General Assembly Raised Bill No. 6795 January Session, 2015 LCO No. 3087 *03087_______PH_* Referred to Committee on PUBLIC HEALTH Introduced by: (PH) General Assembly Raised Bill No. 6795 January Session, 2015 LCO No. 3087 *03087_______PH_* Referred to Committee on PUBLIC HEALTH Introduced by: (PH) AN ACT CONCERNING THE LEGISLATIVE COMMISSIONERS' RECOMMENDATIONS FOR TECHNICAL CORRECTIONS TO THE PUBLIC HEALTH STATUTES. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Section 7-74 of the general statutes, as amended by section 5 of public act 14-133, is repealed and the following is substituted in lieu thereof (Effective July 1, 2015): (a) The fee for a certification of birth registration, short form, shall be fifteen dollars. The fee for a certified copy of a certificate of birth, long form, shall be twenty dollars, except that the fee for such certifications and copies when issued by the department shall be thirty dollars. (b) (1) The fee for a certified copy of a certificate of marriage or death shall be twenty dollars. Such fees shall not be required of the department. (2) Any fee received by the Department of Public Health for a certificate of death shall be deposited in the neglected cemetery account, established in accordance with section 19a-308b. (c) The fee for one certified copy of a certificate of death for any deceased person who was a veteran, as defined in subsection (a) of section 27-103, shall be waived when such copy is requested by a spouse, child or parent of such deceased veteran. (d) The fee for an uncertified copy of an original certificate of birth issued pursuant to section 7-53 shall be sixty-five dollars. Sec. 2. Subdivisions (10) to (13), inclusive, of section 19a-177 of the general statutes are repealed and the following is substituted in lieu thereof (Effective October 1, 2015): (10) Research, develop, track and report on appropriate quantifiable outcome measures for the state's emergency medical [services] service system and submit to the joint standing committee of the General Assembly having cognizance of matters relating to public health, in accordance with the provisions of section 11-4a, on or before July 1, 2002, and annually thereafter, a report on the progress toward the development of such outcome measures and, after such outcome measures are developed, an analysis of emergency medical services system outcomes; (11) Establish primary service areas and assign in writing a primary service area responder for each primary service area. Each state-owned campus having an acute care hospital on the premises shall be designated as the primary service area responder for that campus; (12) Revoke primary service area assignments upon determination by the commissioner that it is in the best interests of patient care to do so; and (13) Annually issue a list of minimum equipment requirements for ambulances and rescue vehicles based upon current national standards. The commissioner shall distribute such list to all emergency medical [services] service organizations and sponsor hospital medical directors and make such list available to other interested stakeholders. Emergency medical [services] service organizations shall have one year from the date of issuance of such list to comply with the minimum equipment requirements. Sec. 3. Subsection (a) of section 19a-486b of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2015): (a) Not later than one hundred twenty days after the date of receipt of the completed application pursuant to subsection [(d)] (e) of section 19a-486a, the Attorney General and the commissioner shall approve the application, with or without modification, or deny the application. The commissioner shall also determine, in accordance with the provisions of chapter 368z, whether to approve, with or without modification, or deny the application for a certificate of need that is part of the completed application. Notwithstanding the provisions of section 19a-639a, as amended by this act, the commissioner shall complete the decision on the application for a certificate of need within the same time period as the completed application. Such one-hundred-twenty-day period may be extended by agreement of the Attorney General, the commissioner, the nonprofit hospital and the purchaser. If the Attorney General initiates a proceeding to enforce a subpoena pursuant to section 19a-486c or 19a-486d, the one-hundred-twenty-day period shall be tolled until the final court decision on the last pending enforcement proceeding, including any appeal or time for the filing of such appeal. Unless the one-hundred-twenty-day period is extended pursuant to this section, if the commissioner and Attorney General fail to take action on an agreement prior to the one hundred twenty-first day after the date of the filing of the completed application, the application shall be deemed approved. Sec. 4. Subsection (n) of section 19a-490 of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2015): (n) "Multicare institution" means a hospital, psychiatric outpatient clinic for adults, free-standing facility for the care or treatment of substance abusive or dependent persons, hospital for psychiatric disabilities, as defined in section 17a-495, or a general acute care hospital that provides outpatient behavioral health services that [(A)] (1) is licensed in accordance with this chapter, [(B)] (2) has more than one facility or one or more satellite units owned and operated by a single licensee, and [(C)] (3) offers complex patient health care services at each facility or satellite unit. Sec. 5. Subdivision (2) of subsection (c) of section 19a-493 of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2015): (2) Any multicare institution that intends to offer services at a satellite unit or other location outside of its facilities or satellite units [,] shall submit an application for approval to offer services at such location to the Department of Public Health. Such application shall be submitted on a form and in the manner prescribed by the Commissioner of Public Health. Not later than forty-five days after receipt of such application, the commissioner shall notify the multicare institution of the approval or denial of such application. If the satellite unit or other