Connecticut 2022 Regular Session

Connecticut Senate Bill SB00477 Compare Versions

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Version 2 (New)

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7		-	General Assembly Substitute Bill No. 477
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	8	+	General Assembly Bill No. 477
8	9		February Session, 2022
	10	+	LCO No. 3789
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	13	+	Referred to Committee on PUBLIC HEALTH
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	16	+	Introduced by:
	17	+	(PH)
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14	22		AN ACT CONCERNING THE PUBLIC HEALTH OF RESIDENTS OF
15	23		THE STATE.
16	24		Be it enacted by the Senate and House of Representatives in General
17	25		Assembly convened:
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19		-	Section 1. (Effective from passage) (a) There is established a task force 1
20		-	to study assisted living services agencies that provide services as a 2
21		-	dementia special care unit or program, as defined in section 19a-562 of 3
22		-	the general statutes. Such study shall include, but need not be limited 4
23		-	to, an examination of (1) the regulation of such agencies by the 5
24		-	Department of Public Health and whether additional oversight by the 6
25		-	department is required, (2) whether minimum staffing levels for such 7
26		-	agencies should be required, and (3) the maintenance of records by such 8
27		-	agencies of meals served to, bathing of, administration of medication to 9
28		-	and the overall health of each resident. 10
29		-	(b) The task force shall consist of the following members: 11
30		-	(1) Two appointed by the speaker of the House of Representatives; 12
31		-	(2) Two appointed by the president pro tempore of the Senate; 13
32		-	(3) One appointed by the majority leader of the House of 14
33		-	Representatives; 15
34		-	(4) One appointed by the majority leader of the Senate; 16 Substitute Bill No. 477
	27	+	Section 1. Section 19a-562 of the 2022 supplement to the general 1
	28	+	statutes is repealed and the following is substituted in lieu thereof 2
	29	+	(Effective October 1, 2022): 3
	30	+	(a) As used in this section and section 19a-562a, "dementia special 4
	31	+	care unit or program" means any nursing facility, residential care home, 5
	32	+	assisted living facility, adult congregate living facility, adult day care 6
	33	+	center, hospice or adult foster home that locks, secures, segregates or 7
	34	+	provides a special program or unit for residents with a diagnosis of 8
	35	+	probable Alzheimer's disease, dementia or other similar disorder, in 9
	36	+	order to prevent or limit access by a resident outside the designated or 10
	37	+	separated area, or that advertises or markets the facility as providing 11
	38	+	specialized care or services for persons suffering from Alzheimer's 12
	39	+	disease or dementia. 13
	40	+	(b) [On and after January 1, 2007, each] Each dementia special care 14
	41	+	unit or program shall provide written disclosure to any person who will 15 Raised Bill No. 477
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41		-	(5) One appointed by the minority leader of the House of 17
42		-	Representatives; 18
43		-	(6) One appointed by the minority leader of the Senate; and 19
44		-	(7) The Commissioner of Public Health, or the commissioner's 20
45		-	designee. 21
46		-	(c) Any member of the task force appointed under subdivision (1), 22
47		-	(2), (3), (4), (5) or (6) of subsection (b) of this section may be a member 23
48		-	of the General Assembly. 24
49		-	(d) All initial appointments to the task force shall be made not later 25
50		-	than thirty days after the effective date of this section. Any vacancy shall 26
51		-	be filled by the appointing authority. 27
52		-	(e) The speaker of the House of Representatives and the president pro 28
53		-	tempore of the Senate shall select the chairpersons of the task force from 29
54		-	among the members of the task force. Such chairpersons shall schedule 30
55		-	the first meeting of the task force, which shall be held not later than sixty 31
56		-	days after the effective date of this section. 32
57		-	(f) The administrative staff of the joint standing committee of the 33
58		-	General Assembly having cognizance of matters relating to public 34
59		-	health shall serve as administrative staff of the task force. 35
60		-	(g) Not later than January 1, 2023, the task force shall submit a report 36
61		-	on its findings and recommendations to the joint standing committee of 37
62		-	the General Assembly having cognizance of matters relating to public 38
63		-	health, in accordance with the provisions of section 11-4a of the general 39
64		-	statutes. The task force shall terminate on the date that it submits such 40
65		-	report or January 1, 2023, whichever is later. 41
66		-	Sec. 2. Section 19a-59i of the 2022 supplement to the general statutes 42
67		-	is amended by adding subsection (g) as follows (Effective from passage): 43
68		-	(NEW) (g) Not later than January 1, 2023, the maternal mortality 44 Substitute Bill No. 477
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	47	+	be placed in such a unit or program or to that person's legal 16
	48	+	representative or other responsible party. Such disclosure shall be 17
	49	+	signed by the patient or responsible party and shall explain what 18
	50	+	additional care and treatment or specialized program will be provided 19
