Connecticut 2020 Regular Session

Connecticut Senate Bill SB00146 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2
3	3	LCO No. 1240 1 of 19
4	4
5	5	General Assembly Raised Bill No. 146
6	6	February Session, 2020
7	7	LCO No. 1240
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 CONCERNING TH E LEGISLATIVE COMMISSIONERS'
20	20	OFFICE'S RECOMMENDAT IONS REGARDING REVISIONS TO THE
21	21	PUBLIC HEALTH STATUT ES.
22	22	Be it enacted by the Senate and House of Representatives in General
23	23	Assembly convened:
24	24
25	25	Section 1. Subsection (a) of section 12-295 of the 2020 supplement to 1
26	26	the general statutes is repealed and the following is substituted in lieu 2
27	27	thereof (Effective October 1, 2020): 3
28	28	(a) The commissioner may suspend or revoke the license of any 4
29	29	dealer or distributor for (1) failure to comply with any provision of this 5
30	30	chapter or regulations related thereto, or (2) [for] the sale or delivery of 6
31	31	cigarettes or tobacco products to a person under twenty-one years of 7
32	32	age, following a hearing with respect to which notice in writing, 8
33	33	specifying the time and place of such hearing and requiring such dealer 9
34	34	or distributor to show cause why such license should not be revoked, is 10
35	35	mailed or delivered to such dealer or distributor not less than ten days 11
36	36	preceding the date of such hearing. Such notice may be served 12
37	37	personally or by registered or certified mail. 13
38	38	Sec. 2. Subsection (b) of section 19a-37f of the 2020 supplement to the 14 Raised Bill No. 146
39	39
40	40
41	41
42	42	LCO No. 1240 2 of 19
43	43
44	44	general statutes is repealed and the following is substituted in lieu 15
45	45	thereof (Effective October 1, 2020): 16
46	46	(b) On or before August 1, 2019, and August 1, 2020, the department 17
47	47	shall issue a statement, in such manner as the department determines, 18
48	48	to each water company that owns a community water system or systems 19
49	49	showing the number of service connections and the source of such 20
50	50	number each community water system or systems has listed in the 21
51	51	department's records as of the date of issuance of the statement. For 22
52	52	purposes of this subsection, the department shall combine the number 23
53	53	of service connections of all water systems owned and operated by the 24
54	54	same water company for a total count of service connections. If any 25
55	55	water company disagrees with the number of service connections listed 26
56	56	in such statement, the water company shall, not later than thirty days 27
57	57	after the date of issuance of such statement, report to the department, in 28
58	58	a form and manner prescribed by the department, the accurate number 29
59	59	of [services] service connections the water company's community water 30
60	60	system or systems serve. 31
61	61	Sec. 3. Subdivision (2) of subsection (d) of section 19a-37f of the 2020 32
62	62	supplement to the general statutes is repealed and the following is 33
63	63	substituted in lieu thereof (Effective October 1, 2020): 34
64	64	(2) On or before January 1, 2020, and January 1, 2021, the department 35
65	65	shall issue an invoice, in such manner as the department determines, to 36
66	66	each water company that owns a community or nontransient 37
67	67	noncommunity water system or systems for the amount due pursuant 38
68	68	to subdivision (1) of this subsection. Each such water company shall pay 39
69	69	the amount invoiced, in the same year the department issued [in] the 40
70	70	invoice, in accordance with the following schedule: 41
71	71	(A) A nontransient noncommunity water system shall pay one 42
72	72	hundred per cent of the amount invoiced on or before March first; 43
73	73	(B) A community water system having less than one hundred service 44
74	74	connections shall pay one hundred per cent of the amount invoiced on 45
75	75	or before May first; and 46 Raised Bill No. 146
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77	77
78	78
79	79	LCO No. 1240 3 of 19
80	80
81	81	(C) A community water system having one hundred or more service 47
82	82	connections shall pay fifty per cent of the invoiced amount by March 48
83	83	first and the remaining fifty per cent of the amount invoiced by May 49
84	84	first. 50
85	85	Sec. 4. Subsection (c) of section 19a-59i of the 2020 supplement to the 51
86	86	general statutes is repealed and the following is substituted in lieu 52
87	87	thereof (Effective October 1, 2020): 53
88	88	(c) The maternal mortality review committee may include, but need 54
89	89	not be limited to, any of the following members, as needed, depending 55
90	90	on the maternal death case being reviewed: 56
91	91	(1) A physician licensed pursuant to chapter 370 who specializes in 57
92	92	obstetrics and gynecology, appointed by the Connecticut State Medical 58
93	93	Society; 59
94	94	(2) A physician licensed pursuant to chapter 370 who is a 60
95	95	pediatrician, appointed by the Connecticut State Medical Society; 61
96	96	(3) A community health worker, appointed by the Commission on 62
97	97	Women, Children, Seniors, Equity and Opportunity; 63
98	98	(4) A nurse-midwife licensed pursuant to chapter 377, appointed by 64
99	99	the Connecticut Nurses Association; 65
100	100	(5) A clinical social worker licensed pursuant to chapter 383b, 66
101	101	appointed by the Connecticut Chapter of the National Association of 67
102	102	Social Workers; 68
103	103	(6) A psychiatrist licensed pursuant to chapter 370, appointed by the 69
104	104	Connecticut Psychiatric Society; 70
105	105	(7) A psychologist licensed pursuant to chapter [20-136] 383, 71
106	106	appointed by the Connecticut Psychological Association; 72
