Struck = removed from the bill ·
added = the amendment's new text.
SBRep. 596-FN - AS AMENDED BY THE SENATE 04/05/2024 1408s 04/11/2024 1468s SESSION 24-3153 05/08 SENATE BILL 596-FN AN ACT relative to the definition of disability or special needs under the child care scholarship program.
SPONSORS:Edwards, Rock.
Sen.31 May 14, 2024 2024-1933h 05/08 Amendment to SB 596-FN Amend the title of the bill by replacing it with the following:
Ricciardi,3 DistAN 9;ACT establishing a committee to study the definition of disability or special needs under the child care scholarship program.
Sen.6 Amend the bill by replacing all after the enacting clause with the following:
Gannon,8 Dist1 23;Committee Established.
Sen.There is established a committee to study the definition of disability or special needs under the child care scholarship program.
Soucy,2 DistMembership 18;and Compensation.
Sen.I.
Carson,The Distmembers 14;of the committee shall be as follows:
Sen.(a) Three members of the house of representatives, appointed by the speaker of the house of representatives.
Innis,(b) DistTwo 7;members of the senate, one from the majority and one from the minority, appointed by the president of the senate.
Sen.II.
Altschiller,Members Distof 24;the committee shall receive mileage at the legislative rate when attending to the duties of the committee.
Sen.3 Duties.
Whitley,The Distcommittee 15;shall:
Sen.I.
Fenton,Study Distthe 10definition COMMITTEE:of disability or special needs under the child care scholarship program.
EducationII. ───────────────────────────────────────────────────────────────── AMENDED ANALYSIS This bill directs the department of health and human services to adopt rules relative to the definition of disability or special needs for purposes of the child care scholarship program and authorizes the department to suspend implementation for insufficient funding.
TheStudy billthe alsostandardized makesand/or anapproved appropriationearly ofchildhood availabledevelopmental federalscreening fundstools necessary to thedetermine childeligibility. care scholarship program.
-III. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Explanation:
MatterStudy addedthe toverification currentprocess lawfor appearsthe inresults boldof italics.the screening tools used to determine eligibility.
MatterIV. removed from current law appears [in brackets and struckthrough.] Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
SBDetermine 596-FNthe -size ASof AMENDEDthe BYpopulation THEserved SENATEby 04/05/2024the 1408sprogram, 04/11/2024identify 1468show 24-3153incremental 05/08changes STATEto OFthe NEWprogram, HAMPSHIREincluding Inchanges to the Yeardefinition of Ourdisability Lordor Twospecial Thousandneeds, Twentymay Fouraffect ANits ACTscope, relativeand toproject theassociated definitioncosts ofand disabilitystate orand specialfederal needsfunding undersources. the child care scholarship program.
BeV. it Enacted by the Senate and House of Representatives in General Court convened:
1Study Newany Subparagraph;other issues identified through legislative hearings on SB 596 (2024), including but not necessarily limited to:
New(a) HampshireMinimal Employmentperformance Programstandards and Familymetrics Assistanceto Program;be achieved in exchange for receipt of additional funds made available by this program.
Rulemaking;Amendment to SB 596-FN - Page 2 - (b) Issues associated with integrating this program with Medicaid or public-school service transitions.
ChildVI. Care Scholarship Program.
AmendThe RSAcommittee 167:83,may IIsolicit byinformation insertingfrom afterany subparagraphperson (q)or entity the followingcommittee newdeems subparagraph:relevant to its study, including, but not limited to:
(r)(a) The developmentcommissioner and administration of the childdepartment care scholarship program as a component of thehealth Childand Carehuman Developmentservices, Blockor Grant.designee.
(b) The departmentcommissioner may suspend implementation of this subparagraph if the department lacksof sufficienteducation, appropriationor fordesignee. implementation.
Such(c) rulesA shall:child care provider as appointed by the child care advisory council.
(1)(d) IdentifyA arepresentative protected class for children at-risk of or diagnosed with a disabilitycommunity ormental specialhealth needscenter underthat theworks Childwith Careyoung Developmentchildren. Block Grant.
(2)(e) ConsiderA inrepresentative itsfrom definitionan delaysearly acrosssupports alland domainsservices ofprogram, childas developmentappointed includingby butCommunity notSupport limitedNetwork toInc. a child’s physical, cognitive, communication, social, emotional, and/or behavioral skills.
(A)(f) TheA definitionrepresentative offrom "disability"a orpublic "specialschool needs"preschool underprogram. the child care scholarship program shall include any child who displays, or is at risk for, delayed social or emotional development.
