Connecticut 2019 Regular Session

Connecticut Senate Bill SB01057 Compare Versions

Version 1 (Old)

Version 2 (New)

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7		-	General Assembly ~~Substitute~~ Bill No. 1057
	5	+	General Assembly Raised Bill No. 1057
8	6		January Session, 2019
	7	+	LCO No. 5456
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	9	+
	10	+	Referred to Committee on PUBLIC HEALTH
	11	+
	12	+
	13	+	Introduced by:
	14	+	(PH)
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14	19		AN ACT CONCERNING OP IOID USE DISORDER.
15	20		Be it enacted by the Senate and House of Representatives in General
16	21		Assembly convened:
17	22
18	23		Section 1. (NEW) (Effective July 1, 2019) (a) Not later than January 1, 1
19	24		2020, the president of each institution of higher education in the state 2
20	25		shall (1) develop and implement a policy consistent with this section 3
21	26		concerning the availability and use of opioid antagonists, as defined in 4
22	27		section 17a-714 of the general statutes, by students and employees of 5
23	28		the institution, and (2) post such policy on its Internet web site. 6
24	29		(b) Each institution of higher education shall (1) provide and 7
25	30		maintain a supply of opioid antagonists on each of its campuses in a 8
26	31		central location, (2) make such central location known and accessible to 9
27	32		students and employees of such institution during all hours, (3) 10
28	33		maintain the supply of opioid antagonists in accordance with the 11
29	34		manufacturer's guidelines, and (4) notify a local emergency medical 12
30	35		services provider as soon as practicable after each use of an opioid 13
31	36		antagonist on the institution's campus that is reported to the institution 14
32	37		or observed by an employee of the institution, unless the person to 15
33		-	whom the opioid antagonist was administered has already received 16
	38	+	whom the opioid antagonist was administer has already received 16 Raised Bill No. 1057
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	40	+
	41	+
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	43	+
34	44		medical treatment for his or her opioid-related drug overdose. 17
35	45		Sec. 2. (Effective July 1, 2019) The Department of Mental Health and 18
36		-	Addiction Services, in collaboration with the Department of Social 19 Substitute Bill No. 1057
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	46	+	Addiction Services, in collaboration with the Department of Social 19
43	47		Services, shall study the efficacy of establishing a community-based 20
44	48		opioid use disorder treatment program that uses one or more home 21
45	49		health agencies, as defined in section 19a-490 of the general statutes, to 22
46	50		provide medication-assisted treatment, as defined in section 19a-906 of 23
47	51		the general statutes, to any Medicaid recipient who presents to an 24
48	52		emergency department as a result of a suspected opioid drug overdose 25
49	53		or with a primary or secondary opioid use disorder diagnosis and a 26
50	54		moderate to severe risk of relapse and the potential for continued use 27
51	55		of an opioid drug, as determined by an emergency department 28
52	56		physician. On or before January 1, 2020, the Commissioner of Mental 29
53	57		Health and Addiction Services shall report, in accordance with the 30
54	58		provisions of section 11-4a of the general statutes, to the joint standing 31
55	59		committees of the General Assembly having cognizance of matters 32
56	60		related to public health and human services on the outcome of such 33
57	61		study. 34
58	62		Sec. 3. (NEW) (Effective October 1, 2019) (a) As used in this section: 35
59	63		(1) "Treatment program" means a program operated by the 36
60	64		Department of Mental Health and Addiction Services or approved by 37
61	65		the Commissioner of Mental Health and Addiction Services for 38
62	66		treatment of the physical and psychological effects of drug 39
63	67		dependency or for the detoxification of a drug-dependent person, as 40
64	68		defined in section 17a-680 of the general statutes; 41
65		-	(2) "Opioid use disorder" means a medical condition characterized 42
66		-	by a problematic pattern of opioid use and misuse leading to clinically 43
67		-	significant impairment or distress; and 44
68		-	(3) "Opioid antagonist" means naloxone hydrochloride or any other 45
69		-	similarly acting and equally safe drug approved by the federal Food 46
70		-	and Drug Administration for the treatment of a drug overdose. 47
71		-	(b) A treatment program that provides treatment or detoxification 48
72		-	services to any person with an opioid use disorder shall (1) educate 49
73		-	such person regarding opioid antagonists and the administration 50 Substitute Bill No. 1057
	69	+	(2) "Opioid use disorder" means a problematic pattern of opioid use 42
	70	+	leading to clinically significant impairment or distress; and 43
	71	+	(3) "Opioid antagonist" means naloxone hydrochloride or any other 44
	72	+	similarly acting and equally safe drug approved by the federal Food 45
	73	+	and Drug Administration for the treatment of a drug overdose. 46
	74	+	(b) A treatment program that provides treatment or detoxification 47 Raised Bill No. 1057
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80		-	thereof at the time such person is admitted to or first receives services 51
