2006 Legislation
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SENATE BILL NO. 1341 – Early childhood/interventn services

SENATE BILL NO. 1341

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S1341.................................................by HEALTH AND WELFARE
EARLY CHILDHOOD AND EARLY INTERVENTION SERVICES - Amends existing law
relating to early childhood and early intervention services to expand
legislative findings; to expand legislative policy; to revise definitions;
to provide for an early childhood and early intervention system; to provide
for an Early Childhood Coordinating Council; to provide for administration
and oversight of the council; to provide that the council shall be
designated by the governor; to provide council membership and duties; to
provide responsibilities of the Department of Health and Welfare as the
early intervention lead agency; to provide for regional early childhood
coordinating committees; to provide for membership and responsibilities of
the committees; to provide requirements of the individualized family
service plan; to provide for early intervention procedural safeguards; to
specify funding sources; and to create the Early Childhood Coordinating
Council Fund.
                                                                        
02/02    Senate intro - 1st rdg - to printing
02/03    Rpt prt - to Health/Wel
02/07    Rpt out - rec d/p - to 2nd rdg
02/08    2nd rdg - to 3rd rdg
02/14    3rd rdg - PASSED - 35-0-0
      AYES -- Andreason, Brandt, Broadsword, Bunderson, Burkett,
      Burtenshaw, Cameron, Coiner, Compton, Corder, Darrington, Davis,
      Fulcher, Gannon, Geddes, Goedde, Hill, Jorgenson, Kelly, Keough,
      Langhorst, Little, Lodge, Malepeai, Marley, McGee, McKenzie, Pearce,
      Richardson, Schroeder, Stegner, Stennett, Sweet, Werk, Williams
      NAYS -- None
      Absent and excused -- None
    Floor Sponsor - Andreason
    Title apvd - to House
02/15    House intro - 1st rdg - to Health/Wel

Bill Text


                                                                        
                                                                        
  ]]]]              LEGISLATURE OF THE STATE OF IDAHO             ]]]]
 Fifty-eighth Legislature                   Second Regular Session - 2006
                                                                        
                                                                        
                                       IN THE SENATE
                                                                        
                                    SENATE BILL NO. 1341
                                                                        
                              BY HEALTH AND WELFARE COMMITTEE
                                                                        
  1                                        AN ACT
  2    RELATING TO EARLY CHILDHOOD AND  EARLY  INTERVENTION  SERVICES;  AMENDING  THE
  3        HEADING  FOR  CHAPTER  1,  TITLE  16, IDAHO CODE; AMENDING SECTION 16-101,
  4        IDAHO CODE, TO EXPAND LEGISLATIVE FINDINGS AND TO MAKE A TECHNICAL CORREC-
  5        TION; AMENDING SECTION 16-102, IDAHO CODE, TO EXPAND LEGISLATIVE POLICY OF
  6        THE STATE; AMENDING SECTION 16-103, IDAHO CODE, TO REVISE DEFINITIONS  AND
  7        TO  MAKE  TECHNICAL  CORRECTIONS;  AMENDING SECTION 16-104, IDAHO CODE, TO
  8        PROVIDE FOR AN EARLY CHILDHOOD AND  EARLY  INTERVENTION  SYSTEM;  AMENDING
  9        SECTION 16-105, IDAHO CODE, TO PROVIDE FOR AN EARLY CHILDHOOD COORDINATING
 10        COUNCIL,  TO  PROVIDE FOR THE ADMINISTRATION AND OVERSIGHT OF THE COUNCIL,
 11        TO PROVIDE THAT THE COUNCIL BE DESIGNATED BY THE GOVERNOR AND  TO  PROVIDE
 12        COUNCIL  MEMBERSHIP CRITERIA; AMENDING SECTION 16-106, IDAHO CODE, TO PRO-
 13        VIDE DUTIES FOR THE EARLY CHILDHOOD COORDINATING COUNCIL AND TO MAKE TECH-
 14        NICAL CORRECTIONS; AMENDING SECTION 16-107, IDAHO CODE, TO PROVIDE RESPON-
 15        SIBILITIES OF THE DEPARTMENT OF HEALTH AND WELFARE AS THE EARLY  INTERVEN-
 16        TION  LEAD  AGENCY  AND  TO  MAKE  TECHNICAL CORRECTIONS; AMENDING SECTION
 17        16-108, IDAHO CODE, TO PROVIDE FOR REGIONAL EARLY  CHILDHOOD  COORDINATING
 18        COMMITTEES AND TO PROVIDE FOR MEMBERSHIP CRITERIA AND RESPONSIBILITIES FOR
 19        THE  COMMITTEES;  AMENDING  SECTION 16-109, IDAHO CODE, TO REVISE REQUIRE-
 20        MENTS FOR THE INDIVIDUALIZED FAMILY SERVICE PLAN  AND  TO  MAKE  TECHNICAL
 21        CORRECTIONS;  AMENDING  SECTION  16-110,  IDAHO CODE, TO PROVIDE FOR EARLY
 22        INTERVENTION PROCEDURAL SAFEGUARDS  AND  TO  MAKE  TECHNICAL  CORRECTIONS;
 23        AMENDING  SECTION 16-111, IDAHO CODE, TO REVISE USES OF FUNDS, TO REMOVE A
 24        SPECIFIC REFERENCE TO FEDERAL LAW, TO  MAKE  A  TECHNICAL  CORRECTION,  TO
 25        SPECIFY  FUNDING  SOURCES  AND  TO CREATE THE EARLY CHILDHOOD COORDINATING
 26        COUNCIL FUND IN THE STATE TREASURY; AND  AMENDING  SECTION  16-113,  IDAHO
 27        CODE, TO MAKE A TECHNICAL CORRECTION.
                                                                        
