Source: http://www.wvlegislature.gov/Bill_Status/bills_text.cfm?billdoc=sb179%20intr.htm&yr=2005&sesstype=RS&i=179
Timestamp: 2018-04-24 15:29:37
Document Index: 223080340

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A BILL to amend and reenact §5F-1-2 of the Code of West Virginia, 1931, as amended; to amend and reenact §5F-2-1 of said code; to amend said code by adding thereto a new section, designated §5F-2-7; to amend and reenact §6-7-2a of said code; to amend and reenact §9-1-2 of said code; to amend and reenact §9-2-1a of said code; to amend and reenact §16-1-2 of said code; to amend and reenact §16-5P-7 of said code; to amend and reenact §16-5S-5 of said code; to amend and reenact §16-22A-3 of said code; to amend and reenact §16-29D-3 of said code; to amend and reenact §16-29E-2 and §16-29E-3 of said code; to amend and reenact §18-10K-2 of said code; to amend and reenact §33-25B-2 of said code; to amend and reenact §33-25D-29 of said code; to amend said code by adding thereto a new section, designated §48-1-220a; to amend and reenact §48-1-236 of said code; to amend and reenact §48-26-501, §48-26-502 and §48-26-503 of said code; to amend and reenact §49-1-4 of said code; to amend and reenact §49-4-1, §49-4-4 and §49-4-5 of said code; to amend and reenact §49-4A-2, §49-4A-5 and §49-4A-6 of said code; to amend and reenact §49-5D-5 of said code; and to amend and reenact §49-7-1 and §49-7-30 of said code, all relating to dividing the Department of Health and Human Resources into the Department of Health and the Department of Human Resources.
That §5F-1-2 of the Code of West Virginia, 1931, as amended, be amended and reenacted; that §5F-2-1 of said code be amended and reenacted; that said code be amended by adding thereto a new section, designated §5F-2-7; that §6-7-2a of said code be amended and reenacted; that §9-1-2 of said code be amended and reenacted; that §9-2-1a of said code be amended and reenacted; that §16-1-2 of said code be amended and reenacted; that §16-5P-7 of said code be amended and reenacted; that §16-5S-5 of said code be amended and reenacted; that §16-22A-3 of said code be amended and reenacted; that §16-29D-3 of said code be amended and reenacted; that §16-29E-2 and §16-29E-3 of said code be amended and reenacted; that §18-10K-2 of said code be amended and reenacted; that §33-25B-2 of said code be amended and reenacted; that §33-25D-29 of said code be amended and reenacted; that said code be amended by adding thereto a new section, designated §48-1-220a; that §48-1-236 of said code be amended and reenacted; that §48-26-501, §48-26-502 and §48-26-503 of said code be amended and reenacted; that §49-1-4 of said code be amended and reenacted; that §49-4-1, §49-4-4 and §49-4-5 of said code be amended and reenacted; that §49-4A-2, §49-4A-5 and §49-4A-6 of said code be amended and reenacted; that §49-5D-5 of said code be amended and reenacted; and that §49-7-1 and §49-7-30 of said code be amended and reenacted, all to read as follows:
5F-1-2. Executive departments created; offices of secretary created.
(4) Department of Health; and human resources
(9) Department of Human Resources.
(A) Board of Coal Mine Health and Safety and Coal Mine Safety and Technical Committee provided in article six, chapter twenty-two-a of this code;
(4) Division of Natural Resources and Natural Resources Commission provided in article one, chapter twenty of this code; (5) Division of Forestry provided in article one-a, chapter nineteen of this code; and
(i) The following agencies and boards, including all of the allied, advisory, affiliated or related entities and funds associated with any agency or board, are transferred to and incorporated in and administered as a part of the Department of Health; and human resources
(3) (1) Bureau for Public Health provided for in article one, chapter sixteen of this code;
(4) (2) Office of Emergency Medical Services and Advisory Council thereto provided for in article four-c, chapter sixteen of this code;
(5) (3) Health Care Authority provided for in article twenty-nine-b, chapter sixteen of this code;
(6) (4) Commission on Mental Retardation provided for in article fifteen, chapter twenty-nine of this code.
(8) The child support enforcement division provided for in chapter forty-eight of this code
(k) The following agencies and boards, including all of the allied, advisory, affiliated or related entities and funds associated with any agency or board, are transferred to and incorporated in and administered as a part of the Department of Revenue:
(m) Effective the first day of July, two thousand five, the following agencies and boards, including all of the allied, advisory, affiliated or related entities and funds associated with any agency or board, are transferred to and incorporated in and administered as a part of the Department of Human Resources:
(1) Human Rights Insurance Commissioner provided in article eleven, chapter five of this code;
(3) Women's Insurance Commissioner provided in article twenty, chapter twenty-nine of this code; and
(4) The Child Support Enforcement Division provided in chapter forty-eight of this code.
(m) (n) Except for powers, authority and duties that have been delegated to the secretaries of the departments by the provisions of section two of this article, the existence of the position of administrator and of the agency and the powers, authority and duties of each administrator and agency are not affected by the enactment of this chapter.
(n) (o) Except for powers, authority and duties that have been delegated to the secretaries of the departments by the provisions of section two of this article, the existence, powers, authority and duties of boards and the membership, terms and qualifications of members of the boards are not affected by the enactment of this chapter and all boards which are appellate bodies or were otherwise established to be independent decision makers will not have their appellate or independent decision-making status affected by the enactment of this chapter.
