Connecticut 2022 Regular Session

Connecticut House Bill HB05433 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1
2	2
3		-	LCO \\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05433-R01-
4		-	HB.docx
5		-	1 of 6
6	3
7		-	General Assembly Substitute Bill No. 5433
	4	+	LCO No. 2166 1 of 5
	5	+
	6	+	General Assembly Raised Bill No. 5433
8	7		February Session, 2022
	8	+	LCO No. 2166
	9	+
	10	+
	11	+	Referred to Committee on APPROPRIATIONS
	12	+
	13	+
	14	+	Introduced by:
	15	+	(APP)
9	16
10	17
11	18
12	19
13		-
14		-	AN ACT ESTABLISHING A COMMITTEE ON BEHAVIORAL AND
15		-	MENTAL HEALTH POLICY AND OVERSIGHT.
	20	+	AN ACT ESTABLISHING A COUNCIL ON MENTAL AND BEHAVIORAL
	21	+	HEALTH PROGRAM OVERSIGHT.
16	22		Be it enacted by the Senate and House of Representatives in General
17	23		Assembly convened:
18	24
19	25		Section 1. (NEW) (Effective from passage) (a) There is established a 1
20		-	Behavioral and Mental Health Policy and Oversight Committee. The 2
21		-	committee shall evaluate the availability and efficacy of prevention, 3
22		-	early intervention, and mental health treatment services and options for 4
23		-	children from birth to age eighteen and make recommendations to the 5
24		-	General Assembly and executive agencies regarding the governance 6
25		-	and administration of the mental health care system for children. 7
26		-	(b) The committee shall consist of the following members: 8
27		-	(1) The chairpersons and ranking members of the joint standing 9
28		-	committees of the General Assembly having cognizance of matters 10
29		-	relating to public health, human services, children and appropriations 11
30		-	and the budgets of state agencies, or their designees; 12
31		-	(2) Three appointed by the speaker of the House of Representatives, 13
32		-	one of whom shall be a member of the General Assembly and two of 14
33		-	whom shall be providers of mental, emotional or behavioral health 15
34		-	services for children in the state; 16 Substitute Bill No. 5433
	26	+	Council on Mental and Behavioral Health Program Oversight which 2
	27	+	shall advise the Commissioner of Mental Health and Addiction Services 3
	28	+	on the planning and implementation of the delivery system for mental 4
	29	+	and behavioral health programs and services, including services for the 5
	30	+	treatment of substance use disorder. The council shall monitor planning 6
	31	+	and implementation of matters related to mental and behavioral health 7
	32	+	program initiatives including, but not limited to, (1) eligibility 8
	33	+	standards, (2) benefits, (3) access, (4) quality assurance, and (5) outcome 9
	34	+	measures. 10
	35	+	(b) The council shall be composed of the following members: 11
	36	+	(1) The chairpersons and ranking members of the joint standing 12
	37	+	committees of the General Assembly having cognizance of matters 13
	38	+	relating to public health, human services, children and appropriations 14
	39	+	and the budgets of state agencies, or their designees; 15 Raised Bill No. 5433
35	40
36	41
37		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05433-
38		-	R01-HB.docx }
39		-	2 of 6
40	42
41		-	(3) Three appointed by the president pro tempore of the Senate, one 17
42		-	of whom shall be a member of the General Assembly and two of whom 18
43		-	shall be representatives of private advocacy groups that provide 19
44		-	services for children and families in the state; 20
45		-	(4) Two appointed by the majority leader of the House of 21
46		-	Representatives, who shall be representatives of children's hospitals; 22
47		-	(5) One appointed by the majority leader of the Senate, who shall be 23
48		-	a representative of public school superintendents in the state; 24
49		-	(6) Two appointed by the minority leader of the House of 25
50		-	Representatives, who shall be representatives of families with children 26
51		-	who have been diagnosed with mental, emotional or behavioral health 27
52		-	disorders; 28
53		-	(7) Two appointed by the minority leader of the Senate, who shall be 29
54		-	providers of mental or behavioral health services; 30
55		-	(8) The Commissioners of Children and Fam ilies, Correction, 31
56		-	Developmental Services, Early Childhood, Education, Insurance, 32
57		-	Mental Health and Addiction Services, Public Health and Social 33
58		-	Services, or their designees; 34
59		-	(9) The executive director of the Office of Health Strategy, or the 35
60		-	executive director's designee; 36
61		-	(10) The Child Advocate, or the Child Advocate's designee; 37
62		-	(11) The Healthcare Advocate, or the Healthcare Advocate's 38
63		-	designee; 39
64		-	(12) The executive director of the Court Support Services Division of 40
65		-	the Judicial Branch, or the executive director's designee; 41
66		-	(13) The executive director of the Commission on Women, Children, 42
67		-	Seniors, Equity and Opportunity, or the executive director's designee; 43 Substitute Bill No. 5433
	43	+	LCO No. 2166 2 of 5
	44	+
	45	+	(2) Five appointed by the speaker of the House of Representatives, 16