 28    Be It Enacted by the Legislature of the State of Idaho:
                                                                        
 29        SECTION  1.  That the Heading for Chapter 1, Title 16, Idaho Code, be, and
 30    the same is hereby amended to read as follows:
                                                                        
 31                                      CHAPTER 1
 32                   EARLY CHILDHOOD AND EARLY INTERVENTION SERVICES
                                                                        
 33        SECTION 2.  That Section 16-101, Idaho Code, be, and the  same  is  hereby
 34    amended to read as follows:
                                                                        
 35        16-101.  LEGISLATIVE  FINDINGS.  The  legislature  finds  that there is an
 36    urgent and substantial need:
 37        (1)  To enhance the understanding of and  the  development  of  all  young
 38    children  from birth to eight (8) years of age, including infants and toddlers
 39    with developmental delays or disabilities in the state of Idaho  in  order  to
 40    minimize  developmental  delay, and to maximize individual potential for adult
 41    independence;
                                                                        
                                           2
                                                                        
  1        (2)  To enhance the capacity of families to  meet  the  special  needs  of
  2    their  young  children,  particularly  infants and toddlers with developmental
  3    delays or disabilities;
  4        (3)  To reduce the educational costs by minimizing the  need  for  special
  5    education  and  related services after young children and infants and toddlers
  6    with developmental delays or disabilities reach school age;
  7        (4)  To reduce social services costs and to  minimize  the  likelihood  of
  8    institutionalization of individuals with developmental delays or disabilities;
  9        (5)  To  reduce  the health costs of preventable secondary impairments and
 10    disabilities by screening and monitoring children at risk  and  improving  the
 11    long-term health of young children, including infants and toddlers with devel-
 12    opmental delays or disabilities; and
 13        (6)  To comply with federal law as it pertains to services for infants and
 14    toddlers with developmental delays or disabilities and their families; and
 15        (7)  To  develop, implement, and sustain a statewide early care and learn-
 16    ing strategic plan.
                                                                        
 17        SECTION 3.  That Section 16-102, Idaho Code, be, and the  same  is  hereby
 18    amended to read as follows:
                                                                        
 19        16-102.  POLICY.  The  legislature intends that the policy of the state of
 20    Idaho shall be:
 21        (1)  To reaffirm the importance of the family in all areas of the  child's
 22    development  and  to  reinforce  the role of the family in the decision making
 23    processes regarding their child;
 24        (2)  To provide assistance and support to  the  family  of  an  infant  or
 25    toddler with a developmental delay or disability that addresses the individual
 26    needs of the family;
 27        (3)  To develop and implement with available resources a statewide screen-
 28    ing and tracking system for infants and toddlers at risk;
 29        (4)  To  develop  and  implement  a statewide, comprehensive, coordinated,
 30    multidisciplinary, interagency system of early childhood and  early  interven-
 31    tion  services  for  all  young children and specifically infants and toddlers
 32    with developmental delays or disabilities and their families;
 33        (5)  To enhance the capacity to provide quality early intervention  child-
 34    hood  services  and  expand  and  improve existing early intervention services
 35    being provided to infants and toddlers with developmental delays or  disabili-
 36    ties;
 37        (6)  To  facilitate  the  coordination  of payment for early childhood and
 38    early intervention services from federal, state, local,  and  private  sources
 39    including public and private insurance coverage; and
 40        (7)  To  guarantee  financial  assistance for the purposes of coordinating
 41    early intervention services in communities and to enhance  their  capacity  to
 42    provide  individualized  services  to  infants and toddlers with developmental
 43    delays or disabilities and their families; and
 44        (8)  To build on statewide outcomes and shared goals that will enhance the
 45    well-being of the child through family and community efforts.
                                                                        
