CT
Connecticut House Bill HB05001

Connecticut 2022 Regular Session

Connecticut House Bill HB05001 Compare Versions

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914 AN ACT CONCERNING CHILDREN'S MENTAL HEALTH.
1015 Be it enacted by the Senate and House of Representatives in General
1116 Assembly convened:
1217
13-Section 1. (Effective from passage) The Commissioner of Public Health,
14-in consultation with the Commissioner of Children and Families, shall
15-develop and implement a plan to waive licensure requirements for a
16-person who (1) is a mental or behavioral health care provider licensed
17-or certified to provide mental or behavioral health care services, or is
18-entitled to provide mental or behavioral health care services under a
19-different designation, in another state having requirements for
20-practicing in such capacity that are substantially similar to or higher
21-than the requirements in effect in this state for practitioners practicing
22-in such capacity, and (2) has no disciplinary action or unresolved
23-complaint pending against such person, provided the provisions of any
24-interstate licensure compact regarding a mental or behavioral health
25-care provider adopted by the state shall supersede any plan for waiver
26-of licensure requirements implemented under this section concerning
27-such mental or behavioral health care provider. When developing and
28-implementing such plan, the Commissioner of Public Health shall
29-consider (A) eliminating barriers to the expedient licensure of such
30-persons in order to immediately address the mental health needs of
31-children in this state, and (B) whether a waiver should be limited to the Substitute House Bill No. 5001
32-
33-Public Act No. 22-47 2 of 96
34-
35-provision of mental or behavioral health care services through the use
36-of telehealth, as defined in section 19a-906 of the general statutes. The
37-Commissioner of Public Health shall prioritize waiving licensure
38-requirements for a person who is a mental or behavioral health care
39-provider licensed or certified to provide mental health care services to
40-children, or who is entitled to provide mental or behavioral health care
41-services to children under a different designation. On or before January
42-1, 2023, the Commissioner of Public Health shall (i) implement the plan
43-for waiver of licensure requirements, and (ii) report, in accordance with
44-the provisions of section 11-4a of the general statutes, to the joint
45-standing committees of the General Assembly having cognizance of
46-matters relating to public health and children regarding such plan and
47-recommendations for legislation related to such plan.
48-Sec. 2. Section 19a-14d of the 2022 supplement to the general statutes
49-is repealed and the following is substituted in lieu thereof (Effective
50-October 1, 2022):
51-(a) An occupational or professional license, permit, certification or
52-registration issued by the Department of Public Health pursuant to
53-chapter 368v, 370, 372, 373, 375, 375a, 376, 376a, 376b, 376c, 377, 378,
54-378a, 379, 379a, 380, 381, 381a, 381b, 382a, 382b, 382c, 383, 383a, 383b,
55-383c, 383d, 383e, 383f, 383g, 383h, 384, 384a, 384b, 384c, 384d, 385, 386,
56-387, 387a, 388, 388a, 393a, 395, 397a, 398, 399, 400a, 400c or 474 shall be
57-issued, in the occupation or profession applied for and at a practice level
58-determined by the department, to a person, [who is (1) a resident of this
59-state, as defined in section 12-701, and provides a current driver's
60-license, utility bill, lease agreement or property deed indicating such
61-person's residence in this state; or (2) married to an active duty member
62-of the armed forces of the United States and accompanies such member,
63-pursuant to an official permanent change of station, to a military
64-installation located in this state] including, but not limited to, an active
65-duty member of the armed forces of the United States or such person's Substitute House Bill No. 5001
66-
67-Public Act No. 22-47 3 of 96
68-
69-spouse, if:
70-[(A)] (1) The person holds a valid license, permit, certification or
71-registration in at least one other jurisdiction in the United States in the
72-occupation or profession applied for;
73-[(B)] (2) The person has practiced under such license, permit,
74-certification or registration for not less than four years;
75-[(C)] (3) The person is in good standing in all jurisdictions in the
76-United States in which he or she holds a license, permit, certification or
77-registration and has not had a license, permit, certification or
78-registration revoked or discipline imposed by any jurisdiction in the
79-United States, does not have a complaint, allegation or investigation
80-related to unprofessional conduct pending in any jurisdiction, and has
81-not voluntarily surrendered a license, permit, certification or
82-registration while under investigation for unprofessional conduct in any
83-jurisdiction;
84-[(D)] (4) The person satisfies any background check or character and
85-fitness check required of other applicants for the license, permit,
86-certification or registration; and
87-[(E)] (5) The person pays all fees required of other applicants for the
88-license, permit, certification or registration.
89-(b) In addition to the requirements set forth in subsection (a) of this
90-section, the Department of Public Health [(1) shall require a resident of
91-this state] may require a person applying for a license, permit,
92-certification or registration under this section to take and pass all, or a
93-portion of, any examination required of other persons applying for [the]
94-such license, permit, certification or registration. [; and (2) may require
95-a person married to an active duty member of the armed forces of the
96-United States to take all or a portion of such examination.] Substitute House Bill No. 5001
97-
98-Public Act No. 22-47 4 of 96
99-
100-(c) Any person issued a license, permit, certification or registration
101-pursuant to this section shall be subject to the laws of this state and the
102-jurisdiction of the Department of Public Health.
103-(d) Notwithstanding the provisions of this section and pursuant to
104-section 19a-14, the Commissioner of Public Health may deny an
105-occupational or professional license, permit, certification or registration
106-if he or she finds such denial is in the best interest of the state.
107-Sec. 3. Section 20-195n of the general statutes is amended by adding
108-subsection (g) as follows (Effective July 1, 2022):
109-(NEW) (g) The commissioner shall notify each applicant who is
110-approved to take an examination required under subsection (b), (c), (d)
111-or (e) of this section that such applicant may be eligible for testing
112-accommodations pursuant to the federal Americans with Disabilities
113-Act, 42 USC 12101 et seq., as amended from time to time, or other
114-accommodations, as determined by the Association of Social Work
115-Boards, or its successor organization, which may include the use a
116-dictionary while taking such examination and additional time within
117-which to take such examination.
118-Sec. 4. Section 20-195t of the general statutes is repealed and the
119-following is substituted in lieu thereof (Effective from passage):
120-The department may issue a temporary permit to an applicant for
121-licensure as a master social worker who holds a master's degree from a
122-social work educational program, as described in section 20-195n, as
123-amended by this act, but who has not yet taken the licensure
124-examination prescribed in [said] section 20-195n, as amended by this act.
125-Such temporary permit shall authorize the holder to practice as a master
126-social worker as provided for in section 20-195s. [Such] Prior to June 30,
127-2024, such temporary permit shall be valid for a period not to exceed
128-one year after the date of issuance, shall not be renewable and shall not Substitute House Bill No. 5001
129-
130-Public Act No. 22-47 5 of 96
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132-become void solely because the applicant fails to pass such examination.
133-On and after July 1, 2024, such temporary permit shall be valid for a
134-period not to exceed one hundred twenty calendar days after the date
135-of [attaining such master's degree and] issuance, shall not be renewable
136-[. Such permit shall become void and shall not be reissued in the event
137-that] and, if the applicant fails to pass such examination, shall become
138-void and shall not be reissued. The fee for a temporary permit shall be
139-fifty dollars.
140-Sec. 5. (Effective from passage) Notwithstanding the provisions of
141-section 1 of public act 21-9 and section 19a-906 of the general statutes,
142-prior to July 1, 2024, a person who is appropriately licensed as a social
143-worker in another state or territory of the United States or the District of
144-Columbia may provide telehealth services to a resident of another state
145-while such resident is in this state, provided the social worker (1) has a
146-preexisting professional relationship with such resident, and (2)
147-maintains professional liability insurance, or other indemnity against
148-liability for professional malpractice, in an amount that is equal to or
149-greater than that required for clinical or master social workers licensed
150-pursuant to chapter 383b of the general statutes.
151-Sec. 6. (NEW) (Effective from passage) The Commissioner of Public
152-Health shall establish, within available appropriations, a need-based
153-program pursuant to which the commissioner may waive application
154-costs and licensure fees for persons who are applying to the Department
155-of Public Health for licensure as a mental or behavioral health care
156-provider pursuant to chapter 370, 382a, 383, 383a, 383b or 383c of the
157-general statutes, or section 20-195mmm of the general statutes, and who
158-will provide mental or behavioral health care services to children. The
159-Commissioner of Public Health shall develop eligibility requirements
160-based on financial need for recipients of a waiver of such costs and fees
161-and give priority to each applicant (1) who is a member of a racial or
162-ethnic minority, (2) for whom English is a second language, (3) who Substitute House Bill No. 5001
163-
164-Public Act No. 22-47 6 of 96
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166-identifies as lesbian, gay, bisexual, transgender or queer, or (4) who has
167-a disability. The Department of Public Health may accept private
168-donations for the program.
169-Sec. 7. Subsections (b) and (c) of section 17a-22ff of the general
170-statutes are repealed and the following is substituted in lieu thereof
171-(Effective July 1, 2022):
172-(b) The board shall consist of the following members:
173-(1) Eight appointed by the Commissioner of Children and Families,
174-who shall represent families of children who have been diagnosed with
175-mental, emotional or behavioral health issues;
176-(2) Two appointed by the Commissioner of Children and Families,
177-who shall represent a private foundation providing mental, emotional
178-or behavioral health care services for children and families in the state;
179-(3) [Four] Six appointed by the Commissioner of Children and
180-Families, who shall be providers of mental, emotional or behavioral
181-health care services [for] to children in the state, [at least one of whom
182-shall be a provider of] one of whom shall be a psychiatrist licensed to
183-practice pursuant to chapter 370, one of whom shall be a marital and
184-family therapist licensed under chapter 383a, one of whom shall be a
185-psychologist licensed under chapter 383, one of whom shall be a clinical
186-social worker licensed under chapter 383b, one of whom shall be a
187-professional counselor licensed under chapter 383c and one of whom
188-shall be an advanced practice registered nurse licensed under chapter
189-378. At least one of such appointees shall be a provider of mental,
190-emotional or behavioral health care services to children involved with
191-the juvenile justice system;
192-(4) Three appointed by the Commissioner of Children and Families,
193-who shall represent private advocacy groups that provide services for
194-children and families in the state; Substitute House Bill No. 5001
195-
196-Public Act No. 22-47 7 of 96
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198-(5) One appointed by the Commissioner of Children and Families,
199-who shall represent the United Way of Connecticut 2-1-1 Infoline
200-program;
201-(6) One appointed by the majority leader of the House of
202-Representatives, who shall be a medical doctor representing the
203-Connecticut Children's Medical Center Emergency Department;
204-(7) One appointed by the majority leader of the Senate, who shall be
205-a superintendent of schools in the state;
206-(8) One appointed by the minority leader of the House of
207-Representatives, who shall represent the Connecticut Behavioral
208-Healthcare Partnership;
209-(9) One appointed by the minority leader of the Senate who shall
210-represent the Connecticut Association of School-Based Health Centers;
211-(10) The Commissioner of Children and Families, or the
212-commissioner's designee;
213-(11) The Commissioner of Developmental Services, or the
214-commissioner's designee;
215-(12) The Commissioner of Social Services, or the commissioner's
216-designee;
217-(13) The Commissioner of Public Health, or the commissioner's
218-designee;
219-(14) The Commissioner of Mental Health and Addiction Services, or
220-the commissioner's designee;
221-(15) The Commissioner of Education, or the commissioner's designee;
222-(16) The Commissioner of Early Childhood, or the commissioner's Substitute House Bill No. 5001
223-
224-Public Act No. 22-47 8 of 96
225-
226-designee;
227-(17) The Insurance Commissioner, or the commissioner's designee;
228-(18) The Labor Commissioner, or the commissioner's designee;
229-(19) The Secretary of the Office of Policy and Management, or the
230-secretary's designee;
231-(20) The Commissioner of Correction, or the commissioner's
232-designee;
233-[(18)] (21) The executive director of the Court Support Services
234-Division of the Judicial Branch, or the executive director's designee;
235-[(19)] (22) The Child Advocate, or the Child Advocate's designee;
236-[(20)] (23) The Healthcare Advocate, or the Healthcare Advocate's
237-designee; [and]
238-[(21)] (24) The executive director of the Commission on Women,
239-Children, Seniors, Equity and Opportunity, or the executive director's
240-designee; [.]
241-(25) One representative of the Governor's office, who shall be
242-appointed by the Governor;
243-(26) One representative of commercial health insurance carriers, who
244-shall be appointed by the Governor;
245-(27) One representative of the Commission on Racial Equity in Public
246-Health established under section 19a-133a, who shall be appointed by
247-said commission;
248-(28) One representative of the Commission on the Disparate Impact
249-of COVID-19 established pursuant to special act 21-37, who shall be
250-appointed by said commission; Substitute House Bill No. 5001
251-
252-Public Act No. 22-47 9 of 96
253-
254-(29) One representative of the task force created pursuant to section
255-4 of public act 21-125 concerning mental health service provider
256-networks; and
257-(30) One representative of the task force on children's needs created
258-pursuant to section 30 of public act 21-46.
259-(c) All initial appointments to the board shall be made not later than
260-[thirty days after July 1,] July 31, 2015. All subsequent appointments to
261-the board made pursuant to subdivision (3) and subdivisions (25) to
262-(30), inclusive, of subsection (b) of this section shall be made not later
263-than October 1, 2022. All members shall serve an initial term of three
264-years, except the members appointed pursuant to subdivisions (29) and
265-(30) of subsection (b) of this section, who shall serve a term of two years.
266-Following the expiration of their initial terms, subsequent members
267-appointed to the board shall serve two-year terms. Any vacancy shall be
268-filled by the appointing authority not later than thirty calendar days
269-after the appointment becomes vacant. Any member previously
270-appointed to the board may be reappointed, except the members
271-appointed pursuant to subdivisions (29) and (30) of subsection (b) of this
272-section, who shall serve only one term and may not be reappointed.
273-Sec. 8. (NEW) (Effective July 1, 2022) On or before January 1, 2023, the
274-Department of Children and Families shall establish and administer a
275-data repository for (1) emergency mobile psychiatric services personnel
276-to share best practices and experiences while providing emergency
277-mobile psychiatric services to children in the field, and (2) emergency
278-mobile psychiatric services personnel and the department to, when
279-available and appropriate, collect data on outcomes of children who
280-received emergency mobile psychiatric services, which data shall be
281-deidentified and disaggregated, for internal quality improvement
282-purposes.
283-Sec. 9. (NEW) (Effective October 1, 2022) (a) There is established a pilot Substitute House Bill No. 5001
284-
285-Public Act No. 22-47 10 of 96
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287-program in the city of Waterbury to allow a federally qualified health
288-center to administer intensive outpatient services, including, but not
289-limited to, an extended day treatment program, for adolescents with
290-mental or behavioral health issues, which shall be administered by the
291-Department of Children and Families, in consultation with the
292-Department of Social Services. The federally qualified health center shall
293-administer such services under the pilot program to not less than one
294-hundred forty-four adolescents annually for not less than five years. If
295-the federally qualified health center ceases to administer such services
296-prior to October 1, 2027, it shall reimburse the state for funds allocated
297-for the pilot program in a prorated amount that is based on the
298-proportion of the five-year period during which it provided such
299-services.
300-(b) Not later than January 1, 2024, and annually thereafter until
301-January 1, 2029, the Commissioner of Children and Families, in
302-consultation with the Commissioner of Social Services, shall report, in
303-accordance with the provisions of section 11-4a of the general statutes,
304-regarding the implementation of the pilot program to the joint standing
305-committees of the General Assembly having cognizance of matters
306-relating to public health and children. Such report shall assess the
307-effectiveness of the pilot program and include legislative
308-recommendations concerning implementation of the pilot program on a
309-state-wide basis.
310-Sec. 10. Section 17a-20a of the general statutes is repealed and the
311-following is substituted in lieu thereof (Effective from passage):
312-(a) [Not later than January 1, 2014, the] The Commissioner of
313-Children and Families shall establish and implement a regional mental
314-and behavioral health consultation and care coordination program for
315-(1) primary care providers who serve children, and (2) the pediatric
316-patients of such providers. Such program shall provide to such primary
317-care providers [: (1) Timely] (A) timely access to a consultation team that Substitute House Bill No. 5001
318-
319-Public Act No. 22-47 11 of 96
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321-includes a child psychiatrist, social worker and a care coordinator, [; (2)]
322-(B) patient care coordination and transitional services for mental or
323-behavioral health care, [;] and [(3)] (C) training and education
324-concerning patient access to mental and behavioral health services.
325-[Said] Such program shall refer the pediatric patient of a primary care
326-provider who serves children for not more than three follow-up
327-telehealth or in-person appointments with a mental or behavioral health
328-care provider (i) if such follow-up appointments are determined to be
329-medically necessary by the primary care provider, and (ii) after the
330-primary care provider has utilized such program on behalf of such
331-patient and such patient has been prescribed medication to treat a
332-mental or behavioral health condition. Such program shall cover, within
333-available appropriations, the costs of such appointments. A primary
334-care provider participating in such program shall refer a pediatric
335-patient to a care coordinator who contracts with the Department of
336-Children and Families, but is not participating in such program, to
337-provide short-term assistance to a pediatric patient in obtaining mental
338-or behavioral health care from a mental or behavioral health care
339-provider who is not participating in such program. The department
340-shall request reimbursement for services provided under this section
341-from a health carrier prior to paying for such services with any funds
342-appropriated for purposes of this section. The commissioner may enter
343-into a contract for services to administer such program.
344-[(b) Not later than October 1, 2013, said commissioner shall submit a
345-plan, in accordance with the provisions of section 11-4a, to the joint
346-standing committees of the General Assembly having cognizance of
347-matters relating to public health, children, human services and
348-appropriations concerning the program to be established pursuant to
349-subsection (a) of this section.]
350-[(c)] (b) The Commissioner of Children and Families may adopt
351-regulations, in accordance with the provisions of chapter 54, to Substitute House Bill No. 5001
352-
353-Public Act No. 22-47 12 of 96
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355-implement the provisions of this section.
356-Sec. 11. Section 38a-1041 of the general statutes is repealed and the
357-following is substituted in lieu thereof (Effective July 1, 2022):
358-(a) There is established an Office of the Healthcare Advocate which
359-shall be within the Insurance Department for administrative purposes
360-only.
361-(b) The Office of the Healthcare Advocate may:
362-(1) Assist health insurance consumers with managed care plan
363-selection by providing information, referral and assistance to
364-individuals about means of obtaining health insurance coverage and
365-services;
366-(2) Assist health insurance consumers to understand their rights and
367-responsibilities under managed care plans;
368-(3) Provide information to the public, agencies, legislators and others
369-regarding problems and concerns of health insurance consumers and
370-make recommendations for resolving those problems and concerns;
371-(4) Assist consumers with the filing of complaints and appeals,
372-including filing appeals with a managed care organization's internal
373-appeal or grievance process and the external appeal process established
374-under sections 38a-591d to 38a-591g, inclusive, as amended by this act;
375-(5) Analyze and monitor the development and implementation of
376-federal, state and local laws, regulations and policies relating to health
377-insurance consumers and recommend changes it deems necessary;
378-(6) Facilitate public comment on laws, regulations and policies,
379-including policies and actions of health insurers;
380-(7) Ensure that health insurance consumers have timely access to the Substitute House Bill No. 5001
381-
382-Public Act No. 22-47 13 of 96
383-
384-services provided by the office;
385-(8) Review the health insurance records of a consumer who has
386-provided written consent for such review;
387-(9) Create and make available to employers a notice, suitable for
388-posting in the workplace, concerning the services that the Healthcare
389-Advocate provides;
390-(10) Establish a toll-free number, or any other free calling option, to
391-allow customer access to the services provided by the Healthcare
392-Advocate;
393-(11) Pursue administrative remedies on behalf of and with the
394-consent of any health insurance consumers;
395-(12) Adopt regulations, pursuant to chapter 54, to carry out the
396-provisions of sections 38a-1040 to 38a-1050, inclusive; and
397-(13) Take any other actions necessary to fulfill the purposes of
398-sections 38a-1040 to 38a-1050, inclusive.
399-(c) The Office of the Healthcare Advocate shall make a referral to the
400-Insurance Commissioner if the Healthcare Advocate finds that a
401-preferred provider network may have engaged in a pattern or practice
402-that may be in violation of sections 38a-479aa to 38a-479gg, inclusive, or
403-38a-815 to 38a-819, inclusive.
404-(d) The Healthcare Advocate and the Insurance Commissioner shall
405-jointly compile a list of complaints received against managed care
406-organizations and preferred provider networks and the commissioner
407-shall maintain the list, except the names of complainants shall not be
408-disclosed if such disclosure would violate the provisions of section 4-
409-61dd or 38a-1045.
410-(e) [On or before October 1, 2005, the] The Managed Care Substitute House Bill No. 5001
411-
412-Public Act No. 22-47 14 of 96
413-
414-Ombudsman shall establish a process to provide ongoing
415-communication among mental health care providers, patients, state-
416-wide and regional business organizations, managed care companies and
417-other health insurers to assure: (1) Best practices in mental health
418-treatment and recovery; (2) compliance with the provisions of sections
419-38a-476a, 38a-476b, 38a-488a, as amended by this act, and 38a-489; and
420-(3) the relative costs and benefits of providing effective mental health
421-care coverage to employees and their families. On or before January 1,
422-2006, and annually thereafter, the Healthcare Advocate shall report, in
423-accordance with the provisions of section 11-4a, on the implementation
424-of this subsection to the joint standing committees of the General
425-Assembly having cognizance of matters relating to public health and
426-insurance.
427-(f) [On or before October 1, 2008, the] The Office of the Healthcare
428-Advocate shall, within available appropriations, establish and maintain
429-a healthcare consumer information web site on the Internet for use by
430-the public in obtaining healthcare information, including but not limited
431-to: (1) The availability of wellness programs in various regions of
432-Connecticut, such as disease prevention and health promotion
433-programs; (2) quality and experience data from hospitals licensed in this
434-state; and (3) a link to the consumer report card developed and
435-distributed by the Insurance Commissioner pursuant to section 38a-
436-478l.
437-(g) [Not later than January 1, 2015, the] The Office of the Healthcare
438-Advocate shall establish an information and referral service to help
439-residents and providers receive behavioral health care information,
440-timely referrals and access to behavioral health care providers. In
441-developing and implementing such service, the Healthcare Advocate,
442-or the Healthcare Advocate's designee, shall: (1) Collaborate with
443-stakeholders, including, but not limited to, (A) state agencies, (B) the
444-Behavioral Health Partnership established pursuant to section 17a-22h, Substitute House Bill No. 5001
445-
446-Public Act No. 22-47 15 of 96
447-
448-(C) community collaboratives, (D) the United Way's 2-1-1 Infoline
449-program, and (E) providers; (2) identify any basis that prevents
450-residents from obtaining adequate and timely behavioral health care
451-services, including, but not limited to, (A) gaps in private behavioral
452-health care services and coverage, and (B) barriers to access to care; (3)
453-coordinate a public awareness and educational campaign directing
454-residents to the information and referral service; and (4) develop data
455-reporting mechanisms to determine the effectiveness of the service,
456-including, but not limited to, tracking (A) the number of referrals to
457-providers by type and location of providers, (B) waiting time for
458-services, and (C) the number of providers who accept or reject requests
459-for service based on type of health care coverage. Not later than
460-February 1, 2016, and annually thereafter, the Office of the Healthcare
461-Advocate shall submit a report, in accordance with the provisions of
462-section 11-4a, to the joint standing committees of the General Assembly
463-having cognizance of matters relating to children, human services,
464-public health and insurance. The report shall identify gaps in services
465-and the resources needed to improve behavioral health care options for
466-residents.
467-(h) Not later than October 1, 2022, the Healthcare Advocate shall
468-designate an employee of the Office of the Healthcare Advocate to be
469-responsible for: (1) Performing the office's duties to minors; and (2)
470-coordinating state-wide efforts to ensure that minors have coverage,
471-and access to services, for behavioral health conditions, mental health
472-conditions and substance use disorders.
473-Sec. 12. (NEW) (Effective from passage) (a) As used in this section,
474-"school mental health specialist" means any person employed by a local
475-or regional board of education to provide mental health services to
476-students and includes, but is not limited to, a (1) school social worker,
477-(2) school psychologist, (3) trauma specialist, (4) behavior technician, (5)
478-board certified behavior analyst, (6) school counselor, (7) licensed Substitute House Bill No. 5001
479-
480-Public Act No. 22-47 16 of 96
481-
482-professional counselor, and (8) licensed marriage and family therapist.
483-(b) Not later than July 1, 2023, and annually thereafter, the
484-Commissioner of Education shall, within available appropriations,
485-develop and distribute a survey to each local and regional board of
486-education concerning the employment of school mental health
487-specialists by such local or regional board of education. Such survey
488-shall include, but need not be limited to, (1) (A) the total number of
489-school mental health specialists for the school district, and (B) a
490-disaggregation of the total number of each school social worker, school
491-psychologist, trauma specialist, behavior technician, board certified
492-behavior analyst, school counselor, licensed professional counselor and
493-licensed marriage and family therapist, (2) (A) the total number of
494-school mental health specialists assigned to each school under the
495-jurisdiction of the local or regional board of education, and (B) a
496-disaggregation of each school social worker, school psychologist,
497-trauma specialist, behavior technician, board certified behavior analyst,
498-school counselor, licensed professional counselor and licensed marriage
499-and family therapist assigned to each school under the jurisdiction of
500-such board, including whether any such school mental health specialist
501-is assigned solely to that school or whether such school mental health
502-specialist is assigned to multiple schools, (3) the geographic area
503-covered by any such school mental health specialist who provides
504-services to more than one local or regional board of education, (4) an
505-estimate of the annual number of students who have received direct
506-services from each individual school mental health specialist during the
507-five-year period preceding completion of the survey, and (5) data, if any,
508-regarding school-based behavioral health services provided by a private
509-provider through a contract with the local or regional board of education,
510-including, but not limited to, the types of services provided, the schools
511-and grade levels in which such services are being provided, the number of
512-students receiving such services, and the total expenditures of the board
513-for such services under the contract during the previous school year. Substitute House Bill No. 5001
514-
515-Public Act No. 22-47 17 of 96
516-
517-(c) For the school year commencing July 1, 2023, and each school year
518-thereafter, each local and regional board of education shall annually
519-complete the survey developed and distributed pursuant to subsection
520-(b) of this section to the commissioner, and submit such completed
521-survey to the commissioner, at such time and in such manner as the
522-commissioner prescribes.
523-(d) Following the receipt of a completed survey from a local or
524-regional board of education, the commissioner shall annually calculate
525-a student-to-school mental health specialist ratio for (1) such board of
526-education, and (2) each school under the jurisdiction of such board of
527-education.
528-(e) Not later than January 1, 2024, and annually thereafter, the
529-commissioner shall submit a report, in accordance with the provisions
530-of section 11-4a of the general statutes, on the results of the survey
531-completed under this section and the student-to-school school mental
532-health specialist ratios calculated pursuant to subsection (d) of this
533-section, to the joint standing committees of the General Assembly
534-having cognizance of matters relating to education and children.
535-Sec. 13. (NEW) (Effective July 1, 2022) (a) For the fiscal years ending
536-June 30, 2023, to June 30, 2025, inclusive, the Department of Education
537-shall administer a grant program to provide grants to local and regional
538-boards of education for the purpose of hiring additional school mental
539-health specialists. As used in this section, "school mental health
540-specialist" has the same meaning as provided in section 12 of this act.
541-(b) On and after January 1, 2023, a local or regional board of education
542-may submit an application for a grant under this section, in such form
543-and manner as the Commissioner of Education prescribes. As part of the
544-application, the applicant shall submit (1) a plan for the expenditure of
545-grant funds, and (2) (A) for an application submitted before July 1, 2023,
546-the information described in subdivisions (1) to (5), inclusive, of Substitute House Bill No. 5001
547-
548-Public Act No. 22-47 18 of 96
549-
550-subsection (b) of section 12 of this act, and (B) for an application
551-submitted on or after July 1, 2023, a copy of the completed survey
552-described in section 12 of this act. Such plan shall include, but need not
553-be limited to, the number of additional school mental health specialists
554-to be hired, if such grant funds will be used to retain any of the school
555-mental health specialists hired with the assistance of grant funds
556-awarded under this section, whether such school mental health
557-specialists will be conducting assessments of students or providing
558-services to students based on the results of assessments and the type of
559-services that will be provided by such school mental health specialists.
560-(c) In determining whether to award an applicant a grant under this
561-section, the Commissioner of Education shall give priority to those
562-school districts (1) with large student-to-school mental health specialist
563-ratios, or (2) that have a high volume of student utilization of mental
564-health services.
565-(d) For the fiscal year ending June 30, 2023, the Commissioner of
566-Education may award a grant to an applicant and shall determine the
567-amount of the grant award based on the plan submitted by such
568-applicant pursuant to subsection (b) of this section. The commissioner
569-shall pay a grant to each grant recipient in each of the fiscal years ending
570-June 30, 2023, to June 30, 2025, inclusive, as follows: (1) For the fiscal
571-year ending June 30, 2023, the amount of the grant shall be as
572-determined by the commissioner under this subsection; (2) for the fiscal
573-year ending June 30, 2024, the amount of the grant shall be the same
574-amount as the grant awarded for the prior fiscal year; and (3) for the
575-fiscal year ending June 30, 2025, the amount of the grant shall be seventy
576-per cent of the amount of the grant awarded for the prior fiscal year.
577-(e) Grant recipients shall file annual expenditure reports with the
578-Department of Education at such time, and in such manner, as the
579-commissioner prescribes. A grant recipient shall only expend grant
580-funds received under this section in accordance with the plan submitted Substitute House Bill No. 5001
581-
582-Public Act No. 22-47 19 of 96
583-
584-pursuant to subsection (b) of this section, and a grant recipient may not
585-use such grant funds received under this section for the purpose of any
586-operating expenses that existed prior to receipt of such grant. Grant
587-recipients shall refund to the department (1) any unexpended amounts
588-at the close of the fiscal year in which the grant was awarded, and (2)
589-any amounts not expended in accordance with the plan for which such
590-grant application was approved.
591-(f) (1) The Department of Education shall annually track and calculate
592-the utilization rate of the grant program for each grant recipient. Such
593-utilization rate shall be calculated using metrics that include, but need
594-not be limited to, the number of students served and the hours of service
595-provided using grant funds awarded under the program.
596-(2) The department shall annually calculate the return on investment
597-for the grant program using the expenditure reports filed pursuant to
598-subsection (e) of this section and the utilization rates calculated
599-pursuant to subdivision (1) of this subsection.
600-(g) For purposes of carrying out the provisions of this section, the
601-Department of Education may accept funds from private sources or any
602-state agency, gifts, grants and donations, including, but not limited to,
603-in-kind donations.
604-(h) (1) Not later than January 1, 2024, and each January first thereafter,
605-until and including January 1, 2026, the Commissioner of Education
606-shall submit a report, in accordance with the provisions of section 11-4a
607-of the general statutes, on the utilization rate for each grant recipient
608-and the return on investment for the grant program, calculated pursuant
609-to subsection (f) of this section, to the joint standing committees of the
610-General Assembly having cognizance of matters relating to education
611-and children.
612-(2) Not later than January 1, 2026, the commissioner shall develop Substitute House Bill No. 5001
613-
614-Public Act No. 22-47 20 of 96
615-
616-recommendations concerning (A) whether such grant program should
617-be extended and funded for the fiscal year ending June 30, 2026, and
618-each fiscal year thereafter, and (B) the amount of the grant award under
619-the program. The commissioner shall submit such recommendations, in
620-accordance with the provisions of section 11-4a of the general statutes,
621-to the joint standing committees of the General Assembly having
622-cognizance of matters relating to education and children.
623-Sec. 14. (NEW) (Effective from passage) (a) For the fiscal years ending
624-June 30, 2023, to June 30, 2025, inclusive, the Department of Education
625-shall administer a grant program to provide grants to local and regional
626-boards of education and operators of youth camps and other summer
627-programs for the delivery of mental health services to students.
628-(b) On and after January 1, 2023, applications for grants pursuant to
629-subsection (a) of this section shall be filed with the Commissioner of
630-Education at such time, and in such manner, as the commissioner
631-prescribes. As part of the application, the applicant shall submit (1) a
632-plan for the expenditure of grant funds, and (2) (A) for an application
633-submitted by a local or regional board of education before July 1, 2023,
634-the information described in subdivisions (1) to (5), inclusive, of
635-subsection (b) of section 12 of this act, and (B) for an application
636-submitted by a local or regional board of education on or after July 1,
637-2023, a copy of the completed survey described in section 12 of this act.
638-(c) For the fiscal year ending June 30, 2023, the Commissioner of
639-Education may award a grant to an applicant and shall determine the
640-amount of the grant award based on the plan submitted by such
641-applicant pursuant to subsection (b) of this section. The commissioner
642-shall pay a grant to each grant recipient in each of the fiscal years ending
643-June 30, 2023, to June 30, 2025, inclusive, as follows: (1) For the fiscal
644-year ending June 30, 2023, the amount of the grant shall be as
645-determined by the commissioner under this subsection; (2) for the fiscal
646-year ending June 30, 2024, the amount of the grant shall be the same Substitute House Bill No. 5001
647-
648-Public Act No. 22-47 21 of 96
649-
650-amount as the grant awarded for the prior fiscal year; and (3) for the
651-fiscal year ending June 30, 2025, the amount of the grant shall be seventy
652-per cent of the amount of the grant awarded for the prior fiscal year.
653-(d) Grant recipients shall file expenditure reports with the
654-Commissioner of Education at such time and in such manner as the
655-commissioner prescribes. A grant recipient shall only expend grant
656-funds received under this section in accordance with the plan submitted
657-pursuant to subsection (b) of this section, and a grant recipient may not
658-use such grant funds received under this section for the purpose of any
659-operating expenses that existed prior to receipt of such grant. Grant
660-recipients shall refund to the Department of Education (1) any
661-unexpended amounts at the close of the fiscal year in which the grant
662-was awarded, and (2) any amounts not expended in accordance with
663-the plan for which such grant application was approved.
664-(e) Each grant recipient, in collaboration with the Department of
665-Education, shall develop metrics to annually track and calculate the
666-utilization rate of the grant program for such grant recipient in order to
667-measure the success of the program. Such grant recipient shall annually
668-submit such metrics and utilization rate to the department.
669-(f) For the purposes of carrying out the provisions of this section, the
670-Department of Education may accept funds from private sources or any
671-other state agency, gifts, grants and donations, including, but not
672-limited to, in-kind contributions.
673-(g) (1) Not later than January 1, 2024, and each January first thereafter,
674-until and including January 1, 2026, the Commissioner of Education
675-shall submit a report, in accordance with the provisions of section 11-4a
676-of the general statutes, on the utilization rate for each grant recipient
677-calculated pursuant to subsection (e) of this section, to the joint standing
678-committees of the General Assembly having cognizance of matters
679-relating to education and children. Substitute House Bill No. 5001
680-
681-Public Act No. 22-47 22 of 96
682-
683-(2) Not later than January 1, 2026, the commissioner shall develop
684-recommendations concerning (A) whether such grant program should
685-be extended and funded for the fiscal year ending June 30, 2026, and
686-each fiscal year thereafter, and (B) the amount of the grant award under
687-the program. The commissioner shall submit such recommendations, in
688-accordance with the provisions of section 11-4a of the general statutes,
689-to the joint standing committees of the General Assembly having
690-cognizance of matters relating to education and children.
691-Sec. 15. (NEW) (Effective from passage) (a) For the fiscal years ending
692-June 30, 2023, to June 30, 2025, inclusive, the Office of Higher Education
693-shall administer a grant program to provide grants to public and
694-independent institutions of higher education, for the delivery of mental
695-health services to students on campus.
696-(b) On and after January 1, 2023, applications for grants pursuant to
697-subsection (a) of this section shall be filed with the executive director of
698-the Office of Higher Education at such time, and in such manner, as the
699-executive director prescribes. As part of the application, the applicant
700-shall submit a plan for the expenditure of grant funds.
701-(c) For the fiscal year ending June 30, 2023, the executive director of
702-the Office of Higher Education may award a grant to an applicant and
703-shall determine the amount of the grant award based on the plan
704-submitted by such applicant pursuant to subsection (b) of this section.
705-The executive director shall pay a grant to each grant recipient in each
706-of the fiscal years ending June 30, 2023, to June 30, 2025, inclusive, as
707-follows: (1) For the fiscal year ending June 30, 2023, the amount of the
708-grant shall be as determined by the commissioner under this subsection;
709-(2) for the fiscal year ending June 30, 2024, the amount of the grant shall
710-be the same amount as the grant awarded for the prior fiscal year; and
711-(3) for the fiscal year ending June 30, 2025, the amount of the grant shall
712-be seventy per cent of the amount of the grant awarded for the prior
713-fiscal year. Substitute House Bill No. 5001
714-
715-Public Act No. 22-47 23 of 96
716-
717-(d) Grant recipients shall file expenditure reports with the executive
718-director of the Office of Higher Education at such time and in such
719-manner as the executive director prescribes. A grant recipient shall only
720-expend grant funds received under this section in accordance with the
721-plan submitted pursuant to subsection (b) of this section, and a grant
722-recipient may not use such grant funds received under this section for
723-the purpose of any operating expenses that existed prior to receipt of
724-such grant. Grant recipients shall refund to the Office of Higher
725-Education (1) any unexpended amounts at the close of the fiscal year in
726-which the grant was awarded, and (2) any amounts not expended in
727-accordance with the plan for which such grant application was
728-approved.
729-(e) Each grant recipient, in collaboration with the Office of Higher
730-Education, shall develop metrics to annually track and calculate the
731-utilization rate of the grant program for such grant recipient in order to
732-measure the success of the program. Such grant recipient shall annually
733-submit such metrics and utilization rate to the office.
734-(f) For the purposes of carrying out the provisions of this section, the
735-Office of Higher Education may accept funds from private sources or
736-any other state agency, gifts, grants and donations, including, but not
737-limited to, in-kind contributions.
738-(g) (1) Not later than January 1, 2024, and each January first thereafter,
739-until and including January 1, 2026, the executive director of the Office
740-of Higher Education shall submit a report, in accordance with the
741-provisions of section 11-4a of the general statutes, on the utilization rate
742-for each grant recipient calculated pursuant to subsection (e) of this
743-section, to the joint standing committee of the General Assembly having
744-cognizance of matters relating to higher education.
745-(2) Not later than January 1, 2026, the executive director shall develop
746-recommendations concerning (A) whether such grant program should Substitute House Bill No. 5001
747-
748-Public Act No. 22-47 24 of 96
749-
750-be extended and funded for the fiscal year ending June 30, 2026, and
751-each fiscal year thereafter, and (B) the amount of the grant award under
752-the program. The executi ve director shall submit such
753-recommendations, in accordance with the provisions of section 11-4a of
754-the general statutes, to the joint standing committee of the General
755-Assembly having cognizance of matters relating to higher education.
756-Sec. 16. Subsection (b) of section 10-198a of the general statutes is
757-repealed and the following is substituted in lieu thereof (Effective July 1,
758-2022):
759-(b) Each local and regional board of education shall adopt and
760-implement policies and procedures concerning truants who are enrolled
761-in schools under the jurisdiction of such board of education. Such
762-policies and procedures shall include, but need not be limited to, the
763-following: (1) The holding of a meeting with the parent of each child
764-who is a truant, or other person having control of such child, and
765-appropriate school personnel to review and evaluate the reasons for the
766-child being a truant, provided such meeting shall be held not later than
767-ten school days after the child's fourth unexcused absence in a month or
768-tenth unexcused absence in a school year, (2) coordinating services with
769-and referrals of children to community agencies providing child and
770-family services, (3) annually at the beginning of the school year and
771-upon any enrollment during the school year, notifying the parent or
772-other person having control of each child enrolled in a grade from
773-kindergarten to eight, inclusive, in the public schools in writing of the
774-obligations of the parent or such other person pursuant to section 10-
775-184, (4) annually at the beginning of the school year and upon any
776-enrollment during the school year, obtaining from the parent or other
777-person having control of each child in a grade from kindergarten to
778-eight, inclusive, a telephone number or other means of contacting such
779-parent or such other person during the school day, (5) (A) on or before
780-August 15, 2018, the implementation of a truancy intervention model Substitute House Bill No. 5001
781-
782-Public Act No. 22-47 25 of 96
783-
784-identified by the Department of Education pursuant to subsection (a) of
785-section 10-198e, as amended by this act, for any school under its
786-jurisdiction that has a disproportionately high rate of truancy, as
787-determined by the Commissioner of Education, and (B) on or before
788-September 1, 2023, the adoption and implementation of a truancy
789-intervention model developed by the Department of Education
790-pursuant to subsection (b) of section 10-198e, as amended by this act,
791-that accounts for mental and behavioral health, or a similar truancy
792-intervention plan that meets all of the requirements for a truancy
793-intervention model set forth in subsection (b) of said section, (6) a system
794-of monitoring individual unexcused absences of children in grades
795-kindergarten to eight, inclusive, which shall provide that whenever a
796-child enrolled in school in any such grade fails to report to school on a
797-regularly scheduled school day and no indication has been received by
798-school personnel that the child's parent or other person having control
799-of the child is aware of the pupil's absence, a reasonable effort to notify,
800-by telephone and by mail, the parent or such other person shall be made
801-by school personnel or volunteers under the direction of school
802-personnel, (7) providing notice to the parent or guardian of a child who
803-is a truant of the information concerning the existence and availability
804-of the 2-1-1 Infoline program, and other pediatric mental and behavioral
805-health screening services and tools described in section 17a-22rt, and (8)
806-on and after July 1, 2023, a requirement that an appropriate school
807-mental health specialist, as defined in section 12 of this act, conduct an
808-evaluation of each child who is a truant to determine if additional
809-behavioral health interventions are necessary for the well-being of the
810-child. Any person who, in good faith, gives or fails to give notice
811-pursuant to subdivision (6) of this subsection shall be immune from any
812-liability, civil or criminal, which might otherwise be incurred or
813-imposed and shall have the same immunity with respect to any judicial
814-proceeding which results from such notice or failure to give such notice.
815-Sec. 17. (Effective July 1, 2022) For the fiscal years ending June 30, 2023, Substitute House Bill No. 5001
816-
817-Public Act No. 22-47 26 of 96
818-
819-and June 30, 2024, each regional educational service center shall hire an
820-individual to serve as the regional trauma coordinator for such center.
821-Such individual shall have significant trauma-informed experience and
822-have completed specific professional training focused on trauma. The
823-regional trauma coordinator for each such center shall be responsible
824-for: (1) Developing a trauma-informed care training program in
825-accordance with the provisions of section 18 of this act, (2) implementing
826-the trauma-informed care training program, (3) providing technical
827-assistance to the local and regional boards of education that are
828-members of the regional educational service center in implementing the
829-trauma-informed care training program, (4) training school mental
830-health specialists, as defined in section 12 of this act, to be the trainers
831-under the trauma-informed care training program, and (5) ensuring that
832-such trainers are properly training teachers, administrators, school staff
833-and coaches under the trauma-informed care training program.
834-Sec. 18. (Effective July 1, 2022) (a) The regional trauma coordinators
835-employed by the regional educational service centers, described in
836-section 17 of this act, shall jointly develop and implement a trauma-
837-informed care training program. Such training program shall utilize a
838-training model that will enable school mental health specialists, as
839-defined in section 12 of this act, to deliver trauma-informed care training
840-to all teachers, administrators, school staff and coaches upon completion
841-of the training program. In developing such trauma-informed care
842-training program, the regional trauma coordinators (1) shall attempt to
843-design such trauma-informed care training in a manner that it can be
844-included as part of a local or regional board of education's in-service
845-training program, pursuant to section 10-220a of the general statutes,
846-and (2) may collaborate with any nonprofit organization in the state that
847-focuses on child health and development and trauma-informed care for
848-children.
849-(b) The regional trauma coordinator for each regional educational Substitute House Bill No. 5001
850-
851-Public Act No. 22-47 27 of 96
852-
853-service center shall offer trauma-informed care training at no cost to
854-school mental health specialists or the local or regional boards of
855-education that are members of such regional educational service center
856-and that employ such school mental health specialists. Any school
857-mental health specialist who has participated in the trauma-informed
858-care program described in subsection (a) of this section shall be the
859-person to provide such trauma-informed training to teachers,
860-administrators, school staff and coaches under this section.
861-(c) A local or regional board of education may enter into an
862-agreement with the trauma coordinator for the regional educational
863-service center to provide the trauma-informed care training program as
864-part of the in-service training program for the school district, pursuant
865-to section 10-220a of the general statutes.
866-(d) (1) Each regional trauma coordinator shall develop a progress
867-report on the implementation of the trauma-informed care training
868-program for the prior fiscal year. Such progress report shall include an
869-analysis of the effectiveness and results of the program. Not later than
870-January 1, 2024, each regional trauma coordinator shall submit such
871-progress report, in accordance with the provisions of section 11-4a of the
872-general statutes, to the joint standing committees of the General
873-Assembly having cognizance of matters relating to education and
874-children.
875-(2) Each regional trauma coordinator shall develop a final report on
876-the implementation of the trauma-informed care training program for
877-the previous two fiscal years. Such final report shall include (A) an
878-analysis of the effectiveness and results of the program, and (B)
879-recommendations concerning whether the trauma-informed care
880-training program should be extended and funded for the fiscal years
881-ending June 30, 2025, and June 30, 2026. Not later than January 1, 2025,
882-each regional trauma coordinator shall submit such final report, in
883-accordance with the provisions of section 11-4a of the general statutes, Substitute House Bill No. 5001
884-
885-Public Act No. 22-47 28 of 96
886-
887-to the joint standing committees of the General Assembly having
888-cognizance of matters relating to education and children.
889-Sec. 19. (NEW) (Effective July 1, 2022) For the school year commencing
890-July 1, 2022, and each school year thereafter, any teacher of record in a
891-classroom may request a behavior intervention meeting with the crisis
892-intervention team for the school, as described in section 10-236b of the
893-general statutes, for any student whose behavior has caused a serious
894-disruption to the instruction of other students, or caused self-harm or
895-physical harm to such teacher or another student or staff member in
896-such teacher's classroom. The crisis intervention team shall, upon the
897-request of such teacher, convene a behavior intervention meeting
898-regarding such student. The participants of such behavior intervention
899-meeting shall identify resources and supports to address such student's
900-social, emotional and instructional needs.
901-Sec. 20. Subsection (c) of section 10-220 of the 2022 supplement to the
902-general statutes is repealed and the following is substituted in lieu
903-thereof (Effective July 1, 2022):
904-(c) Annually, each local and regional board of education shall submit
905-to the Commissioner of Education a strategic school profile report for
906-each school and school or program of alternative education, as defined
907-in section 10-74j, under its jurisdiction and for the school district as a
908-whole. The superintendent of each local and regional school district
909-shall present the profile report at the next regularly scheduled public
910-meeting of the board of education after each November first. The profile
911-report shall provide information on measures of (1) student needs,
912-including, but not limited to, a needs assessment that identifies
913-resources necessary to address student trauma impacting students and
914-staff in each school and adequately respond to students with mental,
915-emotional or behavioral health needs, (2) school resources, including
916-technological resources and utilization of such resources and
917-infrastructure, (3) student and school performance, including in-school Substitute House Bill No. 5001
918-
919-Public Act No. 22-47 29 of 96
920-
921-suspensions, out-of-school suspensions and expulsions, the number of
922-truants, as defined in section 10-198a, as amended by this act, and
923-chronically absent children, as defined in section 10-198c, (4) the number
924-of students enrolled in an adult high school credit diploma program,
925-pursuant to section 10-69, operated by a local or regional board of
926-education or a regional educational service center, (5) equitable
927-allocation of resources among its schools, (6) reduction of racial, ethnic
928-and economic isolation, (7) special education, and (8) school-based
929-arrests, as defined in section 10-233n. For purposes of this subsection,
930-measures of special education include (A) special education
931-identification rates by disability, (B) rates at which special education
932-students are exempted from mastery testing pursuant to section 10-14q,
933-(C) expenditures for special education, including such expenditures as
934-a percentage of total expenditures, (D) achievement data for special
935-education students, (E) rates at which students identified as requiring
936-special education are no longer identified as requiring special education,
937-(F) the availability of supplemental educational services for students
938-lacking basic educational skills, (G) the amount of special education
939-student instructional time with nondisabled peers, (H) the number of
940-students placed out-of-district, and (I) the actions taken by the school
941-district to improve special education programs, as indicated by analyses
942-of the local data provided in subparagraphs (A) to (H), inclusive, of this
943-subdivision. The superintendent shall include in the narrative portion
944-of the report information about parental involvement and any measures
945-the district has taken to improve parental involvement, including, but
946-not limited to, employment of methods to engage parents in the
947-planning and improvement of school programs and methods to increase
948-support to parents working at home with their children on learning
949-activities. For purposes of this subsection, measures of truancy include
950-the type of data that is required to be collected by the Department of
951-Education regarding attendance and unexcused absences in order for
952-the department to comply with federal reporting requirements and the
953-actions taken by the local or regional board of education to reduce Substitute House Bill No. 5001
954-
955-Public Act No. 22-47 30 of 96
956-
957-truancy in the school district. Such truancy data shall be considered a
958-public record, as defined in section 1-200.