	46	+	one of whom shall be a member of the General Assembly, one of whom 17
	47	+	shall be a community provider of adult mental or behavioral health 18
	48	+	services, one of whom shall be a consumer of adult mental or behavioral 19
	49	+	health services or an advocate for such consumers, one of whom shall 20
	50	+	be a representative of a federally qualified health center that provides 21
	51	+	psychiatric services and one of whom shall be a member of the 22
	52	+	Connecticut Hospital Association; 23
	53	+	(3) Five appointed by the president pro tempore of the Senate, one of 24
	54	+	whom shall be a member of the General Assembly, one of whom shall 25
	55	+	be a representative of a nonprofit agency that provides mental and 26
	56	+	behavioral health services, one of whom shall be a representative of a 27
	57	+	for-profit agency that provides mental or behavioral health services, one 28
	58	+	of whom shall be a licensed health care provider of mental or behavioral 29
	59	+	health services and one of whom shall be a licensed alcohol and drug 30
	60	+	counselor; 31
	61	+	(4) Three appointed by the majority leader of the House of 32
	62	+	Representatives, one of whom shall be an advocate for persons with 33
	63	+	substance use disorder, one of whom shall be a family member of a 34
	64	+	person with substance use disorder and one of whom shall be a 35
	65	+	representative of a facility that provides in-patient substance use 36
	66	+	disorder services; 37
	67	+	(5) Three appointed by the majority leader of the Senate, one of whom 38
	68	+	shall be a community provider of mental or behavioral health services 39
	69	+	for children and young adults, one of whom shall be the family member 40
	70	+	of a child or young adult who is a consumer of mental or behavioral 41
	71	+	health services, and one of whom is an advocate for such consumers; 42
	72	+	(6) Three appointed by the minority leader of the House of 43
	73	+	Representatives; 44
	74	+	(7) Three appointed by the minority leader of the Senate; 45
	75	+	(8) The Commissioners of Public Health, Social Services, Children 46 Raised Bill No. 5433
68	76
69	77
70		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05433-
71		-	R01-HB.docx }
72		-	3 of 6
73	78
74		-	(14) The Secretary of the Office of Policy and Management, or the 44
75		-	secretary's designee; and 45
76		-	(15) One representative from each administrative services 46
77		-	organization under contract with the Department of Social Services to 47
78		-	provide such services for recipients of assistance under the HUSKY 48
79		-	Health program, who shall be ex-officio nonvoting members. 49
80		-	(c) Any member of the task force appointed under subdivisions (1) to 50
81		-	(7), inclusive, of subsection (b) of this section may be a member of the 51
82		-	General Assembly. 52
83		-	(d) Any vacancy shall be filled by the appointing authority. 53
84		-	(e) The Secretary of the Office of Policy and Management, or the 54
85		-	secretary's designee, and a member of the General Assembly selected 55
86		-	jointly by the speaker of the House of Representatives and the president 56
87		-	pro tempore of the Senate from among the members serving pursuant 57
88		-	to subdivision (1), (2) or (3) of subsection (b) of this section shall be co-58
89		-	chairpersons of the committee. Such co-chairpersons shall schedule the 59
90		-	first meeting of the committee, which shall be held not later than sixty 60
91		-	days after May 4, 2022. 61
92		-	(f) Members of the committee shall serve without compensation, 62
93		-	except for necessary expenses incurred in the performance of their 63
94		-	duties. 64
95		-	(g) Not later than January 1, 2023 the committee shall report, in 65
96		-	accordance with section 11-4a of the general statutes, to the joint 66
97		-	standing committees of the General Assembly having cognizance of 67
98		-	matters relating to appropriations and the budgets of state agencies, 68
99		-	public health, human services and children, and the Secretary of the 69
100		-	Office of Policy and Management, regarding the following: 70
101		-	(1) Any statutory and budgetary changes needed concerning the 71
102		-	mental health system of prevention, development and treatment that 72
103		-	the committee recommends to (A) improve developmental, mental 73 Substitute Bill No. 5433
	79	+	LCO No. 2166 3 of 5
	80	+
	81	+	and Families, and Mental Health and Addiction Services, or their 47
	82	+	designees, who shall be ex-officio nonvoting members; 48
	83	+	(9) The Comptroller, or the Comptroller's designee, who shall be an 49
	84	+	ex-officio nonvoting member; and 50
	85	+	(10) The Secretary of the Office of Policy and Management, or the 51
	86	+	secretary's designee, who shall be an ex-officio nonvoting member. 52
	87	+	(c) The council shall choose a chairperson from among its members. 53
	88	+	The Joint Committee on Legislative Management shall provide 54
	89	+	administrative support to such chairperson. 55
	90	+	(d) The council shall monitor and make recommendations 56