 46        SECTION 4.  That Section 16-103, Idaho Code, be, and the  same  is  hereby
 47    amended to read as follows:
                                                                        
 48        16-103.  DEFINITIONS. In this chapter:
 49        (1)  "Allocation"  means  state and federal funds designated for coordina-
 50    tion of program functions in the seven (7) regions.
 51        (2)  "Applications" means the documents submitted by the  regional  infant
                                                                        
                                           3
                                                                        
  1    toddler early childhood committees to the infant toddler early childhood coor-
  2    dinating  council,  detailing  the  budget  request for the regional committee
  3    activities and comprehensive component plans for the planning and coordination
  4    of programs authorized in this chapter.
  5        (3)  "Awards and contracts" means the state and federal  funds  designated
  6    by  the  early  intervention  lead  agency or the early childhood coordinating
  7    council for projects relating to planning, resource development, or  provision
  8    of direct service.
  9        (4)  "Council"  means  the  state interagency early childhood coordinating
 10    council established in section 16-105, Idaho Code.
 11        (5)  "Director" means the director of the department of  health  and  wel-
 12    fare.
 13        (6)  "Early intervention services" means those services which are provided
 14    under  public supervision by qualified personnel, in conformity with the indi-
 15    vidualized family service plan (IFSP), and are designed to meet  the  develop-
 16    mental  needs  of eligible children as defined in this chapter. These services
 17    are selected and provided in collaboration with  the  families;  and,  to  the
 18    extent  appropriate,  are  provided  in types of settings in which infants and
 19    toddlers without developmental delays or disabilities would participate. These
 20    services, necessary to enable the child to benefit from the other early inter-
 21    vention services, include:
 22        (a)  aAudiology;
 23        (b)  case management Service coordination services, including  transitions
 24        planning;
 25        (c)  fFamily training, counseling or home-based services;
 26        (d)  hHealth services including dental;
 27        (e)  mMedical services for diagnostic or evaluation purposes only;
 28        (f)  nNursing services to support the implementation of the IFSP;
 29        (g)  nNutrition services;
 30        (h)  oOccupational therapy;
 31        (i)  pPhysical therapy;
 32        (j)  pPsychological services;
 33        (k)  rRespite care;
 34        (l)  sSocial work services;
 35        (m)  sSpecial instruction/developmental therapy;
 36        (n)  sSpeech and language pathology services; and
 37        (o)  tTransportation  including  the  cost  of  travel  (e.g., mileage, or
 38        travel by taxi, common carrier, or other means) and related costs (parking
 39        expense) that are necessary to enable an eligible child  and  the  child's
 40        family to receive early intervention services; and
 41        (p)  Vision and mobility training.
 42        (67)  "Early childhood and early intervention system" means the management
 43    structure established in this chapter, comprised of the interdependent contin-
 44    uum  of  services  and activities for the provision of a statewide, comprehen-
 45    sive, coordinated, multidisciplinary, interagency program for  young  children
 46    who have a disability or are at risk from birth to eight (8) years of age.
 47        (8)  "Early childhood services" means services delivered by entities which
 48    meet current nationally recognized standards applicable to them, or other com-
 49    parable standards adopted by promulgated rules.
 50        (9)  "Early  intervention  lead agency" means the department of health and
 51    welfare.
 52        (710) "Health and safety standards" means those  standards  which  address
 53    the  facilities  where early intervention young children receive services, are
 54    offered, excluding the child's home. Such standards may include, but  are  not
 55    limited to, the dimensions or size of a facility, communicable disease, social
                                                                        