81		-	from such program, (2) offer education regarding opioid antagonists 52
82		-	and the administration thereof to the relatives and significant other of 53
83		-	such person if the relatives and significant other have been identified 54
84		-	by such person, and (3) if there is a prescribing practitioner affiliated 55
85		-	with such program who determines that such person would benefit 56
86		-	from access to an opioid antagonist, issue a prescription for or deliver 57
87		-	to such person at least one dose of an opioid antagonist at the time 58
88		-	such person is admitted to or first receives treatment services from 59
89		-	such program. 60
90		-	Sec. 4. Section 20-206mm of the general statutes is repealed and the 61
91		-	following is substituted in lieu thereof (Effective October 1, 2019): 62
92		-	(a) Except as provided in subsections (b) and (c) of this section, an 63
93		-	applicant for a license as a paramedic shall submit evidence 64
94		-	satisfactory to the Commissioner of Public Health that the applicant 65
95		-	has successfully (1) completed a paramedic training program 66
96		-	approved by the commissioner, [and] (2) for applicants applying on 67
97		-	and after January 1, 2020, completed mental health first aid training as 68
98		-	part of a program approved by the Department of Public Health, and 69
99		-	(3) passed an examination prescribed by the commissioner. 70
100		-	(b) An applicant for licensure by endorsement shall present 71
101		-	evidence satisfactory to the commissioner that the applicant (1) is 72
102		-	licensed or certified as a paramedic in another state or jurisdiction 73
103		-	whose requirements for practicing in such capacity are substantially 74
104		-	similar to or higher than those of this state and that the applicant has 75
105		-	no pending disciplinary action or unresolved complaint against him or 76
106		-	her, or (2) (A) is currently licensed or certified as a paramedic in good 77
107		-	standing in any New England state, New York or New Jersey, (B) has 78
108		-	completed an initial training program consistent with the National 79
109		-	Emergency Medical Services Education Standards, as promulgated by 80
110		-	the National Highway Traffic Safety Administration for the paramedic 81
111		-	scope of practice model conducted by an organization offering a 82
112		-	program that is recognized by the national emergency medical services 83 Substitute Bill No. 1057
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	80	+	services to any person with an opioid use disorder shall (1) educate 48
	81	+	such person regarding opioid antagonists and the administration 49
	82	+	thereof at the time such person is admitted to or first receives services 50
	83	+	from such program, (2) offer education regarding opioid antagonists 51
	84	+	and the administration thereof to the relatives and significant other of 52
	85	+	such person if the relatives and significant other have been identified 53
	86	+	by such person, and (3) if there is a prescribing practitioner affiliated 54
	87	+	with such program who determines that such person would benefit 55
	88	+	from access to an opioid antagonist, issue a prescription for or deliver 56
	89	+	to such person at least one dose of an opioid antagonist at the time 57
	90	+	such person is admitted to or first receives treatment services from 58
	91	+	such program. 59
	92	+	Sec. 4. Section 20-206mm of the general statutes is repealed and the 60
	93	+	following is substituted in lieu thereof (Effective October 1, 2019): 61
	94	+	(a) Except as provided in subsections (b) and (c) of this section, an 62
	95	+	applicant for a license as a paramedic shall submit evidence 63
	96	+	satisfactory to the Commissioner of Public Health that the applicant 64
	97	+	has successfully (1) completed a paramedic training program 65
	98	+	approved by the commissioner, [and] (2) for applicants applying on 66
	99	+	and after January 1, 2020, completed mental health first aid training as 67
	100	+	part of a program approved by the Department of Public Health, and 68
	101	+	(3) passed an examination prescribed by the commissioner. 69
	102	+	(b) An applicant for licensure by endorsement shall present 70
	103	+	evidence satisfactory to the commissioner that the applicant (1) is 71
	104	+	licensed or certified as a paramedic in another state or jurisdiction 72
	105	+	whose requirements for practicing in such capacity are substantially 73
	106	+	similar to or higher than those of this state and that the applicant has 74
	107	+	no pending disciplinary action or unresolved complaint against him or 75
	108	+	her, or (2) (A) is currently licensed or certified as a paramedic in good 76
	109	+	standing in any New England state, New York or New Jersey, (B) has 77
	110	+	completed an initial training program consistent with the National 78
	111	+	Emergency Medical Services Education Standards, as promulgated by 79
	112	+	the National Highway Traffic Safety Administration for the paramedic 80 Raised Bill No. 1057
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119		-	program accrediting organization, [and] (C) for applicants applying on 84
120		-	or after January 1, 2020, has completed mental health first aid training 85
121		-	as part of a program approved by the Department of Public Health, 86
122		-	and (D) has no pending disciplinary action or unresolved complaint 87
123		-	against him or her. 88
