relative to out-of-home placements for children.

This bill establishes stricter rules for placing children in state care into residential facilities, prioritizing placement with relatives or in foster homes as the first options. It mandates that residential care be used only as a last resort for children aged 12 and older, unless there is a specific medical or therapeutic need, and requires all such facilities to meet new state certification standards before receiving funding. To enforce these standards, the Department of Health and Human Services will create a team to inspect and certify programs, conduct regular unannounced visits, and report quarterly on their oversight activities and spending. Additionally, the bill requires special approval from the state director before placing any child in a facility outside of New England.