                                           4
                                                                        
  1    environment, nutrition, immunization, and fire codes.
  2        (811) "Include"  means  that  all  items named are not all of the possible
  3    items that are covered whether like or unlike the ones named.
  4        (912) "Individualized family service plan (IFSP)"  means  a  written  plan
  5    designed  to  address  the  strengths  and  needs of an infant or toddler with
  6    developmental delays or disabilities and the family that  meets  the  require-
  7    ments of section 16-109, Idaho Code.
  8        (103) "Infants  and  toddlers  at  risk" means children who are in need of
  9    screening and tracking services to  monitor  their  development  because  they
 10    have:
 11        (a)  Medical   or  biological  risk  factors,  which  refer  to  prenatal,
 12        perinatal, and neonatal events which increase the probability  of  delayed
 13        development  or result in disability (e.g., low birth weight, prematurity,
 14        abnormal neurological findings); or
 15        (b)  Environmental risk factors, which refer  to  high-risk  environmental
 16        influences  that  may affect development or result in developmental delays
 17        or disability (e.g., adolescent parent,  poverty,  psychiatric  stress  or
 18        known history of child abuse or neglect).
 19        (114) "Infants  and  toddlers  with  developmental delays or disabilities"
 20    means children from ages birth to thirty-six (36) months who need early inter-
 21    vention services because:
 22        (a)  They are experiencing developmental delays, as measured by diagnostic
 23        instruments and procedures (referenced in administrative rules) in one (1)
 24        or more of the following areas:
 25             (i)   pPhysical development;
 26             (ii)  cCognitive development;
 27             (iii) cCommunication, language, speech and hearing development;
 28             (iv)  psychosocial Social and emotional development;
 29             (v)   self-help Adaptive skills;
 30             (vi)  sSensory skills; or
 31        (b)  They are at risk of experiencing developmental delay  due  to  estab-
 32        lished  risk  factors, which refer to diagnosed disorders where the condi-
 33        tion is known to ultimately affect development  or  result  in  disability
 34        (e.g.,   the   congenital  anomalies  associated  with  Down  syndrome  or
 35        hydrocephaly, or prenatal exposure to substances).
 36        (12) "Lead agency" means the department of health and welfare.
 37        (135) "Multidisciplinary team" means a group comprised of the parent(s) or
 38    legal guardian and the professionals described in this chapter,  as  appropri-
 39    ate,  who  are assembled for the purposes of assessing the developmental needs
 40    of an infant or toddler, developing the IFSP,  and  providing  the  infant  or
 41    toddler and the family with the early intervention services as detailed in the
 42    IFSP designed to meet the individual family needs.
 43        (146) "Program  standards"  means  those  nationally  acceptable standards
 44    which address the coordination and provision of early  intervention  childhood
 45    services.  Such  standards  may include, but are not limited to, service year,
 46    length of program, personnel qualifications, staff/child ratio, caseload, max-
 47    imum class size, and length of day.
 48        (157) "Qualified" means that a person has met  the  highest  standards  of
 49    state  approved  or recognized certification, licensing, registration or other
 50    comparable requirements that apply to the area in which the person is  provid-
 51    ing early intervention childhood services.
 52        (168) "Region"  means  one  (1) of the seven (7) administrative regions of
 53    the lead agency as defined by the department of health and welfare.
 54        (179) "Regional committee" means an interagency early childhood coordinat-
 55    ing committee established within each of the seven (7) administrative  regions
                                                                        
                                           5
                                                                        
  1    of  the  early intervention lead agency to facilitate interagency coordination
  2    at the regional level and provide applications for regional committee  activi-
  3    ties, planning and direction for regional program activities.
  4        (1820) "Screening  and  tracking  services"  means  the  identification of
  5    infants and toddlers delayed or at risk of  delay  using  standardized  proce-
  6    dures,  and  the entry of demographic information into an automated system for
  7    periodically monitoring the child's services or need for services.
  8        (1921) "Service  providers"  means  those  individuals  or  programs  that
  9    deliver services to young children and specifically those eligible infants and
 10    toddlers and their families in compliance with  the  applicable  standards  of
 11    state and local licensing and operational rules and regulations.
                                                                        
 12        SECTION  5.  That  Section  16-104, Idaho Code, be, and the same is hereby
 13    amended to read as follows:
                                                                        
 14        16-104.  EARLY CHILDHOOD AND EARLY INTERVENTION SYSTEM. The  early  child-
 15    hood  and  early  intervention  system shall consist of the early intervention
 16    lead agency, early childhood coordinating council, the regional  early  child-
 17    hood  coordinating committees, program personnel, a statewide parent education
 18    and resource system, eligible children, families, advocates,  and  public  and
 19    private  providers  of  early  childhood  and early intervention services. The
 20    early intervention lead agency in partnership with the early childhood coordi-
 21    nating council shall identify statewide and regional early intervention  staff
 22    to be responsible for planning, developing, coordinating, monitoring and eval-
 23    uating the requirements of this chapter.
                                                                        
 24        SECTION  6.  That  Section  16-105, Idaho Code, be, and the same is hereby
 25    amended to read as follows:
                                                                        
 26        16-105.  INTERAGENCY EARLY CHILDHOOD COORDINATING COUNCIL. (1) The  gover-
 27    nor  shall appoint the members and the a chair or co-chairs of the interagency
 28    early childhood coordinating council.  For  budgetary  purposes,  the  council
 29    shall  be  assigned  to the lead agency The administration and budgetary over-
 30    sight shall be designated by the governor. The term of appointment for a  mem-
 31    ber  of  the council shall be three (3) years, and members may be reappointed.
 32    In making appointments to the council, the governor shall ensure that the mem-
 33    bership geographically represents the population of the state and the entities
 34    who have responsibility for early childhood and early intervention services.
 35        (2)  The council membership shall consist of at least  those  required  by
 36    federal code including:
 37        (a)  Parents  of young children to include aAt least three (3) twenty per-
 38        cent (20%) of council membership who are parents of  young  children  with
 39        developmental delays or disabilities;
 40        (b)  At  least  three two (32) public or private providers of early inter-
 41        vention services;
 42        (c)  At least three (3) professionals who provide early care and  learning
 43        services such as preschool, elementary school, parent education, childcare
 44        or afterschool care;
 45        (d)  At least one (1) member of the state legislature;
 46        (de)  At least one (1) person involved in personnel preparation;
 47        (ef)  The superintendent of public instruction, or designee;
 48        (f)  A representative of the executive council of the lead agency;
 49        (g)  A  physician  or  health care professional skilled in early interven-
 50        tion;
 51        (h)  A representative of the council on  developmental  disabilities  from
                                                                        