	51	+	in the dementia special care unit or program that is distinct from the 20
	52	+	care and treatment required by applicable licensing rules and 21
	53	+	regulations, including, but not limited to: 22
	54	+	(1) Philosophy. A written statement of the overall philosophy and 23
	55	+	mission of the dementia special care unit or program that reflects the 24
	56	+	needs of residents with Alzheimer's disease, dementia or other similar 25
	57	+	disorders. 26
	58	+	(2) Preadmission, admission and discharge. The process and criteria 27
	59	+	for placement within or transfer or discharge from the dementia special 28
	60	+	care unit or program. 29
	61	+	(3) Assessment, care planning and implementation. The process used 30
	62	+	for assessing and establishing and implementing the plan of care, 31
	63	+	including the method by which the plan of care is modified in response 32
	64	+	to changes in condition. 33
	65	+	(4) Staffing patterns and training ratios. The nature and extent of staff 34
	66	+	coverage, including staff to patient ratios and staff training and 35
	67	+	continuing education. 36
	68	+	(5) Physical environment. The physical environment and design 37
	69	+	features appropriate to support the functioning of cognitively impaired 38
	70	+	adult residents. 39
	71	+	(6) Residents' activities. The frequency and types of resident activities 40
	72	+	and the ratio of residents to recreation staff. 41
	73	+	(7) Family role in care. The involvement of families and family 42
	74	+	support programs. 43
	75	+	(8) Program costs. The cost of care and any additional fees. 44 Raised Bill No. 477
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75		-	review committee shall develop educational materials regarding: 45
76		-	(1) The health and safety of pregnant and postpartum persons with 46
77		-	mental health disorders, including, but not limited to, perinatal mood 47
78		-	and anxiety disorders, for distribution by the Department of Public 48
79		-	Health to each birthing hospital in the state. As used in this subdivision, 49
80		-	"birthing hospital" means a health care facility, as defined in section 19a-50
81		-	630, operated and maintained in whole or in part for the purpose of 51
82		-	caring for patients during the delivery of a child and for a postpartum 52
83		-	person and such person's newborn following birth; 53
84		-	(2) Evidence-based screening tools for screening patients for intimate 54
85		-	partner violence, peripartum mood disorders and substance use 55
86		-	disorder for distribution by the Department of Public Health to 56
87		-	obstetricians and other health care providers who practice obstetrics; 57
88		-	and 58
89		-	(3) Indicators of intimate partner violence for distribution by the 59
90		-	Department of Public Health to (A) hospitals for use by health care 60
91		-	providers in the emergency department and hospital social workers, 61
92		-	and (B) obstetricians and other health care providers who practice 62
93		-	obstetrics. 63
94		-	Sec. 3. (NEW) (Effective July 1, 2022) (a) As used in this section, 64
95		-	"birthing hospital" means a health care facility, as defined in section 19a-65
96		-	630 of the general statutes, operated and maintained in whole or in part 66
97		-	for the purpose of caring for a person during the delivery of a child and 67
98		-	for a postpartum person and such person's newborn following birth. 68
99		-	(b) On and after October 1, 2022, each birthing hospital shall provide 69
100		-	to each patient who has undergone a caesarean section written 70
101		-	information regarding the importance of mobility following a caesarean 71
102		-	section and the risks associated with immobility following a caesarean 72
103		-	section. 73
104		-	(c) Not later than January 1, 2023, each birthing hospital shall 74
105		-	establish a patient portal through which a postpartum patient can 75 Substitute Bill No. 477
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	81	+	(c) Each dementia special care unit or program shall develop a 45
	82	+	standard disclosure form for compliance with subsection (b) of this 46
	83	+	section and shall annually review and verify the accuracy of the 47
	84	+	information provided by dementia special care units or programs. Each 48
	85	+	dementia special care unit or program shall provide a written update to 49
	86	+	the patient, legal representative or responsible party of any significant 50
	87	+	change to the information reported pursuant to subsection (b) of this 51
	88	+	section not later than thirty days after such change. Each dementia 52
	89	+	special care unit or program shall make the standard disclosure form 53
	90	+	available to the Department of Public Health for inspection upon 54
	91	+	request. 55
	92	+	Sec. 2. Section 19a-564 of the 2022 supplement to the general statutes 56
	93	+	is repealed and the following is substituted in lieu thereof (Effective 57
	94	+	October 1, 2022): 58
	95	+	(a) The Commissioner of Public Health shall license assisted living 59
	96	+	services agencies, as defined in section 19a-490. A managed residential 60
	97	+	community wishing to provide assisted living services shall become 61
	98	+	licensed as an assisted living services agency or shall arrange for 62
	99	+	assisted living services to be provided by another entity that is licensed 63
	100	+	as an assisted living services agency. 64
	101	+	(b) A managed residential care community that intends to arrange for 65
	102	+	assisted living services shall only do so with a currently licensed assisted 66
