Substitute House Bill No. 6146
Public Act No. 19-105
AN ACT CONCERNING TH E EXPANSION OF CERTI FICATION
COURSES IN CARDIOPUL MONARY RESUSCITATION AND
EDUCATION AND TRAINI NG COURSES IN THE USE OF
AUTOMATIC EXTERNAL D EFIBRILLATORS AND TH E
ADMINISTRATION OF FIRST AID.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. Section 19a-113a of the general statutes is repealed and
the following is substituted in lieu thereof (Effective July 1, 2019):
The Commissioner of Public Health shall adopt regulations, in
accordance with chapter 54, requiring that persons who are employed
as lifeguards shall be certified in cardiopulmonary resuscitation by the
American Heart Association, the American Red Cross, [or] the
American Safety and Health Institute or an organization using
guidelines for cardiopulmonary resuscitation and emergency
cardiovascular care published by the American Heart Association and
the International Liaison Committee on Resuscitation.
Sec. 2. Subsections (b) and (c) of section 52-557b of the general
statutes are repealed and the following are substituted in lieu thereof
(Effective July 1, 2019):
(b) A paid or volunteer firefighter or police officer, a teacher or Substitute House Bill No. 6146
Public Act No. 19-105 2 of 9
other school personnel on the school grounds or in the school building
or at a school function, a member of a ski patrol, a lifeguard, a
conservation officer, patrol officer or special police officer of the
Department of Energy and Environmental Protection, or emergency
medical service personnel, who (1) has completed a course in first aid
offered by the American Red Cross, the American Heart Association,
the National Ski Patrol, the Department of Public Health, [or] any
director of health [, as] or an organization using guidelines for first aid
published by the American Heart Association and the American Red
Cross, that is certified by the [agency] organization or director of
health offering the course, and, [who] (2) renders emergency first aid
to a person in need thereof, shall not be liable to such person assisted
for civil damages for any personal injuries which result from acts or
omissions by such person in rendering the emergency first aid, which
may constitute ordinary negligence. No paid or volunteer firefighter,
police officer or emergency medical service personnel who forcibly
enters the residence of any person in order to render emergency first
aid to a person whom such firefighter, police officer or emergency
medical service personnel reasonably believes to be in need thereof
shall be liable to such person for civil damages incurred as a result of
such entry. The immunity provided in this subsection does not apply
to acts or omissions constituting gross, wilful or wanton negligence.
(c) An employee of a railroad company, including any company
operating a commuter rail line, who has successfully completed a
course in first aid, offered by the American Red Cross, the American
Heart Association, the National Ski Patrol, the Department of Public
Health, [or] any director of health [, as] or an organization using
guidelines for first aid published by the American Heart Association
and the American Red Cross, that is certified by the [agency]
organization or director of health offering the course, and who renders
emergency first aid or cardiopulmonary resuscitation to a person in
need thereof, shall not be liable to such person assisted for civil Substitute House Bill No. 6146
Public Act No. 19-105 3 of 9
damages for any personal injury or death which results from acts or
omissions by such employee in rendering the emergency first aid or
cardiopulmonary resuscitation which may constitute ordinary
negligence. The immunity provided in this subsection does not apply
to acts or omissions constituting gross, wilful or wanton negligence.
Sec. 3. Subsection (h) of section 52-557b of the general statutes is
repealed and the following are substituted in lieu thereof (Effective July
1, 2019):
(h) Any person who has completed a course in first aid offered by
the American Red Cross, the American Heart Association, the National
Ski Patrol, the Department of Public Health, [or] any director of health
[, as] or by an organization using guidelines for first aid published by
the American Heart Association and the American Red Cross, that is
certified by the [agency] organization or director of health offering the
course, or has been trained in the use of a cartridge injector by a
licensed physician, physician assistant, advanced practice registered
nurse or registered nurse, and who, voluntarily and gratuitously and
other than in the ordinary course of such person's employment or
practice, renders emergency assistance by using a cartridge injector on
another person in need thereof, or any person who is an identified staff
member of a before or after school program, day camp or child care
facility, as defined in section 19a-900, as amended by this act, and who
renders emergency assistance by using a cartridge injector on another
person in need thereof, shall not be liable to such person assisted for
civil damages for any personal injuries which result from acts or
omissions by such person in using a cartridge injector, which may
constitute ordinary negligence. The immunity provided in this
subsection does not apply to acts or omissions constituting gross,
wilful or wanton negligence. For the purposes of this subsection,
"cartridge injector" has the same meaning as provided in subdivision
(1) of subsection (e) of this section. Substitute House Bill No. 6146
Public Act No. 19-105 4 of 9
Sec. 4. Subsection (a) of section 19a-79 of the general statutes is
repealed and the following is substituted in lieu thereof (Effective July
