LCO No. 656 1 of 7 General Assembly Raised Bill No. 5229 February Session, 2022 LCO No. 656 Referred to Committee on HUMAN SERVICES Introduced by: (HS) AN ACT CONCERNING THE LEGISLATIVE COMMISSIONERS' RECOMMENDATIONS FOR TECHNICAL REVISIONS TO HUMAN SERVICES-RELATED STATUTES. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Subsection (b) of section 4-216a of the 2022 supplement to 1 the general statutes is repealed and the following is substituted in lieu 2 thereof (Effective from passage): 3 (b) No state agency contracting with a nonprofit provider of human 4 services may attempt to recover or otherwise offset funds obtained or 5 retained by such nonprofit provider through loan forgiveness. For 6 purposes of this subsection, "attempt to recover or otherwise offset" 7 means (1) reductions in contracted amounts for the same or similar 8 services from the contract period before such loan forgiveness to the 9 next contract period, or (2) demands for reimbursement of state funds 10 from such providers in the amount of any loan forgiveness. 11 Sec. 2. Subsection (b) of section 17b-59a of the 2022 supplement to the 12 general statutes is repealed and the following is substituted in lieu 13 thereof (Effective from passage): 14 Raised Bill No. 5229 LCO No. 656 2 of 7 (b) The Commissioner of Social Services, in consultation with the 15 executive director of the Office of Health Strategy, established under 16 section 19a-754a, shall (1) develop, throughout the Departments of 17 Developmental Services, Public Health, Correction, Children and 18 Families, Veterans Affairs and Mental Health and Addiction Services, 19 uniform management information, uniform statistical information, 20 uniform terminology for similar facilities, and uniform electronic health 21 information technology standards, (2) plan for increased participation 22 of the private sector in the delivery of human services, and (3) provide 23 direction and coordination to federally funded programs in the human 24 services agencies and recommend uniform system improvements and 25 reallocation of physical resources and designation of a single 26 responsibility across human services agencies lines to facilitate shared 27 services and eliminate duplication. 28 Sec. 3. Section 17b-261w of the 2022 supplement to the general 29 statutes is repealed and the following is substituted in lieu thereof 30 (Effective from passage): 31 The Commissioner of Social Services may waive or suspend, in whole 32 or in part, to the extent the commissioner deems necessary, any prior 33 authorization or other utilization review criteria and procedures for the 34 [Connecticut] state medical assistance program. The commissioner shall 35 include notice of any such waiver or suspension in a provider bulletin 36 sent to affected providers and posted on the [Connecticut Medical 37 Assistance Program] state medical assistance program's Internet web 38 site not later than fourteen days before implementing such waiver or 39 suspension. As used in this section, ["Connecticut medical assistance 40 program"] "state medical assistance program" means the state's 41 Medicaid program and the Children's Health Insurance Program under 42 Title XXI of the Social Security Act, as amended from time to time. 43 Sec. 4. Subsection (b) of section 7-127h of the 2022 supplement to the 44 general statutes is repealed and the following is substituted in lieu 45 thereof (Effective from passage): 46 Raised Bill No. 5229 LCO No. 656 3 of 7 (b) A multipurpose senior center established pursuant to subsection 47 (a) of this section may [, but need not be limited to, providing] provide 48 assistance, including, but not limited to: (1) Nutrition services; (2) health 49 programs, including, but not limited to, mental health, behavioral 50 health and wellness programs; (3) employment assistance; (4) 51 intergenerational initiatives; (5) community service and civic 52 engagement opportunities; (6) public benefits counseling; (7) 53 socialization and educational opportunities; (8) transportation; (9) peer 54 counseling; (10) financial and retirement counseling; (11) arts and 55 recreation programs; and (12) case management services. 56 Sec. 5. Subsection (b) of section 19a-550b of the 2022 supplement to 57 the general statutes is repealed and the following is substituted in lieu 58 thereof (Effective from passage): 59 (b) (1) A resident shall have the right to use technology of the 60 resident's choice that facilitates virtual monitoring or virtual visitation, 61 provided: 62 [(1)] (A) The purchase, activation, installation, maintenance, repair, 63 operation, deactivation and removal of such technology is at the 64 expense of the resident; 65 [(2)] (B) The technology and any recordings and images obtained 66 therefrom are used by the resident and any person communicating with 67 the resident or monitoring the resident in a manner that does not violate 68 any individual's right to privacy under state or federal law and in 69 accordance with the provisions of this section; 70 [(3)] (C) A clear and conspicuous notice is placed on the door of the 71 resident's room or living unit indicating that technology enabling 72 virtual monitoring and intended for such use may be in use; 73 [(4)] (D) In cases where the resident intends to use technology for 74 virtual monitoring in shared living situations, the resident or resident 75 representative provides advance notice to a roommate or the 76 roommate's representative specifying the type of technology, the 77 Raised Bill No. 5229 LCO No. 656 4 of 7 proposed location of the device, its intended use, intended hours of 78 operation and whether the device is capable of recording audio or video 79 or being activated remotely; 80 [(5)] (E) The resident or resident representative [(A)] (i) obtains the 81 written consent of all roommates or resident representatives of all 82 roommates for the use of the technology for virtual monitoring, and 83 [(B)] (ii) if any roommate withdraws consent, ceases using the 84 technology for virtual monitoring until consent is obtained; and 85 [(6)] (F) The resident or resident representative files a signed, written 86 notice with the nursing home facility and a copy of any written consent 87 of any roommate not less than seven days before installing or using such 88 technology for virtual monitoring that [(A)] (i) identifies the type of 89 technology, its intended use, intended hours of operation and location 90 of such technology in the room or living quarters, [(B)] (ii) states 91 whether the technology is capable of recording audio or video or being 92 activated or controlled remotely, [(C)] (iii) acknowledges that the 93 resident is responsible for the purchase, activation, installation, 94 maintenance, repair, operation, deactivation and removal of such 95 technology, and [(D)] (iv) includes a waiver of all civil, criminal and 96 administrative liability for the nursing home facility in accordance with 97 subsection (d) of this section. 