Connecticut 2015 Regular Session

Connecticut House Bill HB05528 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	General Assembly Substitute Bill No. 5528
2		-	January Session, 2015 _____HB05528PH____033015____
	1	+	General Assembly Committee Bill No. 5528
	2	+	January Session, 2015 LCO No. 5789
	3	+	05789HB05528PH_
	4	+	Referred to Committee on PUBLIC HEALTH
	5	+	Introduced by:
	6	+	(PH)
3	7
4	8		General Assembly
5	9
6		-	~~Substitute~~ Bill No. 5528
	10	+	Committee Bill No. 5528
7	11
8	12		January Session, 2015
9	13
10		-	_____HB05528PH____033015____
	14	+	LCO No. 5789
	15	+
	16	+	05789HB05528PH_
	17	+
	18	+	Referred to Committee on PUBLIC HEALTH
	19	+
	20	+	Introduced by:
	21	+
	22	+	(PH)
11	23
12	24		AN ACT CONCERNING THE PROVISION OF BEHAVIORAL HEALTH SERVICES.
13	25
14	26		Be it enacted by the Senate and House of Representatives in General Assembly convened:
15	27
16	28		Section 1. (NEW) (Effective July 1, 2015) (a) There is established a behavioral health professional incentive program to be administered by the Department of Public Health.
17	29
18	30		(b) Such program shall provide a grant to any person (1) who is a (A) psychiatrist licensed under chapter 370 of the general statutes, (B) psychologist licensed under chapter 383 of the general statutes, who holds a doctorate degree, (C) licensed clinical social worker or licensed master social worker licensed under chapter 383b of the general statutes, (D) advanced practice registered nurse licensed under chapter 378 of the general statutes, who provides psychiatric services, (E) marital and family therapist licensed under chapter 383a of the general statutes, or (F) professional counselor licensed under chapter 383c of the general statutes; (2) whose patients consist of not less than (A) fifty per cent children, adolescents or families, (B) twenty-five per cent Medicaid recipients, and (C) twenty-five per cent who use health insurance to pay for services; (3) who is not participating in the United States Department of Health and Human Services' National Health Service Corps program; and (4) who practices in any of the counties or municipalities in Connecticut designated as health professional shortage areas by the United States Department of Health and Human Services' Health Resources and Services Administration.
19	31
20	32		(c) A person who is a psychiatrist and receives a grant under this section shall be eligible for reimbursement of educational loans up to a maximum of seventy-five thousand dollars. Any person other than a psychiatrist who receives a grant under this section shall be eligible for reimbursement of educational loans up to a maximum of fifty thousand dollars. The department shall distribute such grants over a five-year period and the amount shall increase each year during the five-year period.
21	33
22	34		Sec. 2. (Effective July 1, 2015) (a) For the purposes described in subsection (b) of this section, the State Bond Commission shall have the power from time to time to authorize the issuance of bonds of the state in one or more series and in principal amounts not exceeding in the aggregate two million dollars.
23	35
24	36		(b) The proceeds of the sale of such bonds, to the extent of the amount stated in subsection (a) of this section, shall be used by the Department of Public Health for the purpose of the behavioral health professional incentive program established pursuant to section 1 of this act.
25	37
26	38		(c) All provisions of section 3-20 of the general statutes, or the exercise of any right or power granted thereby, that are not inconsistent with the provisions of this section are hereby adopted and shall apply to all bonds authorized by the State Bond Commission pursuant to this section. Temporary notes in anticipation of the money to be derived from the sale of any such bonds so authorized may be issued in accordance with section 3-20 of the general statutes and from time to time renewed. Such bonds shall mature at such time or times not exceeding twenty years from their respective dates as may be provided in or pursuant to the resolution or resolutions of the State Bond Commission authorizing such bonds. None of such bonds shall be authorized except upon a finding by the State Bond Commission that there has been filed with it a request for such authorization that is signed by or on behalf of the Secretary of the Office of Policy and Management and states such terms and conditions as said commission, in its discretion, may require. Such bonds issued pursuant to this section shall be general obligations of the state and the full faith and credit of the state of Connecticut are pledged for the payment of the principal of and interest on such bonds as the same become due, and accordingly and as part of the contract of the state with the holders of such bonds, appropriation of all amounts necessary for punctual payment of such principal and interest is hereby made, and the State Treasurer shall pay such principal and interest as the same become due.
