LCO No. 3229 1 of 18 General Assembly Governor's Bill No. 6450 January Session, 2021 LCO No. 3229 Referred to Committee on PUBLIC HEALTH Introduced by: Request of the Governor Pursuant to Joint Rule 9 AN ACT IMPLEMENTING THE GOVERNOR'S BUDGET RECOMMENDATIONS CONC ERNING PUBLIC HEALTH . Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Subsection (a) of section 21a-415 of the general statutes is 1 repealed and the following is substituted in lieu thereof (Effective January 2 1, 2022): 3 (a) As used in this chapter and section [53-344] 2 of this act: 4 (1) "Authorized owner" means the owner or authorized designee of a 5 business entity that is applying for a registration or is registered with 6 the Department of Consumer Protection pursuant to this chapter; 7 (2) "Business entity" means any corporation, limited liability 8 company, association, partnership, sole proprietorship, government, 9 governmental subdivision or agency, business trust, estate, trust or any 10 other legal entity; 11 (3) "Dealer registration" means an electronic nicotine delivery system 12 Governor's Bill No. 6450 LCO No. 3229 2 of 18 certificate of dealer registration issued by the Commissioner of 13 Consumer Protection pursuant to this section; 14 (4) "Manufacturer registration" means an electronic nicotine delivery 15 system certificate of manufacturer registration issued by the 16 Commissioner of Consumer Protection pursuant to section 21a-415a to 17 any person who mixes, compounds, repackages or resizes any nicotine-18 containing electronic nicotine delivery system or vapor product; 19 (5) "Electronic cigarette liquid" means a liquid that, when used in an 20 electronic nicotine delivery system or vapor product, produces a vapor 21 that may or may not include nicotine and is inhaled by the user of such 22 electronic nicotine delivery system or vapor product; 23 (6) "Electronic nicotine delivery system" means an electronic device 24 used in the delivery of nicotine or other substances to a person inhaling 25 from the device, and includes, but is not limited to, an electronic 26 cigarette, electronic cigar, electronic cigarillo, electronic pipe or 27 electronic hookah and any related device and any cartridge or other 28 component of such device, including, but not limited to, electronic 29 cigarette liquid; 30 (7) "Vapor product" means any product that employs a heating 31 element, power source, electronic circuit or other electronic, chemical or 32 mechanical means, regardless of shape or size, to produce a vapor that 33 may include nicotine and is inhaled by the user of such product. "Vapor 34 product" does not include a medicinal or therapeutic product that is (A) 35 used by a licensed health care provider to treat a patient in a health care 36 setting, (B) used by a patient, as prescribed or directed by a licensed 37 health care provider in any setting, or (C) any drug or device, as defined 38 in the federal Food, Drug and Cosmetic Act, 21 USC 321, as amended 39 from time to time, any combination product, as described in said act, 21 40 USC 353(g), as amended from time to time, or any biological product, as 41 described in 42 USC 262, as amended from time to time, and 21 CFR 42 600.3, as amended from time to time, authorized for sale by the United 43 States Food and Drug Administration; 44 Governor's Bill No. 6450 LCO No. 3229 3 of 18 (8) "Sale" or "sell" means an act done intentionally by any person, 45 whether done as principal, proprietor, agent, servant or employee, of 46 transferring, or offering or attempting to transfer, for consideration, 47 including bartering or exchanging, or offering to barter or exchange; 48 [and] 49 (9) "Deliver" or "delivering" means an act done intentionally by any 50 person, whether as principal, proprietor, agent, servant or employee, of 51 transferring, or offering or attempting to transfer, physical possession 52 or control of an electronic nicotine delivery system or vapor product; 53 (10) "Flavoring agent" means an additive used in food or drugs when 54 such additive (A) is used in accordance with good manufacturing 55 practice principles and in the minimum quantity required to produce its 56 intended effect; (B) (i) consists of one or more ingredients generally 57 recognized as safe in food or drugs, (ii) has been previously sanctioned 58 for use in food or drugs by the state or the federal government, (iii) 59 meets United States Pharmacopeia standards, or (iv) is an additive 60 permitted for direct addition to food for human consumption pursuant 61 to 21 CFR 172, as amended from time to time; (C) is inert and produces 62 no effect other than the instillation or modification of flavor; and (D) is 63 not greater than five per cent of the total weight of the product. 