959-Sec. 21. Section 10-198e of the general statutes is repealed and the
960-following is substituted in lieu thereof (Effective July 1, 2022):
961-(a) The Department of Education shall identify effective truancy
962-intervention models for implementation by local and regional boards of
963-education pursuant to subsection (b) of section 10-198a, as amended by
964-this act, including intervention models that address the needs of
965-students with disabilities. Not later than August 15, 2018, a listing of
966-such approved models shall be available for implementation by local
967-and regional boards of education pursuant to said subsection (b).
968-(b) Not later than September 1, 2023, the Department of Education
969-shall develop and make available for implementation by local and
970-regional boards of education described in subparagraph (B) of
971-subdivision (5) of subsection (b) of section 10-198a, as amended by this
972-act, a truancy intervention model that accounts for mental and
973-behavioral health.
974-(c) Not later than September 1, 2023, the Department of Education, in
975-collaboration with the Department of Children and Families, shall issue
976-guidance to local and regional boards of education on best practices
977-relating to intervention in certain behavioral health situations and when
978-it is appropriate to contact the 2-1-1 Infoline program or use alternative
979-interventions.
980-Sec. 22. Subdivision (1) of subsection (a) of section 28-24 of the general
981-statutes is repealed and the following is substituted in lieu thereof
982-(Effective October 1, 2022):
983-(1) Develop a state-wide emergency service telecommunications plan
984-specifying emergency police, fire and medical service
985-telecommunications systems needed to provide coordinated emergency Substitute House Bill No. 5001
986-
987-Public Act No. 22-47 31 of 96
988-
989-service telecommunications to all state residents, including [the
990-physically disabled] persons with physical disabilities and persons in
991-need of mental health, behavioral health or substance use disorder
992-services;
993-Sec. 23. Section 28-29a of the general statutes is repealed and the
994-following is substituted in lieu thereof (Effective October 1, 2022):
995-(a) There is established an E 9-1-1 Commission to (1) advise the
996-division in the planning, design, implementation and coordination of
997-the state-wide emergency 9-1-1 telephone system [to be] created
998-pursuant to sections 28-25 to 28-29b, inclusive, and (2) in consultation
999-with the Coordinating Advisory Board established pursuant to section
1000-29-1t, as amended by this act, advise the Commissioner of Emergency
1001-Services and Public Protection in the planning, design, implementation,
1002-coordination and governance of the public safety data network
1003-established pursuant to section 29-1j.
1004-(b) The commission shall be appointed by the Governor and shall
1005-consist of the following members: (1) One representative from the
1006-technical support services unit of the Division of State Police within the
1007-Department of Emergency Services and Public Protection; (2) the State
1008-Fire Administrator; (3) one representative from the Office of Emergency
1009-Medical Services; (4) one representative from the Division of Emergency
1010-Management and Homeland Security within the Department of
1011-Emergency Services and Public Protection; (5) the Commissioner of
1012-Public Health, or the commissioner's designee; (6) the Commissioner of
1013-Mental Health and Addiction Services, or the commissioner's designee;
1014-(7) the Commissioner of Children and Families, or the commissioner's
1015-designee; (8) one municipal police chief; [(6)] (9) one municipal fire chief;
1016-[(7)] (10) one volunteer fireman; [(8)] (11) one representative of the
1017-Connecticut Conference of Municipalities; [(9)] (12) one representative
1018-of the Council of Small Towns; [(10)] (13) one representative of
1019-telecommunicators, as defined in section 28-30; [(11)] (14) one Substitute House Bill No. 5001
1020-
1021-Public Act No. 22-47 32 of 96
1022-
1023-representative of the public; [(12)] (15) one manager or coordinator of 9-
1024-1-1 public safety answering points serving areas of differing population
1025-concentration; and [(13)] (16) one representative of providers of
1026-commercial mobile radio services, as defined in 47 Code of Federal
1027-Regulations 20.3, as amended. Each member shall serve for a term of
1028-three years from the date of his or her appointment or until a successor
1029-has been appointed and qualified. No member of the commission shall
1030-receive compensation for such member's services.
1031-Sec. 24. Subsection (b) of section 29-1t of the general statutes is
1032-repealed and the following is substituted in lieu thereof (Effective October
1033-1, 2022):
1034-(b) The Commissioner of Emergency Services and Public Protection,
1035-or said commissioner's designee, shall serve as the chairperson of the
1036-Coordinating Advisory Board. The board shall consist of: (1) The
1037-president of the Connecticut State Firefighters Association or a designee,
1038-representing volunteer firefighters; (2) the president of the Uniformed
1039-Professional Firefighters Association or a designee, representing
1040-professional firefighters; (3) the president of the American Federation of
1041-State, County and Municipal Employees, or a designee, representing
1042-municipal police officers; (4) the executive director of the Connecticut
1043-Conference of Municipalities or a designee; (5) the executive director of
1044-the Connecticut Council of Small Towns or a designee; (6) a member of
1045-the Police Officer Standards Training Council, designated by the
1046-chairperson of said council; (7) a member of the Commission on Fire
1047-Prevention and Control, designated by the chairperson of said
1048-commission; (8) the president of the Connecticut Emergency
1049-Management Association or a designee; (9) the president of the
1050-Connecticut Police Chiefs Association or a designee; (10) the president
1051-of the Connecticut Fire Chiefs Association or a designee; (11) the
1052-president of the Connecticut Career Fire Chiefs Association or a
1053-designee; (12) the Commissioner of Public Health; (13) the Substitute House Bill No. 5001
1054-
1055-Public Act No. 22-47 33 of 96
1056-
1057-Commissioner of Mental Health and Addiction Services; (14) the
1058-Commissioner of Children and Families; and [(13)] (15) one
1059-representative, designated by the Commissioner of Emergency Services
1060-and Public Protection, from each of the divisions of Emergency
1061-Management and Homeland Security, State Police, Scientific Services
1062-and State-Wide Emergency Telecommunications within the
1063-Department of Emergency Services and Public Protection. Said board
1064-shall convene quarterly and at such other times as the chairperson
1065-deems necessary.
1066-Sec. 25. (NEW) (Effective October 1, 2022) (a) There is established an
1067-account to be known as the "9-8-8 Suicide Prevention and Mental Health
1068-Crisis Lifeline Fund" which shall be a separate, nonlapsing account
1069-within the General Fund. The account shall contain any moneys
1070-required to be deposited in, or transferred to, the account pursuant to
1071-subsection (b) of this section. Moneys in the account shall be expended
1072-by the Department of Mental Health and Addiction Services solely for
1073-the following purposes: (1) Ensuring the efficient and effective routing
1074-of calls made to the 9-8-8 National Suicide Prevention Lifeline by
1075-persons in the state to an appropriate crisis center; and (2) personnel and
1076-the provision of acute mental health, crisis outreach and stabilization
1077-services by directly responding to the 9–8–8 National Suicide Prevention
1078-Lifeline.
1079-(b) The following moneys shall be deposited in, or transferred to, the
1080-9-8-8 Suicide Prevention and Mental Health Crisis Lifeline Fund: (1)
1081-Any appropriation made by the General Assembly to the Department
1082-of Mental Health and Addiction Services for deposit in the fund; (2) any
1083-grants or gifts intended for deposit in the fund; and (3) interest,
1084-premiums, gains or other earnings on the fund.
1085-(c) Moneys remaining in the 9-8-8 Suicide Prevention and Mental
1086-Health Crisis Lifeline Fund (1) shall not revert to the General Fund at
1087-the end of any fiscal year and remain available in subsequent fiscal years Substitute House Bill No. 5001
1088-
1089-Public Act No. 22-47 34 of 96
1090-
1091-for the purposes described in subsection (a) of this section, and (2) shall
1092-not be subject to transfer to any other fund, or to transfer, assignment or
1093-reassignment for any purpose other than the purposes described in
1094-subsection (a) of this section.
1095-(d) On or before January 1, 2024, and annually thereafter, the
1096-Commissioner of Mental Health and Addiction Services shall report, in
1097-accordance with the provisions of section 11-4a of the general statutes,
1098-on the deposits and expenditures of the 9-8-8 Suicide Prevention and
1099-Mental Health Crisis Lifeline Fund to the joint standing committees of
1100-the General Assembly having cognizance of matters relating to
1101-appropriations and the budgets of state agencies, public health, human
1102-services and children.
1103-Sec. 26. (Effective from passage) (a) The Department of Emergency
1104-Services and Public Protection, in collaboration with the Departments of
1105-Mental Health and Addiction Services, Children and Families and
1106-Public Health, shall develop a plan to incorporate mental health,
1107-behavioral health and substance use disorder diversion into the
1108-procedures used by each public safety answering point, as defined in
1109-section 28-25 of the general statutes, to dispatch emergency response
1110-services in response to a 9-1-1 call. The plan shall include, but not be
1111-limited to, recommendations for (1) staffing public safety answering
1112-points with licensed providers of behavioral health, mental health and
1113-substance use disorder services to (A) provide crisis counselling to 9-1-
1114-1 callers who require immediate mental health, behavioral health or
1115-substance use disorder services, (B) assess such callers' needs for
1116-ongoing mental health, behavioral health or substance use disorder
1117-services, and (C) refer such callers to providers of such services as
1118-necessary; (2) transferring 9-1-1 calls made by callers who require
1119-mental health, behavioral health or substance use disorder services to
1120-responders other than law enforcement, including, but not limited to,
1121-community organizations, mobile crisis teams, local organizations or Substitute House Bill No. 5001
1122-
1123-Public Act No. 22-47 35 of 96
1124-
1125-networks, providing telephone support or referral services for persons
1126-with mental or behavioral health needs or with a substance use disorder
1127-and inquiring whether any such caller is a veteran to better target the
1128-services such caller may need; (3) requiring each public safety
1129-answering point to coordinate with the Department of Mental Health
1130-and Addiction Services while the state transitions mental health crisis
1131-and suicide response from the United Way's 2-1-1 Infoline program to
1132-the National Suicide Prevention Lifeline's 9-8-8 program; (4) developing
1133-protocols for public safety answering points to transfer 9-1-1 calls to the
1134-9-8-8 line when the 9-8-8 line is operational; (5) establishing standards
1135-for training each telecommunicator, as defined in section 28-30 of the
1136-general statutes, to respond to 9-1-1 callers who may require mental
1137-health, behavioral health or substance use disorder services; (6)
1138-collecting data to evaluate the effectiveness of procedures used to divert
1139-9-1-1 callers who may need such services to the appropriate crisis
1140-hotline or services provider; and (7) evaluating the implementation of
1141-such procedures by other states or jurisdictions.
1142-(b) Not later than January 1, 2023, the Commissioner of Emergency
1143-Services and Public Protection shall report, in accordance with the
1144-provisions of section 11-4a of the general statutes, to the joint standing
1145-committees of the General Assembly having cognizance of matters
1146-relating to public safety, public health and children regarding the
1147-development of the plan required under subsection (a) of this section,
1148-the recommendations concerning implementation of such plan and the
1149-timeline for implementation of such plan.
1150-Sec. 27. (Effective from passage) (a) On or before January 1, 2024, the
1151-Department of Mental Health and Addiction Services shall develop a
1152-mechanism by which to track mental health, behavioral health and
1153-substance use disorder services provided in response to calls made to
1154-the 9-8-8 line when the 9-8-8 line is operational.
1155-(b) Not later than February 1, 2024, the Commissioner of Mental Substitute House Bill No. 5001
1156-
1157-Public Act No. 22-47 36 of 96
1158-
1159-Health and Addiction Services shall report, in accordance with the
1160-provisions of section 11-4a of the general statutes, to the joint standing
1161-committee of the General Assembly having cognizance of matters
1162-relating to public health regarding the development of such mechanism.
1163-Sec. 28. (NEW) (Effective July 1, 2022) (a) Except as otherwise provided
1164-in subsection (b) of this section, for the school year commencing July 1,
1165-2023, and each school year thereafter, each local and regional board of
1166-education shall include on the student identification card distributed to
1167-each student in grades six to twelve, inclusive, the 9-8-8 National Suicide
1168-Prevention Lifeline number.
1169-(b) If the 9-8-8 National Suicide Prevention Lifeline number has not
1170-been in operation for more than one year prior to the start of the school
1171-year commencing July 1, 2023, the provisions of subsection (a) of this
1172-section shall commence and be applicable to the school years
1173-immediately following the date that the 9-8-8 National Suicide
1174-Prevention Lifeline has been operational in the state for three hundred
1175-sixty-six days.
1176-Sec. 29. (NEW) (Effective October 1, 2022) Each public institution of
1177-higher education under the jurisdiction of the Board of Regents for
1178-Higher Education shall include the 9–8–8 National Suicide Prevention
1179-Lifeline number on each student identification card that is distributed
1180-to a student at the institution after said lifeline has been operational in
1181-the state for three hundred sixty-six days.
1182-Sec. 30. (NEW) (Effective October 1, 2022) The University of
1183-Connecticut shall include the 9-8-8 National Suicide Prevention Lifeline
1184-number on each student identification card that is printed for a student
1185-at said university after said lifeline has been operational in the state for
1186-three hundred sixty-six days.
1187-Sec. 31. Section 19a-638 of the general statutes is repealed and the Substitute House Bill No. 5001
1188-
1189-Public Act No. 22-47 37 of 96
1190-
1191-following is substituted in lieu thereof (Effective from passage):
1192-(a) A certificate of need issued by the unit shall be required for:
1193-(1) The establishment of a new health care facility;
1194-(2) A transfer of ownership of a health care facility;
1195-(3) A transfer of ownership of a large group practice to any entity
1196-other than a (A) physician, or (B) group of two or more physicians,
1197-legally organized in a partnership, professional corporation or limited
1198-liability company formed to render professional services and not
1199-employed by or an affiliate of any hospital, medical foundation,
1200-insurance company or other similar entity;
1201-(4) The establishment of a freestanding emergency department;
1202-(5) The termination of inpatient or outpatient services offered by a
1203-hospital, including, but not limited to, the termination by a short-term
1204-acute care general hospital or children's hospital of inpatient and
1205-outpatient mental health and substance abuse services;
1206-(6) The establishment of an outpatient surgical facility, as defined in
1207-section 19a-493b, or as established by a short-term acute care general
1208-hospital;
1209-(7) The termination of surgical services by an outpatient surgical
1210-facility, as defined in section 19a-493b, or a facility that provides
1211-outpatient surgical services as part of the outpatient surgery department
1212-of a short-term acute care general hospital, provided termination of
1213-outpatient surgical services due to (A) insufficient patient volume, or (B)
1214-the termination of any subspecialty surgical service, shall not require
1215-certificate of need approval;
1216-(8) The termination of an emergency department by a short-term
1217-acute care general hospital; Substitute House Bill No. 5001
1218-
1219-Public Act No. 22-47 38 of 96
1220-
1221-(9) The establishment of cardiac services, including inpatient and
1222-outpatient cardiac catheterization, interventional cardiology and
1223-cardiovascular surgery;
1224-(10) The acquisition of computed tomography scanners, magnetic
1225-resonance imaging scanners, positron emission tomography scanners or
1226-positron emission tomography-computed tomography scanners, by any
1227-person, physician, provider, short-term acute care general hospital or
1228-children's hospital, except (A) as provided for in subdivision (22) of
1229-subsection (b) of this section, and (B) a certificate of need issued by the
1230-unit shall not be required where such scanner is a replacement for a
1231-scanner that was previously acquired through certificate of need
1232-approval or a certificate of need determination;
1233-(11) The acquisition of nonhospital based linear accelerators;
1234-(12) An increase in the licensed bed capacity of a health care facility,
1235-except as provided in subdivision (23) of subsection (b) of this section;
1236-(13) The acquisition of equipment utilizing technology that has not
1237-previously been utilized in the state;
1238-(14) An increase of two or more operating rooms within any three-
1239-year period, commencing on and after October 1, 2010, by an outpatient
1240-surgical facility, as defined in section 19a-493b, or by a short-term acute
1241-care general hospital; and
1242-(15) The termination of inpatient or outpatient services offered by a
1243-hospital or other facility or institution operated by the state that
1244-provides services that are eligible for reimbursement under Title XVIII
1245-or XIX of the federal Social Security Act, 42 USC 301, as amended.
1246-(b) A certificate of need shall not be required for:
1247-(1) Health care facilities owned and operated by the federal Substitute House Bill No. 5001
1248-
1249-Public Act No. 22-47 39 of 96
1250-
1251-government;
1252-(2) The establishment of offices by a licensed private practitioner,
1253-whether for individual or group practice, except when a certificate of
1254-need is required in accordance with the requirements of section 19a-
1255-493b or subdivision (3), (10) or (11) of subsection (a) of this section;
1256-(3) A health care facility operated by a religious group that
1257-exclusively relies upon spiritual means through prayer for healing;
1258-(4) Residential care homes, as defined in subsection (c) of section 19a-
1259-490, and nursing homes and rest homes, as defined in subsection (o) of
1260-section 19a-490;
1261-(5) An assisted living services agency, as defined in section 19a-490;
1262-(6) Home health agencies, as defined in section 19a-490;
1263-(7) Hospice services, as described in section 19a-122b;
1264-(8) Outpatient rehabilitation facilities;
1265-(9) Outpatient chronic dialysis services;
1266-(10) Transplant services;
1267-(11) Free clinics, as defined in section 19a-630;
1268-(12) School-based health centers and expanded school health sites, as
1269-such terms are defined in section 19a-6r, community health centers, as
1270-defined in section 19a-490a, not-for-profit outpatient clinics licensed in
1271-accordance with the provisions of chapter 368v and federally qualified
1272-health centers;
1273-(13) A program licensed or funded by the Department of Children
1274-and Families, provided such program is not a psychiatric residential
1275-treatment facility; Substitute House Bill No. 5001
1276-
1277-Public Act No. 22-47 40 of 96
1278-
1279-(14) Any nonprofit facility, institution or provider that has a contract
1280-with, or is certified or licensed to provide a service for, a state agency or
1281-department for a service that would otherwise require a certificate of
1282-need. The provisions of this subdivision shall not apply to a short-term
1283-acute care general hospital or children's hospital, or a hospital or other
1284-facility or institution operated by the state that provides services that are
1285-eligible for reimbursement under Title XVIII or XIX of the federal Social
1286-Security Act, 42 USC 301, as amended;
1287-(15) A health care facility operated by a nonprofit educational
1288-institution exclusively for students, faculty and staff of such institution
1289-and their dependents;
1290-(16) An outpatient clinic or program operated exclusively by or
1291-contracted to be operated exclusively by a municipality, municipal
1292-agency, municipal board of education or a health district, as described
1293-in section 19a-241;
1294-(17) A residential facility for persons with intellectual disability
1295-licensed pursuant to section 17a-227 and certified to participate in the
1296-Title XIX Medicaid program as an intermediate care facility for
1297-individuals with intellectual disabilities;
1298-(18) Replacement of existing imaging equipment if such equipment
1299-was acquired through certificate of need approval or a certificate of need
1300-determination, provided a health care facility, provider, physician or
1301-person notifies the unit of the date on which the equipment is replaced
1302-and the disposition of the replaced equipment;
1303-(19) Acquisition of cone-beam dental imaging equipment that is to be
1304-used exclusively by a dentist licensed pursuant to chapter 379;
1305-(20) The partial or total elimination of services provided by an
1306-outpatient surgical facility, as defined in section 19a-493b, except as
1307-provided in subdivision (6) of subsection (a) of this section and section Substitute House Bill No. 5001
1308-
1309-Public Act No. 22-47 41 of 96
1310-
1311-19a-639e;
1312-(21) The termination of services for which the Department of Public
1313-Health has requested the facility to relinquish its license; [or]
1314-(22) Acquisition of any equipment by any person that is to be used
1315-exclusively for scientific research that is not conducted on humans; or
1316-(23) On or before June 30, 2026, an increase in the licensed bed
1317-capacity of a mental health facility, provided (A) the mental health
1318-facility demonstrates to the unit, in a form and manner prescribed by
1319-the unit, that it accepts reimbursement for any covered benefit provided
1320-to a covered individual under: (i) An individual or group health
1321-insurance policy providing coverage of the type specified in
1322-subdivisions (1), (2), (4), (11) and (12) of section 38a-469; (ii) a self-
1323-insured employee welfare benefit plan established pursuant to the
1324-federal Employee Retirement Income Security Act of 1974, as amended
1325-from time to time; or (iii) HUSKY Health, as defined in section 17b-290,
1326-and (B) if the mental health facility does not accept or stops accepting
1327-reimbursement for any covered benefit provided to a covered
1328-individual under a policy, plan or program described in clause (i), (ii) or
1329-(iii) of subparagraph (A) of this subdivision, a certificate of need for such
1330-increase in the licensed bed capacity shall be required.
1331-(c) (1) Any person, health care facility or institution that is unsure
1332-whether a certificate of need is required under this section, or (2) any
1333-health care facility that proposes to relocate pursuant to section 19a-639c
1334-shall send a letter to the unit that describes the project and requests that
1335-the unit make a determination as to whether a certificate of need is
1336-required. In the case of a relocation of a health care facility, the letter
1337-shall include information described in section 19a-639c. A person, health
1338-care facility or institution making such request shall provide the unit
1339-with any information the unit requests as part of its determination
1340-process. Substitute House Bill No. 5001
1341-
1342-Public Act No. 22-47 42 of 96
1343-
1344-(d) The executive director of the Office of Health Strategy may
1345-implement policies and procedures necessary to administer the
1346-provisions of this section while in the process of adopting such policies
1347-and procedures as regulation, provided the executive director holds a
1348-public hearing prior to implementing the policies and procedures and
1349-posts notice of intent to adopt regulations on the office's Internet web
1350-site and the eRegulations System not later than twenty days after the
1351-date of implementation. Policies and procedures implemented pursuant
1352-to this section shall be valid until the time final regulations are adopted.
1353-(e) On or before June 30, 2026, a mental health facility seeking to
1354-increase licensed bed capacity without applying for a certificate of need,
1355-as permitted pursuant to subdivision (23) of subsection (b) of this
1356-section, shall notify the Office of Health Strategy, in a form and manner
1357-prescribed by the executive director of said office, regarding (1) such
1358-facility's intent to increase licensed bed capacity, (2) the address of such
1359-facility, and (3) a description of all services that are being or will be
1360-provided at such facility.
1361-(f) Not later than January 1, 2025, the executive director of the Office
1362-of Health Strategy shall report to the Governor and, in accordance with
1363-the provisions of section 11-4a, to the joint standing committee of the
1364-General Assembly having cognizance of matters relating to public
1365-health concerning the executive director's recommendations, if any,
1366-regarding the establishment of an expedited certificate of need process
1367-for mental health facilities.
1368-Sec. 32. (NEW) (Effective from passage) (a) There is established a Mental
1369-and Behavioral Health Treatment Fund, which shall be a separate,
1370-nonlapsing account within the General Fund. The account shall contain
1371-any moneys required by law to be deposited in the account, the
1372-resources of which shall be used by the Commissioner of Children and
1373-Families to assist families with the cost of obtaining (1) a drug or
1374-treatment prescribed for a child by a health care provider for the Substitute House Bill No. 5001
1375-
1376-Public Act No. 22-47 43 of 96
1377-
1378-treatment of a mental or behavioral health condition if the cost of such
1379-drug or treatment is not covered by insurance or Medicaid, and (2)
1380-intensive evidence-based services or other intensive services to treat
1381-mental and behavioral health conditions in children and adolescents,
1382-including, but not limited to, intensive in-home child and adolescent
1383-psychiatric services and services provided by an intensive outpatient
1384-program, if the cost of such services is not covered by insurance or
1385-Medicaid. The Commissioner of Children and Families shall establish
1386-eligibility criteria for families to receive such assistance. Such eligibility
1387-requirements (A) shall include that a family has sought and been denied
1388-coverage or reimbursement for such drug or treatment or such intensive
1389-services by the family's health carrier, and (B) may include, but need not
1390-be limited to, a family's financial need. Not later than January 1, 2023,
1391-the Commissioner of Children and Families shall begin accepting
1392-applications for such assistance.
1393-(b) The Commissioner of Children and Families may accept on behalf
1394-of the fund any federal funds or private grants or gifts made for
1395-purposes of this section. The commissioner shall use such funds to make
1396-grants to families for the purposes described in this section.
1397-(c) Not later than January 1, 2023, the Departments of Children and
1398-Families and Consumer Protection and the Office of Policy and
1399-Management shall post in a conspicuous location on their respective
1400-Internet web sites a description of the grant program, including, but not
1401-limited to, the eligibility requirements and application process for the
1402-grant program. Not later than January 1, 2023, the Department of
1403-Children and Families shall (1) post such description on the Internet web
1404-site administered by the department that contains information
1405-regarding resources for connecting children and families to behavioral
1406-health services, (2) include such description on the documents
1407-developed by the department pursuant to section 17a-22r of the general
1408-statutes, and (3) provide such description to the 2-1-1 Infoline program Substitute House Bill No. 5001
1409-
1410-Public Act No. 22-47 44 of 96
1411-
1412-operated by the United Way of Connecticut. The Secretary of the Office
1413-of Policy and Management may request that another state agency post
1414-such description on such agency's Internet web site.
1415-(d) On or before January 1, 2024, and annually thereafter, the
1416-Commissioner of Children and Families shall report, in accordance with
1417-the provisions of section 11-4a of the general statutes, to the joint
1418-standing committee of the General Assembly having cognizance of
1419-matters relating to public health regarding the effectiveness of the grant
1420-program established under subsection (b) of this section.
1421-Sec. 33. (NEW) (Effective from passage) On or before January 1, 2023,
1422-the Department of Public Health, in consultation with the Department
1423-of Children and Families, shall develop or procure, in consultation with
1424-a representative of a children's hospital located in the state and the
1425-Connecticut chapter of a national professional association of
1426-pediatricians and of a national professional association of child and
1427-adolescent psychiatrists, a pediatric mental health, behavioral health
1428-and substance use disorder screening tool to be completed by a child
1429-and, where appropriate, the child's parent or guardian prior to or during
1430-the child's appointment with the child's pediatrician or during the
1431-child's visit to an emergency department. Said departments shall
1432-establish standards regarding the minimum age at which such screening
1433-tool should first be utilized for a child. Such screening tool shall include
1434-questions geared toward assisting the pediatrician or emergency
1435-department physician in diagnosing common mental health and
1436-behavioral health conditions and substance use disorders that may
1437-require specialized treatment. On or before January 1, 2023, the
1438-Department of Public Health, in collaboration with the Departments of
1439-Children and Families and Mental Health and Addiction Services, shall
1440-make the screening tool available to all pediatricians and emergency
1441-department physicians in the state, free of charge, and make
1442-recommendations to pediatricians and emergency department Substitute House Bill No. 5001
1443-
1444-Public Act No. 22-47 45 of 96
1445-
1446-physicians for its effective use. Pediatricians and emergency department
1447-physicians shall use the screening tool developed pursuant to this
1448-section as a supplement to the existing methods used to diagnose a
1449-mental health or behavioral health condition or a substance use
1450-disorder. Pediatricians shall provide such screening tool to each patient
1451-on an annual basis. Emergency department physicians shall provide
1452-such screening tool to each emergency department patient who is under
1453-the age of eighteen and at least the age determined by the Departments
1454-of Public Health and Children and Families, or the parents or guardian
1455-of such patient, prior to such patient's discharge from the emergency
1456-department and, to the extent possible and as soon as practicable, send
1457-a copy of such completed screening tool to such patient's pediatrician or
1458-primary care provider.
1459-Sec. 34. (NEW) (Effective July 1, 2022) (a) As used in this section and
1460-section 35 of this act, "designated staff member" means a teacher, school
1461-administrator, school counselor, school counselor, psychologist, social
1462-worker, nurse, physician or school paraeducator employed by a local or
1463-regional board of education or working in a public middle school or
1464-high school.
1465-(b) Not later than January 1, 2023, the Department of Children and
1466-Families shall, in collaboration with the Department of Education,
1467-develop a peer-to-peer mental health support program that provides
1468-services to aid students in grades six to twelve, inclusive, in problem
1469-solving, decision making, conflict resolution and stress management.
1470-Such program shall be made available to local and regional boards of
1471-education, local health departments, district departments of health,
1472-youth services bureaus established pursuant to section 10-19m of the
1473-general statutes, municipal social service agencies and other youth-
1474-serving organizations approved by the Department of Children and
1475-Families. In developing such program, the department shall utilize best
1476-practices and may use existing models of peer-to-peer counseling. Substitute House Bill No. 5001
1477-
1478-Public Act No. 22-47 46 of 96
1479-
1480-(c) On and after January 1, 2023, the Department of Children and
1481-Families shall, in collaboration with the Department of Education,
1482-provide training to (1) designated staff members selected by the
1483-superintendent of schools pursuant to section 35 of this act, and (2)
1484-employees of local health departments, district departments of health,
1485-youth service bureaus established pursuant to section 10-19m of the
1486-general statutes, municipal social service agencies and other youth-
1487-serving organizations selected pursuant to section 35 of this act, on how
1488-to implement the peer-to-peer mental health support program and
1489-provide instruction, guidance and supervision to students participating
1490-in such program.
1491-Sec. 35. (NEW) (Effective July 1, 2022) For the school year commencing
1492-July 1, 2023, and each school year thereafter, any local or regional board
1493-of education, in collaboration with the Departments of Children and
1494-Families and Education, may administer the peer-to-peer mental health
1495-support program developed pursuant to section 34 of this act. The
1496-superintendent of schools for the local or regional school district
1497-administering such program shall select one or more designated staff
1498-members to complete the training described in section 34 of this act.
1499-Such program shall be provided to participating students in grades six
1500-to twelve, inclusive.
1501-Sec. 36. (NEW) (Effective July 1, 2022) On and after July 1, 2023, any
1502-local health department, district department of health, youth service
1503-bureau established pursuant to section 10-19m of the general statutes,
1504-municipal social service agency or other youth-serving organization
1505-approved by the Department of Children and Families, in collaboration
1506-with the Department of Education, may administer the peer-to-peer
1507-mental health support program developed pursuant to section 34 of this
1508-act. The entity administering the program shall select one or more
1509-employees to complete the training described in section 34 of this act.
1510-The program shall be provided to participating students in grades six to Substitute House Bill No. 5001
1511-
1512-Public Act No. 22-47 47 of 96
1513-
1514-twelve, inclusive.
1515-Sec. 37. (NEW) (Effective July 1, 2022) (a) For purposes of this section,
1516-(1) "children with behavioral health needs" means children who are
1517-suffering from one or more mental disorders as defined in the most
1518-recent edition of the American Psychiatric Association's "Diagnostic and
1519-Statistical Manual of Mental Disorders", and (2) "in-home respite care
1520-services" means in-home care for children with behavioral health needs,
1521-provided in order to afford such children's parents or guardians respite
1522-from caregiving.
1523-(b) There is established an account to be known as the "Department
1524-of Children and Families in-home respite care services fund" which shall
1525-be a separate, nonlapsing account within the General Fund. The account
1526-shall contain any moneys required by law to be deposited in the account.
1527-Moneys in the account shall be expended by the Commissioner of
1528-Children and Families for the purposes of funding the in-home respite
1529-care services program established pursuant to subsection (c) of this
1530-section.
1531-(c) Not later than January 1, 2023, the Commissioner of Children and
1532-Families shall establish a program to provide in-home respite care
1533-services. Such program shall be administered by the Department of
1534-Children and Families through contracts for services with providers of
1535-such services or by means of a direct subsidy paid to parents and
1536-guardians to enable such parents and guardians to purchase such
1537-services.
1538-(d) The Commissioner of Children and Families may adopt
1539-regulations, in accordance with the provisions of chapter 54 of the
1540-general statutes, to implement the provisions of this section, including,
1541-but not limited to, eligibility criteria for participation in the in-home
1542-respite care services program. The commissioner shall implement
1543-policies and procedures necessary to administer the provisions of this Substitute House Bill No. 5001
1544-
1545-Public Act No. 22-47 48 of 96
1546-
1547-section prior to adoption of such regulations, provided the
1548-commissioner shall publish notice of intent to adopt such regulations on
1549-the department's Internet web site and the eRegulations System not later
1550-than twenty days after implementation of such policies and procedures.
1551-Any such policies and procedures shall be valid until such regulations
1552-are adopted.
1553-Sec. 38. (NEW) (Effective from passage) (a) On or before January 1, 2023,
1554-the Department of Public Health shall establish and administer a child
1555-and adolescent psychiatrist grant program. The program shall provide
1556-incentive grants to employers of child and adolescent psychiatrists for
1557-recruiting and hiring new child and adolescent psychiatrists and
1558-retaining child and adolescent psychiatrists who are in their employ.
1559-The Commissioner of Public Health shall establish eligibility
1560-requirements, priority categories, funding limitations and the
1561-application process for the grant program. Such priority categories shall
1562-include, but need not be limited to, nonhospital employers. The
1563-commissioner, in consultation with the Office of Health Strategy, shall
1564-distribute incentive grant funds equitably with regard to the type of
1565-employer and location of such employer.
1566-(b) Not later than January 1, 2024, and annually thereafter, the
1567-Commissioner of Public Health shall report, in accordance with the
1568-provisions of section 11-4a of the general statutes, to the joint standing
1569-committee of the General Assembly having cognizance of matters
1570-relating to public health regarding the number and demographics of the
1571-employers who applied for and received incentive grants from the child
1572-and adolescent psychiatrist grant program established under subsection
1573-(a) of this section, the use of incentive grant funds by such recipients and
1574-any other information deemed pertinent by the commissioner.
1575-Sec. 39. (NEW) (Effective from passage) On or before January 1, 2023,
1576-the Department of Mental Health and Addiction Services, in
1577-collaboration with the Department of Children and Families, shall (1) Substitute House Bill No. 5001
1578-
1579-Public Act No. 22-47 49 of 96
1580-
1581-provide for the design, plan and implementation of a multiyear, state-
1582-wide advertising campaign, including, but not limited to, television,
1583-radio and Internet web site advertisements, promoting the availability
1584-of all of the mental health, behavioral health and substance use disorder
1585-services in the state, including, but not limited to, the difference between
1586-9-1-1, 9-8-8 and 2-1-1, and informing residents how to obtain such
1587-services, and (2) establish and regularly update an Internet web site
1588-connected with such advertising campaign that includes, but is not
1589-limited to, a comprehensive listing of providers of mental health,
1590-behavioral health and substance use disorder services in the state. The
1591-Commissioner of Mental Health and Addiction Services shall solicit
1592-cooperation and participation from such providers in such advertising
1593-campaign, including, but not limited to, soliciting any available funds.
1594-Said commissioner may hire consultants with expertise in advertising to
1595-assist in implementing the provisions of this section.
1596-Sec. 40. (NEW) (Effective from passage) (a) The peer-to-peer support
1597-program for parents and caregivers of children with mental and
1598-behavioral health issues that is operated by an administrative services
1599-organization that contracts with the Department of Children and
1600-Families shall use state funds allocated for such program to provide
1601-services to parents and caregivers of children with mental and
1602-behavioral health issues who are not covered for such services under (1)
1603-HUSKY Health, as defined in section 17b-290 of the general statutes, or
1604-(2) an individual or group health insurance policy. The Commissioner
1605-of Children and Families may adopt policies and procedures for
1606-administration of the program for such parents and caregivers.
1607-(b) If the program described in subsection (a) of this section exhausts
1608-the state funds allocated under said subsection, the program may
1609-continue to provide services to parents and caregivers of children with
1610-mental and behavioral health issues who are covered under HUSKY
1611-Health. Substitute House Bill No. 5001
1612-
1613-Public Act No. 22-47 50 of 96
1614-
1615-Sec. 41. (NEW) (Effective January 1, 2023) (a) For the purposes of this
1616-section:
1617-(1) "Licensed mental health professional" means: (A) A licensed
1618-professional counselor or professional counselor, both as defined in
1619-section 20-195aa of the general statutes; (B) a person who is under
1620-professional supervision, as defined in section 20-195aa of the general
1621-statutes; (C) a physician licensed pursuant to chapter 370 of the general
1622-statutes, who is certified in psychiatry by the American Board of
1623-Psychiatry and Neurology; (D) an advanced practice registered nurse
1624-licensed pursuant to chapter 378 of the general statutes, who is certified
1625-as a psychiatric and mental health clinical nurse specialist or nurse
1626-practitioner by the American Nurses Credentialing Center; (E) a
1627-psychologist licensed pursuant to chapter 383 of the general statutes; (F)
1628-a marital and family therapist licensed pursuant to chapter 383a of the
1629-general statutes; (G) a licensed clinical social worker licensed pursuant
1630-to chapter 383b of the general statutes; or (H) an alcohol and drug
1631-counselor licensed under chapter 376b of the general statutes;
1632-(2) "Mental health wellness examination" means a screening or
1633-assessment that seeks to identify any behavioral or mental health needs
1634-and appropriate resources for treatment. The examination may include:
1635-(A) Observation; (B) a behavioral health screening; (C) education and
1636-consultation on healthy lifestyle changes; (D) referrals to ongoing
1637-treatment, mental health services and other necessary supports; (E)
1638-discussion of potential options for medication; (F) age-appropriate
1639-screenings or observations to understand the mental health history,
1640-personal history and mental or cognitive state of the person being
1641-examined; and (G) if appropriate, relevant input from an adult through
1642-screenings, interviews or questions;
1643-(3) "Primary care provider" has the same meaning as provided in
1644-section 19a-7o of the general statutes; and Substitute House Bill No. 5001
1645-
1646-Public Act No. 22-47 51 of 96
1647-
1648-(4) "Primary care" has the same meaning as provided in section 19a-
1649-7o of the general statutes.
1650-(b) (1) Each individual health insurance policy providing coverage of
1651-the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-
1652-469 of the general statutes and delivered, issued for delivery, renewed,
1653-amended or continued in this state on or after January 1, 2023, (A) shall
1654-provide coverage for two mental health wellness examinations per year
1655-that are performed by a licensed mental health professional or primary
1656-care provider, and (B) shall not require prior authorization of such
1657-examinations.
1658-(2) The mental health wellness examinations: (A) May each be
1659-provided by a primary care provider as part of a preventive visit; and
1660-(B) shall be covered with no patient cost-sharing.
1661-(c) The provisions of this section shall apply to a high deductible
1662-health plan, as that term is used in subsection (f) of section 38a-493 of
1663-the general statutes, to the maximum extent permitted by federal law,
1664-except if such plan is used to establish a medical savings account or an
1665-Archer MSA pursuant to Section 220 of the Internal Revenue Code of
1666-1986, as amended from time to time, or any subsequent corresponding
1667-Internal Revenue Code of the United States, as amended from time to
1668-time, or a health savings account pursuant to Section 223 of said Internal
1669-Revenue Code of 1986, as amended from time to time, the provisions of
1670-this section shall apply to such plan to the maximum extent that (1) is
1671-permitted by federal law, and (2) does not disqualify such account for
1672-the deduction allowed under said Section 220 or 223, as applicable.
1673-Sec. 42. (NEW) (Effective January 1, 2023) (a) For the purposes of this
1674-section:
1675-(1) "Licensed mental health professional" means: (A) A licensed
1676-professional counselor or professional counselor, as defined in section Substitute House Bill No. 5001
1677-
1678-Public Act No. 22-47 52 of 96
1679-
1680-20-195aa of the general statutes; (B) a person who is under professional
1681-supervision, as defined in section 20-195aa of the general statutes; (C) a
1682-physician licensed pursuant to chapter 370 of the general statutes, who
1683-is certified in psychiatry by the American Board of Psychiatry and
1684-Neurology; (D) an advanced practice registered nurse licensed pursuant
1685-to chapter 378 of the general statutes, who is certified as a psychiatric
1686-and mental health clinical nurse specialist or nurse practitioner by the
1687-American Nurses Credentialing Center; (E) a psychologist licensed
1688-pursuant to chapter 383 of the general statutes; (F) a marital and family
1689-therapist licensed pursuant to chapter 383a of the general statutes; (G) a
1690-licensed clinical social worker licensed pursuant to chapter 383b of the
1691-general statutes; or (H) an alcohol and drug counselor licensed under
1692-chapter 376b of the general statutes;
1693-(2) "Mental health wellness examination" means a screening or
1694-assessment that seeks to identify any behavioral or mental health needs
1695-and appropriate resources for treatment. The examination may include:
1696-(A) Observation; (B) a behavioral health screening; (C) education and
1697-consultation on healthy lifestyle changes; (D) referrals to ongoing
1698-treatment, mental health services and other necessary supports; (E)
1699-discussion of potential options for medication; (F) age-appropriate
1700-screenings or observations to understand the mental health history,
1701-personal history and mental or cognitive state of the person being
1702-examined; and (G) if appropriate, relevant input from an adult through
1703-screenings, interviews or questions;
1704-(3) "Primary care provider" has the same meaning as provided in
1705-section 19a-7o of the general statutes; and
1706-(4) "Primary care" has the same meaning as provided in section 19a-
1707-7o of the general statutes.
1708-(b) (1) Each group health insurance policy providing coverage of the
1709-type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 Substitute House Bill No. 5001
1710-
1711-Public Act No. 22-47 53 of 96
1712-
1713-of the general statutes and delivered, issued for delivery, renewed,
1714-amended or continued in this state on or after January 1, 2023, (A) shall
1715-provide coverage for two mental health wellness examinations per year
1716-that are performed by a licensed mental health professional or primary
1717-care provider, and (B) shall not require prior authorization of such
1718-examinations.
1719-(2) The mental health wellness examinations: (A) May each be
1720-provided by a primary care provider as part of a preventive visit; and
1721-(B) shall be covered with no patient cost-sharing.
1722-(c) The provisions of this section shall apply to a high deductible
1723-health plan, as that term is used in subsection (f) of section 38a-520 of
1724-the general statutes, to the maximum extent permitted by federal law,
1725-except if such plan is used to establish a medical savings account or an
1726-Archer MSA pursuant to Section 220 of the Internal Revenue Code of
1727-1986, as amended from time to time, or any subsequent corresponding
1728-Internal Revenue Code of the United States, as amended from time to
1729-time, or a health savings account pursuant to Section 223 of said Internal
1730-Revenue Code, as amended from time to time, the provisions of this
1731-section shall apply to such plan to the maximum extent that (1) is
1732-permitted by federal law, and (2) does not disqualify such account for
1733-the deduction allowed under said Section 220 or 223, as applicable.
1734-Sec. 43. Subsections (a) and (b) of section 38a-488a of the general
1735-statutes are repealed and the following is substituted in lieu thereof
1736-(Effective January 1, 2023):
1737-(a) For the purposes of this section:
1738-(1) (A) "Mental or nervous conditions" means mental disorders, as
1739-defined in the most recent edition of the American Psychiatric
1740-Association's "Diagnostic and Statistical Manual of Mental Disorders".
1741-(B) "Mental or nervous conditions" does not include [(A)] (i) Substitute House Bill No. 5001
1742-
1743-Public Act No. 22-47 54 of 96
1744-
1745-intellectual disability, [(B)] (ii) specific learning disorders, [(C)] (iii)
1746-motor disorders, [(D)] (iv) communication disorders, [(E)] (v) caffeine-
1747-related disorders, [(F)] (vi) relational problems, and [(G)] (vii) other
1748-conditions that may be a focus of clinical attention, that are not
1749-otherwise defined as mental disorders in the most recent edition of the
1750-American Psychiatric Association's "Diagnostic and Statistical Manual
1751-of Mental Disorders". [;]
1752-(2) ["benefits payable"] "Benefits payable" means the usual,
1753-customary and reasonable charges for treatment deemed necessary
1754-under generally accepted medical standards, except that in the case of a
1755-managed care plan, as defined in section 38a-478, "benefits payable"
1756-means the payments agreed upon in the contract between a managed
1757-care organization, as defined in section 38a-478, and a provider, as
1758-defined in section 38a-478. [;]
1759-(3) ["acute treatment services"] "Acute treatment services" means
1760-twenty-four-hour medically supervised treatment for a substance use
1761-disorder, that is provided in a medically managed or medically
1762-monitored inpatient facility. [; and]
1763-(4) ["clinical stabilization services"] "Clinical stabilization services"
1764-means twenty-four-hour clinically managed postdetoxification
1765-treatment, including, but not limited to, relapse prevention, family
1766-outreach, aftercare planning and addiction education and counseling.
1767-(b) Each individual health insurance policy providing coverage of the
1768-type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469
1769-delivered, issued for delivery, renewed, amended or continued in this
1770-state shall provide benefits for the diagnosis and treatment of mental or
1771-nervous conditions. Benefits payable include, but need not be limited to:
1772-(1) General inpatient hospitalization, including in state-operated
1773-facilities; Substitute House Bill No. 5001
1774-
1775-Public Act No. 22-47 55 of 96
1776-
1777-(2) Medically necessary acute treatment services and medically
1778-necessary clinical stabilization services;
1779-(3) General hospital outpatient services, including at state-operated
1780-facilities;
1781-(4) Psychiatric inpatient hospitalization, including in state-operated
1782-facilities;
1783-(5) Psychiatric outpatient hospital services, including at state-
1784-operated facilities;
1785-(6) Intensive outpatient services, including at state-operated facilities;
1786-(7) Partial hospitalization, including at state-operated facilities;
1787-(8) Intensive, home-based or evidence-based services designed to
1788-address specific mental or nervous conditions in a child or adolescent;
1789-(9) Evidence-based family-focused therapy that specializes in the
1790-treatment of juvenile substance use disorders;
1791-(10) Short-term family therapy intervention;
1792-(11) Nonhospital inpatient detoxification;
1793-(12) Medically monitored detoxification;
1794-(13) Ambulatory detoxification;
1795-(14) Inpatient services at psychiatric residential treatment facilities;
1796-(15) Rehabilitation services provided in residential treatment
1797-facilities, general hospitals, psychiatric hospitals or psychiatric facilities;
1798-(16) Observation beds in acute hospital settings;
1799-(17) Psychological and neuropsychological testing conducted by an Substitute House Bill No. 5001
1800-
1801-Public Act No. 22-47 56 of 96
1802-
1803-appropriately licensed health care provider;
1804-(18) Trauma screening conducted by a licensed behavioral health
1805-professional;
1806-(19) Depression screening, including maternal depression screening,
1807-conducted by a licensed behavioral health professional;
1808-(20) Substance use screening conducted by a licensed behavioral
1809-health professional;
1810-Sec. 44. Subsections (a) and (b) of section 38a-514 of the general
1811-statutes are repealed and the following is substituted in lieu thereof
1812-(Effective January 1, 2023):
1813-(a) For the purposes of this section:
1814-(1) (A) "Mental or nervous conditions" means mental disorders, as
1815-defined in the most recent edition of the American Psychiatric
1816-Association's "Diagnostic and Statistical Manual of Mental Disorders".
1817-(B) "Mental or nervous conditions" does not include [(A)] (i)
1818-intellectual disability, [(B)] (ii) specific learning disorders, [(C)] (iii)
1819-motor disorders, [(D)] (iv) communication disorders, [(E)] (v) caffeine-
1820-related disorders, [(F)] (vi) relational problems, and [(G)] (vii) other
1821-conditions that may be a focus of clinical attention, that are not
1822-otherwise defined as mental disorders in the most recent edition of the
1823-American Psychiatric Association's "Diagnostic and Statistical Manual
1824-of Mental Disorders". [;]
1825-(2) ["benefits payable"] "Benefits payable" means the usual,
1826-customary and reasonable charges for treatment deemed necessary
1827-under generally accepted medical standards, except that in the case of a
1828-managed care plan, as defined in section 38a-478, "benefits payable"
1829-means the payments agreed upon in the contract between a managed Substitute House Bill No. 5001
1830-
1831-Public Act No. 22-47 57 of 96
1832-
1833-care organization, as defined in section 38a-478, and a provider, as
1834-defined in section 38a-478. [;]
1835-(3) ["acute treatment services"] "Acute treatment services" means
1836-twenty-four-hour medically supervised treatment for a substance use
1837-disorder, that is provided in a medically managed or medically
1838-monitored inpatient facility. [; and]
1839-(4) ["clinical stabilization services"] "Clinical stabilization services"
1840-means twenty-four-hour clinically managed postdetoxification
1841-treatment, including, but not limited to, relapse prevention, family
1842-outreach, aftercare planning and addiction education and counseling.
