As Reported by the House Health Committee

126th General Assembly
Regular Session
2005-2006
Sub. H. B. No. 289


Representatives White, Beatty, Barrett, Brown, Smith, S., Martin, Mason 



A BILL
To amend section 121.37 and to enact section 121.374 1
of the Revised Code regarding the duties of the 2
Ohio Family and Children First Cabinet Council and 3
county family and children first councils.4


BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:

       Section 1.  That section 121.37 be amended and section 5
121.374 of the Revised Code be enacted to read as follows:6

       Sec. 121.37.  (A)(1) There is hereby created the Ohio family7
and children first cabinet council. The council shall be composed8
of the superintendent of public instruction and the directors of9
youth services, job and family services, mental health, health,10
alcohol and drug addiction services, mental retardation and11
developmental disabilities, and budget and management. The12
chairperson of the council shall be the governor or the governor's13
designee and shall establish procedures for the council's internal14
control and management.15

       (2) The purpose of the cabinet council is to help families16
seeking government services. This section shall not be interpreted 17
or applied to usurp the role of parents, but solely to streamline 18
and coordinate existing government services for families seeking 19
assistance for their children.20

       (2) In seeking to fulfill its purpose, the council may do any21
of the following:22

       (a) Advise and make recommendations to the governor and23
general assembly regarding the provision of services to children;24

       (b) Advise and assess local governments on the coordination25
of service delivery to children;26

       (c) Hold meetings at such times and places as may be27
prescribed by the council's procedures and maintain records of the28
meetings, except that records identifying individual children are29
confidential and shall be disclosed only as provided by law;30

       (d) Develop programs and projects, including pilot projects,31
to encourage coordinated efforts at the state and local level to32
improve the state's social service delivery system;33

       (e) Enter into contracts with and administer grants to county 34
family and children first councils, as well as other county or35
multicounty organizations to plan and coordinate service delivery36
between state agencies and local service providers for families37
and children;38

       (f) Enter into contracts with and apply for grants from39
federal agencies or private organizations;40

       (g) Enter into interagency agreements to encourage41
coordinated efforts at the state and local level to improve the42
state's social service delivery system. The agreements may include 43
provisions regarding the receipt, transfer, and expenditure of 44
funds;45

       (h) Identify public and private funding sources for services46
provided to alleged or adjudicated unruly children and children47
who are at risk of being alleged or adjudicated unruly children,48
including regulations governing access to and use of the services;49

       (i) Collect information provided by local communities50
regarding successful programs for prevention, intervention, and51
treatment of unruly behavior, including evaluations of the52
programs;53

       (j) Identify and disseminate publications regarding alleged54
or adjudicated unruly children and children who are at risk of55
being alleged or adjudicated unruly children and regarding56
programs serving those types of children;57

       (k) Maintain an inventory of strategic planning facilitators58
for use by government or nonprofit entities that serve alleged or59
adjudicated unruly children or children who are at risk of being60
alleged or adjudicated unruly children.61

       (3) The cabinet council shall provide for the following:62

       (a) Reviews of service and treatment plans for children for63
which such reviews are requested;64

       (b) Assistance as the council determines to be necessary to65
meet the needs of children referred by county family and children66
first councils;67

       (c) Monitoring and supervision of a statewide, comprehensive, 68
coordinated, multi-disciplinary, interagency system for infants 69
and toddlers with developmental disabilities or delays and their 70
families, as established pursuant to federal grants received and 71
administered by the department of health for early intervention 72
services under the "Individuals with Disabilities Education Act of 73
2004," 20 U.S.C.A. 1400, as amended.74

       (4) The cabinet council shall develop and implement the 75
following:76

       (a) An interagency process to select the indicators that will 77
be used to measure progress toward increasing child well-being in 78
the state and to update the indicators on an annual basis. The 79
indicators shall focus on expectant parents and newborns thriving; 80
infants and toddlers thriving; children being ready for school; 81
children and youth succeeding in school; youth choosing healthy 82
behaviors; and youth successfully transitioning into adulthood.83