location is approved, that satellite unit or location shall be deemed to be licensed in accordance with this section [19a-493] and shall comply with the applicable requirements of this chapter and regulations adopted under this chapter. Sec. 6. Section 19a-508a of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2015): Upon admitting a patient to a hospital, hospital personnel shall promptly ask the patient whether the patient desires for his or her physician to be notified of the hospital admission. If the patient so desires, hospital personnel shall make reasonable efforts to notify the physician designated by the patient of the patient's hospital admission as soon as practicable, but not later than twenty-four hours after the patient's request. For purposes of this section, "hospital" [shall have] has the same meaning as provided in section 19a-490, as amended by this act; and "physician" means a person licensed under the provisions of chapter 370. Sec. 7. Subsections (c) and (d) of section 19a-639a of the general statutes are repealed and the following is substituted in lieu thereof (Effective October 1, 2015): (c) Not later than five business days after receipt of a properly filed certificate of need application, the office shall publish notice of the application on its Internet web site. Not later than thirty days after the date of filing of the application, the office may request such additional information as the office determines necessary to complete the application. The applicant shall, not later than sixty days after the date of the office's request, submit the requested information to the office. If an applicant fails to submit the requested information to the office within the sixty-day period, the office shall consider the application to have been withdrawn. (d) Upon determining that an application is complete, the office shall provide notice of this determination to the applicant and to the public in accordance with regulations adopted by the department. In addition, the office shall post such notice on its Internet web site. The date on which the office posts such notice on its Internet web site shall begin the review period. Except as provided in this subsection, (1) the review period for a completed application shall be ninety days from the date on which the office posts such notice on its Internet web site; and (2) the office shall issue a decision on a completed application prior to the expiration of the ninety-day review period. The review period for a completed application that involves a transfer of a group practice, as described in subdivision (3) of subsection (a) of section 19a-638, when the offer was made in response to a request for proposal or similar voluntary offer for sale, shall be sixty days from the date on which the office posts notice on its Internet web site. Upon request or for good cause shown, the office may extend the review period for a period of time not to exceed sixty days. If the review period is extended, the office shall issue a decision on the completed application prior to the expiration of the extended review period. If the office holds a public hearing concerning a completed application in accordance with subsection (e) or (f) of this section, the office shall issue a decision on the completed application not later than sixty days after the date the office closes the public hearing record. Sec. 8. Subsection (h) of section 20-206mm of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2015): (h) The commissioner may issue an emergency medical [services] service instructor certificate to an applicant who presents (1) evidence satisfactory to the commissioner that the applicant is currently certified as an emergency medical technician in good standing, (2) documentation satisfactory to the commissioner, with reference to national education standards, regarding qualifications as an emergency medical service instructor, (3) a letter of endorsement signed by two instructors holding current emergency medical service instructor certification, (4) documentation of having completed written and practical examinations as prescribed by the commissioner, and (5) evidence satisfactory to the commissioner that the applicant has no pending disciplinary action or unresolved complaints against him or her. Sec. 9. Section 20-482 of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2015): Any person or entity who knowingly violates any provision of sections 20-474 to 20-481, inclusive, and subsections (e) and (f) [,] of section 19a-88 or any regulation adopted thereunder, shall be fined not more than five thousand dollars per violation per day and be subject to disciplinary action pursuant to section 19a-17. Sec. 10. Subsection (f) of section 19a-29a of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2015): (f) Each registration or [certificate of approval] certification shall be issued for a period of not less than twenty-four or more than twenty-seven months from any deadline for applications established by the commissioner. Renewal applications shall be made (1) biennially within the twenty-fourth month of the current registration; (2) before any change in ownership is made; and (3) prior to any major expansion or alteration in, or changing of, quarters. This act shall take effect as follows and shall amend the following sections: Section 1 July 1, 2015 7-74 Sec. 2 October 1, 2015 19a-177(10) to (13) Sec. 3 October 1, 2015 19a-486b(a) Sec. 4 October 1, 2015 19a-490(n) Sec. 5 October 1, 2015 19a-493(c)(2) Sec. 6 October 1, 2015 19a-508a Sec. 7 October 1, 2015 19a-639a(c) and (d) Sec. 8 October 1, 2015 20-206mm(h) Sec. 9 October 1, 2015 20-482 Sec. 10 October 1, 2015 19a-29a(f) This act shall take effect as follows and shall amend the following sections: Section 1 July 1, 2015 7-74 Sec. 2 October 1, 2015 19a-177(10) to (13) Sec. 3 October 1, 2015 19a-486b(a) Sec. 4 October 1, 2015 19a-490(n) Sec. 5 October 1, 2015 19a-493(c)(2) Sec. 6 October 1, 2015 19a-508a Sec. 7 October 1, 2015 19a-639a(c) and (d) Sec. 8 October 1, 2015 20-206mm(h) Sec. 9 October 1, 2015 20-482 Sec. 10 October 1, 2015 19a-29a(f) Statement of Purpose: To make technical changes to the public health statutes. [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.]