27	39
28		-	Sec. 3. (NEW) (Effective July 1, 2015) (a) The Department of Public Health shall establish a behavioral health grant program for the purpose of assisting local and regional boards of education with employing or contracting for the services of a ~~(1)~~ licensed clinical social worker or a licensed master social worker, licensed under chapter 383b of the general statutes, or ~~(2)~~ psychologist, licensed under chapter 383 of the general statutes. To be eligible for a grant under the program, the local or regional board of education shall be located in a Connecticut health professional shortage area designated by the United States Department of Health and Human Services' Health Resources and Services Administration and shall partner with one or more other such boards in applying for such grant. The commissioner shall award grants to fund up to five full-time social worker or psychologist positions for a two-year period.
	40	+	Sec. 3. (NEW) (Effective July 1, 2015) (a) The Department of Public Health shall establish a behavioral health grant program for the purpose of assisting local and regional boards of education with employing or contracting for the services of a licensed clinical social worker or a licensed master social worker, licensed under chapter 383b of the general statutes, or a psychologist, licensed under chapter 383 of the general statutes. To be eligible for a grant under the program, the local or regional board of education shall be located in a Connecticut health professional shortage area designated by the United States Department of Health and Human Services' Health Resources and Services Administration and shall partner with one or more other such boards in applying for such grant. The commissioner shall award grants to fund up to five full-time social worker or psychologist positions for a two-year period.
29	41
30	42		(b) The Commissioner of Public Health shall solicit grant applications from local and regional boards of education located in the health professional shortage areas, which shall be submitted annually to the commissioner at such time and on such forms as the commissioner prescribes. Applications shall be submitted jointly by two or more boards of education. In determining whether the boards of education submitting applications shall be granted funds pursuant to this section, the commissioner shall consider the following factors: (1) The local or regional boards of education's ratio of school psychologists or social workers to students; and (2) evidence of the need for behavioral health services by children and adolescents in the local communities served by the boards of education.
31	43
32	44		(c) If the commissioner finds that any board of education uses a grant received under this section for purposes other than those which are in conformity with the purposes of this section, the commissioner may require repayment of such grant to the state.
33	45
34	46		Sec. 4. Section 17a-20a of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2015):
35	47
36		-	(a) Not later than January 1, 2014, the Commissioner of Children and Families shall establish and implement, in consultation with the Commissioner of Mental Health and Addiction Services, a regional behavioral health consultation and care coordination program for primary care providers who serve children and young adults up to age twenty-~~six~~. Such program shall provide to such primary care providers: (1) Timely access to a consultation team that includes a child psychiatrist, social worker and a care coordinator; (2) patient care coordination and transitional services for behavioral health care; and (3) training and education concerning patient access to behavioral health services. [Said commissioner] The Commissioner of Children and Families may enter into a contract for services to administer such program.
	48	+	(a) Not later than January 1, 2014, the Commissioner of Children and Families shall establish and implement, in consultation with the Commissioner of Mental Health and Addiction Services, a regional behavioral health consultation and care coordination program for primary care providers who serve children and young adults up to age twenty-five. Such program shall provide to such primary care providers: (1) Timely access to a consultation team that includes a child psychiatrist, social worker and a care coordinator; (2) patient care coordination and transitional services for behavioral health care; and (3) training and education concerning patient access to behavioral health services. [Said commissioner] The Commissioner of Children and Families may enter into a contract for services to administer such program.
37	49
38	50		(b) Not later than October 1, 2013, [said commissioner] the Commissioner of Children and Families shall submit a plan, in accordance with the provisions of section 11-4a, to the joint standing committees of the General Assembly having cognizance of matters relating to public health, children, human services and appropriations concerning the program to be established pursuant to subsection (a) of this section.
39	51
40	52		(c) The Commissioner of Children and Families may adopt regulations, in accordance with the provisions of chapter 54, to implement the provisions of this section.
41	53
42	54		Sec. 5. (NEW) (Effective July 1, 2015) The Commissioner of Public Health shall, in consultation with the Commissioners of Children and Families and Mental Health and Addiction Services, annually publish an informational notice for providers of behavioral health services concerning the communication of health care information to other providers of behavioral health and other health care services to ensure a continuity of health care services and compliance with state and federal laws to protect patient privacy. Such informational notice shall be posted on the Internet web sites of the Department of Mental Health and Addiction Services, the Department of Children and Families and the Department of Public Health. The Commissioner of Mental Health and Addiction Services shall also distribute such informational notices to providers of mental health services by facsimile or electronic mail.