1843-(b) Except as provided in subsection (j) of this section, each group
1844-health insurance policy providing coverage of the type specified in
1845-subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered,
1846-issued for delivery, renewed, amended or continued in this state shall
1847-provide benefits for the diagnosis and treatment of mental or nervous
1848-conditions. Benefits payable include, but need not be limited to:
1849-(1) General inpatient hospitalization, including in state-operated
1850-facilities;
1851-(2) Medically necessary acute treatment services and medically
1852-necessary clinical stabilization services;
1853-(3) General hospital outpatient services, including at state-operated
1854-facilities;
1855-(4) Psychiatric inpatient hospitalization, including in state-operated
1856-facilities;
1857-(5) Psychiatric outpatient hospital services, including at state-
1858-operated facilities;
1859-(6) Intensive outpatient services, including at state-operated facilities; Substitute House Bill No. 5001
1860-
1861-Public Act No. 22-47 58 of 96
1862-
1863-(7) Partial hospitalization, including at state-operated facilities;
1864-(8) Intensive, home-based or evidence-based services designed to
1865-address specific mental or nervous conditions in a child or adolescent;
1866-(9) Evidence-based family-focused therapy that specializes in the
1867-treatment of juvenile substance use disorders;
1868-(10) Short-term family therapy intervention;
1869-(11) Nonhospital inpatient detoxification;
1870-(12) Medically monitored detoxification;
1871-(13) Ambulatory detoxification;
1872-(14) Inpatient services at psychiatric residential treatment facilities;
1873-(15) Rehabilitation services provided in residential treatment
1874-facilities, general hospitals, psychiatric hospitals or psychiatric facilities;
1875-(16) Observation beds in acute hospital settings;
1876-(17) Psychological and neuropsychological testing conducted by an
1877-appropriately licensed health care provider;
1878-(18) Trauma screening conducted by a licensed behavioral health
1879-professional;
1880-(19) Depression screening, including maternal depression screening,
1881-conducted by a licensed behavioral health professional; and
1882-(20) Substance use screening conducted by a licensed behavioral
1883-health professional. [;]
1884-Sec. 45. (NEW) (Effective July 1, 2022) (a) As used in this section,
1885-"clerkship" means a program in which a candidate for a doctoral degree Substitute House Bill No. 5001
1886-
1887-Public Act No. 22-47 59 of 96
1888-
1889-based on a program of studies whose content was primarily
1890-psychological at an educational institution approved in accordance with
1891-section 20-189 of the general statutes, works as a psychological assessor
1892-or psychotherapist for between twelve and sixteen hours per week and
1893-during which the candidate was supervised by an agency-affiliated
1894-psychologist and at least one core faculty member of the doctoral degree
1895-program.
1896-(b) On or before January 1, 2023, the Department of Public Health
1897-shall establish an incentive program to encourage doctoral degree
1898-candidates to serve at least one semester-long clerkship at a facility
1899-licensed or operated by the Department of Children and Families, or for
1900-any other state agency as deemed appropriate by the Commissioner of
1901-Children and Families. Any person who serves at least one semester-
1902-long clerkship at such facility may renew such person's license issued
1903-under chapter 383 of the general statutes once every two years for the
1904-first four years such person is licensed under said chapter.
1905-Sec. 46. Section 19a-179f of the general statutes is repealed and the
1906-following is substituted in lieu thereof (Effective October 1, 2022):
1907-(a) A licensed or certified emergency medical services organization
1908-or provider may transport a patient by ambulance to an alternate
1909-destination, in consultation with the medical director of a sponsor
1910-hospital.
1911-(b) On or before January 1, 2024, the Office of Emergency Medical
1912-Services shall develop protocols for a licensed or certified emergency
1913-medical services organization or provider to transport a pediatric
1914-patient with mental or behavioral health needs by ambulance to an
1915-urgent crisis center. As used in this subsection, "urgent crisis center"
1916-means a center licensed by the Department of Children and Families
1917-that is dedicated to treating children's urgent mental or behavioral
1918-health needs. Substitute House Bill No. 5001
1919-
1920-Public Act No. 22-47 60 of 96
1921-
1922-[(b)] (c) Any ambulance used for transport to an alternate destination
1923-under subsection (a) or (b) of this section shall meet the requirements
1924-for a basic level ambulance, as prescribed in regulations adopted
1925-pursuant to section 19a-179, including requirements concerning
1926-medically necessary supplies and services.
1927-Sec. 47. (NEW) (Effective January 1, 2023) (a) For the purposes of this
1928-section:
1929-(1) "Collaborative Care Model" means the integrated delivery of
1930-behavioral health and primary care services by a primary care team that
1931-includes a primary care provider, a behavioral care manager, a
1932-psychiatric consultant and a database used by the behavioral care
1933-manager to track patient progress;
1934-(2) "CPT code" means a code number under the Current Procedural
1935-Terminology system developed by the American Medical Association;
1936-and
1937-(3) "HCPCS code" means a code number under the Healthcare
1938-Common Procedure Coding System developed by the federal Centers
1939-for Medicare and Medicaid Services.
1940-(b) Each individual health insurance policy providing coverage of the
1941-type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469
1942-of the general statutes and delivered, issued for delivery, renewed,
1943-amended or continued in this state on or after January 1, 2023, shall
1944-provide coverage for health care services that a primary care provider
1945-provides to an insured under the Collaborative Care Model. Such
1946-services shall include, but need not be limited to, services with a CPT
1947-code of 99484, 99492, 99493 or 99494 or HCPCS code of G2214, or any
1948-subsequent corresponding code.
1949-Sec. 48. (NEW) (Effective January 1, 2023) (a) For the purposes of this
1950-section: Substitute House Bill No. 5001
1951-
1952-Public Act No. 22-47 61 of 96
1953-
1954-(1) "Collaborative Care Model" means the integrated delivery of
1955-behavioral health and primary care services by a primary care team that
1956-includes a primary care provider, a behavioral care manager, a
1957-psychiatric consultant and a database used by the behavioral care
1958-manager to track patient progress;
1959-(2) "CPT code" means a code number under the Current Procedural
1960-Terminology system developed by the American Medical Association;
1961-and
1962-(3) "HCPCS code" means a code number under the Healthcare
1963-Common Procedure Coding System developed by the federal Centers
1964-for Medicare and Medicaid Services.
1965-(b) Each group health insurance policy providing coverage of the
1966-type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469
1967-of the general statutes and delivered, issued for delivery, renewed,
1968-amended or continued in this state on or after January 1, 2023, shall
1969-provide coverage for health care services that a primary care provider
1970-provides to an insured under the Collaborative Care Model. Such
1971-services shall include, but need not be limited to, services with a CPT
1972-code of 99484, 99492, 99493 or 99494 or HCPCS code of G2214, or any
1973-subsequent corresponding code.
1974-Sec. 49. Section 38a-477aa of the general statutes is repealed and the
1975-following is substituted in lieu thereof (Effective January 1, 2023):
1976-(a) As used in this section:
1977-(1) "Emergency condition" has the same meaning as "emergency
1978-medical condition", as provided in section 38a-591a. [;]
1979-(2) "Emergency services" means, with respect to an emergency
1980-condition, (A) a medical screening examination as required under
1981-Section 1867 of the Social Security Act, as amended from time to time, Substitute House Bill No. 5001
1982-
1983-Public Act No. 22-47 62 of 96
1984-
1985-that is within the capability of a hospital emergency department,
1986-including ancillary services routinely available to such department to
1987-evaluate such condition, and (B) such further medical examinations and
1988-treatment required under said Section 1867 to stabilize such individual
1989-[,] that are within the capability of the hospital staff and facilities. [;]
1990-(3) "Health care plan" means an individual or a group health
1991-insurance policy or health benefit plan that provides coverage of the
1992-type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-
1993-469. [;]
1994-(4) "Health care provider" means an individual licensed to provide
1995-health care services under chapters 370 to 373, inclusive, chapters 375 to
1996-383b, inclusive, and chapters 384a to 384c, inclusive. [;]
1997-(5) "Health carrier" means an insurance company, health care center,
1998-hospital service corporation, medical service corporation, fraternal
1999-benefit society or other entity that delivers, issues for delivery, renews,
2000-amends or continues a health care plan in this state. [;]
2001-(6) (A) "Surprise bill" means a bill for health care services, other than
2002-emergency services or urgent crisis center services, received by an
2003-insured for services rendered by an out-of-network health care
2004-provider, where such services were rendered by (i) such out-of-network
2005-provider at an in-network facility, during a service or procedure
2006-performed by an in-network provider or during a service or procedure
2007-previously approved or authorized by the health carrier and the insured
2008-did not knowingly elect to obtain such services from such out-of-
2009-network provider, or (ii) a clinical laboratory, as defined in section 19a-
2010-30, that is an out-of-network provider, upon the referral of an in-
2011-network provider.
2012-(B) "Surprise bill" does not include a bill for health care services
2013-received by an insured when an in-network health care provider was Substitute House Bill No. 5001
2014-
2015-Public Act No. 22-47 63 of 96
2016-
2017-available to render such services and the insured knowingly elected to
2018-obtain such services from another health care provider who was out-of-
2019-network.
2020-(7) "Urgent crisis center" means a center licensed by the Department
2021-of Children and Families that is dedicated to treating children's urgent
2022-mental or behavioral health needs.
2023-(8) "Urgent crisis center services" means pediatric mental and
2024-behavioral health services provided at an urgent crisis center.
2025-(b) (1) No health carrier shall require prior authorization for
2026-rendering emergency services or urgent crisis center services to an
2027-insured.
2028-(2) No health carrier shall impose, for emergency services rendered
2029-to an insured by an out-of-network health care provider or urgent crisis
2030-center services rendered to an insured at an out-of-network urgent crisis
2031-center, a coinsurance, copayment, deductible or other out-of-pocket
2032-expense that is greater than the coinsurance, copayment, deductible or
2033-other out-of-pocket expense that would be imposed if such emergency
2034-services were rendered by an in-network health care provider or such
2035-urgent crisis center services were rendered at an in-network urgent
2036-crisis center.
2037-(3) (A) If emergency services were rendered to an insured by an out-
2038-of-network health care provider, such health care provider may bill the
2039-health carrier directly and the health carrier shall reimburse such health
2040-care provider the greatest of the following amounts: (i) The amount the
2041-insured's health care plan would pay for such services if rendered by an
2042-in-network health care provider; (ii) the usual, customary and
2043-reasonable rate for such services; or (iii) the amount Medicare would
2044-reimburse for such services. As used in this subparagraph, "usual,
2045-customary and reasonable rate" means the eightieth percentile of all Substitute House Bill No. 5001
2046-
2047-Public Act No. 22-47 64 of 96
2048-
2049-charges for the particular health care service performed by a health care
2050-provider in the same or similar specialty and provided in the same
2051-geographical area, as reported in a benchmarking database maintained
2052-by a nonprofit organization specified by the Insurance Commissioner.
2053-Such organization shall not be affiliated with any health carrier.
2054-(B) If urgent crisis center services were rendered to an insured at an
2055-out-of-network urgent crisis center, such urgent crisis center may bill
2056-the health carrier directly for such urgent crisis center services. The
2057-health carrier shall reimburse such out-of-network urgent crisis center
2058-or insured, as applicable, for such urgent crisis center services at the in-
2059-network rate under the insured's health care plan as payment in full,
2060-unless such health carrier and urgent crisis center agree otherwise.
2061-[(B)] (C) Nothing in subparagraph (A) or (B) of this subdivision shall
2062-be construed to prohibit [such] a health carrier and out-of-network
2063-health care provider or urgent crisis center from agreeing to a [greater]
2064-reimbursement amount that is greater than the minimum
2065-reimbursement amount established in subparagraph (A) or (B) of this
2066-subdivision, as applicable.
2067-(c) With respect to a surprise bill:
2068-(1) An insured shall only be required to pay the applicable
2069-coinsurance, copayment, deductible or other out-of-pocket expense that
2070-would be imposed for such health care services if such services were
2071-rendered by an in-network health care provider; and
2072-(2) A health carrier shall reimburse the out-of-network health care
2073-provider or insured, as applicable, for health care services rendered at
2074-the in-network rate under the insured's health care plan as payment in
2075-full, unless such health carrier and health care provider agree otherwise.
2076-(d) If health care services were rendered to an insured by an out-of-
2077-network health care provider and the health carrier failed to inform such Substitute House Bill No. 5001
2078-
2079-Public Act No. 22-47 65 of 96
2080-
2081-insured, if such insured was required to be informed, of the network
2082-status of such health care provider pursuant to subdivision (3) of
2083-subsection (d) of section 38a-591b, the health carrier shall not impose a
2084-coinsurance, copayment, deductible or other out-of-pocket expense that
2085-is greater than the coinsurance, copayment, deductible or other out-of-
2086-pocket expense that would be imposed if such services were rendered
2087-by an in-network health care provider.
2088-(e) The provisions of this section shall apply to a high deductible
2089-health plan, as that term is used in subsection (f) of section 38a-493 or
2090-subsection (f) of section 38a-520, as applicable, to the maximum extent
2091-permitted by federal law, except if such plan is used to establish a
2092-medical savings account or an Archer MSA pursuant to Section 220 of
2093-the Internal Revenue Code of 1986, or any subsequent corresponding
2094-internal revenue code of the United States, as amended from time to
2095-time, or a health savings account pursuant to Section 223 of said Internal
2096-Revenue Code, as amended from time to time, the provisions of this
2097-section shall apply to such plan to the maximum extent that (1) is
2098-permitted by federal law, and (2) does not disqualify such account for
2099-the deduction allowed under said Section 220 or 223, as applicable.
2100-Sec. 50. Subsection (b) of section 20-7f of the general statutes is
2101-repealed and the following is substituted in lieu thereof (Effective January
2102-1, 2023):
2103-(b) It shall be an unfair trade practice in violation of chapter 735a for
2104-any health care provider to request payment from an enrollee, other
2105-than a coinsurance, copayment, deductible or other out-of-pocket
2106-expense, for (1) health care services or a facility fee, as defined in section
2107-19a-508c, covered under a health care plan, (2) emergency services, or
2108-services rendered to an insured at an urgent crisis center, as defined in
2109-section 19a-179f, as amended by this act, covered under a health care
2110-plan and rendered by an out-of-network health care provider, or (3) a
2111-surprise bill, as defined in section 38a-477aa, as amended by this act. Substitute House Bill No. 5001
2112-
2113-Public Act No. 22-47 66 of 96
2114-
2115-Sec. 51. Subdivision (3) of subsection (c) of section 38a-193 of the
2116-general statutes is repealed and the following is substituted in lieu
2117-thereof (Effective January 1, 2023):
2118-(3) No participating provider, or agent, trustee or assignee thereof,
2119-may: (A) Maintain any action at law against a subscriber or enrollee to
2120-collect sums owed by the health care center; (B) request payment from
2121-a subscriber or enrollee for such sums; (C) request payment from a
2122-subscriber or enrollee for covered emergency services, or services
2123-rendered to an insured at an urgent crisis center, as defined in section
2124-38a-477aa, as amended by this act, that are provided by an out-of-
2125-network provider; or (D) request payment from a subscriber or enrollee
2126-for a surprise bill, as defined in section 38a-477aa, as amended by this
2127-act. For purposes of this subdivision "request payment" includes, but is
2128-not limited to, submitting a bill for services not actually owed or
2129-submitting for such services an invoice or other communication
2130-detailing the cost of the services that is not clearly marked with the
2131-phrase "THIS IS NOT A BILL". The contract between a health care center
2132-and a participating provider shall inform the participating provider that
2133-pursuant to section 20-7f, as amended by this act, it is an unfair trade
2134-practice in violation of chapter 735a for any health care provider to
2135-request payment from a subscriber or an enrollee, other than a
2136-coinsurance, copayment, deductible or other out-of-pocket expense, for
2137-covered medical or emergency services or facility fees, as defined in
2138-section 19a-508c, or services rendered to an insured at an urgent crisis
2139-center, as defined in section 38a-477aa, as amended by this act, or
2140-surprise bills, or to report to a credit reporting agency an enrollee's
2141-failure to pay a bill for such services when a health care center has
2142-primary responsibility for payment of such services, fees or bills.
2143-Sec. 52. Subdivision (1) of subsection (c) of section 38a-472f of the
2144-general statutes is repealed and the following is substituted in lieu
2145-thereof (Effective January 1, 2023): Substitute House Bill No. 5001
2146-
2147-Public Act No. 22-47 67 of 96
2148-
2149-(c) (1) (A) Each health carrier shall establish and maintain a network
2150-that includes a sufficient number and appropriate types of participating
2151-providers, including those that serve predominantly low-income,
2152-medically underserved individuals, to assure that all covered benefits
2153-will be accessible to all such health carrier's covered persons without
2154-unreasonable travel or delay.
2155-(B) Covered persons shall have access to emergency services [, as
2156-defined in section 38a-477aa] and, to the extent urgent crisis center
2157-services are available, urgent crisis center services, twenty-four hours a
2158-day, seven days a week. For the purposes of this subparagraph,
2159-"emergency services" and "urgent crisis center services" have the same
2160-meanings as provided in section 38a-477aa, as amended by this act.
2161-Sec. 53. Subsection (h) of section 38a-488a of the general statutes is
2162-repealed and the following is substituted in lieu thereof (Effective January
2163-1, 2023):
2164-(h) Except in the case of emergency services, services rendered to an
2165-insured at an urgent crisis center, as defined in section 38a-477aa, as
2166-amended by this act, or [in the case of] services for which an individual
2167-has been referred by a physician or an advanced practice registered
2168-nurse affiliated with a health care center, nothing in this section shall be
2169-construed to require a health care center to provide benefits under this
2170-section through facilities that are not affiliated with the health care
2171-center.
2172-Sec. 54. Subsection (h) of section 38a-514 of the general statutes is
2173-repealed and the following is substituted in lieu thereof (Effective January
2174-1, 2023):
2175-(h) Except in the case of emergency services, services rendered to an
2176-insured at an urgent crisis center, as defined in section 38a-477aa, as
2177-amended by this act, or [in the case of] services for which an individual Substitute House Bill No. 5001
2178-
2179-Public Act No. 22-47 68 of 96
2180-
2181-has been referred by a physician affiliated with a health care center,
2182-nothing in this section shall be construed to require a health care center
2183-to provide benefits under this section through facilities that are not
2184-affiliated with the health care center.
2185-Sec. 55. (NEW) (Effective January 1, 2023) (a) No individual health
2186-insurance policy providing coverage of the type specified in
2187-subdivisions (1), (2), (4), (11) and (12) of section 38a-469 of the general
2188-statutes delivered, issued for delivery, renewed, amended or continued
2189-in this state on or after January 1, 2023, that provides coverage for acute
2190-inpatient psychiatric services shall require prior authorization for such
2191-services that are provided to an insured: (1) Following the insured's
2192-admission to a hospital emergency department; (2) upon the referral of
2193-the insured's treating physician licensed pursuant to chapter 370 of the
2194-general statutes, psychologist licensed pursuant to chapter 383 of the
2195-general statutes or advanced practice registered nurse licensed pursuant
2196-to chapter 378 of the general statutes if (A) there is imminent danger to
2197-the insured's health or safety, or (B) the insured poses an imminent
2198-danger to the health or safety of others; or (3) at an urgent crisis center,
2199-as defined in section 38a-477aa of the general statutes, as amended by
2200-this act. Nothing in this section shall preclude a health carrier from using
2201-other forms of utilization review, including, but not limited to,
2202-concurrent and retrospective review.
2203-(b) Any health care provider who refers an insured for the acute
2204-inpatient psychiatric services described in subsection (a) of this section
2205-shall provide to the insured, at the time of such referral, a written notice
2206-disclosing that the insured may: (1) Incur out-of-pocket costs if such
2207-services are not covered by such insured's health insurance policy; and
2208-(2) choose to wait for an in-network bed for such services or risk
2209-incurring costs for out-of-network care if such services are provided on
2210-an out-of-network basis.
2211-(c) Any health care provider who provides the acute inpatient Substitute House Bill No. 5001
2212-
2213-Public Act No. 22-47 69 of 96
2214-
2215-psychiatric services described in subsection (a) of this section shall
2216-provide to the insured, at the time the insured is admitted for such
2217-services, a written notice disclosing to the insured that the insured may:
2218-(1) Incur out-of-pocket costs if such services are not covered by such
2219-insured's health insurance policy; and (2) choose to wait for an in-
2220-network bed for such services or risk incurring costs for out-of-network
2221-care if such services are provided on an out-of-network basis.
2222-(d) The provisions of this section shall apply to a high deductible
2223-health plan, as that term is used in subsection (f) of section 38a-493 of
2224-the general statutes, to the maximum extent permitted by federal law,
2225-except if such plan is used to establish a medical savings account or an
2226-Archer MSA pursuant to Section 220 of the Internal Revenue Code of
2227-1986, or any subsequent corresponding internal revenue code of the
2228-United States, as amended from time to time, or a health savings account
2229-pursuant to Section 223 of said Internal Revenue Code, as amended
2230-from time to time, the provisions of this section shall apply to such plan
2231-to the maximum extent that (1) is permitted by federal law; and (2) does
2232-not disqualify such account for the deduction allowed under said
2233-Section 220 or 223, as applicable.
2234-Sec. 56. (NEW) (Effective January 1, 2023) (a) No group health
2235-insurance policy providing coverage of the type specified in
2236-subdivisions (1), (2), (4), (11) and (12) of section 38a-469 of the general
2237-statutes delivered, issued for delivery, renewed, amended or continued
2238-in this state on or after January 1, 2023, that provides coverage for acute
2239-inpatient psychiatric services shall require prior authorization for such
2240-services that are provided to an insured: (1) Following the insured's
2241-admission to a hospital emergency department; (2) upon the referral of
2242-the insured's treating physician licensed pursuant to chapter 370 of the
2243-general statutes, psychologist licensed pursuant to chapter 383 of the
2244-general statutes or advanced practice registered nurse licensed pursuant
2245-to chapter 378 of the general statutes if (A) there is imminent danger to Substitute House Bill No. 5001
2246-
2247-Public Act No. 22-47 70 of 96
2248-
2249-the insured's health or safety, or (B) the insured poses an imminent
2250-danger to the health or safety of others; or (3) at an urgent crisis center,
2251-as defined in section 38a-477aa of the general statutes, as amended by
2252-this act. Nothing in this section shall preclude a health carrier from using
2253-other forms of utilization review, including, but not limited to,
2254-concurrent and retrospective review.
2255-(b) Any health care provider who refers an insured for the acute
2256-inpatient psychiatric services described in subsection (a) of this section
2257-shall provide to the insured, at the time of such referral, a written notice
2258-disclosing that the insured may: (1) Incur out-of-pocket costs if such
2259-services are not covered by such insured's health insurance policy; and
2260-(2) choose to wait for an in-network bed for such services or risk
2261-incurring costs for out-of-network care if such services are provided on
2262-an out-of-network basis.
2263-(c) Any health care provider who provides the acute inpatient
2264-psychiatric services described in subsection (a) of this section shall
2265-provide to the insured, at the time the insured is admitted for such
2266-services, a written notice disclosing to the insured that the insured may:
2267-(1) Incur out-of-pocket costs if such services are not covered by such
2268-insured's health insurance policy; and (2) choose to wait for an in-
2269-network bed for such services or risk incurring costs for out-of-network
2270-care if such services are provided on an out-of-network basis.
2271-(d) The provisions of this section shall apply to a high deductible
2272-health plan, as that term is used in subsection (f) of section 38a-520 of
2273-the general statutes, to the maximum extent permitted by federal law,
2274-except if such plan is used to establish a medical savings account or an
2275-Archer MSA pursuant to Section 220 of the Internal Revenue Code of
2276-1986, or any subsequent corresponding internal revenue code of the
2277-United States, as amended from time to time, or a health savings account
2278-pursuant to Section 223 of said Internal Revenue Code, as amended
2279-from time to time, the provisions of this section shall apply to such plan Substitute House Bill No. 5001
2280-
2281-Public Act No. 22-47 71 of 96
2282-
2283-to the maximum extent that (1) is permitted by federal law; and (2) does
2284-not disqualify such account for the deduction allowed under said
2285-Section 220 or 223, as applicable.
2286-Sec. 57. (Effective from passage) (a) The Office of Health Strategy shall
2287-study the rates at which health carriers delivering, issuing for delivery,
2288-renewing, amending or continuing individual and group health
2289-insurance policies in this state, and third-party administrators licensed
2290-under section 38a-720a of the general statutes, reimburse health care
2291-providers for covered physical, mental and behavioral health benefits.
2292-Such study shall include, but need not be limited to, an assessment of
2293-the: (1) Viability of implementing in this state a sliding scale of
2294-reimbursement rates; (2) extent to which reimbursement rates for
2295-covered mental and behavioral health benefits would need to increase
2296-in order to provide a financial incentive to (A) attract additional health
2297-care providers to provide covered mental and behavioral health benefits
2298-to individuals in this state, and (B) encourage health care providers who
2299-provide covered mental and behavioral health benefits to accept new
2300-patients in this state; (3) potential aggregate savings that would accrue
2301-to health carriers in this state if insureds were to receive greater access
2302-to health care providers who provide covered mental and behavioral
2303-health benefits; (4) reimbursement rates for covered mental and
2304-behavioral health benefits provided by private health insurance policies
2305-in comparison to reimbursement rates for such benefits provided by the
2306-state or other governmental payors; (5) reimbursement rates for covered
2307-mental and behavioral health benefits provided to children in
2308-comparison to reimbursement rates for such benefits provided to adults;
2309-and (6) number of children who are referred for covered mental and
2310-behavioral health benefits in comparison to the number of children who
2311-receive such benefits.
2312-(b) In conducting the study, the Office of Health Strategy may (1)
2313-coordinate with the Insurance Department, and (2) gather information Substitute House Bill No. 5001
2314-
2315-Public Act No. 22-47 72 of 96
2316-
2317-needed to conduct the study from the all-payer claims database.
2318-(c) (1) Not later than January 1, 2023, the Office of Health Strategy
2319-shall submit an interim report, in accordance with the provisions of
2320-section 11-4a of the general statutes, to the joint standing committees of
2321-the General Assembly having cognizance of matters relating to
2322-insurance and public health disclosing the results of the study
2323-conducted pursuant to subsections (a) and (b) of this section.
2324-(2) Not later than January 1, 2024, the Office of Health Strategy shall
2325-submit a final report, in accordance with the provisions of section 11-4a
2326-of the general statutes, to said committees disclosing the results of such
2327-study.
2328-Sec. 58. (Effective from passage) (a) As used in this section, "HUSKY
2329-Health" has the same meaning as provided in section 17b-290 of the
2330-general statutes.
2331-(b) The Office of Health Strategy, in consultation with the Insurance
2332-Commissioner and the Commissioner of Social Services, shall conduct a
2333-study to determine whether payment parity exists between (1)
2334-providers of behavioral and mental health services and providers of
2335-other medical services in the private insurance market, (2) such
2336-providers within the HUSKY Health program, and (3) HUSKY Health
2337-program behavioral and mental health providers and their counterparts
2338-in the private insurance market.
2339-(c) The study shall also include, but not be limited to: (1) What rate
2340-increases may be necessary to encourage more private providers to offer
2341-behavioral and mental health services to HUSKY Health program
2342-members, (2) an estimate of the amount such increases would cost the
2343-state annually, and (3) potential state savings on other health care costs
2344-annually if access to behavioral and mental health providers by HUSKY
2345-Health program members is expanded. Substitute House Bill No. 5001
2346-
2347-Public Act No. 22-47 73 of 96
2348-
2349-(d) (1) Not later than January 1, 2023, the executive director of the
2350-Office of Health Strategy shall submit an interim report, in accordance
2351-with the provisions of section 11-4a of the general statutes, to the joint
2352-standing committees of the General Assembly having cognizance of
2353-matters relating to human services, insurance, public health and
2354-appropriations and the budgets of state agencies disclosing the results
2355-of the study conducted pursuant to subsections (b) and (c) of this
2356-section.
2357-(2) Not later than January 1, 2024, the executive director of said office
2358-shall submit a final report, in accordance with the provisions of section
2359-11-4a of the general statutes, to such joint standing committees
2360-disclosing the results of such study.
2361-Sec. 59. (NEW) (Effective July 1, 2022) (a) As used in this section:
2362-(1) "Collaborative Care Model" or "CoCM" means the integrated
2363-delivery of behavioral health and primary care services by a primary
2364-care team that includes a primary care provider, a behavioral care
2365-manager, a psychiatric consultant and a data base used by the
2366-behavioral care manager to track patient progress;
2367-(2) "CoCM codes" means a billing system developed by the Centers
2368-for Medicare and Medicaid Services that provide Medicare rates for
2369-services provided in the Collaborative Care Model; and
2370-(3) "HUSKY Health" has the same meaning as provided in section
2371-17b-290 of the general statutes.
2372-(b) To the extent permissible under federal law, the Commissioner of
2373-Social Services shall implement a Medicaid reimbursement system that
2374-incentivizes collaboration between primary care providers and
2375-behavioral and mental health care providers on an integrated care plan
2376-for a HUSKY Health program member. Such reimbursement system
2377-shall recognize that multiple providers may be involved in providing Substitute House Bill No. 5001
2378-
2379-Public Act No. 22-47 74 of 96
2380-
2381-care. The commissioner may adopt the Collaborative Care Model to
2382-expand access to behavioral and mental health services for HUSKY
2383-Health program members and utilize the CoCM codes approved by the
2384-Centers for Medicare and Medicaid Services to provide reimbursement
2385-to participating providers. The commissioner may take into
2386-consideration the potential impact on federal reimbursement when
2387-implementing such system.
2388-Sec. 60. (NEW) (Effective July 1, 2022) (a) There is established a Youth
2389-Service Corps grant program to be administered by the Department of
2390-Economic and Community Development for the purpose of providing
2391-grants to municipalities of priority school districts, as described in
2392-section 10-266p of the general statutes, to establish local Youth Service
2393-Corps programs. Such programs shall provide paid community-based
2394-service learning and academic and workforce development programs to
2395-youth and young adults in the state in accordance with the provisions
2396-of section 61 of this act.
2397-(b) Not later than October 1, 2022, the Commissioner of Economic and
2398-Community Development shall develop an application process and
2399-selection criteria for Youth Service Corps program grants.
2400-(c) Not later than January 1, 2023, and annually thereafter, the
2401-Commissioner of Economic and Community Development shall award
2402-a grant to each municipality selected to participate in the program in the
2403-amount of ten thousand dollars per youth or young adult participating
2404-in such municipality's local Youth Service Corps program plus fifteen
2405-per cent of such amount for program administration expenses. Such
2406-municipalities may use such grants to (1) administer the local Youth
2407-Service Corps program, and (2) award a subgrant of not more than ten
2408-thousand dollars to any youth or young adult participating in a local
2409-Youth Service Corps program to support or subsidize such youth or
2410-young adult's participation in program activities. Substitute House Bill No. 5001
2411-
2412-Public Act No. 22-47 75 of 96
2413-
2414-(d) Not later than December 1, 2023, and annually thereafter, each
2415-municipality that received a Youth Service Corps program grant shall
2416-submit a report evaluating its local Youth Service Corps program to the
2417-Commissioners of Economic and Com munity Development and
2418-Children and Families in a form and manner prescribed by the
2419-Commissioner of Economic and Community Development.
2420-(e) Not later than January 1, 2024, and annually thereafter, the
2421-Commissioner of Economic and Community Development, in
2422-consultation with the Commissioner of Children and Families, shall
2423-report, in accordance with the provisions of section 11-4a of the general
2424-statutes, to the joint standing committees of the General Assembly
2425-having cognizance of matters relating to commerce and children
2426-regarding the Youth Service Corps grant program.
2427-(f) There is established an account to be known as the "youth service
2428-corps grant program account" which shall be a separate, nonlapsing
2429-account within the General Fund. The account shall contain any moneys
2430-required by law to be deposited in the account. Moneys in the account
2431-shall be expended by the Commissioner of Economic and Community
2432-Development for the purposes of providing grants to municipalities of
2433-priority school districts, as described in section 10-266p of the general
2434-statutes, to establish local Youth Service Corps programs that provide
2435-paid community-based service learning and academic and workforce
2436-development programs to youth and young adults in the state in
2437-accordance with the provisions of section 61 of this act.
2438-Sec. 61. (NEW) (Effective July 1, 2022) Each municipality of a priority
2439-school district, as described in section 10-266p of the general statutes,
2440-selected to receive a Youth Service Corps program grant pursuant to
2441-section 60 of this act shall operate, establish or demonstrate plans to
2442-establish a local Youth Service Corps program that has the following
2443-characteristics: Substitute House Bill No. 5001
2444-
2445-Public Act No. 22-47 76 of 96
2446-
2447-(1) Youth participation in the local Youth Service Corps program
2448-shall be by referral only. Such referral shall be made by a school official,
2449-juvenile probation officer, the Commissioner of Children and Families,
2450-or the commissioner's designee, or an employee of a community
2451-organization designated by the municipality or the municipality's Youth
2452-Service Corps program administrator to make such referrals.
2453-Participants in a local Youth Service Corps program shall be youths or
2454-young adults between the ages of sixteen and twenty-four, inclusive,
2455-who are showing signs of disengagement or disconnection from school,
2456-the workplace or the community;
2457-(2) The local Youth Service Corps program shall focus on youth or
2458-young adults who are involved with the justice system, involved with
2459-the Department of Children and Families, in foster care or experiencing
2460-homelessness;
2461-(3) The local Youth Service Corps program shall be administered by
2462-a local community-based organization with expertise in providing
2463-youth or young adult services and workforce development programs.
2464-Such organization shall work with local municipal officials to identify
2465-potential local service project opportunities for such program;
2466-(4) Each youth or young adult participant in a local Youth Service
2467-Corps program shall develop an individual success plan in which such
2468-participant shall identify goals relating to education, workforce or
2469-behavioral development. In support of such goals, the local Youth
2470-Service Corps program shall provide (A) year-long, part-time
2471-employment with flexible hours with public or private employers
2472-screened and approved by the administrator of the program, (B)
2473-community-based service learning projects selected by the
2474-administrator of the program, (C) a transition plan for such participant
2475-detailing such goals and steps to be taken to accomplish such goals, and
2476-(D) other activities approved by the administrator of the program; and Substitute House Bill No. 5001
2477-
2478-Public Act No. 22-47 77 of 96
2479-
2480-(5) Each Youth Service Corps program administrator shall evaluate
2481-each youth and young adult participant using performance indicators
2482-applicable to such participant, including, but not limited to, education
2483-outcomes, career competency development, training completion and
2484-positive behavior changes to measure whether the goals for such
2485-participant are being achieved.
2486-Sec. 62. Subsection (f) of section 46b-38b of the 2022 supplement to
2487-the general statutes is repealed and the following is substituted in lieu
2488-thereof (Effective July 1, 2022):
2489-(f) It shall be the responsibility of the peace officer at the scene of a
2490-family violence incident to provide immediate assistance to the victim.
2491-Such assistance shall include, but need not be limited to: (1) Assisting
2492-the victim to obtain medical treatment if such treatment is required; (2)
2493-notifying the victim of the right to file an affidavit for a warrant for
2494-arrest; (3) informing the victim of services available, including
2495-providing the victim with (A) contact information for a regional family
2496-violence organization that employs, or provides referrals to, counselors
2497-who are trained in providing trauma-informed care, [; (4)] and (B) on
2498-and after January 1, 2023, a copy of the information concerning services
2499-and resources available to victims of domestic violence published
2500-pursuant to section 10-10g, as amended by this act; (4) on and after
2501-January 1, 2023, if there is a child at the scene, providing the victim a
2502-copy of the documents concerning behavioral and mental health
2503-evaluation and treatment resources available to children developed
2504-pursuant to section 17a-22r for the mental health region in which such
2505-victim is located; (5) referring the victim to the Office of Victim Services;
2506-and [(5)] (6) providing assistance in accordance with the uniform
2507-protocols for treating victims of family violence whose immigration
2508-status is questionable, established pursuant to subsection (i) of this
2509-section. In cases where the officer has determined that no cause exists
2510-for an arrest, assistance shall include: (A) Assistance as provided in Substitute House Bill No. 5001
2511-
2512-Public Act No. 22-47 78 of 96
2513-
2514-subdivisions (1) to [(5)] (6), inclusive, of this subsection; and (B)
2515-remaining at the scene for a reasonable time until, in the reasonable
2516-judgment of the officer, the likelihood of further imminent violence has
2517-been eliminated. For the purposes of this subsection, "trauma-informed
2518-care" means services (i) directed by a thorough understanding of the
2519-neurological, biological, psychological and social effects of trauma and
2520-violence on a person; and (ii) delivered by a regional family violence
2521-organization that employs, or provides referrals to, counselors who: (I)
2522-Make available to the victim of family violence resources on trauma
2523-exposure, its impact and treatment; (II) engage in efforts to strengthen
2524-the resilience and protective factors of victims of family violence who
2525-are impacted by and vulnerable to trauma; (III) emphasize continuity of
2526-care and collaboration among organizations that provide services to
2527-children; and (IV) maintain professional relationships for referral and
2528-consultation purposes with programs and persons with expertise in
2529-trauma-informed care.
2530-Sec. 63. (NEW) (Effective July 1, 2022) On and after January 1, 2023,
2531-each police officer, as defined in section 46b-15 of the general statutes,
2532-and emergency medical technician, as defined in section 19a-904 of the
2533-general statutes, shall maintain, in any vehicle used by such officer or
2534-technician in the course of his or her duties, copies of documents
2535-concerning (1) behavioral and mental health evaluation and treatment
2536-resources available to children, developed pursuant to section 17a-22r
2537-of the general statutes for the mental health region in which such
2538-technician is located; and (2) services and resources available to victims
2539-of domestic violence, published pursuant to section 10-10g of the
2540-general statutes, as amended by this act. Such officer or technician may
2541-provide a copy of such documents to any person or family of a person
2542-who such technician determines may benefit from the services or
2543-resources described in such documents.
2544-Sec. 64. Subsection (a) of section 10-10g of the general statutes is Substitute House Bill No. 5001
2545-
2546-Public Act No. 22-47 79 of 96
2547-
2548-repealed and the following is substituted in lieu thereof (Effective July 1,
2549-2022):
2550-(a) Not later than December 1, [2019] 2022, and annually thereafter,
2551-the Office of Victim Services within the Judicial Department, in
2552-consultation with the Connecticut Coalition Against Domestic Violence,
2553-shall compile information concerning services and resources available
2554-to victims of domestic violence and provide such information
2555-electronically to the Department of Education, and electronically and in
2556-hard copies to (1) the Division of State Police within the Department of
2557-Emergency Services and Public Protection, (2) each municipal police
2558-department, and (3) each ambulance company and organization,
2559-whether public, private or voluntary, that offers transportation or
2560-treatment services to patients under emergency conditions. Such
2561-information shall include, but need not be limited to, [(1)] (A) referrals
2562-available to counseling and supportive services, including, but not
2563-limited to, the Safe at Home program administered by the Office of the
2564-Secretary of the State, shelter services, medical services, domestic abuse
2565-hotlines, legal counseling and advocacy, mental health care and
2566-financial assistance, and [(2)] (B) procedures to voluntarily and
2567-confidentially identify eligibility for referrals to such counseling and
2568-supportive services. [The Office of Victim Services within the Judicial
2569-Department shall annually review such information and inform the
2570-Department of Education of any necessary revisions.] Such information
2571-shall be translated into, and provided in, multiple languages, including,
2572-but not limited to, English, Polish, Portuguese and Spanish.
2573-Sec. 65. Section 54-209 of the 2022 supplement to the general statutes
2574-is repealed and the following is substituted in lieu thereof (Effective
2575-October 1, 2022):
2576-(a) The Office of Victim Services or, on review, a victim compensation
2577-commissioner, may order the payment of compensation in accordance
2578-with the provisions of sections 54-201 to 54-218, inclusive, for personal Substitute House Bill No. 5001
2579-
2580-Public Act No. 22-47 80 of 96
2581-
2582-injury or death which resulted from: (1) An attempt to prevent the
2583-commission of crime or to apprehend a suspected criminal or in aiding
2584-or attempting to aid a police officer so to do, (2) the commission or
2585-attempt to commit by another of any crime as provided in section 53a-
2586-24, (3) any crime that occurred outside the territorial boundaries of the
2587-United States that would be considered a crime within this state,
2588-provided the victim of such crime is a resident of this state, [or] (4) any
2589-crime involving international terrorism as defined in 18 USC 2331, as
2590-amended from time to time, or (5) an incident of child abuse
2591-substantiated by the Department of Children and Families on or after
2592-October 1, 2022, provided the individual determined by said
2593-department to be responsible for the abuse of the child pursuant to
2594-section 17a-101g is placed on the department's child abuse and neglect
2595-registry established pursuant to section 17a-101k.
2596-(b) The Office of Victim Services or, on review, a victim compensation
2597-commissioner, may also order the payment of compensation in
2598-accordance with the provisions of sections 54-201 to 54-218, inclusive,
2599-for personal injury or death that resulted from the operation of a motor
2600-vehicle, water vessel, snow mobile or all-terrain vehicle by another
2601-person who was subsequently convicted with respect to such operation
2602-for a violation of subsection (a) or subdivision (1) of subsection (b) of
2603-section 14-224, section 14-227a or 14-227m, subdivision (1) or (2) of
2604-subsection (a) of section 14-227n, subdivision (3) of section 14-386a or
2605-section 15-132a, 15-140l, 15-140n, 53a-56b or 53a-60d. In the absence of a
2606-conviction, the Office of Victim Services or, on review, a victim
2607-compensation commissioner, may order payment of compensation
2608-under this section if, upon consideration of all circumstances
2609-determined to be relevant, the office or commissioner, as the case may
2610-be, reasonably concludes that another person has operated a motor
2611-vehicle in violation of subsection (a) or subdivision (1) of subsection (b)
2612-of section 14-224, section 14-227a or 14-227m, subdivision (1) or (2) of
2613-subsection (a) of section 14-227n, subdivision (3) of section 14-386a or Substitute House Bill No. 5001
2614-
2615-Public Act No. 22-47 81 of 96
2616-
2617-section 15-132a, 15-140l, 15-140n, 53a-56b or 53a-60d.
2618-(c) Except as provided in subsection (b) of this section, no act
2619-involving the operation of a motor vehicle which results in injury shall
2620-constitute a crime for the purposes of sections 54-201 to 54-218,
2621-inclusive, unless the injuries were intentionally inflicted through the use
2622-of the vehicle.
2623-(d) In instances where a violation of section 53a-70b of the general
2624-statutes, revision of 1958, revised to January 1, 2019, or section 53-21,
2625-53a-70, 53a-70a, 53a-70c, 53a-71, 53a-72a, 53a-72b, 53a-73a, 53a-82, [or]
2626-53a-83b, 53a-90a, 53a-192a, 53a-196, 53a-196a, 53a-196b or 53a-196i, or
2627-family violence, as defined in section 46b-38a, has been alleged, the
2628-Office of Victim Services or, on review, a victim compensation
2629-commissioner, may order compensation be paid if (1) the personal
2630-injury has been disclosed to: (A) A physician or surgeon licensed under
2631-chapter 370; (B) a resident physician or intern in any hospital in this
2632-state, whether or not licensed; (C) a physician assistant licensed under
2633-chapter 370; (D) an advanced practice registered nurse, registered nurse
2634-or practical nurse licensed under chapter 378; (E) a psychologist licensed
2635-under chapter 383; (F) a police officer; (G) a mental health professional;
2636-(H) an emergency medical services provider licensed or certified under
2637-chapter 368d; (I) an alcohol and drug counselor licensed or certified
2638-under chapter 376b; (J) a marital and family therapist licensed under
2639-chapter 383a; (K) a domestic violence counselor or a sexual assault
2640-counselor, as defined in section 52-146k; (L) a professional counselor
2641-licensed under chapter 383c; (M) a clinical social worker licensed under
2642-chapter 383b; (N) an employee of the Department of Children and
2643-Families; (O) an employee of a [child] children's advocacy center,
2644-[established pursuant to] as defined in section 17a-106a; or (P) a school
2645-principal, a school teacher, a school guidance counselor or a school
2646-counselor, or (2) the personal injury is reported in an application for a
2647-restraining order under section 46b-15 or an application for a civil Substitute House Bill No. 5001
2648-
2649-Public Act No. 22-47 82 of 96
2650-
2651-protection order under section 46b-16a or on the record to the court,
2652-provided such restraining order or civil protection order was granted in
2653-the Superior Court following a hearing, and (3) the office or
2654-commissioner, as the case may be, reasonably concludes that a violation
2655-of any of said sections has occurred.
2656-(e) Evidence of an order for the payment of compensation by the
2657-Office of Victim Services or a victim compensation commissioner in
2658-accordance with the provisions of sections 54-201 to 54-218, inclusive,
2659-shall not be admissible in any civil proceeding to prove the liability of
2660-any person for such personal injury or death or in any criminal
2661-proceeding to prove the guilt or innocence of any person for any crime.
2662-Sec. 66. (NEW) (Effective October 1, 2022) Any employee of the
2663-Department of Children and Families or a children's advocacy center, as
2664-defined in section 17a-106a of the general statutes, to whom a personal
2665-injury resulting from any conduct described in subdivision (5) of
2666-subsection (a) of section 54-209 of the general statutes, as amended by
2667-this act, is disclosed by the (1) person who suffered such injury, or (2)
2668-parent, guardian or legal representative of such person, shall provide
2669-such person, or such person's parent, guardian or legal representative
2670-verbal and written notice (A) that such person may be eligible for
2671-compensation pursuant to sections 54-201 to 54-218, inclusive, of the
2672-general statutes, and (B) of the application process described in section
2673-54-204 of the general statutes, and types and amounts of compensation
2674-that may be awarded pursuant to sections 54-201 to 54-218, inclusive, of
2675-the general statutes.
2676-Sec. 67. (NEW) (Effective from passage) On and after July 1, 2022, the
2677-term "emotional disability" shall be used in lieu of "emotional
2678-disturbance" by the Department of Education and local and regional
2679-boards of education for purposes of the administration and provision of
2680-special education and related services in the state under chapter 164 of
2681-the general statutes. As used in this section, "emotional disability" has Substitute House Bill No. 5001
2682-
2683-Public Act No. 22-47 83 of 96
2684-
2685-the same meaning as "emotional disturbance" in the Individuals with
2686-Disabilities Education Act, 20 USC 1400, et seq., as amended from time
2687-to time.
2688-Sec. 68. (Effective July 1, 2022) (a) There is established a child and
2689-adolescent psychiatry working group to develop a plan to increase the
2690-number of psychiatry residency and child and adolescent psychiatry
2691-fellowship placements in the state. Such plan shall maximize state and
2692-federal funding sources and provide psychiatry residents and child and
2693-adolescent psychiatry fellows with the opportunity to treat children and
2694-adolescents in the state who are uninsured, underinsured or eligible for
2695-benefits under HUSKY B.
2696-(b) The working group shall consist of the following members:
2697-(1) Two appointed by the speaker of the House of Representatives,
2698-one of whom shall be a representative of a federally qualified health
2699-center, and one of whom shall be a member of the joint standing
2700-committee of the General Assembly having cognizance of matters
2701-relating to public health;
2702-(2) Two appointed by the president pro tempore of the Senate, one of
2703-whom shall be a faculty member of a psychiatry residency program in
2704-the state, and one of whom shall be a member of the joint standing
2705-committee of the General Assembly having cognizance of matters
2706-relating to public health;
2707-(3) One appointed by the majority leader of the House of
2708-Representatives, who shall be a representative of a federally qualified
2709-health center;
2710-(4) One appointed by the majority leader of the Senate, who shall be
2711-a practicing child and adolescent psychiatrist in the state;
2712-(5) One appointed by the minority leader of the House of Substitute House Bill No. 5001
2713-
2714-Public Act No. 22-47 84 of 96
2715-
2716-Representatives, who shall be a member of the joint standing committee
2717-of the General Assembly having cognizance of matters relating to public
2718-health;
2719-(6) One appointed by the minority leader of the Senate, who shall be
2720-a member of the joint standing committee of the General Assembly
2721-having cognizance of matters relating to public health;
2722-(7) The Commissioner of Public Health, or the commissioner's
2723-designee; and
2724-(8) The Commissioner of Social Services, or the commissioner's
2725-designee.
2726-(c) All initial appointments to the working group shall be made not
2727-later than thirty days after the effective date of this section. Any vacancy
2728-shall be filled by the appointing authority.
2729-(d) The speaker of the House of Representatives and the president
2730-pro tempore of the Senate shall each select a co-chairperson of the
2731-working group from among the members of the working group. Such
2732-chairpersons shall schedule the first meeting of the working group,
2733-which shall be held not later than sixty days after the effective date of
2734-this section.
2735-(e) The administrative staff of the joint standing committee of the
2736-General Assembly having cognizance of matters relating to public
2737-health shall serve as the administrative staff of the working group.
2738-(f) Not later than January 1, 2023, the working group shall, in
2739-accordance with the provisions of section 11-4a of the general statutes,
2740-submit a report to the joint standing committee of the General Assembly
2741-having cognizance of matters relating to public health regarding its
2742-findings and recommendations including, but not limited to, (1) the
2743-working group's activities, research findings and any recommendations Substitute House Bill No. 5001
2744-
2745-Public Act No. 22-47 85 of 96
2746-
2747-for proposed legislative changes, and (2) any potential sources of
2748-funding for additional psychiatry residency and child and adolescent
2749-psychiatry fellowship placements in the state.
2750-Sec. 69. (Effective July 1, 2022) (a) The Department of Public Health
2751-may, within available resources, issue a grant-in-aid in the amount of
2752-one hundred fifty thousand dollars, for the fiscal year ending June 30,
2753-2023, to a children's hospital in the state for the purpose of coordinating
2754-a mental and behavioral health training and consultation program, from
2755-January 1, 2023, to January 1, 2025, inclusive, which shall be made
2756-available to all pediatricians practicing in the state to help them gain the
2757-knowledge, experience and confidence necessary to effectively treat
2758-pediatric mental and behavioral health issues.
