Connecticut 2022 Regular Session

Connecticut House Bill HB05449 Compare Versions

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7	7		General Assembly Substitute Bill No. 5449
8	8		February Session, 2022
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14	14		AN ACT CONCERNING CERTIFICATES OF NEED.
15	15		Be it enacted by the Senate and House of Representatives in General
16	16		Assembly convened:
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18	18		Section 1. (NEW) (Effective from passage) No health care provider 1
19	19		required to receive approval for a certificate of need to build a new 2
20	20		facility or expand an existing facility pursuant to chapter 368z of the 3
21	21		general statutes shall break ground on any new facility or expansion of 4
22	22		an existing facility until the health care provider is in receipt of approval 5
23	23		pursuant to said chapter. 6
24	24		Sec. 2. (NEW) (Effective October 1, 2022) (a) The State of Connecticut 7
25	25		Health and Educational Facilities Authority shall not issue a bond to a 8
26	26		health care provider when such provider is required to obtain approval 9
27	27		for a certificate of need to build a new facility or expand an existing 10
28	28		facility pursuant to chapter 368z of the general statutes, unless the 11
29	29		authority has reviewed a capital budget with recommendations 12
30	30		provided by the Office of Health Strategy. 13
31	31		(b) The Office of Health Strategy, in making recommendations to the 14
32	32		State of Connecticut Health and Educational Facilities Authority 15
33	33		pursuant to subsection (a) of this section, shall assess the reasonableness 16
34	34		of the budget and the projected impact to the health care market and 17
35	35		pricing in the area. 18 Substitute Bill No. 5449
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42	42		Sec. 3. Subsection (a) of section 19a-639a of the general statutes is 19
43	43		repealed and the following is substituted in lieu thereof (Effective October 20
44	44		1, 2022): 21
45	45		(a) An application for a certificate of need shall be filed with the unit 22
46	46		in accordance with the provisions of this section and any regulations 23
47	47		adopted by the Office of Health Strategy. The application shall address 24
48	48		the guidelines and principles set forth in (1) subsection (a) of section 19a-25
49	49		639, and (2) regulations adopted by the department. The applicant shall 26
50	50		include with the application a nonrefundable application fee [of five 27
51	51		hundred dollars] based on the cost of the project. The amount of the fee 28
52	52		shall be as follows: (A) One thousand five hundred dollars for a project 29
53	53		that will cost not greater than fifty thousand dollars; (B) two thousand 30
54	54		five hundred dollars for a project that will cost greater than fifty 31
55	55		thousand dollars but not greater than one hundred thousand dollars; 32
56	56		(C) five thousand dollars for a project that will cost greater than one 33
57	57		hundred thousand dollars but not greater than five hundred thousand 34
58	58		dollars; (D) ten thousand dollars for a project that will cost greater than 35
59	59		five hundred thousand dollars but not greater than one million dollars; 36
60	60		(E) fifteen thousand dollars for a project that will cost greater than one 37
61	61		million dollars but not greater than five million dollars; (F) twenty 38
62	62		thousand dollars for a project that will cost greater than five million 39
63	63		dollars but not greater than ten million dollars; and (G) twenty-five 40
64	64		thousand dollars for a project that will cost greater than ten million 41
65	65		dollars. 42
66	66		Sec. 4. (Effective from passage) (a) (1) The Office of Health Strategy shall 43
67	67		conduct a study concerning certificates of need, required pursuant to 44
68	68		chapter 368z of the general statutes, in the state. 45
69	69		(2) Not later than January 15, 2023, the Office of Health Strategy shall 46
70	70		submit a report, in accordance with the provisions of section 11-4a of the 47
71	71		general statutes, concerning the results of such study to the joint 48
72	72		standing committee of the General Assembly having cognizance of 49
73	73		matters relating to insurance. 50 Substitute Bill No. 5449
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80	80		(b) The report shall consider and make recommendations concerning 51
81	81		the following matters: 52
82	82		(1) The institution of a price increase cap that is tied to the cost growth 53
83	83		benchmark for consolidations; 54
84	84		(2) Guaranteed local representation of communities on hospital 55
85	85		boards; 56
86	86		(3) Changes to the Office of Health Strategy's long-term, state-wide 57
87	87		health plan to include an analysis of services and facilities and the 58
88	88		impact of such services and facilities on equity and underserved 59
89	89		populations; 60
90	90		(4) Setting standards for measuring quality as a result of a 61
91	91		consolidation; 62
92	92		(5) Enacting higher penalties for noncompliance and increasing the 63
93	93		staff needed for enforcement; 64
94	94		(6) The Attorney General's authority to stop activities as the result of 65
95	95		a certificate of need application or complaint; 66
96	96		(7) The ability of representatives of the workforce and the community 67
97	97		to intervene or appeal decisions; 68
98	98		(8) Giving the Office of Health Strategy the authority to require an 69
99	99		ongoing investment to address community needs; and 70
100	100		(9) Capturing lost property taxes from hospitals that have converted 71
101	101		to nonprofit entities. 72
102	102		This act shall take effect as follows and shall amend the following
103	103		sections:
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105	105		Section 1 from passage New section
106	106		Sec. 2 October 1, 2022 New section
107	107		Sec. 3 October 1, 2022 19a-639a(a)
108	108		Sec. 4 from passage New section Substitute Bill No. 5449
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116	116		INS Joint Favorable Subst.
117		-	APP Joint Favorable
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