                                           6
                                                                        
  1        early childhood professional organizations;
  2        (i)  A representative of the state medicaid agency;
  3        (j)  A  representative  of  the state child welfare agency responsible for
  4        foster care;
  5        (k)  A representative of the state agency responsible for children's  men-
  6        tal health;
  7        (l)  A  representative  of  the  state agency responsible for maternal and
  8        child health;
  9        (m)  A representative of the state department of insurance;
 10        (n)  A representative of the office of the coordinator of education of the
 11        homeless;
 12        (o)  A representative of the Idaho migrant council or migrant  head  start
 13        program;
 14        (p)  A  representative  of  either  the  bureau  of Indian affairs, Indian
 15        health services or an American Indian head start program;
 16        (q)  A representative of the state agency responsible for child care;
 17        (r)  A head start association or program representative;
 18        (s)  A representative of the head start collaboration office;
 19        (t)  A representative of the governor's office;
 20        (u)  A representative of the Idaho infant toddler program; and
 21        (v)  A representative of the seven (7) regional early childhood coordinat-
 22        ing committees as described in section 16-108, Idaho Code.
                                                                        
 23        SECTION 7.  That Section 16-106, Idaho Code, be, and the  same  is  hereby
 24    amended to read as follows:
                                                                        
 25        16-106.  DUTIES  OF  EARLY  CHILDHOOD  COORDINATING COUNCIL. (1) The early
 26    childhood coordinating council shall have the following authority, duties  and
 27    responsibilities,  and  such  other  functions as may be assigned by executive
 28    order:
 29        (a)  To assist the early intervention lead agency and all other  appropri-
 30        ate agencies in ensuring the joint development and maintenance of a state-
 31        wide  system of coordinated, comprehensive, multidisciplinary, interagency
 32        programs providing early childhood and early intervention services to  all
 33        infants  and  toddlers with developmental delays or disabilities and their
 34        families. Such system shall Minimum components necessary for  a  statewide
 35        early childhood and early intervention system include: the following mini-
 36        mum components:
 37             (i)    a  A  definition of child and family early intervention eligi-
 38             bility under this program;
 39             (ii)   a A central directory, accessible to the general public;
 40             (iii)  a A public awareness program;
 41             (iv)   a A child find program consistent with  the  individuals  with
 42             disabilities  education act, as amended, which identifies infants and
 43             toddlers with developmental delays or  disabilities  and  other  risk
 44             factors;
 45             (v)    a  A  comprehensive,  multidisciplinary  evaluation  for  each
 46             referred child referred to early intervention;
 47             (vi)   a A program of personnel development;
 48             (vii)  sStandards  and  certification  necessary  to assure qualified
 49             personnel;
 50             (viii) fFamily education  and  participation;  throughout  the  early
 51             intervention system;
 52             (ix)   a A statewide data collection system for monitoring and evalu-
 53             ating  the  early childhood and early intervention system. The system
                                                                        
                                           7
                                                                        
  1             shall meet  the  individuals  with  disabilities  education  act,  as
  2             amended, federal requirements and statewide needs;
  3             (x)    aAn  individualized  family  services  plan  for each eligible
  4             child and family who chooses to participate in the early intervention
  5             program;
  6             (xi)   pProcedural  safeguards  that  meet  the  federal  and   state
  7             requirements. in section 16-110, Idaho Code.
  8        (b)  To  assist the early intervention lead agency and all other appropri-
  9        ate agencies to ensure:
 10             (i)   aAdoption of uniform or compatible administrative rules dealing
 11             with early childhood and early intervention services;
 12             (ii)  rReasonable transition  between  and  among  the  participating
 13             agencies;
 14             (iii) aAvailable  funds  under  the  provisions  of  this chapter are
 15             shared by the participating agencies in a  manner  that  enables  the
 16             optimum provision of necessary services for the children and the fam-
 17             ily families;
 18             (iv)  uUniformity of program and health and safety standards; and
 19             (v)   pProgram  policies dealing with early childhood and infants and
 20             toddlers with developmental delays or disabilities and their families
 21             reflect the policy priorities of the council.
 22        (c)  To participate with the early intervention lead agency in the  imple-
 23        mentation  of time lines timelines for a statewide, comprehensive, coordi-
 24        nated, interagency system of early intervention services;
 25        (d)  To prepare and submit periodic reports no less than annually  to  the
 26        governor, legislature and the early intervention lead agency on the status
 27        of  early  childhood  and  early  intervention  programs  for  infants and
 28        toddlers with developmental delays or disabilities and their families with
 29        recommendations for timely corrective action as needed;
 30        (e)  To develop a public awareness program focusing on the  importance  of
 31        early  care  and learning and early identification of infants and toddlers
 32        with developmental delays or disabilities;
 33        (f)  To participate with the early  intervention  lead  agency  and  other
 34        appropriate  agencies  in  the  development,  maintenance, evaluation, and
 35        revision of program, health and safety standards;
 36        (g)  To conduct public hearings promote public input and  community  needs
 37        assessments  for  the  purpose of developing and maintaining the statewide
 38        strategic plan and applications for funding;
 39        (h)  To monitor and update implementation of the statewide strategic plan;
 40        and
 41        (i)  To prepare an operating budget and review expenditures annually.
 42        (2)  No member of the council shall cast a vote on any matter which  would
 43    provide  direct financial benefit to that member or otherwise give the appear-
 44    ance of a conflict of interest.
                                                                        
