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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. |
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| | | 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. |
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| | | Sec. 2. 34-B MRSA §5605, sub-§13, ¶C is enacted to read: |
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| | | 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. |
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| | | Sec. 3. 34-B MRSA §5605, sub-§14, ¶D-1, as amended by PL 2003, c. 368, | | §2, is repealed and the following enacted in its place: |
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| | | 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: |
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| | | (1)__When recommended by a qualified professional after | | approval of the person's service plan; |
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| | | (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 |
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| | | (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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