64 Sec. 2. (NEW) (Effective January 1, 2022) No person shall sell, give, 65 deliver or possess with intent to sell in this state an electronic nicotine 66 delivery system or a vapor product with a flavoring agent, other than 67 tobacco flavor, that has been added for the purpose of flavoring the 68 contents of the electronic nicotine delivery system or vapor product. 69 This section shall not apply to any product that the United States 70 Secretary of Health and Human Services determines to be a modified 71 risk tobacco product pursuant to 21 USC 387k, as amended from time to 72 time. 73 (b) (1) No person shall sell, give, deliver or possess with intent to sell, 74 in this state an electronic nicotine delivery system or a vapor product 75 with a nicotine content that is greater than thirty-five milligrams per 76 Governor's Bill No. 6450 LCO No. 3229 4 of 18 milliliter. Each person with a manufacturer registration shall provide 77 documentation to a person with a dealer registration, indicating the 78 nicotine content, expressed as milligrams per milliliter, for each 79 electronic nicotine delivery system and vapor product sold by such 80 person with a manufacturer registration to such person with a dealer 81 registration. 82 (2) Each business entity holding a dealer registration shall (A) 83 maintain documentation, within the place of business identified in the 84 business entity's application for dealer registration, of the nicotine 85 content provided pursuant to subdivision (1) of this subsection by the 86 person with a manufacturer registration, for each electronic nicotine 87 delivery system and vapor product sold, given or delivered by such 88 person to the business entity, and (B) provide such documentation at the 89 request of the Commissioner of Mental Health and Addiction Services, 90 or the commissioner's designee, during any unannounced compliance 91 check conducted pursuant to section 21-415b of the general statutes, as 92 amended by this act. 93 (c) As used in this section, "person" means any individual, authorized 94 owner of a business entity, retail establishment, as defined in section 95 19a-106a of the general statutes, partnership, company, limited liability 96 company, public or private corporation, association, trustee, executor, 97 administrator or other fiduciary or custodian. 98 Sec. 3. Section 21a-415b of the general statutes is repealed and the 99 following is substituted in lieu thereof (Effective January 1, 2022): 100 (a) Each business entity with a dealer registration shall place and 101 maintain in legible condition at each point of sale of electronic nicotine 102 delivery systems or vapor products a notice to consumers that states (1) 103 the sale, giving or delivering of electronic nicotine delivery systems and 104 vapor products to any person under twenty-one years of age is 105 prohibited by section 53-344b, as amended by this act, (2) the use of false 106 identification by a person under twenty-one years of age to purchase an 107 electronic nicotine delivery system or a vapor product is prohibited, and 108 Governor's Bill No. 6450 LCO No. 3229 5 of 18 (3) the penalties and fines for violating the provisions of this section and 109 section 53-344b, as amended by this act. 110 (b) (1) The Commissioner of Mental Health and Addiction Services, 111 or the commissioner's designee, shall conduct unannounced compliance 112 checks on business entities [holding] with a dealer registration by 113 engaging persons between the ages of sixteen and twenty to enter the 114 place of business of each such business entity to attempt to purchase an 115 electronic nicotine delivery system or a vapor product. 116 (2) The Commissioner of Mental Health and Addiction Services, or 117 the commissioner's designee, shall conduct unannounced compliance 118 checks on business entities with a dealer registration to determine 119 whether any such business entity is selling, giving or delivering or has 120 sold, given or delivered any electronic nicotine delivery system or vapor 121 product with a flavoring agent, other than tobacco flavor, that has been 122 added for the purpose of flavoring the contents of the electronic delivery 123 system or vapor product, in violation of subsection (a) of section 2 of 124 this act. 125 (3) The Commissioner of Mental Health and Addiction Services, or 126 the commissioner's designee, shall conduct unannounced compliance 127 checks on business entities with a dealer registration to determine 128 whether each such business entity is in possession of the documentation 129 required under subsection (b) of section 2 of this act and whether such 130 documentation indicates that electronic nicotine delivery systems or 131 vapor products with a nicotine content greater than thirty-five 132 milligrams per milliliter were sold, given or delivered by such business 133 entity. The commissioner shall refer all business entities that do not 134 possess such documentation or that sold, gave, delivered or possessed 135 with intent to sell an electronic nicotine delivery system or a vapor 136 product with a nicotine content that is greater than 35 milligrams per 137 milliliter to the Commissioner of Revenue Services. 