124		-	(c) Any person who is certified as an emergency medical technician-89
125		-	paramedic by the Department of Public Health on October 1, 1997, 90
126		-	shall be deemed a licensed paramedic. Any person so deemed shall 91
127		-	renew his license pursuant to section 19a-88 for a fee of one hundred 92
128		-	fifty dollars. 93
129		-	(d) The commissioner may issue an emergency medical technician 94
130		-	certificate, emergency medical responder certificate or advanced 95
131		-	emergency medical technician certificate to an applicant who presents 96
132		-	evidence satisfactory to the commissioner that the applicant (1) is 97
133		-	currently certified as an emergency medical technician, emergency 98
134		-	medical responder, or advanced emergency medical technician in good 99
135		-	standing in any New England state, New York or New Jersey, (2) has 100
136		-	completed an initial training program consistent with the National 101
137		-	Emergency Medical Services Education Standards, as promulgated by 102
138		-	the National Highway Traffic Safety Administration for the emergency 103
139		-	medical technician, emergency medical responder curriculum, or 104
140		-	advanced emergency medical technician, [and] (3) for applicants 105
141		-	applying on and after January 1, 2020, has completed mental health 106
142		-	first aid training as part of a program approved by the Department of 107
143		-	Public Health, and (4) has no pending disciplinary action or 108
144		-	unresolved complaint against him or her. 109
145		-	(e) An emergency medical responder, emergency medical 110
146		-	technician, advanced emergency medical technician or emergency 111
147		-	medical services instructor shall be recertified every three years. For 112
148		-	the purpose of maintaining an acceptable level of proficiency, each 113
149		-	emergency medical technician who is recertified for a three-year 114
150		-	period shall complete thirty hours of refresher training approved by 115
151		-	the commissioner or meet such other requirements as may be 116 Substitute Bill No. 1057
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	118	+	scope of practice model conducted by an organization offering a 81
	119	+	program that is recognized by the national emergency medical services 82
	120	+	program accrediting organization, [and] (C) for applicants applying on 83
	121	+	or after January 1, 2020, has completed mental health first aid training 84
	122	+	as part of a program approved by the Department of Public Health, 85
	123	+	and (D) has no pending disciplinary action or unresolved complaint 86
	124	+	against him or her. 87
	125	+	(c) Any person who is certified as an emergency medical technician-88
	126	+	paramedic by the Department of Public Health on October 1, 1997, 89
	127	+	shall be deemed a licensed paramedic. Any person so deemed shall 90
	128	+	renew his license pursuant to section 19a-88 for a fee of one hundred 91
	129	+	fifty dollars. 92
	130	+	(d) The commissioner may issue an emergency medical technician 93
	131	+	certificate, emergency medical responder certificate or advanced 94
	132	+	emergency medical technician certificate to an applicant who presents 95
	133	+	evidence satisfactory to the commissioner that the applicant (1) is 96
	134	+	currently certified as an emergency medical technician, emergency 97
	135	+	medical responder, or advanced emergency medical technician in good 98
	136	+	standing in any New England state, New York or New Jersey, (2) has 99
	137	+	completed an initial training program consistent with the National 100
	138	+	Emergency Medical Services Education Standards, as promulgated by 101
	139	+	the National Highway Traffic Safety Administration for the emergency 102
	140	+	medical technician, emergency medical responder curriculum, or 103
	141	+	advanced emergency medical technician, [and] (3) for applicants 104
	142	+	applying on and after January 1, 2020, has completed mental health 105
	143	+	first aid training as part of a program approved by the Department of 106
	144	+	Public Health, and (4) has no pending disciplinary action or 107
	145	+	unresolved complaint against him or her. 108
	146	+	(e) An emergency medical responder, emergency medical 109
	147	+	technician, advanced emergency medical technician or emergency 110
	148	+	medical services instructor shall be recertified every three years. For 111
	149	+	the purpose of maintaining an acceptable level of proficiency, each 112
	150	+	emergency medical technician who is recertified for a three-year 113 Raised Bill No. 1057
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158		-	prescribed by the commissioner. The refresher training or other 117
159		-	requirements shall include, but not be limited to, training in 118
160		-	Alzheimer's disease and dementia symptoms and care. 119
161		-	(f) The commissioner may issue a temporary emergency medical 120
162		-	technician certificate to an applicant who presents evidence 121
163		-	satisfactory to the commissioner that (1) the applicant was certified by 122
164		-	the department as an emergency medical technician prior to becoming 123
165		-	licensed as a paramedic pursuant to section 20-206ll, or (2) the 124
166		-	applicant's certification as an emergency medical technician has 125
167		-	expired and the applicant's license as a paramedic has become void 126