107	107	(8) The Chief Medical Examiner, or the Chief Medical Examiner's 73
108	108	designee; 74 Raised Bill No. 146
109	109
110	110
111	111
112	112	LCO No. 1240 4 of 19
113	113
114	114	(9) A member of the Connecticut Hospital Association; 75
115	115	(10) A representative of a community or regional program or facility 76
116	116	providing services for persons with psychiatric disabilities or persons 77
117	117	with substance use disorders, appointed by the Commissioner of Public 78
118	118	Health; 79
119	119	(11) A representative of The University of Connecticut-sponsored 80
120	120	health disparities institute; or 81
121	121	(12) Any additional member the cochairpersons determine would be 82
122	122	beneficial to serve as a member of the committee. 83
123	123	Sec. 5. Subdivision (2) of subsection (e) of section 19a-88 of the 2020 84
124	124	supplement to the general statutes is repealed and the following is 85
125	125	substituted in lieu thereof (Effective October 1, 2020): 86
126	126	(2) Each person holding a license or certificate issued under section 87
127	127	19a-514 [,] and chapters 384a, 384c, 384d, 386, 387, 388 and 398 shall 88
128	128	apply for renewal of such license or certificate once every two years, 89
129	129	during the month of such person's birth, giving such person's name in 90
130	130	full, such person's residence and business address and such other 91
131	131	information as the department requests. 92
132	132	Sec. 6. Subdivisions (30) and (31) of section 19a-175 of the 2020 93
133	133	supplement to the general statutes are repealed and the following is 94
134	134	substituted in lieu thereof (Effective October 1, 2020): 95
135	135	(30) "Authorized emergency medical services vehicle" means an 96
136	136	ambulance, invalid coach or advanced emergency technician-staffed 97
137	137	intercept vehicle or a paramedic-staffed intercept vehicle licensed or 98
138	138	certified by the Department of Public Health for purposes of providing 99
139	139	emergency medical care to patients; [and] 100
140	140	(31) "Emergency medical services personnel" means an individual 101
141	141	certified to practice as an emergency medical responder, emergency 102
142	142	medical technician, advanced emergency medical technician, 103
143	143	emergency medical services instructor or an individual licensed as a 104 Raised Bill No. 146
144	144
145	145
146	146
147	147	LCO No. 1240 5 of 19
148	148
149	149	paramedic; [.] 105
150	150	Sec. 7. Subdivision (4) of section 19a-177 of the 2020 supplement to 106
151	151	the general statutes is repealed and the following is substituted in lieu 107
152	152	thereof (Effective October 1, 2020): 108
153	153	(4) Review and evaluate all area-wide plans developed by the 109
154	154	emergency medical services councils pursuant to section 19a-182 in 110
155	155	order to [insure] ensure conformity with standards issued by the 111
156	156	commissioner; 112
157	157	Sec. 8. Subsection (l) of section 19a-180 of the 2020 supplement to the 113
158	158	general statutes is repealed and the following is substituted in lieu 114
159	159	thereof (Effective October 1, 2020): 115
160	160	(l) (1) The commissioner shall develop a short form application 116
161	161	pursuant to subsection (k) of this section for primary service area 117
162	162	responders seeking to (A) change the address of a principal location or 118
163	163	the branch location, or (B) [to] add a branch location. (2) The application 119
164	164	shall require an applicant to provide such information as the 120
165	165	commissioner deems necessary, including, but not limited to, (A) the 121
166	166	applicant's name and address, (B) the new address where the principal 122
167	167	or branch is to be located, (C) an explanation as to why the principal or 123
168	168	branch location is being moved, (D) an explanation as to the need for the 124
169	169	addition of a branch location, and (E) a list of the emergency medical 125
170	170	service organizations to whom notice was sent pursuant to subsection 126
171	171	(k) of this section and proof of such notification. 127
172	172	Sec. 9. Subsections (a) and (b) of section 19a-180b of the 2020 128
173	173	supplement to the general statutes are repealed and the following is 129
174	174	substituted in lieu thereof (Effective October 1, 2020): 130
175	175	(a) For the purposes of this section, "supplemental first responder" 131
176	176	means an emergency medical service organization [who] that holds a 132
177	177	certificate of authorization by the Commissioner of Public Health and 133
178	178	responds to a victim of sudden illness or injury when available and only 134
179	179	when called upon, but does not offer transportation to patients or 135 Raised Bill No. 146
180	180
181	181
182	182
183	183	LCO No. 1240 6 of 19
184	184
185	185	operate an ambulance service or param edic intercept service, 136
186	186	"emergency medical services personnel" means an individual certified 137
187	187	pursuant to chapter 384d to practice as an emergency medical 138
188	188	responder, emergency medical technician, advanced emergency 139
189	189	medical technician or emergency medical services instructor or an 140
190	190	individual licensed pursuant to chapter 384d as a paramedic, and 141
191	191	"patient", "ambulance service", "emergency medical service 142
192	192	organization", "paramedic intercept service" and "emergency medical 143
193	193	technician" have the same meanings as provided in section 19a-175, as 144
194	194	amended by this act. 145
195	195	(b) Notwithstanding the provisions of subsection (a) of section 19a-146
196	196	180, the Commissioner of Public Health may issue a certificate of 147