       (b) An interagency system to offer guidance and monitor 84
progress toward increasing child well-being in the state and in 85
each county;86

       (c) An annual plan that identifies state-level agency efforts 87
taken to ensure progress towards increasing child well-being in 88
the state.89

       On an annual basis, the cabinet council shall submit to the 90
governor and the general assembly a report on the status of 91
efforts to increase child well-being in the state. This report 92
shall be made available to any other person on request.93

       (B)(1) Each board of county commissioners shall establish a94
county family and children first council. The board may invite any 95
local public or private agency or group that funds, advocates, or 96
provides services to children and families to have a97
representative become a permanent or temporary member of its98
county council. Each county council must include the following99
individuals:100

       (a) At least three individuals who are not employed by an 101
agency represented on the council and whose families are or have102
received services from an agency represented on the council or103
another county's council. Where possible, the number of members104
representing families shall be equal to twenty per cent of the105
council's membership.106

       (b) The director of the board of alcohol, drug addiction, and 107
mental health services that serves the county, or, in the case of 108
a county that has a board of alcohol and drug addiction services 109
and a community mental health board, the directors of both boards. 110
If a board of alcohol, drug addiction, and mental health services 111
covers more than one county, the director may designate a person 112
to participate on the county's council.113

       (c) The health commissioner, or the commissioner's designee,114
of the board of health of each city and general health district in115
the county. If the county has two or more health districts, the116
health commissioner membership may be limited to the commissioners117
of the two districts with the largest populations.118

       (d) The director of the county department of job and family119
services;120

       (e) The executive director of the public children services 121
agency;122

       (f) The superintendent of the county board of mental123
retardation and developmental disabilities;124

       (g) The county's juvenile court judge senior in service or125
another judge of the juvenile court designated by the126
administrative judge or, where there is no administrative judge,127
by the judge senior in service;128

       (h) The superintendent of the city, exempted village, or129
local school district with the largest number of pupils residing130
in the county, as determined by the department of education, which131
shall notify each board of county commissioners of its132
determination at least biennially;133

       (i) A school superintendent representing all other school134
districts with territory in the county, as designated at a135
biennial meeting of the superintendents of those districts;136

       (j) A representative of the municipal corporation with the137
largest population in the county;138

       (k) The president of the board of county commissioners or an 139
individual designated by the board;140

       (l) A representative of the regional office of the department 141
of youth services;142

       (m) A representative of the county's head start agencies, as143
defined in section 3301.32 of the Revised Code;144

       (n) A representative of the county's early intervention145
collaborative established pursuant to the federal early146
intervention program operated under the "Education of the147
Handicapped Act Amendments of 1986Individuals with Disabilities 148
Education Act of 2004";149

       (o) A representative of a local nonprofit entity that funds,150
advocates, or provides services to children and families.151

       Notwithstanding any other provision of law, the public152
members of a county council are not prohibited from serving on the153
council and making decisions regarding the duties of the council,154
including those involving the funding of joint projects and those155
outlined in the county's service coordination mechanism156
implemented pursuant to division (C) of this section.157

       The cabinet council shall establish a state appeals process158
to resolve disputes among the members of a county council159
concerning whether reasonable responsibilities as members are160
being shared. The appeals process may be accessed only by a161
majority vote of the council members who are required to serve on162
the council. Upon appeal, the cabinet council may order that state163
funds for services to children and families be redirected to a 164
county's board of county commissioners.165

       (2) The purpose of the county council is to streamline and 166
coordinate existing government services for families seeking 167
services for their children. In seeking to fulfill its purpose, a 168
county council shall provide for the following:169

       (a) Referrals to the cabinet council of those children for170
whom the county council cannot provide adequate services;171

       (b) Development and implementation of a process that annually 172
evaluates and prioritizes services, fills service gaps where 173
possible, and invents new approaches to achieve better results for 174
families and children;175

