OFFICE OF FISCAL ANALYSIS
Legislative Office Building, Room 5200
Hartford, CT 06106 (860) 240-0200
http://www.cga.ct.gov/ofa
sSB-448
AN ACT CONCERNING THE DELIVERY OF HEALTH CARE AND
MENTAL HEALTH CARE SERVICES TO INMATES OF
CORRECTIONAL INSTITUTIONS.
Primary Analyst: ME 4/12/22
Contributing Analyst(s):
Reviewer: PR
OFA Fiscal Note
State Impact:
Agency Affected Fund-Effect FY 23 $ FY 24 $
Correction, Dept. GF - Cost 9.6 million 12.8 million
State Comptroller - Fringe
Benefits
1
GF - Cost 3.9 million 5.2 million
Note: GF=General Fund
Municipal Impact: None
Explanation
The bill makes various changes regarding inmate healthcare resulting
in a FY 23 cost of $13.5 million
2
and a FY 24 cost of $18.0 million (costs
include salary and fringe benefits).
To meet the requirements of the bill the Department of Correction
will have to hire 130 healthcare employees. Below is a table showing
the number of new staff needed by position, their title, and a description
of why they are needed:
1
The fringe benefit costs for most state employees are budgeted centrally in accounts
administered by the Comptroller. The estimated active employee fringe benefit cost
associated with most personnel changes is 40.53% of payroll in FY 23.
2
FY 23 costs reflect nine months of salary due to the bill having an effective date of
October 1, 2022. 2022SB-00448-R000452-FN.DOCX Page 2 of 2
Title
Number of
Positions Needed
(Annual Cost
3
)
Why Additional Staff is
Needed
Advanced Nurse
Practitioner 73 ($9.7 million)
Bill requires annual physicals
for all inmates, new inmates
to receive a physical within 48
hours, exit interviews for all
inmates, administration of
medications and vaccines.
Dental Assistant 14 ($900,000)
Bill requires a dental exam
within ten weeks of inmate
entering a facility.
Dentist 10 ($1.7 million)
Bill requires a dental exam
within ten weeks of inmate
entering a facility.
Psychiatric Advanced
Practice Registered Nurse 14 ($2.0 million)
The bill requires minimum
staffing per facility for mental
health care. Certain
examinations are required
before prescribing certain
medications.
Staff Physician 13 ($3.1 million)
Bill requires one physician on
call per facility and
administration of
medications.
Certified Addiction
Counselor 6 ($560,000)
Bill requires a mental health
care provider to interview an
inmate on substance abuse
history when entering a
facility.
The Out Years
The annualized ongoing fiscal impact identified above would
continue into the future subject to inflation.
3
Annual cost includes salary and fringe benefits.