Substitute Bill No. 1359 proposes significant revisions to the statutes governing the Department of Social Services, particularly focusing on child support enforcement and the administration of social services. Key changes include allowing the IV-D agency to notify entities to withhold assets from obligors with overdue support of $500 or more and modifying child support orders to zero dollars for obligors incarcerated for over 90 days unless the custodial party objects. The bill also removes previous restrictions on downward modifications of support orders based solely on income loss due to incarceration, especially for those incarcerated for offenses against the custodial party or child. Additionally, it mandates managed residential communities to post residents' rights and updates the supplemental nutrition assistance program to stagger benefit distributions, eliminating the requirement for annual reporting on this process.

The bill further addresses the rate determination process for room and board payments to private facilities and regional education service centers that provide residential care but are not certified for Title XIX Medicaid participation. It establishes that the Commissioner of Social Services will annually determine these rates, with provisions for facilities to request actual debt service payments and caps on rate increases over several fiscal years. The bill also expands access to information from the registry for protective service determinations and background checks, and introduces a provision for custom-made, noninvasive breast prostheses, requiring the Commissioner to develop outreach programs for breast cancer survivors. Overall, the bill aims to enhance child support enforcement, improve social service administration, and create a more equitable framework for determining state payments to residential care facilities.