       (c) Participation in the development of a countywide,176
comprehensive, coordinated, multi-disciplinary, interagency system177
for infants and toddlers with developmental disabilities or delays178
and their families, as established pursuant to federal grants179
received and administered by the department of health for early180
intervention services under the "Education of the Handicapped Act181
Amendments of 1986Individuals with Disabilities Education Act of 182
2004";183

       (d) Maintenance of an accountability system to monitor the184
county council's progress in achieving results for families and185
children;186

       (e) Establishment of a mechanism to ensure ongoing input from 187
a broad representation of families who are receiving services188
within the county system.189

       (3) A county council shall develop and implement the 190
following:191

       (a) An interagency process to establish local indicators and 192
monitor the county's progress toward increasing child well-being 193
in the county;194

       (b) An interagency process to identify local priorities to 195
increase child well-being. The local priorities shall focus on 196
expectant parents and newborns thriving; infants and toddlers 197
thriving; children being ready for school; children and youth 198
succeeding in school; youth choosing healthy behaviors; and youth 199
successfully transitioning into adulthood and take into account 200
the indicators established by the cabinet council under division 201
(A)(4)(a) of this section.202

       (c) An annual plan that identifies the county's interagency 203
efforts to increase child well-being in the county.204

       On an annual basis, the county council shall submit a report 205
on the status of efforts by the county to increase child 206
well-being in the county to the county's board of county 207
commissioners and the cabinet council. This report shall be made 208
available to any other person on request.209

       (4)(a) Except as provided in division (B)(3)(4)(b) of this210
section, a county council shall comply with the policies,211
procedures, and activities prescribed by the rules or interagency212
agreements of a state department participating on the cabinet213
council whenever the county council performs a function subject to214
those rules or agreements.215

       (b) On application of a county council, the cabinet council216
may grant an exemption from any rules or interagency agreements of217
a state department participating on the council if an exemption is218
necessary for the council to implement an alternative program or219
approach for service delivery to families and children. The220
application shall describe the proposed program or approach and221
specify the rules or interagency agreements from which an222
exemption is necessary. The cabinet council shall approve or223
disapprove the application in accordance with standards and224
procedures it shall adopt. If an application is approved, the225
exemption is effective only while the program or approach is being226
implemented, including a reasonable period during which the227
program or approach is being evaluated for effectiveness.228

       (4)(5)(a) Each county council shall designate an229
administrative agent for the council from among the following 230
public entities: the board of alcohol, drug addiction, and mental 231
health services, including a board of alcohol and drug addiction 232
or a community mental health board if the county is served by 233
separate boards; the board of county commissioners; any board of 234
health of the county's city and general health districts; the 235
county department of job and family services; the county agency236
responsible for the administration of children services pursuant 237
to section 5153.15 of the Revised Code; the county board of mental 238
retardation and developmental disabilities; any of the county's 239
boards of education or governing boards of educational service240
centers; or the county's juvenile court. Any of the foregoing 241
public entities, other than the board of county commissioners, may242
decline to serve as the council's administrative agent.243

       A county council's administrative agent shall serve as the244
council's appointing authority for any employees of the council.245
The council shall file an annual budget with its administrative246
agent, with copies filed with the county auditor and with the247
board of county commissioners, unless the board is serving as the248
council's administrative agent. The council's administrative agent 249
shall ensure that all expenditures are handled in accordance with 250
policies, procedures, and activities prescribed by state251
departments in rules or interagency agreements that are applicable252
to the council's functions.253

       The administrative agent for a county council may do any of254
the following on behalf of the council:255

       (i) Enter into agreements or administer contracts with public 256
or private entities to fulfill specific council business. Such 257
agreements and contracts are exempt from the competitive bidding 258
requirements of section 307.86 of the Revised Code if they have 259
been approved by the county council and they are for the purchase 260
of family and child welfare or child protection services or other 261
social or job and family services for families and children. The 262
approval of the county council is not required to exempt 263
agreements or contracts entered into under section 5139.34,264
5139.41, or 5139.43 of the Revised Code from the competitive265
bidding requirements of section 307.86 of the Revised Code.266