	103	+	living services agency. Such managed residential community shall 67
	104	+	submit an application to arrange for the assisted living services to the 68
	105	+	Department of Public Health in a form and manner prescribed by the 69
	106	+	commissioner. 70
	107	+	(c) An assisted living services agency providing services as a 71
	108	+	dementia special care unit or program, as defined in section 19a-562, as 72
	109	+	amended by this act, shall obtain approval for such unit or program 73
	110	+	from the Department of Public Health. Such assisted living services 74
	111	+	agencies shall ensure that they have adequate staff to meet the needs of 75
	112	+	the residents. The Department of Public Health shall require each 76 Raised Bill No. 477
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112		-	virtually access, through an Internet web site or application, any 76
113		-	educational materials and other information that the birthing hospital 77
114		-	provided to the patient during the patient's stay at the birthing hospital 78
115		-	and at the time of the patient's discharge from the birthing hospital. 79
116		-	(d) On and after January 1, 2023, each birthing hospital shall provide 80
117		-	to each postpartum patient the educational materials regarding the 81
118		-	health and safety of pregnant and postpartum persons with mental 82
119		-	health disorders, including, but not limited to, perinatal mood and 83
120		-	anxiety disorders, developed by the maternal mortality review 84
121		-	committee pursuant to subsection (g) of section 19a-59i of the general 85
122		-	statutes, as amended by this act. 86
123		-	Sec. 4. Subsection (a) of section 10-29a of the 2022 supplement to the 87
124		-	general statutes is amended by adding subdivisions (104) and (105) as 88
125		-	follows (Effective from passage): 89
126		-	(NEW) (104) Maternal Mental Health Month. The Governor shall 90
127		-	proclaim the month of May of each year to be Maternal Mental Health 91
128		-	Month, to raise awareness of issues surrounding maternal mental 92
129		-	health. Suitable exercises may be held in the State Capitol and elsewhere 93
130		-	as the Governor designates for the observance of the month. 94
131		-	(NEW) (105) Maternal Mental Health Day. The Governor shall 95
132		-	proclaim May fifth of each year to be Maternal Mental Health Day, to 96
133		-	raise awareness of issues surrounding maternal mental health. Suitable 97
134		-	exercises may be held in the State Capitol and elsewhere as the 98
135		-	Governor designates for the observance of the day. 99
136		-	Sec. 5. (NEW) (Effective from passage) (a) There is established a 100
137		-	Commission on Gun Violence Intervention and Prevention to 101
138		-	coordinate the funding and implementation of evidence-based, 102
139		-	evidenced-informed, community-centric gun programs and strategies 103
140		-	to reduce community gun violence in the state. The commission shall be 104
141		-	part of the Legislative Department. 105
142		-	(b) The commission shall be composed of the following members: 106 Substitute Bill No. 477
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	118	+	assisted living facility that provides services as a dementia special care 77
	119	+	unit or program to employ a minimum number of staff per shift that 78
	120	+	provide direct patient care to residents of or participants in the dementia 79
	121	+	special care unit or program, including, but not limited to, advanced 80
	122	+	practice registered nurses, registered nurses, licensed practical nurses 81
	123	+	and nurse's aides. Such minimum staffing requirements shall be 82
	124	+	prescribed by the department in regulations adopted pursuant to this 83
	125	+	section, and take effect upon adoption of such regulations. Each assisted 84
	126	+	living services agency that provides services as a dementia special care 85
	127	+	unit or program, as defined in section 19a-562, as amended by this act, 86
	128	+	shall submit to the Department of Public Health a list of dementia 87
	129	+	special care units or locations and their staffing plans for any such units 88
	130	+	and locations when completing an initial or a renewal licensure 89
	131	+	application, or upon request from the department. Such staffing plans 90
	132	+	shall comply with the minimum staffing requirements in regulations 91
	133	+	prescribed by the department pursuant to this section. 92
	134	+	(d) Each assisted living services agency that provides services as a 93
	135	+	dementia special care unit or program shall post the following 94
	136	+	information on a daily basis at the beginning of each shift, in a legible 95
	137	+	format and in a conspicuous place readily accessible to and clearly 96
	138	+	visible to residents, employees and visitors of the dementia special care 97
	139	+	unit or location of the dementia special care program, including, but not 98
	140	+	limited to, persons in a wheelchair: 99
	141	+	(1) Name of the assisted living services agency and location of the 100
	142	+	dementia special care unit or program; 101
	143	+	(2) Date; 102
	144	+	(3) Total number of (A) advanced practice registered nurses, (B) 103
	145	+	registered nurses, (C) licensed practical nurses, and (D) nurse's aides 104
	146	+	who will be responsible for direct patient care during the shift; 105
	147	+	(4) Total number of hours such (A) advanced practice registered 106
	148	+	nurses, (B) registered nurses, (C) licensed practical nurses, and (D) 107
