Connecticut 2019 Regular Session

Connecticut House Bill HB07193 Compare Versions

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7	7		General Assembly Governor's Bill No. 7193
8	8		January Session, 2019
9	9		LCO No. 4433
10	10
11	11
12	12		Referred to Committee on PUBLIC HEALTH
13	13
14	14
15	15		Introduced by:
16	16		REP. ARESIMOWICZ, 30
17	17		th
18	18		Dist.
19	19		REP. RITTER M., 1
20	20		st
21	21		Dist.
22	22		SEN. LOONEY, 11
23	23		th
24	24		Dist.
25	25		SEN. DUFF, 25
26	26		th
27	27		Dist.
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33	33		AN ACT IMPLEMENTING THE GOVERNOR'S BUDGE T
34	34		RECOMMENDATIONS REGA RDING PUBLIC HEALTH.
35	35		Be it enacted by the Senate and House of Representatives in General
36	36		Assembly convened:
37	37
38	38		Section 1. Subsection (a) of section 19a-55 of the general statutes is 1
39	39		repealed and the following is substituted in lieu thereof (Effective 2
40	40		October 1, 2019): 3
41	41		(a) The administrative officer or other person in charge of each 4
42	42		institution caring for newborn infants shall cause to have administered 5
43	43		to every such infant in its care an HIV-related test, as defined in section 6
44	44		19a-581, a test for phenylketonuria and other metabolic diseases, 7
45	45		hypothyroidism, galactosemia, sickle cell disease, maple syrup urine 8
46	46		disease, homocystinuria, biotinidase deficiency, congenital adrenal 9
47	47		hyperplasia, severe combined immunodeficiency disease, 10
48	48		adrenoleukodystrophy and such other tests for inborn errors of 11
49	49		metabolism as shall be prescribed by the Department of Public Health. 12 Bill No. 7193
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56	56		The tests shall be administered as soon after birth as is medically 13
57	57		appropriate. If the mother has had an HIV-related test pursuant to 14
58	58		section 19a-90 or 19a-593, the person responsible for testing under this 15
59	59		section may omit an HIV-related test. The Commissioner of Public 16
60	60		Health shall (1) administer the newborn screening program, (2) direct 17
61	61		persons identified through the screening program to appropriate 18
62	62		specialty centers for treatments, consistent with any applicable 19
63	63		confidentiality requirements, and (3) set the fees to be charged to 20
64	64		institutions to cover all expenses of the comprehensive screening 21
65	65		program including testing, tracking and treatment. The fees to be 22
66	66		charged pursuant to subdivision (3) of this subsection shall be set at a 23
67	67		minimum of ninety-eight dollars. The Commissioner of Public Health 24
68	68		shall publish a list of all the abnormal conditions for which the 25
69	69		department screens newborns under the newborn screening program, 26
70	70		which shall include screening for amino acid disorders, organic acid 27
71	71		disorders, [and] fatty acid oxidation disorders, including, but not 28
72	72		limited to, long-chain 3-hydroxyacyl CoA dehydrogenase (L-CHAD) 29
73	73		and medium-chain acyl-CoA dehydrogenase (MCAD), and, subject to 30
74	74		the approval of the Secretary of the Office of Policy and Management, 31
75	75		any other disorder included on the recommended uniform screening 32
76	76		panel pursuant to 42 USC 300b-10, as amended from time to time. 33
77	77		Sec. 2. Section 19a-202 of the general statutes is repealed and the 34
78	78		following is substituted in lieu thereof (Effective July 1, 2019): 35
79	79		(a) Upon application to the Department of Public Health any 36
80	80		municipal health department shall annually receive from the state an 37
81	81		amount equal to one dollar and eighteen cents per capita, provided 38
82	82		such municipality (1) employs a full-time director of health, except that 39
83	83		if a vacancy exists in the office of director of health or the office is filled 40
84	84		by an acting director for more than three months, such municipality 41
85	85		shall not be eligible for funding unless the Commissioner of Public 42
86	86		Health waives this requirement; (2) submits a public health program 43
87	87		and budget which is approved by the Commissioner of Public Health; 44
88	88		(3) appropriates not less than one dollar per capita, from the annual tax 45 Bill No. 7193
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95	95		receipts, for health department services; (4) has a population of fifty 46
96	96		thousand or more; and (5) meets the requirements of section 19a-207a, 47
97	97		within available appropriations. Such municipal department of health 48
98	98		may use additional funds, which the Department of Public Health may 49
99	99		secure from federal agencies or any other source and which it may 50
100	100		allot to such municipal department of health. The money so received 51
101	101		shall be disbursed upon warrants approved by the chief executive 52
102	102		officer of such municipality. The Comptroller shall annually in July 53
103	103		and upon a voucher of the Commissioner of Public Health, draw the 54
104	104		Comptroller's order on the State Treasurer in favor of such municipal 55
105	105		department of health for the amount due in accordance with the 56