(B)(g) AnA eligiblerepresentative childfrom shallhead notstart. require a formal diagnosis or formal special education code, but rather shall qualify under this category so long as the child is screened and found to be delayed or at risk of delay through an approved early childhood developmental screening tool and the results verified by an approved by a child care provider and licensed treating clinician, or other approved licensed professional.
(3)VII. Identify the standardized and/or approved early childhood developmental screening tools necessary to determine eligibility and establish the verification process by which a child’s child care provider, licensed treating clinician, or other licensed professional as reasonably identified by the department, shall verify, or otherwise certify the results of the tool.
2Propose Appropriation.any legislation the committee deems appropriate as a result of its study.
The4 sumChairperson; of $375,000 for the biennium ending June 30, 2025 is appropriated to the department of health and human services for the purpose of adopting rules and administering the child care scholarship program in accordance with the criteria specified in section 1 of this act.
OfQuorum. this amount, the governor shall determine if any remaining discretionary funds appropriated in the American Rescue Plan Act of 2021, Public Law 117-2, or any other federal funds can be used for SB 596-FN - AS AMENDED BY THE SENATE - Page 2 - this purpose and any remainder, not to exceed $1, shall be general funds.
The governormembers isof authorized to draw a warrant for the generalstudy fundcommittee shareshall ofelect saida sumchairperson outfrom ofamong any money in the treasurymembers. not otherwise appropriated.
3The Effectivefirst Date.meeting of the committee shall be called by the first-named house member.
ThisThe actfirst meeting of the committee shall takebe effectheld Januarywithin 1,45 2025.days of the effective date of this section.
LBAThree 24-3153members Amended 5/6/24 SB 596-FN- FISCAL NOTE AS AMENDED BY THE SENATE (AMENDMENT #2024-1468s) AN ACT relative to the definition of disability or special needs under the childcommittee careshall scholarshipconstitute program.a quorum.
FISCAL5 IMPACT:Report.
[The Xcommittee ]shall Statereport [its ]findings Countyand [any ]recommendations Localfor [proposed ]legislation Noneto Estimatedthe Statespeaker Impactof -the Increasehouse /of (Decrease)representatives, FYthe 2024president FYof 2025the FYsenate, 2026the FYhouse 2027clerk, Revenuethe $0senate $0clerk, $0the $0governor, Revenueand Fund(s)the Nonestate Expenditureslibrary $0on $0or -before $372,000November $744,0001, $744,0002024. Funding Source(s) Federal funds;
up6 toEffective $1Date. of general funds Appropriations $0 $375,000 $0 $0 Funding Source(s) Federal funds;
$1This ofact generalshall fundstake •effect Doesupon thisits billpassage. provide sufficient funding to cover estimated expendit[X] See Below • Does this bill authorize new positions to implement this bill? [X] No METHODOLOGY:
ThisAmendment billto modifiesSB the596-FN definition- ofPage “disability”3 or- “special2024-1933h needs”AMENDED ANALYSIS This bill establishes a committee to includestudy anythe childdefinition whoof displays,disability or isspecial atneeds riskunder for,the delayedchild socialcare orscholarship emotionalprogram. development.
The Department of Health and Human Services states that its Women, Infant, and Children (WIC) program conducts developmental monitoring of young children.
For calendar year 2023, the WIC program conducted 19,067 appointments that included developmental monitoring, and referred 1,195 parents to additional services for concerns their children might be at risk of or experiencing a delay.
The Department assumes that the 6.3% of children referred by WIC for additional services is reflective of the percentage of childcare scholarship recipients experiencing or at risk of a delay that are awaiting formal diagnosis.
There were an average of 2,268 scholarship recipients from February 2023 to January 2024;
therefore, the Department expects 143 children to be eligible for additional supplemental payments.
The amount of a supplemental payment varies based on level of service:
$100 per week for full time, $75 per week for half time, and $50 per week for part time.
Since the Department assumes children experiencing or at risk of developmental delay will be more likely to need full time childcare, it assumes the $100 supplemental payment will be used.
The Department therefore expects the bill will cost approximately $743,600 per year.
This figure is an estimate only, and could be lower if the smaller supplemental payments are used, or higher if rate increases are implemented in subsequent years.
Since the bill is effective January 1, 2025, it is assumed that the fiscal impact will be half of the full year cost identified above, or approximately $372,000, in FY25.
For this reason, the bill contains a $375,000 appropriation in FY25, to be funded by federal funds if available.
If such funds are not available, the bill allows the Department to suspend implementation.
It is therefore unknown whether the changes will be effectuated in FY25.
AGENCIES CONTACTED:
Department of Health and Human Services