43	55
44	56		Sec. 6. (Effective from passage) (a) The Commissioner of Public Health, in consultation with the Commissioner of Education, shall study the potential advantages of licensing board certified behavior analysts, as defined in section 20-185i of the general statutes, and assistant behavior analysts, who are credentialed by the Behavior Analyst Certification Board. Said commissioners shall also study the inclusion of board certified behavior analysts and assistant behavior analysts in school special education planning and placement teams, as described in section 10-76d of the general statutes.
45	57
46	58		(b) Not later than October 1, 2015, the Commissioner of Public Health shall report, in accordance with the provisions of section 11-4a of the general statutes, concerning the results of such study to the joint standing committees of the General Assembly having cognizance of matters relating to public health and education. Such report shall include, but need not be limited to, recommendations concerning: (1) Any new licensure or certification categories relating to behavioral analysis; (2) inclusion of board certified behavior analysts or assistant behavior analysts on special education planning placement teams; and (3) incentives for persons to enter the field of behavior analysis.
47	59
48		-	Sec. 7. (NEW) (Effective July 1, 2015) (a) There is established within the Department of Public Health a grant program to provide funds to local and regional boards of education and school-based health centers for the purchase of telemedicine equipment and software. A board of education or school-based health center eligible for a grant under the program shall (1) enter into an agreement with one or more: (A) Psychiatrists, licensed under chapter 370 of the general statutes; (B) licensed clinical social workers or licensed master social workers, licensed under chapter 383b of the general statutes; (C) psychologists, licensed under chapter 383 of the general statutes; or (D) ~~other persons~~ licensed to provide behavioral health services approved by the Commissioner of Public Health, who are trained and experienced in the use of telemedicine, to provide behavioral health services through the use of telemedicine equipment to students in the school district, and (2) meet any data reporting requirements established by the Commissioner of Public Health.
	60	+	Sec. 7. (NEW) (Effective July 1, 2015) (a) There is established within the Department of Public Health a grant program to provide funds to local and regional boards of education and school-based health centers for the purchase of telemedicine equipment and software. A board of education or school-based health center eligible for a grant under the program shall (1) enter into an agreement with one or more: (A) Psychiatrists, licensed under chapter 370 of the general statutes; (B) licensed clinical social workers or licensed master social workers, licensed under chapter 383b of the general statutes; (C) psychologists, licensed under chapter 383 of the general statutes; or (D) another person licensed to provide behavioral health services approved by the Commissioner of Public Health, who are trained and experienced in the use of telemedicine, to provide behavioral health services through the use of telemedicine equipment to students in the school district, and (2) meet any data reporting requirements established by the Commissioner of Public Health.
49	61
50	62		(b) The Commissioner of Public Health, in consultation with the Commissioners of Education and Children and Families, shall establish a streamlined application process for the grant program. Any board of education or school-based health center meeting the eligibility criteria in subsection (a) of this section may apply to said program. The Commissioner of Public Health may establish reporting requirements for boards of education and school-based health centers receiving grants under the program.
51	63
52	64		Sec. 8. (NEW) (Effective July 1, 2015) (a) For the purposes described in subsection (b) of this section, the State Bond Commission shall have the power, from time to time, to authorize the issuance of bonds of the state in one or more series and in principal amounts not exceeding in the aggregate two hundred fifty thousand dollars.
53	65
54	66		(b) The proceeds of the sale of said bonds, to the extent of the amount stated in subsection (a) of this section, shall be used by the Department of Public Health for the purpose of providing grants under the program established in section 7 of this act.