106	106		provisions of this section and under rules prescribed by the 57
107	107		commissioner. Any moneys remaining unexpended at the end of a 58
108	108		fiscal year shall be included in the budget of such municipal 59
109	109		department of health for the ensuing year. This aid shall be rendered 60
110	110		from appropriations made from time to time by the General Assembly 61
111	111		to the Department of Public Health for this purpose. 62
112	112		(b) The amount of payments made by the state to municipal health 63
113	113		departments under subsection (a) of this section shall be reduced 64
114	114		proportionately in the event that the total amount of such payments 65
115	115		and the payments made under subsection (a) of section 19a-245, as 66
116	116		amended by this act, in a fiscal year exceeds the amount appropriated 67
117	117		for purposes of said subsections with respect to such fiscal year. 68
118	118		Sec. 3. Section 19a-245 of the general statutes is repealed and the 69
119	119		following is substituted in lieu thereof (Effective July 1, 2019): 70
120	120		(a) Upon application to the Department of Public Health, each 71
121	121		health district that has a total population of fifty thousand or more, or 72
122	122		serves three or more municipalities irrespective of the combined total 73
123	123		population of such municipalities, shall annually receive from the state 74
124	124		an amount equal to one dollar and eighty-five cents per capita for each 75
125	125		town, city and borough of such district, provided (1) the 76
126	126		Commissioner of Public Health approves the public health program 77
127	127		and budget of such health district, (2) the towns, cities and boroughs of 78 Bill No. 7193
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134	134		such district appropriate for the maintenance of the health district not 79
135	135		less than one dollar per capita from the annual tax receipts, and (3) the 80
136	136		health district meets the requirements of section 19a-207a, within 81
137	137		available appropriations. Such district departments of health are 82
138	138		authorized to use additional funds, which the Department of Public 83
139	139		Health may secure from federal agencies or any other source and 84
140	140		which it may allot to such district departments of health. The district 85
141	141		treasurer shall disburse the money so received upon warrants 86
142	142		approved by a majority of the board and signed by its chairman and 87
143	143		secretary. The Comptroller shall quarterly, in July, October, January 88
144	144		and April, upon such application and upon the voucher of the 89
145	145		Commissioner of Public Health, draw the Comptroller's order on the 90
146	146		State Treasurer in favor of such district department of health for the 91
147	147		amount due in accordance with the provisions of this section and 92
148	148		under rules prescribed by the commissioner. Any moneys remaining 93
149	149		unexpended at the end of a fiscal year shall be included in the budget 94
150	150		of the district for the ensuing year. This aid shall be rendered from 95
151	151		appropriations made from time to time by the General Assembly to the 96
152	152		Department of Public Health for this purpose. 97
153	153		(b) The amount of payments made by the state to health districts 98
154	154		under subsection (a) of this section shall be reduced proportionately in 99
155	155		the event that the total amount of such payments and the payments 100
156	156		made under subsection (a) of section 19a-202, as amended by this act, 101
157	157		in a fiscal year exceeds the amount appropriated for purposes of said 102
158	158		subsections with respect to such fiscal year. 103
159	159		Sec. 4. (NEW) (Effective from passage) (a) As used in this section: 104
160	160		(1) "Commissioner" means the Commissioner of Public Health, or 105
161	161		the commissioner's designee; 106
162	162		(2) "Community water system" means a public water system that 107
163	163		regularly serves at least twenty-five residents; 108
164	164		(3) "Consumer" has the same meaning as provided in section 25-32a 109 Bill No. 7193
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171	171		of the general statutes; 110
172	172		(4) "Customer" means any (A) person, (B) firm, (C) corporation, (D) 111
173	173		company, (E) association, (F) governmental unit, except a state agency, 112
174	174		(G) lessee that, by the terms of a written lease or agreement, is 113
175	175		responsible for the water bill, or (H) owner of property, that receives 114
176	176		water service furnished by the water company; 115
177	177		(5) "Department" means the Department of Public Health; 116
178	178		(6) "Noncommunity water system" means a public water system 117
179	179		that serves at least twenty-five persons at least sixty days of the year 118
180	180		and is not a community water system; 119
181	181		(7) "Nontransient noncommunity water system" means a 120
182	182		noncommunity water system that regularly serves at least twenty-five 121
183	183		of the same persons over six months per year; 122
184	184		(8) "Public water system" means a water company that supplies 123
185	185		drinking water to fifteen or more consumers or twenty-five or more 124