2759-(b) Not later than January 1, 2023, and annually thereafter until
2760-January 1, 2025, the children's hospital that receives a grant-in-aid
2761-pursuant to subsection (a) of this section shall report, in accordance with
2762-the provisions of section 11-4a of the general statutes, to the joint
2763-standing committee of the General Assembly having cognizance of
2764-matters relating to public health regarding the hospital's coordination of
2765-the mental and behavioral health training and consultation program, the
2766-number of pediatrician participants, the outcomes of such program and
2767-any other information deemed relevant by the hospital.
2768-Sec. 70. (NEW) (Effective from passage) (a) There is established a
2769-Behavioral and Mental Health Policy and Oversight Committee. The
2770-committee shall evaluate the availability and efficacy of prevention,
2771-early intervention, and mental health treatment services and options for
2772-children from birth to age eighteen and make recommendations to the
2773-General Assembly and executive agencies regarding the governance
2774-and administration of the mental health care system for children. The
2775-committee shall be within the Legislative Department.
2776-(b) The committee shall consist of the following members: Substitute House Bill No. 5001
2777-
2778-Public Act No. 22-47 86 of 96
2779-
2780-(1) The chairpersons and ranking members of the joint standing
2781-committees of the General Assembly having cognizance of matters
2782-relating to public health, human services, children and appropriations
2783-and the budgets of state agencies, or their designees;
2784-(2) Three appointed by the speaker of the House of Representatives,
2785-one of whom shall be a member of the General Assembly and two of
2786-whom shall be providers of mental, emotional or behavioral health
2787-services for children in the state;
2788-(3) Three appointed by the president pro tempore of the Senate, one
2789-of whom shall be a member of the General Assembly and two of whom
2790-shall be representatives of private advocacy groups that provide
2791-services for children and families in the state;
2792-(4) Two appointed by the majority leader of the House of
2793-Representatives, who shall be representatives of children's hospitals;
2794-(5) One appointed by the majority leader of the Senate, who shall be
2795-a representative of public school superintendents in the state;
2796-(6) Two appointed by the minority leader of the House of
2797-Representatives, who shall be representatives of families with children
2798-who have been diagnosed with mental, emotional or behavioral health
2799-disorders;
2800-(7) Two appointed by the minority leader of the Senate, who shall be
2801-providers of mental or behavioral health services;
2802-(8) The Commissioners of Children and Families, Correction,
2803-Developmental Services, Early Childhood, Education, Insurance,
2804-Mental Health and Addiction Services, Public Health and Social
2805-Services, or their designees;
2806-(9) The executive director of the Office of Health Strategy, or the Substitute House Bill No. 5001
2807-
2808-Public Act No. 22-47 87 of 96
2809-
2810-executive director's designee;
2811-(10) The Child Advocate, or the Child Advocate's designee;
2812-(11) The Healthcare Advocate, or the Healthcare Advocate's
2813-designee;
2814-(12) The executive director of the Court Support Services Division of
2815-the Judicial Branch, or the executive director's designee;
2816-(13) The executive director of the Commission on Women, Children,
2817-Seniors, Equity and Opportunity, or the executive director's designee;
2818-(14) The Secretary of the Office of Policy and Management, or the
2819-secretary's designee; and
2820-(15) One representative from each administrative services
2821-organization under contract with the Department of Social Services to
2822-provide such services for recipients of assistance under the HUSKY
2823-Health program, who shall be ex-officio, nonvoting members.
2824-(c) Any member of the committee appointed under subdivisions (1)
2825-to (7), inclusive, of subsection (b) of this section may be a member of the
2826-General Assembly.
2827-(d) Any vacancy shall be filled by the appointing authority.
2828-(e) The Secretary of the Office of Policy and Management, or the
2829-secretary's designee, and a member of the General Assembly selected
2830-jointly by the speaker of the House of Representatives and the president
2831-pro tempore of the Senate from among the members serving pursuant
2832-to subdivision (1), (2) or (3) of subsection (b) of this section shall be co-
2833-chairpersons of the committee. Such co-chairpersons shall schedule the
2834-first meeting of the committee, which shall be held not later than sixty
2835-days after May 4, 2022. Substitute House Bill No. 5001
2836-
2837-Public Act No. 22-47 88 of 96
2838-
2839-(f) Members of the committee shall serve without compensation,
2840-except for necessary expenses incurred in the performance of their
2841-duties.
2842-(g) Not later than January 1, 2023, the committee shall report, in
2843-accordance with section 11-4a of the general statutes, to the joint
2844-standing committees of the General Assembly having cognizance of
2845-matters relating to appropriations and the budgets of state agencies,
2846-public health, human services and children, and the Secretary of the
2847-Office of Policy and Management, regarding the following:
2848-(1) Any statutory and budgetary changes needed concerning the
2849-mental health system of prevention, development and treatment that
2850-the committee recommends to (A) improve developmental, mental
2851-health and behavioral health outcomes for children; (B) improve
2852-transparency and accountability with respect to state-funded services
2853-for children and youth with an emphasis on goals identified by the
2854-committee for community-based programs and facility-based
2855-interventions; and (C) promote the efficient sharing of information by
2856-state and state-funded agencies to ensure the regular collection and
2857-reporting of data regarding children and families' access to, utilization
2858-of and benefit from services necessary to promote public health and
2859-mental and behavioral health outcomes for children and youth and their
2860-families.
2861-(2) The gaps in services identified by the committee with respect to
2862-children and families involved in the mental health system, and
2863-recommendations to address such gaps in services;
2864-(3) Strengths and barriers identified by the committee that support or
2865-impede the mental health needs of children and youth with specific
2866-recommendations for reforms;
2867-(4) An examination of the way state agencies can work collaboratively Substitute House Bill No. 5001
2868-
2869-Public Act No. 22-47 89 of 96
2870-
2871-through school-based efforts and other processes to improve mental
2872-health and developmental outcomes for children;
2873-(5) An examination of disproportionate access and outcomes across
2874-the mental health care system for children of color;
2875-(6) An examination of disproportionate access and outcomes across
2876-the mental health care system for children with developmental
2877-disabilities;
2878-(7) A plan to ensure a quality assurance framework for facilities and
2879-programs that are part of the mental health care system and are operated
2880-privately or by the state that includes data regarding efficacy and
2881-outcomes; and
2882-(8) A governance structure for the children's mental health system
2883-that will best facilitate the public policy and healthcare goals of the state
2884-to ensure that all children and families can access high-quality mental
2885-health care.
2886-(h) The committee shall complete its duties under this section after
2887-requesting consultation with one or more organizations that focus on
2888-the quality of services for children or research related to the well-being
2889-of children, including, but not limited to, The Child Health and
2890-Development Institute or Connecticut Voices for Children. The
2891-committee may accept administrative support and technical and
2892-research assistance from any such organization. The committee shall
2893-work in collaboration with any results-first initiative implemented
2894-pursuant to any section of the general statutes or any public or special
2895-act.
2896-(i) The committee shall be given access to data collected by the state
2897-on matters related to children's behavioral health from the relevant state
2898-agencies or directly from contracted administrative servic e
2899-organizations, as applicable. Substitute House Bill No. 5001
2900-
2901-Public Act No. 22-47 90 of 96
2902-
2903-(j) The committee shall include two or more subcommittees chaired
2904-by a member of the committee to inform its recommendations. The
2905-subcommittees may focus on: Workforce-related issues, school-based
2906-health, prevention, and intermediate or acute care. All subcommittees
2907-shall examine gaps, reimbursement rates, parity in the outcomes of
2908-services and the efficacy of services.
2909-(k) The committee shall establish a time frame for reviewing and
2910-making follow-up reports on the status or progress of the committee's
2911-recommendations and activities. Each report submitted by the
2912-committee pursuant to this subsection shall include specific
2913-recommendations to improve outcomes related to children's mental,
2914-emotional or behavioral health and a timeline indicating dates by which
2915-specific tasks or outcomes should be achieved.
2916-(l) The committee shall develop a strategic plan that integrates the
2917-recommendations identified pursuant to subsection (g) of this section.
2918-The plan may include short-term, medium-term and long-term goals. In
2919-developing the plan, the committee shall collaborate with any state
2920-agency with responsibilities relating to the mental health system.
2921-(m) Not later than August 1, 2023, the committee shall report, in
2922-accordance with section 11-4a of the general statutes, such plan together
2923-with an account of progress made toward the full implementation of
2924-such plan and any recommendations concerning the implementation of
2925-identified goals in the plan to the joint standing committees of the
2926-General Assembly having cognizance of matters relating to
2927-appropriations and the budgets of state agencies, public health, human
2928-services and children, and the Secretary of the Office of Policy and
2929-Management.
2930-Sec. 71. Subsection (e) of section 38a-591d of the general statutes is
2931-repealed and the following is substituted in lieu thereof (Effective January
2932-1, 2023): Substitute House Bill No. 5001
2933-
2934-Public Act No. 22-47 91 of 96
2935-
2936-(e) Each health carrier shall provide promptly to a covered person
2937-and, if applicable, the covered person's authorized representative a
2938-notice of an adverse determination.
2939-(1) Such notice may be provided in writing or by electronic means
2940-and shall set forth, in a manner calculated to be understood by the
2941-covered person or the covered person's authorized representative:
2942-(A) Information sufficient to identify the benefit request or claim
2943-involved, including the date of service, if applicable, the health care
2944-professional and the claim amount;
2945-(B) The specific reason or reasons for the adverse determination,
2946-including, upon request, a listing of the relevant clinical review criteria,
2947-including professional criteria and medical or scientific evidence and a
2948-description of the health carrier's standard, if any, that were used in
2949-reaching the denial;
2950-(C) Reference to the specific health benefit plan provisions on which
2951-the determination is based;
2952-(D) A description of any additional material or information necessary
2953-for the covered person to perfect the benefit request or claim, including
2954-an explanation of why the material or information is necessary to perfect
2955-the request or claim;
2956-(E) A description of the health carrier's internal grievance process that
2957-includes (i) the health carrier's expedited review procedures, (ii) any
2958-time limits applicable to such process or procedures, (iii) the contact
2959-information for the organizational unit designated to coordinate the
2960-review on behalf of the health carrier, and (iv) a statement that the
2961-covered person or, if applicable, the covered person's authorized
2962-representative is entitled, pursuant to the requirements of the health
2963-carrier's internal grievance process, to receive from the health carrier,
2964-free of charge upon request, reasonable access to and copies of all Substitute House Bill No. 5001
2965-
2966-Public Act No. 22-47 92 of 96
2967-
2968-documents, records, communications and other information and
2969-evidence regarding the covered person's benefit request;
2970-(F) (i) (I) A copy of the specific rule, guideline, protocol or other
2971-similar criterion the health carrier relied upon to make the adverse
2972-determination, or (II) a statement that a specific rule, guideline, protocol
2973-or other similar criterion of the health carrier was relied upon to make
2974-the adverse determination and that a copy of such rule, guideline,
2975-protocol or other similar criterion will be provided to the covered person
2976-free of charge upon request, with instructions for requesting such copy,
2977-and (ii) the links to such rule, guideline, protocol or other similar
2978-criterion on such health carrier's Internet web site;
2979-(G) If the adverse determination is based on medical necessity or an
2980-experimental or investigational treatment or similar exclusion or limit,
2981-the written statement of the scientific or clinical rationale for the adverse
2982-determination and (i) an explanation of the scientific or clinical rationale
2983-used to make the determination that applies the terms of the health
2984-benefit plan to the covered person's medical circumstances or (ii) a
2985-statement that an explanation will be provided to the covered person
2986-free of charge upon request, and instructions for requesting a copy of
2987-such explanation;
2988-(H) A statement explaining the right of the covered person to contact
2989-the commissioner's office or the Office of the Healthcare Advocate at
2990-any time for assistance or, upon completion of the health carrier's
2991-internal grievance process, to file a civil action in a court of competent
2992-jurisdiction. Such statement shall include the contact information for
2993-said offices; and
2994-(I) A statement, expressed in language approved by the Healthcare
2995-Advocate and prominently displayed on the first page or cover sheet of
2996-the notice using a call-out box and large or bold text, that if the covered
2997-person or the covered person's authorized representative chooses to file Substitute House Bill No. 5001
2998-
2999-Public Act No. 22-47 93 of 96
3000-
3001-a grievance of an adverse determination, (i) such appeals are sometimes
3002-successful, (ii) such covered person or covered person's authorized
3003-representative may benefit from free assistance from the Office of the
3004-Healthcare Advocate, which can assist such covered person or covered
3005-person's authorized representative with the filing of a grievance
3006-pursuant to 42 USC 300gg-93, as amended from time to time, (iii) such
3007-covered person or covered person's authorized representative is entitled
3008-and encouraged to submit supporting documentation for the health
3009-carrier's consideration during the review of an adverse determination,
3010-including narratives from such covered person or covered person's
3011-authorized representative and letters and treatment notes from such
3012-covered person's health care professional, and (iv) such covered person
3013-or covered person's authorized representative has the right to ask such
3014-covered person's health care professional for such letters or treatment
3015-notes.
3016-(2) Upon request pursuant to subparagraph (E) of subdivision (1) of
3017-this subsection, the health carrier shall provide such copies in
3018-accordance with subsection (a) of section 38a-591n.
3019-Sec. 72. Subsection (e) of section 38a-591e of the general statutes is
3020-repealed and the following is substituted in lieu thereof (Effective January
3021-1, 2023):
3022-(e) (1) The notice required under subsection (d) of this section shall
3023-set forth, in a manner calculated to be understood by the covered person
3024-or the covered person's authorized representative:
3025-(A) The titles and qualifying credentials of the clinical peer or peers
3026-participating in the review process;
3027-(B) Information sufficient to identify the claim involved with respect
3028-to the grievance, including the date of service, if applicable, the health
3029-care professional and the claim amount; Substitute House Bill No. 5001
3030-
3031-Public Act No. 22-47 94 of 96
3032-
3033-(C) A statement of such clinical peer's or peers' understanding of the
3034-covered person's grievance;
3035-(D) The clinical peer's or peers' decision in clear terms and the health
3036-benefit plan contract basis or scientific or clinical rationale for such
3037-decision in sufficient detail for the covered person to respond further to
3038-the health carrier's position;
3039-(E) Reference to the evidence or documentation used as the basis for
3040-the decision;
3041-(F) For a decision that upholds the adverse determination:
3042-(i) The specific reason or reasons for the final adverse determination,
3043-including the denial code and its corresponding meaning, as well as a
3044-description of the health carrier's standard, if any, that was used in
3045-reaching the denial;
3046-(ii) Reference to the specific health benefit plan provisions on which
3047-the decision is based;
3048-(iii) A statement that the covered person may receive from the health
3049-carrier, free of charge and upon request, reasonable access to and copies
3050-of, all documents, records, communications and other information and
3051-evidence not previously provided regarding the adverse determination
3052-under review;
3053-(iv) If the final adverse determination is based on a health carrier's
3054-internal rule, guideline, protocol or other similar criterion, (I) the
3055-specific rule, guideline, protocol or other similar criterion, or (II) a
3056-statement that a specific rule, guideline, protocol or other similar
3057-criterion of the health carrier was relied upon to make the final adverse
3058-determination and that a copy of such rule, guideline, protocol or other
3059-similar criterion will be provided to the covered person free of charge
3060-upon request and instructions for requesting such copy; Substitute House Bill No. 5001
3061-
3062-Public Act No. 22-47 95 of 96
3063-
3064-(v) If the final adverse determination is based on medical necessity or
3065-an experimental or investigational treatment or similar exclusion or
3066-limit, the written statement of the scientific or clinical rationale for the
3067-final adverse determination and (I) an explanation of the scientific or
3068-clinical rationale used to make the determination that applies the terms
3069-of the health benefit plan to the covered person's medical circumstances,
3070-or (II) a statement that an explanation will be provided to the covered
3071-person free of charge upon request and instructions for requesting a
3072-copy of such explanation;
3073-(vi) A statement describing the procedures for obtaining an external
3074-review of the final adverse determination;
3075-(G) If applicable, the following statement: "You and your plan may
3076-have other voluntary alternative dispute resolution options such as
3077-mediation. One way to find out what may be available is to contact your
3078-state Insurance Commissioner."; and
3079-(H) A statement, expressed in language approved by the Healthcare
3080-Advocate and prominently displayed on the first page or cover sheet of
3081-the notice using a call-out box and large or bold text, disclosing the
3082-covered person's right to contact the commissioner's office or the Office
3083-of the Healthcare Advocate at any time. Such disclosure shall include
3084-the contact information for said offices.
3085-(2) Upon request pursuant to subparagraph (F)(iii) of subdivision (1)
3086-of this subsection, the health carrier shall provide such copies in
3087-accordance with subsection (b) of section 38a-591n.
3088-Sec. 73. Subsection (d) of section 38a-591f of the general statutes is
3089-repealed and the following is substituted in lieu thereof (Effective January
3090-1, 2023):
3091-(d) (1) The written decision issued pursuant to subsection (c) of this
3092-section shall contain: Substitute House Bill No. 5001
3093-
3094-Public Act No. 22-47 96 of 96
3095-
3096-(A) The titles and qualifying credentials of the individual or
3097-individuals participating in the review process;
3098-(B) A statement of such individual's or individuals' understanding of
3099-the covered person's grievance;
3100-(C) The individual's or individuals' decision in clear terms and the
3101-health benefit plan contract basis for such decision in sufficient detail for
3102-the covered person to respond further to the health carrier's position;
3103-(D) Reference to the documents, communications, information and
3104-evidence used as the basis for the decision; and
3105-(E) For a decision that upholds the adverse determination, a
3106-statement (i) that the covered person may receive from the health
3107-carrier, free of charge and upon request, reasonable access to and copies
3108-of, all documents, communications, information and evidence
3109-regarding the adverse determination that is the subject of the final
3110-adverse determination, and (ii) disclosing the covered person's right to
3111-contact the Office of the Healthcare Advocate at any time, and that such
3112-covered person may benefit from free assistance from the Office of the
3113-Healthcare Advocate, which can assist such covered person with the
3114-filing of a grievance pursuant to 42 USC 300gg-93, as amended from
3115-time to time. Such disclosure shall be expressed in language approved
3116-by the Healthcare Advocate and prominently displayed on the first page
3117-or cover sheet of the notice using a call-out box and large or bold text,
3118-and shall include the contact information for said office.
3119-(2) Upon request pursuant to subparagraph (E) of subdivision (1) of
3120-this subsection, the health carrier shall provide such copies in
3121-accordance with subsection (b) of section 38a-591n.
18+Section 1. (Effective from passage) The Commissioner of Public Health, 1
19+in consultation with the Commissioner of Children and Families, shall 2
20+develop and implement a plan to establish licensure by reciprocity or 3
21+endorsement for a person who (1) is a mental or behavioral health care 4
22+provider licensed or certified to provide mental or behavioral health 5
23+care services, or is entitled to provide mental or behavioral health care 6
24+services under a different designation, in another state having 7
25+requirements for practicing in such capacity that are substantially 8
26+similar to or higher than the requirements in effect in this state for 9
27+practitioners practicing in such capacity, and (2) has no disciplinary 10
28+action or unresolved complaint pending against such person, provided 11
29+the provisions of any interstate licensure compact regarding a mental or 12
30+behavioral health care provider adopted by the state shall supersede any 13
31+plan of licensure by reciprocity or endorsement implemented under this 14
32+section concerning such mental or behavioral health care provider. 15
33+When developing and implementing such plan, the Commissioner of 16
34+Public Health shall consider (A) eliminating barriers to the expedient 17
35+licensure of such persons in order to immediately address the mental 18
36+health needs of children in this state, and (B) whether such licensure 19
37+should be limited to the provision of mental or behavioral health care 20 Substitute Bill No. 5001
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43+
44+services through the use of telehealth, as defined in section 19a-906 of 21
45+the general statutes, as amended by this act. The Commissioner of 22
46+Public Health shall prioritize establishing licensure by reciprocity or 23
47+endorsement to a person who is a mental or behavioral health care 24
48+provider licensed or certified to provide mental health care services to 25
49+children, or who is entitled to provide mental or behavioral health care 26
50+services to children under a different designation. On or before January 27
51+1, 2023, the Commissioner of Public Health shall (i) implement the plan 28
52+to establish licensure by reciprocity or endorsement, and (ii) report, in 29
53+accordance with the provisions of section 11-4a of the general statutes, 30
54+to the joint standing committees of the General Assembly having 31
55+cognizance of matters relating to public health and children regarding 32
56+such plan and recommendations for legislation related to such plan. 33
57+Sec. 2. Section 19a-14d of the 2022 supplement to the general statutes 34
58+is repealed and the following is substituted in lieu thereof (Effective 35
59+October 1, 2022): 36
60+(a) An occupational or professional license, permit, certification or 37
61+registration issued by the Department of Public Health pursuant to 38
62+chapter 368v, 370, 372, 373, 375, 375a, 376, 376a, 376b, 376c, 377, 378, 39
63+378a, 379, 379a, 380, 381, 381a, 381b, 382a, 382b, 382c, 383, 383a, 383b, 40
64+383c, 383d, 383e, 383f, 383g, 383h, 384, 384a, 384b, 384c, 384d, 385, 386, 41
65+387, 387a, 388, 388a, 393a, 395, 397a, 398, 399, 400a, 400c or 474 shall be 42
66+issued, in the occupation or profession applied for and at a practice level 43
67+determined by the department, to a person, [who is (1) a resident of this 44
68+state, as defined in section 12-701, and provides a current driver's 45
69+license, utility bill, lease agreement or property deed indicating such 46
70+person's residence in this state; or (2) married to an active duty member 47
71+of the armed forces of the United States and accompanies such member, 48
72+pursuant to an official permanent change of station, to a military 49
73+installation located in this state] including, but not limited to, an active 50
74+duty member of the armed forces of the United States or such person's 51
75+spouse, if: 52
76+[(A)] (1) The person holds a valid license, permit, certification or 53 Substitute Bill No. 5001
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82+
83+registration in at least one other jurisdiction in the United States in the 54
84+occupation or profession applied for; 55
85+[(B)] (2) The person has practiced under such license, permit, 56
86+certification or registration for not less than four years; 57
87+[(C)] (3) The person is in good standing in all jurisdictions in the 58
88+United States in which he or she holds a license, permit, certification or 59
89+registration and has not had a license, permit, certification or 60
90+registration revoked or discipline imposed by any jurisdiction in the 61
91+United States, does not have a complaint, allegation or investigation 62
92+related to unprofessional conduct pending in any jurisdiction, and has 63
93+not voluntarily surrendered a license, permit, certification or 64
94+registration while under investigation for unprofessional conduct in any 65
95+jurisdiction; 66
96+[(D)] (4) The person satisfies any background check or character and 67
97+fitness check required of other applicants for the license, permit, 68
98+certification or registration; and 69
99+[(E)] (5) The person pays all fees required of other applicants for the 70
100+license, permit, certification or registration. 71
101+(b) In addition to the requirements set forth in subsection (a) of this 72
102+section, the Department of Public Health [(1) shall require a resident of 73
103+this state] may require a person applying for a license, permit, 74
104+certification or registration under this section to take and pass all, or a 75
105+portion of, any examination required of other persons applying for [the] 76
106+such license, permit, certification or registration. [; and (2) may require 77
107+a person married to an active duty member of the armed forces of the 78
108+United States to take all or a portion of such examination.] 79
109+(c) Any person issued a license, permit, certification or registration 80
110+pursuant to this section shall be subject to the laws of this state and the 81
111+jurisdiction of the Department of Public Health. 82
112+(d) Notwithstanding the provisions of this section and pursuant to 83 Substitute Bill No. 5001
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118+
119+section 19a-14, the Commissioner of Public Health may deny an 84
120+occupational or professional license, permit, certification or registration 85
121+if he or she finds such denial is in the best interest of the state. 86
122+Sec. 3. Section 20-195n of the general statutes is amended by adding 87
123+subsection (g) as follows (Effective July 1, 2022): 88
124+(NEW) (g) The commissioner shall notify each applicant who takes 89
125+an examination required under subsection (b), (c), (d) or (e) of this 90
126+section that such applicant may use a dictionary while taking such 91
127+examination. 92
128+Sec. 4. Section 20-195t of the general statutes is repealed and the 93
129+following is substituted in lieu thereof (Effective from passage): 94
130+The department may issue a temporary permit to an applicant for 95
131+licensure as a master social worker who holds a master's degree from a 96
132+social work educational program, as described in section 20-195n, as 97
133+amended by this act, but who has not yet taken the licensure 98
134+examination prescribed in said section 20-195n. Such temporary permit 99
135+shall authorize the holder to practice as a master social worker as 100
136+provided for in section 20-195s. [Such] Prior to June 30, 2024, such 101
137+temporary permit shall be valid for a period not to exceed one year after 102
138+the date of issuance, shall not be renewable and shall not become void 103
139+solely because the applicant fails to pass such examination. On and after 104
140+July 1, 2024, such temporary permit shall be valid for a period not to 105
141+exceed one hundred twenty calendar days after the date of [attaining 106
142+such master's degree and] issuance, shall not be renewable [. Such 107
143+permit shall become void and shall not be reissued in the event that] 108
144+and, if the applicant fails to pass such examination, shall become void 109
145+and shall not be reissued. The fee for a temporary permit shall be fifty 110
146+dollars. 111
147+Sec. 5. (NEW) (Effective October 1, 2022) (a) The Commissioner of 112
148+Public Health shall establish a mental health care provider examination 113
149+preparation grant program to provide grants to social workers and 114 Substitute Bill No. 5001
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156+marital and family therapists for the costs of tutoring and examination 115
157+preparation courses for applicants for licensure as a master social 116
158+worker who are preparing for the masters level examination of the 117
159+Association of Social Work Boards, or any other examination prescribed 118
160+by the commissioner, and for candidates for licensure as a clinical social 119
161+worker who are preparing for the clinical level examination of said 120
162+association, or any other examination prescribed by the commissioner, 121
163+including, but not limited to, the costs of an interpreter for any applicant 122
164+who is an English language learner. 123
165+(b) The commissioner shall establish guidelines for the 124
166+administration of the grant program. 125
167+Sec. 6. (NEW) (Effective from passage) (a) The Commissioner of Public 126
168+Health, in consultation with the Commissioner of Children and 127
169+Families, shall establish a scholarship program for applicants for 128
170+licensure in professions that serve the mental or behavioral health needs 129
171+of children in the state. 130
172+(b) Within available appropriations, the program shall provide need-131
173+based scholarships for persons applying to the Department of Public 132
174+Health for licensure in professions that serve the mental or behavioral 133
175+health needs of children in the state. The scholarship shall not exceed 134
176+the sum of application costs and licensure fees. The Commissioner of 135
177+Public Health shall develop eligibility requirements for scholarship 136
178+recipients and give priority to each scholarship applicant (1) who is a 137
179+member of a racial or ethnic minority, (2) for whom English is a second 138
180+language, (3) who identifies as lesbian, gay, bisexual, transgender or 139
181+queer, or (4) who has a disability. A person may apply to the 140
182+Department of Public Health for a scholarship under the program at 141
183+such time, and in such manner, as the Commissioner of Public Health 142
184+prescribes. 143
185+(c) The Department of Public Health may accept private donations 144
186+for the scholarship program. 145 Substitute Bill No. 5001
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193+(d) Any unexpended funds appropriated for purposes of this section 146
194+shall not lapse at the end of the fiscal year but shall be available for 147
195+expenditure during the next fiscal year. 148
196+(e) For the fiscal year ending June 30, 2022, and each fiscal year 149
197+thereafter, the Commissioner of Public Health may use up to five per 150
198+cent of the funds appropriated for purposes of this section for program 151
199+administration, promotion, recruitment and retention activities. 152
200+(f) On or before January 1, 2023, and annually thereafter, the 153
201+Commissioner of Public Health shall report, in accordance with the 154
202+provisions of section 11-4a of the general statutes, to the joint standing 155
203+committee of the General Assembly having cognizance of matters 156
204+relating to public health regarding (1) the number of recipients, and the 157
205+demographics of recipients, of scholarships under the program 158
206+established under this section and, where available, the demographics 159
207+of the persons served by such recipients in such recipients' professional 160
208+capacities, and (2) a detailed description of how the Department of 161
209+Public Health utilizes the money allocated for administration of the 162
210+scholarship program. 163
211+Sec. 7. Subsection (b) of section 17a-22ff of the general statutes is 164
212+repealed and the following is substituted in lieu thereof (Effective July 1, 165
213+2022): 166
214+(b) The board shall consist of the following members: 167
215+(1) Eight appointed by the Commissioner of Children and Families, 168
216+who shall represent families of children who have been diagnosed with 169
217+mental, emotional or behavioral health issues; 170
218+(2) Two appointed by the Commissioner of Children and Families, 171
219+who shall represent a private foundation providing mental, emotional 172
220+or behavioral health care services for children and families in the state; 173
221+(3) [Four] Six appointed by the Commissioner of Children and 174
222+Families, who shall be providers of mental, emotional or behavioral 175 Substitute Bill No. 5001
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229+health care services [for] to children in the state, [at least one of whom 176
230+shall be a provider of] one of whom shall be a psychiatrist licensed to 177
231+practice pursuant to chapter 370, one of whom shall be a marital and 178
232+family therapist licensed under chapter 383a, one of whom shall be a 179
233+psychologist licensed under chapter 383, one of whom shall be a clinical 180
234+social worker licensed under chapter 383b, one of whom shall be a 181
235+professional counselor licensed under chapter 383c and one of whom 182
236+shall be an advanced practice registered nurse licensed under chapter 183
237+378. At least one of such appointees shall be a provider of mental, 184
238+emotional or behavioral health care services to children involved with 185
239+the juvenile justice system; 186
240+(4) Three appointed by the Commissioner of Children and Families, 187
241+who shall represent private advocacy groups that provide services for 188
242+children and families in the state; 189
243+(5) One appointed by the Commissioner of Children and Families, 190
244+who shall represent the United Way of Connecticut 2-1-1 Infoline 191
245+program; 192
246+(6) One appointed by the majority leader of the House of 193
247+Representatives, who shall be a medical doctor representing the 194
248+Connecticut Children's Medical Center Emergency Department; 195
249+(7) One appointed by the majority leader of the Senate, who shall be 196
250+a superintendent of schools in the state; 197
251+(8) One appointed by the minority leader of the House of 198
252+Representatives, who shall represent the Connecticut Behavioral 199
253+Healthcare Partnership; 200
254+(9) One appointed by the minority leader of the Senate who shall 201
255+represent the Connecticut Association of School-Based Health Centers; 202
256+(10) The Commissioner of Children and Families, or the 203
257+commissioner's designee; 204 Substitute Bill No. 5001
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262+8 of 111
263+
264+(11) The Commissioner of Developmental Services, or the 205
265+commissioner's designee; 206
266+(12) The Commissioner of Social Services, or the commissioner's 207
267+designee; 208
268+(13) The Commissioner of Public Health, or the commissioner's 209
269+designee; 210
270+(14) The Commissioner of Mental Health and Addiction Services, or 211
271+the commissioner's designee; 212
272+(15) The Commissioner of Education, or the commissioner's designee; 213
273+(16) The Commissioner of Early Childhood, or the commissioner's 214
274+designee; 215
275+(17) The Insurance Commissioner, or the commissioner's designee; 216
276+(18) The Labor Commissioner, or the commissioner's designee; 217
277+(19) The Secretary of the Office of Policy and Management, or the 218
278+secretary's designee; 219
279+(20) The Commissioner of Correction, or the commissioner's 220
280+designee; 221
281+[(18)] (21) The executive director of the Court Support Services 222
282+Division of the Judicial Branch, or the executive director's designee; 223
283+[(19)] (22) The Child Advocate, or the Child Advocate's designee; 224
284+[(20)] (23) The Healthcare Advocate, or the Healthcare Advocate's 225
285+designee; [and] 226
286+[(21)] (24) The executive director of the Commission on Women, 227
287+Children, Seniors, Equity and Opportunity, or the executive director's 228
288+designee; [.] 229 Substitute Bill No. 5001
289+
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295+(25) One representative of the Governor's office; 230
296+(26) One representative of commercial health insurance carriers; 231
297+(27) One representative of the Commission on Racial Equity in Public 232
298+Health established under section 19a-133a; 233
299+(28) One representative of the Commission on the Disparate Impact 234
300+of COVID-19 established pursuant to special act 21-37; 235
301+(29) One representative of the task force created pursuant to section 236
302+4 of public act 21-125 concerning mental health service provider 237
303+networks; and 238
304+(30) One representative of the task force on children's needs created 239
305+pursuant to section 30 of public act 21-46. 240
306+Sec. 8. (NEW) (Effective July 1, 2022) On or before January 1, 2023, the 241
307+Department of Children and Families shall establish and administer a 242
308+data repository for (1) emergency mobile psychiatric services personnel 243
309+to share best practices and experiences while providing emergency 244
310+mobile psychiatric services in the field, and (2) emergency mobile 245
311+psychiatric services personnel and the department to, when available 246
312+and appropriate, collect data on outcomes of patients who received 247
313+emergency mobile psychiatric services, which data shall be deidentified 248
314+and disaggregated, for internal quality improvement purposes. 249
315+Sec. 9. (NEW) (Effective October 1, 2022) (a) There is established in the 250
316+city of Waterbury a pilot program to allow a hospital to administer a 251
317+partial hospitalization program, and an intensive outpatient program, 252
318+for adolescents with mental or behavioral health issues, which shall be 253
319+administered by the Department of Public Health. As used in this 254
320+subsection, "partial hospitalization program" means a structured 255
321+program of outpatient psychiatric services as an alternative to inpatient 256
322+psychiatric care. 257
323+(b) Not later than January 1, 2024, and annually thereafter, the 258 Substitute Bill No. 5001
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329+
330+Commissioner of Public Health, in consultation with the Commissioner 259
331+of Children and Families, shall report, in accordance with the provisions 260
332+of section 11-4a of the general statutes, regarding the implementation of 261
333+the pilot program to the joint standing committees of the General 262
334+Assembly having cognizance of matters relating to public health and 263
335+children. Such report shall assess the effectiveness of the pilot program 264
336+and include legislative recommendations concerning implementation of 265
337+the pilot program on a state-wide basis. 266
338+Sec. 10. Section 17a-20a of the general statutes is repealed and the 267
339+following is substituted in lieu thereof (Effective from passage): 268
340+(a) [Not later than January 1, 2014, the] The Commissioner of 269
341+Children and Families shall establish and implement a regional 270
342+behavioral health consultation and care coordination program for (1) 271
343+primary care providers who serve children, and (2) the pediatric 272
344+patients of such providers. Such program shall provide to such primary 273
345+care providers [: (1) Timely] (A) timely access to a consultation team that 274
346+includes a child psychiatrist, social worker and a care coordinator, [; (2)] 275
347+(B) patient care coordination and transitional services for mental or 276
348+behavioral health care, [;] and [(3)] (C) training and education 277
349+concerning patient access to behavioral health services. [Said] Such 278
350+program shall provide to the pediatric patient of a primary care 279
351+provider who serves children not more than three follow-up telehealth 280
352+appointments, if determined to be medically necessary by the primary 281
353+care provider, with a mental health care provider after the primary care 282
354+provider has utilized the program on behalf of such patient. A primary 283
355+care provider participating in such program may refer a pediatric 284
356+patient to a care coordinator who contracts with the Department of 285
357+Children and Families, but is not participating in such program, to assist 286
358+a pediatric patient in obtaining behavioral health care from a mental or 287
359+behavioral health care provider who is not participating in such 288
360+program. The department shall request reimbursement for services 289
361+provided under this section from a health carrier prior to paying for 290
362+such services with any funds appropriated for purposes of this section. 291 Substitute Bill No. 5001
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367+11 of 111
368+
369+The commissioner may enter into a contract for services to administer 292
370+such program. 293
371+[(b) Not later than October 1, 2013, said commissioner shall submit a 294
372+plan, in accordance with the provisions of section 11-4a, to the joint 295
373+standing committees of the General Assembly having cognizance of 296
374+matters relating to public health, children, human services and 297
375+appropriations concerning the program to be established pursuant to 298
376+subsection (a) of this section.] 299
377+[(c)] (b) The Commissioner of Children and Families may adopt 300
378+regulations, in accordance with the provisions of chapter 54, to 301
379+implement the provisions of this section. 302
380+Sec. 11. Subdivision (12) of subsection (a) of section 19a-906 of the 303
381+general statutes is repealed and the following is substituted in lieu 304
382+thereof (Effective from passage): 305
383+(12) "Telehealth provider" means (A) any physician licensed under 306
384+chapter 370, physical therapist licensed under chapter 376, chiropractor 307
385+licensed under chapter 372, naturopath licensed under chapter 373, 308
386+podiatrist licensed under chapter 375, occupational therapist licensed 309
387+under chapter 376a, optometrist licensed under chapter 380, registered 310
388+nurse or advanced practice registered nurse licensed under chapter 378, 311
389+physician assistant licensed under chapter 370, psychologist licensed 312
390+under chapter 383, marital and family therapist licensed under chapter 313
391+383a, clinical social worker or master social worker licensed under 314
392+chapter 383b, alcohol and drug counselor licensed under chapter 376b, 315
393+professional counselor licensed under chapter 383c, dietitian-316
394+nutritionist certified under chapter 384b, speech and language 317
395+pathologist licensed under chapter 399, respiratory care practitioner 318
396+licensed under chapter 381a, audiologist licensed under chapter 397a, 319
397+pharmacist licensed under chapter 400j or paramedic licensed pursuant 320
398+to chapter 384d who is providing health care or other health services 321
399+through the use of telehealth within such person's scope of practice and 322
400+in accordance with the standard of care applicable to the profession, or 323 Substitute Bill No. 5001
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407+(B) on and after July 1, 2024, an appropriately licensed, certified or 324
408+registered physician, naturopath, registered nurse, advanced practice 325
409+registered nurse, physician assistant, psychologist, marital and family 326
410+therapist, clinical social worker, master social worker, alcohol and drug 327
411+counselor, professional counselor, dietitian-nutritionist, nurse-midwife, 328
412+behavior analyst, music therapist or art therapist, in another state or 329
413+territory of the United States or the District of Columbia, who is 330
414+providing mental or behavioral health care or other services through the 331
415+use of telehealth within such person's scope of practice and in 332
416+accordance with the standard of care applicable to the profession and 333
417+maintains professional liability insurance, or other indemnity against 334
418+liability for professional malpractice, in an amount that is equal to or 335
419+greater than that required for similarly licensed, certified or registered 336
420+Connecticut mental or behavioral health care providers. 337
421+Sec. 12. Section 1 of public act 21-9, as amended by section 3 of public 338
422+act 21-133, is repealed and the following is substituted in lieu thereof 339
423+(Effective from passage): 340
424+(a) As used in this section: 341
425+(1) "Asynchronous" has the same meaning as provided in section 19a-342
426+906 of the general statutes, as amended by this act. 343
427+(2) "Connecticut medical assistance program" means the state's 344
428+Medicaid program and the Children's Health Insurance program 345
429+administered by the Department of Social Services. 346
430+(3) "Facility fee" has the same meaning as provided in section 19a-347
431+508c of the general statutes. 348
432+(4) "Health record" has the same meaning as provided in section 19a-349
433+906 of the general statutes, as amended by this act. 350
434+(5) "Medical history" has the same meaning as provided in section 351
435+19a-906 of the general statutes, as amended by this act. 352 Substitute Bill No. 5001
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442+(6) "Medication-assisted treatment" has the same meaning as 353
443+provided in section 19a-906 of the general statutes, as amended by this 354
444+act. 355
445+(7) "Originating site" has the same meaning as provided in section 356
446+19a-906 of the general statutes, as amended by this act. 357
447+(8) "Peripheral devices" has the same meaning as provided in section 358
448+19a-906 of the general statutes, as amended by this act. 359
449+(9) "Remote patient monitoring" has the same meaning as provided 360
450+in section 19a-906 of the general statutes, as amended by this act. 361
451+(10) "Store and forward transfer" has the same meaning as provided 362
452+in section 19a-906 of the general statutes, as amended by this act. 363
453+(11) "Synchronous" has the same meaning as provided in section 19a-364
454+906 of the general statutes, as amended by this act. 365
455+(12) "Telehealth" means the mode of delivering health care or other 366
456+health services via information and communication technologies to 367
457+facilitate the diagnosis, consultation and treatment, education, care 368
458+management and self-management of a patient's physical, oral and 369
459+mental health, and includes interaction between the patient at the 370
460+originating site and the telehealth provider at a distant site, synchronous 371
461+interactions, asynchronous store and forward transfers or remote 372
462+patient monitoring, but does not include interaction through (A) 373
463+facsimile, texting or electronic mail, or (B) audio-only telephone unless 374
464+the telehealth provider is (i) in-network, or (ii) a provider enrolled in the 375
465+Connecticut medical assistance program providing such health care or 376
466+other health services to a Connecticut medical assistance program 377
467+recipient. 378
468+(13) "Telehealth provider" means any person who is (A) an in-379
469+network provider or a provider enrolled in the Connecticut medical 380
470+assistance program providing health care or other health services to a 381
471+Connecticut medical assistance program recipient through the use of 382 Substitute Bill No. 5001
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476+14 of 111
477+
478+telehealth within such person's scope of practice and in accordance with 383
479+the standard of care applicable to such person's profession, and (B) (i) a 384
480+physician or physician assistant licensed under chapter 370 of the 385
481+general statutes, physical therapist or physical therapist assistant 386
482+licensed under chapter 376 of the general statutes, chiropractor licensed 387
483+under chapter 372 of the general statutes, naturopath licensed under 388
484+chapter 373 of the general statutes, podiatrist licensed under chapter 375 389
485+of the general statutes, occupational therapist or occupational therapy 390
486+assistant licensed under chapter 376a of the general statutes, optometrist 391
487+licensed under chapter 380 of the general statutes, registered nurse or 392
488+advanced practice registered nurse licensed under chapter 378 of the 393
489+general statutes, psychologist licensed under chapter 383 of the general 394
490+statutes, marital and family therapist licensed under chapter 383a of the 395
491+general statutes, clinical social worker or master social worker licensed 396
492+under chapter 383b of the general statutes, alcohol and drug counselor 397
493+licensed under chapter 376b of the general statutes, professional 398
494+counselor licensed under chapter 383c of the general statutes, dietitian-399
495+nutritionist certified under chapter 384b of the general statutes, speech 400
496+and language pathologist licensed under chapter 399 of the general 401
497+statutes, respiratory care practitioner licensed under chapter 381a of the 402
498+general statutes, audiologist licensed under chapter 397a of the general 403
499+statutes, pharmacist licensed under chapter 400j of the general statutes, 404
500+paramedic licensed pursuant to chapter 384d of the general statutes, 405
501+nurse-midwife licensed under chapter 377 of the general statutes, 406
502+dentist licensed under chapter 379 of the general statutes, behavior 407
503+analyst licensed under chapter 382a of the general statutes, genetic 408
504+counselor licensed under chapter 383d of the general statutes, music 409
505+therapist certified in the manner described in chapter 383f of the general 410
506+statutes, art therapist [certified] licensed in the manner described in 411
507+chapter 383g of the general statutes or athletic trainer licensed under 412
508+chapter 375a of the general statutes, or (ii) an appropriately licensed, 413
509+certified or registered physician, physician assistant, physical therapist, 414
510+physical therapist assistant, chiropractor, naturopath, podiatrist, 415
511+occupational therapist, occupational therapy assistant, optometrist, 416
512+registered nurse, advanced practice registered nurse, psychologist, 417 Substitute Bill No. 5001
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517+15 of 111
518+
519+marital and family therapist, clinical social worker, master social 418
520+worker, alcohol and drug counselor, professional counselor, dietitian-419
521+nutritionist, speech and language pathologist, respiratory care 420
522+practitioner, audiologist, pharmacist, paramedic, nurse-midwife, 421
523+dentist, behavior analyst, genetic counselor, music therapist, art 422
524+therapist or athletic trainer, in another state or territory of the United 423
525+States or the District of Columbia, that provides telehealth services 424
526+pursuant to his or her authority under any relevant order issued by the 425
527+Commissioner of Public Health and maintains professional liability 426
528+insurance, or other indemnity against liability for professional 427
529+malpractice, in an amount that is equal to or greater than that required 428
530+for similarly licensed, certified or registered Connecticut health care 429
531+providers. 430
532+(b) (1) Notwithstanding the provisions of section 19a-906 of the 431
533+general statutes, as amended by this act, during the period beginning on 432
534+[the effective date of this section] May 20, 2021, and ending on June 30, 433
535+[2023] 2024, a telehealth provider may only provide a telehealth service 434
536+to a patient when the telehealth provider: 435
537+(A) Is communicating through real-time, interactive, two-way 436
538+communication technology or store and forward transfer technology; 437
539+(B) Has determined whether the patient has health coverage that is 438
540+fully insured, not fully insured or provided through [Medicaid or the 439
541+Children's Health Insurance Program] the Connecticut medical 440
542+assistance program, and whether the patient's health coverage, if any, 441
543+provides coverage for the telehealth service; 442
544+(C) Has access to, or knowledge of, the patient's medical history, as 443
545+provided by the patient, and the patient's health record, including the 444
546+name and address of the patient's primary care provider, if any; 445
547+(D) Conforms to the standard of care applicable to the telehealth 446
548+provider's profession and expected for in-person care as appropriate to 447
549+the patient's age and presenting condition, except when the standard of 448 Substitute Bill No. 5001
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555+
556+care requires the use of diagnostic testing and performance of a physical 449
557+examination, such testing or examination may be carried out through 450
558+the use of peripheral devices appropriate to the patient's condition; and 451
559+(E) Provides the patient with the telehealth provider's license 452
560+number, if any, and contact information. 453
561+(2) Notwithstanding the provisions of section 19a-906 of the general 454
562+statutes, as amended by this act, if a telehealth provider provides a 455
563+telehealth service to a patient during the period beginning on [the 456
564+effective date of this section] May 10, 2021, and ending on June 30, [2023] 457
565+2024, the telehealth provider shall, at the time of the telehealth 458
566+provider's first telehealth interaction with a patient, inform the patient 459
567+concerning the treatment methods and limitations of treatment using a 460
568+telehealth platform, including, but not limited to, the limited duration 461
569+of the relevant provisions of this section and sections 3 to 7, inclusive, of 462
570+[this act] public act 21-9, and, after providing the patient with such 463
571+information, obtain the patient's consent to provide telehealth services. 464
572+The telehealth provider shall document such notice and consent in the 465
573+patient's health record. If a patient later revokes such consent, the 466
574+telehealth provider shall document the revocation in the patient's health 467
575+record. 468
576+(c) Notwithstanding the provisions of this section or title 20 of the 469
577+general statutes, no telehealth provider shall, during the period 470
578+beginning on [the effective date of this section] May 10, 2021, and ending 471
579+on June 30, [2023] 2024, prescribe any schedule I, II or III controlled 472
580+substance through the use of telehealth, except a schedule II or III 473