197	197	authorization for a supplemental first responder to an emergency 148
198	198	medical service organization [who] that operates only in a municipality 149
199	199	with a population of at least one hundred five thousand, but not more 150
200	200	than one hundred fifteen thousand, as determined by the most recent 151
201	201	population estimate by the Department of Public Health. A certificate of 152
202	202	authorization shall be issued to an emergency medical service 153
203	203	organization that shows proof satisfactory to the commissioner that 154
204	204	such emergency medical service organization (1) meets the minimum 155
205	205	standards of the commissioner in the areas of training, equipment and 156
206	206	emergency medical services personnel, and (2) maintains liability 157
207	207	insurance in an amount not less than one million dollars. Applications 158
208	208	for such certificate of authorization shall be made in the form and 159
209	209	manner prescribed by the commissioner. Upon determination by the 160
210	210	commissioner that an applicant is qualified to be a supplemental first 161
211	211	responder, the commissioner shall issue a certificate of authorization 162
212	212	effective for two years to such applicant. Such certificate of 163
213	213	authorization shall be renewable biennially. If the commissioner 164
214	214	determines that an applicant for such license is not so qualified, the 165
215	215	commissioner shall provide such applicant with written notice of the 166
216	216	denial of the application with a statement of the reasons for such denial. 167
217	217	Such applicant shall have thirty days to request a hearing concerning 168
218	218	the denial of the application. Any hearing conducted pursuant to this 169 Raised Bill No. 146
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220	220
221	221
222	222	LCO No. 1240 7 of 19
223	223
224	224	subsection shall be conducted in accordance with the provisions of 170
225	225	chapter 54. If the commissioner's denial of a certificate of authorization 171
226	226	is sustained after such hearing, an applicant may make new application 172
227	227	not less than one year after the date on which such denial was sustained. 173
228	228	Sec. 10. Subsection (b) of section 19a-193a of the 2020 supplement to 174
229	229	the general statutes is repealed and the following is substituted in lieu 175
230	230	thereof (Effective October 1, 2020): 176
231	231	(b) Except as provided in subsection (c) of this section, any person 177
232	232	who receives medical services or transport services under 178
233	233	nonemergency conditions from a mobile integrated health care program 179
234	234	shall be liable to such mobile integrated health care [integrated] 180
235	235	program for the reasonable and necessary costs of providing such 181
236	236	services. 182
237	237	Sec. 11. Subsection (d) of section 19a-231 of the 2020 supplement to 183
238	238	the general statutes is repealed and the following is substituted in lieu 184
239	239	thereof (Effective October 1, 2020): 185
240	240	(d) Not later than October 1, 2019, the Commissioner of Public 186
241	241	Health, or the commissioner's designee, in collaboration with the local 187
242	242	directors of health of the state, shall establish infection prevention and 188
243	243	control plan guidelines for licensed nail technicians, eyelash technicians 189
244	244	[or] and estheticians, which shall be posted on the department's Internet 190
245	245	web site. 191
246	246	Sec. 12. Subsection (d) of section 19a-495a of the 2020 supplement to 192
247	247	the general statutes is repealed and the following is substituted in lieu 193
248	248	thereof (Effective October 1, 2020): 194
249	249	(d) The Commissioner of Public Health shall implement policies and 195
250	250	procedures necessary to administer the provisions of this section while 196
251	251	in the process of adopting such policies and procedures as regulation, 197
252	252	provided the commissioner [prints] posts notice of intent to adopt 198
253	253	regulations [in the Connecticut Law Journal] on the eRegulations 199
254	254	System not later than twenty days after the date of implementation. 200 Raised Bill No. 146
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256	256
257	257
258	258	LCO No. 1240 8 of 19
259	259
260	260	Policies and procedures implemented pursuant to this section shall be 201
261	261	valid until the time final regulations are adopted. 202
262	262	Sec. 13. Subsection (b) of section 19a-900 of the 2020 supplement to 203
263	263	the general statutes is repealed and the following is substituted in lieu 204
264	264	thereof (Effective October 1, 2020): 205
265	265	(b) Upon the request and with the written authorization of the parent 206
266	266	or guardian of a child attending any before or after school program, day 207
267	267	camp or child care facility, and pursuant to the written order of (1) a 208
268	268	physician licensed to practice medicine, (2) a physician assistant 209
269	269	licensed to prescribe in accordance with section 20-12d, or (3) an 210
270	270	advanced practice registered nurse licensed to prescribe in accordance 211
271	271	with sections 20-94a and 20-94b, the owner or operator of such before or 212
272	272	after school program, day camp or child care facility shall approve and 213
273	273	provide general supervision to an identified staff member trained to 214
274	274	administer medication with a cartridge injector to such child if the child 215
275	275	has a medically diagnosed allergic condition that may require prompt 216
276	276	treatment in order to protect the child against serious harm or death. 217
277	277	Such staff member shall be trained in the use of a cartridge injector by a 218