186	186		persons daily at least sixty days of the year; 125
187	187		(9) "Sanitary survey" means the review of a public water system by 126
188	188		the department to evaluate the adequacy of the public water system, 127
189	189		its sources of supply and operations and the distribution of safe 128
190	190		drinking water; 129
191	191		(10) "Service connection" means the service pipe from the water 130
192	192		main to the curb stop or adjacent to the street line or property line, but 131
193	193		shall not include a service pipe used only for fire service purposes; 132
194	194		(11) "Transient noncommunity water system" means a 133
195	195		noncommunity water system that does not meet the definition of a 134
196	196		nontransient noncommunity water system; and 135
197	197		(12) "Water company" has the same meaning as provided in section 136
198	198		25-32a of the general statutes. 137 Bill No. 7193
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205	205		(b) On or before August 1, 2019, and annually thereafter, the 138
206	206		department shall issue a statement, in such manner as the department 139
207	207		determines, to each water company that owns a community water 140
208	208		system or systems showing the number of service connections such 141
209	209		community water system or systems has listed in the department's 142
210	210		records as of the date of issuance of the statement. 143
211	211		(c) On or before October 1, 2019, and annually thereafter, the 144
212	212		department, in consultation with the Office of Policy and Management, 145
213	213		shall post on the department's Internet web site (1) the costs to support 146
214	214		the department's ability to maintain primacy under the federal Safe 147
215	215		Drinking Water Act, 42 USC 300f, et seq., as amended from time to 148
216	216		time, which costs shall constitute the safe drinking water primacy 149
217	217		assessment for the current fiscal year, and (2) the assessment amounts 150
218	218		due, based on the posted costs and in accordance with subsection (d) 151
219	219		of this section. 152
220	220		(d) (1) For the fiscal year ending June 30, 2019, and each fiscal year 153
221	221		thereafter, each water company that owns a community or 154
222	222		nontransient noncommunity water system or systems shall pay 155
223	223		annually to the department a safe drinking water primacy assessment 156
224	224		amount in accordance with the following: (A) Each community water 157
225	225		system having less than fifty service connections and nontransient 158
226	226		noncommunity water system shall be assessed one hundred twenty-159
227	227		five dollars; (B) each community water system having at least fifty but 160
228	228		less than one hundred service connections shall be assessed one 161
229	229		hundred fifty dollars; and (C) each community water system having at 162
230	230		least one hundred service connections shall be assessed an amount 163
231	231		established by the commissioner, not to exceed five dollars per service 164
232	232		connection. For purposes of this subdivision, a community water 165
233	233		system's service connections shall be determined in accordance with 166
234	234		subsection (b) of this section. 167
235	235		(2) On or before January 1, 2020, and annually thereafter, the 168
236	236		department shall issue an invoice, in such manner as the department 169
237	237		determines, to each water company that owns a community or 170 Bill No. 7193
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244	244		nontransient noncommunity water system or systems for the amount 171
245	245		due pursuant to subdivision (1) of this subsection. Each such water 172
246	246		company shall pay the amount invoiced, in the same year the 173
247	247		department issued in the invoice, in accordance with the following 174
248	248		schedule: 175
249	249		(A) A nontransient noncommunity water system shall pay one 176
250	250		hundred per cent of the amount invoiced on or before March first; 177
251	251		(B) A community water system having less than one hundred 178
252	252		service connections shall pay one hundred per cent of the invoiced 179
253	253		amount invoiced on or before May first; and 180
254	254		(C) A community water system having one hundred or more service 181
255	255		connections shall pay fifty per cent of the invoiced amount by March 182
256	256		first and the remaining fifty per cent of the amount invoiced by May 183
257	257		first. 184
258	258		(e) (1) Commencing January 1, 2022, each water company that owns 185
259	259		a transient noncommunity water system or systems for which the 186
260	260		department conducted a sanitary survey in the prior year shall pay to 187
261	261		the department a safe drinking water primacy assessment of one 188
262	262		hundred fifty dollars. 189
263	263		(2) On or before March 1, 2022, and annually thereafter, the 190
264	264		department shall issue an invoice, in such manner as the department 191
265	265		determines, to each water company that owns a transient 192
266	266		noncommunity water system or systems that had a sanitary survey 193
267	267		conducted by the department in the previous year for the amount due 194