581+controlled substance other than an opioid drug, as defined in section 20-474
582+14o of the general statutes, in a manner fully consistent with the Ryan 475
583+Haight Online Pharmacy Consumer Protection Act, 21 USC 829(e), as 476
584+amended from time to time, for the treatment of a person with a 477
585+psychiatric disability or a person with a substance use disorder, as 478
586+defined in section 17a-458 of the general statutes, including, but not 479
587+limited to, medication-assisted treatment. A telehealth provider using 480
588+telehealth to prescribe a schedule II or III controlled substance pursuant 481 Substitute Bill No. 5001
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594+
595+to this subsection shall electronically [submit] transmit the prescription 482
596+pursuant to section 21a-249 of the general statutes, as amended by this 483
597+act. 484
598+(d) During the period beginning on [the effective date of this section] 485
599+May 10, 2021, and ending on June 30, [2023] 2024, each telehealth 486
600+provider shall, at the time of the initial telehealth interaction, ask the 487
601+patient whether the patient consents to the telehealth provider's 488
602+disclosure of records concerning the telehealth interaction to the 489
603+patient's primary care provider. If the patient consents to such 490
604+disclosure, the telehealth provider shall provide records of all telehealth 491
605+interactions during such period to the patient's primary care provider, 492
606+in a timely manner, in accordance with the provisions of sections 20-7b 493
607+to 20-7e, inclusive, of the general statutes. 494
608+(e) During the period beginning on [the effective date of this section] 495
609+May 10, 2021, and ending on June 30, [2023] 2024, any consent or 496
610+revocation of consent under this section shall be obtained from or 497
611+communicated by the patient, or the patient's legal guardian, 498
612+conservator or other authorized representative, as applicable. 499
613+(f) (1) The provision of telehealth services and health records 500
614+maintained and disclosed as part of a telehealth interaction shall comply 501
615+with all provisions of the Health Insurance Portability and 502
616+Accountability Act of 1996, P.L. 104-191, as amended from time to time, 503
617+and the rules and regulations adopted thereunder, that are applicable to 504
618+such provision, maintenance or disclosure. 505
619+(2) Notwithstanding the provisions of section 19a-906 of the general 506
620+statutes, as amended by this act, and subdivision (1) of this subsection, 507
621+a telehealth provider that is an in-network provider or a provider 508
622+enrolled in the Connecticut medical assistance program that provides 509
623+telehealth services to a Connecticut medical assistance program 510
624+recipient, may, during the period beginning on [the effective date of this 511
625+section] May 10, 2021, and ending on June 30, [2023] 2024, use any 512
626+information or communication technology in accordance with the 513 Substitute Bill No. 5001
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632+
633+directions, modifications or revisions, if any, made by the Office for 514
634+Civil Rights of the United States Department of Health and Human 515
635+Services to the provisions of the Health Insurance Portability and 516
636+Accountability Act of 1996 P.L. 104-191, as amended from time to time, 517
637+or the rules and regulations adopted thereunder. 518
638+(g) Notwithstanding any provision of the general statutes, nothing in 519
639+this section shall, during the period beginning on [the effective date of 520
640+this section] May 10, 2021, and ending on June 30, [2023] 2024, prohibit 521
641+a health care provider from: (1) Providing on-call coverage pursuant to 522
642+an agreement with another health care provider or such health care 523
643+provider's professional entity or employer; (2) consulting with another 524
644+health care provider concerning a patient's care; (3) ordering care for 525
645+hospital outpatients or inpatients; or (4) using telehealth for a hospital 526
646+inpatient, including for the purpose of ordering medication or treatment 527
647+for such patient in accordance with the Ryan Haight Online Pharmacy 528
648+Consumer Protection Act, 21 USC 829(e), as amended from time to time. 529
649+As used in this subsection, "health care provider" means a person or 530
650+entity licensed or certified pursuant to chapter 370, 372, 373, 375, 376 to 531
651+376b, inclusive, 378, 379, 380, 381a, 383 to 383c, inclusive, 384b, 397a, 399 532
652+or 400j of the general statutes or licensed or certified pursuant to chapter 533
653+368d or 384d of the general statutes. 534
654+(h) Notwithstanding any provision of the general statutes, no 535
655+telehealth provider shall charge a facility fee for a telehealth service 536
656+provided during the period beginning on [the effective date of this 537
657+section] May 10, 2021, and ending on June 30, [2023] 2024. 538
658+(i) (1) Notwithstanding any provision of the general statutes, no 539
659+telehealth provider shall provide health care or health services to a 540
660+patient through telehealth during the period beginning on [the effective 541
661+date of this section] May 10, 2021, and ending on June 30, [2023] 2024, 542
662+unless the telehealth provider has determined whether or not the patient 543
663+has health coverage for such health care or health services. 544
664+(2) Notwithstanding any provision of the general statutes, a 545 Substitute Bill No. 5001
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670+
671+telehealth provider who provides health care or health services to a 546
672+patient through telehealth during the period beginning on [the effective 547
673+date of this section] May 10, 2021, and ending on June 30, [2023] 2024, 548
674+shall: 549
675+(A) Accept as full payment for such health care or health services: 550
676+(i) An amount that is equal to the amount that Medicare reimburses 551
677+for such health care or health services if the telehealth provider 552
678+determines that the patient does not have health coverage for such 553
679+health care or health services; or 554
680+(ii) The amount that the patient's health coverage reimburses, and 555
681+any coinsurance, copayment, deductible or other out-of-pocket expense 556
682+imposed by the patient's health coverage, for such health care or health 557
683+services if the telehealth provider determines that the patient has health 558
684+coverage for such health care or health services. 559
685+(3) If a telehealth provider determines that a patient is unable to pay 560
686+for any health care or health services described in subdivisions (1) and 561
687+(2) of this subsection, the provider shall offer to the patient financial 562
688+assistance, if such provider is otherwise required to offer to the patient 563
689+such financial assistance, under any applicable state or federal law. 564
690+(j) Subject to compliance with all applicable federal requirements, 565
691+notwithstanding any provision of the general statutes, state licensing 566
692+standards or any regulation adopted thereunder, a telehealth provider 567
693+may provide telehealth services pursuant to the provisions of this 568
694+section from any location. 569
695+(k) Notwithstanding the provisions of section 19a-906 of the general 570
696+statutes, as amended by this act, during the period beginning on [the 571
697+effective date of this section] May 10, 2021, and ending on June 30, [2023] 572
698+2024, any Connecticut entity, institution or health care provider that 573
699+engages or contracts with a telehealth provider that is licensed, certified 574
700+or registered in another state or territory of the United States or the 575
701+District of Columbia to provide health care or other health services shall 576 Substitute Bill No. 5001
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707+
708+verify the credentials of such provider in the state in which he or she is 577
709+licensed, certified or registered, ensure that such [a] provider is in good 578
710+standing in such state, and confirm that such provider maintains 579
711+professional liability insurance or other indemnity against liability for 580
712+professional malpractice in an amount that is equal to or greater than 581
713+that required for similarly licensed, certified or registered Connecticut 582
714+health care providers. 583
715+(l) Notwithstanding sections 4-168 to 4-174, inclusive, of the general 584
716+statutes, from the period beginning on [the effective date of this section] 585
717+May 10, 2021, and ending on June 30, [2023] 2024, the Commissioner of 586
718+Public Health may temporarily waive, modify or suspend any 587
719+regulatory requirements adopted by the Commissioner of Public Health 588
720+or any boards or commissions under chapters 368a, 368d, 368v, 369 to 589
721+381a, inclusive, 382a, 383 to 388, inclusive, 397a, 398, 399, 400a, 400c, 400j 590
722+and 474 of the general statutes as the Commissioner of Public Health 591
723+deems necessary to reduce the spread of COVID-19 and to protect the 592
724+public health for the purpose of providing residents of this state with 593
725+telehealth services from out-of-state practitioners. 594
726+Sec. 13. Subsection (c) of section 21a-249 of the 2022 supplement to 595
727+the general statutes is repealed and the following is substituted in lieu 596
728+thereof (Effective from passage): 597
729+(c) A licensed practitioner shall not be required to electronically 598
730+transmit a prescription when: 599
731+(1) Electronic transmission is not available due to a temporary 600
732+technological or electrical failure. In the event of a temporary 601
733+technological or electrical failure, the practitioner shall, without undue 602
734+delay, reasonably attempt to correct any cause for the failure that is 603
735+within his or her control. A practitioner who issues a prescription, but 604
736+fails to electronically transmit the prescription, as permitted by this 605
737+subsection, shall document the reason for the practitioner's failure to 606
738+electronically transmit the prescription in the patient's medical record 607
739+as soon as practicable, but in no instance more than seventy-two hours 608 Substitute Bill No. 5001
740+
741+
742+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
743+R02-HB.docx }
744+21 of 111
745+
746+following the end of the temporary technological or electrical failure 609
747+that prevented the electronic transmittal of the prescription. For 610
748+purposes of this subdivision, "temporary technological or electrical 611
749+failure" means failure of a computer system, application or device or the 612
750+loss of electrical power to such system, application or device, or any 613
751+other service interruption to such system, application or device that 614
752+reasonably prevents the practitioner from utilizing his or her certified 615
753+application to electronically transmit the prescription in accordance 616
754+with subsection (b) of this section; 617
755+(2) The practitioner reasonably determines that it would be 618
756+impractical for the patient to obtain substances prescribed by an 619
757+[electronically transmitted] electronically-transmitted prescription in a 620
758+timely manner and that such delay would adversely impact the patient's 621
759+medical condition, provided if such prescription is for a controlled 622
760+substance, the quantity of such controlled substance does not exceed a 623
761+five-day supply for the patient, if the controlled substance was used in 624
762+accordance with the directions for use. A practitioner who issues a 625
763+prescription, but fails to electronically transmit the prescription, as 626
764+permitted by this subsection, shall document the reason for the 627
765+practitioner's failure to electronically transmit the prescription in the 628
766+patient's medical record; 629
767+(3) The prescription is to be dispensed by a pharmacy located outside 630
768+this state. A practitioner who issues a prescription, but fails to 631
769+electronically transmit the prescription, as permitted by this subsection, 632
770+shall document the reason for the practitioner's failure to electronically 633
771+transmit the prescription in the patient's medical record; 634
772+(4) Use of an [electronically transmitted] electronically-transmitted 635
773+prescription may negatively impact patient care, such as a prescription 636
774+containing two or more products to be compounded by a pharmacist, a 637
775+prescription for direct administration to a patient by parenteral, 638
776+intravenous, intramuscular, subcutaneous or intraspinal infusion, a 639
777+prescription that contains long or complicated directions, a prescription 640
778+that requires certain elements to be included by the federal Food and 641 Substitute Bill No. 5001
779+
780+
781+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
782+R02-HB.docx }
783+22 of 111
784+
785+Drug and Administration, or an oral prescription communicated to a 642
786+pharmacist by a health care practitioner for a patient in a chronic and 643
787+convalescent nursing home, licensed pursuant to chapter 368v; or 644
788+(5) The practitioner demonstrates, in a form and manner prescribed 645
789+by the commissioner, that such practitioner does not have the 646
790+technological capacity to issue [electronically transmitted prescriptions] 647
791+an electronically-transmitted prescription. For the purposes of this 648
792+subsection, "technological capacity" means possession of a computer 649
793+system, hardware or device that can be used to electronically transmit 650
794+controlled substance prescriptions consistent with the requirements of 651
795+the federal Controlled Substances Act, 21 USC 801, as amended from 652
796+time to time. The provisions of this subdivision shall not apply to a 653
797+practitioner when such practitioner is prescribing as a telehealth 654
798+provider, as defined in section 19a-906, as amended by this act, section 655
799+1 of public act 20-2 of the July special session or section 1 of public act 656
800+21-9, as amended by this act, as applicable, pursuant to subsection (c) of 657
801+section 19a-906, subsection (c) of section 1 of public act 20-2 of the July 658
802+special session or subsection (c) of section 1 of public act 21-9, as 659
803+amended by this act, as applicable. 660
804+Sec. 14. Section 3 of public act 21-9 is repealed and the following is 661
805+substituted in lieu thereof (Effective from passage): 662
806+(a) For the purposes of this section: 663
807+(1) "Asynchronous" has the same meaning as provided in section 19a-664
808+906 of the general statutes, as amended by this act; 665
809+(2) "Originating site" has the same meaning as provided in section 666
810+19a-906 of the general statutes, as amended by this act; 667
811+(3) "Remote patient monitoring" has the same meaning as provided 668
812+in section 19a-906 of the general statutes, as amended by this act; 669
813+(4) "Store and forward transfer" has the same meaning as provided in 670
814+section 19a-906 of the general statutes, as amended by this act; 671 Substitute Bill No. 5001
815+
816+
817+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
818+R02-HB.docx }
819+23 of 111
820+
821+(5) "Synchronous" has the same meaning as provided in section 19a-672
822+906 of the general statutes, as amended by this act; 673
823+(6) "Telehealth" means the mode of delivering health care or other 674
824+health services via information and communication technologies to 675
825+facilitate the diagnosis, consultation and treatment, education, care 676
826+management and self-management of an insured's physical, oral and 677
827+mental health, and includes interaction between the insured at the 678
828+originating site and the telehealth provider at a distant site, synchronous 679
829+interactions, asynchronous store and forward transfers or remote 680
830+patient monitoring, but does not include interaction through (A) 681
831+facsimile, texting or electronic mail, or (B) audio-only telephone if the 682
832+telehealth provider is out-of-network; and 683
833+(7) "Telehealth provider" means any person who (A) provides health 684
834+care or other health services through the use of telehealth within such 685
835+person's scope of practice and in accordance with the standard of care 686
836+applicable to such person's profession, and (B) is (i) a physician or 687
837+physician assistant licensed under chapter 370 of the general statutes, 688
838+physical therapist or physical therapist assistant licensed under chapter 689
839+376 of the general statutes, chiropractor licensed under chapter 372 of 690
840+the general statutes, naturopath licensed under chapter 373 of the 691
841+general statutes, podiatrist licensed under chapter 375 of the general 692
842+statutes, occupational therapist or occupational therapy assistant 693
843+licensed under chapter 376a of the general statutes, optometrist licensed 694
844+under chapter 380 of the general statutes, registered nurse or advanced 695
845+practice registered nurse licensed under chapter 378 of the general 696
846+statutes, psychologist licensed under chapter 383 of the general statutes, 697
847+marital and family therapist licensed under chapter 383a of the general 698
848+statutes, clinical social worker or master social worker licensed under 699
849+chapter 383b of the general statutes, alcohol and drug counselor licensed 700
850+under chapter 376b of the general statutes, professional counselor 701
851+licensed under chapter 383c of the general statutes, dietitian-nutritionist 702
852+certified under chapter 384b of the general statutes, speech and 703
853+language pathologist licensed under chapter 399 of the general statutes, 704 Substitute Bill No. 5001
854+
855+
856+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
857+R02-HB.docx }
858+24 of 111
859+
860+respiratory care practitioner licensed under chapter 381a of the general 705
861+statutes, audiologist licensed under chapter 397a of the general statutes, 706
862+pharmacist licensed under chapter 400j of the general statutes, 707
863+paramedic licensed pursuant to chapter 384d of the general statutes, 708
864+nurse-midwife licensed under chapter 377 of the general statutes, 709
865+dentist licensed under chapter 379 of the general statutes, behavior 710
866+analyst licensed under chapter 382a of the general statutes, genetic 711
867+counselor licensed under chapter 383d of the general statutes, music 712
868+therapist certified in the manner described in chapter 383f of the general 713
869+statutes, art therapist [certified] licensed in the manner described in 714
870+chapter 383g of the general statutes or athletic trainer licensed under 715
871+chapter 375a of the general statutes, or (ii) an in-network and 716
872+appropriately licensed, certified or registered physician, physician 717
873+assistant, physical therapist, physical therapist assistant, chiropractor, 718
874+naturopath, podiatrist, occupational therapist, occupational therapy 719
875+assistant, optometrist, registered nurse, advanced practice registered 720
876+nurse, psychologist, marital and family therapist, clinical social worker, 721
877+master social worker, alcohol and drug counselor, professional 722
878+counselor, dietitian-nutritionist, speech and language pathologist, 723
879+respiratory care practitioner, audiologist, pharmacist, paramedic, nurse-724
880+midwife, dentist, behavior analyst, genetic counselor, music therapist, 725
881+art therapist or athletic trainer, in another state or territory of the United 726
882+States or the District of Columbia, that provides telehealth services 727
883+pursuant to his or her authority under any relevant order issued by the 728
884+Commissioner of Public Health and maintains professional liability 729
885+insurance, or other indemnity against liability for professional 730
886+malpractice, in an amount that is equal to or greater than that required 731
887+for similarly licensed, certified or registered Connecticut health care 732
888+providers. 733
889+(b) Notwithstanding any provision of the general statutes, each 734
890+individual health insurance policy that provides coverage of the type 735
891+specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 of 736
892+the general statutes that is effective at any time during the period 737
893+beginning on [the effective date of this section] May 10, 2021, and ending 738 Substitute Bill No. 5001
894+
895+
896+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
897+R02-HB.docx }
898+25 of 111
899+
900+on June 30, [2023] 2024, shall, at all times that the policy remains in effect 739
901+during such period, provide coverage for medical advice, diagnosis, 740
902+care or treatment provided through telehealth, to the same extent 741
903+coverage is provided for such advice, diagnosis, care or treatment when 742
904+provided to the insured in person. The policy shall not, at any time 743
905+during such period, exclude coverage for a service that is appropriately 744
906+provided through telehealth because such service is provided through 745
907+telehealth or a telehealth platform selected by an in-network telehealth 746
908+provider. 747
909+(c) Notwithstanding any provision of the general statutes, no 748
910+telehealth provider who receives a reimbursement for a covered service 749
911+provided through telehealth in accordance with subsection (b) of this 750
912+section shall seek any payment for such service from the insured who 751
913+received such service, except for any coinsurance, copayment, 752
914+deductible or other out-of-pocket expense set forth in the insured's 753
915+policy. Such amount shall be deemed by the telehealth provider to be 754
916+payment in full. 755
917+(d) Nothing in this section shall prohibit or limit a health insurer, 756
918+health care center, hospital service corporation, medical service 757
919+corporation or other entity from conducting utilization review for 758
920+telehealth services, provided such utilization review is conducted in the 759
921+same manner and uses the same clinical review criteria as a utilization 760
922+review for an in-person consultation for the same service. Except as 761
923+provided in subsection (b) or (c) of this section, the coverage required 762
924+under subsection (b) of this section shall be subject to the same terms 763
925+and conditions applicable to all other benefits under the policy 764
926+providing such coverage. 765
927+(e) The provisions of this section shall apply to a high deductible 766
928+health plan, as that term is used in subsection (f) of section 38a-493 of 767
929+the general statutes, to the maximum extent permitted by federal law, 768
930+except if such plan is used to establish a medical savings account or an 769
931+Archer MSA pursuant to Section 220 of the Internal Revenue Code of 770
932+1986, as amended from time to time, or any subsequent corresponding 771 Substitute Bill No. 5001
933+
934+
935+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
936+R02-HB.docx }
937+26 of 111
938+
939+Internal Revenue Code of the United States, as amended from time to 772
940+time, or a health savings account pursuant to Section 223 of said Internal 773
941+Revenue Code of 1986, as amended from time to time. The provisions of 774
942+this section shall apply to such plan to the maximum extent that (1) is 775
943+permitted by federal law, and (2) does not disqualify such account for 776
944+the deduction allowed under said Section 220 or 223, as applicable. 777
945+Sec. 15. Section 4 of public act 21-9 is repealed and the following is 778
946+substituted in lieu thereof (Effective from passage): 779
947+(a) For the purposes of this section: 780
948+(1) "Asynchronous" has the same meaning as provided in section 19a-781
949+906 of the general statutes, as amended by this act; 782
950+(2) "Originating site" has the same meaning as provided in section 783
951+19a-906 of the general statutes, as amended by this act; 784
952+(3) "Remote patient monitoring" has the same meaning as provided 785
953+in section 19a-906 of the general statutes, as amended by this act; 786
954+(4) "Store and forward transfer" has the same meaning as provided in 787
955+section 19a-906 of the general statutes, as amended by this act; 788
956+(5) "Synchronous" has the same meaning as provided in section 19a-789
957+906 of the general statutes, as amended by this act; 790
958+(6) "Telehealth" means the mode of delivering health care or other 791
959+health services via information and communication technologies to 792
960+facilitate the diagnosis, consultation and treatment, education, care 793
961+management and self-management of an insured's physical, oral and 794
962+mental health, and includes interaction between the insured at the 795
963+originating site and the telehealth provider at a distant site, synchronous 796
964+interactions, asynchronous store and forward transfers or remote 797
965+patient monitoring, but does not include interaction through (A) 798
966+facsimile, texting or electronic mail, or (B) audio-only telephone if the 799
967+telehealth provider is out-of-network; and 800 Substitute Bill No. 5001
968+
969+
970+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
971+R02-HB.docx }
972+27 of 111
973+
974+(7) "Telehealth provider" means any person who (A) provides health 801
975+care or other health services through the use of telehealth within such 802
976+person's scope of practice and in accordance with the standard of care 803
977+applicable to such person's profession, and (B) is (i) a physician or 804
978+physician assistant licensed under chapter 370 of the general statutes, 805
979+physical therapist or physical therapist assistant licensed under chapter 806
980+376 of the general statutes, chiropractor licensed under chapter 372 of 807
981+the general statutes, naturopath licensed under chapter 373 of the 808
982+general statutes, podiatrist licensed under chapter 375 of the general 809
983+statutes, occupational therapist or occupational therapy assistant 810
984+licensed under chapter 376a of the general statutes, optometrist licensed 811
985+under chapter 380 of the general statutes, registered nurse or advanced 812
986+practice registered nurse licensed under chapter 378 of the general 813
987+statutes, psychologist licensed under chapter 383 of the general statutes, 814
988+marital and family therapist licensed under chapter 383a of the general 815
989+statutes, clinical social worker or master social worker licensed under 816
990+chapter 383b of the general statutes, alcohol and drug counselor licensed 817
991+under chapter 376b of the general statutes, professional counselor 818
992+licensed under chapter 383c of the general statutes, dietitian-nutritionist 819
993+certified under chapter 384b of the general statutes, speech and 820
994+language pathologist licensed under chapter 399 of the general statutes, 821
995+respiratory care practitioner licensed under chapter 381a of the general 822
996+statutes, audiologist licensed under chapter 397a of the general statutes, 823
997+pharmacist licensed under chapter 400j of the general statutes, 824
998+paramedic licensed pursuant to chapter 384d of the general statutes, 825
999+nurse-midwife licensed under chapter 377 of the general statutes, 826
1000+dentist licensed under chapter 379 of the general statutes, behavior 827
1001+analyst licensed under chapter 382a of the general statutes, genetic 828
1002+counselor licensed under chapter 383d of the general statutes, music 829
1003+therapist certified in the manner described in chapter 383f of the general 830
1004+statutes, art therapist [certified] licensed in the manner described in 831
1005+chapter 383g of the general statutes or athletic trainer licensed under 832
1006+chapter 375a of the general statutes, or (ii) an in-network and 833
1007+appropriately licensed, certified or registered physician, physician 834
1008+assistant, physical therapist, physical therapist assistant, chiropractor, 835 Substitute Bill No. 5001
1009+
1010+
1011+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
1012+R02-HB.docx }
1013+28 of 111
1014+
1015+naturopath, podiatrist, occupational therapist, occupational therapy 836
1016+assistant, optometrist, registered nurse, advanced practice registered 837
1017+nurse, psychologist, marital and family therapist, clinical social worker, 838
1018+master social worker, alcohol and drug counselor, professional 839
1019+counselor, dietitian-nutritionist, speech and language pathologist, 840
1020+respiratory care practitioner, audiologist, pharmacist, paramedic, nurse-841
1021+midwife, dentist, behavior analyst, genetic counselor, music therapist, 842
1022+art therapist or athletic trainer, in another state or territory of the United 843
1023+States or the District of Columbia, that provides telehealth services 844
1024+pursuant to his or her authority under any relevant order issued by the 845
1025+Commissioner of Public Health and maintains professional liability 846
1026+insurance, or other indemnity against liability for professional 847
1027+malpractice, in an amount that is equal to or greater than that required 848
1028+for similarly licensed, certified or registered Connecticut health care 849
1029+providers. 850
1030+(b) Notwithstanding any provision of the general statutes, each 851
1031+group health insurance policy that provides coverage of the type 852
1032+specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 of 853
1033+the general statutes that is effective at any time during the period 854
1034+beginning on [the effective date of this section] May 10, 2021, and ending 855
1035+on June 30, [2023] 2024, shall, at all times that the policy remains in effect 856
1036+during such period, provide coverage for medical advice, diagnosis, 857
1037+care or treatment provided through telehealth, to the same extent 858
1038+coverage is provided for such advice, diagnosis, care or treatment when 859
1039+provided to the insured in person. The policy shall not, at any time 860
1040+during such period, exclude coverage for a service that is appropriately 861
1041+provided through telehealth because such service is provided through 862
1042+telehealth or a telehealth platform selected by an in-network telehealth 863
1043+provider. 864
1044+(c) Notwithstanding any provision of the general statutes, no 865
1045+telehealth provider who receives a reimbursement for a covered service 866
1046+provided through telehealth in accordance with subsection (b) of this 867
1047+section shall seek any payment for such service from the insured who 868 Substitute Bill No. 5001
1048+
1049+
1050+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
1051+R02-HB.docx }
1052+29 of 111
1053+
1054+received such service, except for any coinsurance, copayment, 869
1055+deductible or other out-of-pocket expense set forth in the insured's 870
1056+policy. Such amount shall be deemed by the telehealth provider to be 871
1057+payment in full. 872
1058+(d) Nothing in this section shall prohibit or limit a health insurer, 873
1059+health care center, hospital service corporation, medical service 874
1060+corporation or other entity from conducting utilization review for 875
1061+telehealth services, provided such utilization review is conducted in the 876
1062+same manner and uses the same clinical review criteria as a utilization 877
1063+review for an in-person consultation for the same service. Except as 878
1064+provided in subsection (b) or (c) of this section, the coverage required 879
1065+under subsection (b) of this section shall be subject to the same terms 880
1066+and conditions applicable to all other benefits under the policy 881
1067+providing such coverage. 882
1068+(e) The provisions of this section shall apply to a high deductible 883
1069+health plan, as that term is used in subsection (f) of section 38a-520 of 884
1070+the general statutes, to the maximum extent permitted by federal law, 885
1071+except if such plan is used to establish a medical savings account or an 886
1072+Archer MSA pursuant to Section 220 of the Internal Revenue Code of 887
1073+1986, as amended from time to time, or any subsequent corresponding 888
1074+Internal Revenue Code of the United States, as amended from time to 889
1075+time, or a health savings account pursuant to Section 223 of said Internal 890
1076+Revenue Code of 1986, as amended from time to time. The provisions of 891
1077+this section shall apply to such plan to the maximum extent that (1) is 892
1078+permitted by federal law, and (2) does not disqualify such account for 893
1079+the deduction allowed under said Section 220 or 223, as applicable. 894
1080+Sec. 16. Section 5 of public act 21-9 is repealed the following is 895
1081+substituted in lieu thereof (Effective from passage): 896
1082+(a) As used in this section: 897
1083+(1) "Health carrier" has the same meaning as provided in section 38a-898
1084+1080 of the general statutes; 899 Substitute Bill No. 5001
1085+
1086+
1087+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
1088+R02-HB.docx }
1089+30 of 111
1090+
1091+(2) "Insured" has the same meaning as provided in section 38a-1 of 900
1092+the general statutes; 901
1093+(3) "Telehealth" has the same meaning as provided in sections 3 and 902
1094+4 of [this act] public act 21-9, as amended by this act; and 903
1095+(4) "Telehealth provider" has the same meaning as provided in 904
1096+sections 3 and 4 of [this act] public act 21-9, as amended by this act. 905
1097+(b) Notwithstanding any provision of the general statutes, no health 906
1098+carrier shall reduce the amount of a reimbursement paid to a telehealth 907
1099+provider for covered health care or health services that the telehealth 908
1100+provider appropriately provided to an insured through telehealth 909
1101+during the period beginning on [the effective date of this section] May 910
1102+10, 2021, and ending on June 30, [2023] 2024, because the telehealth 911
1103+provider provided such health care or health services to the patient 912
1104+through telehealth and not in person. 913
1105+Sec. 17. Section 7 of public act 21-9 is repealed and the following is 914
1106+substituted in lieu thereof (Effective from passage): 915
1107+(a) As used in this section: 916
1108+(1) "Advanced practice registered nurse" means an advanced practice 917
1109+registered nurse licensed pursuant to chapter 378 of the general statutes; 918
1110+(2) "Physician" has the same meaning as provided in section 21a-408 919
1111+of the general statutes; 920
1112+(3) "Qualifying patient" has the same meaning as provided in section 921
1113+21a-408 of the general statutes; and 922
1114+(4) "Written certification" has the same meaning as provided in 923
1115+section 21a-408 of the general statutes. 924
1116+(b) Notwithstanding the provisions of sections 21a-408 to 21a-408n, 925
1117+inclusive, of the general statutes, or any other section, regulation, rule, 926
1118+policy or procedure concerning the certification of medical marijuana 927 Substitute Bill No. 5001
1119+
1120+
1121+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
1122+R02-HB.docx }
1123+31 of 111
1124+
1125+patients, a physician or advanced practice registered nurse may issue a 928
1126+written certification to a qualifying patient and provide any follow-up 929
1127+care using telehealth services during the period beginning on [the 930
1128+effective date of this section] May 10, 2021, and ending on June 30, [2023] 931
1129+2024, provided all other requirements for issuing the written 932
1130+certification to the qualifying patient and all recordkeeping 933
1131+requirements are satisfied. 934
1132+Sec. 18. Section 38a-1041 of the general statutes is repealed and the 935
1133+following is substituted in lieu thereof (Effective July 1, 2022): 936
1134+(a) There is established an Office of the Healthcare Advocate which 937
1135+shall be within the Insurance Department for administrative purposes 938
1136+only. 939
1137+(b) The Office of the Healthcare Advocate may: 940
1138+(1) Assist health insurance consumers with managed care plan 941
1139+selection by providing information, referral and assistance to 942
1140+individuals about means of obtaining health insurance coverage and 943
1141+services; 944
1142+(2) Assist health insurance consumers to understand their rights and 945
1143+responsibilities under managed care plans; 946
1144+(3) Provide information to the public, agencies, legislators and others 947
1145+regarding problems and concerns of health insurance consumers and 948
1146+make recommendations for resolving those problems and concerns; 949
1147+(4) Assist consumers with the filing of complaints and appeals, 950
1148+including filing appeals with a managed care organization's internal 951
1149+appeal or grievance process and the external appeal process established 952
1150+under sections 38a-591d to 38a-591g, inclusive; 953
1151+(5) Analyze and monitor the development and implementation of 954
1152+federal, state and local laws, regulations and policies relating to health 955
1153+insurance consumers and recommend changes it deems necessary; 956 Substitute Bill No. 5001
1154+
1155+
1156+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
1157+R02-HB.docx }
1158+32 of 111
1159+
1160+(6) Facilitate public comment on laws, regulations and policies, 957
1161+including policies and actions of health insurers; 958
1162+(7) Ensure that health insurance consumers have timely access to the 959
1163+services provided by the office; 960
1164+(8) Review the health insurance records of a consumer who has 961
1165+provided written consent for such review; 962
1166+(9) Create and make available to employers a notice, suitable for 963
1167+posting in the workplace, concerning the services that the Healthcare 964
1168+Advocate provides; 965
1169+(10) Establish a toll-free number, or any other free calling option, to 966
1170+allow customer access to the services provided by the Healthcare 967
1171+Advocate; 968
1172+(11) Pursue administrative remedies on behalf of and with the 969
1173+consent of any health insurance consumers; 970
1174+(12) Adopt regulations, pursuant to chapter 54, to carry out the 971
1175+provisions of sections 38a-1040 to 38a-1050, inclusive; and 972
1176+(13) Take any other actions necessary to fulfill the purposes of 973
1177+sections 38a-1040 to 38a-1050, inclusive. 974
1178+(c) The Office of the Healthcare Advocate shall make a referral to the 975
1179+Insurance Commissioner if the Healthcare Advocate finds that a 976
1180+preferred provider network may have engaged in a pattern or practice 977
1181+that may be in violation of sections 38a-479aa to 38a-479gg, inclusive, or 978
1182+38a-815 to 38a-819, inclusive. 979
1183+(d) The Healthcare Advocate and the Insurance Commissioner shall 980
1184+jointly compile a list of complaints received against managed care 981
1185+organizations and preferred provider networks and the commissioner 982
1186+shall maintain the list, except the names of complainants shall not be 983
1187+disclosed if such disclosure would violate the provisions of section 4-984 Substitute Bill No. 5001
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1194+61dd or 38a-1045. 985
1195+(e) [On or before October 1, 2005, the] The Managed Care 986
1196+Ombudsman shall establish a process to provide ongoing 987
1197+communication among mental health care providers, patients, state-988
1198+wide and regional business organizations, managed care companies and 989
1199+other health insurers to assure: (1) Best practices in mental health 990
1200+treatment and recovery; (2) compliance with the provisions of sections 991
1201+38a-476a, 38a-476b, 38a-488a, as amended by this act, and 38a-489; and 992
1202+(3) the relative costs and benefits of providing effective mental health 993
1203+care coverage to employees and their families. On or before January 1, 994
1204+2006, and annually thereafter, the Healthcare Advocate shall report, in 995
1205+accordance with the provisions of section 11-4a, on the implementation 996
1206+of this subsection to the joint standing committees of the General 997
1207+Assembly having cognizance of matters relating to public health and 998
1208+insurance. 999
1209+(f) [On or before October 1, 2008, the] The Office of the Healthcare 1000
1210+Advocate shall, within available appropriations, establish and maintain 1001
1211+a healthcare consumer information web site on the Internet for use by 1002
1212+the public in obtaining healthcare information, including but not limited 1003
1213+to: (1) The availability of wellness programs in various regions of 1004
1214+Connecticut, such as disease prevention and health promotion 1005
1215+programs; (2) quality and experience data from hospitals licensed in this 1006
1216+state; and (3) a link to the consumer report card developed and 1007
1217+distributed by the Insurance Commissioner pursuant to section 38a-1008
1218+478l. 1009
1219+(g) [Not later than January 1, 2015, the] The Office of the Healthcare 1010
1220+Advocate shall establish an information and referral service to help 1011
1221+residents and providers receive behavioral health care information, 1012
1222+timely referrals and access to behavioral health care providers. In 1013
1223+developing and implementing such service, the Healthcare Advocate, 1014
1224+or the Healthcare Advocate's designee, shall: (1) Collaborate with 1015
1225+stakeholders, including, but not limited to, (A) state agencies, (B) the 1016
1226+Behavioral Health Partnership established pursuant to section 17a-22h, 1017 Substitute Bill No. 5001
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1233+(C) community collaboratives, (D) the United Way's 2-1-1 Infoline 1018
1234+program, and (E) providers; (2) identify any basis that prevents 1019
1235+residents from obtaining adequate and timely behavioral health care 1020
1236+services, including, but not limited to, (A) gaps in private behavioral 1021
1237+health care services and coverage, and (B) barriers to access to care; (3) 1022
1238+coordinate a public awareness and educational campaign directing 1023
1239+residents to the information and referral service; and (4) develop data 1024
1240+reporting mechanisms to determine the effectiveness of the service, 1025
1241+including, but not limited to, tracking (A) the number of referrals to 1026
1242+providers by type and location of providers, (B) waiting time for 1027
1243+services, and (C) the number of providers who accept or reject requests 1028
1244+for service based on type of health care coverage. Not later than 1029
1245+February 1, 2016, and annually thereafter, the Office of the Healthcare 1030
1246+Advocate shall submit a report, in accordance with the provisions of 1031
1247+section 11-4a, to the joint standing committees of the General Assembly 1032
1248+having cognizance of matters relating to children, human services, 1033
1249+public health and insurance. The report shall identify gaps in services 1034
1250+and the resources needed to improve behavioral health care options for 1035
1251+residents. 1036
1252+(h) Not later than October 1, 2022, the Healthcare Advocate shall 1037
1253+designate an employee of the Office of the Healthcare Advocate to be 1038
1254+responsible for: (1) Performing the office's duties to minors; and (2) 1039
1255+coordinating state-wide efforts to ensure that minors have coverage, 1040
1256+and access to services, for behavioral health conditions, mental health 1041
1257+conditions and substance use disorders. 1042
1258+Sec. 19. (NEW) (Effective from passage) (a) As used in this section, 1043
1259+"school mental health specialist" means any person employed by a local 1044
1260+or regional board of education to provide mental health services to 1045
1261+students and includes, but is not limited to, a (1) school social worker, 1046
1262+(2) school psychologist, (3) trauma specialist, (4) behavior technician, (5) 1047
1263+board certified behavior analyst, (6) school counselor, (7) licensed 1048
1264+professional counselor, and (8) licensed marriage and family therapist. 1049
1265+(b) Not later than October 1, 2022, and annually thereafter, the 1050 Substitute Bill No. 5001
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1271+
1272+Commissioner of Education shall, within available appropriations, 1051
1273+develop and distribute a survey to each local and regional board of 1052
1274+education concerning the employment of school mental health 1053
1275+specialists by such local or regional board of education. Such survey 1054
1276+shall include, but need not be limited to, (1) (A) the total number of 1055
1277+school mental health specialists for the school district, and (B) a 1056
1278+disaggregation of the total number of each school social worker, school 1057
1279+psychologist, trauma specialist, behavior technician, board certified 1058
1280+behavior analyst, school counselor, licensed professional counselor and 1059
1281+licensed marriage and family therapist, (2) (A) the total number of 1060
1282+school mental health specialists assigned to each school under the 1061
1283+jurisdiction of the local or regional board of education, and (B) a 1062
1284+disaggregation of each school social worker, school psychologist, 1063
1285+trauma specialist, behavior technician, board certified behavior analyst, 1064
1286+school counselor, licensed professional counselor and licensed marriage 1065
1287+and family therapist assigned to each school under the jurisdiction of 1066
1288+such board, including whether any such school mental health specialist 1067
1289+is assigned solely to that school or whether such school mental health 1068
1290+specialist is assigned to multiple schools, (3) the geographic area 1069
1291+covered by any such school mental health specialist who provides 1070
1292+services to more than one local or regional board of education, and (4) 1071
1293+an estimate of the annual number of students who have received direct 1072
1294+services from each individual school mental health specialist during the 1073
1295+five-year period preceding completion of the survey. 1074
1296+(c) For the school year commencing July 1, 2022, and each school year 1075
1297+thereafter, each local and regional board of education shall annually 1076
1298+complete the survey developed and distributed pursuant to subsection 1077
1299+(b) of this section to the commissioner, and submit such completed 1078
1300+survey to the commissioner, at such time, and in such manner, as the 1079
1301+commissioner prescribes. 1080
1302+(d) Following the receipt of a completed survey from a local or 1081
1303+regional board of education, the commissioner shall annually calculate 1082
1304+a student-to- school mental health specialist ratio for (1) such board of 1083 Substitute Bill No. 5001
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1310+
1311+education, and (2) each school under the jurisdiction of such board of 1084
1312+education. 1085
1313+(e) Not later than January 1, 2023, and annually thereafter, the 1086
1314+commissioner shall submit a report, in accordance with the provisions 1087
1315+of section 11-4a of the general statutes, on the results of the survey 1088
1316+completed under this section and the student-to- school mental health 1089
1317+specialist ratios calculated pursuant to subsection (d) of this section, to 1090
1318+the joint standing committees of the General Assembly having 1091
1319+cognizance of matters relating to education and children. 1092
1320+Sec. 20. (NEW) (Effective July 1, 2022) (a) For the fiscal years ending 1093
1321+June 30, 2023, to June 30, 2025, inclusive, the Department of Education 1094
1322+shall administer a grant program to provide grants to local and regional 1095
1323+boards of education for the purpose of hiring and retaining additional 1096
1324+school mental health specialists. As used in this section, "school mental 1097
1325+health specialist" has the same meaning as provided in section 19 of this 1098
1326+act. 1099
1327+(b) Applications for grants pursuant to subsection (a) of this section 1100
1328+shall be filed with the Commissioner of Education at such time, and in 1101
1329+such manner, as the commissioner prescribes. As part of the application, 1102
1330+the applicant shall submit a (1) plan for the expenditure of grant funds, 1103
1331+and (2) copy of the completed survey described in section 19 of this act. 1104
1332+Such plan shall include, but need not be limited to, the number of 1105
1333+additional school mental health specialists to be hired, the number of 1106
1334+school mental health specialists being retained who were previously 1107
1335+hired with the assistance of grant funds awarded under this section, 1108
1336+whether such school mental health specialists will be conducting 1109
1337+assessments of students or providing services to students based on the 1110
1338+results of assessments and the type of services that will be provided by 1111
1339+such school mental health specialists. 1112
1340+(c) In determining whether to award an applicant a grant under this 1113
1341+section, the Commissioner of Education shall give priority to those 1114
1342+school districts (1) with large student-to- school mental health specialist 1115 Substitute Bill No. 5001
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1348+
1349+ratios, or (2) that have a high volume of student utilization of mental 1116
1350+health services. 1117
1351+(d) For the fiscal year ending June 30, 2023, the Commissioner of 1118
1352+Education may award a grant to an applicant and shall determine the 1119
1353+amount of the grant award based on the plan submitted by such 1120
1354+applicant pursuant to subsection (b) of this section. The commissioner 1121
1355+shall pay a grant to each grant recipient in each of the fiscal years ending 1122
1356+June 30, 2023, to June 30, 2025, inclusive, as follows: (1) For the fiscal 1123
1357+year ending June 30, 2023, the amount of the grant shall be as 1124
1358+determined by the commissioner under this subsection; (2) for the fiscal 1125
1359+year ending June 30, 2024, the amount of the grant shall be the same 1126
1360+amount as the grant awarded for the prior fiscal year; and (3) for the 1127
1361+fiscal year ending June 30, 2025, the amount of the grant shall be seventy 1128
1362+per cent of the amount of the grant awarded for the prior fiscal year. 1129
1363+(e) Grant recipients shall file annual expenditure reports with the 1130
1364+Department of Education at such time, and in such manner, as the 1131
1365+commissioner prescribes. Grant recipients shall refund to the 1132
1366+department (1) any unexpended amounts at the close of the fiscal year 1133
1367+in which the grant was awarded, and (2) any amounts not expended in 1134
1368+accordance with the plan for which such grant application was 1135
1369+approved. 1136
1370+(f) (1) The Department of Education shall annually track and calculate 1137
1371+the utilization rate of the grant program for each grant recipient. Such 1138
1372+utilization rate shall be calculated using metrics that include, but need 1139
1373+not be limited to, the number of students served and the hours of service 1140
1374+provided using grant funds awarded under the program. 1141
1375+(2) The department shall annually calculate the return on investment 1142
1376+for the grant program using the expenditure reports filed pursuant to 1143
1377+subsection (e) of this section and the utilization rates calculated 1144
1378+pursuant to subdivision (1) of this subsection. 1145
1379+(g) For purposes of carrying out the provisions of this section, the 1146 Substitute Bill No. 5001
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1385+
1386+Department of Education may accept funds from private sources or any 1147
1387+state agency, gifts, grants and donations, including, but not limited to, 1148
1388+in-kind donations. 1149
1389+(h) (1) Not later than January 1, 2024, and each January first thereafter, 1150
1390+until and including January 1, 2026, the Commissioner of Education 1151
1391+shall submit a report, in accordance with the provisions of section 11-4a 1152
1392+of the general statutes, on the utilization rate for each grant recipient 1153
1393+and the return on investment for the grant program, calculated pursuant 1154
1394+to subsection (f) of this section, to the joint standing committees of the 1155
1395+General Assembly having cognizance of matters relating to education 1156
1396+and children. 1157
1397+(2) Not later than January 1, 2026, the commissioner shall develop 1158
1398+recommendations concerning (A) whether such grant program should 1159
1399+be extended and funded for the fiscal year ending June 30, 2026, and 1160
1400+each fiscal year thereafter, and (B) the amount of the grant award under 1161
1401+the program. The commissioner shall submit such recommendations, in 1162
1402+accordance with the provisions of section 11-4a of the general statutes, 1163
1403+to the joint standing committees of the General Assembly having 1164
1404+cognizance of matters relating to education and children. 1165
1405+Sec. 21. (NEW) (Effective from passage) (a) For the fiscal years ending 1166
1406+June 30, 2023, to June 30, 2025, inclusive, the Department of Education 1167
1407+shall administer a grant program to provide grants to local and regional 1168
1408+boards of education and operators of youth camps and other summer 1169
1409+programs for the school-based delivery of mental health services to 1170
1410+students. 1171
1411+(b) Applications for grants pursuant to subsection (a) of this section 1172
1412+shall be filed with the Commissioner of Education at such time, and in 1173
1413+such manner, as the commissioner prescribes. As part of the application, 1174
1414+the applicant shall submit a plan for the expenditure of grant funds. 1175
1415+(c) For the fiscal year ending June 30, 2023, the Commissioner of 1176
1416+Education may award a grant to an applicant and shall determine the 1177 Substitute Bill No. 5001
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1422+
1423+amount of the grant award based on the plan submitted by such 1178
1424+applicant pursuant to subsection (b) of this section. The commissioner 1179
1425+shall pay a grant to each grant recipient in each of the fiscal years ending 1180
1426+June 30, 2023, to June 30, 2025, inclusive, as follows: (1) For the fiscal 1181
1427+year ending June 30, 2023, the amount of the grant shall be as 1182
1428+determined by the commissioner under this subsection; (2) for the fiscal 1183
1429+year ending June 30, 2024, the amount of the grant shall be the same 1184
1430+amount as the grant awarded for the prior fiscal year; and (3) for the 1185
1431+fiscal year ending June 30, 2025, the amount of the grant shall be seventy 1186
1432+per cent of the amount of the grant awarded for the prior fiscal year. 1187
1433+(d) Grant recipients shall file expenditure reports with the 1188
1434+Commissioner of Education at such time and in such manner as the 1189
1435+commissioner prescribes. Grant recipients shall refund to the 1190
1436+Department of Education (1) any unexpended amounts at the close of 1191
1437+the fiscal year in which the grant was awarded, and (2) any amounts not 1192
1438+expended in accordance with the plan for which such grant application 1193
1439+was approved. 1194
1440+(e) Each grant recipient, in collaboration with the Department of 1195
1441+Education, shall develop metrics to annually track and calculate the 1196
1442+utilization rate of the grant program for such grant recipient in order to 1197
1443+measure the success of the program. Such grant recipient shall annually 1198
1444+submit such metrics and utilization rate to the department. 1199
1445+(f) For the purposes of carrying out the provisions of this section, the 1200
1446+Department of Education may accept funds from private sources or any 1201
1447+other state agency, gifts, grants and donations, including, but not 1202
1448+limited to, in-kind contributions. 1203
1449+(g) (1) Not later than January 1, 2024, and each January first thereafter, 1204
1450+until and including January 1, 2026, the Commissioner of Education 1205
1451+shall submit a report, in accordance with the provisions of section 11-4a 1206
1452+of the general statutes, on the utilization rate for each grant recipient 1207
1453+calculated pursuant to subsection (e) of this section, to the joint standing 1208
1454+committees of the General Assembly having cognizance of matters 1209 Substitute Bill No. 5001
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1460+
1461+relating to education and children. 1210
1462+(2) Not later than January 1, 2026, the commissioner shall develop 1211
1463+recommendations concerning (A) whether such grant program should 1212
1464+be extended and funded for the fiscal year ending June 30, 2026, and 1213
1465+each fiscal year thereafter, and (B) the amount of the grant award under 1214
1466+the program. The commissioner shall submit such recommendations, in 1215
1467+accordance with the provisions of section 11-4a of the general statutes, 1216
1468+to the joint standing committees of the General Assembly having 1217
1469+cognizance of matters relating to education and children. 1218
1470+Sec. 22. (NEW) (Effective from passage) (a) For the fiscal years ending 1219
1471+June 30, 2023, to June 30, 2025, inclusive, the Office of Higher Education 1220
1472+shall administer a grant program to provide grants to public and 1221
