H.B. 202 Enrolled

1

MEDICAL RECOMMENDATIONS FOR
2 CHILDREN
3 2007 GENERAL SESSION
4 STATE OF UTAH
5 Chief Sponsor: Michael T. Morley
6 Senate Sponsor: D. Chris Buttars
7
8 LONG TITLE
9 General Description:
10 This bill prohibits school personnel from making certain medical recommendations for
11 a student, including the use of psychotropic medications, and prohibits removal of a
12 child from parental custody based on a parent's refusal to consent to the administration
13 of psychotropic medications.
14 Highlighted Provisions:
15 This bill:
16 . prohibits school personnel from making certain medical recommendations for a
17 student, including the use of psychotropic medications; and
18 . prohibits the removal of a child from parental custody based on a parent's refusal to
19 consent to the administration of psychotropic medications.
20 Monies Appropriated in this Bill:
21 None
22 Other Special Clauses:
23 None
24 Utah Code Sections Affected:
25 AMENDS:
26 78-3a-301, as last amended by Chapters 13, 97 and 281, Laws of Utah 2006
27 ENACTS:
28 53A-11-605, Utah Code Annotated 1953
29

30 Be it enacted by the Legislature of the state of Utah:
31 Section 1. Section 53A-11-605 is enacted to read:
32 53A-11-605. Definitions -- School personnel -- Medical recommendations --
33 Exceptions -- Penalties.
34 (1) As used in this section:
35 (a) "Health care professional" means a physician, physician assistant, nurse, dentist, or
36 mental health therapist.
37 (b) "School personnel" means any school district or charter school employee, including
38 licensed, part-time, contract, and nonlicensed employees.
39 (2) School personnel may:
40 (a) provide information and observations to a student's parent or guardian about that
41 student, including observations and concerns in the following areas:
42 (i) progress;
43 (ii) health and wellness;
44 (iii) social interactions;
45 (iv) behavior; or
46 (v) topics consistent with Subsection 53A-13-302 (6);
47 (b) communicate information and observations between school personnel regarding a
48 child;
49 (c) refer students to other appropriate school personnel and agents, consistent with
50 local school board or charter school policy, including referrals and communication with a
51 school counselor or other mental health professionals working within the school system;
52 (d) consult or use appropriate health care professionals in the event of an emergency
53 while the student is at school, consistent with the student emergency information provided at
54 student enrollment;
55 (e) exercise their authority relating to the placement within the school or readmission
56 of a child who may be or has been suspended or expelled for a violation of Section
57 53A-11-904 ; and

58 (f) complete a behavioral health evaluation form if requested by a student's parent or
59 guardian to provide information to a licensed physician.
60 (3) School personnel shall:
61 (a) report suspected child abuse consistent with Section 62A-4a-403 ;
62 (b) comply with applicable state and local health department laws, rules, and policies;
63 and
64 (c) conduct evaluations and assessments consistent with the Individuals with
65 Disabilities Education Act, 20 U.S.C. Sec. 1400 et seq., and its subsequent amendments.
66 (4) Except as provided in Subsection (2) and Subsection (6), school personnel may not:
67 (a) recommend to a parent or guardian that a child take or continue to take a
68 psychotropic medication;
69 (b) require that a student take or continue to take a psychotropic medication as a
70 condition for attending school;
71 (c) recommend that a parent or guardian seek or use a type of psychiatric or
72 psychological treatment for a child;
73 (d) conduct a psychiatric or behavioral health evaluation or mental health screening,
74 test, evaluation, or assessment of a child, except where this Subsection (4)(d) conflicts with the
75 Individuals with Disabilities Education Act, 20 U.S.C. Sec. 1400 et seq., and its subsequent
76 amendments; or
77 (e) make a child abuse or neglect report to authorities, including the Division of Child
78 and Family Services, solely or primarily on the basis that a parent or guardian refuses to
79 consent to:
80 (i) a psychiatric, psychological, or behavioral treatment for a child, including the
81 administration of a psychotropic medication to a child; or
82 (ii) a psychiatric or behavioral health evaluation of a child.
83 (5) Notwithstanding Subsection (4)(e), school personnel may make a report that would
84 otherwise be prohibited under Subsection (4)(e) if failure to take the action described under
85 Subsection (4)(e) would present a serious, imminent risk to the child's safety or the safety of

86 others.
87 (6) Notwithstanding Subsection (4), a school counselor or other mental health
88 professional acting in accordance with Title 58, Chapter 60, Mental Health Professional
89 Practice Act, or licensed through the State Board of Education, working within the school
90 system may:
91 (a) recommend, but not require, a psychiatric or behavioral health evaluation of a child;
92 (b) recommend, but not require, psychiatric, psychological, or behavioral treatment for
93 a child;
94 (c) conduct a psychiatric or behavioral health evaluation or mental health screening,
95 test, evaluation, or assessment of a child in accordance with Section 53A-13-302 ; and
96 (d) provide to a parent or guardian, upon the specific request of the parent or guardian,
97 a list of three or more health care professionals or providers, including licensed physicians,
98 psychologists, or other health specialists.
99 (7) Local school boards or charter schools shall adopt a policy:
100 (a) providing for training of appropriate school personnel on the provisions of this
101 section; and
102 (b) indicating that an intentional violation of this section is cause for disciplinary action
103 consistent with local school board or charter school policy and under Section 53A-8-104 .
104 (8) Nothing in this section shall be interpreted as discouraging general communication
105 not prohibited by this section between school personnel and a student's parent or guardian.
106 Section 2. Section 78-3a-301 is amended to read:
107 78-3a-301. Court-ordered protective custody of a child following petition filing --
108 Grounds.
109 (1) After a petition has been filed under Section 78-3a-305 , if the child who is the
110 subject of the petition is not in the protective custody of the division, a court may order that the
111 child be removed from the child's home or otherwise taken into protective custody if the court
112 finds, by a preponderance of the evidence, that any one or more of the following circumstances
113 exist:

114 (a) (i) there is an imminent danger to the physical health or safety of the child; and
115 (ii) the child's physical health or safety may not be protected without removing the
116 child from the custody of the child's parent or guardian;
117 (b) (i) a parent or guardian engages in or threatens the child with unreasonable conduct
118 that causes the child to suffer emotional damage; and
119 (ii) there are no reasonable means available by which the child's emotional health may
120 be protected without removing the child from the custody of the child's parent or guardian;
121 (c) the child or another child residing in the same household has been physically or
122 sexually abused, or is considered to be at substantial risk of being physically or sexually
123 abused, by a parent or guardian, a member of the parent's or guardian's household, or other
124 person known to the parent or guardian;
125 (d) the parent or guardian is unwilling to have physical custody of the child;
126 (e) the child is abandoned or left without any provision for the child's support;
127 (f) a parent or guardian who has been incarcerated or institutionalized has not arranged
128 or cannot arrange for safe and appropriate care for the child;
129 (g) (i) a relative or other adult custodian with whom the child is left by the parent or
130 guardian is unwilling or unable to provide care or support for the child;
131 (ii) the whereabouts of the parent or guardian are unknown; and
132 (iii) reasonable efforts to locate the parent or guardian are unsuccessful;
133 (h) the child is in immediate need of medical care;
134 (i) (i) a parent's or guardian's actions, omissions, or habitual action create an
135 environment that poses a threat to the child's health or safety; or
136 (ii) a parent's or guardian's action in leaving a child unattended would reasonably pose
137 a threat to the child's health or safety;
138 (j) the child or another child residing in the same household has been neglected;
139 (k) an infant has been abandoned, as defined in Section 78-3a-313.5 ;
140 (l) (i) the parent or guardian, or an adult residing in the same household as the parent or
141 guardian, is charged or arrested pursuant to Title 58, Chapter 37d, Clandestine Drug Lab Act;

142 and
143 (ii) any clandestine laboratory operation was located in the residence or on the property
144 where the child resided; or
145 (m) the child's welfare is otherwise endangered.
146 (2) (a) For purposes of Subsection (1)(a), if a child has previously been adjudicated as
147 abused, neglected, or dependent, and a subsequent incident of abuse, neglect, or dependency
148 occurs involving the same substantiated abuser or under similar circumstance as the previous
149 abuse, that fact constitutes prima facie evidence that the child cannot safely remain in the
150 custody of the child's parent.
151 (b) For purposes of Subsection (1)(c):
152 (i) another child residing in the same household may not be removed from the home
153 unless that child is considered to be at substantial risk of being physically or sexually abused as
154 described in Subsection (1)(c) or Subsection (2)(b)(ii); and
155 (ii) if a parent or guardian has received actual notice that physical or sexual abuse by a
156 person known to the parent has occurred, and there is evidence that the parent or guardian
157 failed to protect the child, after having received the notice, by allowing the child to be in the
158 physical presence of the alleged abuser, that fact constitutes prima facie evidence that the child
159 is at substantial risk of being physically or sexually abused.
160 (3) In the absence of one of the factors described in Subsection (1), a court may not
161 remove a child from the parent's or guardian's custody on the basis of:
162 (a) educational neglect;
163 (b) mental illness or poverty of the parent or guardian; or
164 (c) disability of the parent or guardian, as defined in Section 57-21-2 .
165 (4) A child removed from the custody of the child's parent or guardian under this
166 section may not be placed or kept in a secure detention facility pending further court
167 proceedings unless the child is detainable based on guidelines promulgated by the Division of
168 Juvenile Justice Services.
169 (5) This section does not preclude removal of a child from the child's home without a

170 warrant or court order under Section 62A-4a-202.1 .
171 (6) (a) Except as provided in Subsection (6)(b), a court or the Division of Child and
172 Family Services may not remove a child from the custody of the child's parent or guardian on
173 the sole or primary basis that the parent or guardian refuses to consent to:
174 (i) the administration of a psychotropic medication to a child;
175 (ii) a psychiatric, psychological, or behavioral treatment for a child; or
176 (iii) a psychiatric or behavioral health evaluation of a child.
177 (b) Notwithstanding Subsection (6)(a), a court or the Division of Child and Family
178 Services may remove a child under conditions that would otherwise be prohibited under
179 Subsection (6)(a) if failure to take an action described under Subsection (6)(a) would present a
180 serious, imminent risk to the child's physical safety or the physical safety of others.