138 (4) The commissioner shall conduct unannounced follow-up 139 compliance checks of all noncompliant business entities and shall refer 140 Governor's Bill No. 6450 LCO No. 3229 6 of 18 all noncompliant business entities to the Commissioner of Revenue 141 Services. 142 (c) Upon receipt of a referral made pursuant to subsection (b) of this 143 section, the Commissioner of Revenue Services may, following a 144 hearing, impose a civil penalty and direct the Commissioner of 145 Consumer Protection to suspend or revoke the dealer registration of the 146 business entity that is the subject of such referral. The Commissioner of 147 Revenue Services shall provide such business entity with written notice 148 of the hearing, specifying the time and place of such hearing and 149 requiring such business entity to show cause why such dealer 150 registration should not be suspended or revoked. The written notice of 151 the hearing shall be mailed or delivered to such business entity not less 152 than ten days preceding the date of the hearing. Such notice may be 153 served personally or by registered or certified mail. 154 (d) If the Commissioner of Revenue Services finds, after a hearing 155 pursuant to subsection (c) of this section, that any person employed by 156 any business entity issued a dealer registration under section 21a-415, 157 as amended by this act, has sold, given or delivered an electronic 158 nicotine delivery system or vapor product to a person under twenty-one 159 years of age, other than a person under twenty-one years of age who is 160 delivering or accepting delivery in such person's capacity as an 161 employee, said commissioner shall, for the first violation, require such 162 employee to successfully complete an online prevention education 163 program administered by the Department of Mental Health and 164 Addiction Services not later than thirty days after said commissioner's 165 finding. Said commissioner shall assess any employee who fails to 166 complete such program a civil penalty of [two] four hundred dollars. 167 Said commissioner shall assess any employee a civil penalty of [two 168 hundred fifty] five hundred dollars for a second or subsequent violation 169 on or before twenty-four months after the date of the first violation. 170 (e) (1) If the Commissioner of Revenue Services finds, after a hearing 171 pursuant to subsection (c) of this section, that [(1)] (A) any business 172 entity issued a dealer registration under section 21a-415, as amended by 173 Governor's Bill No. 6450 LCO No. 3229 7 of 18 this act, has sold, given or delivered an electronic nicotine delivery 174 system or vapor product to a person under twenty-one years of age, 175 other than a person under twenty-one years of age who is delivering or 176 accepting delivery in such person's capacity as an employee, or [(2)] (B) 177 such person's employee has sold, given or delivered an electronic 178 nicotine delivery system or vapor product to a person under twenty-one 179 years of age, the commissioner shall, for the first violation, require the 180 authorized owner of such business entity to successfully complete an 181 online prevention education program administered by the Department 182 of Mental Health and Addiction Services not later than thirty days after 183 said commissioner's finding. Said commissioner shall assess any 184 business entity issued a dealer registration, whose authorized owner 185 fails to complete such program, a civil penalty of [three] six hundred 186 dollars for the first violation. 187 (2) Said commissioner shall assess such business entity a civil penalty 188 of [seven hundred fifty] one thousand five hundred dollars for a second 189 violation on or before twenty-four months after the date of the first 190 violation. 