	91	+	concerning: (1) Access to quality mental and behavioral health services 57
	92	+	and effective outreach; (2) the sufficiency of providers of mental and 58
	93	+	behavioral health services for adults and children throughout the state; 59
	94	+	(3) the sufficiency of provider rates to maintain service access; (4) 60
	95	+	funding and agency personnel resources to ensure timely access to 61
	96	+	services and effective management of mental and behavioral health 62
	97	+	programs; (5) the linguistic and cultural competency of providers; (6) 63
	98	+	program quality, including outcome measures and continuous quality 64
	99	+	improvement initiatives; (7) timely, accessible and effective consumer 65
	100	+	grievance procedures; and (8) the need for program quality studies 66
	101	+	within the areas identified in this section and the Department of Mental 67
	102	+	Health and Addiction Services' application for available grant funds for 68
	103	+	such studies. 69
	104	+	(e) The Commissioner of Mental Health and Addiction Services shall 70
	105	+	provide monthly reports to the council on the matters described in 71
	106	+	subsection (d) of this section, including, but not limited to, policy 72
	107	+	changes and proposed regulations that affect mental and behavioral 73
	108	+	health services. The commissioner shall also provide the council with 74
	109	+	quarterly financial reports for department expenditures on mental and 75
	110	+	behavioral health services. 76
	111	+	(f) The council shall biannually report on its activities and progress to 77 Raised Bill No. 5433
104	112
105	113
106		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05433-
107		-	R01-HB.docx }
108		-	4 of 6
109	114
110		-	health and behavioral health outcomes for children; (B) improve 74
111		-	transparency and accountability with respect to state-funded services 75
112		-	for children and youth with an emphasis on goals identified by the 76
113		-	committee for community-based programs and facility-based 77
114		-	interventions; and (C) promote the efficient sharing of information by 78
115		-	state and state-funded agencies to ensure the regular collection and 79
116		-	reporting of data regarding children and families' access to, utilization 80
117		-	of and benefit from services necessary to promote public health and 81
118		-	mental and behavioral health outcomes for children and youth and their 82
119		-	families. 83
120		-	(2) The gaps in services identified by the committee with respect to 84
121		-	children and families involved in the mental health system, and 85
122		-	recommendations to address such gaps in services; and 86
123		-	(3) Strengths and barriers identified by the committee that support or 87
124		-	impede the mental health needs of children and youth with specific 88
125		-	recommendations for reforms. 89
126		-	(4) An examination of the way state agencies can work collaboratively 90
127		-	through school-based efforts and other processes to improve mental 91
128		-	health and developmental outcomes for children; 92
129		-	(5) An examination of disproportionate access and outcomes across 93
130		-	the mental health care system for children of color; 94
131		-	(6) An examination of disproportionate access and outcomes across 95
132		-	the mental health care system for children with developmental 96
133		-	disabilities; 97
134		-	(7) A plan to ensure a quality assurance framework for facilities and 98
135		-	programs that are part of the mental health care system and are operated 99
136		-	privately or by the state that includes data regarding efficacy and 100
137		-	outcomes; 101
138		-	(8) A governance structure for the children's mental health system 102
139		-	that will best facilitate the public policy and healthcare goals of the state 103 Substitute Bill No. 5433
	115	+	LCO No. 2166 4 of 5
140	116
141		-
142		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05433-
143		-	R01-HB.docx }
144		-	5 of 6
145		-
146		-	to ensure that all children and families can access high-quality mental 104
147		-	health care. 105
148		-	(h) The committee shall complete its duties under this section after 106
149		-	consultation with one or more organizations that focus on the quality of 107
150		-	services for children or research related to the well-being of children, 108
151		-	including, but not limited to, The Child Health and Development 109
152		-	Institute or Connecticut Voices for Children. The committee may accept 110
153		-	administrative support and technical and research assistance from any 111
154		-	such organization. The committee shall work in collaboration with any 112
155		-	results-first initiative implemented pursuant to any section of the 113
156		-	general statutes or any public or special act. The committee shall have 114
157		-	allocated funds to provide staffing support for its work. 115
158		-	(i) The committee shall be given access to data collected by the state 116
159		-	on matters related to children's behavioral health from the relevant state 117