(o) (p) Any department previously transferred to and incorporated in a department created in section two, article one of this chapter by prior enactment of this section in chapter three, Acts of the Legislature, first extraordinary session, one thousand nine hundred eighty-nine, and subsequent amendments means a division of the appropriate department. Wherever reference is made to any department transferred to and incorporated in a department created in section two, article one of this chapter, the reference means a division of the appropriate department and any reference to a division of a department so transferred and incorporated means a section of the appropriate division of the department.
§5F-2-7. Creation of the Departments of Health and Human Resources.
(a) Effective the first day of July, two thousand five, the Department of Health and Human Resources is divided into two Departments, the Department of Health and the Department of Human Resources.
(b) All records, assets and property, of whatever kind or character, owned by or used in the administration of the agencies and boards and all of the personnel used in the administration of the Department of Health and Human Resources and its agencies and boards, including the administrators, are transferred to the respective Department to and in which the agencies and boards are transferred as provided in this article. The Governor shall provide for the orderly transfer of property and personnel from the Department of Health and Human Resources to the new Departments. In the event of shared resources the Governor shall determine how the resources are distributed.
(c) The reference to the Secretary of the Department of Health and Human Resources or the Department of Health and Human Resources in the sections of this code listed in this subsection refer to the Secretary of the Department of Health and the Secretary of the Department of Human Resources or the Department of Health and the Department of Human Resources, respectively:
(1) Section four, article ten, chapter four;
(2) Section four, article six, chapter five; and
(3) Section fifty-four, article three, chapter five-a.
(d) The reference to the Secretary of the Department of Health and Human Resources or the Department of Health and Human Resources in the sections of this code listed in this subsection refer to the Secretary of the Department of Health or the Department of Health, respectively:
(1) Sections two and eighteen, article sixteen, chapter five;
(2) Section two, article one-a, chapter five-a;
(3) Section three-a, article one, chapter seven;
(4) Section twenty-one, article nineteen, chapter eight;
(5) Section fifty-b, article twenty-four, chapter eight;
(6) Section five-u, article ten, chapter eleven;
(7) Article two-c, article fifteen;
(8) Chapter sixteen;
(9) Section two, article twelve, chapter fifteen;
(10) Section three, article five-a, chapter seventeen-c;
(11) Section twenty-six, article fifteen, chapter seventeen-c;
(12) Section forty-four, article five, chapter eighteen;
(13) Section two, article seven-b, chapter eighteen;
(14) Section six, article ten-m, chapter eighteen;
(15) Section three, article sixteen, chapter eighteen-b;
(16) Section one-a, article twelve-a, chapter nineteen;
(17) Sections one and three, article twenty-nine, chapter nineteen;
(18) Articles five-j and five-k, chapter twenty;
(19) Section nine, article five, chapter twenty-two;
(20) Sections six and seven, article eighteen, chapter twenty-two;
(21) Section four, article three, chapter twenty-two-c;
(22) Section five, article two, chapter twenty-four;
(23) Section one, article five, chapter twenty-six;
(24) Sections four and five, article five-a, chapter twenty-six;
(25) Section seven, article one, chapter twenty-seven;
(26) Sections two, three and four, article five, chapter twenty-seven;
(27) Section two, article six-a, chapter twenty-seven;
(28) Section one, article sixteen, chapter twenty-seven;
(29) Section nineteen, article twenty-two-a, chapter twenty-nine;
(30) Section seven, article fifteen, chapter thirty;
(31) Section seven, article fifteen-a, chapter thirty-one;
(32) Sections nine, seventeen and eighteen, article twenty-five-b, chapter thirty-three;
(33) Sections eighteen and twenty, article twenty-five-d, chapter thirty-three; and
(34) Sections three, ten and twelve, article twelve, chapter sixty-one.
(e) The reference to the Secretary of the Department of Health and Human Resources or the Department of Health and Human Resources in the sections of this code listed in this subsection refer to the Secretary of the Department of Human Resources or the Department of Human Resources, respectively:
(1) Sections three and five, article fourteen, chapter five;
(2) Section four, article sixteen-b, chapter five;
(3) Section two, article twenty-six, chapter five;
(4) Section fourteen-a, article two, chapter five-a;
(5) Section one-a, article three, chapter five-a;
(6) Section three, article two-b, chapter five-b;
(7) Sections one and four, article four, chapter seven;
(8) Chapter nine;
(9) Article twenty-six, chapter eleven;
(10) Section thirty, article twenty-seven, chapter eleven;
(11) Section ten-e, article three, chapter twelve;
(12) Section five, article three-a, chapter twelve;
(13) Section four, article two-c, chapter seventeen;
(14) Section four, article twenty-four, chapter seventeen;
(15) Sections five-b and thirteen-h, article two, chapter eighteen;
(16) Section seven-b, article ten, chapter eighteen-b;
(17) Sections sixteen and seventeen, article six, chapter twenty-one-a;
(18) Section three, article one, chapter twenty-five;
(19) Article twenty, chapter twenty-nine;
(20) Section five, article eighteen-d, chapter thirty-one;
(21) Section eight-a, article twenty, chapter thirty-one;
(22) Section four, article two-a, chapter thirty-one-a;
(23) Section six, article twenty-five-b, chapter thirty-three;
(24) Sections eight, nine and ten, article one, chapter forty-four-a;
(25) Section two, article two, chapter forty-four-a;
(26) Chapter forty-eight;
(27) Chapter forty-nine; and
(28) Section twenty-one, article two-a, chapter fifty-one.