278	278	licensed physician, physician assistant, advanced practice registered 219
279	279	nurse or registered nurse or shall complete a course in first aid offered 220
280	280	by the American Red Cross, the American Heart Association, the 221
281	281	National Ski Patrol, the Department of Public Health, any director of 222
282	282	health or an organization using guidelines for first aid [and] published 223
283	283	by the American Heart Association and the American Red Cross. 224
284	284	Sec. 14. Subdivision (12) of subsection (a) of section 19a-906 of the 225
285	285	2020 supplement to the general statutes is repealed and the following is 226
286	286	substituted in lieu thereof (Effective October 1, 2020): 227
287	287	(12) "Telehealth provider" means any physician licensed under 228
288	288	chapter 370, physical therapist licensed under chapter 376, chiropractor 229
289	289	licensed under chapter 372, naturopath licensed under chapter 373, 230
290	290	podiatrist licensed under chapter 375, occupational therapist licensed 231
291	291	under chapter 376a, optometrist licensed under chapter 380, registered 232 Raised Bill No. 146
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293	293
294	294
295	295	LCO No. 1240 9 of 19
296	296
297	297	nurse or advanced practice registered nurse licensed under chapter 378, 233
298	298	physician assistant licensed under chapter 370, psychologist licensed 234
299	299	under chapter 383, marital and family therapist licensed under chapter 235
300	300	383a, clinical social worker or master social worker licensed under 236
301	301	chapter 383b, alcohol and drug counselor licensed under chapter 376b, 237
302	302	professional counselor licensed under chapter 383c, dietitian-238
303	303	nutritionist certified under chapter 384b, speech and language 239
304	304	pathologist licensed under chapter 399, respiratory care practitioner 240
305	305	licensed under chapter 381a, audiologist licensed under chapter 397a, 241
306	306	pharmacist licensed under chapter 400j or paramedic licensed [pursuant 242
307	307	to] under chapter 384d who is providing health care or other health 243
308	308	services through the use of telehealth within such person's scope of 244
309	309	practice and in accordance with the standard of care applicable to the 245
310	310	profession. 246
311	311	Sec. 15. Subsection (b) of section 19a-911 of the 2020 supplement to 247
312	312	the general statutes is repealed and the following is substituted in lieu 248
313	313	thereof (Effective October 1, 2020): 249
314	314	(b) The Council on Protecting Women's Health shall be comprised of 250
315	315	(1) the following ex-officio voting members: (A) The Commissioner of 251
316	316	Public Health, or the commissioner's designee; (B) the Commissioner of 252
317	317	Mental Health and Addiction Services, or the commissioner's designee; 253
318	318	(C) the Insurance Commissioner, or the commissioner's designee; (D) 254
319	319	the executive director of the Office of Health Strategy, or the executive 255
320	320	director's designee; (E) the Healthcare Advocate, or the Healthcare 256
321	321	Advocate's designee; and (F) the Secretary of the Office of Policy and 257
322	322	Management, or the secretary's designee; and (2) fourteen public 258
323	323	members, three of whom shall be appointed by the president pro 259
324	324	tempore of the Senate, three of whom shall be appointed by the speaker 260
325	325	of the House of Representatives, two of whom shall be appointed by the 261
326	326	majority leader of the Senate, two of whom shall be appointed by the 262
327	327	majority leader of the House of Representatives, two of whom shall be 263
328	328	appointed by the minority leader of the Senate and two of whom shall 264
329	329	be appointed by the minority leader of the House of Representatives, 265
330	330	and all of whom shall be knowledgeable on issues relative to women's 266 Raised Bill No. 146
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332	332
333	333
334	334	LCO No. 1240 10 of 19
335	335
336	336	health care in the state. The membership of the council shall fairly and 267
337	337	adequately represent women who have had issues accessing quality 268
338	338	health care in the state. 269
339	339	Sec. 16. Subsection (b) of section 20-10b of the 2020 supplement to the 270
340	340	general statutes is repealed and the following is substituted in lieu 271
341	341	thereof (Effective October 1, 2020): 272
342	342	(b) Except as otherwise provided in subsections (d), (e) and (f) of this 273
343	343	section, a licensee applying for license renewal shall earn a minimum of 274
344	344	fifty contact hours of continuing medical education within the 275
345	345	preceding twenty-four-month period. Such continuing medical 276
346	346	education shall (1) be in an area of the physician's practice; (2) reflect the 277
347	347	professional needs of the licensee in order to meet the health care needs 278
348	348	of the public; and (3) during the first renewal period in which continuing 279
349	349	medical education is required and not less than once every six years 280
350	350	thereafter, include at least one contact hour of training or education in 281
351	351	each of the following topics: (A) Infectious diseases, including, but not 282
352	352	limited to, acquired immune deficiency syndrome and human 283
353	353	immunodeficiency virus, (B) risk management, including, but not 284
354	354	limited to, prescribing controlled substances and pain management, 285
355	355	and, for registration periods beginning on or after October 1, 2019, such 286
356	356	risk management continuing medical education may also include 287
357	357	screening for inflammatory breast cancer and gastrointestinal cancers, 288