       (ii) As determined by the council, provide financial267
stipends, reimbursements, or both, to family representatives for268
expenses related to council activity;269

       (iii) Receive by gift, grant, devise, or bequest any moneys,270
lands, or other property for the purposes for which the council is271
established. The agent shall hold, apply, and dispose of the272
moneys, lands, or other property according to the terms of the273
gift, grant, devise, or bequest. Any interest or earnings shall be 274
treated in the same manner and are subject to the same terms as275
the gift, grant, devise, or bequest from which it accrues.276

       (b)(i) If the county council designates the board of county277
commissioners as its administrative agent, the board may, by278
resolution, delegate any of its powers and duties as279
administrative agent to an executive committee the board280
establishes from the membership of the county council. The board281
shall name to the executive committee at least the individuals282
described in divisions (B)(1)(a)(b) to (i) of this section and may 283
appoint the president of the board or another individual as the 284
chair of the executive committee. The executive committee must 285
include at least one family county council representative who does 286
not have a family member employed by an agency represented on the 287
council.288

       (ii) The executive committee may, with the approval of the289
board, hire an executive director to assist the county council in290
administering its powers and duties. The executive director shall291
serve in the unclassified civil service at the pleasure of the292
executive committee. The executive director may, with the approval 293
of the executive committee, hire other employees as necessary to 294
properly conduct the county council's business.295

       (iii) The board may require the executive committee to submit 296
an annual budget to the board for approval and may amend or repeal 297
the resolution that delegated to the executive committee its 298
authority as the county council's administrative agent.299

       (5)(6) Two or more county councils may enter into an300
agreement to administer their county councils jointly by creating 301
a regional family and children first council. A regional council302
possesses the same duties and authority possessed by a county 303
council, except that the duties and authority apply regionally 304
rather than to individual counties. Prior to entering into an 305
agreement to create a regional council, the members of each county 306
council to be part of the regional council shall meet to determine 307
whether all or part of the members of each county council will 308
serve as members of the regional council.309

       (6)(7) A board of county commissioners may approve a 310
resolution by a majority vote of the board's members that requires 311
the county council to submit a statement to the board each time312
the council proposes to enter into an agreement, adopt a plan, or 313
make a decision, other than a decision pursuant to section 121.38 314
of the Revised Code, that requires the expenditure of funds for 315
two or more families. The statement shall describe the proposed316
agreement, plan, or decision.317

       Not later than fifteen days after the board receives the318
statement, it shall, by resolution approved by a majority of its319
members, approve or disapprove the agreement, plan, or decision.320
Failure of the board to pass a resolution during that time period321
shall be considered approval of the agreement, plan, or decision.322

       An agreement, plan, or decision for which a statement is323
required to be submitted to the board shall be implemented only if324
it is approved by the board.325

       (C) Each county shall develop a county service coordination326
mechanism. The county service coordination mechanism shall serve 327
as the guiding document for coordination of services in the 328
county. For children who also receive services under the help me 329
grow program, the service coordination mechanism shall be 330
consistent with rules adopted by the department of health under 331
section 3701.61 of the Revised Code. All family service 332
coordination plans shall be developed in accordance with the 333
county service coordination mechanism. The mechanism shall be 334
developed and approved with the participation of the county335
entities representing child welfare; mental retardation and 336
developmental disabilities; alcohol, drug addiction, and mental 337
health services; health; juvenile judges; education; the county 338
family and children first council; and the county early339
intervention collaborative established pursuant to the federal 340
early intervention program operated under the "Education of the341
Handicapped Act Amendments of 1986Individuals with Disabilities 342
Education Act of 2004." The county shall establish an 343
implementation schedule for the mechanism. The cabinet council may 344
monitor the implementation and administration of each county's 345
service coordination mechanism.346