191 (3) For a third violation by such business entity on or before twenty-192 four months after the date of the first violation, said commissioner shall 193 assess such business entity a civil penalty of [one] two thousand dollars 194 and notify the Commissioner of Consumer Protection that the dealer 195 registration held by such business entity under this chapter shall be 196 suspended for not less than thirty days. 197 (4) For a fourth violation on or before twenty-four months after the 198 date of the first violation, the Commissioner of Revenue Services shall 199 assess such business entity a civil penalty of [one] two thousand dollars 200 and notify the Commissioner of Consumer Protection that the dealer 201 registration held by such business entity under said chapter shall be 202 revoked. The Commissioner of Revenue Services shall order such 203 business entity to conspicuously post a notice in a public place stating 204 that electronic nicotine delivery systems and vapor products cannot be 205 sold during the period of suspension or revocation and the reasons for 206 Governor's Bill No. 6450 LCO No. 3229 8 of 18 such suspension or revocation. Any sale of an electronic nicotine 207 delivery system or vapor product by such business entity during the 208 period of such suspension or revocation shall be deemed an additional 209 violation of this section. 210 (f) (1) If the Commissioner of Revenue Services finds, after a hearing 211 pursuant to subsection (c) of this section, that (A) any business entity 212 issued a dealer registration under section 21a-415, as amended by this 213 act, has sold, given or delivered an electronic nicotine delivery system 214 or vapor product with a flavoring agent, other than tobacco flavor, that 215 has been added for the purpose of flavoring the contents of the 216 electronic nicotine delivery system or vapor product, or (B) any such 217 business entity does not possess documentation of nicotine content or 218 nicotine content that indicates a level of nicotine that is greater than 219 thirty-five milligrams per milliliter for any electronic nicotine delivery 220 system or vapor product sold, given or delivered within the retail 221 establishment of the business entity, the commissioner shall, for the first 222 violation, require the authorized owner of such business entity to 223 successfully complete an online prevention education program 224 administered by the Department of Mental Health and Addiction 225 Services not later than thirty days after said commissioner's finding. 226 Said commissioner shall assess any business entity issued a dealer 227 registration, whose authorized owner fails to complete such program, a 228 civil penalty of six hundred dollars for the first violation. 229 (2) Said commissioner shall assess such business entity a civil penalty 230 of one thousand five hundred dollars for a second violation on or before 231 twenty-four months after the date of the first violation. 232 (3) For a third violation by such business entity on or before twenty-233 four months after the date of the first violation, said commissioner shall 234 assess such business entity a civil penalty of two thousand dollars and 235 notify the Commissioner of Consumer Protection that the dealer 236 registration held by such business entity under this chapter shall be 237 suspended for not less than thirty days. 238 Governor's Bill No. 6450 LCO No. 3229 9 of 18 (4) For a fourth violation on or before twenty-four months after the 239 date of the first violation, the Commissioner of Revenue Services shall 240 assess such business entity a civil penalty of two thousand dollars and 241 notify the Commissioner of Consumer Protection that the dealer 242 registration held by such business entity under said chapter shall be 243 revoked. The Commissioner of Revenue Services shall order such 244 business entity to conspicuously post a notice in a public place stating 245 that electronic nicotine delivery systems and vapor products cannot be 246 sold during the period of suspension or revocation and the reasons for 247 such suspension or revocation. Any sale of an electronic nicotine 248 delivery system or vapor product by such business entity during the 249 period of such suspension or revocation shall be deemed an additional 250 violation of this section. 251 [(f)] (g) Upon receipt of notice of determination from the 252 Commissioner of Revenue Services made under subsection (e) or (f) of 253 this section, the Commissioner of Consumer Protection shall suspend or 254 revoke the dealer registration of the business entity that is the subject of 255 said determination. The Commissioner of Consumer Protection shall 256 not be required to hold a hearing in connection with any notice of 257 determination received from the Commissioner of Revenue Services 258 under this section. 