(a) Each of the following appointive state officers named in this subsection shall be is appointed by the Governor, by and with the advice and consent of the Senate. Each of the appointive state officers serves at the will and pleasure of the Governor for the term for which the Governor was elected and until the respective state officers' successors have been appointed and qualified. Each of the appointive state officers are subject to the existing qualifications for holding each respective office and each has and is hereby granted all of the powers and authority and shall perform all of the functions and services heretofore vested in and performed by virtue of existing law respecting each office.
Prior to the first day of July, two thousand one, each such named appointive state officer shall continue to receive the annual salaries they were receiving as of the effective date of the enactment of this section in two thousand one, and thereafter Notwithstanding any other provision of this code to the contrary, the annual salary of each named appointive state officer shall be is as follows:
Administrator, Division of Highways, ninety thousand dollars; Administrator, State Tax Division, sixty-five thousand dollars; Administrator, Division of Corrections, seventy-five thousand dollars; Administrator, Division of Natural Resources, seventy thousand dollars; Superintendent, State Police, seventy-five thousand dollars; Administrator, Lottery Division, seventy-five thousand dollars; Director, Public Employees Insurance Agency, seventy-five thousand dollars; Administrator, Division of Banking, sixty thousand dollars; Administrator, Division of Insurance, sixty thousand dollars; Administrator, Division of Culture and History, fifty-five thousand dollars; Administrator, Alcohol Beverage Control Insurance Commissioner, seventy thousand dollars; Administrator, Division of Motor Vehicles, seventy thousand dollars; Director, Division of Personnel, fifty-five thousand dollars; Adjutant General, seventy-five thousand dollars; Chairman, Health Care Authority, seventy thousand dollars; Members, Health Care Authority, sixty thousand dollars; Director, Human Rights Insurance Commissioner, forty-five thousand dollars; Administrator, Division of Labor, sixty thousand dollars; Administrator, Division of Veterans' Affairs, forty-five thousand dollars; Administrator, Division of Emergency Services, forty-five thousand dollars; Members, Board of Parole, forty-five thousand dollars; Members, Employment Security Review Board, seventeen thousand dollars; Members, Workers' Compensation Appeal Board, seventeen thousand eight hundred dollars; Administrator, Bureau of Employment Programs, seventy thousand dollars; Administrator, Bureau of Commerce, seventy thousand dollars; Administrator, Bureau of Environment, seventy thousand dollars; and Director, Office of Miner's Health, Safety and Training, sixty-five thousand dollars. Secretaries of the Departments shall be are paid an annual salary as follows: Health, and seventy-five thousand dollars; Human Resources, ninety thousand dollars seventy-five thousand dollars; Transportation, seventy-five thousand dollars; tax and Revenue, seventy-five thousand dollars; Military Affairs and Public Safety, seventy-five thousand dollars; Administration, seventy-five thousand dollars; Education and the Arts, seventy-five thousand dollars; and Environmental Protection, seventy-five thousand dollars.
(b) Each of the state officers named in this subsection shall continue to be appointed in the manner prescribed in this code and, prior to the first day of July, two thousand two, each of the state officers named in this subsection shall continue to receive the annual salaries he or she was receiving as of the effective date of the enactment of this section in two thousand two, and shall thereafter notwithstanding any other provision of this code to the contrary, be paid an annual salary as follows:
Administrator, Division of Risk and Insurance Management, fifty-five thousand dollars; Director, Division of Rehabilitation Services, sixty thousand dollars; Executive Director, Educational Broadcasting Authority, sixty thousand dollars; Secretary, Library Insurance Commissioner, sixty-seven thousand dollars; Director, Geological and Economic Survey, fifty-two thousand five hundred dollars; Executive Director, Prosecuting Attorneys Institute, sixty thousand dollars; Executive Director, Public Defender Services, sixty thousand dollars; Insurance Commissioner, Bureau of Senior Services, seventy thousand dollars; Director, State Rail Authority, fifty-five thousand dollars; Executive Secretary, Women's Insurance Commissioner, thirty-one thousand dollars; Director, Hospital Finance Authority, twenty-six thousand dollars; Member, Racing Insurance Commissioner, twelve thousand dollars; Chairman, Public Service Insurance Commissioner, seventy thousand dollars; and Members, Public Service Insurance Commissioner, seventy thousand dollars.
(a) The term "Department" means the State Division of Human Services, except when used in the context of referring to the Department of Human Resources.
(b) The term "Insurance Commissioner" means the Insurance Commissioner of Human Services.
(h) The term "domiciled in this state" means being physically present in West Virginia accompanied by an intention to remain in West Virginia for an indefinite period of time, and to make West Virginia his or her permanent home. The State Division of Human Services may by rules supplement the foregoing definition of the term "domiciled in this state", but not in a manner as would be inconsistent with federal laws, rules and regulations applicable to and governing federal-state assistance.
(i) The term "medical services" means medical, surgical, dental and nursing services and other remedial services recognized by law, in the home, office, hospital, clinic and any other suitable place, provided or prescribed by persons permitted or authorized by law to give such services; the services to include drugs and medical supplies, appliances, laboratory, diagnostic and therapeutic services, nursing home and convalescent care and such other medical services and supplies as may be prescribed by the persons.