358	358	including colon, gastric, pancreatic and neuroendocrine cancers and 289
359	359	other rare gastrointestinal tumors, (C) sexual assault, (D) domestic 290
360	360	violence, (E) cultural competency, and (F) behavioral health, provided 291
361	361	further that on and after January 1, 2016, such behavioral health 292
362	362	continuing medical education may include, but not be limited to, at least 293
363	363	two contact hours of training or education during the first renewal 294
364	364	period in which continuing education is required and not less than once 295
365	365	every six years thereafter, on diagnosing and treating (i) cognitive 296
366	366	conditions, including, but not limited to, Alzheimer's disease, dementia, 297
367	367	delirium, related cognitive impairments and geriatric depression, or (ii) 298
368	368	mental health conditions, including, but not limited to, mental health 299
369	369	conditions common to veterans and family members of veterans. 300 Raised Bill No. 146
370	370
371	371
372	372
373	373	LCO No. 1240 11 of 19
374	374
375	375	Training for mental health conditions common to veterans and family 301
376	376	members of veterans shall include best practices for (I) determining 302
377	377	whether a patient is a veteran or family member of a veteran, (II) 303
378	378	screening for conditions such as post-traumatic stress disorder, risk of 304
379	379	suicide, depression and grief, and (III) suicide prevention training. For 305
380	380	purposes of this section, qualifying continuing medical education 306
381	381	activities include, but are not limited to, courses offered or approved by 307
382	382	the American Medical Association, American Osteopathic Association, 308
383	383	Connecticut Hospital Association, Connecticut State Medical Society, 309
384	384	Connecticut Osteopathic Medical Society, county medical societies or 310
385	385	equivalent organizations in another jurisdiction, educational offerings 311
386	386	sponsored by a hospital or other health care institution or courses 312
387	387	offered by a regionally accredited academic institution or a state or local 313
388	388	health department. The commissioner, or the commissioner's designee, 314
389	389	may grant a waiver for not more than ten contact hours of continuing 315
390	390	medical education for a physician who [: (I) Engages] engages in 316
391	391	activities related to the physician's service as a member of the 317
392	392	Connecticut Medical Examining Board, established pursuant to section 318
393	393	20-8a, [; (II)] engages in activities related to the physician's service as a 319
394	394	member of a medical hearing panel, pursuant to section 20-8a [; or (III)] 320
395	395	or assists the department with its duties to boards and commissions as 321
396	396	described in section 19a-14. 322
397	397	Sec. 17. Subsection (b) of section 20-94d of the 2020 supplement to the 323
398	398	general statutes is repealed and the following is substituted in lieu 324
399	399	thereof (Effective October 1, 2020): 325
400	400	(b) Except as provided in this section, for registration periods 326
401	401	beginning on and after October 1, 2014, a licensee applying for license 327
402	402	renewal shall earn a minimum of fifty contact hours of continuing 328
403	403	education within the preceding twenty-four-month period. Such 329
404	404	continuing education shall: (1) Be in an area of the advanced practice 330
405	405	registered nurse's practice; (2) reflect the professional needs of the 331
406	406	licensee in order to meet the health care needs of the public; (3) include 332
407	407	at least five contact hours of tra ining or education in 333
408	408	pharmacotherapeutics; (4) include at least one contact hour of training 334 Raised Bill No. 146
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410	410
411	411
412	412	LCO No. 1240 12 of 19
413	413
414	414	or education in each of the following topics: (A) Infectious diseases, 335
415	415	including, but not limited to, acquired immune deficiency syndrome 336
416	416	and human immunodeficiency virus, (B) risk management, (C) sexual 337
417	417	assault, (D) domestic violence, (E) cultural competency, and (F) 338
418	418	substance abuse, including, but not limited to, prescribing controlled 339
419	419	substances and pain management; and (5) on and after January 1, 2016, 340
420	420	include not less than two contact hours of training or education during 341
421	421	the first renewal period in which continuing education is required and 342
422	422	not less than once every six years thereafter on the topic of mental health 343
423	423	conditions common to veterans and family members of veterans, 344
424	424	including (A) determining whether a patient is a veteran or family 345
425	425	member of a veteran, (B) screening for conditions such as post-traumatic 346
426	426	stress disorder, risk of suicide, depression and grief, and (C) suicide 347
427	427	prevention training. [; and (6) on] On and after January 1, 2020, such 348
428	428	continuing education may include not less than two contact hours of 349
429	429	training or education during the first renewal period in which 350
430	430	continuing education is required and not less than once every six years 351
431	431	thereafter in diagnosing and treating cognitive or mental health 352
432	432	conditions, including, but not limited to, Alzheimer's disease, dementia, 353
433	433	delirium, related cognitive impairments and geriatric depression. For 354
434	434	purposes of this section, qualifying continuing education activities 355
435	435	include, but are not limited to, courses, including on-line courses, 356
