Researcher: JO Page 1 5/27/21
OLR Bill Analysis
sHB 6666 (as amended by House "A")*
AN ACT CONCERNING THE DEPARTMENT OF PUBLIC HEALTH'S
RECOMMENDATIONS REGARDING VARIOUS REVISIONS TO THE
PUBLIC HEALTH STATUTES.
TABLE OF CONTENTS:
SUMMARY
§§ 1 & 2 — REPLACEMENT PUBLIC W ELLS
Allows (1) DPH to approve the location of replacement public wells if certain conditions
are met and (2) local or district health directors to issue permits for these wells
§§ 3 & 4 — NOTIFICATION OF CERTAIN PROJECTS IN
WATERSHEDS OR AQUIFE R PROTECTION AREAS
Broadens the circumstances under which applicants must notify water companies and
DPH about certain projects in watersheds and aquifer protection areas, and requires the
applicants to notify DPH by email
§ 5 — ELECTRONIC REPORTING OF LEAD HOME INSPECTIONS
Requires local health departments and districts to use a DPH-prescribed electronic system
to report lead home inspection findings and resulting actions
§ 6 — PRIVATE WELLS
Clarifies that “private wells” supply water to residential populations only
§ 7 — RESIDENTIAL AND COMM ERCIAL PROPERTY WATE R
SUPPLY TESTING
Requires commercial and residential property owners to notify tenants and lessees
whenever a property’s water supply is tested and exceeds any maximum contaminant
level in state regulation or DPH’s state drinking water action level list.
§ 8 — NURSING HOME OR RESIDENTIAL CARE HOME CITATIONS
Allows DPH to electronically submit citation notices to nursing homes and residential
care homes
§ 9 — LONG-TERM CARE FACILITY BACKGROUND CHECKS
Exempts long-term care facilities from complying with background check requirements in
in the event of an emergency or significant disruption
§§ 10 & 11 — AUTHORITY TO WAIVE EMS REGULATIONS
Under specified conditions, allows DPH to waive regulations that apply to EMS
organizations or personnel
§§ 12-17 — APPRENTICE EMBALMERS AND FUNERAL DIRECTOR S 2021HB-06666-R01-BA.DOCX
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Updates terminology regarding apprentice embalmers and funeral directors and allows
mortuary science students to embalm up to 10 bodies under certain conditions
§ 18 — PROFESSIONAL COUNSEL OR AND PROFESSIONAL
COUNSELOR ASSOCIATE LICENSURE
Exempts certain professional counselor and professional counselor associate licensure
applicants from specified requirements
§ 19 — MARITAL AND FAMILY THERAPY LICENSURE
Removes the specific requirement that MFT licensure applicants’ supervised practicum or
internship include 500 clinical hours
§§ 20 & 21 — VETERINARIAN INVESTIGATIONS
Gives the complainant access to the investigation file when a complaint regarding a
veterinarian is closed with no finding, and specifically extends existing procedures for
complaints against other providers to complaints against veterinarians
§ 22 — ELECTRONIC DEATH REG ISTRY SYSTEM
Requires funeral directors, embalmers, and heath care practitioners certifying deaths to
use the electronic death registry system, if it is available
§§ 23-25 — LOCAL AND DISTRICT HEALTH DEPARTMENTS
Makes various changes affecting municipal and district health departments, including
making certain requirements consistent for both types of departments
§§ 26-29 — BEHAVIOR ANALYST ELIGIBILITY FOR THE
PROFESSIONAL ASSISTANCE PROGRAM AND REPO RTING OF
IMPAIRED HEALTH PROFESSIONALS
Adds licensed behavior analysts to the list of providers eligible for the professional
assistance program for health professionals, and correspondingly increases their licensure
renewal fee by $5; adds these providers to the list of health professionals who must notify
DPH if they are aware that another professional may be unable to safely practice
§§ 30-32 — BEHAVIOR ANALYSTS AS MANDATED REPORTERS O F
ELDER ABUSE
Makes behavior analysts mandated reporters of abuse of the elderly or long-term care
facility residents
§ 33 — PALLIATIVE CARE ADVISORY COUNCIL
Requires the DPH commissioner to make an appointment to the Palliative Care Advisory
Council if there is a spot that is vacant for at least one year, and decreases the council’s
reporting frequency from annually to biennially
§ 34 — CHRONIC DISEASE REPORTING
Eliminates the requirement for DPH to biennially report on chronic disease and the
implementation of the department’s chronic disease plan, and instead requires her to post
the plan on the department’s website
§ 35 — FACILITY OWNERSHIP CHANGES
Makes a minor change to the law on health care facility ownership changes
§ 36 — TUBERCULOSIS SCREENING 2021HB-06666-R01-BA.DOCX
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Requires health care facilities to maintain tuberculosis screening policies for their health
care personnel that reflect the CDC’s recommendations
§ 37 — PUBLIC NUISANCES
Specifies that violations of the state Fire Prevention Code are included within the public
nuisance law
§ 38 — PUBLIC HEALTH PREPAREDNESS ADVISORY COMM ITTEE
Allows members of the Public Health Preparedness advisory committee to appoint
designees to serve in their place
§ 39 — CLINICAL LABORATORIES
Requires clinical laboratories to give DPH a list of the blood collection facilities they own
and operate
§ 40 — TECHNICAL CHANGE S
Makes technical and conforming changes
§ 41 — SOCIAL WORKER CONTIN UING EDUCATION
Increases the maximum hours of continuing education that social workers may complete
online or through home study
§ 42 — MANAGEMENT OF SPAS A ND SALONS
Allows massage therapists to manage spas and salons
§ 43 — OUT OF STATE PRACTITIONERS ALLOWED IN EMERGENCY
Expands the types of out-of-state health care providers authorized to temporarily practice
in Connecticut during a declared public health emergency
§ 44 — NURSING HOME ADMINIS TRATOR LICENSURE
Eliminates the requirement that DPH administer the required examination for nursing
home administrator licensure applicants
§§ 45-51 & 53 — HOSPICE AGENCIES
Adds “hospice agencies” to the statutory definition of a “health care institution,” and
makes related technical changes; removes “substance abuse treatment facilities” from the
statutory definition of a health care institution
§ 52 — HOME HEALTH ORDERS
Allows physician assistants and advanced practice registered nurses to issue orders for
home health care agency services, hospice agency services, and home health aide agency
services
§ 54 — NURSING HOME EXPANDE D BED CAPACITY DURING
EMERGENCY
Allows DPH to suspend nursing home licensure requirements to allow homes to
temporarily increase their bed capacity to provide services to patients during a declared
public health emergency
§ 55 — IV CARE IN NURSING HOMES
Allows registered nurses employed by nursing homes to administer medications
intravenously or draw blood from a central line for laboratory purposes under certain
conditions 2021HB-06666-R01-BA.DOCX
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§§ 45, 56, 91 & 92 — ASSISTED LIVING SERVICES AGENCIES
Requires managed residential communities (MRCs) that provide assisted living services
to become licensed as an assisted living services agency (ALSA), requires an MRC that
intends to contract with an ALSA for services to apply to DPH prior to doing so, requires
an ALSA to obtain DPH approval before providing services as a dementia special care
unit or program
§ 57 — BED POSITIONS IN LONG-TERM CARE FACILITIES
Requires chronic disease hospitals, nursing homes, and residential care homes to position
beds in a manner that promotes resident care and meets certain requirements
§ 58 — REGULATIONS ON AMBUL ANCE STAFFING
Makes a technical change by updating terminology in the statute requiring DPH to adopt
regulations on ambulance staffing
§§ 59 & 95 — CONTINUING EDUCAT ION FOR EMS PERSONNEL
Requires EMS personnel to document their required continuing education hours in a
manner the DPH commissioner prescribes, instead of using a DPH-approved online
database
§ 60 — EMS ADVISORY BOARD
Requires the DPH commissioner to appoint a member to the Connecticut EMS Advisory
Board if the appointment is vacant for more than one year, and notify the appointing
authority of the appointment at least 30 days in advance
§§ 61-63 — MODEL FOOD CODE
Extends by three years, from January 1, 2020 to January 1, 2023, the date by which DPH
must implement the FDA’s Model Food Code and makes related conforming changes to
these laws
§ 64 — ASBESTOS
Modifies the definition of “asbestos-containing material” to include material that contains
asbestos in amounts equal to or greater than 1% by weight
§ 65 — HAIRDRESSING AND COSMETOLOGY
Expands the statutory definition of “hairdressing and cosmetology” to include removing
facial or neck hair using manual or mechanical means
§§ 66, 73 & 74 — ESTHETICIAN, NAIL TECHNICIAN, AND EYELASH
TECHNICIAN LICENSURE
Limits the time period in which certain applicants for DPH licensure as an esthetician,
nail technician, or eyelash technician may be grandfathered in to those applicants who
apply for licensure before January 1, 2022
§ 67 — HEALTH ASSESSMENTS F OR STUDENTS WITH ASTHMA
Requires local or regional boards of education to report to DPH and local health
departments on the number of students diagnosed with asthma in grades 9 or 10, instead
of grades 10 or 11, to align the reporting schedule with the schedule for conducting
required student health assessments
§ 68 — CERTIFIED STROKE CENTERS
Adds thrombectomy-capable stroke centers to the types of stroke-designated hospitals
DPH must include on its annual list of certified stroke centers 2021HB-06666-R01-BA.DOCX
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§ 69 — EMS ADDRESS CHANGES
Allows an EMS organization to change its address within its primary service area
without having to complete the certificate of need process
§§ 70-72 — CERTIFIED HOMELESS YOUTH
Modifies the definition of “certified homeless youth,” establishes a definition for “certified
homeless young adult” and permits the fees to be waived when issuing these individuals
certified copies of birth certificates or state identity cards
§ 75 — NEWBORN SCREENING
Extends newborn screening requirements for health care institutions to licensed nurse-
midwives and midwives; requires newborn screenings to be performed using bloodspot
specimens; specifies timeframes for specimen collection and notification; eliminates a
requirement that OPM approve certain conditions they are added to the program’s
screening list; and requires OPM to approve the fees DPH charges providers to cover the
program’s costs
§§ 76 & 77 — AMENDMENTS TO MARRIA GE OR BIRTH
CERTIFICATES TO REFLECT GENDER CHANGE