259 [(g)] (h) The Commissioner of Consumer Protection shall not issue a 260 new dealer registration to a former registrant whose dealer registration 261 was revoked unless the commissioner is satisfied that such business 262 entity that holds a dealer registration will comply with the provisions of 263 this chapter and any regulations related thereto, and section 53-344b, as 264 amended by this act. 265 Sec. 4. Section 12-295a of the general statutes is repealed and the 266 following is substituted in lieu thereof (Effective January 1, 2022): 267 (a) If the Commissioner of Revenue Services finds, after a hearing, 268 that any person employed by a dealer or distributor, as defined in 269 section 12-285, has sold, given or delivered cigarettes or tobacco 270 Governor's Bill No. 6450 LCO No. 3229 10 of 18 products to a person under twenty-one years of age other than a person 271 under twenty-one years of age who is delivering or accepting delivery 272 in such person's capacity as an employee, said commissioner shall, for 273 the first violation, require such person to successfully complete an 274 online tobacco prevention education program administered by the 275 Department of Mental Health and Addiction Services not later than 276 thirty days after said commissioner's finding. Said commissioner shall 277 assess any person who fails to complete such program a civil penalty of 278 [two] four hundred dollars. Said commissioner shall assess any person 279 employed by a dealer or distributor a civil penalty of [two hundred fifty] 280 five hundred dollars for a second or subsequent violation on or before 281 twenty-four months after the date of the first violation. 282 (b) (1) If the Commissioner of Revenue Services finds, after a hearing, 283 that any dealer or distributor has sold, given or delivered cigarettes or a 284 tobacco product to a person under twenty-one years of age other than a 285 person under twenty-one years of age who is delivering or accepting 286 delivery in such person's capacity as an employee, or such dealer or 287 distributor's employee has sold, given or delivered cigarettes or a 288 tobacco product to such person, said commissioner shall require such 289 dealer or distributor, for the first violation, to successfully complete an 290 online tobacco prevention education program administered by the 291 Department of Mental Health and Addiction Services not later than 292 thirty days after said commissioner's finding. Said commissioner shall 293 assess any dealer or distributor who fails to complete such program a 294 civil penalty of [three] six hundred dollars. 295 (2) Said commissioner shall assess any dealer or distributor a civil 296 penalty of [seven hundred fifty] one thousand five hundred dollars for 297 a second violation on or before twenty-four months after the date of the 298 first violation. 299 (3) For a third violation on or before twenty-four months after the 300 date of the first violation, said commissioner shall assess such dealer or 301 distributor a civil penalty of [one] two thousand dollars and suspend 302 any license held by such dealer or distributor under this chapter for not 303 Governor's Bill No. 6450 LCO No. 3229 11 of 18 less than thirty days. 304 (4) For a fourth violation on or before twenty-four months after the 305 date of the first violation, said commissioner shall assess such dealer or 306 distributor a civil penalty of [one] two thousand dollars and revoke any 307 license issued to such dealer or distributor under this chapter. Said 308 commissioner shall order such distributor or dealer to conspicuously 309 post a notice in a public place within such distributor's or dealer's 310 establishment stating that cigarettes and tobacco products cannot be 311 sold during the period of such suspension or revocation and the reasons 312 for such suspension or revocation. Any sale of cigarettes or a tobacco 313 product by such dealer or distributor during such suspension or 314 revocation shall be deemed an additional violation of this subsection. 315 (c) (1) If the Commissioner of Revenue Services finds, after a hearing, 316 that any owner of an establishment in which a cigarette vending 317 machine or restricted cigarette vending machine is located has sold, 318 given or delivered cigarettes or tobacco products from any such 319 machine to a person under twenty-one years of age other than a person 320 under twenty-one years of age who is delivering or accepting delivery 321 in such person's capacity as an employee, or has allowed cigarettes or 322 tobacco products to be sold, given or delivered to such person from any 323 such machine, said commissioner shall require such owner, for the first 324 violation, to successfully complete an online tobacco prevention 325 education program administered by the Department of Mental Health 326 and Addiction Services not later than thirty days after said 327 commissioner's finding. Said commissioner shall assess any owner who 328 fails to complete such program a civil penalty of [five hundred] one 329 thousand dollars. 