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A10183 Summary:

BILL NOA10183
 
SAME ASNo Same As
 
SPONSORRules (Lunsford)
 
COSPNSR
 
MLTSPNSR
 
Amd §423, Soc Serv L
 
Relates to requiring the child abuse multidisciplinary team to make available a child abuse medical specialist for consultations; requires such child abuse specialist become a member of the child abuse multidisciplinary team by January 1, 2025.
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A10183 Actions:

BILL NOA10183
 
05/05/2022referred to children and families
05/10/2022reported referred to rules
05/17/2022reported
05/17/2022rules report cal.268
05/17/2022ordered to third reading rules cal.268
05/17/2022passed assembly
05/17/2022delivered to senate
05/17/2022REFERRED TO CHILDREN AND FAMILIES
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A10183 Memo:

NEW YORK STATE ASSEMBLY
MEMORANDUM IN SUPPORT OF LEGISLATION
submitted in accordance with Assembly Rule III, Sec 1(f)
 
BILL NUMBER: A10183
 
SPONSOR: Rules (Lunsford)
  TITLE OF BILL: An act to amend the social services law, in relation to including a child abuse medical specialist on the child abuse multidisciplinary team 1.   PURPOSE: This bill would incorporate, on a phased in basis, child abuse medical specialists into the existing child abuse multidiscipli- nary teams. 2.   SUMMARY OF PROVISIONS: Section one of the bill amends subdivision 6 of section 423 of the social services law to require social services districts with a child abuse multidisciplinary team to make efforts to add a child abuse medical specialist to the MDT. Child abuse medical specialists must be added to the multidisciplinary team unless the team certifies to the Office of Children and Family Services that it is unable to do so due to a lack of available specialists in the region or due to fiscal hardship. Section two provides for an immediate effective date. 3.   EXISTING LAW: Subdivision 6 of section 423 of the social services law allows a social services district to establish a multidisciplinary team for the purpose of conducting investigations of suspected child abuse and neglect reports. Members of the team include representatives from child protec- tive services, law enforcement, district attorney's office, physician or medical provider trained in forensic pediatrics, mental health profes- sionals, victim advocacy personnel and, if one exists, a child advocacy center. Members of the team participate in joint interviews and provide victim advocacy, emotional support, and access to medical and mental health care, as appropriate. 4.   LEGISLATIVE HISTORY: None. 5.   STATEMENT IN SUPPORT: Child abuse is a public health concern that can lead to long term impacts on an individual's health, opportunity, and well-being. Child abuse multidisciplinary teams are used throughout New York State to conduct investigations of child abuse reports. The multidisciplinary approach allows for collaboration and coordination across systems. Adding child abuse medical professionals (nurses, nurse practitioners, family medicine physicians, and pediatricians) who specialize in the detection, evaluation and prevention of child abuse to multidisciplinary teams will enhance the quality of investigations at the regional level. These child abuse specialists will improve New York State's clinical response to suspected child abuse by improving the examination, treat- ment, documentation, community referral, and management of cases, and increase the number of health care providers educated in child sexual abuse evaluations. 6.   BUDGET IMPLICATIONS: None. 7.   LOCAL IMPACT: Adding child abuse medical specialists to multidisciplinary teams at the regional level will improve efforts regarding prevention, child abuse detection, and trauma informed and responsive medical evaluations for child abuse.
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A10183 Text:



 
                STATE OF NEW YORK
        ________________________________________________________________________
 
                                          10183
 
                   IN ASSEMBLY
 
                                       May 5, 2022
                                       ___________
 
        Introduced by COMMITTEE ON RULES -- (at request of M. of A. Lunsford) --
          (at  request  of  the  Office of Children and Family Services) -- read
          once and referred to the Committee on Children and Families
 
        AN ACT to amend the social services law,  in  relation  to  including  a
          child  abuse  medical  specialist on the child abuse multidisciplinary
          team

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:
 