1473+independent institutions of higher education, for the delivery of mental 1222
1474+health services to students on campus. 1223
1475+(b) Applications for grants pursuant to subsection (a) of this section 1224
1476+shall be filed with the executive director of the Office of Higher 1225
1477+Education at such time, and in such manner, as the executive director 1226
1478+prescribes. As part of the application, the applicant shall submit a plan 1227
1479+for the expenditure of grant funds. 1228
1480+(c) For the fiscal year ending June 30, 2023, the executive director of 1229
1481+the Office of Higher Education may award a grant to an applicant and 1230
1482+shall determine the amount of the grant award based on the plan 1231
1483+submitted by such applicant pursuant to subsection (b) of this section. 1232
1484+The executive director shall pay a grant to each grant recipient in each 1233
1485+of the fiscal years ending June 30, 2023, to June 30, 2025, inclusive, as 1234
1486+follows: (1) For the fiscal year ending June 30, 2023, the amount of the 1235
1487+grant shall be as determined by the commissioner under this subsection; 1236
1488+(2) for the fiscal year ending June 30, 2024, the amount of the grant shall 1237
1489+be the same amount as the grant awarded for the prior fiscal year; and 1238
1490+(3) for the fiscal year ending June 30, 2025, the amount of the grant shall 1239
1491+be seventy per cent of the amount of the grant awarded for the prior 1240
1492+fiscal year. 1241 Substitute Bill No. 5001
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1498+
1499+(d) Grant recipients shall file expenditure reports with the executive 1242
1500+director of the Office of Higher Education at such time and in such 1243
1501+manner as the executive director prescribes. Grant recipients shall 1244
1502+refund to the Office of Higher Education (1) any unexpended amounts 1245
1503+at the close of the fiscal year in which the grant was awarded, and (2) 1246
1504+any amounts not expended in accordance with the plan for which such 1247
1505+grant application was approved. 1248
1506+(e) Each grant recipient, in collaboration with the Office of Higher 1249
1507+Education, shall develop metrics to annually track and calculate the 1250
1508+utilization rate of the grant program for such grant recipient in order to 1251
1509+measure the success of the program. Such grant recipient shall annually 1252
1510+submit such metrics and utilization rate to the office. 1253
1511+(f) For the purposes of carrying out the provisions of this section, the 1254
1512+Office of Higher Education may accept funds from private sources or 1255
1513+any other state agency, gifts, grants and donations, including, but not 1256
1514+limited to, in-kind contributions. 1257
1515+(g) (1) Not later than January 1, 2024, and each January first thereafter, 1258
1516+until and including January 1, 2026, the executive director of the Office 1259
1517+of Higher Education shall submit a report, in accordance with the 1260
1518+provisions of section 11-4a of the general statutes, on the utilization rate 1261
1519+for each grant recipient calculated pursuant to subsection (e) of this 1262
1520+section, to the joint standing committee of the General Assembly having 1263
1521+cognizance of matters relating to higher education. 1264
1522+(2) Not later than January 1, 2026, the executive director shall develop 1265
1523+recommendations concerning (A) whether such grant program should 1266
1524+be extended and funded for the fiscal year ending June 30, 2026, and 1267
1525+each fiscal year thereafter, and (B) the amount of the grant award under 1268
1526+the program. The executive director shall submit such 1269
1527+recommendations, in accordance with the provisions of section 11-4a of 1270
1528+the general statutes, to the joint standing committee of the General 1271
1529+Assembly having cognizance of matters relating to higher education. 1272 Substitute Bill No. 5001
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1535+
1536+Sec. 23. Section 17a-22r of the 2022 supplement to the general statutes 1273
1537+is repealed and the following is substituted in lieu thereof (Effective July 1274
1538+1, 2022): 1275
1539+(a) (1) Not later than December 1, 2021, the Department of Children 1276
1540+and Families, in consultation with the Behavioral Health Partnership 1277
1541+Oversight Council established pursuant to section 17a-22j, the 1278
1542+Department of Mental Health and Addiction Services, the Department 1279
1543+of Public Health and the Youth Suicide Advisory Board established 1280
1544+pursuant to section 17a-52, shall develop documents concerning 1281
1545+behavioral and mental health evaluation and treatment resources 1282
1546+available to children in each mental health region designated pursuant 1283
1547+to section 17a-478. 1284
1548+(2) Such documents shall contain, but need not be limited to, (A) 1285
1549+contact information for the National Suicide Prevention Lifeline and a 1286
1550+list of [(A)] (i) providers of such resources, including, but not limited to, 1287
1551+mobile crisis intervention services, [(B)] (ii) the physical location of each 1288
1552+provider, if applicable, [(C)] (iii) the types of services offered by each 1289
1553+provider, and [(D)] (iv) contact information for each provider, and (B) 1290
1554+on and after July 1, 2022, information concerning the existence and 1291
1555+availability of the 2-1-1 Infoline program, and other pediatric mental 1292
1556+and behavioral health screening services and tools. Such documents 1293
1557+shall be translated into, and provided in, multiple languages, including, 1294
1558+but not limited to, English, Polish, Portuguese and Spanish. 1295
1559+(3) The Behavioral Health Partnership Oversight Council shall make 1296
1560+such documents available on its Internet web site and distribute such 1297
1561+documents electronically to (A) each hospital licensed pursuant to 1298
1562+chapter 368v that has an emergency department, [and] (B) each local and 1299
1563+regional board of education, (C) the Division of State Police within the 1300
1564+Department of Emergency Services and Public Protection, (D) each 1301
1565+municipal police department, and (E) each ambulance company and 1302
1566+organization, whether public, private or voluntary, that offers 1303
1567+transportation or treatment services to patients under emergency 1304
1568+conditions. 1305 Substitute Bill No. 5001
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1574+
1575+(b) On and after January 1, 2022, upon the discharge of any child from 1306
1576+the emergency department of a hospital licensed pursuant to chapter 1307
1577+368v, such department shall provide the parent or guardian of such 1308
1578+child a copy of the document developed pursuant to subsection (a) of 1309
1579+this section that pertains to the mental health region in which the (1) 1310
1580+department is located, and (2) child resides, if different, provided such 1311
1581+child resides in this state. Such copies shall be provided (A) (i) in printed 1312
1582+form, or (ii) through such child's patient chart in the electronic health 1313
1583+record system, as defined in section 19a-904c, maintained by such 1314
1584+hospital, provided such patient chart was created prior to the date of 1315
1585+such child's discharge, and (B) by electronic mail to the electronic mail 1316
1586+address of such parent or guardian, at such parent or guardian's 1317
1587+election. 1318
1588+(c) Not later than December 1, 2022, and annually thereafter, the 1319
1589+Department of Children and Families shall review the documents 1320
1590+developed pursuant to subsection (a) of this section and update such 1321
1591+documents as necessary. If such documents are updated, the 1322
1592+Department of Children and Families shall provide such updated 1323
1593+documents to the Behavioral Health Partnership Oversight Council, and 1324
1594+the council shall distribute and make such updated documents available 1325
1595+in the manner described in subsection (a) of this section. 1326
1596+Sec. 24. Section 10-212j of the 2022 supplement to the general statutes 1327
1597+is repealed and the following is substituted in lieu thereof (Effective July 1328
1598+1, 2022): 1329
1599+(a) [Not later than January 1, 2022] For the school year commencing 1330
1600+July 1, 2022, and each school year thereafter, each local and regional 1331
1601+board of education shall make available on such board's Internet web 1332
1602+site the document developed by the Department of Children and 1333
1603+Families pursuant to subsection (a) of section 17a-22r, as amended by 1334
1604+this act, concerning behavioral and mental health evaluation and 1335
1605+treatment resources available to children in the mental health region in 1336
1606+which such board is located, the 2-1-1 Infoline program and other 1337
1607+pediatric mental and behavioral health screening services and tools. 1338 Substitute Bill No. 5001
1608+
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1614+(b) [On and after January 1, 2022] For the school year commencing 1339
1615+July 1, 2022, and each school year thereafter, each local and regional 1340
1616+board of education shall distribute the document described in 1341
1617+subsection (a) of this section (1) to any student taking a course in health 1342
1618+and safety, [and] (2) at least semiannually, in September and May, to the 1343
1619+parents and guardians of each student in the school district, and (3) to 1344
1620+the parent or guardian of a student who is truant, as defined in section 1345
1621+10-198a, as amended by this act. 1346
1622+Sec. 25. Subsection (b) of section 10-198a of the general statutes is 1347
1623+repealed and the following is substituted in lieu thereof (Effective July 1, 1348
1624+2022): 1349
1625+(b) Each local and regional board of education shall adopt and 1350
1626+implement policies and procedures concerning truants who are enrolled 1351
1627+in schools under the jurisdiction of such board of education. Such 1352
1628+policies and procedures shall include, but need not be limited to, the 1353
1629+following: (1) The holding of a meeting with the parent of each child 1354
1630+who is a truant, or other person having control of such child, and 1355
1631+appropriate school personnel to review and evaluate the reasons for the 1356
1632+child being a truant, provided such meeting shall be held not later than 1357
1633+ten school days after the child's fourth unexcused absence in a month or 1358
1634+tenth unexcused absence in a school year, (2) coordinating services with 1359
1635+and referrals of children to community agencies providing child and 1360
1636+family services, (3) annually at the beginning of the school year and 1361
1637+upon any enrollment during the school year, notifying the parent or 1362
1638+other person having control of each child enrolled in a grade from 1363
1639+kindergarten to eight, inclusive, in the public schools in writing of the 1364
1640+obligations of the parent or such other person pursuant to section 10-1365
1641+184, (4) annually at the beginning of the school year and upon any 1366
1642+enrollment during the school year, obtaining from the parent or other 1367
1643+person having control of each child in a grade from kindergarten to 1368
1644+eight, inclusive, a telephone number or other means of contacting such 1369
1645+parent or such other person during the school day, (5) (A) on or before 1370
1646+August 15, 2018, the implementation of a truancy intervention model 1371 Substitute Bill No. 5001
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1652+
1653+identified by the Department of Education pursuant to subsection (a) of 1372
1654+section 10-198e for any school under its jurisdiction that has a 1373
1655+disproportionately high rate of truancy, as determined by the 1374
1656+Commissioner of Education, and (B) on or before September 1, 2023, the 1375
1657+adoption and implementation of a truancy intervention mod el 1376
1658+developed by the Department of Education pursuant to subsection (b) 1377
1659+of section 10-198e that accounts for mental and behavioral health, (6) a 1378
1660+system of monitoring individual unexcused absences of children in 1379
1661+grades kindergarten to eight, inclusive, which shall provide that 1380
1662+whenever a child enrolled in school in any such grade fails to report to 1381
1663+school on a regularly scheduled school day and no indication has been 1382
1664+received by school personnel that the child's parent or other person 1383
1665+having control of the child is aware of the pupil's absence, a reasonable 1384
1666+effort to notify, by telephone and by mail, the parent or such other 1385
1667+person shall be made by school personnel or volunteers under the 1386
1668+direction of school personnel, (7) providing notice to the parent or 1387
1669+guardian of a child who is a truant of the information concerning the 1388
1670+existence and availability of the 2-1-1 Infoline program, and other 1389
1671+pediatric mental and behavioral health screening services and tools 1390
1672+described in section 17a-22r, as amended by this act, and (8) on and after 1391
1673+July 1, 2023, a requirement that an appropriate school mental health 1392
1674+specialist, as defined in section 19 of this act, conduct (A) an evaluation 1393
1675+of each child who is a truant to determine if additional behavioral health 1394
1676+interventions are necessary for the well-being of the child, and (B) an 1395
1677+evaluation of such child, which shall include, to the extent possible, an 1396
1678+evaluation of the psychological, mental, emotional, economic and 1397
1679+physical needs of the child and the child's family. Any person who, in 1398
1680+good faith, gives or fails to give notice pursuant to subdivision (6) of this 1399
1681+subsection shall be immune from any liability, civil or criminal, which 1400
1682+might otherwise be incurred or imposed and shall have the same 1401
1683+immunity with respect to any judicial proceeding which results from 1402
1684+such notice or failure to give such notice. 1403
1685+Sec. 26. (Effective July 1, 2022) For the fiscal years ending June 30, 2023, 1404
1686+and June 30, 2024, each regional educational service center shall hire an 1405 Substitute Bill No. 5001
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1692+
1693+individual to serve as the regional trauma coordinator for such center. 1406
1694+The regional trauma coordinator for each such center shall be 1407
1695+responsible for: (1) Developing a trauma-informed care training 1408
1696+program in accordance with the provisions of section 27 of this act, (2) 1409
1697+implementing the trauma-informed care training program, (3) 1410
1698+providing technical assistance to the local and regional boards of 1411
1699+education that are members of the regional educational service center in 1412
1700+implementing the trauma-informed care training program, (4) training 1413
1701+school mental health specialists, as defined in section 19 of this act, to be 1414
1702+the trainers under the trauma-informed care training program, and (5) 1415
1703+ensuring that such trainers are properly training teachers, 1416
1704+administrators, school staff and coaches under the trauma-informed 1417
1705+care training program. 1418
1706+Sec. 27. (Effective July 1, 2022) (a) The regional trauma coordinators 1419
1707+employed by the regional educational service centers, described in 1420
1708+section 26 of this act, shall jointly develop and implement a trauma-1421
1709+informed care training program. Such training program shall utilize a 1422
1710+training model that will enable school mental health specialists, as 1423
1711+defined in section 19 of this act, to deliver trauma-informed care training 1424
1712+to all teachers, administrators, school staff and coaches upon completion 1425
1713+of the training program. In developing such trauma-informed care 1426
1714+training program, the regional trauma coordinators may collaborate 1427
1715+with any nonprofit organization in the state that focuses on child health 1428
1716+and development and trauma-informed care for children. 1429
1717+(b) The regional trauma coordinator for each regional educational 1430
1718+service center shall offer trauma-informed care training at no cost to 1431
1719+school mental health specialists or the local or regional boards of 1432
1720+education that are members of such regional educational service center 1433
1721+and that employ such school mental health specialists. Any school 1434
1722+mental health specialist who has participated in the trauma-informed 1435
1723+care program described in subsection (a) of this section shall be the 1436
1724+person to provide such trauma-informed training to teachers, 1437
1725+administrators, school staff and coaches under this section. 1438 Substitute Bill No. 5001
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1731+
1732+(c) A local or regional board of education may enter into an 1439
1733+agreement with the trauma coordinator for the regional educational 1440
1734+service center to provide the trauma-informed care training program as 1441
1735+part of the in-service training program for the school district, pursuant 1442
1736+to section 10-220a of the general statutes. 1443
1737+(d) (1) Each regional trauma coordinator shall develop a progress 1444
1738+report on the implementation of the trauma-informed care training 1445
1739+program for the prior fiscal year. Such progress report shall include an 1446
1740+analysis of the effectiveness and results of the program. Not later than 1447
1741+January 1, 2024, each regional trauma coordinator shall submit such 1448
1742+progress report, in accordance with the provisions of section 11-4a of the 1449
1743+general statutes, to the joint standing committees of the General 1450
1744+Assembly having cognizance of matters relating to education and 1451
1745+children. 1452
1746+(2) Each regional trauma coordinator shall develop a final report on 1453
1747+the implementation of the trauma-informed care training program for 1454
1748+the previous two fiscal years. Such final report shall include (A) an 1455
1749+analysis of the effectiveness and results of the program, and (B) 1456
1750+recommendations concerning whether the trauma-informed care 1457
1751+training program should be extended and funded for the fiscal years 1458
1752+ending June 30, 2025, and June 30, 2026. Not later than January 1, 2025, 1459
1753+each regional trauma coordinator shall submit such final report, in 1460
1754+accordance with the provisions of section 11-4a of the general statutes, 1461
1755+to the joint standing committees of the General Assembly having 1462
1756+cognizance of matters relating to education and children. 1463
1757+Sec. 28. (NEW) (Effective July 1, 2022) For the school year commencing 1464
1758+July 1, 2022, and each school year thereafter, any teacher of record in a 1465
1759+classroom may request the safe school climate specialist, as described in 1466
1760+section 10-222k of the general statutes, to convene a behavior 1467
1761+intervention meeting for any student whose behavior has caused a 1468
1762+serious disruption to the instruction of other students, or caused self-1469
1763+harm or physical harm to such teacher or another student or staff 1470
1764+member in such teacher's classroom. The safe school climate specialist 1471 Substitute Bill No. 5001
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1770+
1771+shall, upon the request of such teacher, convene a behavior intervention 1472
1772+meeting regarding such student. The participants of such behavior 1473
1773+intervention meeting shall identify resources and supports to address 1474
1774+such student's social, emotional and instructional needs. 1475
1775+Sec. 29. Subsection (c) of section 10-220 of the 2022 supplement to the 1476
1776+general statutes is repealed and the following is substituted in lieu 1477
1777+thereof (Effective July 1, 2022): 1478
1778+(c) Annually, each local and regional board of education shall submit 1479
1779+to the Commissioner of Education a strategic school profile report for 1480
1780+each school and school or program of alternative education, as defined 1481
1781+in section 10-74j, under its jurisdiction and for the school district as a 1482
1782+whole. The superintendent of each local and regional school district 1483
1783+shall present the profile report at the next regularly scheduled public 1484
1784+meeting of the board of education after each November first. The profile 1485
1785+report shall provide information on measures of (1) student needs, 1486
1786+including, but not limited to, a needs assessment that identifies 1487
1787+resources necessary to address the level of student trauma impacting 1488
1788+students and staff in each school, (2) school resources, including 1489
1789+technological resources and utilization of such resources and 1490
1790+infrastructure, (3) student and school performance, including in-school 1491
1791+suspensions, out-of-school suspensions and expulsions, the number of 1492
1792+truants, as defined in section 10-198a, as amended by this act, and 1493
1793+chronically absent children, as defined in section 10-198c, (4) the number 1494
1794+of students enrolled in an adult high school credit diploma program, 1495
1795+pursuant to section 10-69, operated by a local or regional board of 1496
1796+education or a regional educational service center, (5) equitable 1497
1797+allocation of resources among its schools, (6) reduction of racial, ethnic 1498
1798+and economic isolation, (7) special education, and (8) school-based 1499
1799+arrests, as defined in section 10-233n. For purposes of this subsection, 1500
1800+measures of special education include (A) special education 1501
1801+identification rates by disability, (B) rates at which special education 1502
1802+students are exempted from mastery testing pursuant to section 10-14q, 1503
1803+(C) expenditures for special education, including such expenditures as 1504 Substitute Bill No. 5001
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1809+
1810+a percentage of total expenditures, (D) achievement data for special 1505
1811+education students, (E) rates at which students identified as requiring 1506
1812+special education are no longer identified as requiring special education, 1507
1813+(F) the availability of supplemental educational services for students 1508
1814+lacking basic educational skills, (G) the amount of special education 1509
1815+student instructional time with nondisabled peers, (H) the number of 1510
1816+students placed out-of-district, and (I) the actions taken by the school 1511
1817+district to improve special education programs, as indicated by analyses 1512
1818+of the local data provided in subparagraphs (A) to (H), inclusive, of this 1513
1819+subdivision. The superintendent shall include in the narrative portion 1514
1820+of the report information about parental involvement and any measures 1515
1821+the district has taken to improve parental involvement, including, but 1516
1822+not limited to, employment of methods to engage parents in the 1517
1823+planning and improvement of school programs and methods to increase 1518
1824+support to parents working at home with their children on learning 1519
1825+activities. For purposes of this subsection, measures of truancy include 1520
1826+the type of data that is required to be collected by the Department of 1521
1827+Education regarding attendance and unexcused absences in order for 1522
1828+the department to comply with federal reporting requirements and the 1523
1829+actions taken by the local or regional board of education to reduce 1524
1830+truancy in the school district. Such truancy data shall be considered a 1525
1831+public record, as defined in section 1-200. 1526
1832+Sec. 30. Subdivision (1) of subsection (a) of section 28-24 of the general 1527
1833+statutes is repealed and the following is substituted in lieu thereof 1528
1834+(Effective October 1, 2022): 1529
1835+(1) Develop a state-wide emergency service telecommunications plan 1530
1836+specifying emergency police, fire and medical service 1531
1837+telecommunications systems needed to provide coordinated emergency 1532
1838+service telecommunications to all state residents, including [the 1533
1839+physically disabled] persons with physical disabilities and persons in 1534
1840+need of mental health, behavioral health or substance use disorder 1535
1841+services; 1536
1842+Sec. 31. Section 28-29a of the general statutes is repealed and the 1537 Substitute Bill No. 5001
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1848+
1849+following is substituted in lieu thereof (Effective October 1, 2022): 1538
1850+(a) There is established an E 9-1-1 Commission to (1) advise the 1539
1851+division in the planning, design, implementation and coordination of 1540
1852+the state-wide emergency 9-1-1 telephone system [to be] created 1541
1853+pursuant to sections 28-25 to 28-29b, inclusive, and (2) in consultation 1542
1854+with the Coordinating Advisory Board established pursuant to section 1543
1855+29-1t, as amended by this act, advise the Commissioner of Emergency 1544
1856+Services and Public Protection in the planning, design, implementation, 1545
1857+coordination and governance of the public safety data network 1546
1858+established pursuant to section 29-1j. 1547
1859+(b) The commission shall be appointed by the Governor and shall 1548
1860+consist of the following members: (1) One representative from the 1549
1861+technical support services unit of the Division of State Police within the 1550
1862+Department of Emergency Services and Public Protection; (2) the State 1551
1863+Fire Administrator; (3) one representative from the Office of Emergency 1552
1864+Medical Services; (4) one representative from the Division of Emergency 1553
1865+Management and Homeland Security within the Department of 1554
1866+Emergency Services and Public Protection; (5) the Commissioner of 1555
1867+Public Health, or the commissioner's designee; (6) the Commissioner of 1556
1868+Mental Health and Addiction Services, or the commissioner's designee; 1557
1869+(7) the Commissioner of Children and Families, or the commissioner's 1558
1870+designee; (8) one municipal police chief; [(6)] (9) one municipal fire chief; 1559
1871+[(7)] (10) one volunteer fireman; [(8)] (11) one representative of the 1560
1872+Connecticut Conference of Municipalities; [(9)] (12) one representative 1561
1873+of the Council of Small Towns; [(10)] (13) one representative of 1562
1874+telecommunicators, as defined in section 28-30; [(11)] (14) one 1563
1875+representative of the public; [(12)] (15) one manager or coordinator of 9-1564
1876+1-1 public safety answering points serving areas of differing population 1565
1877+concentration; and [(13)] (16) one representative of providers of 1566
1878+commercial mobile radio services, as defined in 47 Code of Federal 1567
1879+Regulations 20.3, as amended. Each member shall serve for a term of 1568
1880+three years from the date of his or her appointment or until a successor 1569
1881+has been appointed and qualified. No member of the commission shall 1570 Substitute Bill No. 5001
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1887+
1888+receive compensation for such member's services. 1571
1889+Sec. 32. Subsection (b) of section 29-1t of the general statutes is 1572
1890+repealed and the following is substituted in lieu thereof (Effective October 1573
1891+1, 2022): 1574
1892+(b) The Commissioner of Emergency Services and Public Protection, 1575
1893+or said commissioner's designee, shall serve as the chairperson of the 1576
1894+Coordinating Advisory Board. The board shall consist of: (1) The 1577
1895+president of the Connecticut State Firefighters Association or a designee, 1578
1896+representing volunteer firefighters; (2) the president of the Uniformed 1579
1897+Professional Firefighters Association or a designee, representing 1580
1898+professional firefighters; (3) the president of the American Federation of 1581
1899+State, County and Municipal Employees, or a designee, representing 1582
1900+municipal police officers; (4) the executive director of the Connecticut 1583
1901+Conference of Municipalities or a designee; (5) the executive director of 1584
1902+the Connecticut Council of Small Towns or a designee; (6) a member of 1585
1903+the Police Officer Standards Training Council, designated by the 1586
1904+chairperson of said council; (7) a member of the Commission on Fire 1587
1905+Prevention and Control, designated by the chairperson of said 1588
1906+commission; (8) the president of the Connecticut Emergency 1589
1907+Management Association or a designee; (9) the president of the 1590
1908+Connecticut Police Chiefs Association or a designee; (10) the president 1591
1909+of the Connecticut Fire Chiefs Association or a designee; (11) the 1592
1910+president of the Connecticut Career Fire Chiefs Association or a 1593
1911+designee; (12) the Commissioner of Public Health; (13) the 1594
1912+Commissioner of Mental Health and Addiction Services; and [(13)] (14) 1595
1913+one representative, designated by the Commissioner of Emergency 1596
1914+Services and Public Protection, from each of the divisions of Emergency 1597
1915+Management and Homeland Security, State Police, Scientific Services 1598
1916+and State-Wide Emergency Telecommunications within the 1599
1917+Department of Emergency Services and Public Protection. Said board 1600
1918+shall convene quarterly and at such other times as the chairperson 1601
1919+deems necessary. 1602
1920+Sec. 33. (NEW) (Effective October 1, 2022) (a) There is established a 9-1603 Substitute Bill No. 5001
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1926+
1927+8-8 Suicide Prevention and Mental Health Crisis Lifeline Fund to fund 1604
1928+suicide prevention services provided through the National Suicide 1605
1929+Prevention Lifeline. The fund shall be administered by the Department 1606
1930+of Mental Health and Addiction Services. Moneys in the fund shall be 1607
1931+used only for the following purposes: (1) To ensure the efficient routing 1608
1932+of calls made to the 9-8-8 National Suicide Prevention Lifeline by 1609
1933+persons in the state; and (2) to employ or contract with mental health 1610
1934+personnel to directly respond to such calls and provide acute mental 1611
1935+health crisis outreach and stabilization services in response to such calls. 1612
1936+(b) The following moneys shall be deposited in, or transferred to, the 1613
1937+9-8-8 Suicide Prevention and Mental Health Crisis Lifeline Fund: (1) The 1614
1938+state-wide 9-8-8 fee assessed on subscribers under subsection (f) of this 1615
1939+section; (2) any appropriation made by the General Assembly to the 1616
1940+Department of Mental Health and Addiction Services for deposit in the 1617
1941+fund; (3) any federal funds intended for the provision of services in the 1618
1942+state related to the 9-8-8 National Suicide Prevention Lifeline; (4) any 1619
1943+grants or gifts intended for deposit in the fund; (5) interest, premiums, 1620
1944+gains or other earnings on the fund; and (6) moneys from any other 1621
1945+source that are intended for the purposes described in subsection (a) of 1622
1946+this section. 1623
1947+(c) Moneys remaining in the 9-8-8 Suicide Prevention and Mental 1624
1948+Health Crisis Lifeline Fund (1) shall not revert to the General Fund at 1625
1949+the end of any fiscal year and remain available in subsequent fiscal years 1626
1950+for the purposes described in subsection (a) of this section, and (2) shall 1627
1951+not be subject to transfer to any other fund, or to transfer, assignment or 1628
1952+reassignment for any purpose other than the purposes described in 1629
1953+subsection (a) of this section. 1630
1954+(d) Within a time period determined by the Commissioner of Mental 1631
1955+Health and Addiction Services to ensure the availability of funds for the 1632
1956+fiscal year beginning July 1, 2023, and not later than April first of each 1633
1957+fiscal year thereafter, the commissioner shall determine the amount of 1634
1958+funding needed to accomplish the purposes of the 9-8-8 Suicide 1635
1959+Prevention and Mental Health Crisis Lifeline Fund described in 1636 Substitute Bill No. 5001
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1966+subsection (a) of this section. The commissioner shall take into 1637
1967+consideration any remaining moneys in the fund. Not later than thirty 1638
1968+days after determining such amount in 2023, and not later than May first 1639
1969+of each fiscal year thereafter, the commissioner shall report on such 1640
1970+funding to the Public Utilities Regulatory Authority. 1641
1971+(e) On or before January 1, 2024, and annually thereafter, the 1642
1972+Commissioner of Mental Health and Addiction Services shall report on 1643
1973+the deposits and expenditures of the 9-8-8 Suicide Prevention and 1644
1974+Mental Health Crisis Lifeline Fund to the Federal Communications 1645
1975+Commission and, in accordance with the provisions of section 11-4a of 1646
1976+the general statutes, to the joint standing committees of the General 1647
1977+Assembly having cognizance of matters relating to appropriations and 1648
1978+the budgets of state agencies, public health, human services and 1649
1979+children. 1650
1980+(f) On or before June 1, 2023, and annually thereafter, the Public 1651
1981+Utilities Regulatory Authority shall conduct a proceeding to determine 1652
1982+the amount of the monthly fee to be assessed against each subscriber of 1653
1983+the following: (1) Local telephone service; (2) commercial mobile radio 1654
1984+service, as defined in 47 CFR 20.3; and (3) voice over Internet protocol 1655
1985+service, as defined in section 28-30b of the general statutes, to fund 1656
1986+suicide prevention services, provided the authority shall not assess such 1657
1987+fee until all federal funds intended for the provision of services in the 1658
1988+state related to the 9-8-8 National Suicide Prevention Lifeline that were 1659
1989+deposited in or transferred to the 9-8-8 Suicide Prevention and Mental 1660
1990+Health Crisis Lifeline Fund have been exhausted. The authority shall 1661
1991+base such fee on the findings of the Commissioner of Mental Health and 1662
1992+Addiction Services, taking into consideration any existing moneys 1663
1993+available in the 9-8-8 Suicide Prevention and Mental Health Crisis 1664
1994+Lifeline Fund. The authority shall not approve any fee greater than 1665
1995+seventy-five cents per month per access line. 1666
1996+(g) Each telephone or telecommunications company providing local 1667
1997+telephone service, each provider of commercial mobile radio service and 1668
1998+each provider of voice over Internet protocol service shall assess against 1669 Substitute Bill No. 5001
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2005+each subscriber the fee established by the authority pursuant to 1670
2006+subsection (f) of this section, which shall be remitted to the Office of the 1671
2007+State Treasurer for deposit into the 9-8-8 Suicide Prevention and Mental 1672
2008+Health Crisis Lifeline Fund not later than the fifteenth day of each 1673
2009+month. 1674
2010+(h) Each telephone or telecommunications company providing local 1675
2011+telephone service, each provider of commercial mobile radio service and 1676
2012+each provider of voice over Internet protocol service may elect to 1677
2013+combine the fee described in subsection (f) of this section with the 9-1-1 1678
2014+fee imposed by section 28-30e of the general statutes into a single fee on 1679
2015+each periodic bill issued to a customer, which may be identified as the 1680
2016+"Combined 988/911 System Fee", provided the provider that elects to 1681
2017+combine such fees shall separately report and remit the respective 9-1-1 1682
2018+and 9-8-8 fees to the Office of the State Treasurer for deposit in the 1683
2019+respective 9-1-1 Telecommunications Fund and the 9-8-8 Suicide 1684
2020+Prevention and Mental Health Crisis Lifeline Fund. 1685
2021+(i) The fee established by the authority pursuant to subsection (f) of 1686
2022+this section shall be the only 9-8-8 funding obligation imposed within 1687
2023+this state with respect to the following: (1) Local telephone service; (2) 1688
2024+commercial mobile radio service, as defined in 47 CFR 20.3; and (3) voice 1689
2025+over Internet protocol service, as defined in section 28-30b of the general 1690
2026+statutes in this state. No tax, fee, surcharge or other charge shall be 1691
2027+imposed by this state, any political subdivision of this state or any 1692
2028+intergovernmental agency for 9-8-8 funding purposes upon any 1693
2029+provider, seller or consumer with respect to the sale, purchase, use or 1694
2030+provision of such services. 1695
2031+(j) No telephone or telecommunications company providing local 1696
2032+telephone service, provider of commercial mobile radio service or 1697
2033+provider of voice over Internet protocol service, and no officer, director, 1698
2034+employee, vendor or agent of any such company or provider shall be 1699
2035+liable to any person or entity for release of information or for any failure 1700
2036+of equipment or procedures in connection with: (1) Routing calls made 1701
2037+to the 9-8-8 National Suicide Prevention Lifeline by persons in the state; 1702 Substitute Bill No. 5001
2038+
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2043+
2044+or (2) employment of, or contracting with, mental health personnel to 1703
2045+directly respond to such calls, and provide acute mental health crisis 1704
2046+outreach and stabilization services in response to such calls, pursuant to 1705
2047+subsection (a) of this section. 1706
2048+Sec. 34. (NEW) (Effective October 1, 2022) (a) As used in this section: 1707
2049+(1) "Consumer" means a person who purchases prepaid wireless 1708
2050+telecommunications service in a retail transaction. 1709
2051+(2) "Prepaid wireless E 9-8-8 Suicide Prevention and Mental Health 1710
2052+Crisis Lifeline Fund fee" means the fee that a seller collects from a 1711
2053+consumer in an amount established under section 33 of this act. 1712
2054+(3) "Prepaid wireless telecommunications service" means a wireless 1713
2055+telecommunications service that a consumer pays for in advance, that 1714
2056+allows the consumer to access the E 9-8-8 system by dialing or otherwise 1715
2057+accessing the digits "9-8-8", and that is sold in predetermined units or 1716
2058+dollars and such units or dollars decline with use. 1717
2059+(4) "Provider" means any person who provides prepaid wireless 1718
2060+telecommunications service pursuant to a license issued by the Federal 1719
2061+Communications Commission. 1720
2062+(5) "Retail transaction" means a purchase of prepaid wireless 1721
2063+telecommunications service from a seller for any purpose other than 1722
2064+resale. 1723
2065+(6) "Seller" means a person who sells prepaid wireless 1724
2066+telecommunications service to a consumer. 1725
2067+(7) "Voice over Internet protocol service" or "VOIP" means a service 1726
2068+that has the following characteristics: (A) Enables real-time, two-way 1727
2069+voice communication; (B) requires a broadband connection from the 1728
2070+users' locations; (C) requires IP-compatible customer premises 1729
2071+equipment; and (D) allows subscribers generally to receive calls that 1730
2072+originate on the public switched telephone network and to terminate 1731 Substitute Bill No. 5001
2073+
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2078+
2079+calls on the public switched telephone. 1732
2080+(8) "Voice over Internet protocol service provider" or "VOIP service 1733
2081+provider" means a company that provides voice over Internet protocol 1734
2082+service. 1735
2083+(9) "Wireless telecommunications service" means commercial mobile 1736
2084+radio service, as defined in 47 CFR 20.3, as from time to time amended. 1737
2085+(b) Each consumer shall be assessed a prepaid wireless 9-8-8 Suicide 1738
2086+Prevention Lifeline Fund fee. Said fee shall be equal to the fee 1739
2087+determined by the Public Utilities Regulatory Authority in accordance 1740
2088+with subsection (f) of section 33 of this act for each retail transaction. For 1741
2089+the purposes of this section, if a consumer purchase includes multiple 1742
2090+prepaid wireless telecommunications services, each such individual 1743
2091+service shall constitute a retail transaction. 1744
2092+(c) (1) Any seller who is a party to a retail transaction within this state 1745
2093+with a consumer shall collect the fee described in subsection (f) of 1746
2094+section 33 of this act from such consumer for each such retail transaction. 1747
2095+The seller shall disclose to the consumer the amount of such assessed 1748
2096+fee in an invoice, a receipt or other similar document, or post such 1749
2097+amount conspicuously on the seller's Internet web site or on a sign 1750
2098+conspicuously displayed to the consumer at the point of sale. 1751
2099+(2) A seller may elect to combine the fee described in subsection (f) of 1752
2100+section 33 of this act with the 9-1-1 fee imposed by section 28-30e of the 1753
2101+general statutes into a single fee, which may be identified as "Combined 1754
2102+988/911 System Fee" on an invoice, a receipt or other similar document, 1755
2103+or posted conspicuously on the seller's Internet web site or on a sign 1756
2104+conspicuously displayed to the consumer at the point of sale, provided, 1757
2105+a seller electing to combine such fees shall separately report and remit 1758
2106+the respective 9-1-1 and 9-8-8 fees to the Office of the State Treasurer for 1759
2107+deposit in the respective 9-1-1 Telecommunications Fund and the 9-8-8 1760
2108+Suicide Prevention and Mental Health Crisis Lifeline Fund. 1761
2109+(d) For the purposes of subsection (f) of section 33 of this act, a retail 1762 Substitute Bill No. 5001
2110+
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2114+57 of 111
2115+
2116+transaction made in the presence of the consumer at the place of 1763
2117+business of the seller shall be treated as occurring within this state if 1764
2118+such place of business is within the state, and any other retail transaction 1765
2119+shall be treated as occurring in this state if the retail transaction is treated 1766
2120+as occurring in this state under subdivision (2) of subsection (a) of 1767
2121+section 12-407 of the general statutes for the purposes of the sales and 1768
2122+use tax. 1769
2123+(e) The consumer shall be liable for any prepaid wireless 9-8-8 Suicide 1770
2124+Prevention and Mental Health Crisis Lifeline Fund fee. There shall be 1771
2125+no liability on the part of the seller or provider, except the seller shall be 1772
2126+liable to remit any prepaid wireless 9-8-8 Suicide Prevention and Mental 1773
2127+Health Crisis Lifeline Fund fees that the seller collects from any 1774
2128+consumer, including, but not limited to, any such fee that the seller is 1775
2129+required to collect but does not separately state on an invoice, receipt or 1776
2130+other similar document provided to the consumer, as required by 1777
2131+subsection (f) of section 33 of this act. 1778
2132+(f) The amount of the prepaid wireless 9-8-8 Suicide Prevention and 1779
2133+Mental Health Crisis Lifeline Fund fee that a seller collects from a 1780
2134+consumer shall not be included in the base for measuring any tax, fee, 1781
2135+surcharge or other charge that the state, any political subdivision of the 1782
2136+state or any intergovernmental agency imposes on such seller, provided 1783
2137+the seller separately stated such amount on an invoice, receipt or other 1784
2138+similar document provided to the consumer. 1785
2139+Sec. 35. (Effective from passage) (a) The Department of Emergency 1786
2140+Services and Public Protection, in collaboration with the Departments of 1787
2141+Mental Health and Addiction Services, Children and Families and 1788
2142+Public Health, shall develop a plan to incorporate mental health, 1789
2143+behavioral health and substance use disorder diversion into the 1790
2144+procedures used by each public safety answering point, as defined in 1791
2145+section 28-25 of the general statutes, to dispatch emergency response 1792
2146+services in response to a 9-1-1 call. The plan shall include, but not be 1793
2147+limited to, recommendations for (1) staffing public safety answering 1794
2148+points with licensed providers of behavioral health, mental health and 1795 Substitute Bill No. 5001
2149+
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2154+
2155+substance use disorder services to (A) provide crisis counselling to 9-1-1796
2156+1 callers who require immediate mental health, behavioral health or 1797
2157+substance use disorder services, (B) assess such callers' needs for 1798
2158+ongoing mental health, behavioral health or substance use disorder 1799
2159+services, and (C) refer such callers to providers of such services as 1800
2160+necessary; (2) transferring 9-1-1 calls made by callers who require 1801
2161+mental health, behavioral health or substance use disorder services to 1802
2162+responders other than law enforcement, including, but not limited to, 1803
2163+community organizations, mobile crisis teams, local organizations or 1804
2164+networks, providing telephone support or referral services for persons 1805
2165+with mental or behavioral health needs or with a substance use disorder; 1806
2166+(3) requiring each public safety answering point to coordinate with the 1807
2167+Department of Mental Health and Addiction Services while the state 1808
2168+transitions mental health crisis and suicide response from the United 1809
2169+Way's 2-1-1 Infoline program to the National Suicide Prevention 1810
2170+Lifeline's 9-8-8 program; (4) developing protocols for public safety 1811
2171+answering points to transfer 9-1-1 calls to the 9-8-8 line when the 9-8-8 1812
2172+line is operational; (5) establishing standards for training each 1813
2173+telecommunicator, as defined in section 28-30 of the general statutes, to 1814
2174+respond to 9-1-1 callers who may require mental health, behavioral 1815
2175+health or substance use disorder services; (6) collecting data to evaluate 1816
2176+the effectiveness of procedures used to divert 9-1-1 callers who may 1817
2177+need such services to the appropriate crisis hotline or services provider; 1818
2178+and (7) evaluating the implementation of such procedures by other 1819
2179+states or jurisdictions. 1820
2180+(b) Not later than January 1, 2023, the Commissioner of Emergency 1821
2181+Services and Public Protection shall report, in accordance with the 1822
2182+provisions of section 11-4a of the general statutes, to the joint standing 1823
2183+committees of the General Assembly having cognizance of matters 1824
2184+relating to public safety, public health and children regarding the 1825
2185+development of the plan required under subsection (a) of this section, 1826
2186+the recommendations concerning implementation of such plan and the 1827
2187+timeline for implementation of such plan. 1828 Substitute Bill No. 5001
2188+
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2193+
2194+Sec. 36. Section 19a-638 of the general statutes is repealed and the 1829
2195+following is substituted in lieu thereof (Effective from passage): 1830
2196+(a) A certificate of need issued by the unit shall be required for: 1831
2197+(1) The establishment of a new health care facility; 1832
2198+(2) A transfer of ownership of a health care facility; 1833
2199+(3) A transfer of ownership of a large group practice to any entity 1834
2200+other than a (A) physician, or (B) group of two or more physicians, 1835
2201+legally organized in a partnership, professional corporation or limited 1836
2202+liability company formed to render professional services and not 1837
2203+employed by or an affiliate of any hospital, medical foundation, 1838
2204+insurance company or other similar entity; 1839
2205+(4) The establishment of a freestanding emergency department; 1840
2206+(5) The termination of inpatient or outpatient services offered by a 1841
2207+hospital, including, but not limited to, the termination by a short-term 1842
2208+acute care general hospital or children's hospital of inpatient and 1843
2209+outpatient mental health and substance abuse services; 1844
2210+(6) The establishment of an outpatient surgical facility, as defined in 1845
2211+section 19a-493b, or as established by a short-term acute care general 1846
2212+hospital; 1847
2213+(7) The termination of surgical services by an outpatient surgical 1848
2214+facility, as defined in section 19a-493b, or a facility that provides 1849
2215+outpatient surgical services as part of the outpatient surgery department 1850
2216+of a short-term acute care general hospital, provided termination of 1851
2217+outpatient surgical services due to (A) insufficient patient volume, or (B) 1852
2218+the termination of any subspecialty surgical service, shall not require 1853
2219+certificate of need approval; 1854
2220+(8) The termination of an emergency department by a short-term 1855
2221+acute care general hospital; 1856 Substitute Bill No. 5001
2222+
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2226+60 of 111
2227+
2228+(9) The establishment of cardiac services, including inpatient and 1857
2229+outpatient cardiac catheterization, interventional cardiology and 1858
2230+cardiovascular surgery; 1859
2231+(10) The acquisition of computed tomography scanners, magnetic 1860
2232+resonance imaging scanners, positron emission tomography scanners or 1861
2233+positron emission tomography-computed tomography scanners, by any 1862
2234+person, physician, provider, short-term acute care general hospital or 1863
2235+children's hospital, except (A) as provided for in subdivision (22) of 1864
2236+subsection (b) of this section, and (B) a certificate of need issued by the 1865
2237+unit shall not be required where such scanner is a replacement for a 1866
2238+scanner that was previously acquired through certificate of need 1867
2239+approval or a certificate of need determination; 1868
2240+(11) The acquisition of nonhospital based linear accelerators; 1869
2241+(12) An increase in the licensed bed capacity of a health care facility, 1870
2242+except as provided in subdivision (23) of subsection (b) of this section; 1871
2243+(13) The acquisition of equipment utilizing technology that has not 1872
2244+previously been utilized in the state; 1873
2245+(14) An increase of two or more operating rooms within any three-1874
2246+year period, commencing on and after October 1, 2010, by an outpatient 1875
2247+surgical facility, as defined in section 19a-493b, or by a short-term acute 1876
2248+care general hospital; and 1877
2249+(15) The termination of inpatient or outpatient services offered by a 1878
2250+hospital or other facility or institution operated by the state that 1879
2251+provides services that are eligible for reimbursement under Title XVIII 1880
2252+or XIX of the federal Social Security Act, 42 USC 301, as amended. 1881
2253+(b) A certificate of need shall not be required for: 1882
2254+(1) Health care facilities owned and operated by the federal 1883
2255+government; 1884 Substitute Bill No. 5001
2256+
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2261+
2262+(2) The establishment of offices by a licensed private practitioner, 1885
2263+whether for individual or group practice, except when a certificate of 1886
2264+need is required in accordance with the requirements of section 19a-1887
2265+493b or subdivision (3), (10) or (11) of subsection (a) of this section; 1888
2266+(3) A health care facility operated by a religious group that 1889
2267+exclusively relies upon spiritual means through prayer for healing; 1890
2268+(4) Residential care homes, as defined in subsection (c) of section 19a-1891
2269+490, and nursing homes and rest homes, as defined in subsection (o) of 1892
2270+section 19a-490; 1893
2271+(5) An assisted living services agency, as defined in section 19a-490; 1894
2272+(6) Home health agencies, as defined in section 19a-490; 1895
2273+(7) Hospice services, as described in section 19a-122b; 1896
2274+(8) Outpatient rehabilitation facilities; 1897
2275+(9) Outpatient chronic dialysis services; 1898
2276+(10) Transplant services; 1899
2277+(11) Free clinics, as defined in section 19a-630; 1900
2278+(12) School-based health centers and expanded school health sites, as 1901
2279+such terms are defined in section 19a-6r, community health centers, as 1902
2280+defined in section 19a-490a, not-for-profit outpatient clinics licensed in 1903
2281+accordance with the provisions of chapter 368v and federally qualified 1904
2282+health centers; 1905
2283+(13) A program licensed or funded by the Department of Children 1906
2284+and Families, provided such program is not a psychiatric residential 1907
2285+treatment facility; 1908
2286+(14) Any nonprofit facility, institution or provider that has a contract 1909
2287+with, or is certified or licensed to provide a service for, a state agency or 1910 Substitute Bill No. 5001
2288+
2289+
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2292+62 of 111
2293+
2294+department for a service that would otherwise require a certificate of 1911
2295+need. The provisions of this subdivision shall not apply to a short-term 1912
2296+acute care general hospital or children's hospital, or a hospital or other 1913
2297+facility or institution operated by the state that provides services that are 1914
2298+eligible for reimbursement under Title XVIII or XIX of the federal Social 1915
2299+Security Act, 42 USC 301, as amended; 1916
2300+(15) A health care facility operated by a nonprofit educational 1917
2301+institution exclusively for students, faculty and staff of such institution 1918
2302+and their dependents; 1919
2303+(16) An outpatient clinic or program operated exclusively by or 1920
2304+contracted to be operated exclusively by a municipality, municipal 1921
2305+agency, municipal board of education or a health district, as described 1922
2306+in section 19a-241; 1923
2307+(17) A residential facility for persons with intellectual disability 1924
2308+licensed pursuant to section 17a-227 and certified to participate in the 1925
2309+Title XIX Medicaid program as an intermediate care facility for 1926
2310+individuals with intellectual disabilities; 1927
2311+(18) Replacement of existing imaging equipment if such equipment 1928
2312+was acquired through certificate of need approval or a certificate of need 1929
2313+determination, provided a health care facility, provider, physician or 1930
2314+person notifies the unit of the date on which the equipment is replaced 1931
2315+and the disposition of the replaced equipment; 1932
2316+(19) Acquisition of cone-beam dental imaging equipment that is to be 1933
2317+used exclusively by a dentist licensed pursuant to chapter 379; 1934
2318+(20) The partial or total elimination of services provided by an 1935
2319+outpatient surgical facility, as defined in section 19a-493b, except as 1936
2320+provided in subdivision (6) of subsection (a) of this section and section 1937
2321+19a-639e; 1938
2322+(21) The termination of services for which the Department of Public 1939
2323+Health has requested the facility to relinquish its license; [or] 1940 Substitute Bill No. 5001
2324+
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2329+
2330+(22) Acquisition of any equipment by any person that is to be used 1941
2331+exclusively for scientific research that is not conducted on humans; or 1942
2332+(23) On or before June 30, 2026, an increase in the licensed bed 1943
2333+capacity of a mental health facility, provided (A) the mental health 1944
2334+facility demonstrates to the unit, in a form and manner prescribed by 1945
2335+the unit, that it accepts reimbursement for any covered benefit provided 1946
2336+to a covered individual under: (i) An individual or group health 1947
2337+insurance policy providing coverage of the type specified in 1948
2338+subdivisions (1), (2), (4), (11) and (12) of section 38a-469; (ii) a self-1949
2339+insured employee welfare benefit plan established pursuant to the 1950
2340+federal Employee Retirement Income Security Act of 1974, as amended 1951
2341+from time to time; or (iii) HUSKY Health, as defined in section 17b-290, 1952
2342+and (B) if the mental health facility does not accept or stops accepting 1953
2343+reimbursement for any covered benefit provided to a covered 1954
2344+individual under a policy, plan or program described in clause (i), (ii) or 1955
2345+(iii) of subparagraph (A) of this subdivision, a certificate of need for such 1956
2346+increase in the licensed bed capacity shall be required. 1957
2347+(c) (1) Any person, health care facility or institution that is unsure 1958
2348+whether a certificate of need is required under this section, or (2) any 1959
2349+health care facility that proposes to relocate pursuant to section 19a-639c 1960
2350+shall send a letter to the unit that describes the project and requests that 1961
2351+the unit make a determination as to whether a certificate of need is 1962
2352+required. In the case of a relocation of a health care facility, the letter 1963
