| 20 | | - | Sec. 2. (Effective from passage) (a) The Commissioner of Children and Families, or the commissioner's designee, shall lead a working group that shall develop a plan to deinstitutionalize the patients of the Albert J. Solnit Children's Center-South Campus. Such working group shall include the Secretary of the Office of Policy and Management, or the secretary's designee, the Commissioners of Mental Health and Addiction Services and Public Heath, or the commissioners' designees, the Child Advocate and four persons selected by the Commissioner of Children and Families, each of whom shall represent one of the following: (1) The patients of the center, (2) state employees who work at the center or a union representing such employees, (3) an advocacy group for the patients, and (4) a private provider of services needed by such patients. The group shall consider the following: (A) The quality of care provided to the patients, (B) the promotion of home and community-based care, (C) whether it is appropriate for state employees to continue to deliver services to the patients or whether private providers should deliver such services, or both, (D) the possibility of downsizing staff without compromising the quality of care, and (E) alternative prevention and intervention treatment programs that could result in an avoidance of inpatient care. Any recommendations contained in the plan shall be developed using a cost-benefit analysis that considers both financial costs as well as quality of care issues. |
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| 32 | + | Sec. 2. (Effective from passage) (a) The Commissioner of Children and Families, or the commissioner's designee, shall lead a working group that shall develop a plan to deinstitutionalize the patients of Riverview Hospital for Children and Youth. Such working group shall include the Secretary of the Office of Policy and Management, or the secretary's designee, the Commissioners of Mental Health and Addiction Services and Public Heath, or the commissioners' designees, the Child Advocate and four persons selected by the Commissioner of Children and Families, each of whom shall represent one of the following: (1) The patients of the hospital, (2) state employees who work at the hospital or a union representing such employees, (3) an advocacy group for the patients, and (4) a private provider of services needed by such patients. The group shall consider the following: (A) The quality of care provided to the patients, (B) the promotion of home and community-based care, (C) whether it is appropriate for state employees to continue to deliver services to the patients or whether private providers should deliver such services, or both, (D) the possibility of downsizing staff without compromising the quality of care, and (E) alternative prevention and intervention treatment programs that could result in an avoidance of inpatient care. Any recommendations contained in the plan shall be developed using a cost-benefit analysis that considers both financial costs as well as quality of care issues. |
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| 27 | 39 | | |
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| 28 | 40 | | (c) As used in this section, "executive branch agency" includes each "budgeted agency", as defined in subparagraph (A) of subdivision (11) of section 4-69 of the general statutes, except the offices of the Attorney General, the State Treasurer, the State Comptroller and the Secretary of the State. |
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| 29 | 41 | | |
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| 30 | 42 | | Sec. 4. Section 3-119a of the general statutes is repealed and the following is substituted in lieu thereof (Effective from passage): |
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| 31 | 43 | | |
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| 32 | 44 | | (a) The Comptroller shall develop, implement and maintain a comprehensive retirement data base system and shall regularly consult and inform the State Employees Retirement Commission concerning the system. |
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| 33 | 45 | | |
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| 34 | 46 | | (b) The Comptroller, in conjunction with the Commissioner of Administrative Services, shall develop, implement and maintain a state-wide time and attendance system. The system shall be integrated with the central payroll system and compatible with the development of the comprehensive retirement data base system. |
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| 35 | 47 | | |
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| 46 | | - | (a) The Commissioners of Social Services and Administrative Services and the Comptroller, in consultation with the Commissioner of Public Health, shall develop a plan to (1) implement and maintain a prescription drug purchasing program and procedures to aggregate or negotiate the purchase of pharmaceuticals for pharmaceutical programs benefiting state-administered general assistance, HUSKY Plan, Part B, Charter Oak Health Plan and ConnPACE recipients, inmates of the Department of Correction, and persons eligible for coverage under the group hospitalization and medical and surgical insurance plans procured under section 5-259 of the general statutes, and (2) have the state join an existing multistate Medicaid pharmaceutical purchasing pool. Such plan shall determine the feasibility of subjecting some or all of the component programs set forth in subdivision (1) of this subsection to the preferred drug lists adopted pursuant to section 17b-274d of the general statutes. |
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| 58 | + | (a) The Commissioners of Social Services and Administrative Services and the Comptroller, in consultation with the Commissioner of Public Health and the Insurance Commissioner, shall develop a plan to (1) implement and maintain a prescription drug purchasing program and procedures to aggregate or negotiate the purchase of pharmaceuticals for pharmaceutical programs benefiting state-administered general assistance, HUSKY Plan, Part B, Charter Oak Health Plan and ConnPACE recipients, inmates of the Department of Correction, and persons eligible for coverage under the group hospitalization and medical and surgical insurance plans procured under section 5-259 of the general statutes, and (2) have the state join an existing multistate Medicaid pharmaceutical purchasing pool. Such plan shall determine the feasibility of subjecting some or all of the component programs set forth in subdivision (1) of this subsection to the preferred drug lists adopted pursuant to section 17b-274d of the general statutes. |
