The bill seeks to enhance the state's program under the Federal Comprehensive Addiction and Recovery Act of 2016 by transferring its administration from the Children, Youth and Families Department to the Department of Health. It introduces new definitions, such as "substance-exposed newborn," which pertains to infants under one year old who have been prenatally exposed to controlled substances or alcohol. A key feature of the bill is the establishment of a "CARA navigator," a professional tasked with providing intensive case management to families in need. Additionally, it mandates that birthing facilities create a written plan of safe care for substance-exposed newborns prior to discharge, which must be shared with the child's primary care physician and relevant departments.

The bill outlines the essential components of the plan of safe care, including referrals to early intervention programs and other resources like public health agencies. It also requires an in-home visit by a CARA navigator after the plan is established to assess the family's needs and ensure access to necessary treatment. Furthermore, the bill emphasizes the responsibilities of healthcare providers in monitoring compliance with these plans and collecting relevant data, while ensuring confidentiality and immunity from civil or criminal liability for those fulfilling their obligations. Importantly, notifications made under this framework do not constitute reports of child abuse or neglect, thus protecting families from unnecessary investigations. The provisions of this act are set to take effect on July 1, 2025.

Statutes affected:
introduced version: 32A-3A-2, 32A-3A-13, 32A-3A-14, 32A-4-3
HC substitute: 32A-1-4, 32A-3A-2, 32A-3A-13, 32A-3A-14, 32A-4-3