168		-	pursuant to section 19a-88. Such temporary certificate shall be valid for 127
169		-	a period not to exceed one year and shall not be renewable. 128
170		-	(g) An applicant who is issued a temporary emergency medical 129
171		-	technician certificate pursuant to subsection (f) of this section may, 130
172		-	prior to the expiration of such temporary certificate, apply to the 131
173		-	department for: (1) Renewal of such person's paramedic license, giving 132
174		-	such person's name in full, such person's residence and business 133
175		-	address and such other information as the department requests, 134
176		-	provided the application for license renewal is accompanied by 135
177		-	evidence satisfactory to the commissioner that the applicant was under 136
178		-	the medical oversight of a sponsor hospital, as those terms are defined 137
179		-	in section 19a-175, on the date the applicant's paramedic license 138
180		-	became void for nonrenewal; or (2) recertification as an emergency 139
181		-	medical technician, provided the application for recertification is 140
182		-	accompanied by evidence satisfactory to the commissioner that the 141
183		-	applicant completed emergency medical technician refresher training 142
184		-	approved by the commissioner not later than one year after issuance of 143
185		-	the temporary emergency medical technician certificate. The 144
186		-	department shall recertify such person as an emergency medical 145
187		-	technician without the examination required for initial certification 146
188		-	specified in regulations adopted by the commissioner pursuant to 147
189		-	section 20-206oo. 148
190		-	(h) The commissioner may issue an emergency medical responder, 149 Substitute Bill No. 1057
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	156	+	period shall complete thirty hours of refresher training approved by 114
	157	+	the commissioner or meet such other requirements as may be 115
	158	+	prescribed by the commissioner. The refresher training or other 116
	159	+	requirements shall include, but not be limited to, training in 117
	160	+	Alzheimer's disease and dementia symptoms and care. 118
	161	+	(f) The commissioner may issue a temporary emergency medical 119
	162	+	technician certificate to an applicant who presents evidence 120
	163	+	satisfactory to the commissioner that (1) the applicant was certified by 121
	164	+	the department as an emergency medical technician prior to becoming 122
	165	+	licensed as a paramedic pursuant to section 20-206ll, or (2) the 123
	166	+	applicant's certification as an emergency medical technician has 124
	167	+	expired and the applicant's license as a paramedic has become void 125
	168	+	pursuant to section 19a-88. Such temporary certificate shall be valid for 126
	169	+	a period not to exceed one year and shall not be renewable. 127
	170	+	(g) An applicant who is issued a temporary emergency medical 128
	171	+	technician certificate pursuant to subsection (f) of this section may, 129
	172	+	prior to the expiration of such temporary certificate, apply to the 130
	173	+	department for: (1) Renewal of such person's paramedic license, giving 131
	174	+	such person's name in full, such person's residence and business 132
	175	+	address and such other information as the department requests, 133
	176	+	provided the application for license renewal is accompanied by 134
	177	+	evidence satisfactory to the commissioner that the applicant was under 135
	178	+	the medical oversight of a sponsor hospital, as those terms are defined 136
	179	+	in section 19a-175, on the date the applicant's paramedic license 137
	180	+	became void for nonrenewal; or (2) recertification as an emergency 138
	181	+	medical technician, provided the application for recertification is 139
	182	+	accompanied by evidence satisfactory to the commissioner that the 140
	183	+	applicant completed emergency medical technician refresher training 141
	184	+	approved by the commissioner not later than one year after issuance of 142
	185	+	the temporary emergency medical technician certificate. The 143
	186	+	department shall recertify such person as an emergency medical 144
	187	+	technician without the examination required for initial certification 145
	188	+	specified in regulations adopted by the commissioner pursuant to 146
	189	+	section 20-206oo. 147 Raised Bill No. 1057
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197		-	emergency medical technician or advanced emergency medical 150
198		-	technician certificate to an applicant for certification by endorsement 151
199		-	who presents evidence satisfactory to the commissioner that the 152
200		-	applicant (1) is currently certified as an emergency medical responder, 153
201		-	emergency medical technician or advanced emergency medical 154
202		-	technician in good standing by a state that maintains licensing 155
203		-	requirements that the commissioner determines are equal to, or greater 156
204		-	than, those in this state, (2) has completed an initial [department-157
205		-	approved] emergency medical responder, emergency medical 158
206		-	technician or advanced emergency medical technician training 159
207		-	program approved by the Department of Public Health that includes 160
208		-	written and practical examinations at the completion of the course, or a 161
209		-	program outside the state that adheres to national education standards 162