436	436	offered or approved by the American Nurses Association, Connecticut 357
437	437	Hospital Association, Connecticut Nurses Association, Connecticut 358
438	438	League for Nursing, a specialty nursing society or an equivalent 359
439	439	organization in another jurisdiction, an educational offering sponsored 360
440	440	by a hospital or other health care institution or a course offered by a 361
441	441	regionally accredited academic institution or a state or local health 362
442	442	department. The commissioner may grant a waiver of not more than ten 363
443	443	contact hours of continuing education for an advanced practice 364
444	444	registered nurse who [: (A) Engages] engages in activities related to the 365
445	445	advanced practice registered nurse's service as a member of the 366
446	446	Connecticut State Board of Examiners for Nursing, established pursuant 367
447	447	to section 20-88 [; or (B)] or assists the department with its duties to 368
448	448	boards and commissions as described in section 19a-14. 369 Raised Bill No. 146
449	449
450	450
451	451
452	452	LCO No. 1240 13 of 19
453	453
454	454	Sec. 18. Subdivision (4) of section 20-195a of the 2020 supplement to 370
455	455	the general statutes is repealed and the following is substituted in lieu 371
456	456	thereof (Effective October 1, 2020): 372
457	457	(4) "Licensed marital and family [therapy] therapist associate" means 373
458	458	a person who has been licensed by the department as a marital and 374
459	459	family [therapy] therapist associate pursuant to this chapter and whose 375
460	460	license permits the person to engage in the practice of marital and family 376
461	461	therapy under the clinical supervision of a licensed marital and family 377
462	462	therapist; and 378
463	463	Sec. 19. Subdivision (1) of subsection (d) of section 20-195c of the 2020 379
464	464	supplement to the general statutes is repealed and the following is 380
465	465	substituted in lieu thereof (Effective October 1, 2020): 381
466	466	(d) (1) A license issued to a marital and family therapist [issued] 382
467	467	under this section may be renewed annually in accordance with the 383
468	468	provisions of section 19a-88, as amended by this act. The fee for such 384
469	469	renewal shall be three hundred twenty dollars. Each licensed marital 385
470	470	and family therapist applying for license renewal shall furnish evidence 386
471	471	satisfactory to the commissioner of having participated in continuing 387
472	472	education programs. The commissioner shall adopt regulations, in 388
473	473	accordance with chapter 54, to (A) define basic requirements for 389
474	474	continuing education programs, which shall include not less than one 390
475	475	contact hour of training or education each registration period on the 391
476	476	topic of cultural competency and, on and after January 1, 2016, not less 392
477	477	than two contact hours of training or education during the first renewal 393
478	478	period in which continuing education is required and not less than once 394
479	479	every six years thereafter on the topic of mental health conditions 395
480	480	common to veterans and family members of veterans, including (i) 396
481	481	determining whether a patient is a veteran or family member of a 397
482	482	veteran, (ii) screening for conditions such as post-traumatic stress 398
483	483	disorder, risk of suicide, depression and grief, and (iii) suicide 399
484	484	prevention training, (B) delineate qualifying programs, (C) establish a 400
485	485	system of control and reporting, and (D) provide for waiver of the 401
486	486	continuing education requirement for good cause. 402 Raised Bill No. 146
487	487
488	488
489	489
490	490	LCO No. 1240 14 of 19
491	491
492	492	Sec. 20. Subsection (a) of section 20-195cc of the 2020 supplement to 403
493	493	the general statutes is repealed and the following is substituted in lieu 404
494	494	thereof (Effective October 1, 2020): 405
495	495	(a) The Commissioner of Public Health shall grant a license (1) as a 406
496	496	professional counselor to any applicant who furnishes evidence 407
497	497	satisfactory to the commissioner that such applicant has met the 408
498	498	requirements of subsection (a) of section 20-195dd, and (2) as a 409
499	499	professional counselor associate to any applicant who furnishes 410
500	500	evidence satisfactory to the commissioner that such applicant has met 411
501	501	the requirements of subsection (b) of section 20-195dd. The 412
502	502	commissioner shall develop and provide application forms. The 413
503	503	application fee for a professional counselor shall be three hundred 414
504	504	fifteen dollars. The application fee for a professional counselor associate 415
505	505	shall be two hundred twenty dollars. 416
506	506	Sec. 21. Subsection (b) of section 20-195ttt of the 2020 supplement to 417
507	507	the general statutes is repealed and the following is substituted in lieu 418
508	508	thereof (Effective October 1, 2020): 419
509	509	(b) There is established within the Office of Health Strategy a 420
510	510	Community Health Worker Advisory Body. Said body shall (1) advise 421
511	511	said office and the Department of Public Health on matters relating to 422
512	512	the educational and certification requirements for training programs for 423
513	513	community health workers, including the minimum number of hours 424
514	514	and internship requirements for certification of community health 425
515	515	workers, (2) conduct a continuous review of such educational and 426
516	516	certification programs, and (3) provide the department with a list of 427
517	517	approved educational and certification programs for community health 428
518	518	workers. [;] 429