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| 50 | | - | Sec. 8. (NEW) (Effective from passage) (a) All state agencies shall use modern procurement practices in their routine purchasing in order to achieve a ten per cent reduction in the cost of contracting for the state. Such practices shall include, but not be limited to, reverse auctions as described in section 4a-60b of the general statutes, job-order contracting, on-line submission of bids, membership in purchasing cooperatives, as described in section 4a-53 of the general statutes, performance-based contracting and contingency contracting. |
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| 62 | + | Sec. 8. Section 4a-60b of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2013): |
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| 63 | + | |
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| 64 | + | (a) For the purposes of this section: |
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| 65 | + | |
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| 66 | + | (1) "Reverse auction" means an on-line bidding process in which qualified bidders or qualified proposers, anonymous to each other, submit bids or proposals to provide services, goods or supplies pursuant to an invitation to bid or request for proposals; [and] |
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| 67 | + | |
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| 68 | + | (2) "Contracting agency" means a state agency with statutory authority to award contracts for services, goods or supplies, or a political subdivision of the state or school district; and |
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| 69 | + | |
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| 70 | + | (3) "Services" means any (A) laundry and cleaning service, (B) pest control service, (C) janitorial service, (D) security service, (E) rental, repair or maintenance of equipment, machinery or other personal property owned by the state, a political subdivision of the state or a school district, (F) advertising, (G) photostating, (H) mimeographing, or (I) other service arrangements, other than construction or construction management services, where such services are provided by persons other than employees of the state, a political subdivision of the state or a school district. |
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| 71 | + | |
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| 72 | + | (b) Notwithstanding any provision of the general statutes, whenever a contracting agency determines that the use of a reverse auction is advantageous to the contracting agency and will ensure a competitive contract award, the contracting agency may use a reverse auction to award a contract for services, goods or supplies, in accordance with any applicable requirement of the general statutes and policies of the contracting agency. The contracting agency may contract with a third party to prepare and manage any such reverse auction. |
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| 73 | + | |
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| 74 | + | Sec. 9. (NEW) (Effective from passage) (a) All state agencies shall use modern procurement practices in their routine purchasing in order to achieve a ten per cent reduction in the cost of contracting for the state. Such practices shall include, but not be limited to, reverse auctions as described in section 4a-60b of the general statutes, as amended by this act, job-order contracting, on-line submission of bids, membership in purchasing cooperatives, as described in section 4a-53 of the general statutes, performance-based contracting and contingency contracting. |
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| 54 | | - | (c) For the purposes of this section, (1) "job-order contracting" means a method of contracting where the competitively bid contract uses a set of customized, prepriced, common construction tasks contained in a catalog and sets parameters such as the types of work that can be done, location of the work, design criteria and maximum amount of work to be awarded; (2) "performance-based contracting" means a method of contracting where the state agency states the result it wants achieved and allows contractors to make bids detailing their proposed solutions or methods of achieving the result and where the state agency is charged with developing clear ways to measure the result as well as the contractors' performance over the course of the contract; and (3) "contingency contracting" means a method of contracting where the contractor is paid a percentage of the savings or revenue collected by the state agency that is attributable to the contract. |
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| 78 | + | (c) For the purposes of this section, "job-order contracting" means a method of contracting where the competitively bid contract uses a set of customized, prepriced, common construction tasks contained in a catalog and sets parameters such as the types of work that can be done, location of the work, design criteria and maximum amount of work to be awarded; "performance-based contracting" means a method of contracting where the agency states the result it wants achieved and allows contractors to make bids detailing their proposed solutions or methods of achieving the result and where the agency is charged with developing clear ways to measure the result as well as the contractors' performance over the course of the contract; and "contingency contracting" means a method of contracting where the contractor is paid on a percentage basis of the savings or revenue collected by the agency that is attributable to the contract. |
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| 58 | | - | Sec. 10. (NEW) (Effective from passage) Not later than ninety days after the effective date of this section, the Commissioner of Social Services shall develop and implement a plan to (1) increase by not less than five per cent the usage of generic substitute prescription drug products by recipients of benefits under the state's medical assistance programs, and (2) lower the amount the state pays for generic substitute prescription drug products for recipients of benefits under the state's medical assistance programs to an amount not more than the national average paid by states for generic substitute prescription drug products under the Medicaid program. Such plan shall include, but not be limited to, a description of policy changes to be implemented that will reduce the number of brand name drugs for which prior authorization is granted by the Department of Social Services or an independent pharmacy consultant acting on behalf of the department. Not later than September 1, 2013, the commissioner shall submit such plan to the joint standing committee of the General Assembly having cognizance of matters relating to government administration in accordance with the provisions of section 11-4a of the general statutes. |