	149	+	nurse's aides are scheduled to work during the shift; 108 Raised Bill No. 477
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149		-	(1) Two appointed by the speaker of the House of Representatives, 107
150		-	one of whom shall be a representative of the Connecticut Hospital 108
151		-	Association and one of whom shall be a representative of Compass 109
152		-	Youth Collaborative; 110
153		-	(2) Two appointed by the president pro tempore of the Senate, one of 111
154		-	whom shall be a representative of the Connecticut Violence Intervention 112
155		-	Program and one of whom shall be a representative of the Regional 113
156		-	Youth Adult Social Action Partnership; 114
157		-	(3) Two appointed by the majority leader of the House of 115
158		-	Representatives, one of whom shall be a representative of Hartford 116
159		-	Communities That Care, Inc. and one of whom shall be a representative 117
160		-	of CT Against Gun Violence; 118
161		-	(4) Two appointed by the majority leader of the Senate, one of whom 119
162		-	shall be a representative of Project Longevity and one of whom shall be 120
163		-	a representative of Saint Francis Hospital and Medical Center; 121
164		-	(5) Two appointed by the minority leader of the House of 122
165		-	Representatives, one of whom shall be a representative of Yale New 123
166		-	Haven Hospital and one of whom shall be a representative of the 124
167		-	Greater Bridgeport Adolescence Program; 125
168		-	(6) Two appointed by the minority leader of the Senate, one of whom 126
169		-	shall be a representative of Hartford Hospital and one of whom shall be 127
170		-	a youth representative of the Connecticut Justice Alliance; 128
171		-	(7) Two appointed by the House chairperson of the joint standing 129
172		-	committee of the General Assembly having cognizance of matters 130
173		-	relating to public health, one of whom shall be a representative of the 131
174		-	Greater Bridgeport Area Prevention Program and one of whom shall be 132
175		-	a parent member of the Two Generation Initiative; 133
176		-	(8) Two appointed by the Senate chairperson of the joint standing 134
177		-	committee of the General Assembly having cognizance of matters 135
178		-	relating to public health, one of whom shall be a representative of 136 Substitute Bill No. 477
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	155	+	(5) Total number of dementia special care unit residents or dementia 109
	156	+	special care program participants; 110
	157	+	(6) The minimum number of nursing home facility staff per shift that 111
	158	+	is required by the regulations of Connecticut state agencies to be 112
	159	+	responsible for providing direct patient care to residents of the dementia 113
	160	+	special care unit or participants in the dementia special care program; 114
	161	+	and 115
	162	+	(7) The telephone number or Internet web site that a resident, 116
	163	+	employee or visitor of the dementia special care unit or location of the 117
	164	+	dementia special care program may use to report a suspected violation 118
	165	+	by the assisted living services agency of a regulatory requirement 119
	166	+	concerning staffing levels and direct patient or program participant 120
	167	+	care. 121
	168	+	(e) Each assisted living services agency providing services as a 122
	169	+	dementia special care unit or program shall, upon oral or written 123
	170	+	request, make the daily information posted pursuant to subsection (d) 124
	171	+	of this section available to the public for review. The assisted living 125
	172	+	services agency shall retain such information for not less than eighteen 126
	173	+	months from the date such information was posted. 127
	174	+	[(d)] (f) An assisted living services agency shall ensure that (1) all 128
	175	+	services being provided on an individual basis to [clients] residents are 129
	176	+	fully understood and agreed upon between either the [client] resident 130
	177	+	or the [client's] resident's legal representative or responsible party, and 131
	178	+	(2) the [client or the client's] resident or the resident's legal 132
	179	+	representative or responsible party are made aware of the cost of any 133
	180	+	such services. 134
	181	+	(g) Each assisted living services agency providing services as a 135
	182	+	dementia special care unit or program shall maintain a daily record of 136
	183	+	the following regarding each resident of the unit or participant in the 137
	184	+	program and make such record available to the Department of Public 138
	185	+	Health upon request: 139 Raised Bill No. 477
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185		-	Mothers United Against Violence and one of whom shall be a 137
186		-	representative of Violent Crime Survivors; 138
187		-	(9) One appointed by the executive director of the Commission on 139
188		-	Women, Children, Seniors, Equity and Opportunity, who shall be a 140
189		-	representative of the Health Alliance for Violence Intervention; 141
190		-	(10) Two appointed by the Commissioner of Public Health, who shall 142
191		-	be representatives of the Department of Public Health's Injury and 143
192		-	Violence Surveillance Unit; 144
193		-	(11) The Commissioner of Education, or the commissioner's designee; 145
194		-	and 146
195		-	(12) The executive director of the Commission on Women, Children, 147
196		-	Seniors, Equity and Opportunity, or the executive director's designee. 148
