1 | 1 | | |
---|
2 | 2 | | |
---|
3 | 3 | | LCO No. 1357 1 of 4 |
---|
4 | 4 | | |
---|
5 | 5 | | General Assembly Raised Bill No. 141 |
---|
6 | 6 | | February Session, 2020 |
---|
7 | 7 | | LCO No. 1357 |
---|
8 | 8 | | |
---|
9 | 9 | | |
---|
10 | 10 | | Referred to Committee on PUBLIC HEALTH |
---|
11 | 11 | | |
---|
12 | 12 | | |
---|
13 | 13 | | Introduced by: |
---|
14 | 14 | | (PH) |
---|
15 | 15 | | |
---|
16 | 16 | | |
---|
17 | 17 | | |
---|
18 | 18 | | |
---|
19 | 19 | | AN ACT DESIGNATING THE DEPARTMENT OF MEN TAL HEALTH |
---|
20 | 20 | | AND ADDICTION SERVIC ES A SINGLE HEALTH CARE ENTITY. |
---|
21 | 21 | | Be it enacted by the Senate and House of Representatives in General |
---|
22 | 22 | | Assembly convened: |
---|
23 | 23 | | |
---|
24 | 24 | | Section 1. Section 17a-450 of the general statutes is repealed and the 1 |
---|
25 | 25 | | following is substituted in lieu thereof (Effective from passage): 2 |
---|
26 | 26 | | (a) There shall be a Department of Mental Health and Addiction 3 |
---|
27 | 27 | | Services headed by a Commissioner of Mental Health and Addiction 4 |
---|
28 | 28 | | Services, appointed by the Governor with the advice of the Board of 5 |
---|
29 | 29 | | Mental Health and Addiction Services established pursuant to section 6 |
---|
30 | 30 | | 17a-456. 7 |
---|
31 | 31 | | (b) For the purposes of chapter 48, the Department of Mental Health 8 |
---|
32 | 32 | | and Addiction Services shall be organized to promote comprehensive, 9 |
---|
33 | 33 | | client-based services in the areas of mental health treatment and 10 |
---|
34 | 34 | | substance abuse treatment and to ensure the programmatic integrity 11 |
---|
35 | 35 | | and clinical identity of services in each area. The department shall 12 |
---|
36 | 36 | | perform the functions of: Centralized administration, planning and 13 |
---|
37 | 37 | | program development; prevention and treatment programs and 14 |
---|
38 | 38 | | facilities, both inpatient and outpatient, for persons with psychiatric 15 Raised Bill No. 141 |
---|
39 | 39 | | |
---|
40 | 40 | | |
---|
41 | 41 | | |
---|
42 | 42 | | LCO No. 1357 2 of 4 |
---|
43 | 43 | | |
---|
44 | 44 | | disabilities or persons with substance use disorders, or both; community 16 |
---|
45 | 45 | | mental health centers and community or regional programs and 17 |
---|
46 | 46 | | facilities providing services for persons with psychiatric disabilities or 18 |
---|
47 | 47 | | persons with substance use disorders, or both; training and education; 19 |
---|
48 | 48 | | and research and evaluation of programs and facilities providing 20 |
---|
49 | 49 | | services for persons with psychiatric disabilities or persons with 21 |
---|
50 | 50 | | substance use disorders, or both. The department shall include, but not 22 |
---|
51 | 51 | | be limited to, the following divisions and facilities or their successor 23 |
---|
52 | 52 | | facilities: The office of the Commissioner of Mental Health and 24 |
---|
53 | 53 | | Addiction Services; Capitol Region Mental Health Center; Connecticut 25 |
---|
54 | 54 | | Valley Hospital, including the Addictions Division and the General 26 |
---|
55 | 55 | | Psychiatric Division of Connecticut Valley Hospital; the Whiting 27 |
---|
56 | 56 | | Forensic Hospital; the Connecticut Mental Health Center; Ribicoff 28 |
---|
57 | 57 | | Research Center; the Southwest Connecticut Mental Health System, 29 |
---|
58 | 58 | | including the Franklin S. DuBois Center and the Greater Bridgeport 30 |
---|
59 | 59 | | Community Mental Health Center; the Southeastern Mental Health 31 |
---|
60 | 60 | | Authority; River Valley Services; the Western Connecticut Mental 32 |
---|
61 | 61 | | Health Network; and any other state-operated facility for the treatment 33 |
---|
62 | 62 | | of persons with psychiatric disabilities or persons with substance use 34 |
---|
63 | 63 | | disorders, or both, but shall not include those portions of such facilities 35 |
---|
64 | 64 | | transferred to the Department of Children and Families for the purpose 36 |
---|
65 | 65 | | of consolidation of children's services. All department divisions and 37 |
---|
66 | 66 | | facilities shall provide their patient records to the electronic health 38 |
---|
67 | 67 | | record system established pursuant to subdivision (7) of subsection (c) 39 |
---|
68 | 68 | | of this section. Disclosures of patient information from the electronic 40 |
---|
69 | 69 | | health record system outside of the department shall be in accordance 41 |
---|
70 | 70 | | with applicable federal and state law. 42 |
---|
71 | 71 | | (c) The Department of Mental Health and Addiction Services may: 43 |
---|
72 | 72 | | (1) Solicit and accept for use any gift of money or property made by 44 |
---|
73 | 73 | | will or otherwise, and any grant of money, services or property from the 45 |
---|
74 | 74 | | federal government, the state or any political subdivision thereof or any 46 |