330 (2) Said commissioner shall assess any owner a civil penalty of [seven 331 hundred fifty] one thousand five hundred dollars for a second violation 332 on or before twenty-four months after the date of the first violation. 333 (3) For a third violation on or before twenty-four months after the 334 date of the first violation, said commissioner shall assess such owner a 335 Governor's Bill No. 6450 LCO No. 3229 12 of 18 civil penalty of [one] two thousand dollars and immediately remove any 336 such machine from such establishment and no such machine may be 337 placed in such establishment for a period of one year following such 338 removal. 339 (d) Any person aggrieved by any action of the commissioner 340 pursuant to this section may take any appeal of such action as provided 341 in sections 12-311 and 12-312. 342 Sec. 5. Subsection (b) of section 53-344 of the general statutes is 343 repealed and the following is substituted in lieu thereof (Effective January 344 1, 2022): 345 (b) Any person who sells, gives or delivers to any person under 346 twenty-one years of age cigarettes or a tobacco product shall be fined 347 not more than [three] six hundred dollars for the first offense, not more 348 than [seven hundred fifty] one thousand five hundred dollars for a 349 second offense on or before twenty-four months after the date of the first 350 offense and not more than [one] two thousand dollars for each 351 subsequent offense on or before twenty-four months after the date of the 352 first offense. The provisions of this subsection shall not apply to a person 353 under twenty-one years of age who is delivering or accepting delivery 354 of cigarettes or a tobacco product (1) in such person's capacity as an 355 employee, or (2) as part of a scientific study being conducted by an 356 organization for the purpose of medical research to further efforts in 357 cigarette and tobacco product use prevention and cessation, provided 358 such medical research has been approved by the organization's 359 institutional review board, as defined in section 21a-408. 360 Sec. 6. Subsection (b) of section 53-344b of the general statutes is 361 repealed and the following is substituted in lieu thereof (Effective January 362 1, 2022): 363 (b) Any person who sells, gives or delivers to any person under 364 twenty-one years of age an electronic nicotine delivery system or vapor 365 product in any form shall be fined not more than [three] six hundred 366 dollars for the first offense, not more than [seven hundred fifty] one 367 Governor's Bill No. 6450 LCO No. 3229 13 of 18 thousand five hundred dollars for a second offense on or before twenty-368 four months after the date of the first offense and not more than [one] 369 two thousand dollars for each subsequent offense on or before twenty-370 four months after the date of the first offense. The provisions of this 371 subsection shall not apply to a person under twenty-one years of age 372 who is delivering or accepting delivery of an electronic nicotine delivery 373 system or vapor product (1) in such person's capacity as an employee, 374 or (2) as part of a scientific study being conducted by an organization 375 for the purpose of medical research to further efforts in tobacco use 376 prevention and cessation, provided such medical research has been 377 approved by the organization's institutional review board, as defined in 378 section 21a-408. 379 Sec. 7. Section 38a-1083 of the general statutes is repealed and the 380 following is substituted in lieu thereof (Effective January 1, 2022): 381 (a) For purposes of sections 38a-1080 to 38a-1093, inclusive, "purposes 382 of the exchange" means the purposes of and the pursuit of the goals of 383 the exchange expressed in and pursuant to this section and the 384 performance of the duties and responsibilities of the exchange set forth 385 in sections 38a-1084 to 38a-1087, inclusive, which are hereby determined 386 to be public purposes for which public funds may be expended. The 387 powers enumerated in this section shall be interpreted broadly to 388 effectuate the purposes of the exchange and shall not be construed as a 389 limitation of powers. 390 (b) The goals of the exchange shall be to reduce the number of 391 individuals without health insurance in this state and assist individuals 392 and small employers in the procurement of health insurance by, among 393 other services, offering easily comparable and understandable 394 information about health insurance options. 