2353+shall include information described in section 19a-639c. A person, health 1964
2354+care facility or institution making such request shall provide the unit 1965
2355+with any information the unit requests as part of its determination 1966
2356+process. 1967
2357+(d) The executive director of the Office of Health Strategy may 1968
2358+implement policies and procedures necessary to administer the 1969
2359+provisions of this section while in the process of adopting such policies 1970
2360+and procedures as regulation, provided the executive director holds a 1971
2361+public hearing prior to implementing the policies and procedures and 1972
2362+posts notice of intent to adopt regulations on the office's Internet web 1973 Substitute Bill No. 5001
2363+
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2368+
2369+site and the eRegulations System not later than twenty days after the 1974
2370+date of implementation. Policies and procedures implemented pursuant 1975
2371+to this section shall be valid until the time final regulations are adopted. 1976
2372+(e) On or before September 1, 2022, the executive director of the Office 1977
2373+of Health Strategy shall develop procedures by which a person or entity 1978
2374+shall notify said office of such person's or entity's intent to increase the 1979
2375+licensed bed capacity at a mental health facility, without applying for a 1980
2376+certificate of need as permitted pursuant to subdivision (23) of 1981
2377+subsection (b) of this section. Such procedures shall include a 1982
2378+requirement that the person or entity intending to increase the licensed 1983
2379+bed capacity at a mental health facility notify said office of the address 1984
2380+of such facility and a description of all services that are being or will be 1985
2381+provided at such facility. Not less than once every six months after 1986
2382+establishing such facility or increasing the licensed bed capacity at such 1987
2383+facility, the owner or operator of such facility shall report to the 1988
2384+executive director of said office regarding the care being provided at 1989
2385+such facility and, where available, the demographics of persons 1990
2386+receiving services from such facility, including, but not limited to, the 1991
2387+number of such persons and such persons' age and town, city or 1992
2388+borough of residence. 1993
2389+(f) Not later than January 1, 2025, the executive director of the Office 1994
2390+of Health Strategy shall report to the Governor and, in accordance with 1995
2391+the provisions of section 11-4a, to the joint standing committee of the 1996
2392+General Assembly having cognizance of matters relating to public 1997
2393+health concerning the executive director's recommendations regarding 1998
2394+the establishment of an expedited certificate of need process for mental 1999
2395+health facilities. 2000
2396+Sec. 37. (NEW) (Effective from passage) (a) On or before October 1, 2022, 2001
2397+the Commissioner of Mental Health and Addiction Services shall 2002
2398+establish a grant program to assist families with the cost of obtaining (1) 2003
2399+a drug or treatment prescribed for a child by a health care provider for 2004
2400+the treatment of a mental or behavioral health condition if the cost of 2005
2401+such drug or treatment is not covered by insurance or Medicaid, and (2) 2006 Substitute Bill No. 5001
2402+
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2406+65 of 111
2407+
2408+intensive evidence-based services or other intensive services to treat 2007
2409+mental and behavioral health conditions in children and adolescents, 2008
2410+including, but not limited to, intensive in-home child and adolescent 2009
2411+psychiatric services and services provided by an intensive outpatient 2010
2412+program, if the cost of such services is not covered by insurance or 2011
2413+Medicaid. The commissioner shall administer and establish eligibility 2012
2414+requirements for the grant program in consultation with the 2013
2415+Commissioner of Consumer Protection. Such eligibility requirements 2014
2416+(A) shall include that a family has sought and been denied coverage or 2015
2417+reimbursement for such drug or treatment or such intensive services by 2016
2418+the family's health carrier, and (B) may include, but need not be limited 2017
2419+to, a family's financial need. The Commissioner of Mental Health and 2018
2420+Addiction Services, in consultation with the Commissioner of 2019
2421+Consumer Protection, shall determine the amount of each grant. An 2020
2422+eligible family may apply for a grant under such program to the 2021
2423+secretary, at such time and in such manner as the Commissioner of 2022
2424+Mental Health and Addiction Services prescribes. 2023
2425+(b) The Departments of Mental Health and Addiction Services and 2024
2426+Consumer Protection and the Office of Policy and Management shall 2025
2427+post in a conspicuous location on their respective Internet web sites a 2026
2428+description of the grant program, including, but not limited to, the 2027
2429+eligibility requirements and application process for the grant program. 2028
2430+The Secretary of the Office of Policy and Management may request that 2029
2431+another state agency post such description on such agency's Internet 2030
2432+web site. 2031
2433+(c) On or before January 1, 2024, and annually thereafter, the 2032
2434+Commissioner of Mental Health and Addiction Services shall report, in 2033
2435+accordance with the provisions of section 11-4a of the general statutes, 2034
2436+to the joint standing committee of the General Assembly having 2035
2437+cognizance of matters relating to public health regarding the 2036
2438+effectiveness of the grant program established under subsection (a) of 2037
2439+this section. 2038
2440+(d) The Commissioner of Mental Health and Addiction Services may 2039 Substitute Bill No. 5001
2441+
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2446+
2447+adopt regulations, in accordance with the provisions of chapter 54 of the 2040
2448+general statutes, to carry out the provisions of this section. 2041
2449+Sec. 38. (NEW) (Effective from passage) On or before January 1, 2023, 2042
2450+the Department of Public Health shall develop or procure, in 2043
2451+consultation with a representative of a children's hospital located in the 2044
2452+state and the Connecticut chapter of a national professional association 2045
2453+of pediatricians and of a national professional association of child and 2046
2454+adolescent psychiatrists, a pediatric mental health, behavioral health 2047
2455+and substance use disorder screening tool to be completed by a child 2048
2456+and, where appropriate, the child's parent or guardian prior to or during 2049
2457+the child's appointment with the child's pediatrician or during the 2050
2458+child's visit to an emergency department. Such screening tool shall 2051
2459+include questions geared toward assisting the pediatrician or 2052
2460+emergency department physician in diagnosing common mental health 2053
2461+and behavioral health conditions and substance use disorders that may 2054
2462+require specialized treatment. On or before January 1, 2023, the 2055
2463+Department of Public Health, in collaboration with the Departments of 2056
2464+Children and Families and Mental Health and Addiction Services, shall 2057
2465+make the screening tool available to all pediatricians and emergency 2058
2466+department physicians in the state, free of charge, and make 2059
2467+recommendations to pediatricians and emergency department 2060
2468+physicians for its effective use. Pediatricians and emergency department 2061
2469+physicians shall use the screening tool developed pursuant to this 2062
2470+section as a supplement to the existing methods used to diagnose a 2063
2471+mental health or behavioral health condition or a substance use 2064
2472+disorder. Pediatricians shall provide such screening tool to each patient 2065
2473+on an annual basis. Emergency department physicians shall provide 2066
2474+such screening tool to each emergency department patient under the age 2067
2475+of eighteen, or the parents or guardian of such patient, prior to such 2068
2476+patient's discharge from the emergency department and, to the extent 2069
2477+possible and as soon as practicable, send a copy of such completed 2070
2478+screening tool to such patient's pediatrician or primary care provider. 2071
2479+Sec. 39. (NEW) (Effective July 1, 2022) (a) As used in this section and 2072 Substitute Bill No. 5001
2480+
2481+
2482+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
2483+R02-HB.docx }
2484+67 of 111
2485+
2486+section 40 of this act, "designated staff member" means a teacher, school 2073
2487+administrator, guidance counselor, school counselor, psychologist, 2074
2488+social worker, nurse, physician or school paraeducator employed by a 2075
2489+local or regional board of education or working in a public middle 2076
2490+school or high school. 2077
2491+(b) Not later than January 1, 2023, the Department of Children and 2078
2492+Families shall, in collaboration with the Department of Education, 2079
2493+develop a peer-to-peer mental health support program that provides 2080
2494+services to aid students in grades six to twelve, inclusive, in problem 2081
2495+solving, decision making, conflict resolution and stress management. 2082
2496+Such program shall be made available to local and regional boards of 2083
2497+education, local health departments, district departments of health, 2084
2498+youth services bureaus established pursuant to section 10-19m of the 2085
2499+general statutes, municipal social service agencies and other youth-2086
2500+serving organizations approved by the Department of Children and 2087
2501+Families. In developing such program, the department shall utilize best 2088
2502+practices and may use existing models of peer-to-peer counseling. 2089
2503+(c) On and after January 1, 2023, the Department of Children and 2090
2504+Families shall, in collaboration with the Department of Education, 2091
2505+provide training to (1) designated staff members selected by the 2092
2506+superintendent of schools pursuant to section 40 of this act, and (2) 2093
2507+employees of local health departments, district departments of health, 2094
2508+youth service bureaus established pursuant to section 10-19m of the 2095
2509+general statutes, municipal social service agencies and other youth-2096
2510+serving organizations selected pursuant to section 41 of this act, on how 2097
2511+to implement the peer-to-peer mental health support program and 2098
2512+provide instruction, guidance and supervision to students participating 2099
2513+in such program. 2100
2514+Sec. 40. (NEW) (Effective July 1, 2022) For the school year commencing 2101
2515+July 1, 2023, and each school year thereafter, any local or regional board 2102
2516+of education, in collaboration with the Departments of Children and 2103
2517+Families and Education, may administer the peer-to-peer mental health 2104
2518+support program developed pursuant to section 39 of this act. The 2105 Substitute Bill No. 5001
2519+
2520+
2521+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
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2523+68 of 111
2524+
2525+superintendent of schools for the local or regional school district 2106
2526+administering such program shall select one or more designated staff 2107
2527+members to complete the training described in section 39 of this act. 2108
2528+Such program shall be provided to participating students in grades six 2109
2529+to twelve, inclusive. 2110
2530+Sec. 41. (NEW) (Effective July 1, 2022) On and after July 1, 2023, any 2111
2531+local health department, district department of health, youth service 2112
2532+bureau established pursuant to section 10-19m of the general statutes, 2113
2533+municipal social service agency or other youth-serving organization 2114
2534+approved by the Department of Children and Families, in collaboration 2115
2535+with the Department of Education, may administer the peer-to-peer 2116
2536+mental health support program developed pursuant to section 39 of this 2117
2537+act. The entity administering the program shall select one or more 2118
2538+employees to complete the training described in section 39 of this act. 2119
2539+The program shall be provided to participating students in grades six to 2120
2540+twelve, inclusive. 2121
2541+Sec. 42. (NEW) (Effective July 1, 2022) (a) For purposes of this section, 2122
2542+(1) "children with behavioral health needs" means children who are 2123
2543+suffering from one or more mental disorders as defined in the most 2124
2544+recent edition of the American Psychiatric Association's "Diagnostic and 2125
2545+Statistical Manual of Mental Disorders", and (2) "in-home respite care 2126
2546+services" means in-home care for children with behavioral health needs, 2127
2547+provided in order to afford such children's parents or guardians respite 2128
2548+from caregiving. 2129
2549+(b) There is established an account to be known as the "Department 2130
2550+of Children and Families in-home respite care services fund" which shall 2131
2551+be a separate, nonlapsing account within the General Fund. The account 2132
2552+shall contain any moneys required by law to be deposited in the account. 2133
2553+Moneys in the account shall be expended by the Commissioner of 2134
2554+Children and Families for the purposes of funding the in-home respite 2135
2555+care services program established pursuant to subsection (c) of this 2136
2556+section. 2137 Substitute Bill No. 5001
2557+
2558+
2559+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
2560+R02-HB.docx }
2561+69 of 111
2562+
2563+(c) Not later than January 1, 2023, the Commissioner of Children and 2138
2564+Families shall establish a program to provide in-home respite care 2139
2565+services. Such program shall be administered by the Department of 2140
2566+Children and Families through contracts for services with providers of 2141
2567+such services or by means of a direct subsidy paid to parents and 2142
2568+guardians to enable such parents and guardians to purchase such 2143
2569+services. 2144
2570+(d) The Commissioner of Children and Families shall adopt 2145
2571+regulations in accordance with the provisions of chapter 54 of the 2146
2572+general statutes to implement the provisions of this section, including, 2147
2573+but not limited to, eligibility criteria for participation in the in-home 2148
2574+respite care services program. 2149
2575+Sec. 43. Subdivision (20) of section 10a-223 of the 2022 supplement to 2150
2576+the general statutes is repealed and the following is substituted in lieu 2151
2577+thereof (Effective July 1, 2022): 2152
2578+(20) "Eligible loan" means any loan that is in repayment that was (A) 2153
2579+made by the authority, or (B) made to a borrower by any other private 2154
2580+or governmental lender, including, but not limited to, the federal 2155
2581+government, to finance attendance at an institution for higher 2156
2582+education. 2157
2583+Sec. 44. Subdivision (20) of section 10a-223 of the 2022 supplement to 2158
2584+the general statutes, as amended by section 273 of public act 21-2 of the 2159
2585+June special session, is repealed and the following is substituted in lieu 2160
2586+thereof (Effective October 1, 2022): 2161
2587+(20) "Eligible loan" means any loan that is in repayment that was (A) 2162
2588+made by the authority, or (B) made to a borrower by any other private 2163
2589+or governmental lender, including, but not limited to, the federal 2164
2590+government, to finance attendance at an institution for higher education 2165
2591+or enrollment in a high-value certificate program; 2166
2592+Sec. 45. (NEW) (Effective July 1, 2022) (a) For the fiscal year ending 2167
2593+June 30, 2023, and each fiscal year thereafter, the Connecticut Higher 2168 Substitute Bill No. 5001
2594+
2595+
2596+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
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2598+70 of 111
2599+
2600+Education Supplemental Loan Authority, in consultation with the 2169
2601+Department of Public Health, shall administer, within available 2170
2602+appropriations, a mental health care provider loan forgiveness program 2171
2603+for persons who meet the eligibility requirements described in 2172
2604+subsection (b) of this section. 2173
2605+(b) The mental health care provider loan forgiveness program shall 2174
2606+provide student loan forgiveness to any mental health care provider 2175
2607+licensed pursuant to chapter 370, 382a, 383, 383a, 383b, or 383c of the 2176
2608+general statutes, or section 20-195aaa, 20-195ggg or 20-195mmm of the 2177
2609+general statutes who (1) is a resident of the state or establishes residency 2178
2610+in the state not later than five years after the date on which such 2179
2611+provider submitted his or her application for loan forgiveness under 2180
2612+such program, (2) provides mental health care services primarily to 2181
2613+residents of the state, (3) is employed, at the time the mental health care 2182
2614+provider applies for consolidation of his or her educational loans under 2183
2615+subdivision (4) of this subsection, in an area designated by the 2184
2616+Commissioner of Public Health as a mental health care provider 2185
2617+shortage area, (4) (A) consolidates his or her federal or state educational 2186
2618+loans through the Connecticut Higher Education Supplemental Loan 2187
2619+Authority, and (B) completes eighty-four consecutive on-time payments 2188
2620+of the consolidation loan under an income-driven repayment plan. A 2189
2621+mental health care provider may change employment or licensure after 2190
2622+applying for loan consolidation or loan forgiveness under this section 2191
2623+and receive loan forgiveness pursuant to subsection (c) of this section, 2192
2624+provided the mental health care provider satisfies the eligibility 2193
2625+requirements of this subsection. 2194
2626+(c) The Connecticut Higher Education Supplemental Loan Authority 2195
2627+shall forgive any balance on the consolidation loan of any mental health 2196
2628+care provider who satisfies the eligibility requirements prescribed in 2197
2629+subsection (b) of this section, provided the authority shall reserve thirty 2198
2630+three per cent of the appropriations received for administration of the 2199
2631+mental health care provider loan forgiveness program for loan 2200
2632+forgiveness for the eligible mental health care providers who establish 2201 Substitute Bill No. 5001
2633+
2634+
2635+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
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2637+71 of 111
2638+
2639+residency in the state not later than five years after the date on which 2202
2640+such providers submitted their application for loan forgiveness under 2203
2641+such program. 2204
2642+(d) A mental health care provider may apply to the Connecticut 2205
2643+Higher Education Supplemental Loan Authority for consolidation of 2206
2644+such provider's federal or state educational loans or for loan forgiveness 2207
2645+under this section at such time and in such manner as the executive 2208
2646+director of the Connecticut Higher Education Supplemental Loan 2209
2647+Authority prescribes. 2210
2648+(e) On or before January 1, 2023, and annually thereafter, the 2211
2649+executive director of the Connecticut Higher Education Supplemental 2212
2650+Loan Authority shall report, in accordance with the provisions of section 2213
2651+11-4a of the general statutes, to the joint standing committee of the 2214
2652+General Assembly having cognizance of matters relating to public 2215
2653+health regarding the utilization and effectiveness of the mental health 2216
2654+care provider loan forgiveness program. 2217
2655+Sec. 46. (NEW) (Effective from passage) (a) On or before January 1, 2023, 2218
2656+the Department of Public Health shall establish and administer a child 2219
2657+psychiatrist grant program. The program shall provide incentive grants 2220
2658+to employers of child psychiatrists for recruiting and hiring new child 2221
2659+psychiatrists and retaining child psychiatrists who are in their employ. 2222
2660+The Commissioner of Public Health shall adopt regulations, in 2223
2661+accordance with the provisions of chapter 54 of the general statutes, for 2224
2662+the administration of this section, including the establishment of 2225
2663+eligibility requirements, priority categories, funding limitations and the 2226
2664+application process for the grant program. 2227
2665+(b) On or before January 1, 2023, there is established a child 2228
2666+psychiatrist grant program advisory board, which shall be within the 2229
2667+Department of Public Health. The advisory board shall (1) advise the 2230
2668+department regarding the effective use of grant funds pursuant to 2231
2669+subsection (a) of this section, and (2) approve each employer that is 2232
2670+selected by the department for receipt of an incentive grant under said 2233 Substitute Bill No. 5001
2671+
2672+
2673+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
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2675+72 of 111
2676+
2677+subsection. The advisory board shall consist of the following members: 2234
2678+(A) One appointed by the speaker of the House of Representatives; (B) 2235
2679+one appointed by the president pro tempore of the Senate; (C) one 2236
2680+appointed by the majority leader of the House of Representatives; (D) 2237
2681+one appointed by the majority leader of the Senate; (E) one appointed 2238
2682+by the minority leader of the House of Representatives; and (F) one 2239
2683+appointed by the minority leader of the Senate. 2240
2684+(c) No member of the advisory board established under subsection 2241
2685+(b) of this section shall be (1) a member of the General Assembly, or (2) 2242
2686+permitted to apply for or receive, or have an immediate family member, 2243
2687+including a spouse, parent or child, who applies for or receives, an 2244
2688+incentive grant under this section. The speaker of the House of 2245
2689+Representatives and the president pro tempore of the Senate shall each 2246
2690+select a cochairperson of the advisory board from among its members. 2247
2691+Members of the advisory board shall serve a term that is coterminous 2248
2692+with the appointing authority and may serve more than one term. Any 2249
2693+vacancy shall be filled by the appointing authority. Any vacancy 2250
2694+occurring other than by expiration of term shall be filled for the balance 2251
2695+of the unexpired term. A majority of the membership shall constitute a 2252
2696+quorum for the transaction of any business by the advisory board. The 2253
2697+administrative staff of the State Auditors of Public Accounts shall serve 2254
2698+as administrative staff of the advisory board. 2255
2699+(d) Not later than January 1, 2024, and annually thereafter, the 2256
2700+cochairpersons of the advisory board established under subsection (b) 2257
2701+of this section shall jointly report, in accordance with the provisions of 2258
2702+section 11-4a of the general statutes, to the joint standing committee of 2259
2703+the General Assembly having cognizance of matters relating to public 2260
2704+health regarding the number and demographics of the employers who 2261
2705+applied for and received incentive grants from the child psychiatrist 2262
2706+grant program established under subsection (a) of this section, the use 2263
2707+of incentive grant funds by such recipients and any other information 2264
2708+deemed pertinent by the advisory board. 2265
2709+Sec. 47. (NEW) (Effective from passage) On or before January 1, 2023, 2266 Substitute Bill No. 5001
2710+
2711+
2712+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
2713+R02-HB.docx }
2714+73 of 111
2715+
2716+the Department of Mental Health and Addiction Services, in 2267
2717+collaboration with the Department of Children and Families, shall (1) 2268
2718+provide for the design, plan and implementation of a multiyear, state-2269
2719+wide advertising campaign, including, but not limited to, television, 2270
2720+radio and Internet web site advertisements, promoting the availability 2271
2721+of all of the mental health, behavioral health and substance use disorder 2272
2722+services in the state, including, but not limited to, the difference between 2273
2723+9-1-1, 9-8-8 and 2-1-1, and informing residents how to obtain such 2274
2724+services, and (2) establish and regularly update an Internet web site 2275
2725+connected with such advertising campaign that includes, but is not 2276
2726+limited to, a comprehensive listing of providers of mental health, 2277
2727+behavioral health and substance use disorder services in the state. The 2278
2728+Commissioner of Mental Health and Addiction Services shall solicit 2279
2729+cooperation and participation from such providers in such advertising 2280
2730+campaign, including, but not limited to, soliciting any available funds. 2281
2731+Said commissioner may hire consultants with expertise in advertising to 2282
2732+assist in implementing the provisions of this section. 2283
2733+Sec. 48. (NEW) (Effective from passage) On or before January 1, 2023, 2284
2734+the Department of Children and Families, in collaboration with the 2285
2735+Department of Mental Health and Addiction Services, shall establish a 2286
2736+grant program to provide funding to inpatient and outpatient mental 2287
2737+and behavioral health care programs that treat children for the creation 2288
2738+of a parent and caregiver peer-to-peer support program for parents and 2289
2739+caregivers of children with mental and behavioral health issues. The 2290
2740+Commissioner of Children and Families shall adopt regulations, in 2291
2741+accordance with the provisions of chapter 54 of the general statutes, for 2292
2742+the administration of this section, including the establishment of 2293
2743+eligibility requirements, priority categories, funding limitations and the 2294
2744+application process for the grant program. 2295
2745+Sec. 49. (NEW) (Effective January 1, 2023) (a) For the purposes of this 2296
2746+section: 2297
2747+(1) "Licensed mental health professional" means: (A) A licensed 2298
2748+professional counselor or professional counselor, both as defined in 2299 Substitute Bill No. 5001
2749+
2750+
2751+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
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2753+74 of 111
2754+
2755+section 20-195aa of the general statutes; (B) a person who is under 2300
2756+professional supervision, as defined in section 20-195aa of the general 2301
2757+statutes; (C) a physician licensed pursuant to chapter 370 of the general 2302
2758+statutes, who is certified in psychiatry by the American Board of 2303
2759+Psychiatry and Neurology; (D) an advanced practice registered nurse 2304
2760+licensed pursuant to chapter 378 of the general statutes, who is certified 2305
2761+as a psychiatric and mental health clinical nurse specialist or nurse 2306
2762+practitioner by the American Nurses Credentialing Center; (E) a 2307
2763+psychologist licensed pursuant to chapter 383 of the general statutes; (F) 2308
2764+a marital and family therapist licensed pursuant to chapter 383a of the 2309
2765+general statutes; (G) a licensed clinical social worker licensed pursuant 2310
2766+to chapter 383b of the general statutes; or (H) an alcohol and drug 2311
2767+counselor licensed under chapter 376b of the general statutes; 2312
2768+(2) "Mental health wellness examination" means a screening or 2313
2769+assessment that seeks to identify any behavioral or mental health needs 2314
2770+and appropriate resources for treatment. The examination may include: 2315
2771+(A) Observation; (B) a behavioral health screening; (C) education and 2316
2772+consultation on healthy lifestyle changes; (D) referrals to ongoing 2317
2773+treatment, mental health services and other necessary supports; (E) 2318
2774+discussion of potential options for medication; (F) age-appropriate 2319
2775+screenings or observations to understand the mental health history, 2320
2776+personal history and mental or cognitive state of the person being 2321
2777+examined; and (G) if appropriate, relevant input from an adult through 2322
2778+screenings, interviews or questions; 2323
2779+(3) "Primary care provider" has the same meaning as provided in 2324
2780+section 19a-7o of the general statutes; and 2325
2781+(4) "Primary care" has the same meaning as provided in section 19a-2326
2782+7o of the general statutes. 2327
2783+(b) (1) Each individual health insurance policy providing coverage of 2328
2784+the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-2329
2785+469 of the general statutes and delivered, issued for delivery, renewed, 2330
2786+amended or continued in this state on or after January 1, 2023, (A) shall 2331 Substitute Bill No. 5001
2787+
2788+
2789+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
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2791+75 of 111
2792+
2793+provide coverage for two mental health wellness examinations per year 2332
2794+that are performed by a licensed mental health professional or primary 2333
2795+care provider, and (B) shall not require prior authorization of such 2334
2796+examinations. 2335
2797+(2) The mental health wellness examinations: (A) May each be 2336
2798+provided by a primary care provider as part of a preventive visit; and 2337
2799+(B) shall be covered with no patient cost-sharing. 2338
2800+(c) The provisions of this section shall apply to a high deductible 2339
2801+health plan, as that term is used in subsection (f) of section 38a-493 of 2340
2802+the general statutes, to the maximum extent permitted by federal law, 2341
2803+except if such plan is used to establish a medical savings account or an 2342
2804+Archer MSA pursuant to Section 220 of the Internal Revenue Code of 2343
2805+1986, as amended from time to time, or any subsequent corresponding 2344
2806+Internal Revenue Code of the United States, as amended from time to 2345
2807+time, or a health savings account pursuant to Section 223 of said Internal 2346
2808+Revenue Code of 1986, as amended from time to time, the provisions of 2347
2809+this section shall apply to such plan to the maximum extent that (1) is 2348
2810+permitted by federal law, and (2) does not disqualify such account for 2349
2811+the deduction allowed under said Section 220 or 223, as applicable. 2350
2812+Sec. 50. (NEW) (Effective January 1, 2023) (a) For the purposes of this 2351
2813+section: 2352
2814+(1) "Licensed mental health professional" means: (A) A licensed 2353
2815+professional counselor or professional counselor, as defined in section 2354
2816+20-195aa of the general statutes; (B) a person who is under professional 2355
2817+supervision, as defined in section 20-195aa of the general statutes; (C) a 2356
2818+physician licensed pursuant to chapter 370 of the general statutes, who 2357
2819+is certified in psychiatry by the American Board of Psychiatry and 2358
2820+Neurology; (D) an advanced practice registered nurse licensed pursuant 2359
2821+to chapter 378 of the general statutes, who is certified as a psychiatric 2360
2822+and mental health clinical nurse specialist or nurse practitioner by the 2361
2823+American Nurses Credentialing Center; (E) a psychologist licensed 2362
2824+pursuant to chapter 383 of the general statutes; (F) a marital and family 2363 Substitute Bill No. 5001
2825+
2826+
2827+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
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2829+76 of 111
2830+
2831+therapist licensed pursuant to chapter 383a of the general statutes; (G) a 2364
2832+licensed clinical social worker licensed pursuant to chapter 383b of the 2365
2833+general statutes; or (H) an alcohol and drug counselor licensed under 2366
2834+chapter 376b of the general statutes; 2367
2835+(2) "Mental health wellness examination" means a screening or 2368
2836+assessment that seeks to identify any behavioral or mental health needs 2369
2837+and appropriate resources for treatment. The examination may include: 2370
2838+(A) Observation; (B) a behavioral health screening; (C) education and 2371
2839+consultation on healthy lifestyle changes; (D) referrals to ongoing 2372
2840+treatment, mental health services and other necessary supports; (E) 2373
2841+discussion of potential options for medication; (F) age-appropriate 2374
2842+screenings or observations to understand the mental health history, 2375
2843+personal history and mental or cognitive state of the person being 2376
2844+examined; and (G) if appropriate, relevant input from an adult through 2377
2845+screenings, interviews or questions; 2378
2846+(3) "Primary care provider" has the same meaning as provided in 2379
2847+section 19a-7o of the general statutes; and 2380
2848+(4) "Primary care" has the same meaning as provided in section 19a-2381
2849+7o of the general statutes. 2382
2850+(b) (1) Each group health insurance policy providing coverage of the 2383
2851+type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 2384
2852+of the general statutes and delivered, issued for delivery, renewed, 2385
2853+amended or continued in this state on or after January 1, 2023, (A) shall 2386
2854+provide coverage for two mental health wellness examinations per year 2387
2855+that are performed by a licensed mental health professional or primary 2388
2856+care provider, and (B) shall not require prior authorization of such 2389
2857+examinations. 2390
2858+(2) The mental health wellness examinations: (A) May each be 2391
2859+provided by a primary care provider as part of a preventive visit; and 2392
2860+(B) shall be covered with no patient cost-sharing. 2393
2861+(c) The provisions of this section shall apply to a high deductible 2394 Substitute Bill No. 5001
2862+
2863+
2864+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
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2866+77 of 111
2867+
2868+health plan, as that term is used in subsection (f) of section 38a-520 of 2395
2869+the general statutes, to the maximum extent permitted by federal law, 2396
2870+except if such plan is used to establish a medical savings account or an 2397
2871+Archer MSA pursuant to Section 220 of the Internal Revenue Code of 2398
2872+1986, as amended from time to time, or any subsequent corresponding 2399
2873+Internal Revenue Code of the United States, as amended from time to 2400
2874+time, or a health savings account pursuant to Section 223 of said Internal 2401
2875+Revenue Code, as amended from time to time, the provisions of this 2402
2876+section shall apply to such plan to the maximum extent that (1) is 2403
2877+permitted by federal law, and (2) does not disqualify such account for 2404
2878+the deduction allowed under said Section 220 or 223, as applicable. 2405
2879+Sec. 51. Subsections (a) and (b) of section 38a-488a of the general 2406
2880+statutes are repealed and the following is substituted in lieu thereof 2407
2881+(Effective January 1, 2023): 2408
2882+(a) For the purposes of this section: 2409
2883+(1) (A) "Mental or nervous conditions" means mental disorders, as 2410
2884+defined in the most recent edition of the American Psychiatric 2411
2885+Association's "Diagnostic and Statistical Manual of Mental Disorders". 2412
2886+(B) "Mental or nervous conditions" does not include [(A)] (i) 2413
2887+intellectual disability, [(B)] (ii) specific learning disorders, [(C)] (iii) 2414
2888+motor disorders, [(D)] (iv) communication disorders, [(E)] (v) caffeine-2415
2889+related disorders, [(F)] (vi) relational problems, and [(G)] (vii) other 2416
2890+conditions that may be a focus of clinical attention, that are not 2417
2891+otherwise defined as mental disorders in the most recent edition of the 2418
2892+American Psychiatric Association's "Diagnostic and Statistical Manual 2419
2893+of Mental Disorders". [;] 2420
2894+(2) ["benefits payable"] "Benefits payable" means the usual, 2421
2895+customary and reasonable charges for treatment deemed necessary 2422
2896+under generally accepted medical standards, except that in the case of a 2423
2897+managed care plan, as defined in section 38a-478, "benefits payable" 2424
2898+means the payments agreed upon in the contract between a managed 2425 Substitute Bill No. 5001
2899+
2900+
2901+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
2902+R02-HB.docx }
2903+78 of 111
2904+
2905+care organization, as defined in section 38a-478, and a provider, as 2426
2906+defined in section 38a-478. [;] 2427
2907+(3) ["acute treatment services"] "Acute treatment services" means 2428
2908+twenty-four-hour medically supervised treatment for a substance use 2429
2909+disorder, that is provided in a medically managed or medically 2430
2910+monitored inpatient facility. [; and] 2431
2911+(4) ["clinical stabilization services"] "Clinical stabilization services" 2432
2912+means twenty-four-hour clinically managed postdetoxification 2433
2913+treatment, including, but not limited to, relapse prevention, family 2434
2914+outreach, aftercare planning and addiction education and counseling. 2435
2915+(b) Each individual health insurance policy providing coverage of the 2436
2916+type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 2437
2917+delivered, issued for delivery, renewed, amended or continued in this 2438
2918+state shall provide benefits for the diagnosis and treatment of mental or 2439
2919+nervous conditions. Benefits payable include, but need not be limited to: 2440
2920+(1) General inpatient hospitalization, including in state-operated 2441
2921+facilities; 2442
2922+(2) Medically necessary acute treatment services and medically 2443
2923+necessary clinical stabilization services; 2444
2924+(3) General hospital outpatient services, including at state-operated 2445
2925+facilities; 2446
2926+(4) Psychiatric inpatient hospitalization, including in state-operated 2447
2927+facilities; 2448
2928+(5) Psychiatric outpatient hospital services, including at state-2449
2929+operated facilities; 2450
2930+(6) Intensive outpatient services, including at state-operated facilities; 2451
2931+(7) Partial hospitalization, including at state-operated facilities; 2452 Substitute Bill No. 5001
2932+
2933+
2934+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
2935+R02-HB.docx }
2936+79 of 111
2937+
2938+(8) Intensive, [home-based] evidence-based services designed to 2453
2939+address specific mental or nervous conditions in a child or adolescent; 2454
2940+(9) Evidence-based family-focused therapy that specializes in the 2455
2941+treatment of juvenile substance use disorders; 2456
2942+(10) Short-term family therapy intervention; 2457
2943+(11) Nonhospital inpatient detoxification; 2458
2944+(12) Medically monitored detoxification; 2459
2945+(13) Ambulatory detoxification; 2460
2946+(14) Inpatient services at psychiatric residential treatment facilities; 2461
2947+(15) Rehabilitation services provided in residential treatment 2462
2948+facilities, general hospitals, psychiatric hospitals or psychiatric facilities; 2463
2949+(16) Observation beds in acute hospital settings; 2464
2950+(17) Psychological and neuropsychological testing conducted by an 2465
2951+appropriately licensed health care provider; 2466
2952+(18) Trauma screening conducted by a licensed behavioral health 2467
2953+professional; 2468
2954+(19) Depression screening, including maternal depression screening, 2469
2955+conducted by a licensed behavioral health professional; 2470
2956+(20) Substance use screening conducted by a licensed behavioral 2471
2957+health professional; 2472
2958+Sec. 52. Subsections (a) and (b) of section 38a-514 of the general 2473
2959+statutes are repealed and the following is substituted in lieu thereof 2474
2960+(Effective January 1, 2023): 2475
2961+(a) For the purposes of this section: 2476 Substitute Bill No. 5001
2962+
2963+
2964+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
2965+R02-HB.docx }
2966+80 of 111
2967+
2968+(1) (A) "Mental or nervous conditions" means mental disorders, as 2477
2969+defined in the most recent edition of the American Psychiatric 2478
2970+Association's "Diagnostic and Statistical Manual of Mental Disorders". 2479
2971+(B) "Mental or nervous conditions" does not include [(A)] (i) 2480
2972+intellectual disability, [(B)] (ii) specific learning disorders, [(C)] (iii) 2481
2973+motor disorders, [(D)] (iv) communication disorders, [(E)] (v) caffeine-2482
2974+related disorders, [(F)] (vi) relational problems, and [(G)] (vii) other 2483
2975+conditions that may be a focus of clinical attention, that are not 2484
2976+otherwise defined as mental disorders in the most recent edition of the 2485
2977+American Psychiatric Association's "Diagnostic and Statistical Manual 2486
2978+of Mental Disorders". [;] 2487
2979+(2) ["benefits payable"] "Benefits payable" means the usual, 2488
2980+customary and reasonable charges for treatment deemed necessary 2489
2981+under generally accepted medical standards, except that in the case of a 2490
2982+managed care plan, as defined in section 38a-478, "benefits payable" 2491
2983+means the payments agreed upon in the contract between a managed 2492
2984+care organization, as defined in section 38a-478, and a provider, as 2493
2985+defined in section 38a-478. [;] 2494
2986+(3) ["acute treatment services"] "Acute treatment services" means 2495
2987+twenty-four-hour medically supervised treatment for a substance use 2496
2988+disorder, that is provided in a medically managed or medically 2497
2989+monitored inpatient facility. [; and] 2498
2990+(4) ["clinical stabilization services"] "Clinical stabilization services" 2499
2991+means twenty-four-hour clinically managed postdetoxification 2500
2992+treatment, including, but not limited to, relapse prevention, family 2501
2993+outreach, aftercare planning and addiction education and counseling. 2502
2994+(b) Except as provided in subsection (j) of this section, each group 2503
2995+health insurance policy providing coverage of the type specified in 2504
2996+subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, 2505
2997+issued for delivery, renewed, amended or continued in this state shall 2506
2998+provide benefits for the diagnosis and treatment of mental or nervous 2507 Substitute Bill No. 5001
2999+
3000+
3001+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3002+R02-HB.docx }
3003+81 of 111
3004+
3005+conditions. Benefits payable include, but need not be limited to: 2508
3006+(1) General inpatient hospitalization, including in state-operated 2509
3007+facilities; 2510
3008+(2) Medically necessary acute treatment services and medically 2511
3009+necessary clinical stabilization services; 2512
3010+(3) General hospital outpatient services, including at state-operated 2513
3011+facilities; 2514
3012+(4) Psychiatric inpatient hospitalization, including in state-operated 2515
3013+facilities; 2516
3014+(5) Psychiatric outpatient hospital services, including at state-2517
3015+operated facilities; 2518
3016+(6) Intensive outpatient services, including at state-operated facilities; 2519
3017+(7) Partial hospitalization, including at state-operated facilities; 2520
3018+(8) Intensive, [home-based] evidence-based services designed to 2521
3019+address specific mental or nervous conditions in a child or adolescent; 2522
3020+(9) Evidence-based family-focused therapy that specializes in the 2523
3021+treatment of juvenile substance use disorders; 2524
3022+(10) Short-term family therapy intervention; 2525
3023+(11) Nonhospital inpatient detoxification; 2526
3024+(12) Medically monitored detoxification; 2527
3025+(13) Ambulatory detoxification; 2528
3026+(14) Inpatient services at psychiatric residential treatment facilities; 2529
3027+(15) Rehabilitation services provided in residential treatment 2530
3028+facilities, general hospitals, psychiatric hospitals or psychiatric facilities; 2531 Substitute Bill No. 5001
3029+
3030+
3031+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3032+R02-HB.docx }
3033+82 of 111
3034+
3035+(16) Observation beds in acute hospital settings; 2532
3036+(17) Psychological and neuropsychological testing conducted by an 2533
3037+appropriately licensed health care provider; 2534
3038+(18) Trauma screening conducted by a licensed behavioral health 2535
3039+professional; 2536
3040+(19) Depression screening, including maternal depression screening, 2537
3041+conducted by a licensed behavioral health professional; and 2538
3042+(20) Substance use screening conducted by a licensed behavioral 2539
3043+health professional. [;] 2540
3044+Sec. 53. (Effective July 1, 2022) (a) As used in this section: 2541
3045+(1) "Mental health programming" means age-appropriate education 2542
3046+or outreach initiatives aimed at students for the prevention of mental 2543
3047+illness, including, but not limited to, poster and flyer campaigns, films, 2544
3048+guest speakers or other school events; and 2545
3049+(2) "School-based mental health clinic" means a clinic that: (A) Is 2546
3050+located in, or on the grounds of, a school facility of a school district or 2547
3051+school board or of an Indian tribe or tribal organization; (B) is organized 2548
3052+through school, community and health provider relationships; (C) is 2549
3053+administered by a sponsoring facility; and (D) provides on-site mental, 2550
3054+emotional or behavioral health services to children and adolescents in 2551
3055+accordance with state and local law, including laws relating to licensure 2552
3056+and certification. 2553
3057+(b) Not later than January 1, 2023, the Departments of Children and 2554
3058+Families, Public Health and Education, in consultation with the 2555
3059+Connecticut Association of School-Based Health Centers and a 2556
3060+children's mental health service provider licensed by the Department of 2557
3061+Children and Families, shall develop a plan to promote access to mental 2558
3062+health services for children and youth in regions of the state that do not 2559
3063+have access to a school-based health center or an expanded school health 2560 Substitute Bill No. 5001
3064+
3065+
3066+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3067+R02-HB.docx }
3068+83 of 111
3069+
3070+site, which may include, but need not be limited to, establishing school-2561
3071+based mental health clinics. The mental health services included in such 2562
3072+plan may include, but not be limited to, (1) to the extent permitted by a 2563
3073+license or certification of a sponsoring facility, as defined in section 19a-2564
3074+6r of the general statutes, the provision of counseling to individual 2565
3075+students, groups or families, (2) establishing the hours of operation of 2566
3076+any school-based mental health clinic to include, in addition to school 2567
3077+hours, after school, weekend or summer hours based on community 2568
3078+need for services, and (3) the provision of mental health programming 2569
3079+for students in partnership with a local or regional board of education. 2570
3080+(c) Any mental health service provider who staffs any school-based 2571
3081+mental health clinic established in partnership with a local or regional 2572
3082+board of education shall be knowledgeable about social-emotional 2573
3083+learning, as defined in section 10-222v of the general statutes, and 2574
3084+restorative practices and may receive additional training through 2575
3085+participation in the social-emotional learning and restorative practices 2576
3086+training provided to teachers and administrators of the schools under 2577
3087+the jurisdiction of such board. 2578
3088+(d) Not later than February 1, 2023, the Departments of Children and 2579
3089+Families and Public Health shall jointly submit, in accordance with the 2580
3090+provisions of section 11-4a of the general statutes, to the joint standing 2581
3091+committee of the General Assembly having cognizance of matters 2582
3092+relating to children, a report on the (1) plan developed pursuant to 2583
3093+subsection (b) of this section, and (2) availability of any sources of 2584
3094+funding for the implementation of such plan. 2585
3095+Sec. 54. (NEW) (Effective July 1, 2022) (a) As used in this section, 2586
3096+"clerkship" means a program in which a candidate for a doctoral degree 2587
3097+based on a program of studies whose content was primarily 2588
3098+psychological at an educational institution approved in accordance with 2589
3099+section 20-189 of the general statutes, works as a psychological assessor 2590
3100+or psychotherapist for between twelve and sixteen hours per week and 2591
3101+during which the candidate was supervised by an agency-affiliated 2592
3102+psychologist and at least one core faculty member of the doctoral degree 2593 Substitute Bill No. 5001
3103+
3104+
3105+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3106+R02-HB.docx }
3107+84 of 111
3108+
3109+program. 2594
3110+(b) On or before January 1, 2023, the Department of Public Health 2595
3111+shall establish an incentive program to encourage doctoral degree 2596
3112+candidates to serve at least one semester-long clerkship at a facility 2597
3113+licensed or operated by the Department of Children and Families, or for 2598
3114+any other state agency as deemed appropriate by the Commissioner of 2599
3115+Children and Families. Any person who serves at least one semester-2600
3116+long clerkship at such facility shall (1) be eligible for loan forgiveness 2601
3117+under the mental health care provider loan forgiveness program 2602
3118+established under section 45 of this act if such person meets the 2603
3119+eligibility requirements of such program, which are set forth in 2604
3120+subsection (b) of said section, except such person shall be required to 2605
3121+complete only sixty consecutive on-time payments of the consolidation 2606
3122+loan under an income-driven repayment plan in order to satisfy the 2607
3123+eligibility requirement set forth in subdivision (4) of subsection (b) of 2608
3124+said section, and (2) may renew such person's license issued under 2609
3125+chapter 383 of the general statutes once every two years for the first four 2610
3126+years such person is licensed under said chapter. 2611
3127+Sec. 55. Section 19a-179f of the general statutes is repealed and the 2612
3128+following is substituted in lieu thereof (Effective October 1, 2022): 2613
3129+(a) A licensed or certified emergency medical services organization 2614
3130+or provider may transport a patient by ambulance to an alternate 2615
3131+destination, in consultation with the medical director of a sponsor 2616
3132+hospital. 2617
3133+(b) On or before January 1, 2024, the Office of Emergency Medical 2618
3134+Services shall develop protocols for a licensed or certified emergency 2619
3135+medical services organization or provider to transport a pediatric 2620
3136+patient with mental or behavioral health needs by ambulance to an 2621
3137+urgent care center operated by the Department of Children and Families 2622
3138+that is dedicated to treating children's urgent mental or behavioral 2623
3139+health needs. 2624 Substitute Bill No. 5001
3140+
3141+
3142+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3143+R02-HB.docx }
3144+85 of 111
3145+
3146+[(b)] (c) Any ambulance used for transport to an alternate destination 2625
3147+under subsection (a) or (b) of this section shall meet the requirements 2626
3148+for a basic level ambulance, as prescribed in regulations adopted 2627
3149+pursuant to section 19a-179, including requirements concerning 2628
3150+medically necessary supplies and services. 2629
3151+Sec. 56. (NEW) (Effective January 1, 2023) (a) For the purposes of this 2630
3152+section: 2631
3153+(1) "Collaborative Care Model" means the integrated delivery of 2632
3154+behavioral health and primary care services by a primary care team that 2633
3155+includes a primary care provider, a behavioral care manager, a 2634
3156+psychiatric consultant and a database used by the behavioral care 2635
3157+manager to track patient progress; 2636
3158+(2) "CPT code" means a code number under the Current Procedural 2637
3159+Terminology system developed by the American Medical Association; 2638
3160+and 2639
3161+(3) "HCPCS code" means a code number under the Healthcare 2640
3162+Common Procedure Coding System developed by the federal Centers 2641
3163+for Medicare and Medicaid Services. 2642
3164+(b) Each individual health insurance policy providing coverage of the 2643
3165+type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 2644
3166+of the general statutes and delivered, issued for delivery, renewed, 2645
3167+amended or continued in this state on or after January 1, 2023, shall 2646
3168+provide coverage for health care services that a primary care provider 2647
3169+provides to an insured under the Collaborative Care Model. Such 2648
3170+services shall include, but need not be limited to, services with a CPT 2649
3171+code of 99484, 99492, 99493 or 99494 or HCPCS code of G2214, or any 2650
3172+subsequent corresponding code. 2651
3173+Sec. 57. (NEW) (Effective January 1, 2023) (a) For the purposes of this 2652
3174+section: 2653
3175+(1) "Collaborative Care Model" means the integrated delivery of 2654 Substitute Bill No. 5001
3176+
3177+
3178+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3179+R02-HB.docx }
3180+86 of 111
3181+
3182+behavioral health and primary care services by a primary care team that 2655
3183+includes a primary care provider, a behavioral care manager, a 2656
3184+psychiatric consultant and a database used by the behavioral care 2657
3185+manager to track patient progress; 2658
3186+(2) "CPT code" means a code number under the Current Procedural 2659
3187+Terminology system developed by the American Medical Association; 2660
3188+and 2661
3189+(3) "HCPCS code" means a code number under the Healthcare 2662
3190+Common Procedure Coding System developed by the federal Centers 2663
3191+for Medicare and Medicaid Services. 2664
3192+(b) Each group health insurance policy providing coverage of the 2665
3193+type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 2666
3194+of the general statutes and delivered, issued for delivery, renewed, 2667
3195+amended or continued in this state on or after January 1, 2023, shall 2668
3196+provide coverage for health care services that a primary care provider 2669
3197+provides to an insured under the Collaborative Care Model. Such 2670
3198+services shall include, but need not be limited to, services with a CPT 2671
3199+code of 99484, 99492, 99493 or 99494 or HCPCS code of G2214, or any 2672
3200+subsequent corresponding code. 2673
3201+Sec. 58. Subsections (a) and (b) of section 38a-477aa of the general 2674
3202+statutes are repealed and the following is substituted in lieu thereof 2675
3203+(Effective January 1, 2023): 2676
3204+(a) As used in this section: 2677
3205+(1) "Emergency condition" has the same meaning as "emergency 2678
3206+medical condition", as provided in section 38a-591a; 2679
3207+(2) "Emergency services" means, with respect to an emergency 2680
3208+condition, (A) a medical screening examination as required under 2681
3209+Section 1867 of the Social Security Act, as amended from time to time, 2682
3210+that is within the capability of a hospital emergency department, 2683
3211+including ancillary services routinely available to such department to 2684 Substitute Bill No. 5001
3212+
3213+
3214+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3215+R02-HB.docx }
3216+87 of 111
3217+
3218+evaluate such condition, and (B) such further medical examinations and 2685
3219+treatment required under said Section 1867 to stabilize such individual, 2686
3220+that are within the capability of the hospital staff and facilities; 2687
3221+(3) "Health care plan" means an individual or a group health 2688
3222+insurance policy or health benefit plan that provides coverage of the 2689
3223+type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-2690
3224+469; 2691
3225+(4) "Health care provider" means an individual licensed to provide 2692
3226+health care services under chapters 370 to 373, inclusive, chapters 375 to 2693
3227+383b, inclusive, and chapters 384a to 384c, inclusive; 2694
3228+(5) "Health carrier" means an insurance company, health care center, 2695
3229+hospital service corporation, medical service corporation, fraternal 2696
3230+benefit society or other entity that delivers, issues for delivery, renews, 2697
3231+amends or continues a health care plan in this state; 2698
3232+(6) (A) "Surprise bill" means a bill for health care services, other than 2699
3233+emergency services or acute inpatient psychiatric services, received by 2700
3234+an insured for services rendered by an out-of-network health care 2701
3235+provider, where such services were rendered by (i) such out-of-network 2702
3236+provider at an in-network facility, during a service or procedure 2703
3237+performed by an in-network provider or during a service or procedure 2704
3238+previously approved or authorized by the health carrier and the insured 2705
3239+did not knowingly elect to obtain such services from such out-of-2706
3240+network provider, or (ii) a clinical laboratory, as defined in section 19a-2707
3241+30, that is an out-of-network provider, upon the referral of an in-2708
3242+network provider. 2709
