HB 446 CONCERNS IDENTIFIED BY STAKEHOLDERS (as of 3/23/10) 1. HB 446 is Worded In a Manner that It Seeks to Enforce Ohio Law on Non-Ohio Entities Section 3109.90 (A) implies that out-of-state entities must comply with Ohio law and regulations if they receive an Ohio child for placement. Since out-of-state entities are inherently exempt from another state’s laws, this section of the bill should be amended to clarify. OACCA Response: We recommend that the bill be amended to clarify that Ohio agencies shall not place a child into an out-of-state entity that is not eligible to receive the child. In other words, HB 446 should technically enforce Ohio law and regulations on Ohio placing agencies, not out-of-state receiving agencies. 2. Duties Could be Delegated to Local County Agencies HB 446 does not explicitly prohibit ODJFS or ODMH from delegating responsibility for enforcement of the bill’s provisions to county custodial agencies. OACCA Response: Juvenile courts and children services agencies lack resources to enforce the HB 446 provisions. Enforcement should be centralized in state agencies that have responsibility for child protection and the licensing of child serving agencies. We recommend that HB 446 be amended to specify that the state agencies may not promulgate rules to delegate any enforcement provision included in the legislation to local agencies under their jurisdiction. 3. HB 446 Could be Applicable to Kinship, Foster, and Adoptive Placements HB 446 as introduced was not originally intended to apply to the placement of Ohio children into foster homes, kinship homes, or pre-adoptive or adoptive homes that are located out-of-state. It is unclear if the bill does in fact apply to these placements. If it does, it is unclear if the bill would have any tangible effect on those placements. OACCA Response: This issue needs to be addressed by ODJFS to understand if the bill, as introduced, will have any effect on these placements. We do not believe it is necessary to apply the requirements of HB 446 to these placements. Instead, it is necessary for the bill to apply to residential and group home placements only. 4. Without a Phase-In, Enactment May Cause Initial Undue Burden On State Departments The bill does not currently address how these changes would be phased into practice. The bill does not intend to mandate immediate placement disruptions upon enactment. OACCA Response: We recommend that HB 446 be amended to specify that enforcement of the bill’s provisions by the state departments will be phased in over a period of time. We suggest that the departments submit a recommended phase-in period to the sponsor. 1 5. Should ODJFS-ODMH Oversee Out-of-State Commitments/Detention Holding Settings The bill gives ODJFS and ODMH responsibility to enforce its provisions on out-of-state placements, commitments, and detention holdings. It is expected that the vast majority of these placement settings will be settings equivalent to in-state children’s residential centers. However, some of the out-of-state settings may more closely resemble in-state detention facilities. Since ODJFS and ODMH are not involved in licensing or certifying in-state detention facilities, they may not be the appropriate entity to enforce this aspect of HB 446. OACCA Response: No, OACCA believes that it is not necessary to apply the requirements of HB 446 to these types of placements. It is our understanding that out-of-state commitments and detention holdings occur rarely. Further, ODJFS and ODMH lack the expertise to determine if an out-of-state detention center meets Ohio standards for detention as these departments do not oversee those settings. (There is no state department that oversees the settings -- local juvenile courts do.) 6. Should ODJFS-ODMH Oversee Out-of-State Placements of Developmentally Disabled Children The bill gives ODJFS and ODMH responsibility to enforce its provisions on out-of-state placements of children, which would include children who receive services through local DD boards. While many of these children are served in facilities that fall under the purview of ODJFS or ODMH, some are actually served through ODDD certified or licensed agencies. (Note: 5101:2-1-01 of the Ohio Revised Code specifies that placements into DD agencies do not occur through the ICPC law.) OACCA Response: Yes, OACCA recommends that ODDD be added to the list of state agencies responsible for enforcement of HB 446 as it relates to their in-state regulatory responsibilities for DD agencies. 7. Out-of-State Agencies May Increase the Cost of Serving Ohio Children if Charged Compliance Fees Since the bill authorizes state departments to charge any applicable fee to an out-of-state agency that receives an Ohio child for placement, out-of-state agencies may offset this fee by increasing their cost of care. OACCA Response: There is no way of knowing if this hypothetical situation would occur. 8. HB 446 Could Prevent Placement of Ohio Children Into Out-of-State Agencies That Have Not Sought Approval to Receive Ohio Children Since county custodial agencies must sometimes make emergency placements of children into residential centers, this time period may not be sufficient for an out-of-state agency to be reviewed for compliance. OACCA Response: We expect that any out-of-state agency that plans or hopes to receive Ohio children for placement would have sought compliance approval from our state in advance. We also expect that Ohio county custodial agencies that plan to place a child into one of these agencies would urge them to apply for compliance ahead of time. 2 Further, when a county custodial agency must make an emergency placement of a child who requires a therapeutic level of care, there are many residential centers, emergency shelter care facilities, and treatment-level respite foster homes in Ohio that may be suitable to provide short term care for the child while the county explores long term placement options. In fact, many counties have contracts with privately-operated residential centers for shelter and residential care that stipulate “no reject” admission policies. The legislation also provides state department flexibility to promulgate rules to address this type of issue. (Perhaps the state departments would promulgate rules to develop an expedited approval process for out-of-state entities who wish to receive emergency placements of Ohio children.) 9. PNAs Should Not be Listed as an Applicable Placing Agency Section 3109.90 (E) includes under the list of custodial placing agencies a “private non-custodial agency”, even though PNAs lack the legal function of placing children. OACCA Response: While inclusion of PNAs will not have an effect, the reference should be removed as a technical amendment so as to not cause confusion. 3