210		-	for the emergency medical responder, emergency medical technician 163
211		-	or advanced emergency medical technician scope of practice and that 164
212		-	includes an examination, [and] (3) for applicants applying on or after 165
213		-	January 1, 2020, has completed mental health first aid training as part 166
214		-	of a training program approved by the Department of Public Health, 167
215		-	and (4) has no pending disciplinary action or unresolved complaint 168
216		-	against him or her. 169
217		-	(i) The commissioner may issue an emergency medical service 170
218		-	instructor certificate to an applicant who presents (1) evidence 171
219		-	satisfactory to the commissioner that the applicant is currently certified 172
220		-	as an emergency medical technician in good standing, (2) 173
221		-	documentation satisfactory to the commissioner, with reference to 174
222		-	national education standards, regarding qualifications as an 175
223		-	emergency medical service instructor, (3) a letter of endorsement 176
224		-	signed by two instructors holding current emergency medical service 177
225		-	instructor certification, (4) documentation of having completed written 178
226		-	and practical examinations as prescribed by the commissioner, and (5) 179
227		-	evidence satisfactory to the commissioner that the applicant has no 180
228		-	pending disciplinary action or unresolved complaints against him or 181
229		-	her. 182 Substitute Bill No. 1057
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	195	+	(h) The commissioner may issue an emergency medical responder, 148
	196	+	emergency medical technician or advanced emergency medical 149
	197	+	technician certificate to an applicant for certification by endorsement 150
	198	+	who presents evidence satisfactory to the commissioner that the 151
	199	+	applicant (1) is currently certified as an emergency medical responder, 152
	200	+	emergency medical technician or advanced emergency medical 153
	201	+	technician in good standing by a state that maintains licensing 154
	202	+	requirements that the commissioner determines are equal to, or greater 155
	203	+	than, those in this state, (2) has completed an initial [department-156
	204	+	approved] emergency medical responder, emergency medical 157
	205	+	technician or advanced emergency medical technician training 158
	206	+	program approved by the Department of Public Health that includes 159
	207	+	written and practical examinations at the completion of the course, or a 160
	208	+	program outside the state that adheres to national education standards 161
	209	+	for the emergency medical responder, emergency medical technician 162
	210	+	or advanced emergency medical technician scope of practice and that 163
	211	+	includes an examination, [and] (3) for applicants applying on or after 164
	212	+	January 1, 2020, has completed mental health first aid training as part 165
	213	+	of a training program approved by the Department of Public Health, 166
	214	+	and (4) has no pending disciplinary action or unresolved complaint 167
	215	+	against him or her. 168
	216	+	(i) The commissioner may issue an emergency medical service 169
	217	+	instructor certificate to an applicant who presents (1) evidence 170
	218	+	satisfactory to the commissioner that the applicant is currently certified 171
	219	+	as an emergency medical technician in good standing, (2) 172
	220	+	documentation satisfactory to the commissioner, with reference to 173
	221	+	national education standards, regarding qualifications as an 174
	222	+	emergency medical service instructor, (3) a letter of endorsement 175
	223	+	signed by two instructors holding current emergency medical service 176
	224	+	instructor certification, (4) documentation of having completed written 177
	225	+	and practical examinations as prescribed by the commissioner, and (5) 178
	226	+	evidence satisfactory to the commissioner that the applicant has no 179
	227	+	pending disciplinary action or unresolved complaints against him or 180
	228	+	her. 181 Raised Bill No. 1057
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236		-	(j) Any person certified as an emergency medical responder, 183
237		-	emergency medical technician, advanced emergency medical 184
238		-	technician or emergency medical services instructor pursuant to this 185
239		-	chapter and the regulations adopted pursuant to section 20-206oo 186
240		-	whose certification has expired may apply to the Department of Public 187
241		-	Health for reinstatement of such certification as follows: (1) If such 188
242		-	certification expired one year or less from the date of the application 189
243		-	for reinstatement, such person shall complete the requirements for 190
244		-	recertification specified in regulations adopted pursuant to section 20-191
245		-	206oo; (2) if such recertification expired more than one year but less 192
246		-	than three years from the date of application for reinstatement, such 193
247		-	person shall complete the training required for recertification and the 194
248		-	examination required for initial certification specified in regulations 195
249		-	adopted pursuant to section 20-206oo; or (3) if such certification 196
250		-	expired three or more years from the date of application for 197
251		-	reinstatement, such person shall complete the requirements for initial 198