1, 2019):
(a) The Commissioner of Early Childhood shall adopt regulations,
in accordance with the provisions of chapter 54, to carry out the
purposes of sections 19a-77 to 19a-80, inclusive, and 19a-82 to 19a-87,
inclusive, and to assure that child care centers and group child care
homes meet the health, educational and social needs of children
utilizing such child care centers and group child care homes. Such
regulations shall (1) specify that before being permitted to attend any
child care center or group child care home, each child shall be
protected as age-appropriate by adequate immunization against
diphtheria, pertussis, tetanus, poliomyelitis, measles, mumps, rubella,
hemophilus influenzae type B and any other vaccine required by the
schedule of active immunization adopted pursuant to section 19a-7f,
including appropriate exemptions for children for whom such
immunization is medically contraindicated and for children whose
parents or guardian objects to such immunization on religious
grounds, and that any objection by parents or a guardian to
immunization of a child on religious grounds shall be accompanied by
a statement from such parents or guardian that such immunization
would be contrary to the religious beliefs of such child or the parents
or guardian of such child, which statement shall be acknowledged, in
accordance with the provisions of sections 1-32, 1-34 and 1-35, by (A) a
judge of a court of record or a family support magistrate, (B) a clerk or
deputy clerk of a court having a seal, (C) a town clerk, (D) a notary
public, (E) a justice of the peace, or (F) an attorney admitted to the bar
of this state, (2) specify conditions under which child care center
directors and teachers and group child care home providers may
administer tests to monitor glucose levels in a child with diagnosed
diabetes mellitus, and administer medicinal preparations, including
controlled drugs specified in the regulations by the commissioner, to a Substitute House Bill No. 6146
Public Act No. 19-105 5 of 9
child receiving child care services at such child care center or group
child care home pursuant to the written order of a physician licensed
to practice medicine or a dentist licensed to practice dental medicine in
this or another state, or an advanced practice registered nurse licensed
to prescribe in accordance with section 20-94a, or a physician assistant
licensed to prescribe in accordance with section 20-12d, and the written
authorization of a parent or guardian of such child, (3) specify that an
operator of a child care center or group child care home, licensed
before January 1, 1986, or an operator who receives a license after
January 1, 1986, for a facility licensed prior to January 1, 1986, shall
provide a minimum of thirty square feet per child of total indoor
usable space, free of furniture except that needed for the children's
purposes, exclusive of toilet rooms, bathrooms, coatrooms, kitchens,
halls, isolation room or other rooms used for purposes other than the
activities of the children, (4) specify that a child care center or group
child care home licensed after January 1, 1986, shall provide thirty-five
square feet per child of total indoor usable space, (5) establish
appropriate child care center staffing requirements for employees
certified in cardiopulmonary resuscitation by the American Red Cross,
the American Heart Association, the National Safety Council,
American Safety and Health Institute, [or] Medic First Aid
International, Inc. or an organization using guidelines for
cardiopulmonary resuscitation and emergency cardiovascular care
published by the American Heart Association and International
Liaison Committee on Resuscitation, (6) specify that on and after
January 1, 2003, a child care center or group child care home (A) shall
not deny services to a child on the basis of a child's known or
suspected allergy or because a child has a prescription for an
automatic prefilled cartridge injector or similar automatic injectable
equipment used to treat an allergic reaction, or for injectable
equipment used to administer glucagon, (B) shall, not later than three
weeks after such child's enrollment in such a center or home, have staff
trained in the use of such equipment on-site during all hours when Substitute House Bill No. 6146
Public Act No. 19-105 6 of 9
such a child is on-site, (C) shall require such child's parent or guardian
to provide the injector or injectable equipment and a copy of the
prescription for such medication and injector or injectable equipment
upon enrollment of such child, and (D) shall require a parent or
guardian enrolling such a child to replace such medication and
equipment prior to its expiration date, (7) specify that on and after
January 1, 2005, a child care center or group child care home (A) shall
not deny services to a child on the basis of a child's diagnosis of
asthma or because a child has a prescription for an inhalant medication
to treat asthma, and (B) shall, not later than three weeks after such
child's enrollment in such a center or home, have staff trained in the
administration of such medication on-site during all hours when such
a child is on-site, and (8) establish physical plant requirements for
licensed child care centers and licensed group child care homes that
exclusively serve school-age children. When establishing such
requirements, the Office of Early Childhood shall give consideration to
child care centers and group child care homes that are located in
private or public school buildings. With respect to this subdivision
only, the commissioner shall implement policies and procedures
necessary to implement the physical plant requirements established