268	268		pursuant to subdivision (1) of this subsection. Each such water 195
269	269		company shall pay the amount invoiced on or before May thirty-first 196
270	270		of the year in which the department issued the invoice. 197
271	271		(f) If a water company is acquired by another water company for 198
272	272		any reason, the acquiring water company shall pay the amount due to 199
273	273		the department for the acquired water company's assessment under 200
274	274		subsections (d) and (e) of this section. 201 Bill No. 7193
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281	281		(g) (1) A water company that owns a community water system may 202
282	282		collect the assessment amount due for the community water system 203
283	283		from a customer of such community water system. The amount 204
284	284		collected by the water company from an individual customer may be a 205
285	285		pro rata share of such assessment amount. Such amount may appear as 206
286	286		a separate item on the customer's bills. 207
287	287		(2) The assessment amount due for a community water system 208
288	288		under subdivision (1) of this subsection may be adopted in rates 209
289	289		through the existing rate approval process for the water company or 210
290	290		may appear as a separate item identified as an assessment on each 211
291	291		customer's bill without requiring a revision to or approval of the 212
292	292		schedule of authorized rates and charges for the water company that is 213
293	293		otherwise required pursuant to section 7-239 or 16-19 of the general 214
294	294		statutes or any other special act or enabling legislation establishing a 215
295	295		water company. Such charges shall be subject to the past due and 216
296	296		collection procedures, including interest charges, of the water 217
297	297		company as are applicable to any other authorized customer charge or 218
298	298		fee. 219
299	299		(h) The requirement for a water company to pay the assessment 220
300	300		shall terminate immediately if the department no longer has primacy 221
301	301		under the federal Safe Drinking Water Act, 42 USC 300f, et seq., as 222
302	302		amended from time to time, whether removed by the federal 223
303	303		Environmental Protection Agency or through any other action by a 224
304	304		state or federal authority. If the assessment is terminated and not 225
305	305		reinstated on or before one hundred eighty days after such 226
306	306		termination, the water company shall credit its customers any amounts 227
307	307		collected from such customers for such assessment amount that the 228
308	308		water company is no longer required to pay to the department. 229
309	309		(i) If any assessment is not paid on or before thirty days after the 230
310	310		date when such assessment is due, the commissioner may impose a fee 231
311	311		equal to one and one-half per cent of such assessment for each month 232
312	312		of nonpayment beyond such initial thirty-day period unless the water 233
313	313		company that has not paid such assessment is a town, city or borough, 234 Bill No. 7193
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320	320		in which case the water company shall be subject to the provisions of 235
321	321		section 12-38 of the general statutes. 236
322	322		(j) On or before December 1, 2019, and annually thereafter, the 237
323	323		department shall post on its Internet web site and submit to the 238
324	324		Governor and the joint standing committee of the General Assembly 239
325	325		having cognizance of matters relating to public health, in accordance 240
326	326		with the provisions of section 11-4a of the general statutes, a report 241
327	327		that shall include: (1) Resources dedicated to supporting the 242
328	328		department's ability to maintain primacy under the federal Safe 243
329	329		Drinking Water Act, 42 USC 300f, et seq., as amended from time to 244
330	330		time, in the previous fiscal year; (2) the number of full-time equivalent 245
331	331		positions that performed the required functions to maintain primacy in 246
332	332		the previous fiscal year; and (3) quality improvement strategies the 247
333	333		department has deployed to streamline operations to make efficient 248
334	334		and effective use of staff and resources. 249
335	335		(k) The commissioner may adopt regulations, in accordance with 250
336	336		the provisions of chapter 54 of the general statutes, to carry out the 251
337	337		provisions of this section. 252
338	338		(l) State agencies shall be exempt from the requirements of 253
339	339		subsections (d) to (i), inclusive, of this section. 254
340	340		Sec. 5. Section 19a-202b of the general statutes is repealed. (Effective 255
341	341		July 1, 2019) 256
342	342		This act shall take effect as follows and shall amend the following
343	343		sections:
344	344
345	345		Section 1 October 1, 2019 19a-55(a)
346	346		Sec. 2 July 1, 2019 19a-202
347	347		Sec. 3 July 1, 2019 19a-245
348	348		Sec. 4 from passage New section
349	349		Sec. 5 July 1, 2019 Repealer section
350	350
351	351		PH Joint Favorable Bill No. 7193
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358		-	APP Joint Favorable
359	358