The bill H.192 aims to prohibit the use of solitary confinement or room confinement for children in secure facilities, allowing it only as a temporary measure in response to behavior that poses a serious and immediate risk of physical harm. The legislation mandates that staff must first attempt de-escalation techniques, such as talking with the child or involving a qualified mental health professional, before resorting to confinement. If confinement is deemed necessary, the staff must explain the reasons to the child and ensure that release occurs either immediately upon regaining self-control or within specified time limits, which are three hours for risks to others and 30 minutes for risks to the child.

Additionally, the bill outlines requirements for monitoring children in confinement, stipulating that staff must check on them at least every 15 minutes. If a child's behavior continues to pose a risk after the designated time, they must be transferred to a different facility where alternative services can be provided. The bill clarifies that it does not limit the use of single-person rooms for housing children during regular sleeping hours and is set to take effect on July 1, 2025.