---|
75 | 75 | | private source, and do all things necessary to cooperate with the federal 47 |
---|
76 | 76 | | government or any of its agencies in making an application for any 48 |
---|
77 | 77 | | grant; 49 Raised Bill No. 141 |
---|
78 | 78 | | |
---|
79 | 79 | | |
---|
80 | 80 | | |
---|
81 | 81 | | LCO No. 1357 3 of 4 |
---|
82 | 82 | | |
---|
83 | 83 | | (2) Keep records and engage in research and the gathering of relevant 50 |
---|
84 | 84 | | statistics; 51 |
---|
85 | 85 | | (3) Work with public or private agencies, organizations, facilities or 52 |
---|
86 | 86 | | individuals to ensure the operation of the programs set forth in 53 |
---|
87 | 87 | | accordance with sections 17a-75 to 17a-83, inclusive, 17a-450 to [17a-484] 54 |
---|
88 | 88 | | 17a-488a, inclusive, 17a-495 to 17a-528, inclusive, 17a-540 to 17a-550, 55 |
---|
89 | 89 | | inclusive, 17a-560 to 17a-575, inclusive, 17a-580 to 17a-603, inclusive, 56 |
---|
90 | 90 | | and 17a-615 to 17a-618, inclusive; 57 |
---|
91 | 91 | | (4) Hold hearings, issue subpoenas, administer oaths, compel 58 |
---|
92 | 92 | | testimony and order production of books, papers and records in the 59 |
---|
93 | 93 | | performance of its duties; 60 |
---|
94 | 94 | | (5) Operate trustee accounts, in accordance with procedures 61 |
---|
95 | 95 | | prescribed by the Comptroller, on behalf of inpatient and outpatient 62 |
---|
96 | 96 | | department clients; 63 |
---|
97 | 97 | | (6) Notwithstanding [any] the provisions of sections 4-101 and 17b-64 |
---|
98 | 98 | | 239, [to the contrary,] establish medical reimbursement rates for 65 |
---|
99 | 99 | | behavioral health services including, but not limited to, inpatient, 66 |
---|
100 | 100 | | outpatient and residential services purchased by the department; [and] 67 |
---|
101 | 101 | | (7) Establish and utilize an electronic health record system that allows 68 |
---|
102 | 102 | | authorized department personnel to have access to patient health 69 |
---|
103 | 103 | | information, including psychiatric records from any of the department's 70 |
---|
104 | 104 | | divisions and facilities set forth in subsection (b) of this section for 71 |
---|
105 | 105 | | purposes of (A) providing diagnosis and treatment, and (B) improving 72 |
---|
106 | 106 | | the department's health care operations, as defined in 42 CFR 164.501. 73 |
---|
107 | 107 | | [(7)] (8) Perform such other acts and functions as may be necessary or 74 |
---|
108 | 108 | | convenient to execute the authority expressly granted to it. 75 |
---|
109 | 109 | | (d) The Department of Mental Health and Addiction Services is 76 |
---|
110 | 110 | | designated as the lead state agency for substance abuse prevention and 77 |
---|
111 | 111 | | treatment in this state, and as such is designated as the state methadone 78 |
---|
112 | 112 | | authority. As the designated state methadone authority, the department 79 Raised Bill No. 141 |
---|
113 | 113 | | |
---|
114 | 114 | | |
---|
115 | 115 | | |
---|
116 | 116 | | LCO No. 1357 4 of 4 |
---|
117 | 117 | | |
---|
118 | 118 | | is authorized by the federal Center for Substance Abuse Treatment of 80 |
---|
119 | 119 | | the Substance Abuse and Mental Health Services Administration within 81 |
---|
120 | 120 | | the United States Department of Health and Human Services to exercise 82 |
---|
121 | 121 | | responsibility and authority for the treatment of opiate addiction with 83 |
---|
122 | 122 | | an opioid medication, and specifically for: (1) Approval of exceptions to 84 |
---|
123 | 123 | | federal opioid treatment protocols in accordance with the Center for 85 |
---|
124 | 124 | | Substance Abuse Treatment, (2) monitoring all opioid treatment 86 |
---|
125 | 125 | | programs in the state, and (3) approval of Center for Substance Abuse 87 |
---|
126 | 126 | | Treatment certification of all opioid treatment programs in the state. The 88 |
---|
127 | 127 | | Commissioner of Mental Health and Addiction Services may adopt 89 |
---|
128 | 128 | | regulations in accordance with chapter 54 to carry out the provisions of 90 |
---|
129 | 129 | | this subsection. 91 |
---|
130 | 130 | | This act shall take effect as follows and shall amend the following |
---|
131 | 131 | | sections: |
---|
132 | 132 | | |
---|
133 | 133 | | Section 1 from passage 17a-450 |
---|
134 | 134 | | |
---|
135 | 135 | | Statement of Purpose: |
---|
136 | 136 | | To allow the Department of Mental Health and Addiction Services to |
---|
137 | 137 | | use one electronic health record system that all clinical staff can use for |
---|
138 | 138 | | documentation across all Department of Mental Health and Addiction |
---|
139 | 139 | | Services clinics and hospitals. |
---|
140 | 140 | | [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except |
---|
141 | 141 | | that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not |
---|
142 | 142 | | underlined.] |
---|
143 | 143 | | |
---|