OFFICE OF FISCAL ANALYSIS Legislative Office Building, Room 5200 Hartford, CT 06106 (860) 240-0200 http://www.cga.ct.gov/ofa sHB-6666 AN ACT CONCERNING THE DEPARTMENT OF PUBLIC HEALTH'S RECOMMENDATIONS REGARDING VARIOUS REVISIONS TO THE PUBLIC HEALTH STATUTES. Primary Analyst: CP 4/20/21 Contributing Analyst(s): OFA Fiscal Note State Impact: Agency Affected Fund-Effect FY 22 $ FY 23 $ Public Health, Dept. GF - Cost 723,000 329,690 State Comptroller - Fringe Benefits 1 GF - Cost 92,100 94,860 Public Health, Dept. GF - Revenue Loss 7,800 7,800 Note: GF=General Fund Municipal Impact: None Explanation This bill makes various substantive, minor, and technical changes in Department of Public Health (DPH)-related statutes and programs. Section 36 will result in a General Fund revenue loss of $7,800 as it eliminates the annual $200 licensure fee for clinical laboratories owned by hospitals. There are 39 clinical laboratories owned by hospitals in the state. Section 68 requires DPH to maintain and operate a statewide stroke registry using the American Heart Association’s “Get with the Guidelines-Stroke Program” data set platform. The registry must 1 The fringe benefit costs for most state employees are budgeted centrally in accounts administered by the Comptroller. The estimated active employee fringe benefit cost associated with most personnel changes is 41.3% of payroll in FY 22 and FY 23. 2021HB-06666-R000539-FN.DOCX Page 2 of 2 include information and data on stroke care in Connecticut that aligns with the stroke consensus metrics developed and approved by the American Heart Association (AHA) and American Stroke Association (ASA). It is estimated that the costs for DPH to utilize the AHA data set platform could cost up to $500,000 in FY 22 for the initial user fee, software and maintenance. The FY 23 cost is estimated to be up to $100,000 for the annual user fee. In addition, DPH would need to hire three positions to fulfill the requirements of Section 68; a Nurse Consultant ($72,000), an Epidemiologist ($70,000), and an Analyst II ($81,000). The Nurse Consultant would be needed for stroke metrics and data interpretation and to work with the health care system and hospitals to support quarterly reporting. The Epidemiologist would handle data collection and analysis expertise for reporting and to support internal record keeping, auditing and database development. Lastly, the Analyst II position would be responsible for IT support for all database procurement, development and maintenance functions. The Out Years The annualized ongoing fiscal impact identified above would continue into the future subject to inflation.