CT
Connecticut Senate Bill SB01137

Connecticut 2013 Regular Session

Connecticut Senate Bill SB01137 Compare Versions

OldNewDifferences
1-Substitute Senate Bill No. 1137
1+General Assembly Substitute Bill No. 1137
2+January Session, 2013 *_____SB01137ED____042913____*
23
3-Public Act No. 13-287
4+General Assembly
45
5-AN ACT CONCERNING THE SCHOOL-BASED HEALTH CENTER ADVISORY COMMITTEE AND A STUDY ON THE PROVISION OF BEHAVIORAL HEALTH SERVICES AT SCHOOL-BASED HEALTH CENTERS.
6+Substitute Bill No. 1137
7+
8+January Session, 2013
9+
10+*_____SB01137ED____042913____*
11+
12+AN ACT CONCERNING THE DEFINITION OF SCHOOL-BASED HEALTH CENTER.
613
714 Be it enacted by the Senate and House of Representatives in General Assembly convened:
815
9-Section 1. Section 19a-6i of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2013):
16+Section 1. (NEW) (Effective July 1, 2013) As used in sections 19a-6i of the general statutes, as amended by this act, 19a-7d of the general statutes, as amended by this act, and 19a-638 of the general statutes, as amended by this act, "school-based health center" has the same meaning as provided in 42 USC 1397jj(c)(9), as amended from time to time.
1017
11-(a) There is established a school-based health center advisory committee for the purpose of [assisting] advising the Commissioner of Public Health [in developing recommendations for] on matters relating to (1) statutory and regulatory changes to improve health care through access to school-based health centers, and (2) minimum standards for the provision of services in school-based health centers to ensure that high quality health care services are provided in school-based health centers.
18+Sec. 2. Subsection (a) of section 19a-6i of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2013):
1219
13-(b) The committee shall be composed of the following members:
20+(a) There is established a school-based health center advisory committee for the purpose of assisting the Commissioner of Public Health in developing recommendations for statutory and regulatory changes to improve health care through access to school-based health centers, as defined in section 1 of this act.
1421
15-(1) One appointed by the speaker of the House of Representatives, who shall be a family advocate or a parent whose child utilizes school-based health center services;
22+Sec. 3. Subsection (a) of section 19a-7d of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2013):
1623
17-(2) One appointed by the president pro tempore of the Senate, who shall be a school nurse;
24+(a) The Commissioner of Public Health may establish, within available appropriations, a program to provide three-year grants to community-based providers of primary care services in order to expand access to health care for the uninsured. The grants may be awarded to community-based providers of primary care for (1) funding for direct services, (2) recruitment and retention of primary care clinicians and registered nurses through subsidizing of salaries or through a loan repayment program, and (3) capital expenditures. The community-based providers of primary care under the direct service program shall provide, or arrange access to, primary and preventive services, referrals to specialty services, including rehabilitative and mental health services, inpatient care, prescription drugs, basic diagnostic laboratory services, health education and outreach to alert people to the availability of services. Primary care clinicians and registered nurses participating in the state loan repayment program or receiving subsidies shall provide services to the uninsured based on a sliding fee schedule, provide free care if necessary, accept Medicare assignment and participate as Medicaid providers, or provide nursing services in school-based health centers, as defined in section 1 of this act. The commissioner may adopt regulations, in accordance with the provisions of chapter 54, to establish eligibility criteria, services to be provided by participants, the sliding fee schedule, reporting requirements and the loan repayment program. For the purposes of this section, "primary care clinicians" includes family practice physicians, general practice osteopaths, obstetricians and gynecologists, internal medicine physicians, pediatricians, dentists, certified nurse midwives, advanced practice registered nurses, physician assistants and dental hygienists.
1825
19-(3) One appointed by the majority leader of the House of Representatives, who shall be a representative of a school-based health center that is sponsored by a community health center;
26+Sec. 4. Subsection (b) of section 19a-638 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2013):
2027
21-(4) One appointed by the majority leader of the Senate, who shall be a representative of a school-based health center that is sponsored by a nonprofit health care agency;
28+(b) A certificate of need shall not be required for:
2229
23-(5) One appointed by the minority leader of the House of Representatives, who shall be a representative of a school-based health center that is sponsored by a school or school system;
30+(1) Health care facilities owned and operated by the federal government;
2431
25-(6) One appointed by the minority leader of the Senate, who shall be a representative of a school-based health center that does not receive state funds;
32+(2) The establishment of offices by a licensed private practitioner, whether for individual or group practice, except when a certificate of need is required in accordance with the requirements of section 19a-493b or subdivision (9) or (10) of subsection (a) of this section;
2633
27-(7) Two appointed by the Governor, one each of whom shall be a representative of the Connecticut Chapter of the American Academy of Pediatrics and a representative of a school-based health center that is sponsored by a hospital;
34+(3) A health care facility operated by a religious group that exclusively relies upon spiritual means through prayer for healing;
2835
29-(8) One appointed by the Commissioner of Public Health, who shall be a representative of a school-based health center that is sponsored by a local health department;
36+(4) Residential care homes, nursing homes and rest homes, as defined in subsection (c) of section 19a-490;
3037
31-[(1)] (9) The Commissioner of Public Health, or the commissioner's designee;
38+(5) An assisted living services agency, as defined in section 19a-490;
3239