(m) The term "services" means nursing facility services, home and community-based services and related hospital and prescription drug services for which an individual received medicaid medical assistance.
(o) The term "Department of Health and Human Resources" means the Department of Human Resources.
ARTICLE 2. DEPARTMENT OF HUMAN RESOURCES, AND OFFICE OF INSURANCE COMMISSIONER OF HUMAN SERVICES; POWERS, DUTIES AND RESPONSIBILITIES GENERALLY.
§9-2-1a. Continuation of the Department of Human Resources.
The Department of health and Human Resources shall be is charged with the administration of this chapter. The Department of health and Human Resources shall continue to exist pursuant to the provisions of article ten, chapter four of this code, until the first day of July, two thousand three five, unless sooner terminated, continued or reestablished pursuant to the provisions of that article.
Notwithstanding any provision of this provision of this chapter, as used in this chapter, the term "Department of Health and Human Resources" means the Department of Human Resources.
(a) "Basic public health services" means those services that are necessary to protect the health of the public. The three areas of basic public health services are communicable and reportable disease prevention and control, community health promotion and environmental health protection;
(b) "Bureau" means the Bureau for Public Health in the Department of Health; and Human Resources
(d) "Insurance Commissioner" means the Insurance Commissioner of the Bureau for Public Health, who is the state health officer;
(f) "Department" means the West Virginia Department of Health; and Human Resources
(g) "Director" or "director of health" means the state health officer. Administratively within the Department, the Bureau for Public Health through its Insurance Commissioner carries out the public health functions of the Department, unless otherwise assigned by the secretary;
(6) Enforcing laws and rules that protect health and ensure safety;
(7) Uniting people with needed personal health services and assuring the provision of health care when it is otherwise not available;
(10) Researching for new insights and innovative solutions to health problems;
(i) "Licensing boards" means those boards charged with regulating an occupation, business or profession and on which the Insurance Commissioner serves as a member;
(l) "Local health officer" means the individual physician with a current West Virginia license to practice medicine who supervises and directs the activities of the local health Department services, staff and facilities and is appointed by the local board of health with approval by the Insurance Commissioner;
(o) "Program plan" or "plan of operation" means the annual plan for each local board of health that must be submitted to the Insurance Commissioner for approval;
(p) "Public water system" means any water supply or system which regularly supplies or offers to supply water for human consumption through pipes or other constructed conveyances, if serving at least an average of twenty-five individuals per day for at least sixty days per year, or which has at least fifteen service connections, and shall include: (1) Any collection, treatment, storage and distribution facilities under the control of the owner or operator of the system and used primarily in connection with the system; and (2) any collection or pretreatment storage facilities not under such control which are used primarily in connection with the system. A public water system does not include a system which meets all of the following conditions: (1) Which consists only of distribution and storage facilities (and does not have any collection and treatment facilities); (2) which obtains all of its water from, but is not owned or operated by, a public water system which otherwise meets the definition; (3) which does not sell water to any person; and (4) which is not a carrier conveying passengers in interstate commerce;
(q) "Secretary" means the Secretary of the state Department of Health; and human resources
(s) "State Advisory Council on Public Health" is the advisory body charged by this article with providing advice to the Insurance Commissioner with respect to the provision of adequate public health services for all areas in the state; and
(t) "State Board of Health" means, and refers to, the secretary, notwithstanding any other provision of this code to the contrary, whenever and wherever in this code there is a reference to the State Board of Health.
(a) There is hereby created the West Virginia Council on Aging, which shall be is composed of five government members and ten citizen members, and shall serve serves as an advisory board to the Insurance Commissioner.
(b) The five government members shall be are: (1) The director of the division of Insurance Commissioner of Bureau for Public Health; (2) the Director of the Bureau of Medical Services; (3) one administrator designated by the Secretary of the Department of health and Human Resources; (4) one administrator designated by the Superintendent of the West Virginia State Police; and (5) the Director of the Division of Rehabilitation Services.
(c) The citizen members shall be are appointed by the Governor with the advice and consent of the Senate. No more than five of the citizen members shall may belong to the same political party, and no more than six members shall may be of the same gender. The members shall be selected in a manner to provide balanced geographical distribution.
(d) The designated administrators and the citizen representatives of the council shall be are appointed for terms of four years each, and shall serve until their successors are appointed and qualified. The citizen representatives appointed to staggered terms pursuant to section two, article fourteen, chapter twenty-nine of this code to the State Insurance Commissioner on Aging shall continue to serve the remainder of their term or until their successors are appointed and qualified.
(e) A majority of the members of the council shall constitute is a quorum for the transaction of business. The council shall elect a chair, a vice-chair, and such other officers as it deems necessary. The council shall meet at least two times each year. Each government representative shall designate a person with the authority to attend meetings and act on behalf of the government representative, who shall be considered a member of the council for the purpose of obtaining a quorum for the transaction of business.
The Bureau shall be is the designated state agency to:
(a) Testing required under this article shall be is a covered benefit reimbursable by all health insurers except for health insurers that offer only supplemental coverage policies or policies which cover only specified diseases. All policies issued pursuant to articles fifteen, sixteen, twenty-four and twenty-five-a of chapter thirty-three of this code shall provide coverage for the testing required under this article.
(c) In the absence of a third-party payor, the parents of a newborn infant shall be informed of the testing availability and its costs and they may refuse to have the testing performed. Charges for the testing required under this article shall be paid by the hospital or other health care facility where the infant's birth occurred: Provided, That nothing contained in this section may be construed to preclude precludes the hospital or other health care facility from billing the infant's parents directly.