197		-	(c) Any member of the commission appointed under subdivision (1), 149
198		-	(2), (3), (4), (5), (6), (7) or (8) of subsection (b) of this section may be a 150
199		-	member of the General Assembly. All initial appointments to the 151
200		-	commission shall be made not later than sixty days after the effective 152
201		-	date of this section. Appointed members shall serve a term that is 153
202		-	coterminous with the appointing official and may serve more than one 154
203		-	term. 155
204		-	(d) The executive director of the Commission on Women, Children, 156
205		-	Seniors, Equity and Opportunity, or the executive director's designee, 157
206		-	shall schedule the first meeting of the commission, which shall be held 158
207		-	not later than sixty days after the effective date of this section. At such 159
208		-	meeting, the chairperson of the commission shall be elected from among 160
209		-	the members of the commission. 161
210		-	(e) If an appointment under subsection (b) of this section is not made 162
211		-	within the sixty-day period required under subsection (c) of this section, 163
212		-	the chairperson may designate an individual with the required 164
213		-	qualifications stated for the applicable appointment to serve on the 165
214		-	commission until an appointment is made pursuant to subsection (b) of 166 Substitute Bill No. 477
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	191	+	(1) Type and number of meals served and the times each meal was 140
	192	+	offered to the resident. The assisted living services agency shall ensure 141
	193	+	that the maximum time span between a resident's or participant's 142
	194	+	evening meal and breakfast does not exceed sixteen hours unless a 143
	195	+	substantial bedtime nourishment is verbally offered by the assisted 144
	196	+	living services agency, provided the assisted living services agency shall 145
	197	+	not be required to serve such nourishment to patients or participants 146
	198	+	who decline such nourishment; 147
	199	+	(2) The time a resident or participant bathed or was offered a bath or 148
	200	+	was bathed by a staff member of the assisted living services agency; 149
	201	+	(3) The medications taken by the patient or participant and times such 150
	202	+	medications were taken; and 151
	203	+	(4) A description of the overall health of the patient or participant. 152
	204	+	[(e)] (h) The Department of Public Health [may] shall adopt 153
	205	+	regulations, in accordance with the provisions of chapter 54, to carry out 154
	206	+	the purposes of this section. 155
	207	+	Sec. 3. Section 19a-563f of the 2022 supplement to the general statutes 156
	208	+	is repealed and the following is substituted in lieu thereof (Effective July 157
	209	+	1, 2022): 158
	210	+	On or before January 1, 2022, the administrative head of each nursing 159
	211	+	home and dementia special care unit and, on or before January 1, 2023, 160
	212	+	the administrative head of each assisted living facility shall encourage 161
	213	+	the establishment of a family council and assist in any such 162
	214	+	establishment. The family council shall facilitate and support open 163
	215	+	communication between the nursing home, [or] dementia special care 164
	216	+	unit or assisted living facility and each resident's family members and 165
	217	+	friends. As used in this section, "family council" means an independent, 166
	218	+	self-determining group of the family members and friends of the 167
	219	+	residents of a nursing home, [or] dementia special care unit or assisted 168
	220	+	living facility that is geared to meeting the needs and interests of the 169
	221	+	residents and their family members and friends. 170 Raised Bill No. 477
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221		-	this section. 167
222		-	(f) A majority of the membership of the commission shall constitute 168
223		-	a quorum for the transaction of any business and any decision shall be 169
224		-	by a majority vote of those present at a meeting, except the commission 170
225		-	may establish such subcommissions, advisory groups or other entities 171
226		-	as it deems necessary to further the purposes of the commission. The 172
227		-	commission shall adopt rules of procedure. 173
228		-	(g) The members of the commission shall serve without 174
229		-	compensation, but shall, within the limits of available funds, be 175
230		-	reimbursed for expenses necessarily incurred in the performance of 176
231		-	their duties. 177
232		-	(h) The commission, by majority vote, shall hire an executive director, 178
233		-	who shall serve at the pleasure of the commission to carry out the duties 179
234		-	and serve as administrative staff of the commission. The commission 180
235		-	may request the assistance of the Joint Commission on Legislative 181
236		-	Management in hiring the executive director. The executive director 182
237		-	may hire not more than two executive assistants to assist in carrying out 183
238		-	the duties and serving as administrative staff of the commission. The 184
239		-	administrative staff of the Commission on Women, Children, Seniors, 185
240		-	Equity and Opportunity shall serve as administrative staff of the 186
241		-	commission until such time as such executive director is hired. 187
242		-	(i) The commission shall have the following powers and duties: (1) 188
243		-	Coordinate the funding and implementation of evidence-based, 189
244		-	evidenced-informed, community-centric programs and strategies to 190