55	67
56	68		(c) All provisions of section 3-20 of the general statutes, or the exercise of any right or power granted thereby that are not inconsistent with the provisions of this section are hereby adopted and shall apply to all bonds authorized by the State Bond Commission pursuant to this section, and temporary notes in anticipation of the money to be derived from the sale of any such bonds so authorized may be issued in accordance with said section 3-20 of the general statutes and from time to time renewed. Such bonds shall mature at such time or times not exceeding twenty years from their respective dates as may be provided in or pursuant to the resolution or resolutions of the State Bond Commission authorizing such bonds. None of said bonds shall be authorized except upon a finding by the State Bond Commission that there has been filed with it a request for such authorization, which is signed by or on behalf of the Secretary of the Office of Policy and Management and states such terms and conditions as said commission, in its discretion, may require. Said bonds issued pursuant to this section shall be general obligations of the state and the full faith and credit of the state of Connecticut are pledged for the payment of the principal of and interest on said bonds as the same become due, and accordingly and as part of the contract of the state with the holders of said bonds, appropriation of all amounts necessary for punctual payment of such principal and interest is hereby made, and the Treasurer shall pay such principal and interest as the same become due.
57	69
58		-	Sec. 9. (NEW) (Effective July 1, 2015) Not later than January 1, 2016, and annually thereafter, the Commissioner of Public Health shall submit a report, in accordance with the provisions of section 11-4a of the general statutes, to the joint standing committees of the General Assembly having cognizance of matters relating to finance, revenue and bonding, appropriations, public health and education. Such report shall include, but need not be limited to, (1) the number of local and regional boards of education ~~and school-based health centers~~ that applied for a grant under the program described in section 7 of this act, (2) the number of boards of education ~~and school-based health centers~~ that received a grant under such program, and (3) the amount of each such grant.
	70	+	Sec. 9. (NEW) (Effective July 1, 2015) Not later than January 1, 2016, and annually thereafter, the Commissioner of Public Health shall submit a report, in accordance with the provisions of section 11-4a of the general statutes, to the joint standing committees of the General Assembly having cognizance of matters relating to finance, revenue and bonding, appropriations, public health and education. Such report shall include, but need not be limited to, (1) the number of local and regional boards of education that applied for a grant under the program described in section 7 of this act, (2) the number of boards of education that received a grant under such program, and (3) the amount of each such grant.
59	71
60		-	Sec. 10. (NEW) (Effective January 1, 2016) As used in this section, sections 11 to 15, inclusive, of this act ~~and section 19a-14 of the general statutes, as amended by this act~~:
	72	+	Sec. 10. (NEW) (Effective January 1, 2016) As used in this section and sections 11 to 16, inclusive, of this act:
61	73
62	74		(1) "Behavior analysis" means the design, implementation and evaluation of environmental modifications, using behavior stimuli and consequences, including the use of direct observation, measurement and functional analysis of the relationship between the environment and behavior, to produce socially significant improvement in human behavior but does not include: (A) Psychological testing, (B) neuropsychology, (C) cognitive therapy, (D) sex therapy, (E) psychoanalysis, (F) hypnotherapy, (G) cognitive behavioral therapy, (H) psychotherapy, or (I) long-term counseling as treatment modalities;
63	75
64		-	(2) "Behavior analyst" means a person who is licensed to practice behavior analysis under the provisions of ~~section~~ 11, ~~12 or 14~~ of this act;
	76	+	(2) "Behavior analyst" means a person who is licensed to practice behavior analysis under the provisions of sections 11 to 15, inclusive, of this act;
65	77
66		-	(3) "Assistant behavior analyst" means a person who is licensed to assist in the practice of behavior analysis under the supervision of, or in consultation with, a behavior analyst ~~under the provisions of section 11, 13 or 14 of this act~~; and
	78	+	(3) "Assistant behavior analyst" means a person who is licensed to assist in the practice of behavior analysis under the supervision of, or in consultation with, a behavior analyst; and
67	79
68	80		(4) "Behavior Analyst Certification Board" has the same meaning as defined in section 20-185i of the general statutes, or a successor of said board.
69	81
70		-	Sec. 11. (NEW) (Effective January 1, 2016) (a) No person may practice behavior analysis or assist in the practice of behavior analysis unless licensed pursuant to ~~section~~ 12, 13 ~~or 14~~ of this act.
	82	+	Sec. 11. (NEW) (Effective January 1, 2016) (a) No person may practice behavior analysis or assist in the practice of behavior analysis unless licensed pursuant to sections 12 and 13 of this act.
71	83
72		-	(b) No person may use the title "behavior analyst", "assistant behavior analyst" or make use of any title, words, letters or abbreviations that may reasonably be confused with licensure as a behavior analyst or assistant behavior analyst unless such person is licensed pursuant to ~~section~~ 12~~, 13~~ or 14 of this act.
