition Program.

The Department, in consultation with the DOC, representatives of local jails and the Developmental Disabilities Council, and other key stakeholder advocate groups shall develop a proposed transition program to support clients with developmental disabilities who are being released from jail into their community. By the 2010 Legislative Session, the Department must submit to the Legislature the proposed transition program.