(a) All Departments and Divisions of the state, including, but not limited to, the Bureau of Employment Programs, the division of the Bureau for Public Health, the Division of Human Services within the Department of health and Human Resources, the Public Employees Insurance Agency within the Department of Administration, the Division of Rehabilitation Services or such other Department or Division as shall supervise or provide that supervises or provides rehabilitation; and the university of West Virginia board of trustees as the governing board for the state's the governing boards of state institutions of higher education that have medical schools, are authorized and directed to cooperate in order, among other things, to ensure the quality of the health care services delivered to the beneficiaries of such the Departments and Divisions and to ensure the containment of costs in the payment for services.
(c) Such The Departments and Divisions shall develop a plan or plans to ensure that a reasonable and appropriate level of health care is provided to the beneficiaries of the various programs including the Public Employees Insurance Agency and the Workers' Compensation Fund, the Division of Rehabilitation Services and, to the extent permissible, the state medicaid program. The plan or plans may include, among other things, and the Departments and Divisions are hereby authorized to enter into:
(2) The establishment of a schedule or schedules of the maximum reasonable amounts to be paid to health care providers for the delivery of health care services covered by the plan or plans. Such a The schedule or schedules may be either prospective in nature or cost reimbursement in nature, or a mixture of both: Provided, That any payment methods or schedules for institutions which provide inpatient care shall be institution-specific and shall, at a minimum, take into account a disproportionate share of medicaid, charity care and medical education: Provided, however, That in no event may any rate set in this article for an institutional health care provider be greater than such the institution's current rate established and approved by the Health Care Cost Review Authority pursuant to article twenty-nine-b of this chapter;
(3) Provisions for making payments in advance of the receipt of health care services by a beneficiary, or in advance of the receipt of specific charges for such the services, or both;
(6) Arrangements, including contracts, with particular health care providers to deliver health care services to the beneficiaries of the programs of the Departments and Divisions at agreed upon rates in exchange for controlled access to the beneficiary populations.
(d) The Director of the Public Employees Insurance Agency shall contract with an independent actuarial company for a review every four years of the claims experience of all governmental entities whose employees participate in the Public Employees Insurance Agency program, including, but not limited to, all branches of state government, all state Departments or agencies (including those receiving funds from the federal government or a federal agency), all county and municipal governments, or any other similar entities for the purpose of determining the cost of providing coverage under the program, including administrative cost, to each such governmental entity.
(e) Nothing in this section shall be construed to give or reserve gives or reserves to the Legislature any further or greater power or jurisdiction over the operations or programs of the various Departments and Divisions affected by this article than that already possessed by the Legislature in the absence of this article.
(f) For the purchase of health care or health care services by a health care provider participating in a plan under this section on or after the first day of September, one thousand nine hundred eighty-nine, by the Public Employees Insurance Agency, the Division of Rehabilitation Services and the Division of Workers' Compensation, a state check shall be issued in payment thereof within sixty-five days after a legitimate uncontested invoice is actually received by such the Division or agency. Any state check issued after sixty-five days shall include interest at the current rate, as determined by the State Tax Insurance Commissioner under the provisions of section seventeen-a, article ten, chapter eleven of this code, which interest shall be calculated from the sixty-sixth day after such the invoice was actually received by the Division or agency until the date on which the state check is mailed to the vendor.
ARTICLE 29E. LEGISLATIVE OVERSIGHT INSURANCE COMMISSIONER ON HEALTH AND HUMAN RESOURCES ACCOUNTABILITY.
It is the intent of the Legislature that all actions taken pursuant to the provisions of this article by the Legislature and the various agencies within the Department of Health and the Department of Human Resources serve the following core set of principles:
(2) That communication be facilitated among the various agencies within the Department of Health and the Department of Human Resources and between the department Departments and the Legislature;
(3) That policy changes, not made by legislative rule, be discussed with the Insurance Commissioner for purposes of coordinating those policies with existing programs and stated goals;
(4) That programs or policies implemented in accordance with federal mandates be communicated to the Insurance Commissioner;
(5) That in developing and implementing programs with private or federal grant moneys, the various agencies communicate their efforts to the Insurance Commissioner to ensure and facilitate future state funding; and
(6) That agencies previously exempted from rule-making review by federal or state statutes advise the Insurance Commissioner of program changes which may affect the health and well-being of the citizens of West Virginia.
(a) "Agency" means those various agencies, authorities, boards, committees, Insurance Commissioners or Departments of the Department of Health and Department of Human Resources with authority to promulgate legislative rules pursuant to this chapter that regulate health care providers, practitioners or consumers; or those offering social services programs;
(b) "Commissioner" means the Legislative Oversight Insurance Commissioner on Health and Human Resources Accountability; and
(c) "Department" and "Department of Health and Human Resources" means the Department of Health and the Department of Human Resources.