395 (c) The exchange is authorized and empowered to: 396 (1) Have perpetual succession as a body politic and corporate and to 397 adopt bylaws for the regulation of its affairs and the conduct of its 398 business; 399 Governor's Bill No. 6450 LCO No. 3229 14 of 18 (2) Adopt an official seal and alter the same at pleasure; 400 (3) Maintain an office in the state at such place or places as it may 401 designate; 402 (4) Employ such assistants, agents, managers and other employees as 403 may be necessary or desirable; 404 (5) Acquire, lease, purchase, own, manage, hold and dispose of real 405 and personal property, and lease, convey or deal in or enter into 406 agreements with respect to such property on any terms necessary or 407 incidental to the carrying out of these purposes, provided all such 408 acquisitions of real property for the exchange's own use with amounts 409 appropriated by this state to the exchange or with the proceeds of bonds 410 supported by the full faith and credit of this state shall be subject to the 411 approval of the Secretary of the Office of Policy and Management and 412 the provisions of section 4b-23; 413 (6) Receive and accept, from any source, aid or contributions, 414 including money, property, labor and other things of value; 415 (7) Charge assessments or user fees to health carriers that are capable 416 of offering a qualified health plan through the exchange or otherwise 417 generate funding necessary to support the operations of the exchange 418 and the all-payer claims database program established under section 419 19a-755a and impose interest and penalties on such health carriers for 420 delinquent payments of such assessments or fees; 421 (8) Procure insurance against loss in connection with its property and 422 other assets in such amounts and from such insurers as it deems 423 desirable; 424 (9) Invest any funds not needed for immediate use or disbursement 425 in obligations issued or guaranteed by the United States of America or 426 the state and in obligations that are legal investments for savings banks 427 in the state; 428 (10) Issue bonds, bond anticipation notes and other obligations of the 429 Governor's Bill No. 6450 LCO No. 3229 15 of 18 exchange for any of its corporate purposes, and to fund or refund the 430 same and provide for the rights of the holders thereof, and to secure the 431 same by pledge of revenues, notes and mortgages of others; 432 (11) Borrow money for the purpose of obtaining working capital; 433 (12) Account for and audit funds of the exchange and any recipients 434 of funds from the exchange; 435 (13) Make and enter into any contract or agreement necessary or 436 incidental to the performance of its duties and execution of its powers, 437 including, but not limited to, an agreement with the Office of Health 438 Strategy to use funds collected under this section for the operation of 439 the all-payer claims database established under section 19a-755a and to 440 receive data from such database. The contracts entered into by the 441 exchange shall not be subject to the approval of any other state 442 department, office or agency, provided copies of all contracts of the 443 exchange shall be maintained by the exchange as public records, subject 444 to the proprietary rights of any party to the contract, except any 445 agreement with the Office of Health Strategy shall be subject to approval 446 by said office and the Office of Policy and Management and no portion 447 of such agreement shall be considered proprietary; 448 (14) To the extent permitted under its contract with other persons, 449 consent to any termination, modification, forgiveness or other change of 450 any term of any contractual right, payment, royalty, contract or 451 agreement of any kind to which the exchange is a party; 452 (15) Award grants to trained and certified individuals and 453 institutions that will assist individuals, families and small employers 454 and their employees in enrolling in appropriate coverage through the 455 exchange. Applications for grants from the exchange shall be made on 456 a form prescribed by the board; 457 (16) Limit the number of plans offered, and use selective criteria in 458 determining which plans to offer, through the exchange, provided 459 individuals and employers have an adequate number and selection of 460 Governor's Bill No. 6450 LCO No. 3229 16 of 18 choices; 461 (17) Evaluate jointly with the Health Care Cabinet established 462 pursuant to section 19a-725 the feasibility of implementing a basic 463 health program option as set forth in Section 1331 of the Affordable Care 464 Act; 465 (18) Establish one or more subsidiaries, in accordance with section 466 38a-1093, to further