Allows individuals who submit certain documentation to change the gender designation
and name on their marriage certificate and adds PAs to the list of providers who may
submit an affidavit of gender transition treatment for purposes of a birth certificate
amendment
§§ 78-81 — DPH ACCESS TO ELECTRONIC HOSPITAL RECORDS
Requires hospitals, by October 1, 2022, to provide DPH access, including remote access,
to certain complete electronic medical records related to (1) reportable diseases and
emergency illnesses and health conditions; (2) the Connecticut Tumor Registry; (3) the
Maternal Mortality Review Program; and (4) births, fetal deaths, and death occurrences
§ 82 — ALTERNATIVE DRINKING WATER SOURCES
Requires water companies and small community water systems to update their emergency
contingency plans and emergency response plans, respectively, to include information on
providing temporary alternative drinking water sources during a water supply emergency
§ 83 — WATER COMPANY TIER 1 NOTICES
Requires water companies to provide Tier 1 written communications to customers in the
languages predominantly spoken in their service area and update their emergency
response plans to include information on providing these multilingual communications
§ 84 — COMMUNITY WATER SYST EMS AND DECLARED
EMERGENCIES
Requires community water systems to report their operational status to WebEOC within
eight hours after a declared public health or civil preparedness emergency and any time
thereafter that the system’s status significantly changes
§ 85 — SMALL COMMUNITY WATE R SYSTEMS
Requires small community water systems, by January 1, 2025, to prepare a capacity
implementation plan regarding the system owner's managerial, technical, and financial
capacity to own and operate the system
§§ 86 & 87 — BOTTLED WATER TESTIN G 2021HB-06666-R01-BA.DOCX
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Requires water bottlers, by January 1, 2022, to annually collect water samples before any
water treatment from each DPH-approved sources and test them for perfluoroalkyl
substances and other unregulated contaminants; establishes related reporting
requirements
§ 88 — PUBLIC WATER SYSTEM TESTING
Requires an environmental laboratory that tests a public water system sample to notify
DPH and the test requestor within 24 hours after obtaining a test result that violates EPA
national primary drinking water standards
§ 89 — HEALTH CARE INSTITUTIONS AND WATER SUPPLY
SHORTAGES
Requires health care institutions to obtain potable water from a licensed bulk water hauler
or water bottler as a temporary measure to alleviate a water supply shortage
§ 90 — TECHNICAL CHANGES
Makes technical changes to an EMS statute
§§ 93 & 94 — TECHNICAL CHANGES
Makes technical changes to PA continuing education requirements
§ 95 — EMS MENTAL HEALTH TR AINING
Extends certain mental health training requirements to advanced EMTs and makes a
clarifying change regarding EMS instructors
§§ 96-98 — TECHNICAL CHANGES
Makes technical and conforming changes
§ 99 — DPH LIST OF FUNERAL DIRECTORS AND EMBALM ERS
Eliminates the requirement that DPH annually provide town clerks and registrars of vital
statistics printed lists of all licensed funeral directors, embalmers, student funeral
directors, and student embalmers
BACKGROUND
SUMMARY
This bill makes various substantive, minor, and technical changes in
Department of Public Health (DPH)-related statutes and programs.
*House Amendment “A” adds the provisions on (1) residential and
commercial property water supply testing, (2) nail technician and
eyelash technician licensure, (3) newborn screening, (4) amendments to
marriage or birth certificates to reflect gender change, (5) DPH remote
access to certain hospital medical records, (5) public drinking water
regulation, and (6) EMS mental health training.
It makes various changes to the underlying bill, such as (1) placing
additional conditions on the DPH commissioner’s authority to waive 2021HB-06666-R01-BA.DOCX
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EMS regulations and (2) making certain licensure-related provisions
effective upon passage, rather than October 1, 2021.
It removes provisions in the underlying bill (1) exempting hospital-
owned clinical laboratories from licensure fees and (2) requiring DPH
to create and operate a state-wide stroke registry. It also makes minor,
technical, and conforming changes.
EFFECTIVE DATE: Various; see below.
§§ 1 & 2 — REPLACEMENT PUBLIC W ELLS
Allows (1) DPH to approve the location of replacement public wells if certain conditions
are met and (2) local or district health directors to issue permits for these wells
PA 19-117, §§ 73 & 74, allowed DPH, under certain conditions, to
approve the location of a replacement public well in Ledyard that does
not meet the state’s sanitary radius and minimum setback
requirements for these water sources. The bill extends these provisions
to the entire state, under the same conditions.
As under PA 19-117, the bill allows DPH to approve the
replacement well’s location if the well is:
1. needed by the water company to maintain and provide safe and
adequate water to customers;
2. located in an aquifer of adequate water quality, as determined
by historical water quality data from the supply source it is
replacing; and
3. in a more protected location than the supply source it is
replacing, as determined by DPH.
Under PA 19-117, if DPH approves the well’s location, the local
health director for Ledyard may issue a permit for the replacement
well, but by no later than March 1, 2020. The bill instead allows all
local or district health directors, upon DPH’s approval, to issue these
permits in their respective jurisdictions, without a deadline.
EFFECTIVE DATE: October 1, 2021 2021HB-06666-R01-BA.DOCX
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§§ 3 & 4 — NOTIFICATION OF CERT AIN PROJECTS IN
WATERSHEDS OR AQUIFE R PROTECTION AREAS
Broadens the circumstances under which applicants must notify water companies and
DPH about certain projects in watersheds and aquifer protection areas, and requires the
applicants to notify DPH by email
Current law generally requires anyone filing an application,
petition, or plan with the local zoning commission or appeals board for
a site within a water company’s watershed or aquifer protection area
to notify the water company and DPH about the application, if the
company has filed a watershed map with the municipality or map of
the aquifer protection area. Current law also requires applicants for
regulated activities on inland wetlands or watercourses within a water
company’s watershed to notify the company and DPH, if the applicant
has filed a map with the municipality and the inland wetlands agency.
The bill eliminates the condition requiring this notice only in cases
where these maps have been filed. Instead, it generally requires
applicants to (1) notify the water company and DPH and (2) determine
if the project is within a water company’s watershed by consulting the
maps on DPH’s website. It requires them to send the notice to DPH by
email, to the address DPH designates on its website.
As under existing law, (1) notice to the water company must be sent
by certified mail, return receipt requested; (2) the notice must be sent
to the company and DPH within seven days after the application; and
(3) the company and DPH have the right to be heard at any hearing on
the application.
The bill retains existing’s law exemption from these notice
requirements for the first type of application above (those to a local
zoning commission or appeals board). Specifically, an applicant is
exempt if (1) the town allows zoning agents to approve applications
concerning sites within aquifer protection areas or watersheds and (2)
the agent determines that the proposed activity will not adversely
affect the public water supply.
EFFECTIVE DATE: October 1, 2021 2021HB-06666-R01-BA.DOCX
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§ 5 — ELECTRONIC REPORTING OF LEAD HOME INSPECT IONS
Requires local health departments and districts to use a DPH-prescribed electronic system
to report lead home inspection findings and resulting actions
By law, if a local health director receives a report that a child’s blood
lead level exceeds a certain threshold, the director must conduct an
epidemiological investigation of the lead source. After the
investigation identifies the source, the director must act to prevent
further lead poisoning.
Existing law requires local health directors to report to DPH on the
results of the investigation and the actions they took to prevent further
lead poisoning from that source. The bill specifically requires them to
report using a DPH-prescribed web-based surveillance system. In
practice, DPH uses the MAVEN surveillance system for this purpose.
EFFECTIVE DATE: October 1, 2021
§ 6 — PRIVATE WELLS
Clarifies that “private wells” supply water to residential populations only
The bill makes minor and technical changes to clarify that “private
wells” serve residential populations. As defined under current law and
the bill, for provisions related to water quality testing, permitting, and
sale or transfer, among other things, private wells supply water to a
population of less than 25 people per day.
EFFECTIVE DATE: October 1, 2021
§ 7 — RESIDENTIAL AND COMM ERCIAL PROPERTY WATE R
SUPPLY TESTING
Requires commercial and residential property owners to notify tenants and lessees
whenever a property’s water supply is tested and exceeds any maximum contaminant
level in state regulation or DPH’s state drinking water action level list.
The bill requires commercial and residential property owners to
notify each tenant and the lessee of any rented property whenever the
property’s water supply is tested and exceeds any maximum
contaminant level in state regulation or DPH’s state drinking water
action level list.
Under the bill, the property owner must forward a copy of the test 2021HB-06666-R01-BA.DOCX
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result notification to each tenant and lessee as soon as practicable, but
not later than 48 hours after receiving it. It also requires the local health
director to take all reasonable steps to verify that the property owner
does so.
By law, DPH sets drinking water quality standards (i.e., “action
levels”) to protect residents from health risks. In most cases, these
standards mirror the federal Environmental Protection Agency’s
maximum contaminant levels for public system drinking water.