519	519	Sec. 22. Subsection (d) of section 20-195ttt of the 2020 supplement to 430
520	520	the general statutes is repealed and the following is substituted in lieu 431
521	521	thereof (Effective October 1, 2020): 432
522	522	(d) On or after January 1, 2020, no person shall use the title "certified 433
523	523	community health worker" unless certified by the Department of Public 434 Raised Bill No. 146
524	524
525	525
526	526
527	527	LCO No. 1240 15 of 19
528	528
529	529	Health pursuant to subsection (e) of this section. 435
530	530	Sec. 23. Subsection (h) of section 20-195ttt of the 2020 supplement to 436
531	531	the general statutes is repealed and the following is substituted in lieu 437
532	532	thereof (Effective October 1, 2020): 438
533	533	(h) The Commissioner of Public Health may take any disciplinary 439
534	534	action set forth in section 19a-17 against a certified community health 440
535	535	worker for failure to conform to the accepted standards of the profession 441
536	536	including, but not limited to, any of the following reasons: (1) Fraud or 442
537	537	deceit in obtaining or seeking reinstatement of a license to practice as a 443
538	538	community health worker; (2) engaging in fraud or material deception 444
539	539	in the course of professional services or activities; (3) negligent, 445
540	540	incompetent or wrongful conduct in professional activities; (4) aiding or 446
541	541	abetting the use of the title "certified community health [worker] 447
542	542	worker" by an individual who is not [certified"] certified; (5) physical, 448
543	543	mental or emotional illness or disorder resulting in an inability to 449
544	544	conform to the accepted standards of the profession; or (6) abuse or 450
545	545	excessive use of drugs, including alcohol, narcotics or chemicals. The 451
546	546	commissioner may order a license holder to submit to a reasonable 452
547	547	physical or mental examination if his or her physical or mental capacity 453
548	548	to practice safely is the subject of an investigation. The commissioner 454
549	549	may petition the superior court for the judicial district of Hartford to 455
550	550	enforce such order or any action taken pursuant to section 19a-17. The 456
551	551	commissioner shall give notice and an opportunity to be heard on any 457
552	552	contemplated action under section 19a-17. 458
553	553	Sec. 24. Subsection (c) of section 20-265f of the 2020 supplement to the 459
554	554	general statutes is repealed and the following is substituted in lieu 460
555	555	thereof (Effective October 1, 2020): 461
556	556	(c) No license shall be issued under this section to any applicant 462
557	557	against whom professional disciplinary action is pending or who is the 463
558	558	subject of an unresolved complaint in any state or jurisdiction. 464
559	559	Sec. 25. Subdivision (3) of subsection (f) of section 21a-415 of the 2020 465
560	560	supplement to the general statutes is repealed and the following is 466 Raised Bill No. 146
561	561
562	562
563	563
564	564	LCO No. 1240 16 of 19
565	565
566	566	substituted in lieu thereof (Effective October 1, 2020): 467
567	567	(3) Notwithstanding the provisions of subdivisions (1) and (2) of this 468
568	568	subsection, no penalty shall be imposed under this subsection unless the 469
569	569	commissioner sends written notice of any violation to the authorized 470
570	570	owner of the business entity that is subject to a penalty under 471
571	571	subdivision (1) or (2) of this subsection and allows such business entity 472
572	572	sixty days from the date such notice was sent to cease such violation and 473
573	573	comply with the requirements of this section. 474
574	574	Sec. 26. Subsection (b) of section 21a-415b of the 2020 supplement to 475
575	575	the general statutes is repealed and the following is substituted in lieu 476
576	576	thereof (Effective October 1, 2020): 477
577	577	(b) The Commissioner of Mental Health and Addiction Services, or 478
578	578	the commissioner's designee, shall conduct unannounced compliance 479
579	579	checks on business entities holding a dealer registration by engaging 480
580	580	persons between [the ages of] sixteen and twenty years of age to enter 481
581	581	the place of business of each such business entity to attempt to purchase 482
582	582	an electronic nicotine delivery system or a vapor product. The 483
583	583	commissioner shall conduct unannounced follow-up compliance checks 484
584	584	of all noncompliant business entities and shall refer all noncompliant 485
585	585	business entities to the Commissioner of Revenue Services. 486
586	586	Sec. 27. Subsection (a) of section 21a-416 of the 2020 supplement to 487
587	587	the general statutes is repealed and the following is substituted in lieu 488
588	588	thereof (Effective October 1, 2020): 489
589	589	(a) (1) Except as provided in subsection (b) of this section, no business 490
590	590	entity with a dealer registration may sell or offer for sale at the place of 491
591	591	business identified in the business entity's application for dealer 492
592	592	registration, an electronic nicotine delivery system or a vapor product 493
593	593	by any means other than an employee-assisted sale where the customer 494
594	594	has no direct access to the electronic nicotine delivery system or vapor 495
595	595	product except through the assistance of the employee of such business 496
596	596	entity. 497 Raised Bill No. 146
597	597
598	598
599	599
600	600	LCO No. 1240 17 of 19
601	601
602	602	(2) No business entity may sell or offer for sale an electronic nicotine 498
603	603	delivery system or a vapor product from a self-service display. 499