252		-	certification set forth in this section. Any certificate issued pursuant to 199
253		-	this section shall remain valid for ninety days after the expiration date 200
254		-	of such certificate and become void upon the expiration of such ninety-201
255		-	day period. 202
256		-	(k) The Commissioner of Public Health shall issue an emergency 203
257		-	medical technician certification to an applicant who is a member of the 204
258		-	armed forces or the National Guard or a veteran and who (1) presents 205
259		-	evidence satisfactory to the commissioner that such applicant holds a 206
260		-	current certification as a person entitled to perform similar services 207
261		-	under a different designation by the National Registry of Emergency 208
262		-	Medical Technicians, or (2) satisfies the regulations promulgated 209
263		-	pursuant to subdivision (4) of subsection (a) of section 19a-179. Such 210
264		-	applicant shall be exempt from any written or practical examination 211
265		-	requirement for certification. 212
266		-	(l) For the purposes of this section, "veteran" means any person who 213
267		-	was discharged or released under conditions other than dishonorable 214
268		-	from active service in the armed forces and "armed forces" has the 215 Substitute Bill No. 1057
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	234	+	(j) Any person certified as an emergency medical responder, 182
	235	+	emergency medical technician, advanced emergency medical 183
	236	+	technician or emergency medical services instructor pursuant to this 184
	237	+	chapter and the regulations adopted pursuant to section 20-206oo 185
	238	+	whose certification has expired may apply to the Department of Public 186
	239	+	Health for reinstatement of such certification as follows: (1) If such 187
	240	+	certification expired one year or less from the date of the application 188
	241	+	for reinstatement, such person shall complete the requirements for 189
	242	+	recertification specified in regulations adopted pursuant to section 20-190
	243	+	206oo; (2) if such recertification expired more than one year but less 191
	244	+	than three years from the date of application for reinstatement, such 192
	245	+	person shall complete the training required for recertification and the 193
	246	+	examination required for initial certification specified in regulations 194
	247	+	adopted pursuant to section 20-206oo; or (3) if such certification 195
	248	+	expired three or more years from the date of application for 196
	249	+	reinstatement, such person shall complete the requirements for initial 197
	250	+	certification set forth in this section. Any certificate issued pursuant to 198
	251	+	this section shall remain valid for ninety days after the expiration date 199
	252	+	of such certificate and become void upon the expiration of such ninety-200
	253	+	day period. 201
	254	+	(k) The Commissioner of Public Health shall issue an emergency 202
	255	+	medical technician certification to an applicant who is a member of the 203
	256	+	armed forces or the National Guard or a veteran and who (1) presents 204
	257	+	evidence satisfactory to the commissioner that such applicant holds a 205
	258	+	current certification as a person entitled to perform similar services 206
	259	+	under a different designation by the National Registry of Emergency 207
	260	+	Medical Technicians, or (2) satisfies the regulations promulgated 208
	261	+	pursuant to subdivision (4) of subsection (a) of section 19a-179. Such 209
	262	+	applicant shall be exempt from any written or practical examination 210
	263	+	requirement for certification. 211
	264	+	(l) For the purposes of this section, "veteran" means any person who 212
	265	+	was discharged or released under conditions other than dishonorable 213
	266	+	from active service in the armed forces and "armed forces" has the 214
	267	+	same meaning as provided in section 27-103. 215 Raised Bill No. 1057
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275		-	same meaning as provided in section 27-103. 216
276		-	Sec. 5. Section 19a-127q of the general statutes is repealed and the 217
277		-	following is substituted in lieu thereof (Effective October 1, 2019): 218
278		-	(a) On and after January 1, 2019, any hospital licensed pursuant to 219
279		-	chapter 368v or emergency medical services personnel, as defined in 220
280		-	section 20-206jj, that treats a patient for an overdose of an opioid drug, 221
281		-	as defined in section 20-14o, shall report such overdose to the 222
282		-	Department of Public Health in a form and manner prescribed by the 223
283		-	Commissioner of Public Health. 224
284		-	(b) On and after January 1, 2020, any hospital licensed pursuant to 225
285		-	chapter 368v that treats a patient for a nonfatal overdose of an opioid 226
286		-	drug, as defined in section 20-14o, shall administer a mental health 227
287		-	screening or assessment of the patient and provide the results of such 228
288		-	screening or assessment to the patient, or, (1) if the patient is mentally 229
289		-	incapacitated, to the patient's guardian or legal representative, or (2) if 230
290		-	the patient is a minor, to the patient's parent or guardian. 231
291		-	[(b)] (c) On or before January 1, 2020, the Department of Public 232
292		-	Health shall provide the data reported pursuant to subsection (a) of 233
293		-	this section to the municipal health department or district department 234