EFFECTIVE DATE: October 1, 2021
§ 8 — NURSING HOME OR RESI DENTIAL CARE HOME
CITATIONS
Allows DPH to electronically submit citation notices to nursing homes and residential
care homes
Under current law, DPH must use certified mail to notify a nursing
home or residential care home of a citation for noncompliance with
specified laws and regulations. The bill additionally allows DPH to
send these notices electronically, in a form and manner the
commissioner sets.
EFFECTIVE DATE: October 1, 2021
§ 9 — LONG-TERM CARE FACILITY BACKGROUND CHECKS
Exempts long-term care facilities from complying with background check requirements in
in the event of an emergency or significant disruption
By law, long-term care facilities generally must require background
checks for prospective employees or volunteers who will have direct
access to patients or residents. The bill suspends this requirement if the
DPH commissioner determines it is necessary to do so because of an
emergency or significant disruption. In that case, the commissioner
must inform the facility when (1) suspending the requirement and (2)
lifting the suspension.
Under DPH’s current policies and procedures for the long-term care
facility background search program, the department may suspend the
background search requirement for a facility for up to 60 days in an
emergency or a significant disruption to (1) internet capabilities, (2) the 2021HB-06666-R01-BA.DOCX
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functionality of the background search system, or (3) the state of the
long-term care facility workforce.
EFFECTIVE DATE: July 1, 2021
§§ 10 & 11 — AUTHORITY TO WAIVE EMS REGULATIONS
Under specified conditions, allows DPH to waive regulations that apply to EMS
organizations or personnel
The bill allows the DPH commissioner to waive regulations that
apply to emergency medical services (“EMS”) organizations or
personnel if she determines that (1) doing so would not endanger the
health, safety, or welfare of any patient or resident and (2) the waiver
does not affect maximum allowable rates for each EMS organization or
primary service area assignments.
Under the bill, if the commissioner waives EMS regulations, she
may:
1. impose waiver conditions assuring patients’ or residents’
health, safety, and welfare;
2. terminate the waiver if she finds that health, safety, or welfare
has been jeopardized; and
3. adopt regulations establishing a waiver application procedure.
Existing law grants the commissioner generally similar waiver
authority regarding DPH-licensed health care institutions (CGS § 19a-
495).
The bill also makes technical changes to another EMS statute (§ 10).
EFFECTIVE DATE: July 1, 2021, except for the technical changes,
which are effective October 1, 2021.
§§ 12-17 — APPRENTICE EMBALMERS AND FUNERAL
DIRECTORS
Updates terminology regarding apprentice embalmers and funeral directors and allows
mortuary science students to embalm up to 10 bodies under certain conditions
The bill replaces the term “student embalmer” with “registered 2021HB-06666-R01-BA.DOCX
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apprentice embalmer.” It similarly replaces the term “student funeral
director” with “registered apprentice funeral director.” Existing law
already requires these individuals to register as apprentices with DPH.
The bill makes related minor and technical changes.
Additionally, the bill specifies that (1) students enrolled in approved
mortuary science education programs, with the DPH commissioner’s
consent, may embalm up to 10 human bodies as part of that program
under a licensed embalmer’s supervision and (2) this embalming
counts toward the 50-body embalming requirement for licensure.
EFFECTIVE DATE: October 1, 2021
§ 18 — PROFESSIONAL COUNSEL OR AND PROFESSIONAL
COUNSELOR ASSOCIATE LICENSURE
Exempts certain professional counselor and professional counselor associate licensure
applicants from specified requirements
Professional Counselor Applicants
The bill exempts certain applicants for professional counselor
licensure from specified requirements.
This applies to applicants who, by July 1, 2017, were matriculating
students in good standing in a qualifying graduate program offered by
a regionally accredited institution. Specifically, the bill exempts these
applicants from the requirements to have completed (1) a 100-hour
counseling practicum; (2) a 600-hour clinical mental health counseling
internship; and (3) graduate coursework in addiction and substance
abuse counseling, trauma and crisis counseling, and diagnosing and
treating mental and emotional disorders.
Professional Counselor Associate Applicants
Current law provides alternate paths for professional counselor
associate licensure. On one path, an applicant qualifies by earning a
graduate degree in clinical mental health counseling through a
program accredited by the Council for Accreditation of Counseling
and Related Educational Programs.
Alternatively, an applicant qualifies by earning a graduate degree in 2021HB-06666-R01-BA.DOCX
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counseling or a related mental health field from a regionally accredited
higher education institution and meeting additional requirements,
including completing (1) at least 60 graduate semester hours in
counseling or a related mental health field, (2) a 100-hour counseling
practicum, and (3) a 600-hour clinical mental health counseling
internship.
Under the bill, these additional requirements do not apply to
applicants on the second path above who, by July 1, 2022, earned such
a graduate degree, if they accumulated at least 3,000 hours of
experience under professional supervision.
EFFECTIVE DATE: Upon passage
§ 19 — MARITAL AND FAMILY THERAPY LICENSURE
Removes the specific requirement that MFT licensure applicants’ supervised practicum or
internship include 500 clinical hours
Existing law for marriage and family therapist licensure requires,
among other things, an applicant to have completed a supervised
practicum or internship meeting certain standards.
The bill removes the current requirement that the practicum or
internship include at least 500 direct clinical hours, including 100 hours
of clinical supervision. In practice, the Commission on Accreditation
for Marriage and Family Therapy Education currently requires this
same minimum number of hours.
EFFECTIVE DATE: Upon passage
§§ 20 & 21 — VETERINARIAN INVESTIGATIONS
Gives the complainant access to the investigation file when a complaint regarding a
veterinarian is closed with no finding, and specifically extends existing procedures for
complaints against other providers to complaints against veterinarians
The bill requires DPH to provide information to a person who filed
a complaint against a veterinarian when the case is closed with no
finding. This applies to cases where DPH made a finding of no
probable cause or failed to make a finding within the required 12-
month investigation period. 2021HB-06666-R01-BA.DOCX
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The bill also specifically extends to veterinarian investigations
certain existing procedures that apply to investigations of several other
DPH-licensed health professionals. For example, among these
procedures:
1. the complainant must be given an opportunity to review, at
DPH, certain records related to the complaint;
2. before resolving the complaint with a consent order, DPH must
give the complainant at least 10 business days to submit an
objection; and
3. if a hearing is held after a probable cause finding, DPH must
give the complainant a copy of the hearing notice with
information on the opportunity to present oral or written
statements.
EFFECTIVE DATE: October 1, 2021
§ 22 — ELECTRONIC DEATH REG ISTRY SYSTEM
Requires funeral directors, embalmers, and heath care practitioners certifying deaths to
use the electronic death registry system, if it is available
Under current law, funeral directors or embalmers must use DPH-
provided forms when completing death certificates. The bill instead
requires them to use the state’s electronic death registry system unless
that system is unavailable, in which case they must use the DPH
forms.
Existing law authorizes certain health care practitioners to complete
the medical certification portion of a death certificate. The bill requires
them, when certifying the facts of a decedent’s death, to use the
electronic system or, if it is unavailable, DPH-prescribed forms.
EFFECTIVE DATE: January 1, 2022
§§ 23-25 — LOCAL AND DISTRICT HEALTH DEPARTMENTS
Makes various changes affecting municipal and district health departments, including
making certain requirements consistent for both types of departments
The bill requires DPH approval for local health director 2021HB-06666-R01-BA.DOCX
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appointments by municipalities. Existing law already requires this
approval for district health directors (CGS § 19a-242).
The bill increases, from 30 to 60 days, the minimum vacancy of a
municipality’s health director position before DPH may appoint
someone to fill the vacancy. The bill specifies that this person, when
sworn, (1) is considered a municipal employee and (2) has all the
powers and duties of municipal health directors.
In towns with a population of at least 40,000 for five consecutive
years, current law prohibits municipal health directors from having a
financial interest in or engaging in a job, transaction, or professional
activity that substantially conflicts with the director’s duties. The bill
extends this prohibition to all municipal health directors, regardless of
the town’s size. Existing law already prohibits this for district health
directors (CGS § 19a-244).
For municipalities with part-time health departments, the bill
removes the requirements for (1) them to submit their public health
program plans and budgets to DPH, (2) DPH to approve these plans
and budgets, and (3) DPH to adopt related regulations for them.
For both local and district health departments, the bill requires the
municipality or district board, as applicable, to submit to DPH its
written agreement with the director. They must do so upon the
director’s appointment or reappointment.
Additionally, the bill requires district health directors, at the end of
each fiscal year, to report to DPH on their activities during the prior
year. This requirement already applies to municipal departments (§
23).
The bill also makes minor and technical changes.
EFFECTIVE DATE: July 1, 2021
§§ 26-29 — BEHAVIOR ANALYST ELI GIBILITY FOR THE
PROFESSIONAL ASS ISTANCE PROGRAM AND REPORTING OF
IMPAIRED HEALTH PROF ESSIONALS 2021HB-06666-R01-BA.DOCX
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Adds licensed behavior analysts to the list of providers eligible for the professional
assistance program for health professionals, and correspondingly increases their licensure
renewal fee by $5; adds these providers to the list of health professionals who must notify
DPH if they are aware that another professional may be unable to safely practice
The bill adds licensed behavior analysts to the list of providers
eligible for the professional assistance program for health professionals
(currently, the Health Assistance InterVention Education Network
(HAVEN); see BACKGROUND).