98 (2) Except [for the provisions of subdivision (2)] as provided in 99 subparagraph (B) of subdivision (1) of this subsection, the provisions of 100 this subsection shall not apply to cellular mobile telephones used 101 primarily for telephonic communication or tablets not used for virtual 102 monitoring. If a roommate withdraws consent for the use of technology 103 for virtual monitoring, a resident or resident representative shall inform 104 the facility, in writing, not later than seven days after the roommate 105 withdraws consent. 106 Sec. 6. Subdivision (1) of subsection (c) of section 19a-550b of the 2022 107 supplement to the general statutes is repealed and the following is 108 substituted in lieu thereof (Effective from passage): 109 Raised Bill No. 5229 LCO No. 656 5 of 7 (c) (1) A nursing home facility shall provide Internet access, electricity 110 and a power source for technology used for virtual monitoring or virtual 111 visitation at no cost to a resident, provided (A) a nursing home facility 112 includes the cost of providing Internet access in cost reports filed with 113 the Department of Social Services for purposes of Medicaid 114 reimbursement, (B) the cost is reimbursed to the facility if the 115 department determines that such cost is eligible for reimbursement 116 pursuant to section 17b-340, (C) the Commissioner of Social Services 117 uses any available funding provided by the federal government to the 118 state and authorized by the federal government for expenses related to 119 COVID-19 at nursing home facilities to provide grants-in-aid to such 120 facilities for such upgrades, provided such use is approved by the 121 federal government, and (D) a nursing home facility may assess a 122 prorated portion of any unreimbursed cost of such upgrades to any 123 resident privately paying for a residence in such facility and using such 124 technology. A resident may also procure his or her own Internet 125 connectivity. A private-paying resident who procures his or her own 126 Internet connectivity shall not be charged for the cost of any Internet 127 infrastructure upgrades by the nursing home facility necessary for 128 residents to use such technology. For purposes of this subdivision, 129 "COVID-19" means the respiratory disease designated by the World 130 Health Organization on February 11, 2020, as coronavirus 2019, and any 131 related mutation thereof recognized by said organization as a 132 communicable respiratory disease. 133 Sec. 7. Subdivision (10) of subsection (b) of section 46a-60 of the 2022 134 supplement to the general statutes is repealed and the following is 135 substituted in lieu thereof (Effective from passage): 136 (10) For an employer, by the employer or the employer's agent, after 137 informing an employee, pursuant to subdivision (9) of this subsection, 138 of a workplace exposure to substances which may cause birth defects or 139 constitute a hazard to an employee's reproductive system or to a fetus, 140 to fail or refuse, upon the employee's request, to take reasonable 141 measures to protect the employee from the exposure or hazard 142 identified, or to fail or refuse to inform the employee that the measures 143 Raised Bill No. 5229 LCO No. 656 6 of 7 taken may be the subject of a complaint filed under the provisions of 144 this chapter. Nothing in this subdivision is intended to prohibit an 145 employer from taking reasonable measures to protect an employee from 146 exposure to such substances. For the purpose of this subdivision, 147 "reasonable measures" [shall be] are those measures which are 148 consistent with business necessity and are least disruptive of the terms 149 and conditions of the employee's employment; 150 Sec. 8. Subsection (d) of section 46a-60 of the 2022 supplement to the 151 general statutes is repealed and the following is substituted in lieu 152 thereof (Effective from passage): 153 (d) (1) An employer shall provide written notice of the right to be free 154 from discrimination in relation to pregnancy, childbirth and related 155 conditions, including the right to a reasonable accommodation to the 156 known limitations related to pregnancy pursuant to subdivision (7) of 157 subsection (b) of this section to: (A) New employees at the 158 commencement of employment; (B) existing employees within one 159 hundred twenty days [after the effective date of this section] of October 160 1, 2017; and (C) any employee who notifies the employer of her 161 pregnancy within ten days of such notification. An employer may 162 comply with the provisions of this section by displaying a poster in a 163 conspicuous place, accessible to employees, at the employer's place of 164 business that contains the information required by this section in both 165 English and Spanish. The Labor Commissioner may adopt regulations, 166 in accordance with chapter 54, to establish additional requirements 167 concerning the means by which employers shall provide such notice. 168 (2) The Commission on Human Rights and Opportunities shall 169 develop courses of instruction and conduct ongoing public education 170 efforts as necessary to inform employers, employees, employment 171 agencies and persons seeking employment about their rights and 172 responsibilities under this section. 173 This act shall take effect as follows and shall amend the following sections: Raised Bill No. 5229 LCO No. 656 7 of 7 Section 1 from passage 4-216a(b) Sec. 2 from passage 17b-59a(b) Sec. 3 from passage 17b-261w Sec. 4 from passage 7-127h(b) Sec. 5 from passage 19a-550b(b) Sec. 6 from passage 19a-550b(c)(1) Sec. 7 from passage 46a-60(b)(10) Sec. 8 from passage 46a-60(d) Statement of Purpose: To make technical revisions to human services-related statutes. [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]