(b) The Board shall consists of twenty-three members. The members shall include:
(5) The Director of the Bureau of Behavioral Health within the Department of Health, and human resources ex officio, or his or her designee;
(9) The executive Director of the Workers' Compensation Insurance Commissioner, ex officio, or his or her designee;
(c) The citizen members shall be are appointed by the Governor for terms of three years, except that of the members first appointed, two of the representatives of public and nonprofit private health organizations, disability coalitions or advisory groups and two of the representatives of survivors or family members of persons with traumatic brain or spinal cord injuries shall serve for terms of one year, two of the representatives of each of those respective groups shall serve for terms of two years and the remaining three representatives of each of those respective groups shall serve for terms of three years. All subsequent appointments shall be for three years. Members shall serve until the expiration of the term for which they have been appointed or until their successors have been appointed and qualified. In the event of If there is a vacancy, the Governor shall appoint a qualified person to serve for the unexpired term. No member may serve more than two consecutive three-year terms. State officers or employees may be appointed to the Board unless otherwise prohibited by law.
(d) In the event If a board member fails to attend more than twenty-five percent of the scheduled meetings in a twelve-month period, the board may, after written notification to that member and the Secretary of Education and the Arts, request in writing that the Governor remove the member and appoint a new member to serve his or her unexpired term.
(e) The Board shall elect from its membership a chairperson, treasurer and secretary as well as any other officer as appropriate. The term of the chairperson is for two years in duration and he or she cannot may not serve more than two consecutive terms.
(c) Establish a system of qualified applicant aides who shall be are trained by the Department of health and Human services Resources and, who, for a modest dollar incentive, will on a volunteer basis make knowledge of this program available to the targeted families; and
The Department of health and Human Resources is authorized to enter into contracts with prepaid limited health service organizations certified and permitted to market under the laws of this state, and to furnish to recipients of medical assistance under Title XIX of the Social Security Act, 42 U.S.C. §1396, et seq, limited health services offered to such recipients under the medical assistance plan of West Virginia. The children's health policy board, the Department of Health and human resources and the Division of Juvenile Services within the Department of Military Affairs and Public Safety are further authorized to enter into contracts with prepaid limited health service organizations to furnish behavioral health services to adults and children who are eligible to receive such services under chapter five, chapter sixteen, chapter twenty-seven or chapter forty-nine of this code.
§48-1-220a. Department of Health and Human Resources defined.
"Department of Health and Human Resources" means the Department of Human Resources.
(a) The Bureau for Public Health of the Department of Health, and human resources in consultation with the family protection services board, shall:
(3) Be completed on or before the first day of January, two thousand.
(1) "Child welfare agency" means any agency or facility maintained by the state or any county or municipality thereof, or any agency or facility maintained by an individual, firm, corporation, association or organization, public or private, to receive children for care and maintenance or for placement in residential care facilities, or any facility that provides care for unmarried mothers and their children;
(2) "Community based," when referring to a facility, program, or service, means located near the juvenile's home or family and involving community participation in planning, operation and evaluation, and which may include, but is not limited to, medical, educational, vocational, social and psychological guidance, training, special education, counseling, alcoholism and any treatment and other rehabilitation services;
(3) "Court" means the circuit court of the county with jurisdiction of the case or the judge thereof in vacation unless otherwise specifically provided;
(4) "Custodian" means a person who has or shares actual physical possession or care and custody of a child, regardless of whether such person has been granted custody of the child by any contract, agreement or legal proceedings;
(5) "Department," or "state Department" or "Department of Health and Human Resources" means the state Department of health and Human Resources;
(6) "Division of Juvenile Services" means the Division within the Department of Military Affairs and Public Safety pursuant to article five-e of this chapter;
(7) "Guardian" means a person who has care and custody of a child as a result of any contract, agreement or legal proceeding;
(8) "Juvenile delinquent" means a juvenile who has been adjudicated as one who commits an act which would be a crime under state law or a municipal ordinance if committed by an adult;
(9) "Nonsecure facility" means any public or private residential facility not characterized by construction fixtures designed to physically restrict the movements and activities of individuals held in lawful custody in such facility and which provides its residents access to the surrounding community with supervision;
(10) "Referee" means a juvenile referee appointed pursuant to section one, article five-a of this chapter, except that in any county which does not have a juvenile referee the judge or judges of the circuit court may designate one or more magistrates of the county to perform the functions and duties which may be performed by a referee under this chapter;
(11) "Secretary" means the Secretary of health and Human Resources;
(12) "Secure facility" means any public or private residential facility which includes construction fixtures designed to physically restrict the movements and activities of juveniles or other individuals held in lawful custody in such facility;
(13) "Staff-secure facility" means any public or private residential facility characterized by staff restrictions of the movements and activities of individuals held in lawful custody in such facility and which limits its residents' access to the surrounding community, but is not characterized by construction fixtures designed to physically restrict the movements and activities of residents;
(14) "Status offender" means a juvenile who has been adjudicated as one:
(B) Who has left the care of his or her parents, guardian or custodian without the consent of such person or without good cause;
(C) Who is habitually absent from school without good cause; or
(D) Who violates any West Virginia municipal, county or state law regarding use of alcoholic beverages by minors; and
(15) "Valid court order" means a court order given to a juvenile who was brought before the court and made subject to such order, and who received, before the issuance of such order, the full due process rights guaranteed to such juvenile by the Constitutions of the United States and the State of West Virginia.
The purpose of this article is to provide for the continuation and development of services for children with special health care needs. The State Bureau of for Public Health within the Department of Health and human resources shall formulate and apply administrative policies concerning the care and treatment of children with special health care needs and shall cooperate with other agencies responsible for such care and treatment.
§49-4-4. Report of birth of special health care needs child.