33-[(2)] (10) The Commissioner of Social Services, or the commissioner's designee;
40+(6) Home health agencies, as defined in section 19a-490;
3441
35-[(3)] (11) The Commissioner of Mental Health and Addiction Services, or the commissioner's designee;
42+(7) Hospice services, as described in section 19a-122b;
3643
37-[(4)] (12) The Commissioner of Education, or the commissioner's designee; [and]
44+(8) Outpatient rehabilitation facilities;
3845
39-(13) The executive director of the Commission on Children, or the executive director's designee; and
46+(9) Outpatient chronic dialysis services;
4047
41-[(5)] (14) Three school-based health center providers, [who] one of whom shall be the executive director of the Connecticut Association of School-Based Health Centers and two of whom shall be appointed by the board of directors of the Connecticut Association of School-Based Health Centers.
48+(10) Transplant services;
4249
43-(c) The committee shall meet not less than quarterly. On or before January 1, [2012] 2014, and annually thereafter, the committee shall report, in accordance with the provisions of section 11-4a, on its activities to the joint standing committees of the General Assembly having cognizance of matters relating to public health and education.
50+(11) Free clinics, as defined in section 19a-630;
4451
45-(d) Administrative support for the activities of the committee may be provided by the [Connecticut Association of School-Based Health Centers] Department of Public Health.
52+(12) School-based health centers, as defined in section 1 of this act, community health centers, as defined in section 19a-490a, not-for-profit outpatient clinics licensed in accordance with the provisions of chapter 368v and federally qualified health centers;
4653
47-Sec. 2. (Effective from passage) (a) The Commissioner of Public Health, in consultation with the Commissioner of Children and Families and the school-based health center advisory committee, established pursuant to section 19a-6i of the general statutes, as amended by this act, shall study the provision of behavioral health services by school-based health centers in the state, provided the Department of Public Health receives private or federal funds for the purpose of conducting such study. For purposes of this section, "school-based health center" means a health clinic, licensed by the Department of Public Health pursuant to section 19a-491 of the general statutes, that provides health care services to students at a school.
54+(13) A program licensed or funded by the Department of Children and Families, provided such program is not a psychiatric residential treatment facility;
4855
49-(b) Not later than February 1, 2014, the Commissioner of Public Health 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 public health concerning the study conducted pursuant to subsection (a) of this section, provided the commissioner conducts such study. Such report shall include, but need not be limited to: (1) Recommendations for standards concerning the provision of behavioral health services at school-based health centers; (2) recommendations for oversight of the provision of behavioral health services at school-based health centers; (3) the estimated cost for all school-based health centers in the state to provide the recommended behavioral health services; (4) a description of the behavioral health services currently provided at school-based health centers; and (5) recommendations for maximizing reimbursement for such behavioral health services by private insurance and social service programs, including medical assistance programs administered by the Department of Social Services.
56+(14) Any nonprofit facility, institution or provider that has a contract with, or is certified or licensed to provide a service for, a state agency or department for a service that would otherwise require a certificate of need. The provisions of this subdivision shall not apply to a short-term acute care general hospital or children's hospital, or a hospital or other facility or institution operated by the state that provides services that are eligible for reimbursement under Title XVIII or XIX of the federal Social Security Act, 42 USC 301, as amended;
57+
58+(15) A health care facility operated by a nonprofit educational institution exclusively for students, faculty and staff of such institution and their dependents;
59+
60+(16) An outpatient clinic or program operated exclusively by or contracted to be operated exclusively by a municipality, municipal agency, municipal board of education or a health district, as described in section 19a-241;
61+
62+(17) A residential facility for persons with intellectual disability licensed pursuant to section 17a-227 and certified to participate in the Title XIX Medicaid program as an intermediate care facility for the mentally retarded;
63+
64+(18) Replacement of existing imaging equipment if such equipment was acquired through certificate of need approval or a certificate of need determination, provided a health care facility, provider, physician or person notifies the office of the date on which the equipment is replaced and the disposition of the replaced equipment;
65+
66+(19) Acquisition of cone-beam dental imaging equipment that is to be used exclusively by a dentist licensed pursuant to chapter 379;
67+
68+(20) The partial or total elimination of services provided by an outpatient surgical facility, as defined in section 19a-493b, except as provided in subdivision (6) of subsection (a) of this section and section 19a-639e;
69+
70+(21) The termination of services for which the Department of Public Health has requested the facility to relinquish its license; or
71+
72+(22) Acquisition of any equipment by any person that is to be used exclusively for scientific research that is not conducted on humans.
73+
74+
75+
76+
77+This act shall take effect as follows and shall amend the following sections:
78+Section 1 July 1, 2013 New section
79+Sec. 2 July 1, 2013 19a-6i(a)
80+Sec. 3 July 1, 2013 19a-7d(a)
81+Sec. 4 July 1, 2013 19a-638(b)
82+
83+This act shall take effect as follows and shall amend the following sections:
84+
85+Section 1
86+
87+July 1, 2013
88+
89+New section
90+
91+Sec. 2
92+
93+July 1, 2013
94+
95+19a-6i(a)
96+
97+Sec. 3
98+
99+July 1, 2013
100+
101+19a-7d(a)
102+
103+Sec. 4
104+
105+July 1, 2013
106+
107+19a-638(b)
108+
109+
110+
111+PH Joint Favorable Subst.
112+ED Joint Favorable
113+
114+PH
115+
116+Joint Favorable Subst.
117+
118+ED
119+
120+Joint Favorable