 45        SECTION 8.  That Section 16-107, Idaho Code, be, and the  same  is  hereby
 46    amended to read as follows:
                                                                        
 47        16-107.  RESPONSIBILITIES  OF  THE  DEPARTMENT  OF HEALTH AND WELFARE. The
 48    department of health and welfare, as the early intervention  lead  agency  for
 49    administration of the provisions of this chapter, shall have primary responsi-
 50    bility for:
 51        (a1)  The administration of all funds appropriated to implement the provi-
 52    sions of early intervention services of this chapter;
 53        (b2)  The  identification  and  coordination  of  all  available financial
                                                                        
                                           8
                                                                        
  1    resources within the state from federal, state, local and private sources;
  2        (c3)  The entry into formal intra-agency and interagency  agreements  with
  3    other agencies involved in early childhood or early intervention services. The
  4    agreement(s)  must  include  programmatic and financial responsibility, proce-
  5    dures for resolving disputes and additional  components  necessary  to  ensure
  6    effective  cooperation  and  coordination  among  all agencies involved in the
  7    state's early  intervention  system.  Agreements  are  to  include  statements
  8    addressing nonsubstitution or commingling of funds, interim payments and reim-
  9    bursements, nonreduction of benefits and confidentiality. Agreements are to be
 10    signed by the administrators of:
 11        (ia)  tTitle  V,  social  security  act  (relating  to  maternal and child
 12        health);
 13        (iib)  tTitle XIX, social security act (relating to medicaid and EPSDT);
 14        (iiic)  tThe head start act;
 15        (ivd)  pParts B and HC of the individuals with disabilities education act,
 16        as amended;
 17        (ve)  sSubpart 2, part B, chapter title I of title  I  of  elementary  and
 18        secondary education act, 1964, as amended the no child left behind act, as
 19        amended;
 20        (vif)  tThe  developmentally  disabled  assistance  and bill of rights act
 21        (PL100-146);
 22        (viig)  oOther federal programs.
 23        (d4)  The entry into contracts with service  provider  agencies  within  a
 24    local community which have been identified by the regional committee;
 25        (e5)  The development of procedures to monitor early intervention services
 26    that  are  provided  to infants and toddlers with developmental delays or dis-
 27    abilities and their families;
 28        (f6)  The development of procedures to ensure that early intervention ser-
 29    vices are provided to infants and toddlers with developmental delays  or  dis-
 30    abilities and their families in a timely manner pending resolution of any dis-
 31    putes among public agencies or service providers;
 32        (g7)  The writing of all policy policies and procedures and administrative
 33    rules  in  conjunction with the council which are necessary for implementation
 34    of the provisions of this chapter;
 35        (h8)  Providing staff and services as may be necessary to  carry  out  the
 36    functions of the interagency early childhood coordinating council.
                                                                        
 37        SECTION  9.  That  Section  16-108, Idaho Code, be, and the same is hereby
 38    amended to read as follows:
                                                                        
 39        16-108.  REGIONAL  EARLY  CHILDHOOD  COORDINATING  COMMITTEES.   (1)   The
 40    regional director of each of the seven (7) administrative regions of the early
 41    intervention  lead  agency  shall  appoint a local interagency early childhood
 42    coordinating committee to assist the regional early intervention  lead  agency
 43    and  all  other appropriate agencies in the planning and coordinating of early
 44    childhood and early intervention services for infants and toddlers with devel-
 45    opmental delays or disabilities and  their  families  who  reside  within  the
 46    region  served  by  the  regional  committee.  With  recommendations  from the
 47    regional committee, the regional  director  shall  appoint  staff  to  support
 48    regional  committee  activities and early intervention services. Staff persons
 49    will report to the regional director.
 50        (2)  Membership on the committee shall consist of parents, agency  person-
 51    nel  with the authority to effectively represent their agencies and other pub-
 52    lic officials, early childhood professionals and private providers.
 53        (3)  The regional interagency early childhood coordinating committee shall
                                                                        