160		-	agencies or directly from contracted administrative service 118
161		-	organizations, as applicable. 119
162		-	(j) The committee shall include two or more subcommittees chaired 120
163		-	by a member of the committee to inform its recommendations. The 121
164		-	subcommittees may focus on: Workforce-related issues, school-based 122
165		-	health, prevention, and intermediate or acute care. All subcommittees 123
166		-	shall examine gaps, reimbursement rates, parity in the outcomes of 124
167		-	services and the efficacy of services. 125
168		-	(k) The committee shall establish a time frame for reviewing and 126
169		-	making follow-up reports on the status or progress of the committee's 127
170		-	recommendations and activities. Each report submitted by the 128
171		-	committee pursuant to this subsection shall include specific 129
172		-	recommendations to improve outcomes related to children's mental, 130
173		-	emotional or behavioral health and a timeline indicating dates by which 131
174		-	specific tasks or outcomes should be achieved. 132
175		-	(l) The committee shall develop a strategic plan that integrates the 133
176		-	recommendations identified pursuant to subsection (g) of this section. 134 Substitute Bill No. 5433
177		-
178		-
179		-	LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05433-
180		-	R01-HB.docx }
181		-	6 of 6
182		-
183		-	The plan may include short-term, medium-term and long-term goals. In 135
184		-	developing the plan, the committee shall collaborate with any state 136
185		-	agency with responsibilities relating to the mental health system. 137
186		-	(m) Not later than August 1, 2023, the committee shall report, in 138
187		-	accordance with section 11-4a of the general statutes, such plan together 139
188		-	with an account of progress made toward the full implementation of 140
189		-	such plan and any recommendations concerning the implementation of 141
190		-	identified goals in the plan to the joint standing committees of the 142
191		-	General Assembly having cognizance of matters relating to 143
192		-	appropriations and the budgets of state agencies, public health, human 144
193		-	services and children, and the Secretary of the Office of Policy and 145
194		-	Management. 146
	117	+	the General Assembly. 78
	118	+	(g) (1) There is established, within the Council on Mental and 79
	119	+	Behavioral Health Program Oversight, a standing subcommittee to 80
	120	+	study and make recommendations to the council on substance use 81
	121	+	disorder programs and services. The subcommittee shall consist of 82
	122	+	council members appointed by the chairpersons of the council and other 83
	123	+	individuals who shall serve for terms prescribed by the cochairpersons 84
	124	+	to advise the council on specific needs of children and adults with 85
	125	+	substance use disorder. For the purposes of completing the report 86
	126	+	required pursuant to this subsection, such individuals shall include, but 87
	127	+	need not be limited to: (A) The Child Advocate, or the Child Advocate's 88
	128	+	designee; (B) a family or child advocate; (C) the executive director of the 89
	129	+	Connecticut Association of Public School Superintendents, or the 90
	130	+	executive director's designee; (D) an expert in the diagnosis, evaluation, 91
	131	+	education and treatment of children and young adults with substance 92
	132	+	use disorder; (E) an expert in the diagnosis, evaluation, education and 93
	133	+	treatment of adults with substance use disorder; and (F) the Healthcare 94
	134	+	Advocate, or the Healthcare Advocate's designee. 95
	135	+	(2) Not later than July 1, 2023, the subcommittee shall submit a report, 96
	136	+	in accordance with section 11-4a of the general statutes to the council, 97
	137	+	the Governor and the joint standing committees of the General 98
	138	+	Assembly having cognizance of matters relating to children, human 99
	139	+	services, public health and appropriations and the budgets of state 100
	140	+	agencies regarding the sufficiency of treatment and services for children 101
	141	+	and adults with substance use disorder. Such report shall include, but 102
	142	+	need not be limited to: (A) Metrics for evaluating the quality of available 103
	143	+	services; (B) statutory changes needed to promote effective service 104
	144	+	delivery; and (C) any other changes needed to address gaps in services 105
	145	+	identified by the subcommittee or council. 106
195	146		This act shall take effect as follows and shall amend the following
196	147		sections:
197	148
198	149		Section 1 from passage New section
	150	+	Raised Bill No. 5433
199	151
200		-	APP Joint Favorable Subst.
	152	+
	153	+
	154	+	LCO No. 2166 5 of 5
	155	+
	156	+	Statement of Purpose:
	157	+	To establish a council on mental and behavioral health program
	158	+	oversight.
	159	+	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
	160	+	that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
	161	+	underlined.]
201	162