Within thirty days after the birth of a child with a congenital deformity, the physician, midwife or other person attending the birth shall report to the State Bureau of for Public Health, on forms prescribed by them, the birth of such the child.
The report shall be is solely for the use of the state Department of Health and human resources and shall is not be open for public inspection.
§49-4-5. Assistance by other agencies.
So far as practicable, the services and facilities of the state Departments of Health, and Human services Resources and Education vocational and the Divisions of Rehabilitation Services and corrections or their successors shall be available to the State Bureau of for Public Health for the purposes of this article.
§49-4A-2. Definitions.
(a) "Family or primary caregiver" means the person or persons with whom the developmentally disabled person resides and who is primarily responsible for the physical care, education, health and nurturing of the disabled person. The term does not include hospitals, sanitariums, nursing homes, personal care homes or any other such institution.
(b) "Legal guardian" means the person who is appointed legal guardian of a developmentally disabled person and who is responsible for the physical and financial aspects of caring for such person, regardless of whether the disabled person resides with his or her legal guardian or another family member.
(c) "Family support" means goods and services needed by families to care for their family members with developmental disabilities and to enjoy a quality of life comparable to other community members.
(d) "Family support program" means a coordinated system of family support services administered by the Department of Health and human resources through initial contracts with agencies within four of the state's behavioral health regions.
(e) "Developmental disability" means a severe, chronic disability of a person which:
(4) Reflects the person's need for services and supports which are of lifelong or extended duration and are individually planned and coordinated.
The term "developmental disability", when applied to infants and young children, means individuals from birth to age five, inclusive, who have substantial developmental delays or specific congenital or acquired conditions with a high probability of resulting in developmental disabilities if services are not provided.
(f) "Regional family support council" means the council established by the regional family support agency under the provisions of section six of this article to carry out the responsibilities specified in this article.
(g) "State family support council" means the council established by the Department of Health and Human Resources under section six of this article to carry out the responsibilities specified in this article.
§49-4A-5. Program administration.
(a) The administering agency for the family support program is the Department of Health. and human resources
(b) The Department of Health and human resources shall initially implement the family support program through contracts with an agency within four of the state's behavioral health regions, with the four regions to be determined by the Department of Health and human resources in consultation with the state family support council. These regional family support agencies of the family support program will be responsible for implementing the provisions of this article and subsequent policies for the families of persons with developmental disabilities residing within their respective regions. Each regional family support agency must serve at least twenty-five families from each fifty thousand dollars allocated. The total appropriation from general revenue funds for this program shall not exceed two hundred thousand dollars for the fiscal year beginning the first day of July, one thousand nine hundred ninety-one.
(c) The Department of Health, and human resources in conjunction with the state family support council, shall adopt policies and procedures regarding:
(d) The Department of Health and human resources shall submit a report to the Governor and the Legislature on the family support program by the fifteenth day of January, one thousand nine hundred ninety-two, and by the fifteenth day of September every year, thereafter so long as the program is funded.
(a) Each regional family support agency shall establish a regional family support council comprised of at least seven members, of whom at least a majority shall be are persons with developmental disabilities or their parents or primary caregivers. Each regional family support council shall meet at least quarterly to advise the regional family support agency on matters related to local implementation of the family support program and to communicate information and recommendations regarding the family support program to the state family support council.
(b) The Secretary of the Department of Health and human resources shall appoint a state family support council comprised of at least twenty-two members, of whom at least a majority shall be are persons with developmental disabilities or their parents or primary caregivers. A representative elected by each regional council shall serve on the State Council. The State Council shall also include a representative from each of the following agencies: The State Developmental Disabilities Planning Council, the State Protection and Advocacy Agency, the University Affiliated Center for Developmental Disabilities, the Office of Special Education, the Association of Community Mental Health/Mental Retardation Programs and the Early Intervention Interagency Coordinating Council.
§49-5D-5. Child fatality review team.
(a) The child fatality review team is hereby established under the Office of the Chief Medical Examiner. The child fatality review team is a multidisciplinary team created to review the deaths of children under the age of eighteen years as provided for in this section.
(b) The child fatality review team is to consist of the following members, appointed by the Governor, to serve three-year terms:
(1) The Chief Medical Examiner, who is to serve as the chairperson of the child fatality review team;
(2) Two prosecuting attorneys or their designees;
(3) The State Superintendent of the West Virginia State Police or his or her designee;
(4) One law-enforcement official other than a member of the West Virginia State Police;
(5) One child protective services worker currently employed in investigating reports of child abuse or neglect;
(6) One physician, specializing in the practice of pediatric medicine or family medicine;
(7) One physician, specializing in the practice of pediatric critical care medicine;
(8) One social worker who may be employed in the area of public health;
(9) The Director of the Office of Maternal and Child Health of the Department of Health and human resources or his or her designee;
(10) One representative of the sudden infant death syndrome program of the Office of Maternal and Child Health;
(11) The Director of the Division of Children's Mental Health Services of the Office of Behavioral Health Services or his or her designee;
(12) The Director of the Office of Social Services of the Department of health and Human Resources or his or her designee;
(13) The Superintendent of the Department of Education or his or her designee;
(14) The Director of the Division of Juvenile Services or his or her designee; and
(15) The president of the West Virginia Association of School Nurses or his or her designee.
(c) Members of the child fatality review team shall, unless sooner removed, continue to serve until their respective terms expire and until their successors have been appointed and have qualified.