3243+(B) "Surprise bill" does not include a bill for health care services 2710
3244+received by an insured when an in-network health care provider was 2711
3245+available to render such services and the insured knowingly elected to 2712
3246+obtain such services from another health care provider who was out-of-2713
3247+network. 2714
3248+(b) (1) No health carrier shall require prior authorization for 2715 Substitute Bill No. 5001
3249+
3250+
3251+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3252+R02-HB.docx }
3253+88 of 111
3254+
3255+rendering emergency services or acute inpatient psychiatric services to 2716
3256+an insured. A health care provider who renders emergency services to 2717
3257+an insured shall notify the insured's health carrier not later than three 2718
3258+calendar days after the date on which the provider provided such 2719
3259+services. 2720
3260+(2) No health carrier shall impose, for emergency services or acute 2721
3261+inpatient psychiatric services rendered to an insured by an out-of-2722
3262+network health care provider, a coinsurance, copayment, deductible or 2723
3263+other out-of-pocket expense that is greater than the coinsurance, 2724
3264+copayment, deductible or other out-of-pocket expense that would be 2725
3265+imposed if such emergency services or acute inpatient psychiatric 2726
3266+services were rendered by an in-network health care provider. 2727
3267+(3) (A) If emergency services or acute inpatient psychiatric services 2728
3268+were rendered to an insured by an out-of-network health care provider, 2729
3269+such health care provider may bill the health carrier directly and the 2730
3270+health carrier shall reimburse such health care provider the greatest of 2731
3271+the following amounts: (i) The amount the insured's health care plan 2732
3272+would pay for such services if rendered by an in-network health care 2733
3273+provider; (ii) the usual, customary and reasonable rate for such services; 2734
3274+or (iii) the amount Medicare would reimburse for such services. As used 2735
3275+in this subparagraph, "usual, customary and reasonable rate" means the 2736
3276+eightieth percentile of all charges for the particular health care service 2737
3277+performed by a health care provider in the same or similar specialty and 2738
3278+provided in the same geographical area, as reported in a benchmarking 2739
3279+database maintained by a nonprofit organization specified by the 2740
3280+Insurance Commissioner. Such organization shall not be affiliated with 2741
3281+any health carrier. 2742
3282+(B) Nothing in this subdivision shall be construed to prohibit such 2743
3283+health carrier and out-of-network health care provider from agreeing to 2744
3284+a greater reimbursement amount. 2745
3285+Sec. 59. Subsection (b) of section 20-7f of the general statutes is 2746
3286+repealed and the following is substituted in lieu thereof (Effective January 2747 Substitute Bill No. 5001
3287+
3288+
3289+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3290+R02-HB.docx }
3291+89 of 111
3292+
3293+1, 2023): 2748
3294+(b) It shall be an unfair trade practice in violation of chapter 735a for 2749
3295+any health care provider to request payment from an enrollee, other 2750
3296+than a coinsurance, copayment, deductible or other out-of-pocket 2751
3297+expense, for (1) health care services or a facility fee, as defined in section 2752
3298+19a-508c, covered under a health care plan, (2) emergency services, or 2753
3299+acute inpatient psychiatric services, covered under a health care plan 2754
3300+and rendered by an out-of-network health care provider, or (3) a 2755
3301+surprise bill, as defined in section 38a-477aa, as amended by this act. 2756
3302+Sec. 60. Subdivision (3) of subsection (c) of section 38a-193 of the 2757
3303+general statutes is repealed and the following is substituted in lieu 2758
3304+thereof (Effective January 1, 2023): 2759
3305+(3) No participating provider, or agent, trustee or assignee thereof, 2760
3306+may: (A) Maintain any action at law against a subscriber or enrollee to 2761
3307+collect sums owed by the health care center; (B) request payment from 2762
3308+a subscriber or enrollee for such sums; (C) request payment from a 2763
3309+subscriber or enrollee for covered emergency services, or covered acute 2764
3310+inpatient psychiatric services, that are provided by an out-of-network 2765
3311+provider; or (D) request payment from a subscriber or enrollee for a 2766
3312+surprise bill, as defined in section 38a-477aa, as amended by this act. For 2767
3313+purposes of this subdivision "request payment" includes, but is not 2768
3314+limited to, submitting a bill for services not actually owed or submitting 2769
3315+for such services an invoice or other communication detailing the cost 2770
3316+of the services that is not clearly marked with the phrase "THIS IS NOT 2771
3317+A BILL". The contract between a health care center and a participating 2772
3318+provider shall inform the participating provider that pursuant to section 2773
3319+20-7f, as amended by this act, it is an unfair trade practice in violation of 2774
3320+chapter 735a for any health care provider to request payment from a 2775
3321+subscriber or an enrollee, other than a coinsurance, copayment, 2776
3322+deductible or other out-of-pocket expense, for covered medical [or] 2777
3323+services, emergency services or acute inpatient psychiatric services or 2778
3324+facility fees, as defined in section 19a-508c, or surprise bills, or to report 2779
3325+to a credit reporting agency an enrollee's failure to pay a bill for such 2780 Substitute Bill No. 5001
3326+
3327+
3328+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3329+R02-HB.docx }
3330+90 of 111
3331+
3332+services when a health care center has primary responsibility for 2781
3333+payment of such services, fees or bills. 2782
3334+Sec. 61. Subdivision (1) of subsection (c) of section 38a-472f of the 2783
3335+general statutes is repealed and the following is substituted in lieu 2784
3336+thereof (Effective January 1, 2023): 2785
3337+(c) (1) (A) Each health carrier shall establish and maintain a network 2786
3338+that includes a sufficient number and appropriate types of participating 2787
3339+providers, including those that serve predominantly low-income, 2788
3340+medically underserved individuals, to assure that all covered benefits 2789
3341+will be accessible to all such health carrier's covered persons without 2790
3342+unreasonable travel or delay. 2791
3343+(B) Covered persons shall have access to emergency services, as 2792
3344+defined in section 38a-477aa, as amended by this act, and acute inpatient 2793
3345+psychiatric services twenty-four hours a day, seven days a week. 2794
3346+Sec. 62. Subsection (h) of section 38a-488a of the general statutes is 2795
3347+repealed and the following is substituted in lieu thereof (Effective January 2796
3348+1, 2023): 2797
3349+(h) Except in the case of emergency services, acute inpatient 2798
3350+psychiatric services or [in the case of] services for which an individual 2799
3351+has been referred by a physician or an advanced practice registered 2800
3352+nurse affiliated with a health care center, nothing in this section shall be 2801
3353+construed to require a health care center to provide benefits under this 2802
3354+section through facilities that are not affiliated with the health care 2803
3355+center. 2804
3356+Sec. 63. Subsection (h) of section 38a-514 of the general statutes is 2805
3357+repealed and the following is substituted in lieu thereof (Effective January 2806
3358+1, 2023): 2807
3359+(h) Except in the case of emergency services, acute inpatient 2808
3360+psychiatric services or [in the case of] services for which an individual 2809
3361+has been referred by a physician affiliated with a health care center, 2810 Substitute Bill No. 5001
3362+
3363+
3364+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3365+R02-HB.docx }
3366+91 of 111
3367+
3368+nothing in this section shall be construed to require a health care center 2811
3369+to provide benefits under this section through facilities that are not 2812
3370+affiliated with the health care center. 2813
3371+Sec. 64. (Effective from passage) (a) The Office of Health Strategy shall 2814
3372+study the rates at which health carriers delivering, issuing for delivery, 2815
3373+renewing, amending or continuing individual and group health 2816
3374+insurance policies in this state, and third-party administrators licensed 2817
3375+under section 38a-720a of the general statutes, reimburse health care 2818
3376+providers for covered physical, mental and behavioral health benefits. 2819
3377+Such study shall include, but need not be limited to, an assessment of 2820
3378+the: (1) Viability of implementing in this state a sliding scale of 2821
3379+reimbursement rates; (2) extent to which reimbursement rates for 2822
3380+covered mental and behavioral health benefits would need to increase 2823
3381+in order to provide a financial incentive to (A) attract additional health 2824
3382+care providers to provide covered mental and behavioral health benefits 2825
3383+to individuals in this state, and (B) encourage health care providers who 2826
3384+provide covered mental and behavioral health benefits to accept new 2827
3385+patients in this state; (3) potential aggregate savings that would accrue 2828
3386+to health carriers in this state if insureds were to receive greater access 2829
3387+to health care providers who provide covered mental and behavioral 2830
3388+health benefits; (4) reimbursement rates for covered mental and 2831
3389+behavioral health benefits provided by private health insurance policies 2832
3390+in comparison to reimbursement rates for such benefits provided by the 2833
3391+state or other governmental payors; (5) reimbursement rates for covered 2834
3392+mental and behavioral health benefits provided to children in 2835
3393+comparison to reimbursement rates for such benefits provided to adults; 2836
3394+and (6) number of children who are referred for covered mental and 2837
3395+behavioral health benefits in comparison to the number of children who 2838
3396+receive such benefits. 2839
3397+(b) Not later than January 1, 2023, the Office of Health Strategy shall, 2840
3398+in accordance with section 11-4a of the general statutes, submit a report 2841
3399+to the joint standing committees of the General Assembly having 2842
3400+cognizance of matters relating to insurance and public health disclosing 2843 Substitute Bill No. 5001
3401+
3402+
3403+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3404+R02-HB.docx }
3405+92 of 111
3406+
3407+the results of the study conducted pursuant to subsection (a) of this 2844
3408+section. 2845
3409+Sec. 65. (Effective from passage) (a) As used in this section, "HUSKY 2846
3410+Health" has the same meaning as provided in section 17b-290 of the 2847
3411+general statutes. 2848
3412+(b) The Office of Health Strategy, in consultation with the Insurance 2849
3413+Commissioner, shall conduct a study to determine whether payment 2850
3414+parity exists between (1) providers of behavioral and mental health 2851
3415+services and providers of other medical services in the private insurance 2852
3416+market, (2) such providers within the HUSKY Health program, and (3) 2853
3417+HUSKY Health program behavioral and mental health providers and 2854
3418+their counterparts in the private insurance market. 2855
3419+(c) The study shall also include, but not be limited to: (1) What rate 2856
3420+increases may be necessary to encourage more private providers to offer 2857
3421+behavioral and mental health services to HUSKY Health program 2858
3422+members, (2) an estimate of the amount such increases would cost the 2859
3423+state annually, and (3) potential state savings on other health care costs 2860
3424+annually if access to behavioral and mental health providers by HUSKY 2861
3425+Health program members is expanded. 2862
3426+(d) Not later than January 1, 2023, the executive director of the Office 2863
3427+of Health Strategy shall submit a report with the findings of the study, 2864
3428+in accordance with the provisions of section 11-4a of the general statutes, 2865
3429+to the joint standing committees of the General Assembly having 2866
3430+cognizance of matters relating to human services, insurance, public 2867
3431+health and appropriations and the budgets of state agencies. 2868
3432+Sec. 66. (NEW) (Effective July 1, 2022) (a) As used in this section: 2869
3433+(1) "Collaborative Care Model" or "CoCM" means the integrated 2870
3434+delivery of behavioral health and primary care services by a primary 2871
3435+care team that includes a primary care provider, a behavioral care 2872
3436+manager, a psychiatric consultant and a data base used by the 2873
3437+behavioral care manager to track patient progress; 2874 Substitute Bill No. 5001
3438+
3439+
3440+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
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3442+93 of 111
3443+
3444+(2) "CoCM codes" means a billing system developed by the Centers 2875
3445+for Medicare and Medicaid Services that provide Medicare rates for 2876
3446+services provided in the Collaborative Care Model; and 2877
3447+(3) "HUSKY Health" has the same meaning as provided in section 2878
3448+17b-290 of the general statutes. 2879
3449+(b) To the extent permissible under federal law, the Commissioner of 2880
3450+Social Services shall implement a Medicaid reimbursement system that 2881
3451+incentivizes collaboration between primary care providers and 2882
3452+behavioral and mental health care providers on an integrated care plan 2883
3453+for a HUSKY Health program member by separately reimbursing each 2884
3454+provider consulting on such patient's care. The commissioner may 2885
3455+adopt the Collaborative Care Model to expand access to behavioral and 2886
3456+mental health services for HUSKY Health program members and utilize 2887
3457+the CoCM codes approved by the Centers for Medicare and Medicaid 2888
3458+Services to provide reimbursement to participating providers. 2889
3459+Sec. 67. (NEW) (Effective July 1, 2022) (a) There is established a Youth 2890
3460+Service Corps program to be administered by the Department of 2891
3461+Economic and Community Development for the purpose of providing 2892
3462+grants to municipalities of priority school districts, as described in 2893
3463+section 10-266p of the general statutes, to establish local Youth Service 2894
3464+Corps programs. Such local programs shall provide paid community-2895
3465+based service learning and academic and workforce development 2896
3466+programs to youth and young adults in the state. 2897
3467+(b) To be eligible for a Youth Service Corps program grant, a 2898
3468+municipality shall have a priority school district, as described in section 2899
3469+10-266p of the general statutes, located in such municipality and 2900
3470+operate, establish or demonstrate plans to establish a local Youth Service 2901
3471+Corps program that conforms to the following parameters: 2902
3472+(1) Youth participation in the local Youth Service Corps program 2903
3473+shall be by referral only. Such referral shall be made by a school official, 2904
3474+juvenile probation officer, the Commissioner of Children and Families, 2905 Substitute Bill No. 5001
3475+
3476+
3477+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3478+R02-HB.docx }
3479+94 of 111
3480+
3481+or the commissioner's designee, or an employee of a community 2906
3482+organization designated by the municipality or the municipality's Youth 2907
3483+Service Corps program administrator to make such referrals. 2908
3484+Participants in a local Youth Service Corps program shall be youths or 2909
3485+young adults between the ages of sixteen and twenty-four, inclusive, 2910
3486+who are showing signs of disengagement or disconnection from school, 2911
3487+the workplace or the community; 2912
3488+(2) The local Youth Service Corps program shall target, but not be 2913
3489+limited to targeting, youth or young adults who are involved with the 2914
3490+justice system, involved with the Department of Children and Families, 2915
3491+in foster care or experiencing homelessness. The municipality shall 2916
3492+allow local school officials and the Commissioner of Children and 2917
3493+Families, or the commissioner's designee, to refer any such youth or 2918
3494+young adult to its local Youth Service Corps program; 2919
3495+(3) The local Youth Service Corps program shall be administered by 2920
3496+a local community-based organization with expertise in providing 2921
3497+youth or young adult services and workforce development programs. 2922
3498+Such organization shall work with local municipal officials to identify 2923
3499+potential local service project opportunities for such program; 2924
3500+(4) Each participant in a local Youth Service Corps program shall 2925
3501+develop an individual success plan in which such participant shall 2926
3502+identify goals to achieve relating to education, workforce or behavioral 2927
3503+development. In support of such goals, the local Youth Service Corps 2928
3504+program shall provide (A) year-long, part-time employment with 2929
3505+flexible hours with public or private employers screened and approved 2930
3506+by the administrator of the program, (B) community-based service 2931
3507+learning projects selected by the administrator of the program, (C) a 2932
3508+transition plan for such participant detailing such goals and steps to be 2933
3509+taken to accomplish such goals, and (D) other activities approved by the 2934
3510+administrator of the program; and 2935
3511+(5) Each participant in a local Youth Service Corps program shall be 2936
3512+measured by performance indicators applicable to such participant, 2937 Substitute Bill No. 5001
3513+
3514+
3515+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3516+R02-HB.docx }
3517+95 of 111
3518+
3519+including, but not limited to, education outcomes, career competency 2938
3520+development, training completion and positive behavior changes. 2939
3521+(c) Not later than October 1, 2022, the Commissioner of Economic and 2940
3522+Community Development shall develop an application process and 2941
3523+selection criteria for Youth Service Corps program grants. Applications 2942
3524+shall be submitted in a form and manner prescribed by the 2943
3525+commissioner. 2944
3526+(d) Not later than January 1, 2023, and annually thereafter, the 2945
3527+Commissioner of Economic and Community Development shall award 2946
3528+grants to municipalities selected to participate in the program in the 2947
3529+amount of ten thousand dollars per participant plus fifteen per cent of 2948
3530+such amount for program administration expenses. Such municipalities 2949
3531+may use such grants to (1) administer the local Youth Service Corps 2950
3532+program, and (2) award a sub-grant of not more than ten thousand 2951
3533+dollars to any program participant to support or subsidize such 2952
3534+participant's participation in program activities. 2953
3535+(e) Not later than December 1, 2023, and annually thereafter, each 2954
3536+municipality that received a Youth Service Corps program grant shall 2955
3537+submit a report regarding its local Youth Service Corps program to the 2956
3538+Commissioners of Economic and Community Development and 2957
3539+Children and Families in a form and manner prescribed by the 2958
3540+Commissioner of Economic and Community Development. 2959
3541+(f) Not later than January 1, 2024, and annually thereafter, the 2960
3542+Commissioner of Economic and Community Development, in 2961
3543+consultation with the Commissioner of Children and Families, shall 2962
3544+report, in accordance with the provisions of section 11-4a of the general 2963
3545+statutes, to the joint standing committees of the General Assembly 2964
3546+having cognizance of matters relating to commerce and children 2965
3547+regarding the Youth Service Corps program. 2966
3548+Sec. 68. Section 38a-499a of the general statutes is repealed and the 2967
3549+following is substituted in lieu thereof (Effective July 1, 2024): 2968 Substitute Bill No. 5001
3550+
3551+
3552+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3553+R02-HB.docx }
3554+96 of 111
3555+
3556+(a) As used in this section, "telehealth" has the same meaning as 2969
3557+provided in section 19a-906, as amended by this act. 2970
3558+(b) Each individual health insurance policy providing coverage of the 2971
3559+type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 2972
3560+of the general statutes delivered, issued for delivery, renewed, amended 2973
3561+or continued in this state shall provide coverage for medical advice, 2974
3562+diagnosis, care or treatment provided through telehealth, to the extent 2975
3563+coverage is provided for such advice, diagnosis, care or treatment when 2976
3564+provided through in-person consultation between the insured and a 2977
3565+health care provider licensed in the state. Such coverage shall be subject 2978
3566+to the same terms and conditions applicable to all other benefits under 2979
3567+such policy. 2980
3568+(c) No such policy shall: (1) Exclude a service for coverage solely 2981
3569+because such service is provided only through telehealth and not 2982
3570+through in-person consultation between the insured and a health care 2983
3571+provider licensed in the state, provided telehealth is appropriate for the 2984
3572+provision of such service; or (2) be required to reimburse a treating or 2985
3573+consulting health care provider for the technical fees or technical costs 2986
3574+for the provision of telehealth services. 2987
3575+(d) Nothing in this section shall prohibit or limit a health insurer, 2988
3576+health care center, hospital service corporation, medical service 2989
3577+corporation or other entity from conducting utilization review for 2990
3578+telehealth services, provided such utilization review is conducted in the 2991
3579+same manner and uses the same clinical review criteria as a utilization 2992
3580+review for an in-person consultation for the same service. 2993
3581+Sec. 69. Section 38a-526a of the general statutes is repealed and the 2994
3582+following is substituted in lieu thereof (Effective July 1, 2024): 2995
3583+(a) As used in this section, "telehealth" has the same meaning as 2996
3584+provided in section 19a-906, as amended by this act. 2997
3585+(b) Each group health insurance policy providing coverage of the 2998
3586+type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 2999 Substitute Bill No. 5001
3587+
3588+
3589+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3590+R02-HB.docx }
3591+97 of 111
3592+
3593+of the general statutes delivered, issued for delivery, renewed, amended 3000
3594+or continued in this state shall provide coverage for medical advice, 3001
3595+diagnosis, care or treatment provided through telehealth, to the extent 3002
3596+coverage is provided for such advice, diagnosis, care or treatment when 3003
3597+provided through in-person consultation between the insured and a 3004
3598+health care provider licensed in the state. Such coverage shall be subject 3005
3599+to the same terms and conditions applicable to all other benefits under 3006
3600+such policy. 3007
3601+(c) No such policy shall: (1) Exclude a service for coverage solely 3008
3602+because such service is provided only through telehealth and not 3009
3603+through in-person consultation between the insured and a health care 3010
3604+provider, provided telehealth is appropriate for the provision of such 3011
3605+service; or (2) be required to reimburse a treating or consulting health 3012
3606+care provider licensed in the state for the technical fees or technical costs 3013
3607+for the provision of telehealth services. 3014
3608+(d) Nothing in this section shall prohibit or limit a health insurer, 3015
3609+health care center, hospital service corporation, medical service 3016
3610+corporation or other entity from conducting utilization review for 3017
3611+telehealth services, provided such utilization review is conducted in the 3018
3612+same manner and uses the same clinical review criteria as a utilization 3019
3613+review for an in-person consultation for the same service. 3020
3614+Sec. 70. Subsection (f) of section 46b-38b of the 2022 supplement to 3021
3615+the general statutes is repealed and the following is substituted in lieu 3022
3616+thereof (Effective July 1, 2022): 3023
3617+(f) It shall be the responsibility of the peace officer at the scene of a 3024
3618+family violence incident to provide immediate assistance to the victim. 3025
3619+Such assistance shall include, but need not be limited to: (1) Assisting 3026
3620+the victim to obtain medical treatment if such treatment is required; (2) 3027
3621+notifying the victim of the right to file an affidavit for a warrant for 3028
3622+arrest; (3) informing the victim of services available, including 3029
3623+providing the victim with (A) contact information for a regional family 3030
3624+violence organization that employs, or provides referrals to, counselors 3031 Substitute Bill No. 5001
3625+
3626+
3627+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3628+R02-HB.docx }
3629+98 of 111
3630+
3631+who are trained in providing trauma-informed care, [; (4)] and (B) on 3032
3632+and after January 1, 2023, a copy of the information concerning services 3033
3633+and resources available to victims of domestic violence published 3034
3634+pursuant to section 10-10g, as amended by this act; (4) on and after 3035
3635+January 1, 2023, if there is a child at the scene, providing the victim a 3036
3636+copy of the documents concerning behavioral and mental health 3037
3637+evaluation and treatment resources available to children developed 3038
3638+pursuant to section 17a-22r, as amended by this act, for the mental 3039
3639+health region in which such victim is located; (5) referring the victim to 3040
3640+the Office of Victim Services; and [(5)] (6) providing assistance in 3041
3641+accordance with the uniform protocols for treating victims of family 3042
3642+violence whose immigration status is questionable, established 3043
3643+pursuant to subsection (i) of this section. In cases where the officer has 3044
3644+determined that no cause exists for an arrest, assistance shall include: 3045
3645+(A) Assistance as provided in subdivisions (1) to [(5)] (6), inclusive, of 3046
3646+this subsection; and (B) remaining at the scene for a reasonable time 3047
3647+until, in the reasonable judgment of the officer, the likelihood of further 3048
3648+imminent violence has been eliminated. For the purposes of this 3049
3649+subsection, "trauma-informed care" means services (i) directed by a 3050
3650+thorough understanding of the neurological, biological, psychological 3051
3651+and social effects of trauma and violence on a person; and (ii) delivered 3052
3652+by a regional family violence organization that employs, or provides 3053
3653+referrals to, counselors who: (I) Make available to the victim of family 3054
3654+violence resources on trauma exposure, its impact and treatment; (II) 3055
3655+engage in efforts to strengthen the resilience and protective factors of 3056
3656+victims of family violence who are impacted by and vulnerable to 3057
3657+trauma; (III) emphasize continuity of care and collaboration among 3058
3658+organizations that provide services to children; and (IV) maintain 3059
3659+professional relationships for referral and consultation purposes with 3060
3660+programs and persons with expertise in trauma-informed care. 3061
3661+Sec. 71. (NEW) (Effective July 1, 2022) On and after January 1, 2023, 3062
3662+each police officer, as defined in section 46b-15 of the general statutes, 3063
3663+and emergency medical technician, as defined in section 19a-904 of the 3064
3664+general statutes, shall maintain, in any vehicle used by such officer or 3065 Substitute Bill No. 5001
3665+
3666+
3667+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3668+R02-HB.docx }
3669+99 of 111
3670+
3671+technician in the course of his or her duties, copies of documents 3066
3672+concerning (1) behavioral and mental health evaluation and treatment 3067
3673+resources available to children, developed pursuant to section 17a-22r 3068
3674+of the general statutes, as amended by this act, for the mental health 3069
3675+region in which such technician is located; and (2) services and resources 3070
3676+available to victims of domestic violence, published pursuant to section 3071
3677+10-10g of the general statutes, as amended by this act. Such officer or 3072
3678+technician may provide a copy of such documents to any person or 3073
3679+family of a person who such technician determines may benefit from the 3074
3680+services or resources described in such documents. 3075
3681+Sec. 72. Subsection (a) of section 10-10g of the general statutes is 3076
3682+repealed and the following is substituted in lieu thereof (Effective July 1, 3077
3683+2022): 3078
3684+(a) Not later than December 1, [2019] 2022, and annually thereafter, 3079
3685+the Office of Victim Services within the Judicial Department, in 3080
3686+consultation with the Connecticut Coalition Against Domestic Violence, 3081
3687+shall compile information concerning services and resources available 3082
3688+to victims of domestic violence and provide such information 3083
3689+electronically to the Department of Education, and electronically and in 3084
3690+hard copies to (1) the Division of State Police within the Department of 3085
3691+Emergency Services and Public Protection, (2) each municipal police 3086
3692+department, and (3) each ambulance company and organization, 3087
3693+whether public, private or voluntary, that offers transportation or 3088
3694+treatment services to patients under emergency conditions. Such 3089
3695+information shall include, but need not be limited to, [(1)] (A) referrals 3090
3696+available to counseling and supportive services, including, but not 3091
3697+limited to, the Safe at Home program administered by the Office of the 3092
3698+Secretary of the State, shelter services, medical services, domestic abuse 3093
3699+hotlines, legal counseling and advocacy, mental health care and 3094
3700+financial assistance, and [(2)] (B) procedures to voluntarily and 3095
3701+confidentially identify eligibility for referrals to such counseling and 3096
3702+supportive services. [The Office of Victim Services within the Judicial 3097
3703+Department shall annually review such information and inform the 3098 Substitute Bill No. 5001
3704+
3705+
3706+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3707+R02-HB.docx }
3708+100 of 111
3709+
3710+Department of Education of any necessary revisions.] Such information 3099
3711+shall be translated into, and provided in, multiple languages, including, 3100
3712+but not limited to, English, Polish, Portuguese and Spanish. 3101
3713+Sec. 73. Section 54-209 of the 2022 supplement to the general statutes 3102
3714+is repealed and the following is substituted in lieu thereof (Effective July 3103
3715+1, 2022): 3104
3716+(a) The Office of Victim Services or, on review, a victim compensation 3105
3717+commissioner, may order the payment of compensation in accordance 3106
3718+with the provisions of sections 54-201 to 54-218, inclusive, for personal 3107
3719+injury or death which resulted from: (1) An attempt to prevent the 3108
3720+commission of crime or to apprehend a suspected criminal or in aiding 3109
3721+or attempting to aid a police officer so to do, (2) the commission or 3110
3722+attempt to commit by another of any crime as provided in section 53a-3111
3723+24, (3) any crime that occurred outside the territorial boundaries of the 3112
3724+United States that would be considered a crime within this state, 3113
3725+provided the victim of such crime is a resident of this state, [or] (4) any 3114
3726+crime involving international terrorism as defined in 18 USC 2331, as 3115
3727+amended from time to time, or (5) an incident of child abuse or neglect 3116
3728+substantiated by the Department of Children and Families. 3117
3729+(b) The Office of Victim Services or, on review, a victim compensation 3118
3730+commissioner, may also order the payment of compensation in 3119
3731+accordance with the provisions of sections 54-201 to 54-218, inclusive, 3120
3732+for personal injury or death that resulted from the operation of a motor 3121
3733+vehicle, water vessel, snow mobile or all-terrain vehicle by another 3122
3734+person who was subsequently convicted with respect to such operation 3123
3735+for a violation of subsection (a) or subdivision (1) of subsection (b) of 3124
3736+section 14-224, section 14-227a or 14-227m, subdivision (1) or (2) of 3125
3737+subsection (a) of section 14-227n, subdivision (3) of section 14-386a or 3126
3738+section 15-132a, 15-140l, 15-140n, 53a-56b or 53a-60d. In the absence of a 3127
3739+conviction, the Office of Victim Services or, on review, a victim 3128
3740+compensation commissioner, may order payment of compensation 3129
3741+under this section if, upon consideration of all circumstances 3130
3742+determined to be relevant, the office or commissioner, as the case may 3131 Substitute Bill No. 5001
3743+
3744+
3745+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
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3747+101 of 111
3748+
3749+be, reasonably concludes that another person has operated a motor 3132
3750+vehicle in violation of subsection (a) or subdivision (1) of subsection (b) 3133
3751+of section 14-224, section 14-227a or 14-227m, subdivision (1) or (2) of 3134
3752+subsection (a) of section 14-227n, subdivision (3) of section 14-386a or 3135
3753+section 15-132a, 15-140l, 15-140n, 53a-56b or 53a-60d. 3136
3754+(c) Except as provided in subsection (b) of this section, no act 3137
3755+involving the operation of a motor vehicle which results in injury shall 3138
3756+constitute a crime for the purposes of sections 54-201 to 54-218, 3139
3757+inclusive, unless the injuries were intentionally inflicted through the use 3140
3758+of the vehicle. 3141
3759+(d) In instances where a violation of section 53a-70b of the general 3142
3760+statutes, revision of 1958, revised to January 1, 2019, or section 53-21, 3143
3761+53a-70, 53a-70a, 53a-70c, 53a-71, 53a-72a, 53a-72b, 53a-73a, 53a-82, [or] 3144
3762+53a-83b, 53a-90a, 53a-192a, 53a-196, 53a-196a, 53a-196b or 53a-196i, or 3145
3763+family violence, as defined in section 46b-38a, has been alleged, the 3146
3764+Office of Victim Services or, on review, a victim compensation 3147
3765+commissioner, may order compensation be paid if (1) the personal 3148
3766+injury has been disclosed to: (A) A physician or surgeon licensed under 3149
3767+chapter 370; (B) a resident physician or intern in any hospital in this 3150
3768+state, whether or not licensed; (C) a physician assistant licensed under 3151
3769+chapter 370; (D) an advanced practice registered nurse, registered nurse 3152
3770+or practical nurse licensed under chapter 378; (E) a psychologist licensed 3153
3771+under chapter 383; (F) a police officer; (G) a mental health professional; 3154
3772+(H) an emergency medical services provider licensed or certified under 3155
3773+chapter 368d; (I) an alcohol and drug counselor licensed or certified 3156
3774+under chapter 376b; (J) a marital and family therapist licensed under 3157
3775+chapter 383a; (K) a domestic violence counselor or a sexual assault 3158
3776+counselor, as defined in section 52-146k; (L) a professional counselor 3159
3777+licensed under chapter 383c; (M) a clinical social worker licensed under 3160
3778+chapter 383b; (N) an employee of the Department of Children and 3161
3779+Families; (O) an employee of a [child] children's advocacy center, 3162
3780+[established pursuant to] as defined in section 17a-106a; or (P) a school 3163
3781+principal, a school teacher, a school guidance counselor or a school 3164 Substitute Bill No. 5001
3782+
3783+
3784+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
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3786+102 of 111
3787+
3788+counselor, or (2) the personal injury is reported in an application for a 3165
3789+restraining order under section 46b-15 or an application for a civil 3166
3790+protection order under section 46b-16a or on the record to the court, 3167
3791+provided such restraining order or civil protection order was granted in 3168
3792+the Superior Court following a hearing, and (3) the office or 3169
3793+commissioner, as the case may be, reasonably concludes that a violation 3170
3794+of any of said sections has occurred. 3171
3795+(e) Evidence of an order for the payment of compensation by the 3172
3796+Office of Victim Services or a victim compensation commissioner in 3173
3797+accordance with the provisions of sections 54-201 to 54-218, inclusive, 3174
3798+shall not be admissible in any civil proceeding to prove the liability of 3175
3799+any person for such personal injury or death or in any criminal 3176
3800+proceeding to prove the guilt or innocence of any person for any crime. 3177
3801+Sec. 74. (NEW) (Effective July 1, 2022) Any employee of the 3178
3802+Department of Children and Families or a children's advocacy center, as 3179
3803+defined in section 17a-106a of the general statutes, to whom a personal 3180
3804+injury resulting from any conduct described in subsection (a) of section 3181
3805+54-209 of the general statutes, as amended by this act, is disclosed by the 3182
3806+(1) person who suffered such injury, or (2) parent, guardian or legal 3183
3807+representative of such person, shall provide such person, or such 3184
3808+person's parent, guardian or legal representative verbal and written 3185
3809+notice (A) that such person may be eligible for compensation pursuant 3186
3810+to sections 54-201 to 54-218, inclusive, of the general statutes, and (B) of 3187
3811+the application process described in section 54-204 of the general 3188
3812+statutes, and types and amounts of compensation that may be awarded 3189
3813+pursuant to sections 54-201 to 54-218, inclusive, of the general statutes. 3190
3814+Sec. 75. Section 10-76a of the general statutes is repealed and the 3191
3815+following is substituted in lieu thereof (Effective July 1, 2022): 3192
3816+Whenever used in sections 10-76a to 10-76i, inclusive: 3193
3817+(1) "Commissioner" means the Commissioner of Education. 3194
3818+(2) "Child" means any person under twenty-one years of age. 3195 Substitute Bill No. 5001
3819+
3820+
3821+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3822+R02-HB.docx }
3823+103 of 111
3824+
3825+(3) An "exceptional child" means a child who deviates either 3196
3826+intellectually, physically or emotionally so markedly from normally 3197
3827+expected growth and development patterns that he or she is or will be 3198
3828+unable to progress effectively in a regular school program and needs a 3199
3829+special class, special instruction or special services. 3200
3830+(4) "Special education" means specially designed instruction 3201
3831+developed in accordance with the regulations of the commissioner, 3202
3832+subject to approval by the State Board of Education offered at no cost to 3203
3833+parents or guardians, to meet the unique needs of a child with a 3204
3834+disability, including instruction conducted in the classroom, in the 3205
3835+home, in hospitals and institutions, and in other settings and instruction 3206
3836+in physical education and special classes, programs or services, 3207
3837+including related services, designed to meet the educational needs of 3208
3838+exceptional children. 3209
3839+(5) "A child requiring special education" means any exceptional child 3210
3840+who (A) meets the criteria for eligibility for special education pursuant 3211
3841+to the Individuals With Disabilities Education Act, 20 USC 1400, et seq., 3212
3842+as amended from time to time, (B) has extraordinary learning ability or 3213
3843+outstanding talent in the creative arts, the development of which 3214
3844+requires programs or services beyond the level of those ordinarily 3215
3845+provided in regular school programs but which may be provided 3216
3846+through special education as part of the public school program, [or] (C) 3217
3847+is age three to five, inclusive, and is experiencing developmental delay 3218
3848+that causes such child to require special education, or (D) has a social 3219
3849+emotional disability, the development of which requires programs or 3220
3850+services beyond the level of those ordinarily provided in regular school 3221
3851+programs but which may be provided through special education as part 3222
3852+of the public school program. 3223
3853+(6) "Developmental delay" means significant delay in one or more of 3224
3854+the following areas: (A) Physical development; (B) communication 3225
3855+development; (C) cognitive development; (D) social or emotional 3226
3856+development; or (E) adaptive development, as measured by appropriate 3227
3857+diagnostic instruments and procedures and demonstrated by scores 3228 Substitute Bill No. 5001
3858+
3859+
3860+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
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3862+104 of 111
3863+
3864+obtained on an appropriate norm-referenced standardized diagnostic 3229
3865+instrument. 3230
3866+(7) "Related services" means related services, as defined in the 3231
3867+Individuals With Disabilities Education Act, 20 USC 1400 et seq., as 3232
3868+amended from time to time. 3233
3869+(8) "Extraordinary learning ability" and "outstanding creative talent" 3234
3870+shall be defined by regulation by the commissioner, subject to the 3235
3871+approval of the State Board of Education, after consideration by said 3236
3872+commissioner of the opinions of appropriate specialists and of the 3237
3873+normal range of ability and rate of progress of children in the 3238
3874+Connecticut public schools. 3239
3875+(9) "Social emotional disability" means a condition exhibiting one or 3240
3876+more of the following characteristics over a long period of time and to a 3241
3877+marked degree that adversely affects a child's educational performance: 3242
3878+(A) An inability to learn that cannot be explained by intellectual, sensory 3243
3879+or health factors, (B) an inability to build or maintain satisfactory 3244
3880+interpersonal relationships with peers and teachers, (C) inappropriate 3245
3881+types of behavior or feelings under normal circumstances, (D) a general 3246
3882+pervasive mood of unhappiness or depression, and (E) a tendency to 3247
3883+develop physical symptoms or fears associated with personal or school 3248
3884+problems. 3249
3885+Sec. 76. (Effective July 1, 2022) The following sums are appropriated 3250
3886+from the GENERAL FUND for the purposes herein specified for the 3251
3887+fiscal year ending June 30, 2023: 3252
3888+T1 GENERAL FUND 2022-2023
3889+T2 DEPARTMENT OF CHILDREN AND FAMILIES (DCF)
3890+T3 Community Kidcare (SID 16141) 6,500,000
3891+T4 Family Support Services (SID 12304) ____
3892+T5 TOTAL – GENERAL FUND – DCF ____
3893+
3894+Sec. 77. (Effective July 1, 2022) The amount appropriated in section 76 3253
3895+of this act shall be made available to the Department of Children and 3254 Substitute Bill No. 5001
3896+
3897+
3898+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3899+R02-HB.docx }
3900+105 of 111
3901+
3902+Families, in its Community Kidcare account, for grants to providers to 3255
3903+(1) increase the number of full-time emergency mobile psychiatric 3256
3904+services personnel serving children in the state, (2) expand the number 3257
3905+of geographic areas in the state in which emergency mobile psychiatric 3258
3906+services personnel provide emergency mobile psychiatric services to 3259
3907+children, (3) expand the hours of operation during which emergency 3260
3908+mobile psychiatric services personnel provide such services to children, 3261
3909+and (4) expand the training of personnel providing emergency mobile 3262
3910+psychiatric services to children. 3263
3911+Sec. 78. (Effective July 1, 2022) The amount appropriated in section 76 3264
3912+of this act shall be made available to the Department of Children and 3265
3913+Families, in its Family Support Services account, for grants to intensive 3266
3914+outpatient services providers, partial hospitalization programs and 3267
3915+psychiatric residential treatment facilities in the state to increase the 3268
3916+number of providers serving children in need of mental or behavioral 3269
3917+health care and to increase the number of beds available to such children 3270
3918+through such providers, programs and facilities. 3271
3919+Sec. 79. (Effective July 1, 2022) For the fiscal year ending June 30, 2023, 3272
3920+and each fiscal year thereafter, the Department of Children and Families 3273
3921+may use any funds available to the department, including, but not 3274
3922+limited to, any authorized bond funds, to increase the number of full-3275
3923+time staff of outpatient services providers, partial hospitalization 3276
3924+programs and psychiatric residential treatment facilities serving 3277
3925+children in need of mental or behavioral health care and the numbers of 3278
3926+beds available to such children through such providers, programs and 3279
3927+facilities. 3280
3928+Sec. 80. (NEW) (Effective July 1, 2022) For the fiscal year ending June 3281
3929+30, 2023, and each fiscal year thereafter, the Department of Children and 3282
3930+Families shall provide grants to youth service bureaus, established 3283
3931+pursuant to section 10-19m of the general statutes, and municipal 3284
3932+juvenile review boards for the purpose of addressing truancy and 3285
3933+chronic absenteeism in schools by supporting prosocial activities, family 3286
3934+engagement services, credible messenger engagement and care 3287 Substitute Bill No. 5001
3935+
3936+
3937+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3938+R02-HB.docx }
3939+106 of 111
3940+
3941+coordination for repeat juvenile offenders. A grant recipient may 3288
3942+coordinate the delivery of service with a state agency, local or regional 3289
3943+board of education or community-based organization. The department 3290
3944+shall determine how grants are to be distributed, provided priority is 3291
3945+given to any youth service bureau or juvenile review board located in a 3292
3946+priority school district pursuant to section 10-266p of the general 3293
3947+statutes. 3294
3948+Sec. 81. (Effective July 1, 2022) The sum of ____ dollars is appropriated 3295
3949+to the Department of Children and Families from the General Fund, for 3296
3950+the fiscal year ending June 30, 2023, for hiring new and retaining existing 3297
3951+employees who are engaged full-time in mental or behavioral clinical 3298
3952+work. 3299
3953+Sec. 82. (Effective July 1, 2022) The sum of ____ dollars is appropriated 3300
3954+to the Department of Public Health from the General Fund, for the fiscal 3301
3955+year ending June 30, 2023, for increasing the number of medical 3302
3956+residencies and fellowships in the practice area of child psychiatry in 3303
3957+hospitals in the state. 3304
3958+Sec. 83. (Effective July 1, 2022) (a) The sum of one hundred fifty 3305
3959+thousand dollars is appropriated to the Department of Public Health 3306
3960+from the General Fund, for the fiscal year ending June 30, 2023, for a 3307
3961+grant-in-aid to a children's hospital in the state for the purpose of 3308
3962+coordinating a mental and behavioral health training and consultation 3309
3963+program, from January 1, 2023, to January 1, 2025, inclusive, which shall 3310
3964+be made available to all pediatricians practicing in the state to help them 3311
3965+gain the knowledge, experience and confidence necessary to effectively 3312
3966+treat pediatric mental and behavioral health issues. 3313
3967+(b) Not later than January 1, 2023, and annually thereafter until 3314
3968+January 1, 2025, the children's hospital that receives a grant-in-aid 3315
3969+pursuant to subsection (a) of this section shall report, in accordance with 3316
3970+the provisions of section 11-4a of the general statutes, to the joint 3317
3971+standing committee of the General Assembly having cognizance of 3318
3972+matters relating to public health regarding the hospital's coordination of 3319 Substitute Bill No. 5001
3973+
3974+
3975+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
3976+R02-HB.docx }
3977+107 of 111
3978+
3979+the mental and behavioral health training and consultation program, the 3320
3980+number of pediatrician participants, the outcomes of such program and 3321
3981+any other information deemed relevant by the hospital. 3322
3982+Sec. 84. (Effective from passage) The sum of ____ dollars is allocated, in 3323
3983+accordance with the provisions of special act 21-1, from the federal 3324
3984+funds designated for the state pursuant to the provisions of Section 602 3325
3985+of Subtitle M of Title IX of the American Rescue Plan Act of 2021, P.L. 3326
3986+117-2, as amended from time to time, to the Department of Children and 3327
3987+Families, for the fiscal year ending June 30, 2023, for the purpose of 3328
3988+funding state-wide youth mentoring organizations, provided any such 3329
3989+state-wide youth mentoring organization that receives such funds 3330
3990+submits a report for each year such funds are expended by such state-3331
3991+wide youth mentoring organization to the Department of Children and 3332
3992+Families and the joint standing committee of the General Assembly 3333
3993+having cognizance of matters relating to children, in accordance with 3334
3994+the provisions of section 11-4a of the general statutes. 3335
3995+Sec. 85. (Effective July 1, 2022) The sum of ____ dollars is allocated, in 3336
3996+accordance with the provisions of special act 21-1, from the federal 3337
3997+funds designated for the state pursuant to the provisions of Section 602 3338
3998+of Subtitle M of Title IX of the American Rescue Plan Act of 2021, P.L. 3339
3999+117-2, as amended from time to time, to the Department of Education, 3340
4000+for the fiscal years ending June 30, 2023, to June 30, 2025, for the purpose 3341
4001+of administering the grant program that provides grants to local and 3342
4002+regional boards of education for the purpose of hiring and retaining 3343
4003+additional school mental health specialists pursuant to section 20 of this 3344
4004+act. 3345
4005+Sec. 86. (Effective July 1, 2022) The sum of ____ dollars is allocated, in 3346
4006+accordance with the provisions of special act 21-1, from the federal 3347
4007+funds designated for the state pursuant to the provisions of Section 602 3348
4008+of Subtitle M of Title IX of the American Rescue Plan Act of 2021, P.L. 3349
4009+117-2, as amended from time to time, to the Department of Education, 3350
4010+for the fiscal years ending June 30, 2023, to June 30, 2025, for the purpose 3351
4011+of administering the grant program that provides grants to local and 3352 Substitute Bill No. 5001
4012+
4013+
4014+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
4015+R02-HB.docx }
4016+108 of 111
4017+
4018+regional boards of education and operators of youth camps and other 3353
4019+summer programs for the school-based delivery of mental health 3354
4020+services to students pursuant to section 21 of this act. 3355
4021+Sec. 87. (Effective from passage) The sum of ____ dollars is allocated, in 3356
4022+accordance with the provisions of special act 21-1, from the federal 3357
4023+funds designated for the state pursuant to the provisions of Section 602 3358
4024+of Subtitle M of Title IX of the American Rescue Plan Act of 2021, P.L. 3359
4025+117-2, as amended from time to time, to the Office of Higher Education, 3360
4026+for the fiscal years ending June 30, 2023, to June 30, 2025, for the purpose 3361
4027+of administering the grant program that provides grants to public and 3362
4028+independent institutions of higher education, for the delivery of mental 3363
4029+health services to students on campus pursuant to section 22 of this act. 3364
4030+Sec. 88. (Effective from passage) The sum of ____ dollars is allocated, in 3365
4031+accordance with the provisions of special act 21-1, from the federal 3366
4032+funds designated for the state pursuant to the provisions of Section 602 3367
4033+of Subtitle M of Title IX of the American Rescue Plan Act of 2021, P.L. 3368
4034+117-2, as amended from time to time, to the Department of Education, 3369
4035+for the fiscal years ending June 30, 2023, and June 30, 2024, for regional 3370
4036+educational service centers to hire a trauma coordinator, pursuant to 3371
4037+section 26 of this act, and to implement the trauma-informed care 3372
4038+training program in accordance with the provisions of section 27 of this 3373
4039+act. 3374
4040+Sec. 89. (Effective from passage) The sum of ____ dollars is appropriated 3375
4041+to the Department of Correction from the General Fund, for the fiscal 3376
4042+year ending June 30, 2023, for the provision of mental and behavioral 3377
4043+health services to children at juvenile detention facilities and 3378
4044+correctional institutions, including, but not limited to, Manson Youth 3379
4045+Institution and York Correctional Institution. 3380
4046+This act shall take effect as follows and shall amend the following
4047+sections:
4048+
4049+Section 1 from passage New section Substitute Bill No. 5001
4050+
4051+
4052+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
4053+R02-HB.docx }
4054+109 of 111
4055+
4056+Sec. 2 October 1, 2022 19a-14d
4057+Sec. 3 July 1, 2022 20-195n
4058+Sec. 4 from passage 20-195t
4059+Sec. 5 October 1, 2022 New section
4060+Sec. 6 from passage New section
4061+Sec. 7 July 1, 2022 17a-22ff(b)
4062+Sec. 8 July 1, 2022 New section
4063+Sec. 9 October 1, 2022 New section
4064+Sec. 10 from passage 17a-20a
4065+Sec. 11 from passage 19a-906(a)(12)
4066+Sec. 12 from passage PA 21-9, Sec. 1
4067+Sec. 13 from passage 21a-249(c)
4068+Sec. 14 from passage PA 21-9, Sec. 3
4069+Sec. 15 from passage PA 21-9, Sec. 4
4070+Sec. 16 from passage PA 21-9, Sec. 5
4071+Sec. 17 from passage PA 21-9, Sec. 7
4072+Sec. 18 July 1, 2022 38a-1041
4073+Sec. 19 from passage New section
4074+Sec. 20 July 1, 2022 New section
4075+Sec. 21 from passage New section
4076+Sec. 22 from passage New section
4077+Sec. 23 July 1, 2022 17a-22r
4078+Sec. 24 July 1, 2022 10-212j
4079+Sec. 25 July 1, 2022 10-198a(b)
4080+Sec. 26 July 1, 2022 New section
4081+Sec. 27 July 1, 2022 New section
4082+Sec. 28 July 1, 2022 New section
4083+Sec. 29 July 1, 2022 10-220(c)
4084+Sec. 30 October 1, 2022 28-24(a)(1)
4085+Sec. 31 October 1, 2022 28-29a
4086+Sec. 32 October 1, 2022 29-1t(b)
4087+Sec. 33 October 1, 2022 New section
4088+Sec. 34 October 1, 2022 New section
4089+Sec. 35 from passage New section
4090+Sec. 36 from passage 19a-638
4091+Sec. 37 from passage New section
4092+Sec. 38 from passage New section
4093+Sec. 39 July 1, 2022 New section
4094+Sec. 40 July 1, 2022 New section
4095+Sec. 41 July 1, 2022 New section Substitute Bill No. 5001
4096+
4097+
4098+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
4099+R02-HB.docx }
4100+110 of 111
4101+
4102+Sec. 42 July 1, 2022 New section
4103+Sec. 43 July 1, 2022 10a-223(20)
4104+Sec. 44 October 1, 2022 10a-223(20)
4105+Sec. 45 July 1, 2022 New section
4106+Sec. 46 from passage New section
4107+Sec. 47 from passage New section
4108+Sec. 48 from passage New section
4109+Sec. 49 January 1, 2023 New section
4110+Sec. 50 January 1, 2023 New section
4111+Sec. 51 January 1, 2023 38a-488a(a) and (b)
4112+Sec. 52 January 1, 2023 38a-514(a) and (b)
4113+Sec. 53 July 1, 2022 New section
4114+Sec. 54 July 1, 2022 New section
4115+Sec. 55 October 1, 2022 19a-179f
4116+Sec. 56 January 1, 2023 New section
4117+Sec. 57 January 1, 2023 New section
4118+Sec. 58 January 1, 2023 38a-477aa(a) and (b)
4119+Sec. 59 January 1, 2023 20-7f(b)
4120+Sec. 60 January 1, 2023 38a-193(c)(3)
4121+Sec. 61 January 1, 2023 38a-472f(c)(1)
4122+Sec. 62 January 1, 2023 38a-488a(h)
4123+Sec. 63 January 1, 2023 38a-514(h)
4124+Sec. 64 from passage New section
4125+Sec. 65 from passage New section
4126+Sec. 66 July 1, 2022 New section
4127+Sec. 67 July 1, 2022 New section
4128+Sec. 68 July 1, 2024 38a-499a
4129+Sec. 69 July 1, 2024 38a-526a
4130+Sec. 70 July 1, 2022 46b-38b(f)
4131+Sec. 71 July 1, 2022 New section
4132+Sec. 72 July 1, 2022 10-10g(a)
4133+Sec. 73 July 1, 2022 54-209
4134+Sec. 74 July 1, 2022 New section
4135+Sec. 75 July 1, 2022 10-76a
4136+Sec. 76 July 1, 2022 New section
4137+Sec. 77 July 1, 2022 New section
4138+Sec. 78 July 1, 2022 New section
4139+Sec. 79 July 1, 2022 New section
4140+Sec. 80 July 1, 2022 New section
4141+Sec. 81 July 1, 2022 New section Substitute Bill No. 5001
4142+
4143+
4144+LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05001-
4145+R02-HB.docx }
4146+111 of 111
4147+
4148+Sec. 82 July 1, 2022 New section
4149+Sec. 83 July 1, 2022 New section
4150+Sec. 84 from passage New section
4151+Sec. 85 July 1, 2022 New section
4152+Sec. 86 July 1, 2022 New section
4153+Sec. 87 from passage New section
4154+Sec. 88 from passage New section
4155+Sec. 89 from passage New section
4156+
4157+
4158+PH Joint Favorable Subst.
4159+APP Joint Favorable
31224160