294		-	of health that has jurisdiction over the location in which such overdose 235
295		-	occurred, or, if such location is unknown, the location in which the 236
296		-	hospital or emergency medical services personnel treated the patient, 237
297		-	as the department, in its discretion, deems necessary to develop 238
298		-	preventive initiatives. 239
299		-	[(c)] (d) Data reported to the Department of Public Health by a 240
300		-	hospital or emergency medical services personnel shall at all times 241
301		-	remain confidential pursuant to section 19a-25. 242
302		-	Sec. 6. Subsection (a) of section 20-633c of the general statutes is 243
303		-	repealed and the following is substituted in lieu thereof (Effective from 244
304		-	passage): 245 Substitute Bill No. 1057
	271	+	LCO No. 5456 8 of 10
	272	+
	273	+	Sec. 5. Section 19a-127q of the general statutes is repealed and the 216
	274	+	following is substituted in lieu thereof (Effective October 1, 2019): 217
	275	+	(a) On and after January 1, 2019, any hospital licensed pursuant to 218
	276	+	chapter 368v or emergency medical services personnel, as defined in 219
	277	+	section 20-206jj, that treats a patient for an overdose of an opioid drug, 220
	278	+	as defined in section 20-14o, shall report such overdose to the 221
	279	+	Department of Public Health in a form and manner prescribed by the 222
	280	+	Commissioner of Public Health. 223
	281	+	(b) On and after January 1, 2020, any hospital licensed pursuant to 224
	282	+	chapter 368v that treats a patient for a nonfatal overdose of an opioid 225
	283	+	drug, as defined in section 20-14o, shall administer a mental health 226
	284	+	screening or assessment of the patient and provide the results of such 227
	285	+	screening or assessment to the patient, or, (1) if the patient is mentally 228
	286	+	incapacitated, to the patient's guardian or legal representative, or (2) if 229
	287	+	the patient is a minor, to the patient's parent or guardian. 230
	288	+	[(b)] (c) On or before January 1, 2020, the Department of Public 231
	289	+	Health shall provide the data reported pursuant to subsection (a) of 232
	290	+	this section to the municipal health department or district department 233
	291	+	of health that has jurisdiction over the location in which such overdose 234
	292	+	occurred, or, if such location is unknown, the location in which the 235
	293	+	hospital or emergency medical services personnel treated the patient, 236
	294	+	as the department, in its discretion, deems necessary to develop 237
	295	+	preventive initiatives. 238
	296	+	[(c)] (d) Data reported to the Department of Public Health by a 239
	297	+	hospital or emergency medical services personnel shall at all times 240
	298	+	remain confidential pursuant to section 19a-25. 241
	299	+	Sec. 6. Subsection (a) of section 20-633c of the general statutes is 242
	300	+	repealed and the following is substituted in lieu thereof (Effective from 243
	301	+	passage): 244
	302	+	(a) A person who is licensed as a pharmacist under part II of this 245
	303	+	chapter and is certified in accordance with subsection (b) of this section 246 Raised Bill No. 1057
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311		-	(a) A person who is licensed as a pharmacist under part II of this 246
312		-	chapter and is certified in accordance with subsection (b) of this section 247
313		-	may prescribe, in good faith, an opioid antagonist, as defined in 248
314		-	section 17a-714a. Such pharmacist shall (1) provide appropriate 249
315		-	training regarding the administration of such opioid antagonist to the 250
316		-	person to whom the opioid antagonist is [dispensed] delivered, and (2) 251
317		-	maintain a record of [such] the dispensing and delivering of the opioid 252
318		-	antagonist and the training required pursuant to this chapter. 253
319		-	Sec. 7. Subsection (a) of section 20-633d of the general statutes is 254
320		-	repealed and the following is substituted in lieu thereof (Effective from 255
321		-	passage): 256
322		-	(a) A prescribing practitioner, as defined in section 20-14c, who is 257
323		-	authorized to prescribe an opioid antagonist, as defined in section 17a-258
324		-	714a, and a pharmacy may enter into an agreement for a medical 259
325		-	protocol standing order at such pharmacy allowing a pharmacist 260
326		-	licensed under part II of this chapter to dispense an opioid antagonist 261
327		-	that is (1) administered by an intranasal application delivery system or 262
328		-	an auto-injection delivery system, (2) approved by the federal Food 263
329		-	and Drug Administration, and (3) [dispensed] delivered to any person 264
330		-	at risk of experiencing an overdose of an opioid drug, as defined in 42 265
331		-	CFR 8.2, or to a family member, friend or other person in a position to 266
332		-	assist a person at risk of experiencing an overdose of an opioid drug. 267
333		-	Sec. 8. Subsection (d) of section 20-633d of the general statutes is 268
334		-	repealed and the following is substituted in lieu thereof (Effective from 269
335		-	passage): 270
336		-	(d) A pharmacist who dispenses an opioid antagonist pursuant to a 271
337		-	medical protocol standing order shall (1) provide appropriate training 272
338		-	regarding the administration of such opioid antagonist to the person to 273
339		-	whom the opioid antagonist is [dispensed] delivered, (2) maintain a 274