pursuant to this subdivision while in the process of adopting such
policies and procedures in regulation form. Until replaced by policies
and procedures implemented pursuant to this subdivision, any
physical plant requirement specified in the office's regulations that is
generally applicable to child care centers and group child care homes
shall continue to be applicable to such centers and homes that
exclusively serve school-age children. The commissioner shall print
notice of the intent to adopt regulations pursuant to this subdivision in
the Connecticut Law Journal not later than twenty days after the date
of implementation of such policies and procedures. Policies and
procedures implemented pursuant to this subdivision shall be valid
until the time final regulations are adopted. Substitute House Bill No. 6146
Public Act No. 19-105 7 of 9
Sec. 5. Subdivisions (4) and (5) of subsection (a) of section 10-220l of
the general statutes are repealed and the following is substituted in
lieu thereof (Effective July 1, 2019):
(4) "Qualified educator" means any person who (A) holds a valid
certificate issued by the State Board of Education, pursuant to section
10-145b, with an endorsement in physical education, (B) (i) is certified
as a lifeguard by the American Red Cross or another nationally
recognized organization that conducts aquatic training programs, (ii)
has completed a safety training course for swim coaches and
instructors [course] offered by the American Red Cross or an
organization approved by the State Board of Education, or (iii) was
certified as a lifeguard for at least five years during the previous ten
years and has at least five years' experience as a swimming coach or an
instructor of a physical education course that makes use of a school
swimming pool, (C) is certified in cardiopulmonary resuscitation,
pursuant to section [19a-113a-1 of the regulations of Connecticut state
agencies, as amended from time to time] 19a-113a, as amended by this
act, and (D) has completed a course in first aid offered by the
American Red Cross, the American Heart Association, the Department
of Public Health, [or] any director of health or an organization using
guidelines for first aid published by the American Heart Association
and the American Red Cross;
(5) "Qualified lifeguard" means any person who (A) is sixteen years
of age or older, (B) is certified as a lifeguard by the American Red
Cross or another nationally recognized organization that conducts
aquatic training programs, (C) is certified in cardiopulmonary
resuscitation, pursuant to section [19a-113a-1 of the regulations of
Connecticut state agencies, as amended from time to time] 19a-113a, as
amended by this act, and (D) has completed a course in first aid
offered by the American Red Cross, the American Heart Association,
the Department of Public Health, [or] any director of health or an Substitute House Bill No. 6146
Public Act No. 19-105 8 of 9
organization using guidelines for first aid published by the American
Heart Association and the American Red Cross.
Sec. 6. Subsection (b) of section 19a-900 of the general statutes is
repealed and the following is substituted in lieu thereof (Effective July
1, 2019):
(b) Upon the request and with the written authorization of the
parent or guardian of a child attending any before or after school
program, day camp or child care facility, and pursuant to the written
order of (1) a physician licensed to practice medicine, (2) a physician
assistant licensed to prescribe in accordance with section 20-12d, or (3)
an advanced practice registered nurse licensed to prescribe in
accordance with sections 20-94a and 20-94b, the owner or operator of
such before or after school program, day camp or child care facility
shall approve and provide general supervision to an identified staff
member trained to administer medication with a cartridge injector to
such child if the child has a medically diagnosed allergic condition that
may require prompt treatment in order to protect the child against
serious harm or death. Such staff member shall be trained in the use of
a cartridge injector by a licensed physician, physician assistant,
advanced practice registered nurse or registered nurse or shall
complete a course in first aid offered by the American Red Cross, the
American Heart Association, the National Ski Patrol, the Department
of Public Health, [or] any director of health or an organization using
guidelines for first aid and published by the American Heart
Association and the American Red Cross.
Sec. 7. Subdivision (1) of subsection (b) of section 20-266o of the
general statutes is repealed and the following is substituted in lieu
thereof (Effective July 1, 2019):
(b) (1) Each person seeking licensure as a tattoo technician on or
before January 1, 2015, shall make application on a form prescribed by Substitute House Bill No. 6146
Public Act No. 19-105 9 of 9
the department, pay an application fee of two hundred fifty dollars
and present to the department satisfactory evidence that the applicant:
(A) Is eighteen years of age or older; (B) has successfully completed,
within the three years preceding the date of application, a course on
prevention of disease transmission and blood-borne pathogens that
complies with the standards adopted by the federal Occupational
Safety and Health Administration, as described in 29 CFR 1910.1030 et
seq., as amended from time to time, and that requires the successful
completion of a proficiency examination as part of such course; and (C)
holds current certification by the American Red Cross or the American
Heart Association in basic first aid or by an organization using
guidelines for first aid published by the American Heart Association
and the American Red Cross.