The bill increases, from $175 to $180, the annual license renewal fee
for behavior analysts. The increase applies to applications to renew
licenses that expire on or after October 1, 2021. The DPH commissioner
must (1) quarterly certify the amount of revenue received as a result of
the fee increase and (2) transfer it to the professional assistance
program account. (In 2015, license renewal fees were similarly
increased for professions already eligible for the program.)
The bill also adds behavior analysts to the list of licensed health care
professionals who must notify DPH if they are aware that another
health professional may be unable to practice with skill and safety for
various reasons (e.g., loss of motor skill, drug abuse, or negligence in
professional practice). In some cases, this law also requires licensed
health care professionals to report themselves to the department (e.g.,
following drug possession arrests).
Under this law, among other things:
1. the reporting professional must file a petition with DPH within
30 days after obtaining information to support the petition;
2. DPH must investigate all petitions it receives to determine if
there is probable cause to issue charges and institute
proceedings against the reported professional;
3. DPH may not restrict, suspend, or revoke a license until it gives
the person notice and the opportunity for a hearing; and
4. a health care professional that refers an impaired professional to
the assistance program for intervention satisfies the law’s 2021HB-06666-R01-BA.DOCX
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reporting requirement in some cases.
EFFECTIVE DATE: July 1, 2021, except for the fee increase
provision, which is effective upon passage, and the provisions on
reporting practitioners unable to safely practice, which are effective
October 1, 2021.
§§ 30-32 — BEHAVIOR ANALYSTS AS MANDATED REPORTERS
OF ELDER ABUSE
Makes behavior analysts mandated reporters of abuse of the elderly or long-term care
facility residents
The bill adds licensed behavior analysts to the list of professionals
who must report (1) suspected abuse, neglect, abandonment, or
exploitation of the elderly or long-term care facility residents or (2) if
they suspect an elderly person needs protective services. They must
report to the Department of Social Services (DSS) within 72 hours.
By law, a mandated reporter who fails to report to DSS within the
deadline can be fined up to $500. If the failure to report is intentional,
the reporter can be charged with a class C misdemeanor (up to three
months in prison, a fine of up to $500, or both) for the first offense and
a class A misdemeanor (up to one year in prison, a fine of up to $2,000,
or both) for any subsequent offense.
EFFECTIVE DATE: October 1, 2021
§ 33 — PALLIATIVE CARE ADVISORY COUNCIL
Requires the DPH commissioner to make an appointment to the Palliative Care Advisory
Council if there is a spot that is vacant for at least one year, and decreases the council’s
reporting frequency from annually to biennially
Under existing law, the Palliative Care Advisory Council includes
13 members: two appointed by the governor, four by the legislative
leaders, and seven by the DPH commissioner.
The bill requires the DPH commissioner to make an appointment to
the council if a spot is vacant for at least one year. If this occurs, she
must notify the appointing authority about her selection at least 30
days before making the appointment. 2021HB-06666-R01-BA.DOCX
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By law, the council must report to the Public Health Committee. The
bill decreases the required reporting frequency from annually to every
other year. As under current law, the next report is due January 1,
2022.
EFFECTIVE DATE: July 1, 2021
§ 34 — CHRONIC DISEASE REPO RTING
Eliminates the requirement for DPH to biennially report on chronic disease and the
implementation of the department’s chronic disease plan, and instead requires her to post
the plan on the department’s website
By law, DPH must consult with the Office of Health Strategy and
local health departments to develop, within available resources, a
statewide chronic disease plan that is consistent with specified state
and federal initiatives. DPH must implement the plan to meet certain
objectives (e.g., reducing the incidence and effects of chronic diseases
and improving care coordination).
The bill eliminates the requirement for DPH to report biennially to
the Public Health Committee on chronic disease and the plan’s
implementation. Instead, it requires the commissioner to post the plan
on the department’s website.
EFFECTIVE DATE: Upon passage
§ 35 — FACILITY OWNERSHIP CHANGES
Makes a minor change to the law on health care facility ownership changes
By law, licensed health care institution ownership changes generally
need prior DPH approval. Transfers to relatives are generally not
subject to this requirement. But one current exception to this is a
transfer of 10% or more of the stock of a corporation, partnership, or
association that owns or operates multiple facilities. The bill specifies
that this exception also applies to transfers involving limited liability
companies meeting these same conditions.
EFFECTIVE DATE: July 1, 2021
§ 36 — TUBERCULOSIS SCREENI NG 2021HB-06666-R01-BA.DOCX
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Requires health care facilities to maintain tuberculosis screening policies for their health
care personnel that reflect the CDC’s recommendations
The bill requires licensed health care facilities to have policies and
procedures reflecting the National Centers for Disease Control and
Prevention’s (CDC) recommendations for tuberculosis (TB) screening,
testing, treatment, and education for health care personnel.
Under the bill, these facilities’ direct patient care employees must
receive TB screening and testing in compliance with these policies and
procedures. This applies despite any contrary state law or regulation.
Among other things, the CDC generally recommends that health
care personnel:
1. be screened for TB upon being hired and if there is a known
exposure,
2. not receive annual TB testing unless there is known exposure or
ongoing transmission at the facility, and
3. receive annual education in TB.
EFFECTIVE DATE: July 1, 2021
§ 37 — PUBLIC NUISANCES
Specifies that violations of the state Fire Prevention Code are included within the public
nuisance law
By law, the state can bring an action to abate a public nuisance on
any real property on which, within the previous year, there have been
three or more (1) arrests for certain crimes, (2) arrest warrants issued
for certain crimes indicating a pattern of criminal activity, or (3)
municipal citations issued for certain violations. Among various other
crimes, this applies to fire safety violations under specified laws. The
bill specifies that this includes violations under the state’s Fire
Prevention Code. (In doing so, it appears that the bill reinserts
statutory references that were inadvertently removed in 2017.)
EFFECTIVE DATE: October 1, 2021 2021HB-06666-R01-BA.DOCX
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§ 38 — PUBLIC HEALTH PREPAR EDNESS ADVISORY
COMMITTEE
Allows members of the Public Health Preparedness advisory committee to appoint
designees to serve in their place
By law, the DPH commissioner must establish a Public Health
Preparedness Advisory Committee to advise DPH on responses to
public health emergencies.
Under current law, the committee includes the DPH and
Department of Emergency Services and Pub lic Protection
commissioners; the six legislative leaders; and the chairs and ranking
members of the Public Health, Public Safety and Security, and
Judiciary committees. The bill allows these individuals to designate
someone to serve on the committee in their place.
By law, the committee also includes (1) representatives of municipal
and district health directors appointed by the DPH commissioner and
any (2) other organizations or individuals the commissioner deems
relevant to the effort.
EFFECTIVE DATE: Upon passage
§ 39 — CLINICAL LABORATORIE S
Requires clinical laboratories to give DPH a list of the blood collection facilities they own
and operate
The bill requires licensed clinical laboratories to report to DPH the
name and address of each blood collection facility they own and
operate. They must report this information, in a form and manner
DPH prescribes, (1) before obtaining or renewing their license and (2)
whenever opening or closing a blood collection facility.
EFFECTIVE DATE: July 1, 2021
§ 40 — TECHNICAL CHANGES
Makes technical and conforming changes
The bill makes technical and conforming changes to a sanitarian
statute.
EFFECTIVE DATE: July 1, 2021 2021HB-06666-R01-BA.DOCX
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§ 41 — SOCIAL WORKER CONTIN UING EDUCATION
Increases the maximum hours of continuing education that social workers may complete
online or through home study
The bill increases, from six to 10, the maximum hours of continuing
education that social workers may complete online or through home
study during each one-year registration period. By law, social workers
generally must complete 15 hours of continuing education each
registration period, starting with their second license renewal.
EFFECTIVE DATE: Upon passage
§ 42 — MANAGEMENT OF SPAS A ND SALONS
Allows massage therapists to manage spas and salons
Under current law, starting on July 1, 2021, each spa or salon that
employs hairdressers, cosmeticians, estheticians, or eyelash or nail
technicians must be managed by someone with a DPH credential for
one of those professions. The bill (1) extends this requirement to spas
or salons that employ massage therapists and (2) allows licensed
massage therapists to manage a spa or salon employing any of these
individuals.
EFFECTIVE DATE: Upon passage
§ 43 — OUT OF STATE PRACTIT IONERS ALLOWED IN
EMERGENCY
Expands the types of out-of-state health care providers authorized to temporarily practice
in Connecticut during a declared public health emergency
By law, DPH may temporarily suspend, for up to 60 days, licensing,
certification, and registration requirements to allow various health care
practitioners credentialed in another state, territory, or the District of
Columbia to practice in Connecticut during a declared public health
emergency (see BACKGROUND).
The bill expands the types of out-of-state practitioners allowed to
practice in Connecticut under these circumstances to include: alcohol
and drug counselors; art and music therapists; certified behavior
analysts; certified dietician-nutritionists; dentists and dental
hygienists; genetic counselors; occupational therapists; radiographers, 2021HB-06666-R01-BA.DOCX
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radiologic technologists, radiologist assistants, and nuclear medicine
technologists; and speech and language pathologists. (In doing so, it
codifies certain provisions in the governor’s 2020 executive orders 7O,
7DD, and 7HHH).
As under existing law, the bill permits these practitioners to work
only within their scope of practice as permitted by Connecticut law.
EFFECTIVE DATE: Upon passage
§ 44 — NURSING HOME ADMINIS TRATOR LICENSURE
Eliminates the requirement that DPH administer the required examination for nursing
home administrator licensure applicants
By law, an applicant for a nursing home administrator license must
meet specified education and training requirements and pass a DPH-
prescribed examination. The bill eliminates the requirement that DPH
also administer the examination. (In practice, these examinations are
administered by national organizations.)