604	604	Sec. 28. Subdivision (1) of subsection (a) of section 31-294d of the 2020 500
605	605	supplement to the general statutes is repealed and the following is 501
606	606	substituted in lieu thereof (Effective October 1, 2020): 502
607	607	(a) (1) The employer, as soon as the employer has knowledge of an 503
608	608	injury, shall provide a competent physician, surgeon or advanced 504
609	609	practice registered nurse to attend the injured employee and, in 505
610	610	addition, shall furnish any medical and surgical aid or hospital and 506
611	611	nursing service, including medical rehabilitation services and 507
612	612	prescription drugs, as the physician, surgeon or advanced practice 508
613	613	registered nurse [surgeon] deems reasonable or necessary. The 509
614	614	employer, any insurer acting on behalf of the employer, or any other 510
615	615	entity acting on behalf of the employer or insurer shall be responsible 511
616	616	for paying the cost of such prescription drugs directly to the provider. 512
617	617	If the employer utilizes an approved providers list, when an employee 513
618	618	reports a work-related injury or condition to the employer the employer 514
619	619	shall provide the employee with such approved providers list within 515
620	620	two business days of such reporting. 516
621	621	Sec. 29. Subdivision (1) of section 52-146d of the 2020 supplement to 517
622	622	the general statutes is repealed and the following is substituted in lieu 518
623	623	thereof (Effective October 1, 2020): 519
624	624	(1) "Authorized representative" means (A) a person empowered by a 520
625	625	patient to assert the confidentiality of communications or records which 521
626	626	are privileged under sections 52-146c to 52-146i, inclusive, or (B) if a 522
627	627	patient is deceased, his or her personal representative or next of kin, or 523
628	628	(C) if a patient is incompetent to assert or waive his or her privileges 524
629	629	hereunder, (i) a guardian or conservator who has been or is appointed 525
630	630	to act for the patient, or (ii) for the purpose of maintaining 526
631	631	confidentiality until a guardian or conservator is appointed, the 527
632	632	patient's nearest relative; 528
633	633	Sec. 30. Subdivision (1) of subsection (a) of section 54-234a of the 2020 529 Raised Bill No. 146
634	634
635	635
636	636
637	637	LCO No. 1240 18 of 19
638	638
639	639	supplement to the general statutes is repealed and the following is 530
640	640	substituted in lieu thereof (Effective October 1, 2020): 531
641	641	(a) (1) The operator of any (A) establishment that provides massage 532
642	642	services for a fee; (B) publicly or privately operated highway service 533
643	643	plaza; (C) hotel, motel, inn or similar lodging; (D) public airport, as 534
644	644	defined in section 15-74a; (E) acute care hospital emergency room; (F) 535
645	645	urgent care facility; (G) station offering passenger rail service or 536
646	646	passenger bus service; (H) business that sells or offers for sale materials 537
647	647	or promotes performances intended for an adult-only audience; (I) 538
648	648	employment agency, as defined in section 31-129, that offers personnel 539
649	649	services to any other operator described in this subdivision; (J) 540
650	650	establishment that provides services performed by a nail technician, as 541
651	651	defined in section [19a-231] 20-265a; or (K) establishment that provides 542
652	652	services performed by an esthetician, as defined in section 20-265a, and 543
653	653	(2) each person who holds an on-premises consumption permit for the 544
654	654	retail sale of alcoholic liquor pursuant to title 30, shall post the notice 545
655	655	developed pursuant to subsection (b) of section 54-222 in plain view in 546
656	656	a conspicuous location where labor and services are provided or 547
657	657	performed, tickets are sold and other transactions, including sales, are 548
658	658	to be carried on. 549
659	659	This act shall take effect as follows and shall amend the following
660	660	sections:
661	661
662	662	Section 1 October 1, 2020 12-295(a)
663	663	Sec. 2 October 1, 2020 19a-37f(b)
664	664	Sec. 3 October 1, 2020 19a-37f(d)(2)
665	665	Sec. 4 October 1, 2020 19a-59i(c)
666	666	Sec. 5 October 1, 2020 19a-88(e)(2)
667	667	Sec. 6 October 1, 2020 19a-175(30) and (31)
668	668	Sec. 7 October 1, 2020 19a-177(4)
669	669	Sec. 8 October 1, 2020 19a-180(l)
670	670	Sec. 9 October 1, 2020 19a-180b(a) and (b)
671	671	Sec. 10 October 1, 2020 19a-193a(b)
672	672	Sec. 11 October 1, 2020 19a-231(d)
673	673	Sec. 12 October 1, 2020 19a-495a(d)
674	674	Sec. 13 October 1, 2020 19a-900(b) Raised Bill No. 146
675	675
676	676
677	677
678	678	LCO No. 1240 19 of 19
679	679
680	680	Sec. 14 October 1, 2020 19a-906(a)(12)
681	681	Sec. 15 October 1, 2020 19a-911(b)
682	682	Sec. 16 October 1, 2020 20-10b(b)
683	683	Sec. 17 October 1, 2020 20-94d(b)
684	684	Sec. 18 October 1, 2020 20-195a(4)
685	685	Sec. 19 October 1, 2020 20-195c(d)(1)
686	686	Sec. 20 October 1, 2020 20-195cc(a)
687	687	Sec. 21 October 1, 2020 20-195ttt(b)
688	688	Sec. 22 October 1, 2020 20-195ttt(d)
689	689	Sec. 23 October 1, 2020 20-195ttt(h)
690	690	Sec. 24 October 1, 2020 20-265f(c)
691	691	Sec. 25 October 1, 2020 21a-415(f)(3)
692	692	Sec. 26 October 1, 2020 21a-415b(b)
693	693	Sec. 27 October 1, 2020 21a-416(a)
694	694	Sec. 28 October 1, 2020 31-294d(a)(1)
695	695	Sec. 29 October 1, 2020 52-146d(1)
696	696	Sec. 30 October 1, 2020 54-234a(a)(1)
697	697
698	698	Statement of Purpose:
699	699	To make minor and technical revisions to the public health statutes.
700	700	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
701	701	that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
702	702	underlined.]
703	703