245		-	reduce community gun violence in the state; (2) secure state, federal and 191
246		-	other funds for the purposes of reducing community gun violence; (3) 192
247		-	determine community-level needs by engaging with communities 193
248		-	impacted by gun violence; (4) (A) establish and implement a grant 194
249		-	program, and (B) award grants and offer guidance to organizations or 195
250		-	other entities working toward reducing community gun violence in the 196
251		-	state; (5) obtain from any legislative or executive department, board, 197
252		-	commission or other agency of the state or any organization or other 198 Substitute Bill No. 477
	225	+	LCO No. 3789 7 of 13
	226	+
	227	+	Sec. 4. Section 19a-59i of the 2022 supplement to the general statutes 171
	228	+	is amended by adding subsection (g) as follows (Effective from passage): 172
	229	+	(NEW) (g) Not later than January 1, 2023, the maternal mortality 173
	230	+	review committee shall develop educational materials regarding: 174
	231	+	(1) The health and safety of pregnant and postpartum persons with 175
	232	+	mental health disorders, including, but not limited to, perinatal mood 176
	233	+	and anxiety disorders, for distribution by the Department of Public 177
	234	+	Health to each birthing hospital in the state. As used in this subsection, 178
	235	+	"birthing hospital" means a health care facility, as defined in section 19a-179
	236	+	630, operated and maintained in whole or in part for the purpose of 180
	237	+	caring for patients during delivery of a child and for a postpartum 181
	238	+	person and such person's newborn following birth; 182
	239	+	(2) Evidence-based screening tools for screening patients for intimate 183
	240	+	partner violence, peripartum mood disorders and substance use 184
	241	+	disorder for distribution by the Department of Public Health to 185
	242	+	obstetricians and other health care providers who practice obstetrics; 186
	243	+	and 187
	244	+	(3) Indicators of intimate partner violence for distribution by the 188
	245	+	Department of Public Health to (A) hospitals for use by health care 189
	246	+	providers in the emergency department and hospital social workers, 190
	247	+	and (B) obstetricians and other health care providers who practice 191
	248	+	obstetrics. 192
	249	+	Sec. 5. (NEW) (Effective July 1, 2022) (a) As used in this section, 193
	250	+	"birthing hospital" means a health care facility, as defined in section 19a-194
	251	+	630, operated and maintained in whole or in part for the purpose of 195
	252	+	caring for a person during delivery of a child and for a postpartum 196
	253	+	person and such person's newborn following birth. 197
	254	+	(b) On and after October 1, 2022, each birthing hospital shall provide 198
	255	+	to each patient who has undergone a caesarean section written 199
	256	+	information regarding the importance of mobility following a caesarean 200
	257	+	section and the risks associated with immobility following a caesarean 201 Raised Bill No. 477
253	258
254	259
255		-	LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00477-
256		-	R01-SB.docx }
257		-	8 of 8
258	260
259		-	entity such assistance as necessary and available to carry out the 199
260		-	purposes of this section; (6) accept any gift, donation or bequest for the 200
261		-	purpose of performing the duties described in this subsection; (7) 201
262		-	establish bylaws to govern its procedures; and (8) perform such other 202
263		-	acts as may be necessary and appropriate to carry out the duties 203
264		-	described in this subsection. 204
265		-	(j) Not later than January 1, 2023, and annually thereafter, the 205
266		-	commission shall submit a report to the joint standing committee of the 206
267		-	General Assembly having cognizance of matters relating to public 207
268		-	health, in accordance with the provisions of section 11-4a of the general 208
269		-	statutes, concerning the activities of the commission during the prior 209
270		-	twelve-month period. 210
271		-	Sec. 6. (Effective July 1, 2022) The sum of two hundred fifty thousand 211
272		-	dollars is appropriated to the Department of Public Health Fund, for the 212
273		-	fiscal year ending June 30, 2023, for promotion of the National Centers 213
274		-	for Disease Control and Prevention's "Hear Her" campaign to prevent 214
275		-	pregnancy-related deaths to obstetricians, other health care providers 215
276		-	who practice obstetrics, birthing hospitals and emergency departments. 216
	261	+	LCO No. 3789 8 of 13
	262	+
	263	+	section. 202
	264	+	(c) Not later than January 1, 2023, each birthing hospital shall 203
	265	+	establish a patient portal through which a postpartum patient can 204
	266	+	virtually access, through an Internet web site or application, any 205
	267	+	educational materials and other information that the birthing hospital 206
	268	+	provided to the patient during the patient's stay at the birthing hospital 207
	269	+	and at the time of the patient's discharge from the birthing hospital. 208
	270	+	(d) On and after January 1, 2023, each birthing hospital shall provide 209
	271	+	to each postpartum patient the educational materials regarding the 210
	272	+	health and safety of pregnant and postpartum persons with mental 211
	273	+	health disorders, including, but not limited to, perinatal mood and 212
	274	+	anxiety disorders, developed by the maternal mortality review 213
	275	+	committee pursuant to subsection (g) of section 19a-51i, as amended by 214