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| 82 | + | Sec. 11. (NEW) (Effective from passage) Not later than ninety days after the effective date of this section, the Commissioner of Social Services shall develop and implement a plan to (1) increase by not less than five per cent the usage of generic substitute prescription drug products by recipients of benefits under the state's medical assistance programs, and (2) lower the amount the state pays for generic substitute prescription drug products for recipients of benefits under the state's medical assistance programs to an amount not more than the national average paid by states for generic substitute prescription drug products under the Medicaid program. Such plan shall include, but not be limited to, a description of policy changes to be implemented that will reduce the number of brand name drugs for which prior authorization is granted by the Department of Social Services or an independent pharmacy consultant acting on behalf of the department. Not later than September 1, 2013, the commissioner shall submit such plan to the joint standing committee of the General Assembly having cognizance of matters relating to government administration in accordance with the provisions of section 11-4a of the general statutes. |
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| 60 | | - | Sec. 11. (Effective from passage) The Department of Social Services' pharmacy program personnel shall direct the drug utilization review board to study (1) the average number of drug prescriptions issued, annually, to each recipient of benefits under the state's medical assistance programs, (2) the reasons for the high number of such drug prescriptions, as compared with the number of such drug prescriptions issued in other states, and (3) recommendations concerning the issuance of such drug prescriptions. Not later than ninety days after the effective date of this section, the Commissioner of Social Services shall report, in accordance with the provisions of section 11-4a of the general statutes, to the joint standing committee of the General Assembly having cognizance of matters relating to government administration concerning the findings of the drug utilization review board. |
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| 84 | + | Sec. 12. (Effective from passage) The Department of Social Services' pharmacy program personnel shall direct the drug utilization review board to study (1) the average number of drug prescriptions issued, annually, to each recipient of benefits under the state's medical assistance programs, (2) the reasons for the high number of such drug prescriptions, as compared with the number of such drug prescriptions issued in other states, and (3) recommendations concerning the issuance of such drug prescriptions. Not later than ninety days after the effective date of this section, the Commissioner of Social Services shall report, in accordance with the provisions of section 11-4a of the general statutes, to the joint standing committee of the General Assembly having cognizance of matters relating to government administration concerning the findings of the drug utilization review board. |
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| 64 | | - | Sec. 13. (Effective from passage) (a) For the purposes of this section, "lean techniques" means a method of improving administrative processes that (1) is based upon a focus on a customer service perspective that seeks to optimize value delivered to the public, (2) involves employees, the regulated community and the public in continual improvements and the finding of solutions, (3) uses a continual improvement framework that emphasizes rapid implementation rather than lengthy planning, (4) seeks to reduce the complexity of the process, and (5) uses metrics and visual controls to improve decision-making and problem solving. |
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| 88 | + | Sec. 14. (Effective from passage) (a) For the purposes of this section, "lean techniques" means a method of improving administrative processes that (1) is based upon a focus on a customer service perspective that seeks to optimize value delivered to the public, (2) involves employees, the regulated community and the public in continual improvements and the finding of solutions, (3) uses a continual improvement framework that emphasizes rapid implementation rather than lengthy planning, (4) seeks to reduce the complexity of the process, and (5) uses metrics and visual controls to improve decision-making and problem solving. |
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| 67 | 91 | | |
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| 68 | 92 | | (c) All appointments to the committee shall be made not later than thirty days after the effective date of this section. Any vacancy shall be filled by the appointing authority. |
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| 69 | 93 | | |
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| 70 | 94 | | (d) The Secretary of the Office of Policy and Management, or a designee, shall serve as the chairperson of the committee. Such chairperson shall schedule the first meeting of the committee, which shall be held not later than thirty days after the effective date of this section. |
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| 71 | 95 | | |
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| 72 | 96 | | (e) The Connecticut Center for Advanced Technology shall assist said committee to develop a plan for the implementation of lean techniques in state agencies, including, but not limited to, which agencies should implement lean techniques first, which processes should be made more efficient, a method for such implementation and the goals of such implementation. |
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| 73 | 97 | | |
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| 74 | 98 | | (f) Not later than sixty days after the effective date of this section, the committee shall submit a report on its findings and recommendations to the Governor, the speaker of the House of Representatives, the president pro tempore of the Senate and the joint standing committee of the General Assembly having cognizance of matters relating to government administration, in accordance with the provisions of section 11-4a of the general statutes. |
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| 75 | 99 | | |
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