                                           9
                                                                        
  1    have the following responsibility responsibilities:
  2        (a)  To advise and assist the  early  childhood  coordinating  council  on
  3        regional issues or concerns; and
  4        (b)  To  assist  the  early intervention lead agency and other appropriate
  5        agencies in the implementation of the early intervention system locally as
  6        stipulated in rules and regulations; and
  7        (c)  To identify and nominate a representative for  consideration  as  the
  8        representative  of  the  seven  (7) regional committees on the state early
  9        childhood coordinating council.
                                                                        
 10        SECTION 10.  That Section 16-109, Idaho Code, be, and the same  is  hereby
 11    amended to read as follows:
                                                                        
 12        16-109.  INDIVIDUALIZED  FAMILY  SERVICE  PLAN.  (1)  Infants and toddlers
 13    receiving early intervention services and their  families  shall  receive  the
 14    following:
 15        (a)  A  comprehensive  multidisciplinary  evaluation  of the strengths and
 16        needs of the infant or toddler and the family, and the  identification  of
 17        services to meet such needs;
 18        (b)  An  explanation  of  the multidisciplinary evaluation and all service
 19        options in the family's native language or through an interpreter, if nec-
 20        essary; and
 21        (c)  A  written  individualized  family  service  plan  developed   by   a
 22        multidisciplinary  team with the parents as fully participating members of
 23        the team.
 24        (2)  The individualized family service plan shall be  developed  within  a
 25    reasonable  time following the completed evaluation required in subsection (1)
 26    of this section.   With  the  parent's  consent,  development  of  an  interim
 27    individualized  family  service plan and compliance with evaluation timelines,
 28    early intervention services may commence  prior  to  the  completion  of  such
 29    assessment.
 30        (3)  The individualized family service plan shall be in writing and a copy
 31    of  the plan shall be made available to the family, and in the family's native
 32    language when appropriate and necessary to  ensure  understanding,  and  shall
 33    contain the following:
 34        (a)  A  statement  of the infant's or toddler's present levels of physical
 35        development, cognitive development,  communication,  language  and  speech
 36        development,   psychosocial  social  and  emotional  development,  sensory
 37        impairment development and self-help adaptive skills  based  on  objective
 38        criteria;
 39        (b)  A  statement of the family's strengths and needs related to enhancing
 40        the development of the infant or toddler with developmental delays or dis-
 41        abilities, developed with concurrence of the family;
 42        (c)  A statement of the goals and objectives expected to be  achieved  for
 43        the  infant or toddler and the family, including the criteria, procedures,
 44        and time lines timelines used to determine the degree  to  which  progress
 45        toward  achieving the outcomes is being made, and whether modifications or
 46        revisions of the outcomes or services are necessary;
 47        (d)  A statement of specific early intervention services necessary to meet
 48        the individual needs of the infant or toddler with developmental delays or
 49        disabilities and the family; such statement should include the  frequency,
 50        intensity and the method of delivering these services;
 51        (e)  A  statement of the health status, and medical needs of the infant or
 52        toddler and family to support the development of the child, and the  names
 53        of the health care providers;
                                                                        
                                           10
                                                                        
  1        (f)  The  projected  dates  for initiation of services and the anticipated
  2        duration of such services;
  3        (g)  The name of the case manager service coordinator who will be  respon-
  4        sible  for  facilitating  the  implementation of the plan and coordination
  5        with other agencies and persons; and
  6        (h)  The steps to be taken in supporting the transition of the  infant  or
  7        toddler to other services.
  8        (4)  The  individualized  family  service plan shall serve as the singular
  9    comprehensive service plan for all agencies involved in providing early inter-
 10    vention services to the infant or toddler and the family.
 11        (5)  The individualized family service plan shall be evaluated once a year
 12    and the family shall be provided a review of the plan at six (6) months inter-
 13    vals or more frequently where appropriate based on the needs of the infant  or
 14    toddler and the family.
                                                                        
