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the general statutes is repealed and the following is substituted in lieu 2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general statutes is repealed and the following is substituted in lieu 15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