	84	+	(b) No person may use the title "behavior analyst", "assistant behavior analyst" or make use of any title, words, letters or abbreviations that may reasonably be confused with licensure as a behavior analyst or assistant behavior analyst unless such person is licensed pursuant to sections 12 or 13 of this act.
73	85
74	86		(c) The provisions of this section shall not apply to a person who (1) provides behavior analysis or assists in the practice of behavior analysis while acting within the scope of practice of the person's license and training, provided the person does not hold himself or herself out to the public as a behavior analyst or assistant behavior analyst, (2) is a student enrolled in a behavior analysis educational program accredited by the Behavior Analyst Certification Board, or a graduate education program in which behavior analysis is an integral part of the student's course of study and such student is performing such behavior analysis or assisting in behavior analysis under the direct supervision of a licensed behavior analyst, or (3) is an instructor in a course approved by the Behavior Analyst Certification Board.
75	87
76	88		Sec. 12. (NEW) (Effective January 1, 2016) (a) The Commissioner of Public Health shall grant a license as a behavior analyst to any applicant who furnishes evidence satisfactory to the commissioner that such applicant is certified as a behavior analyst by the Behavior Analyst Certification Board. The commissioner shall develop and provide application forms. The application fee shall be three hundred fifty dollars.
77	89
78		-	(b) Licenses issued under this section may be renewed ~~biennially~~. The fee for such renewal shall be one hundred seventy-five dollars. Each behavior analyst applying for license renewal shall furnish evidence satisfactory to the commissioner of having current certification with the Behavior Analyst Certification Board.
	90	+	(b) Licenses issued under this section may be renewed biannually. The fee for such renewal shall be one hundred seventy-five dollars. Each behavior analyst applying for license renewal shall furnish evidence satisfactory to the commissioner of having current certification with the Behavior Analyst Certification Board.
79	91
80	92		Sec. 13. (NEW) (Effective January 1, 2016) (a) The Commissioner of Public Health shall grant a license as an assistant behavior analyst to any applicant who furnishes evidence satisfactory to the commissioner that such applicant is certified as an assistant behavior analyst by the Behavior Analyst Certification Board. The commissioner shall develop and provide application forms. The application fee shall be three hundred fifty dollars.
81	93
82		-	(b) Licenses issued under this section may be renewed ~~biennially~~. The fee for such renewal shall be one hundred seventy-five dollars. Each assistant behavior analyst applying for license renewal shall furnish evidence satisfactory to the commissioner of having current certification with the Behavior Analyst Certification Board.
	94	+	(b) Licenses issued under this section may be renewed biannually. The fee for such renewal shall be one hundred seventy-five dollars. Each assistant behavior analyst applying for license renewal shall furnish evidence satisfactory to the commissioner of having current certification with the Behavior Analyst Certification Board.
83	95
84		-	Sec. 14. (NEW) (Effective January 1, 2016) A person may apply for licensure by endorsement as a behavior analyst or assistant behavior analyst. Such applicant shall present evidence satisfactory to the commissioner that the applicant is licensed or certified as a behavior analyst or assistant behavior analyst, or as a person entitled to perform similar services under a different designation, in another state or jurisdiction that has requirements for practicing in such capacity that are substantially similar to, or higher than, those of this state and that there are no disciplinary actions or unresolved complaints pending.
	96	+	Sec. 14. (NEW) (Effective January 1, 2016) (a) Except as provided in subsection (b) of this section, an applicant for a license as a behavior analyst or assistant behavior analyst shall submit evidence satisfactory to the Commissioner of Public Health of having earned a certification as a behavior analyst or assistant behavior analyst from the Behavior Analyst Certification Board.
	97	+
	98	+	(b) An applicant for licensure by endorsement shall present evidence satisfactory to the commissioner that the applicant is licensed or certified as a behavior analyst or assistant behavior analyst, or as a person entitled to perform similar services under a different designation, in another state or jurisdiction that has requirements for practicing in such capacity that are substantially similar to, or higher than, those of this state and that there are no disciplinary actions or unresolved complaints pending.