EFFECTIVE DATE: July 1, 2021
§§ 45-51 & 53 — HOSPICE AGENCIES
Adds “hospice agencies” to the statutory definition of a “health care institution,” and
makes related technical changes; removes “substance abuse treatment facilities” from the
statutory definition of a health care institution
Definitions
The bill adds to the statutory definition of a “health care institution”
a “hospice agency,” which it defines as a public or private organization
that provides home care and hospice services to terminally ill patients.
In doing so, it extends to these agencies statutory requirements for
health care institutions regarding, among other things, licensure and
inspections, access to patient records, and disclosure of HIV-related
information. Under current regulations, a hospice agency must be
licensed as a home health care agency.
The bill also makes related technical and conforming changes to
long-term care statutes on, among other things, the state’s long-term
care facility background check program and the administration of 2021HB-06666-R01-BA.DOCX
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medication by certified unlicensed personnel.
Additionally, the bill removes “substance abuse treatment facilities”
from the definition of “health care institution” to conform to current
practice. (DPH currently licenses these facilities as “behavioral health
facilities.”)
Licensure Fees
The bill extends to hospice agencies and home health aide agencies
the licensure and inspection fee of $100 per satellite office that existing
law requires for home health care agencies. (It does not set a
corresponding agency licensure and inspection fee.) As under existing
law, the fee must be paid biennially to DPH, except for Medicare- and
Medicaid-certified agencies, which are licensed and inspected every
three years.
EFFECTIVE DATE: July 1, 2021
§ 52 — HOME HEALTH ORDERS
Allows physician assistants and advanced practice registered nurses to issue orders for
home health care agency services, hospice agency services, and home health aide agency
services
This bill allows physician assistants (PAs) and advanced practice
registered nurses (APRNs) licensed in Connecticut to issue orders for
home health care agency services, hospice agency services, and home
health aide agency services. It also allows PAs and APRNs licensed in
bordering states to order home health care agency services.
Under current law, only a physician may issue these orders.
EFFECTIVE DATE: July 1, 2021
§ 54 — NURSING HOME EXPANDE D BED CAPACITY DURIN G
EMERGENCY
Allows DPH to suspend nursing home licensure requirements to allow homes to
temporarily increase their bed capacity to provide services to patients during a declared
public health emergency
The bill allows the DPH commissioner to suspend licensure
requirements for chronic and convalescent nursing homes to allow 2021HB-06666-R01-BA.DOCX
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them to temporarily provide services to patients with a reportable
disease, emergency illness or health condition during a declared public
health emergency.
Nursing homes may provide these services under their existing
license if they (1) provide services to patients in a building that is not
physically connected to its licensed facility or (2) expand their bed
capacity in a part of a facility that is separate from the licensed facility.
Under the bill, a nursing home that intends to provide services in
this manner must first apply to DPH in a form and manner the
commissioner prescribes. The application must include:
1. information on the facility’s ability to sufficiently address
residents’ and staff’s health, safety, or welfare;
2. the facility’s address;
3. an attestation that all equipment located at the facility is
maintained according to the manufacturer’s specifications and
can meet residents’ needs;
4. information on the facility’s maximum bed capacity; and
5. information indicating that the facility is compliant with state
laws and regulations for its operation.
The bill requires the department, upon receiving the application, to
conduct a scheduled inspection and investigation of the applicant’s
facilities to ensure that they comply with state licensing laws and
regulations. After doing so, the department must notify the applicant
of its decision to approve or deny the application.
EFFECTIVE DATE: July 1, 2021
§ 55 — IV CARE IN NURSING HOMES
Allows registered nurses employed by nursing homes to administer medications
intravenously or draw blood from a central line for laboratory purposes under certain
conditions
The bill allows chronic and convalescent nursing homes to allow a 2021HB-06666-R01-BA.DOCX
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licensed registered nurse (RN) they employ to:
1. draw blood from a central line for laboratory purposes,
provided the facility has an agreement with a laboratory to
process the specimens or
2. administer IV therapy or a medication dose by intravenous
injection, provided the medication is on a list approved by the
facility’s governing body, pharmacist, and medical director for
intravenous injection by an RN.
Under the bill, an RN may perform these services only if he or she
has been properly trained to do so by the home’s nursing director or
an intravenous infusion company. It requires the home’s administrator
to ensure that the RN is appropriately trained and competent and
provide related documentation to DPH upon request.
The bill also requires the nursing home to notify the DPH
commissioner if it employs RNs who provide these services.
EFFECTIVE DATE: July 1, 2021
§§ 45, 56, 91 & 92 — ASSISTED LIVING SERVICES AGENCIES
Requires managed residential communities (MRCs) that provide assisted living services
to become licensed as an assisted living services agency (ALSA), requires an MRC that
intends to contract with an ALSA for services to apply to DPH prior to doing so, requires
an ALSA to obtain DPH approval before providing services as a dementia special care
unit or program
Licensure
Under existing law, the state does not license assisted living
facilities. Instead, it licenses and regulates assisted living service
agencies (ALSAs) that provide assisted living services. ALSAs can only
provide these services at a managed residential community (MRC).
MRCs are not licensed by the state but must provide certain core
services and meet regulatory requirements.
The bill requires an MRC that wishes to provide assisted living
services to obtain a DPH license as an ALSA or arrange for such
services with a licensed ALSA. For the latter, the MRC must apply to 2021HB-06666-R01-BA.DOCX
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DPH to arrange for these services in a manner the commissioner
prescribes, as under current regulation (Conn. Agencies Regs. § 19-
D13-105).
Dementia Special Care Units and Programs
The bill prohibits an ALSA from providing services as a dementia
special care unit or program unless they obtain DPH approval.
An ALSA that provides services as a dementia special care unit or
program must (1) ensure they have adequate staff to meet residents’
needs and (2) submit to DPH a list of dementia special care units or
locations and their staffing plans when applying for an initial or
renewal license or upon DPH request.
The bill also requires an ALSA to ensure all services provided
individually to clients are fully understood by the client or the client’s
representative, and that the client or representative is made aware of
the cost of these services.
Additionally, the bill makes technical changes, renaming
“Alzheimer’s special care units or programs” “dementia special care
units or programs” in various public health statutes.
By law, a dementia special care unit or program is one that locks,
secures, or segregates residents with a diagnosis of probable
Alzheimer’s disease, dementia, or other similar disorder. The unit or
program must be one that prevents or limits access by a resident
outside the designated or separated area and advertises or markets
itself as providing specialized care or services for those with
Alzheimer's disease or dementia.
Regulations
The bill permits the DPH commissioner to adopt regulations to
implement the bill’s provisions.
EFFECTIVE DATE: July 1, 2021, except upon passage for certain
technical changes. 2021HB-06666-R01-BA.DOCX
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§ 57 — BED POSITIONS IN LONG-TERM CARE FACILITIES
Requires chronic disease hospitals, nursing homes, and residential care homes to position
beds in a manner that promotes resident care and meets certain requirements
The bill requires chronic disease hospitals, nursing homes, and
residential care homes to position beds in a manner that promotes
resident care. Specifically, the bed position:
1. cannot act as a restraint to the resident;
2. cannot create a hazardous situation, including the possibility of
entrapment, an obstacle to evacuation, or blocking or being
close to a heat source;
3. must allow for infection control; and
4. must provide at least a three-foot clearance at the sides and foot
of each bed, as under current law.
EFFECTIVE DATE: July 1, 2021
§ 58 — REGULATIONS ON AMBUL ANCE STAFFING
Makes a technical change by updating terminology in the statute requiring DPH to adopt
regulations on ambulance staffing
The bill makes a technical change to the statute requiring the DPH
commissioner to adopt regulations requiring ambulances with at least
one certified emergency medical technician and one certified
emergency medical responder. It updates terminology by replacing the
terms “emergency medical response services” with “ambulance” and
“medical response technician” with “emergency medical responder.”
EFFECTIVE DATE: October 1, 2021
§§ 59 & 95 — CONTINUING EDUCATION FOR EMS PERSONNEL
Requires EMS personnel to document their required continuing education hours in a
manner the DPH commissioner prescribes, instead of using a DPH-approved online
database
The bill requires emergency medical services (EMS) personnel to
enter, track, and reconcile their required continuing education hours in
a form and manner the DPH commissioner prescribes, instead of using 2021HB-06666-R01-BA.DOCX
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a DPH-approved online database. It also makes a related conforming
change.
Under the bill, EMS personnel include emergency medical
responders, emergency medical technicians (EMTs), advanced EMTs,
and EMS instructors.
EFFECTIVE DATE: July 1, 2021, except a conforming change is
effective upon passage.
§ 60 — EMS ADVISORY BOARD
Requires the DPH commissioner to appoint a member to the Connecticut EMS Advisory
Board if the appointment is vacant for more than one year, and notify the appointing
authority of the appointment at least 30 days in advance
The bill requires the DPH commissioner to appoint a member to the
Connecticut EMS Advisory Board if the appointment is vacant for
more than one year. The commissioner must notify the appointing
authority of her appointee’s identity at least 30 days before making the
appointment.
By law, the EMS Advisory Board reviews and comments on all DPH
regulations, medical guidelines, and EMS-related policies before they
are implemented. It also assists and advises state agencies in
coordinating the EMS system. The board must annually report to the
DPH commissioner and make recommendations to the governor and
legislature on legislation it believes will improve EMS delivery.