	276	+	this act. 215
	277	+	Sec. 6. Subsection (a) of section 10-29a of the 2022 supplement to the 216
	278	+	general statutes is amended by adding subdivisions (104) and (105) as 217
	279	+	follows (Effective from passage): 218
	280	+	(NEW) (104) Maternal Mental Health Month. The Governor shall 219
	281	+	proclaim the month of May of each year to be Maternal Mental Health 220
	282	+	Month, to raise awareness of issues surrounding maternal mental 221
	283	+	health. Suitable exercises may be held in the State Capitol and elsewhere 222
	284	+	as the Governor designates for the observance of the month. 223
	285	+	(NEW) (105) Maternal Mental Health Day. The Governor shall 224
	286	+	proclaim May fifth of each year to be Maternal Mental Health Day, to 225
	287	+	raise awareness of issues surrounding maternal mental health. Suitable 226
	288	+	exercises may be held in the State Capitol and elsewhere as the 227
	289	+	Governor designates for the observance of the day. 228
	290	+	Sec. 7. (NEW) (Effective from passage) (a) There is established a 229
	291	+	Commission on Gun Violence Intervention and Prevention to 230
	292	+	coordinate the funding and implementation of evidence-based, 231
	293	+	evidenced-informed, community-centric gun programs and strategies 232 Raised Bill No. 477
	294	+
	295	+
	296	+
	297	+	LCO No. 3789 9 of 13
	298	+
	299	+	to reduce community gun violence in the state. The commission shall be 233
	300	+	part of the Legislative Department. 234
	301	+	(b) The commission shall be composed of the following members: 235
	302	+	(1) Two appointed by the speaker of the House of Representatives, 236
	303	+	one of whom shall be a representative of the Connecticut Hospital 237
	304	+	Association and one of whom shall be a representative of Compass 238
	305	+	Youth Collaborative; 239
	306	+	(2) Two appointed by the president pro tempore of the Senate, one of 240
	307	+	whom shall be a representative of the Connecticut Violence Intervention 241
	308	+	Program and one of whom shall be a representative of Regional Youth 242
	309	+	Adult Social Action Partnership; 243
	310	+	(3) Two appointed by the majority leader of the House of 244
	311	+	Representatives, one of whom shall be a representative of Hartford 245
	312	+	Communities That Care, Inc. and one of whom shall be a representative 246
	313	+	of CT Against Gun Violence; 247
	314	+	(4) Two appointed by the majority leader of the Senate, one of whom 248
	315	+	shall be a representative of Project Longevity and one of whom shall be 249
	316	+	a representative of Saint Francis Hospital and Medical Center; 250
	317	+	(5) Two appointed by the minority leader of the House of 251
	318	+	Representatives, one of whom shall be a representative of Yale New 252
	319	+	Haven Hospital and one of whom shall be a representative of Greater 253
	320	+	Bridgeport Adolescence Program; 254
	321	+	(6) Two appointed by the minority leader of the Senate, one of whom 255
	322	+	shall be a representative of Hartford Hospital and one of whom shall be 256
	323	+	a youth representative of the Connecticut Justice Alliance; 257
	324	+	(7) Two appointed by the House chairperson of the joint standing 258
	325	+	committee of the General Assembly having cognizance of matters 259
	326	+	relating to public health, one of whom shall be a representative of the 260
	327	+	Greater Bridgeport Area Prevention Program and one of whom shall be 261
	328	+	a parent member of the Two Generation Initiative; 262 Raised Bill No. 477
	329	+
	330	+
	331	+
	332	+	LCO No. 3789 10 of 13
	333	+
	334	+	(8) Two appointed by the Senate chairperson of the joint standing 263
	335	+	committee of the General Assembly having cognizance of matters 264
	336	+	relating to public health, one of whom shall be a representative of 265
	337	+	Mothers United Against Violence and one of whom shall be a 266
	338	+	representative of Violent Crime Survivors; 267
	339	+	(9) One appointed by the executive director of the Commission on 268
	340	+	Women, Children, Seniors, Equity and Opportunity, who shall be a 269
	341	+	representative of the Health Alliance for Violence Intervention; 270
	342	+	(10) Two appointed by the Commissioner of Public Health, who shall 271
	343	+	be representatives of the Department of Public Health's Injury and 272
	344	+	Violence Surveillance Unit; 273
	345	+	(11) The Commissioner of Education, or the commissioner's designee; 274
	346	+	and 275
	347	+	(12) The executive director of the Commission on Women, Children, 276
	348	+	Seniors, Equity and Opportunity, or the executive director's designee. 277
	349	+	(c) Any member of the commission appointed under subdivision (1), 278
	350	+	(2), (3), (4), (5), (6), (7) or (8) of subsection (b) of this section may be a 279
	351	+	member of the General Assembly. All initial appointments to the 280
	352	+	commission shall be made not later than sixty days after the effective 281
	353	+	date of this section. Appointed members shall serve a term that is 282
	354	+	coterminous with the appointing official and may serve more than one 283
	355	+	term. 284
	356	+	(d) The executive director of the Commission on Women, Children, 285
	357	+	Seniors, Equity and Opportunity shall schedule the first meeting of the 286
	358	+	commission, which shall be held not later than sixty days after the 287
	359	+	effective date of this section. At such meeting, the chairperson of the 288
	360	+	commission shall be elected from among the members of the 289
	361	+	commission. 290