     1    Section 1. Subdivision 6 of section 423 of the social services law, as
     2  amended  by  chapter  574  of  the  laws  of 2008, is amended to read as
     3  follows:
     4    6. A social services district may establish a multidisciplinary inves-
     5  tigative team or teams and may establish or work  as  part  of  a  child
     6  advocacy  center  established  pursuant  to section four hundred twenty-
     7  three-a of this title, at a local or regional level, for the purpose  of
     8  investigating  reports  of  suspected  child  abuse or maltreatment. The
     9  social services district shall have discretion with regard to the  cate-
    10  gory or categories of suspected child abuse or maltreatment such team or
    11  teams  may  investigate, provided, however, the social services district
    12  shall place particular emphasis on cases involving the abuse of a  child
    13  as  described  in  paragraph  (i),  (ii)  or (iii) of subdivision (e) of
    14  section one thousand twelve of the family court act, sexual abuse  of  a
    15  child  or the death of a child. Members of multidisciplinary teams shall
    16  include but not be limited to representatives from the  following  agen-
    17  cies:  child  protective  services, law enforcement, district attorney's
    18  office, physician or medical provider trained  in  forensic  pediatrics,
    19  mental  health  professionals,  victim  advocacy  personnel  and, if one
    20  exists, a child advocacy center; provided however,  that  multidiscipli-
    21  nary  teams  shall  make  efforts  to have available for consultation at
    22  least one child abuse medical specialist that has  received  specialized
    23  training  on  child  abuse or in recognizing the signs of child abuse or
    24  maltreatment, which may include a physician,  nurse  or  licensed  nurse
    25  practitioner, or other licensed medical professional acting within their
    26  scope  of practice; and provided further, however that effective January
 
         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD13746-01-2

        A. 10183                            2
 
     1  first, two thousand twenty-five the membership of the  multidisciplinary
     2  teams  shall include at least one child abuse medical specialist, unless
     3  such multidisciplinary team certifies to  the  office  of  children  and
     4  family  services  that they were unable to include a child abuse medical
     5  specialist within such team due to  a  lack  of  available  child  abuse
     6  medical  specialists  in  the  region or fiscal hardship. Members of the
     7  multidisciplinary team primarily responsible for  the  investigation  of
     8  child  abuse  reports, including child protective services, law enforce-
     9  ment and district attorney's office, shall participate in  joint  inter-
    10  views and conduct investigative functions consistent with the mission of
    11  the  particular  agency  member  involved. It shall not be required that
    12  members of a multidisciplinary team not  responsible  for  the  investi-
    13  gation of reports participate in every investigation. Such other members
    14  shall  provide  victim  advocacy, emotional support, and recommendations
    15  and access to medical and mental  health  care,  where  applicable.  All
    16  members, consistent with their respective agency missions, shall facili-
    17  tate  efficient  delivery of services to victims and appropriate medical
    18  care and/or disposition of cases through  the  criminal  justice  system
    19  and/or  the  family  court  system  in a collaborative manner, as may be
    20  appropriate; provided further, however, non-investigative  team  members
    21  shall  note  their  specific  role in the team for reports covered under
    22  this title. Notwithstanding any other provision of law to the  contrary,
    23  members  of  a  multidisciplinary investigative team or a child advocacy
    24  center may share with other team members client-identifiable information
    25  concerning the child or the child's family to  facilitate  the  investi-
    26  gation  of suspected child abuse or maltreatment. Nothing in this subdi-
    27  vision shall preclude the creation of multidisciplinary teams  or  child
    28  advocacy  centers  which include more than one social services district.
    29  Each team shall develop a written protocol for  investigation  of  child
    30  abuse  and  maltreatment  cases  and  for  interviewing  child abuse and
    31  maltreatment victims. The social  services  district  is  encouraged  to
    32  train each team member in risk assessment, indicators of child abuse and
    33  maltreatment, and appropriate interview techniques.
    34    § 2. This act shall take effect immediately.
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