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 relevant entities about overdue support obligations and modifying child support orders to zero dollars for obligors incarcerated for over ninety 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. Additionally, it mandates managed residential communities to post residents' rights and contact information for state agencies, while updating the system for administering the supplemental nutrition assistance program to comply with federal law.

The bill further addresses payment rates for residential care facilities, establishing a structured framework for rate determination from fiscal years ending June 30, 2018, to June 30, 2024. It limits rate increases to no more than two percent over the previous year's rate, with exceptions for facilities that have made health or safety capital improvements. The bill also allows for adjustments based on the gross domestic product deflator for allowable operating costs when funding is appropriated. Moreover, it enhances the accessibility of information in the registry maintained by the Department of Developmental Services for protective service determinations and background checks, and introduces provisions for custom-made breast prostheses, ensuring that Medicaid-enrolled providers are informed about coverage and outreach programs for breast cancer survivors. Overall, the bill aims to improve the efficiency of support enforcement and the quality of care in residential facilities while maintaining controlled state expenditures.