       Each mechanism shall include all of the following:347

       (1) A procedure for an agency, including a juvenile court, or 348
a family voluntarily seeking service coordination, to refer the 349
child and family to the county council for service coordination in 350
accordance with the county service coordination mechanism;351

       (2) A procedure ensuring that a family and all appropriate 352
staff from involved agencies, including a representative from the 353
appropriate school district, are notified of and invited to 354
participate in all family service coordination plan meetings;355

        (3) A procedure that permits a family to initiate a meeting 356
to develop or review the family's service coordination plan and 357
allows the family to invite a family advocate, mentor, or support 358
person of the family's choice to participate in any such meeting;359

        (4) A procedure for ensuring that a family service 360
coordination plan meeting is conducted before a non-emergency361
nonemergency out-of-home placement for all multi-need children, or 362
within ten days of a placement for emergency placements of 363
multi-need children. The family service coordination plan shall 364
outline how the county council members will jointly pay for 365
services, where applicable, and provide services in the least 366
restrictive environment.367

        (5) A procedure for monitoring the progress and tracking the 368
outcomes of each service coordination plan requested in the county 369
including monitoring and tracking children in out-of-home 370
placements to assure continued progress, appropriateness of 371
placement, and continuity of care after discharge from placement 372
with appropriate arrangements for housing, treatment, and 373
education.374

        (6) A procedure for protecting the confidentiality of all 375
personal family information disclosed during service coordination 376
meetings or contained in the comprehensive family service 377
coordination plan.378

        (7) A procedure for assessing the needs and strengths of any 379
child or family that has been referred to the council for service 380
coordination, including a child whose parent or custodian is 381
voluntarily seeking services, and for ensuring that parents and 382
custodians are afforded the opportunity to participate;383

       (8) A procedure for development of a family service 384
coordination plan described in division (D) of this section;385

       (9) A local dispute resolution process to serve as the386
process that must be used first to resolve disputes among the387
agencies represented on the county council concerning the388
provision of services to children, including children who are389
abused, neglected, dependent, unruly, alleged unruly, or390
delinquent children and under the jurisdiction of the juvenile391
court and children whose parents or custodians are voluntarily392
seeking services. The local dispute resolution process shall393
comply with sectionsections 121.38, 121.381, and 121.382 of the 394
Revised Code. The local dispute resolution process shall be used 395
to resolve disputes between a child's parents or custodians and 396
the county council regarding service coordination. The county 397
council shall inform the parents or custodians of their right to 398
use the dispute resolution process. Parents or custodians shall 399
use existing local agency grievance procedures to address disputes 400
not involving service coordination. The dispute resolution process 401
is in addition to and does not replace other rights or procedures 402
that parents or custodians may have under other sections of the 403
Revised Code.404

       The cabinet council shall adopt rules in accordance with 405
Chapter 119. of the Revised Code establishing an administrative406
review process to address problems that arise concerning the 407
operation of a local dispute resolution process.408

        Nothing in division (C)(4) of this section shall be 409
interpreted as overriding or affecting decisions of a juvenile 410
court regarding an out-of-home placement, long-term placement, or 411
emergency out-of-home placement.412

       (D) Each county shall develop a comprehensive family service 413
coordination plan that does all of the following:414

       (1) Designates service responsibilities among the various415
state and local agencies that provide services to children and416
their families, including children who are abused, neglected,417
dependent, unruly, or delinquent children and under the418
jurisdiction of the juvenile court and children whose parents or419
custodians are voluntarily seeking services;420

       (2) Designates an individual, approved by the family, to 421
track the progress of the family service coordination plan, 422
schedule reviews as necessary, and facilitate the family service 423
coordination plan meeting process;424

        (3) Ensures that assistance and services to be provided are 425
responsive to the strengths and needs of the family, as well as 426
the family's culture, race, and ethnic group, by allowing the 427
family to offer information and suggestions and participate in 428
decisions. Identified assistance and services shall be provided in 429
the least restrictive environment possible.430