85	99
86	100		Sec. 15. (NEW) (Effective January 1, 2016) The Commissioner of Public Health may take any disciplinary action set forth in section 19a-17 of the general statutes against a behavior analyst or assistant behavior analyst for any of the following reasons: (1) Failure to conform to the accepted standards of the profession; (2) conviction of a felony; (3) fraud or deceit in obtaining or seeking reinstatement of a license to practice behavior analysis; (4) fraud or deceit in the practice of behavior analysis; (5) negligent, incompetent or wrongful conduct in professional activities; (6) physical, mental or emotional illness or disorder resulting in an inability to conform to the accepted standards of the profession; (7) alcohol or substance abuse; or (8) wilful falsification of entries in any hospital, patient or other record pertaining to behavior analysis. The commissioner may order a license holder to submit to a reasonable physical or mental examination if his or her physical or mental capacity to practice safely is the subject of an investigation. The commissioner may petition the superior court for the judicial district of Hartford to enforce such order or any action taken pursuant to section 19a-17 of the general statutes. The commissioner shall give notice and an opportunity to be heard on any contemplated action under section 19a-17 of the general statutes.
87	101
88	102		Sec. 16. Subsection (c) of section 19a-14 of the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2016):
89	103
90	104		(c) No board shall exist for the following professions that are licensed or otherwise regulated by the Department of Public Health:
91	105
92	106		(1) Speech and language pathologist and audiologist;
93	107
94	108		(2) Hearing instrument specialist;
95	109
96	110		(3) Nursing home administrator;
97	111
98	112		(4) Sanitarian;
99	113
100	114		(5) Subsurface sewage system installer or cleaner;
101	115
102	116		(6) Marital and family therapist;
103	117
104	118		(7) Nurse-midwife;
105	119
106	120		(8) Licensed clinical social worker;
107	121
108	122		(9) Respiratory care practitioner;
109	123
110	124		(10) Asbestos contractor and asbestos consultant;
111	125
112	126		(11) Massage therapist;
113	127
114	128		(12) Registered nurse's aide;
115	129
116	130		(13) Radiographer;
117	131
118	132		(14) Dental hygienist;
119	133
120	134		(15) Dietitian-Nutritionist;
121	135
122	136		(16) Asbestos abatement worker;
123	137
124	138		(17) Asbestos abatement site supervisor;
125	139
126	140		(18) Licensed or certified alcohol and drug counselor;
127	141
128	142		(19) Professional counselor;
129	143
130	144		(20) Acupuncturist;
131	145
132	146		(21) Occupational therapist and occupational therapist assistant;
133	147
134	148		(22) Lead abatement contractor, lead consultant contractor, lead consultant, lead abatement supervisor, lead abatement worker, inspector and planner-project designer;
135	149
136	150		(23) Emergency medical technician, advanced emergency medical technician, emergency medical responder and emergency medical services instructor;
137	151
138	152		(24) Paramedic;
139	153
140	154		(25) Athletic trainer;
141	155
142	156		(26) Perfusionist;
143	157
144	158		(27) Master social worker subject to the provisions of section 20-195v;
145	159
146	160		(28) Radiologist assistant, subject to the provisions of section 20-74tt;
147	161
148	162		(29) Homeopathic physician;
149	163
150	164		(30) Certified water treatment plant operator, certified distribution system operator, certified small water system operator, certified backflow prevention device tester and certified cross connection survey inspector, including certified limited operators, certified conditional operators and certified operators in training; [and]
151	165
152	166		(31) Tattoo technician;
153	167
154	168		(32) Behavior analyst; and
155	169
156	170		(33) Assistant behavior analyst.
157	171
158	172		The department shall assume all powers and duties normally vested with a board in administering regulatory jurisdiction over such professions. The uniform provisions of this chapter and chapters 368v, 369 to 381a, inclusive, 383 to 388, inclusive, 393a, 395, 398, 399, 400a and 400c, including, but not limited to, standards for entry and renewal; grounds for professional discipline; receiving and processing complaints; and disciplinary sanctions, shall apply, except as otherwise provided by law, to the professions listed in this subsection.
