LCO \\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05431-R01- HB.docx 1 of 5 General Assembly Substitute Bill No. 5431 February Session, 2022 AN ACT CONCERNING FUNDING RECEIVED BY THE STATE UNDER THE FEDERAL AMERICAN RESCUE PLAN ACT. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Section 36 of public act 21-2 of the June special session is 1 repealed and the following is substituted in lieu thereof (Effective from 2 passage): 3 (a) As used in this section: 4 (1) "Community action agency" means a public or private nonprofit 5 agency which has previously been designated by and authorized to 6 accept funds from the federal Community Services Administration for 7 community action agencies under the Economic Opportunity Act of 8 1964, or a successor agency established pursuant to section 17b-892 of 9 the general statutes; 10 (2) "Community health worker" means a public health outreach 11 professional with an in-depth understanding of the experience, 12 language, culture and socioeconomic needs of the community and who 13 provides a range of services, including, but not limited to, outreach, 14 engagement, education, coaching, informal counseling, social support, 15 advocacy, care coordination, research related to social determinants of 16 health and basic screenings and assessments of any risks associated with 17 Substitute Bill No. 5431 LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05431- R01-HB.docx } 2 of 5 social determinants of health; and 18 (3) "COVID-19" means the respiratory disease designated by the 19 World Health Organization on February 11, 2020, as coronavirus 2019, 20 and any related mutation thereof recognized by said organization as a 21 communicable respiratory disease. 22 (b) The Department of [Public Health] Social Services shall establish 23 a community health worker grant program. The purpose of such 24 program shall be to provide grants to community action agencies that 25 employ community health workers who provide a range of services to 26 persons adversely affected by the COVID-19 pandemic. The department 27 may enter into an agreement, pursuant to chapter 55a of the general 28 statutes, with a person, firm, corporation or other entity to operate such 29 program. 30 (c) The Department of [Public Health] Social Services shall publish on 31 its Internet web site a notice of grant availability for the period 32 beginning on [the effective date of this section] June 23, 2021, and ending 33 on June 30, [2023] 2024. 34 (d) Each community action agency applying for a grant under this 35 section shall submit an application in such form and manner as 36 prescribed by the Commissioner of [Public Health] Social Services. Each 37 application shall include the following information: (1) The location of 38 the principal place of business of the applicant; (2) the number of 39 community health workers employed by the applicant [or that] and the 40 number of community health workers the applicant seeks to employ 41 under the grant and the range of services provided or to be provided by 42 such community health workers; (3) an explanation of the intended use 43 of the grant being applied for; (4) strategies for integrating community 44 health workers into an individual's care delivery team, including, but 45 not limited to, the capacity to address health care and social services 46 needs; and [(4)] (5) such other information that the commissioner deems 47 necessary. 48 Substitute Bill No. 5431 LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05431- R01-HB.docx } 3 of 5 (e) The Department of [Public Health] Social Services shall review all 49 grant applications received under the program and determine which 50 applications are eligible for funding. Criteria for such determinations 51 shall be established by the department and included in the notice of 52 grant availability described in subsection (c) of this section. 53 (f) The amount of any grant issued to a community action agency 54 pursuant to this section shall not exceed [thirty] forty thousand dollars 55 annually per community health worker employed by, or planned to be 56 employed by, such agency and the total amount of grants issued to 57 community action agencies in the aggregate shall not exceed [six] eight 58 million dollars. No grant shall be issued pursuant to this section after 59 June 30, [2023] 2024. 60 [(g) (1) Not later than January 1, 2022, the Commissioner of Public 61 Health shall report, in accordance with the provisions of section 11-4a 62 of the general statutes, to the joint standing committee of the General 63 Assembly having cognizance of matters relating to public health and 64 human services regarding the progress of the program and including 65 any requisite legislative proposals to accomplish the goals of the 66 program.] 67 [(2)] (g) Not later than January 1, 2024, the Commissioner of [Public 68 Health] Social Services shall report, in accordance with the provisions of 69 section 11-4a of the general statutes, on the community health worker 70 grant program to the joint standing committees of the General Assembly 71 having cognizance of matters relating to public health and human 72 services. Such report shall include the following data regarding the 73 program: [(A)] (1) The number of grants provided and the amount of 74 such grants; [(B)] (2) the identities of the community action agencies that 75 received such grants; [(C)] (3) the intended use of each grant provided, 76 as described by the community action agency pursuant to subdivision 77 (3) of subsection (d) of this section; [(D)] (4) the number of community 78 health workers employed by each community action agency that 79 received a grant at the time such agency received such grant and 80 information regarding the services provided by such community health 81 Substitute Bill No. 5431 LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05431- R01-HB.docx } 4 of 5 workers; and [(E)] (5) the number of community health workers 82 employed by each community action agency that received a grant at the 83 conclusion of the program and information regarding the services 84 provided by such community health workers. 85 Sec. 2. Section 37 of public act 21-2 of the June special session is 86 repealed and the following is substituted in lieu thereof (Effective from 87 passage): 88 The sum of $3,000,000 allocated in section 41 of special act 21-15, [and] 89 as amended by section 306 of [this act] public act 21-2 of the June special 90 session, to the Department of Public Health, for Community Health 91 Workers, for each of the fiscal years ending June 30, 2022, and June 30, 92 2023, shall be for the purposes of the program established pursuant to 93 section 36 of [this act] public act 21-2 of the June special session, as 94 amended by this act. The Department of Public Health shall transfer 95 such funds to the Department of Social Services. 96 Sec. 3. Section 1 of special act 21-1, as amended by section 86 of public 97 act 21-2 of the June special session, is amended to read as follows 98 (Effective from passage): 99 (a) Notwithstanding any provision of the general statutes, not later 100 than [April 26, 2021] June 1, 2022, the Governor shall submit to the 101 speaker of the House of Representatives and the president pro tempore 102 of the Senate recommended allocations of federal funds designated for 103 the state pursuant to the provisions of Subtitle M of Title IX of the 104 American Rescue Plan Act of 2021, P.L. 117-2, as amended from time to 105 time, except for any funds designated under the Coronavirus Local 106 Fiscal Recovery Fund. Not later than five days after receipt of the 107 recommended allocations, the speaker and the president pro tempore 108 shall submit the recommended allocations to the joint standing 109 committee of the General Assembly having cognizance of matters 110 relating to appropriations and the budgets of state agencies. Said 111 committee shall report their approval or modifications, if any, of such 112 recommended allocations to the speaker and the president pro tempore 113 Substitute Bill No. 5431 LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05431- R01-HB.docx } 5 of 5 not later than [May 16, 2021] July 1, 2022. Any partial or final allocations 114 of such funds shall be authorized by public or special act of the General 115 Assembly. Disbursement of such funds shall be in accordance with such 116 partial or final allocations and no disbursement of such funds shall 117 occur prior to such authorization. 118 (b) If it is determined that any amount allocated by the General 119 Assembly pursuant to subsection (a) of this section is not allowable 120 under guidance provided by the federal government, including, but not 121 limited to, the United States Treasury, the Secretary of the Office of 122 Policy and Management shall immediately notify the joint standing 123 committee of the General Assembly having cognizance of matters 124 relating to appropriations and the budgets of state agencies of the 125 specific amount and recipient of such allocation and the reason for such 126 determination. 127 This act shall take effect as follows and shall amend the following sections: Section 1 from passage PA 21-2 of the June Sp. Sess., Sec. 36 Sec. 2 from passage PA 21-2 of the June Sp. Sess., Sec. 37 Sec. 3 from passage SA 21-1, Sec. 1 APP Joint Favorable Subst.