EFFECTIVE DATE: Upon passage
§§ 61-63 — MODEL FOOD CODE
Extends by three years, from January 1, 2020 to January 1, 2023, the date by which DPH
must implement the FDA’s Model Food Code and makes related conforming changes to
these laws
The bill extends by three years, from January 1, 2020, to January 1,
2023, the date by which DPH must adopt the federal Food and Drug
Administration’s (FDA) Model Food Code as the state’s food code for
regulating food establishments.
The bill also makes related conforming changes to statutes 2021HB-06666-R01-BA.DOCX
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regarding certified food inspectors and restaurant requests to use the
sous vide cooking technique or the acidification of sushi rice.
EFFECTIVE DATE: Upon passage
§ 64 — ASBESTOS
Modifies the definition of “asbestos-containing material” to include material that contains
asbestos in amounts equal to or greater than 1% by weight
The bill modifies the definition of “asbestos-containing material” in
the statutes pertaining to asbestos abatement. It specifies that such
material must contain asbestos in amounts equal to or greater than
1.0% by weight, instead of only amounts greater than 1.0% by weight,
as under current law.
EFFECTIVE DATE: October 1, 2021
§ 65 — HAIRDRESSING AND COS METOLOGY
Expands the statutory definition of “hairdressing and cosmetology” to include removing
facial or neck hair using manual or mechanical means
The bill expands the statutory definition of “hairdressing and
cosmetology” for purposes of licensure to include removing facial or
neck hair using manual or mechanical means.
Under existing law, hairdressing and cosmetology also includes (1)
dressing, arranging, curling, waving, weaving, cutting, singeing,
bleaching, or coloring hair; (2) scalp treatments; and (3) massaging,
stimulating, cleansing, manipulating, exercising or beautifying with
the use of the hands, appliances, cosmetic preparations, antiseptics,
tonics, lotions, creams, powders, oils, or clays and doing similar work
on the face, neck, and arms.
EFFECTIVE DATE: Upon passage
§§ 66, 73 & 74 — ESTHETICIAN, NAIL TE CHNICIAN, AND
EYELASH TECHNICIAN L ICENSURE
Limits the time period in which certain applicants for DPH licensure as an esthetician,
nail technician, or eyelash technician may be grandfathered in to those applicants who
apply for licensure before January 1, 2022
By law, individuals seeking an initial DPH license as an esthetician, 2021HB-06666-R01-BA.DOCX
Researcher: JO Page 30 5/27/21
nail technician, or eye lash technician must provide evidence that he or
she (1) completed the minimum hours of required study in an
approved school, or an out -of-state school with equivalent
requirements, and (2) received a certification of completion from the
school.
Current law grandfathers in an applicant who provides evidence
that he or she:
1. has practiced as one of these professionals continuously in the
state for at least two years before (a) July 1, 2020, for
estheticians, (b) January 1, 2021, for nail technicians, and (c) July
1, 2020, for eyelash technicians and
2. attests to compliance with specified infection prevention and
control guidelines.
The bill limits the time period in which these licensure applicants
may be grandfathered in to those who apply before January 1, 2022.
EFFECTIVE DATE: July 1, 2021
§ 67 — HEALTH ASSESSMENTS F OR STUDENTS WITH AST HMA
Requires local or regional boards of education to report to DPH and local health
departments on the number of students diagnosed with asthma in grades 9 or 10, instead
of grades 10 or 11, to align the reporting schedule with the schedule for conducting
required student health assessments
By law, local or regional boards of education (“school boards”) must
report to DPH and local health departments triennially on the number
of students in each school and school district who are diagnosed with
asthma at specified timeframes.
The bill requires school boards to report on students who are
diagnosed with asthma in grades 9 or 10, instead of grades 10 or 11, as
under current law. In doing so, it aligns the reporting schedule with
the schedule school boards must follow for conducting student health
assessments required under existing law.
Under existing law, and unchanged by the bill, school boards must 2021HB-06666-R01-BA.DOCX
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also report on students diagnosed with asthma at the time they enroll
in school and in grades six or seven.
EFFECTIVE DATE: July 1, 2021
§ 68 — CERTIFIED STROKE CEN TERS
Adds thrombectomy-capable stroke centers to the types of stroke-designated hospitals
DPH must include on its annual list of certified stroke centers
By law, a hospital may apply to DPH to be designated as a
comprehensive stroke center, and the department must annually send
a list of these stroke-designated hospitals to the medical director of
each EMS provider in the state and post the list on the DPH website.
The bill adds thrombectomy-capable stroke centers to the types of
stroke-designated hospitals DPH must include on its annual list.
Under existing law, DPH already includes hospitals designated as a
comprehensive stroke centers, primary stroke centers, or acute stroke-
ready hospitals.
As under existing law, a hospital may apply to DPH for designation
as a thrombectomy-capable stroke center if it is certified as such by (1)
the American Hospital Association, (2) the Joint Commission (an
independent, nonprofit organization that accredits and certifies
hospitals and other health care organizations and programs), or (3)
another DPH-approved, nationally recognized certifying organization.
Under the bill, DPH must report to the national certifying
organization any complaint it receives related to a thrombectomy-
capable stroke center’s certification, as it must already do for other
types of stroke centers.
EFFECTIVE DATE: October 1, 2021
§ 69 — EMS ADDRESS CHANGES
Allows an EMS organization to change its address within its primary service area
without having to complete the certificate of need process
The bill allows an EMS organization, instead of only an ambulance
service, to apply to DPH to change its address or add a branch location
within its primary service area. Current law requires an EMS 2021HB-06666-R01-BA.DOCX
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organization to complete the certificate of need process in order to
make such a change.
EFFECTIVE DATE: Upon passage
§§ 70-72 — CERTIFIED HOMELESS YOUTH
Modifies the definition of “certified homeless youth,” establishes a definition for “certified
homeless young adult” and permits the fees to be waived when issuing these individuals
certified copies of birth certificates or state identity cards
Definitions
The bill expands the statutory definition of “certified homeless
youth” to include youth certified as homeless by the director of a
municipal or nonprofit program that contracts with the Department of
Housing’s homeless youth program. Existing law also includes youth
certified as homeless by one of the following:
1. a school district homeless liaison;
2. the director of an emergency shelter program funded by the
U. S. Department of Housing and Urban Development, or the
director's designee; or
3. the director of a runaway or homeless youth basic center or
transitional living program funded by the U. S. Department of
Health and Human Services, or the director's designee.
By law, a certified homeless youth is a 15- to 17-year-old person, not
in the physical custody of a parent or legal guardian, who is a
homeless child or youth as defined in specified federal law.
The bill also establishes a definition for a “certified homeless young
adult,” which is an 18- to 25-year-old person who has been certified as
homeless by the same individuals as for certified homeless youth listed
above.
Records Access
The bill authorizes DPH and local registrars of vital records to
waive the fee for issuing a certified copy of a birth certificate to a
certified homeless youth or certified homeless young adult. It similarly 2021HB-06666-R01-BA.DOCX
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allows the Department of Motor Vehicles to waive the fee for issuing a
state identity card to these individuals.
EFFECTIVE DATE: July 1, 2021
§ 75 — NEWBORN SCREENING
Extends newborn screening requirements for health care institutions to licensed nurse-
midwives and midwives; requires newborn screenings to be performed using bloodspot
specimens; specifies timeframes for specimen collection and notification; eliminates a
requirement that OPM approve certain conditions they are added to the program’s
screening list; and requires OPM to approve the fees DPH charges providers to cover the
program’s costs
The bill extends to licensed nurse-midwives and midwives,
newborn screening requirements for health care institutions. It
requires health care institutions, nurse-midwives, and midwives
(hereafter “providers”) to generally perform newborn screenings using
bloodspot specimens and establishes related specimen collection and
notification requirements.
Testing Timeframes
The bill requires providers to collect the blood spot specimen
between 24 and 48 hours after the infant’s birth, unless the provider
determines a situation exists that warrants its early collection or that it
is medically contraindicated.
Under the bill, conditions that warrant early collection of the
specimen include:
1. imminent transfusion of blood products,
2. dialysis,
3. the infant’s early discharge from a health care institution or
transfer from one institution to another; or
4. imminent death.
Under the bill, if a newborn dies before a blood spot specimen is
obtained, it must be collected as soon as practicable after death.
Notification Requirements 2021HB-06666-R01-BA.DOCX
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The bill requires providers to notify DPH when a specimen is not
collected within the required 48 hours after birth for any reason,
including (1) medical fragility, (2) the parent’s refusal of the screening
due to religious conflict, or (3) a newborn receiving comfort measures
only.
Under the bill, providers must document the reason in the state’s
newborn screening system or send written notification to DPH within
72 hours after the newborn’s birth.
Specimen Processing
The bill requires providers to send the blood spot specimen to the
state’s public health laboratory within 24 hours after collecting it. DPH
may request an additional blood spot specimen if the specimen (1) was
collected early or after a blood transfusion, (2) is unsatisfactory for
testing, or (3) yields an abnormal result, as determined by the
department.
The bill requires the laboratory to maintain a record of the date and
time it received each specimen and make the record available for
inspection, within 48 hours after the provider who sent the specimen
requests it.
OPM Approval
The bill eliminates the requirement that the Office of Policy and
Management approve a disorder included on the federal
Recommended Uniform Screening Panel (RUSP) (see BACKGROUND)
before DPH adds it to the list of conditions for which the program
screens. It instead allows the department to add any RUSP disorder
the commissioner prescribes.
It also requires OPM to approve the fees DPH charges providers to
cover the program’s costs, including testing, tracking, and treatment.
By law, the fee must be at least $98.