the purposes of the exchange; 467 (19) Make loans to each subsidiary established pursuant to section 468 38a-1093 from the assets of the exchange and the proceeds of bonds, 469 bond anticipation notes and other obligations issued by the exchange or 470 assign or transfer to such subsidiary any of the rights, moneys or other 471 assets of the exchange, provided such assignment or transfer is not in 472 violation of state or federal law; 473 (20) Sue and be sued, plead and be impleaded; 474 (21) Adopt regular procedures that are not in conflict with other 475 provisions of the general statutes, for exercising the power of the 476 exchange; and 477 (22) Do all acts and things necessary and convenient to carry out the 478 purposes of the exchange, provided such acts or things shall not conflict 479 with the provisions of the Affordable Care Act, regulations adopted 480 thereunder or federal guidance issued pursuant to the Affordable Care 481 Act. 482 (d) (1) The chief executive officer of the exchange shall provide to the 483 commissioner the name of any health carrier that fails to pay any 484 assessment or user fee under subdivision (7) of subsection (c) of this 485 section to the exchange. The commissioner shall see that all laws 486 respecting the authority of the exchange pursuant to said subdivision 487 (7) are faithfully executed. The commissioner has all the powers 488 specifically granted under this title and all further powers that are 489 reasonable and necessary to enable the commissioner to enforce the 490 Governor's Bill No. 6450 LCO No. 3229 17 of 18 provisions of said subdivision (7). 491 (2) Any health carrier aggrieved by an administrative action taken by 492 the commissioner under subdivision (1) of this subsection may appeal 493 therefrom in accordance with the provisions of section 4-183, except 494 venue for such appeal shall be in the judicial district of New Britain. 495 Sec. 8. Section 38a-47 of the general statutes is repealed and the 496 following is substituted in lieu thereof (Effective January 1, 2022): 497 (a) All domestic insurance companies and other domestic entities 498 subject to taxation under chapter 207 shall, in accordance with section 499 38a-48, annually pay to the Insurance Commissioner, for deposit in the 500 Insurance Fund established under section 38a-52a, an amount equal to: 501 (1) The actual expenditures made by the Insurance Department 502 during each fiscal year, and the actual expenditures made by the Office 503 of the Healthcare Advocate, including the cost of fringe benefits for 504 department and office personnel as estimated by the Comptroller; 505 (2) The amount appropriated to the Office of Health Strategy from 506 the Insurance Fund for the fiscal year, including the cost of fringe 507 benefits for office personnel as estimated by the Comptroller shall be 508 reduced by the amount of federal reimbursement received for allowable 509 Medicaid administrative expenses; 510 (3) The expenditures made on behalf of the department and said 511 offices from the Capital Equipment Purchase Fund pursuant to section 512 4a-9 for such year, but excluding such estimated expenditures made on 513 behalf of the Health Systems Planning Unit of the Office of Health 514 Strategy; and 515 (4) The amount appropriated to the Department of Aging and 516 Disability Services for the fall prevention program established in section 517 17a-303a from the Insurance Fund for the fiscal year. 518 (b) The expenditures and amounts specified in subdivisions (1) to (4), 519 inclusive, of subsection (a) of this section shall exclude expenditures 520 Governor's Bill No. 6450 LCO No. 3229 18 of 18 paid for by fraternal benefit societies, foreign and alien insurance 521 companies and other foreign and alien entities under sections 38a-49 522 and 38a-50. 523 (c) Payments shall be made by assessment of all such domestic 524 insurance companies and other domestic entities calculated and 525 collected in accordance with the provisions of section 38a-48. Any such 526 domestic insurance company or other domestic entity aggrieved 527 because of any assessment levied under this section may appeal 528 therefrom in accordance with the provisions of section 38a-52. 529 This act shall take effect as follows and shall amend the following sections: Section 1 January 1, 2022 21a-415(a) Sec. 2 January 1, 2022 New section Sec. 3 January 1, 2022 21a-415b Sec. 4 January 1, 2022 12-295a Sec. 5 January 1, 2022 53-344(b) Sec. 6 January 1, 2022 53-344b(b) Sec. 7 January 1, 2022 38a-1083 Sec. 8 January 1, 2022 38a-47 Statement of Purpose: To implement the Governor's budget recommendations. [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.]