340		-	record of such dispensing and delivering and the training required 275
341		-	pursuant to this chapter, and (3) send a copy of the record of such 276
342		-	dispensing and delivering to the prescribing practitioner who entered 277 Substitute Bill No. 1057
	307	+	LCO No. 5456 9 of 10
	308	+
	309	+	may prescribe, in good faith, an opioid antagonist, as defined in 247
	310	+	section 17a-714a. Such pharmacist shall (1) provide appropriate 248
	311	+	training regarding the administration of such opioid antagonist to the 249
	312	+	person to whom the opioid antagonist is [dispensed] delivered, and (2) 250
	313	+	maintain a record of [such] the dispensing and delivering of the opioid 251
	314	+	antagonist and the training required pursuant to this chapter. 252
	315	+	Sec. 7. Subsection (a) of section 20-633d of the general statutes is 253
	316	+	repealed and the following is substituted in lieu thereof (Effective from 254
	317	+	passage): 255
	318	+	(a) A prescribing practitioner, as defined in section 20-14c, who is 256
	319	+	authorized to prescribe an opioid antagonist, as defined in section 17a-257
	320	+	714a, and a pharmacy may enter into an agreement for a medical 258
	321	+	protocol standing order at such pharmacy allowing a pharmacist 259
	322	+	licensed under part II of this chapter to dispense an opioid antagonist 260
	323	+	that is (1) administered by an intranasal application delivery system or 261
	324	+	an auto-injection delivery system, (2) approved by the federal Food 262
	325	+	and Drug Administration, and (3) [dispensed] delivered to any person 263
	326	+	at risk of experiencing an overdose of an opioid drug, as defined in 42 264
	327	+	CFR 8.2, or to a family member, friend or other person in a position to 265
	328	+	assist a person at risk of experiencing an overdose of an opioid drug. 266
	329	+	Sec. 8. Subsection (d) of section 20-633d of the general statutes is 267
	330	+	repealed and the following is substituted in lieu thereof (Effective from 268
	331	+	passage): 269
	332	+	(d) A pharmacist who dispenses an opioid antagonist pursuant to a 270
	333	+	medical protocol standing order shall (1) provide appropriate training 271
	334	+	regarding the administration of such opioid antagonist to the person to 272
	335	+	whom the opioid antagonist is [dispensed] delivered, (2) maintain a 273
	336	+	record of such dispensing and delivering and the training required 274
	337	+	pursuant to this chapter, and (3) send a copy of the record of such 275
	338	+	dispensing and delivering to the prescribing practitioner who entered 276
	339	+	into an agreement for a medical protocol standing order with the 277
	340	+	pharmacy. 278 Raised Bill No. 1057
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349		-	~~into an agreement for a medical protocol standing order with the 278~~
350		-	~~pharmacy. 279~~
351		-	Sec. 9. Subdivision (7) of subsection (a) of section 20-74s of the ~~280~~
352		-	general statutes is repealed and the following is substituted in lieu ~~281~~
353		-	thereof (Effective from passage): ~~282~~
354		-	(7) "Supervision" means the regular on-site observation, by a ~~283~~
355		-	licensed alcohol and drug counselor or other licensed [mental] ~~284~~
356		-	behavioral health professional whose scope of practice includes the ~~285~~
357		-	screening, assessment, diagnosis and treatment of substance use ~~286~~
358		-	disorders and co-occurring disorders, of the functions and activities of ~~287~~
359		-	an alcohol and drug counselor in the performance of his or her duties ~~288~~
360		-	and responsibilities to include a review of the records, reports, ~~289~~
361		-	treatment plans or recommendations with respect to an individual or ~~290~~
362		-	group; ~~291~~
	344	+	LCO No. 5456 10 of 10
	345	+
	346	+	Sec. 9. Subdivision (7) of subsection (a) of section 20-74s of the 279
	347	+	general statutes is repealed and the following is substituted in lieu 280
	348	+	thereof (Effective from passage): 281
	349	+	(7) "Supervision" means the regular on-site observation, by a 282
	350	+	licensed alcohol and drug counselor or other licensed [mental] 283
	351	+	behavioral health professional whose scope of practice includes the 284
	352	+	screening, assessment, diagnosis and treatment of substance use 285
	353	+	disorders and co-occurring disorders, of the functions and activities of 286
	354	+	an alcohol and drug counselor in the performance of his or her duties 287
	355	+	and responsibilities to include a review of the records, reports, 288
	356	+	treatment plans or recommendations with respect to an individual or 289
	357	+	group; 290
363	358		This act shall take effect as follows and shall amend the following
364	359		sections:
365	360
366	361		Section 1 July 1, 2019 New section
367	362		Sec. 2 July 1, 2019 New section
368	363		Sec. 3 October 1, 2019 New section
369	364		Sec. 4 October 1, 2019 20-206mm
370	365		Sec. 5 October 1, 2019 19a-127q
371	366		Sec. 6 from passage 20-633c(a)
372	367		Sec. 7 from passage 20-633d(a)
373	368		Sec. 8 from passage 20-633d(d)
374	369		Sec. 9 from passage 20-74s(a)(7)
375	370
376		-	PH Joint Favorable Subst.
	371	+	Statement of Purpose:
	372	+	To combat opioid use disorder in the state.
	373	+	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline,
	374	+	except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is
	375	+	not underlined.]
377	376