Non-Program Screenings for Other Conditions
Separate from the Newborn Screening Program, existing law
requires health care institutions to test newborns for other specified 2021HB-06666-R01-BA.DOCX
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conditions. The bill eliminates the requirement that institutions test
newborns for spinal muscular atrophy, but continues to require that
they test for critical congenital heart disease; cystic fibrosis; and when
a newborn fails a hearing test, cytomegalovirus. It also eliminates the
requirement that testing for cytomegalovirus be performed within
available appropriations.
Additionally, the bill requires clinical laboratories that complete the
newborn screening test for cystic fibrosis to annually report to DPH
the number and results of the screenings into the newborn screening
system. Existing law already requires health care institutions to enter
these test results into the state’s newborn screening system.
By law, health care institutions must report confirmed cases of
cytomegalovirus cases to DPH. The bill specifies that they must do so
by entering the information in the state’s newborn screening system,
and regardless of the patient’s insurance status or payment source,
including self-payment.
EFFECTIVE DATE: Upon passage
§§ 76 & 77 — AMENDMENTS TO MARRIA GE OR BIRTH
CERTIFICATES TO REFLECT GENDER CHANGE
Allows individuals who submit certain documentation to change the gender designation
and name on their marriage certificate and adds PAs to the list of providers who may
submit an affidavit of gender transition treatment for purposes of a birth certificate
amendment
The bill allows people who submit certain documentation to change
the gender designation and name on their marriage certificate.
Specifically, the bill requires the DPH commissioner to issue a new
marriage certificate to a person who:
1. requests in writing, signed under penalty of law, a replacement
marriage certificate that reflects a gender different from the sex
designated on their original certificate, along with an
affirmation that the couple is still married;
2. provides a notarized statement from the person’s spouse, 2021HB-06666-R01-BA.DOCX
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consenting to the amendment;
3. provides a (a) U.S. passport, amended birth certificate, or court
order reflecting the applicant’s gender or (b) notarized affidavit
from a physician, PA, APRN, or psychologist (whether licensed
in Connecticut or another state) stating that the applicant has
undergone surgical, hormonal, or other clinically appropriate
treatment for gender transition; and
4. provides, if applicable, proof of a legal name change.
The bill generally extends to these amended marriage certificates
existing procedures for amended birth certificates reflecting gender
change (e.g., allowing only the DPH commissioner, and not local
registrars, to amend the certificate, and providing that the replacement
certificate is not marked “amended”).
Under current law, individuals seeking to change the gender
designation on their birth certificates must submit a notarized affidavit
from a physician, APRN, or psychologist stating that the applicant has
undergone clinically appropriate gender transition treatment. The bill
adds PAs to the list of providers who may submit this affidavit.
The bill also makes conforming changes.
EFFECTIVE DATE: October 1, 2021
§§ 78-81 — DPH ACCESS TO ELECTR ONIC HOSPITAL RECORD S
Requires hospitals, by October 1, 2022, to provide DPH access, including remote access,
to certain complete electronic medical records related to (1) reportable diseases and
emergency illnesses and health conditions; (2) the Connecticut Tumor Registry; (3) the
Maternal Mortality Review Program; and (4) births, fetal deaths, and death occurrences
The bill requires hospitals to provide DPH access, including remote
access, to complete electronic medical records on reportable diseases
and emergency illnesses and health conditions, in a manner the
commissioner approves (see BACKGROUND).
It also requires hospitals to grant DPH access, including remote
access, to complete patient medical records related to the: 2021HB-06666-R01-BA.DOCX
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1. Connecticut Tumor Registry, if the department deems it
necessary to perform case findings or other qual ity
improvement audits (see BACKGROUND);
2. Maternal Mortality Review Program, if DPH deems it necessary
to review case information related to a death under review by
the program (see BACKGROUND); and
3. births, fetal deaths, and death occurrences, if the department
deems it necessary to perform quality improvement audits and
ensure completeness of reporting and data accuracy.
(Existing law already grants DPH access to health care provider
records for Connecticut Tumor Registry and Maternal Mortality
Review Program purposes.)
The bill requires hospitals to grant DPH access to the above records
by October 1, 2022, if technically feasible.
Under the bill, as under the existing law, these records generally (1)
are confidential and not subject to disclosure, (2) are not admissible as
evidence in any court or agency proceeding, and (3) must be used
solely for medical or scientific research or disease control and
prevention purposes.
EFFECTIVE DATE: October 1, 2021
§ 82 — ALTERNATIVE DRINKING WATER SOURCES
Requires water companies and small community water systems to update their emergency
contingency plans and emergency response plans, respectively, to include information on
providing temporary alternative drinking water sources during a water supply emergency
The bill requires water companies and small community water
systems (i.e., those regularly serving between 25 and 1,000 year-round
residents) to update their emergency contingency plans and
emergency response plans, respectively, to include information on
providing their consumers an alternative drinking water source as a
temporary measure when there is a water supply emergency. (They
must submit these plans to DPH under existing law and regulation.) 2021HB-06666-R01-BA.DOCX
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Under the bill, a “water supply emergency” is an event lasting
longer than 12 hours that causes a company’s water supply to become
non-compliant with DPH regulations on drinking water quality or
quantity. The bill specifies that this section does not prevent a water
company or small community water system from providi ng an
alternative source of potable water for an event lasting less than 12
hours that may adversely impact the quality or quantity of potable
water supplies.
The bill requires these emergency plans to identify alternative
drinking water sources for possible use at various stages of an
emergency, including:
1. bulk water provided by licensed bulk water haulers,
2. bottled water,
3. a fill station,
4. interconnection or agreement with a nearby public water
system for supplemental water supplies during an emergency,
and
5. other approved public water supply sources or mechanisms for
providing water identified in the plan or approved by the DPH
commissioner.
The bill also requires the DPH commissioner, in consultation with
water companies and small community water systems, to prepare
materials and provide guidance to these companies and systems to
implement the bill’s provision.
Under the bill, as under existing law, “water company” means any
individual, municipality, or entity that owns, maintains, operates,
manages, controls, or employs any pond, lake, reservoir, well, stream,
or distributing plant or system that supplies water to two or more
consumers or to 25 or more people on a regular basis.
EFFECTIVE DATE: October 1, 2021 2021HB-06666-R01-BA.DOCX
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§ 83 — WATER COMPANY TIER 1 NOTICES
Requires water companies to provide Tier 1 written communications to customers in the
languages predominantly spoken in their service area and update their emergency
response plans to include information on providing these multilingual communications
The bill requires water companies to provide “tier 1” written
communications to customers in the languages predominantly spoken
in their service area and update their emergency response plans that
they submit to DPH under existing law and regulation to include
information on the provision of these multilingual communications.
Under state regulation, water companies must send a “tier 1” notice
to customers to communicate certain water quality or quantity issues
or concerns with customers, such as when a water source exceeds the
state’s maximum contaminant levels (Conn. Agencies Regs. § 19-13-
B102).
EFFECTIVE DATE: October 1, 2021
§ 84 — COMMUNITY WATER SYST EMS AND DECLARED
EMERGENCIES
Requires community water systems to report their operational status to WebEOC within
eight hours after a declared public health or civil preparedness emergency and any time
thereafter that the system’s status significantly changes
The bill requires community water systems that serve at least 25
residents to promptly report their operational status to WebEOC after
the governor declares a civil preparedness or public health emergency.
They must do so within eight hours after WebEOC reporting is made
available regarding the declared emergency, and any time thereafter
that the community water system’s status significantly changes.
Under the bill, “WebEOC” is the state’s online emergency
management information system used to document routine and
emergency events or incidents. It provides a real-time operating
picture and resource request management tool for local and state
emergency managers during exercises; drills; or local, regional, or
statewide emergencies.
EFFECTIVE DATE: October 1, 2021 2021HB-06666-R01-BA.DOCX
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§ 85 — SMALL COMMUNITY WATE R SYSTEMS
Requires small community water systems, by January 1, 2025, to prepare a capacity
implementation plan regarding the system owner's managerial, technical, and financial
capacity to own and operate the system
Starting by January 1, 2025, the bill requires each owner of a small
community water system (i.e., those regularly serving between 25 and
1,000 year-round residents) to complete and implement a “capacity
implementation plan” that demonstrates that the owner has the
managerial, technical, and financial capacity to continue to own and
operate the system. The plan must be updated annually and made
available to DPH upon request.
Under the bill, the plan must include:
1. a description of the small community water system, including
the number of consumers and persons it serves, and its drinking
water sources;
2. ownership and management information, including the
system’s type of ownership structure and the current contact
information for the owners, certified operators, and emergency
contact persons;
3. service area maps and facilities maps, including the location of
and specific information on sources, storage and treatment
facilities, pressure zones, booster pumps, hydrants, distribution
lines, valves, and sampling points;
4. a description of the system’s cross-connection control program
and source water protection program;
5. a copy of the system’s emergency response plan required under
existing DPH regulations;
6. a capital improvement program, including the schedule that
identifies all capital improvements scheduled for a five-year
planning period and capital improvements or major projects
scheduled for a 20-year planning period; 2021HB-06666-R01-BA.DOCX
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7. water production and consumption information; and
8. information on nearby public water systems, including their
type and distance, based on the coordinated water system plan
approved by DPH for the water utility coordinating committee
where the small community water system is located.