        (4) Includes a process for dealing with a child who is 431
alleged to be an unruly child. The process shall include methods 432
to divert the child from the juvenile court system;433

       (5) Includes timelines for completion of goals specified in 434
the plan with regular reviews scheduled to monitor progress toward 435
those goals;436

        (6) Includes a plan for dealing with short-term crisis 437
situations and safety concerns.438

       (E)(1) The process provided for under division (D)(4) of this 439
section may include, but is not limited to, the following:440

        (a) Designation of the person or agency to conduct the441
assessment of the child and the child's family as described in442
division (C)(7) of this section and designation of the instrument 443
or instruments to be used to conduct the assessment;444

       (b) An emphasis on the personal responsibilities of the child 445
and the parental responsibilities of the parents, guardian, or 446
custodian of the child;447

       (c) Involvement of local law enforcement agencies and448
officials.449

       (2) The method to divert a child from the juvenile court450
system that must be included in the service coordination process451
may include, but is not limited to, the following:452

       (a) The preparation of a complaint under section 2151.27 of453
the Revised Code alleging that the child is an unruly child and454
notifying the child and the parents, guardian, or custodian that455
the complaint has been prepared to encourage the child and the456
parents, guardian, or custodian to comply with other methods to457
divert the child from the juvenile court system;458

       (b) Conducting a meeting with the child, the parents,459
guardian, or custodian, and other interested parties to determine460
the appropriate methods to divert the child from the juvenile461
court system;462

        (c) A method to provide to the child and the child's family a 463
short-term respite from a short-term crisis situation involving a 464
confrontation between the child and the parents, guardian, or465
custodian;466

       (d) A program to provide a mentor to the child or the467
parents, guardian, or custodian;468

       (e) A program to provide parenting education to the parents,469
guardian, or custodian;470

       (f) An alternative school program for children who are truant 471
from school, repeatedly disruptive in school, or suspended or 472
expelled from school;473

       (g) Other appropriate measures, including, but not limited474
to, any alternative methods to divert a child from the juvenile475
court system that are identified by the Ohio family and children476
first cabinet council.477

       (F) Each county may review and revise the service478
coordination process described in division (D) of this section479
based on the availability of funds under Title IV-A of the "Social480
Security Act," 110 Stat. 2113 (1996), 42 U.S.C.A. 601, as amended,481
or to the extent resources are available from any other federal,482
state, or local funds.483

       Sec. 121.374.  There is hereby created the Ohio family and 484
children first cabinet council advisory board consisting of 485
thirteen members. The governor shall appoint one member from the 486
governor's office to serve on the advisory board. The speaker of 487
the house of representatives shall appoint two members of the 488
house of representatives, each from a different political party. 489
The president of the senate shall appoint two members of the 490
senate, each from a different political party. The governor, the 491
speaker of the house of representatives, and the president of the 492
senate shall each appoint one member of the general public who is 493
a primary caregiver who uses or has used a service provided by an 494
agency represented on a family and children first county council. 495
The speaker of the house of representatives and the president of 496
the senate shall each appoint one member representing a foundation 497
or nonprofit organization with expertise in issues related to 498
children, families, or education. The governor shall appoint one 499
member representing a faith-based organization, one member from a 500
county family and children first council in a rural county, and 501
one member from a county family and children first council in an 502
urban county.503

        Each member shall serve until a replacement member is 504
appointed. Vacancies shall be filled in the same manner as 505
original appointments. Members of the advisory board shall serve 506
without compensation.507

       The advisory board shall consult with the cabinet council 508
regarding the council's activities and initiatives, evaluating 509
existing efforts, and help guide the direction of new efforts. The 510
advisory board shall provide guidance regarding efforts to seek 511
local input about the council's activities, initiatives, and 512
achievements of the indicators adopted under section 121.37 of the 513
Revised Code.514

       Section 2. That existing section 121.37 of the Revised Code 515
is hereby repealed.516