	362	+	(e) If an appointment under subsection (b) of this section is not made 291
	363	+	within the sixty-day period required under subsection (c) of this section, 292 Raised Bill No. 477
	364	+
	365	+
	366	+
	367	+	LCO No. 3789 11 of 13
	368	+
	369	+	the chairperson may designate an individual with the required 293
	370	+	qualifications stated for the applicable appointment to serve on the 294
	371	+	commission until an appointment is made pursuant to subsection (b) of 295
	372	+	this section. 296
	373	+	(f) A majority of the membership of the commission shall constitute 297
	374	+	a quorum for the transaction of any business and any decision shall be 298
	375	+	by a majority vote of those present at a meeting, except the commission 299
	376	+	may establish such subcommissions, advisory groups or other entities 300
	377	+	as it deems necessary to further the purposes of the commission. The 301
	378	+	commission shall adopt rules of procedure. 302
	379	+	(g) The members of the commission shall serve without 303
	380	+	compensation, but shall, within the limits of available funds, be 304
	381	+	reimbursed for expenses necessarily incurred in the performance of 305
	382	+	their duties. 306
	383	+	(h) The commission, by majority vote, shall hire an executive director, 307
	384	+	who shall serve at the pleasure of the commission to carry out the duties 308
	385	+	and serve as administrative staff of the commission. The commission 309
	386	+	may request the assistance of the Joint Commission on Legislative 310
	387	+	Management in hiring the executive director. The executive director 311
	388	+	may hire not more than two executive assistants to assist in carrying out 312
	389	+	the duties and serving as administrative staff of the commission. The 313
	390	+	administrative staff of the Commission on Women, Children, Seniors, 314
	391	+	Equity and Opportunity shall serve as administrative staff of the 315
	392	+	commission until such time as such executive director is hired. 316
	393	+	(i) The commission shall have the following powers and duties: (1) 317
	394	+	Coordinate the funding and implementation of evidence-based, 318
	395	+	evidenced-informed, community-centric programs and strategies to 319
	396	+	reduce community gun violence in the state; (2) secure state, federal and 320
	397	+	other funds for the purposes of reducing community gun violence; (3) 321
	398	+	determine community-level needs by engaging with communities 322
	399	+	impacted by gun violence; (4) (A) establish and implement a grant 323
	400	+	program, and (B) award grants and offer guidance to organizations or 324 Raised Bill No. 477
	401	+
	402	+
	403	+
	404	+	LCO No. 3789 12 of 13
	405	+
	406	+	other entities working toward reducing community gun violence in the 325
	407	+	state; (5) obtain from any legislative or executive department, board, 326
	408	+	commission or other agency of the state or any organization or other 327
	409	+	entity such assistance as necessary and available to carry out the 328
	410	+	purposes of this section; (6) accept any gift, donation or bequest for the 329
	411	+	purpose of performing the duties described in this subsection; (7) 330
	412	+	establish bylaws to govern its procedures; and (8) perform such other 331
	413	+	acts as may be necessary and appropriate to carry out the duties 332
	414	+	described in this subsection. 333
	415	+	(j) Not later than January 1, 2023, and annually thereafter, the 334
	416	+	commission shall submit a report to the joint standing committee of the 335
	417	+	General Assembly having cognizance of matters relating to public 336
	418	+	health, in accordance with the provisions of section 11-4a of the general 337
	419	+	statutes, concerning the activities of the commission during the prior 338
	420	+	twelve-month period. 339
	421	+	Sec. 8. (Effective July 1, 2022) The sum of two hundred fifty thousand 340
	422	+	dollars is appropriated to the Department of Public Health Fund, for the 341
	423	+	fiscal year ending June 30, 2023, for promotion of the National Centers 342
	424	+	for Disease Control and Prevention's "Hear Her" campaign to prevent 343
	425	+	pregnancy-related deaths to obstetricians, other health care providers 344
	426	+	who practice obstetrics, birthing hospitals and emergency departments. 345
277	427		This act shall take effect as follows and shall amend the following
278	428		sections:
279	429
280		-	Section 1 from passage New section
281		-	Sec. 2 from passage 19a-59i
282		-	Sec. 3 July 1, 2022 New section
283		-	Sec. 4 from passage 10-29a(a)
284		-	Sec. 5 from passage New section
285		-	Sec. 6 July 1, 2022 New section
	430	+	Section 1 October 1, 2022 19a-562
	431	+	Sec. 2 October 1, 2022 19a-564
	432	+	Sec. 3 July 1, 2022 19a-563f
	433	+	Sec. 4 from passage 19a-59i
	434	+	Sec. 5 July 1, 2022 New section
	435	+	Sec. 6 from passage 10-29a(a)
	436	+	Sec. 7 from passage New section
	437	+	Sec. 8 July 1, 2022 New section
286	438
287		-	Statement of Legislative Commissioners:
288		-	In Section 5(d), the phrase, "or the executive director's designee" was
289		-	added for consistency with the provisions of section 5(b)(12).
	439	+	Statement of Purpose:
	440	+	To address the public health needs of residents of the state. Raised Bill No. 477
290	441
291		-	PH Joint Favorable Subst.
	442	+
	443	+
	444	+	LCO No. 3789 13 of 13
	445	+
	446	+	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
	447	+	that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
	448	+	underlined.]
292	449