LD 1739
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LR 2607
Item 1

 
services division and the children's services medical
director or the director's designee.__Until rules are
adopted by the department to govern behavioral treatment
reviews for children, the team may not approve techniques
any more aversive or intrusive than are permitted in
rules adopted by the Secretary of the United States
Department of Health and Human Services regarding
treatment of children and youth in nonmedical community-
based facilities funded under the Medicaid program.

 
The department may adopt rules as necessary to implement
this paragraph.__Rules adopted pursuant to this paragraph
are routine technical rules as defined in Title 5, chapter
375, subchapter 2-A.

 
Sec. 2. 34-B MRSA §5605, sub-§13, ¶C is enacted to read:

 
C.__Notwithstanding paragraph B, for a child under 18 years
of age, treatment programs involving the use of seclusion or
any noxious or painful stimuli, as defined in department
rules, may not be approved.

 
Sec. 3. 34-B MRSA §5605, sub-§14, ¶D-1, as amended by PL 2003, c. 368,
§2, is repealed and the following enacted in its place:

 
D-1.__A device whose effect is to reduce or inhibit a
person's movement in any way but whose purpose is to
maintain or ensure the safety of the person is not
considered__behavioral treatment.__Such a device may be used
only in conformity with applicable state and federal rules
and regulations and only:

 
(1)__When recommended by a qualified professional after
approval of the person's service plan;

 
(2)__For an adult 18 years of age or older, when use of
the device is approved by a review team composed of an
advocate from the Office of Advocacy, a representative
of the Division of Mental Retardation and a
representative of the Consumer Advisory Board; and

 
(3)__For a child under 18 years of age, when use of the device is
approved by a review team composed of an advocate from the Office of
Advocacy, a team leader of the department's children's services division
and the children's services medical director or the director's designee.


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