 15        SECTION  11.  That  Section 16-110, Idaho Code, be, and the same is hereby
 16    amended to read as follows:
                                                                        
 17        16-110.  EARLY INTERVENTION PROCEDURAL SAFEGUARDS. The early  intervention
 18    procedural safeguards to be included in the statewide system shall provide, at
 19    a minimum, the following:
 20        (1)  The timely administrative resolution of complaints by parents;
 21        (2)  The right to confidentiality of personally identifiable information;
 22        (3)  The  opportunity for the parents or guardian to examine and receive a
 23    copy of records relating to assessment, screening eligibility  determinations,
 24    and the development and implementation of the IFSP;
 25        (4)  Procedures to protect the rights of the infant or toddler with devel-
 26    opmental  delays or disabilities whenever the parents or guardian of the child
 27    are is not known or are is unavailable or the child is a ward  of  the  state,
 28    including the assignment of an individual (who shall not be an employee of any
 29    state agency involved in the provision of early intervention or other services
 30    to the child) to act as surrogate for the parents or guardian;
 31        (5)  Written  notice  to  the parents or guardian of the infant or toddler
 32    whenever the state agency or service provider proposes, or refuses, to  initi-
 33    ate  or  change the identification, evaluation, placement, or the provision of
 34    early intervention services to the infant or toddler;
 35        (6)  Written consent of the parents or guardian of the infant  or  toddler
 36    whenever  the  state agency or service provider proposes to initiate or change
 37    the identification, evaluation, placement or the provision of early  interven-
 38    tion services to the infant or toddler;
 39        (7)  Procedures  designed to assure that the notice required in subsection
 40    (5) of this section fully informs the parents or guardian, in the parents'  or
 41    guardian's  native  language  or by an interpreter of all procedures available
 42    pursuant to this section; and
 43        (8)  Procedures for impartial complaint resolution.
                                                                        
 44        SECTION 12.  That Section 16-111, Idaho Code, be, and the same  is  hereby
 45    amended to read as follows:
                                                                        
 46        16-111.  USES  OF FUNDS. Funds for the early childhood and early interven-
 47    tion system may be used according to the following provisions:
 48        (1)  The use of the federal P.L. 99-457, part H individuals with disabili-
 49    ties education act, as amended, funds as well as state funds for early  inter-
 50    vention  services  shall  be  allocated  by the director through collaborative
 51    regional programs to implement the statewide system required under  such  law,
                                                                        
                                           11
                                                                        
  1    in the following priority:
  2        (1a)  For  early intervention services to infants and toddlers with devel-
  3        opmental delays or disabilities that are not otherwise provided from other
  4        public or private funds;
  5        (2b)  To expand and improve on the services for infants and toddlers  with
  6        developmental delays or disabilities that are otherwise available; and
  7        (3c)  For screening and tracking of infants and toddlers at risk of devel-
  8        opmental delay.
  9        (2)  The early childhood coordinating council may accept private contribu-
 10    tions, federal funds, funds from other public agencies or any other sources.
 11        (3)  There is hereby established in the state treasury the early childhood
 12    coordinating  council  fund.  The  moneys  shall  be used to support statewide
 13    efforts in the development and sustainability of this council and  to  support
 14    early childhood services.
                                                                        
 15        SECTION  13.  That  Section 16-113, Idaho Code, be, and the same is hereby
 16    amended to read as follows:
                                                                        
 17        16-113.  MAINTENANCE OF EXISTING PROGRAM LEVELS. Nothing in  this  chapter
 18    shall be construed to permit:
 19        (1)  The reduction of local, state, or federal medical or other assistance
 20    available;
 21        (2)  The  alteration  of  eligibility under title V of the social security
 22    act (relating to maternal and child health);
 23        (3)  The alteration of eligibility under title XIX of the social  security
 24    act  (relating  to medicaid for infants and toddlers with developmental delays
 25    or disabilities);
 26        (4)  The reduction of early intervention services provided  by  the  state
 27    department  of  education, the department of health and welfare, or the school
 28    for the deaf and the blind.

Statement of Purpose / Fiscal Impact


                      STATEMENT OF PURPOSE

                           RS 15492C1

Proposed amendments to Title 16, Chapter 1, the Early
Intervention Services Act to modify the Interagency Coordinating
Council's (ICC) duties (16-105) by expanding the scope of
responsibility to incorporate the spectrum of early childhood
matters (age birth through age 8) and expanding membership to
assure representation to meet the reauthorized requirements of
the federal Individuals with Disabilities Education Act, Part C,
P. L. 108-446, and assure needed representation to advise and
assist implementation of the Early Care and Learning Plan
recently completed by the Early Care and Learning Cross System
Task Force (ECLCSTF).  The proposal would move responsibility for
the ICC out of the Dept. of Health and Welfare and merge the work
of the ICC with that of the ECLCSTF (currently staffed through
the Governor's office) to prevent duplicated effort, ensure
coordination, align plans, and create efficiencies in operations.




                          FISCAL NOTE

There is no increased fiscal impact expected from the proposed
amendments. The following change will be required: current funds
that support the ICC will be re-directed ($37,000/yr.) from the
Department of Health and Welfare to be combined with the portion
of the existing 3 year Maternal and Child Health Early Childhood
Comprehensive Systems grant funds that are dedicated for the
ECLCSTF staffing and task force operations (approx. $52,000/yr.). 
These existing resources will sustain staffing and operating
expenses for the merged council.





CONTACT
Name:     Mary Jones
Agency:   Health and Welfare
Phone:    334-5523


STATEMENT OF PURPOSE/FISCAL NOTE                             S 1341