159	173
160	174
161	175
162	176
163	177		This act shall take effect as follows and shall amend the following sections:
164	178		Section 1 July 1, 2015 New section
165	179		Sec. 2 July 1, 2015 New section
166	180		Sec. 3 July 1, 2015 New section
167	181		Sec. 4 July 1, 2015 17a-20a
168	182		Sec. 5 July 1, 2015 New section
169	183		Sec. 6 from passage New section
170	184		Sec. 7 July 1, 2015 New section
171	185		Sec. 8 July 1, 2015 New section
172	186		Sec. 9 July 1, 2015 New section
173	187		Sec. 10 January 1, 2016 New section
174	188		Sec. 11 January 1, 2016 New section
175	189		Sec. 12 January 1, 2016 New section
176	190		Sec. 13 January 1, 2016 New section
177	191		Sec. 14 January 1, 2016 New section
178	192		Sec. 15 January 1, 2016 New section
179	193		Sec. 16 January 1, 2016 19a-14(c)
180	194
181	195		This act shall take effect as follows and shall amend the following sections:
182	196
183	197		Section 1
184	198
185	199		July 1, 2015
186	200
187	201		New section
188	202
189	203		Sec. 2
190	204
191	205		July 1, 2015
192	206
193	207		New section
194	208
195	209		Sec. 3
196	210
197	211		July 1, 2015
198	212
199	213		New section
200	214
201	215		Sec. 4
202	216
203	217		July 1, 2015
204	218
205	219		17a-20a
206	220
207	221		Sec. 5
208	222
209	223		July 1, 2015
210	224
211	225		New section
212	226
213	227		Sec. 6
214	228
215	229		from passage
216	230
217	231		New section
218	232
219	233		Sec. 7
220	234
221	235		July 1, 2015
222	236
223	237		New section
224	238
225	239		Sec. 8
226	240
227	241		July 1, 2015
228	242
229	243		New section
230	244
231	245		Sec. 9
232	246
233	247		July 1, 2015
234	248
235	249		New section
236	250
237	251		Sec. 10
238	252
239	253		January 1, 2016
240	254
241	255		New section
242	256
243	257		Sec. 11
244	258
245	259		January 1, 2016
246	260
247	261		New section
248	262
249	263		Sec. 12
250	264
251	265		January 1, 2016
252	266
253	267		New section
254	268
255	269		Sec. 13
256	270
257	271		January 1, 2016
258	272
259	273		New section
260	274
261	275		Sec. 14
262	276
263	277		January 1, 2016
264	278
265	279		New section
266	280
267	281		Sec. 15
268	282
269	283		January 1, 2016
270	284
271	285		New section
272	286
273	287		Sec. 16
274	288
275	289		January 1, 2016
276	290
277	291		19a-14(c)
278	292
279		-	Statement of ~~Legislative Commissioners~~:
	293	+	Statement of Purpose:
280	294
281		-	In Section 9(1) and (2), "and school-based health centers" was added for internal consistency; in Section 10 "this section and sections 11 to 16, inclusive, of this act" was changed to "this section, sections 11 to 15, inclusive, of this act and section 19a-14 of the general statutes, as amended by this act" for accuracy; in Section 10(2), "sections 11 to 15, inclusive" was changed to "sections 11, 12 or 14" for accuracy; in Section 10(3) "under the provisions of section 11, 13 or 14 of this act" was added for clarity and internal consistency; in Section 11(a) "sections 12 and 13" was changed to "section 12, 13 or 14" for accuracy; in Section 11(b) "sections 12 or 13" was changed to "section 12, 13 or 14" for accuracy; in Sections 12(b) and 13(b), "biannually" was changed to "biennially" for accuracy; and in Section 14 "licensure by endorsement" was changed to "licensure by endorsement as a behavior analyst or assistant behavior analyst" for clarity.
	295	+	To make changes to the general statutes regarding the provision of behavioral health services.
	296	+
	297	+	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]
282	298
283	299
284	300
285		-	~~PH Joint Favorable Subst~~.
	301	+	Co-Sponsors: REP. CONROY, 105th Dist.; REP. SAYERS, 60th Dist. REP. COOK, 65th Dist.; REP. JOHNSON, 49th Dist. REP. STANSKY, 119th Dist.
286	302
287		-	PH
	303	+	Co-Sponsors:
288	304
289		-	Joint Favorable Subst.
	305	+	REP. CONROY, 105th Dist.; REP. SAYERS, 60th Dist.
	306	+
	307	+	REP. COOK, 65th Dist.; REP. JOHNSON, 49th Dist.
	308	+
	309	+	REP. STANSKY, 119th Dist.
	310	+
	311	+	HB. 5528