(d) Each appointment of a prosecuting attorney, whether for a full term or to fill a vacancy, is to be made by the Governor from among three nominees selected by the West Virginia Prosecuting Attorneys Institute. Each appointment of a law-enforcement officer, whether for a full term or to fill a vacancy, is to be made by the Governor from among three nominees selected by the State Fraternal Order of Police or the West Virginia Deputy Sheriff's Association. Each appointment of a child protective services worker and a social worker, whether for a full term or to fill a vacancy, is to be made by the Governor from among three nominees selected by the West Virginia Social Work Licensing Board. Each appointment of a physician, whether for a full term or to fill a vacancy, is to be made by the Governor from among three nominees selected by the West Virginia State Medical Association or the West Virginia Academy of Pediatrics. When an appointment is for a full term, the nomination is to be submitted to the Governor not later than eight months prior to the date on which the appointment is to become effective. In the case of an appointment to fill a vacancy, the nominations are to be submitted to the Governor within thirty days after the request for the nomination has been made by the Governor to the chairperson or president of the organization. When an association fails to submit to the Governor nominations for the appointment in accordance with the requirements of this section, the Governor may make the appointment without nominations.
(e) Each member of the child fatality review team shall serve without additional compensation and may not be reimbursed for any expenses incurred in the discharge of his or her duties under the provisions of this article.
(f) The child fatality review team shall, pursuant to the provisions of chapter twenty-nine-a, promulgate rules applicable to the following:
(1) The standard procedures for the establishment, formation and conduct of the child fatality review team; and
(2) Recommend protocols for the review of child fatalities where other than natural causes are suspected.
(g) The child fatality review team shall:
(1) Review all deaths of children under the age of eighteen years who are residents of this state in order to identify trends, patterns and risk factors;
(2) Provide statistical analysis regarding the causes of child fatalities in West Virginia;
(3) Promote public awareness of the incidence and causes of child fatalities, including recommendations for their reduction; and
(4) Provide training for state agencies and local multidisciplinary teams.
(h) The child fatality review team shall submit an annual report to the Governor and to the Legislature concerning its activities and the incidents of child fatalities within the state. The report is due annually on the first day of December. The report is to include statistics setting forth the number of child fatalities, identifiable trends in child fatalities in the state, including possible causes, if any, and recommendations to reduce the number of preventable child fatalities in the state. The report is to also include the number of children whose deaths have been determined to have been unexpected or unexplained.
(i) A local multidisciplinary investigative team created pursuant to the provisions of section two of this article shall review all cases referred to it pursuant to the provisions of that section: Provided, That a local multidisciplinary investigative team may refer any or all cases for review of deaths to the child fatality review team. The local multidisciplinary investigative team shall provide all information to the child fatality review team necessary for the child fatality review team to create and submit any report required by this section.
(j) The child fatality review team, in the exercise of its duties as defined in this section, may not:
(1) Call witnesses or take testimony from individuals involved in the investigation of a child fatality;
(2) Contact a family member of the deceased child, except if a member of the team is involved in the investigation of the death and must contact a family member in the course of performing his or her duties outside of the team; or
(k) Proceedings, records and opinions of the child fatality review team are confidential, in accordance with section one, article seven, chapter forty-nine of this code, and are not subject to discovery, subpoena or introduction into evidence in any civil or criminal proceeding. Nothing in this subsection is to be construed to limit or restrict the right to discover or use in any civil or criminal proceeding anything that is available from another source and entirely independent of the proceedings of the child fatality review team.
(l) Members of the child fatality review team may not be questioned in any civil or criminal proceeding regarding information presented in or opinions formed as a result of a meeting of the team. Nothing in this subsection may be construed to prevent a member of the child fatality review team from testifying to information obtained independently of the team or which is public information.
(a) Except as otherwise provided in this chapter or by order of the court, all records and information concerning a child or juvenile which are maintained by the Division of Juvenile Services, the Department of Health, and the Department of Human Resources, a child agency or facility, court or law-enforcement agency shall be kept confidential and shall may not be released or disclosed to anyone, including any federal or state agency.
(4) Pursuant to an order of a court of record: Provided, That the court shall review such reviews the record or records for relevancy and materiality to the issues in the proceeding, and may issue an order to limit the examination and use of the records or any part thereof of the records.
(1) Federal, state or local government entities, or any agent of such these entities, including law-enforcement agencies and prosecuting attorneys, having a need for such information in order to carry out its responsibilities under law to protect children from abuse and neglect;
(d) In the event of a child fatality or near fatality due to child abuse and neglect, information relating to such the fatality or near fatality shall be made public by the Department of health and Human Resources and to the entities described in subsection (c) of this section, all under the circumstances described in that subsection: Provided, That information released by the Department of health and Human Resources pursuant to this subsection shall may not include the identity of a person reporting or making a complaint of child abuse or neglect. For purposes of this subsection, "near fatality" means any medical condition of the child which is certified by the attending physician to be life-threatening.
(c) The secretary's findings required by subsection (b) of this section shall be filed with the secretary's recommendation and appropriate documentation. If the secretary's findings are supported by the accompanying documentation, the proposal shall does not require a certificate of need.
(d) Any entity that does not qualify for summary review shall be is subject to certificate of need review.
NOTE: The purpose of this bill is to divide the Department of Health and Human Resources into two Departments, the Department of Health and the Department of Human Resources.
§5F-2-7 and §48-1-220a are new; therefore, strike-throughs and underscoring have been omitted.