The bill also requires the plan to include financial capacity
information, including:
1. an evaluation of the small community water system’s fiscal plan
required under existing law;
2. a summary of the system’s income and expenses for the five
years preceding the date the plan is submitted;
3. a five-year balanced operation budget;
4. the system’s water rate structure and fees charged, including
information on how the rates and fees are updated and whether
they are sufficient to maintain cash flow stability and fund the
capital improvement plan and any emergency improvements;
and
5. an evaluation that has considered the affordability of water
rates.
The bill requires each small community water system, starting by
July 1, 2025, to annually summarize its capacity plan in its consumer
confidence report required under existing DPH regulations.
Exceptions
The plan requirement does not apply to a small community water
system that is (1) regulated by the Public Utilities Regulatory
Authority (i.e., investor-owned water companies), (2) required to
submit a water supply plan to DPH (e.g., generally, those serving 1,000
or more people or 250 or more customers), or (3) a state agency.
The bill deems the report requirement to relate to the purity and 2021HB-06666-R01-BA.DOCX
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adequacy of water supplies for the purpose of imposing a penalty for
violating statutory or regulatory requirements on public water supply
purity, adequacy, or testing described further below.
Regulations
The bill authorizes DPH to adopt regulations to implement the bill’s
requirements for small community water systems.
EFFECTIVE DATE: October 1, 2021
§§ 86 & 87 — BOTTLED WATER TESTIN G
Requires water bottlers, by January 1, 2022, to annually collect water samples before any
water treatment from each DPH-approved sources and test them for perfluoroalkyl
substances and other unregulated contaminants; establishes related reporting
requirements
This bill requires water bottlers, by January 1, 2022, to annually
collect water samples before any water treatment from each DPH-
approved source and test them for perfluoroalkyl substances (PFAS)
and other unregulated contaminants. A DPH-registered environmental
laboratory that has EPA-approved certification must test the samples
to determine compliance with microbial standards established by DPH
for public drinking water.
Under the bill, water bottlers must report the test results to DPH
and the Department of Consumer Protection (DCP) within nine
calendar days after receiving them. If the results exceed DPH
standards for PFAS and other unregulated contaminants, the
department may require the water bottler to stop using the approved
source until it no longer poses an unacceptable health or safety risk to
consumers. The bill requires DPH to notify DCP when it takes such
action.
The bill defines an “unregulated contaminant” as a contaminant for
which DPH has set a level at which it creates, or can be reasonably
expected to create, an unacceptable risk of injury to the consumer’s
health or safety.
Existing law requires water bottlers, among other things, to collect
samples from each approved source at least once a year to test for 2021HB-06666-R01-BA.DOCX
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regulated contaminants and at least one every three years for
unregulated contaminants for which allowable levels have not been
established.
EFFECTIVE DATE: October 1, 2021
§ 88 — PUBLIC WATER SYSTEM TESTING
Requires an environmental laboratory that tests a public water system sample to notify
DPH and the test requestor within 24 hours after obtaining a test result that violates EPA
national primary drinking water standards
The bill requires an environmental laboratory that tests a public
water system sample to notify DPH and the test requestor, or the
requestor’s designee, within 24 hours after obtaining a test result that
shows a contaminant at a level that violates EPA national primary
drinking water standards. Under the bill, a contaminant means E. Coli,
lead, nitrate, and nitrite.
The bill’s notification requirement applies only to public water
systems that do not submit a water supply plan to DPH.
Under existing law, if a public water system violates EPA national
primary drinking water standards, DPH must notify the chief elected
official in the municipality where the water system is located and any
municipality the water system serves. The bill allows the
commissioner’s designee, instead of only the commissioner, to make
the notification. As under existing law, the commissioner’s designee
must do this within five business days after receiving notice of the
violation.
EFFECTIVE DATE: October 1, 2021
§ 89 — HEALTH CARE INSTITUT IONS AND WATER SUPPL Y
SHORTAGES
Requires health care institutions to obtain potable water from a licensed bulk water hauler
or water bottler as a temporary measure to alleviate a water supply shortage
The bill requires health care institutions to obtain potable water
from a licensed bulk water hauler or water bottler as a temporary
measure to alleviate a water supply shortage. 2021HB-06666-R01-BA.DOCX
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EFFECTIVE DATE: October 1, 2021
§ 90 — TECHNICAL CHANGES
Makes technical changes to an EMS statute
The bill makes technical changes to an EMS statute.
EFFECTIVE DATE: Upon passage
§§ 93 & 94 — TECHNICAL CHANGES
Makes technical changes to PA continuing education requirements
The bill makes technical changes to PA continuing education
requirements in existing law and sSB 2, as amended and passed by the
Senate.
EFFECTIVE DATE: July 1, 2021
§ 95 — EMS MENTAL HEALTH TR AINING
Extends certain mental health training requirements to advanced EMTs and makes a
clarifying change regarding EMS instructors
sSB 2, as amended and passed by the Senate, requires emergency
medical responders and emergency medical technicians (EMTs), or
emergency medical services instructors seeking certification renewal to
complete specified mental health and suicide prevention training. The
bill extends this requirement to advanced EMTs.
Thus, the bill requires advanced EMTs seeking certification renewal
to present evidence that, within the prior six years, they have
completed (1) the evidence-based youth suicide prevention training
program established by sSB 2 or (2) at least two hours of DPH-
approved training in screening for posttraumatic stress disorder,
suicide risk, depression, and grief and suicide prevention. This
requirement applies starting January 1, 2022.
sSB 2, as amended and passed by the Senate, requires the Youth
Suicide Advisory Board and the Office of the Child Advocate to jointly
administer an evidence-based youth suicide prevention training
program, with specified components, in each local and district health
department and offer it at least once every three years, starting by July 2021HB-06666-R01-BA.DOCX
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1, 2022.
The bill also removes the separate requirement for EMS instructors
to take this training; but under existing law, EMS instructors seeking
renewal of their certification must also maintain EMT or advanced
EMT certification or paramedic licensure.
EFFECTIVE DATE: July 1, 2021
§§ 96-98 — TECHNICAL CHANGES
Makes technical and conforming changes
The bill makes technical and conforming changes to EMS statutes
and related laws.
EFFECTIVE DATE: Upon passage
§ 99 — DPH LIST OF FUNERAL DIRECTORS AND EMBALM ERS
Eliminates the requirement that DPH annually provide town clerks and registrars of vital
statistics printed lists of all licensed funeral directors, embalmers, student funeral
directors, and student embalmers
The bill repeals a provision requiring DPH to annually provide
town clerks and registrars of vital statistics printed lists of all licensed
funeral directors, embalmers, student funeral directors, and student
embalmers. (In practice, these lists are available on the state’s eLicense
website.) The bill also repeals a provision requiring DPH to issue cards
to those listed stating their license or registration status.
EFFECTIVE DATE: Upon passage
BACKGROUND
Health Professional Assistance Program
By law, this program is an alternative, voluntary, and confidential
rehabilitation program that provides various services to health
professionals with a chemical dependency, emotional or behavioral
disorder, or physical or mental illness.
By law, before a health professional may enter the program, a
medical review committee must (1) determine if he or she is an
appropriate candidate for rehabilitation and participation and (2) 2021HB-06666-R01-BA.DOCX
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establish terms and conditions for participation. The program must
include mandatory, periodic evaluations of each participant’s ability to
practice with skill and safety and without posing a threat to the health
and safety of any person or patient (CGS § 19a-12a).
Connecticut Tumor Registry
By law, the Connecticut Tumor Registry includes reports of all
tumors and conditions that are diagnosed or treated in the state for
which DPH requires reports. Hospitals, various health care providers,
and clinical laboratories must provide such reports to DPH for
inclusion in the registry.
DPH Reportable Disease List
By law, DPH maintains an annual list of reportable diseases and
emergency illnesses and conditions and reportable lab findings. Health
care providers and clinical laboratories must report cases of the listed
conditions within certain timeframes to the department and the local
health director where the case occurs.
Maternity Mortality Review Program
DPH’s Maternity Mortality Review Program identifies maternal
deaths in Connecticut, and reviews related medical records and other
relevant data, including death and birth records, the Office of the Chief
Medical Examiner’s files, and physician office and hospital records.
The program’s review committee conducts comprehensive,
multidisciplinary reviews of maternal deaths to identify associated
factors and make recommendations to reduce these deaths.
Out-of-State Practitioners Allowed During Emergency
Existing law allows the following health care practitioners to
temporarily practice in Connecticut during a declared public health
emergency, upon the issuance of a DPH order: emergency medical
personnel, physicians and physician assistants, physical therapists,
nurses and nurses’ aides, respiratory care practitioners, psychologists,
marital and family therapists, clinical social workers, professional
counselors, paramedics, embalmers and funeral directors, sanitarians,
asbestos contractors and consultants, and pharmacists. 2021HB-06666-R01-BA.DOCX
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Recommended Uniform Screening Panel
RUSP is a list of health conditions that the federal Department of
Health and Human Services recommends states screen for as part of
their newborn screening programs. Conditions are included on the list
based on evidence of the potential benefit of screening, states’ ability to
screen, and the availability of effective treatments (42 U.S.C. § 300b-10).
Related Bills
sSB 1 (File 481), as amended and passed by the Senate, contains
some similar provisions as this bill on local health directors.
sSB 2 (File 246), as amended and passed by the Senate, requires
certain EMS personnel to complete training on suicide prevention and
related topics.
sHB 6470 (File 265), favorably reported by the Human Services
Committee, allows APRNs and PAs licensed in Connecticut or a
bordering state to order home health care services.
COMMITTEE ACTION
Public Health Committee
Joint Favorable
Yea 31 Nay 2 (03/31/2021)
Appropriations Committee
Joint Favorable
Yea 35 Nay 14 (05/10/2021)