OFFICE OF FISCAL ANALYSIS Legislative Office Building, Room 5200 Hartford, CT 06106 (860) 240-0200 http://www.cga.ct.gov/ofa sHB-6913 AN ACT CONCERNING OPIOIDS. Primary Analyst: ES 4/12/23 Contributing Analyst(s): RDP, ME OFA Fiscal Note State Impact: Agency Affected Fund-Effect FY 24 $ FY 25 $ Mental Health & Addiction Serv., Dept. GF - Cost See Below See Below Children & Families, Dept. GF - Cost 70,256 None Note: GF=General Fund Municipal Impact: None Explanation Section 1 results in a significant cost to the Department of Mental Health and Addiction Services (DMHAS) to contact or attempt to contact individuals who have received treatment from substance abuse treatment facilities, at least once every four months for at least one year, after receiving treatment. Approximately 42,500 clients were served in DMHAS funded substance use programs in FY 22. It is anticipated that DMHAS would incur significant costs to establish a call center for such purposes. This is anticipated to cost approximately $2 million to $4 million annually. Section 3 results in a cost to DMHAS to establish a prescription digital therapeutics pilot program for patients with opioid use disorder or other substance use disorder, by January 1, 2024. The program must include the provision of a prescription digital therapeutic for at least three months for up to 1,000 patients. Assuming an average cost of approximately $1,500 for three months, this results in a cost of $1.5 million annually. The actual cost of the program depends on the scope 2023HB-06913-R000595-FN.DOCX Page 2 of 2 of the pilot and cost of the prescription digital therapeutic. Section 5 results in an anticipated cost of approximately $70,256 to the Department of Children and Families (DCF) for a consultant to conduct focus groups, review existing data, compile outcomes from current Department services that target parental/caregiver opioid use, coordinate with key stakeholders, and develop a plan for submission by 1/1/24. Sections 5 – 9 result in a cost to DMHAS of approximately $100,000 to hire a consultant to evaluate and develop plans for various programs and report to relevant committees of the General Assembly by January 1, 2024. The Out Years The annualized ongoing fiscal impact identified above would continue into the future subject to inflation and the scope and length of the pilot program. The fiscal impact identified above for DCF and DMHAS consultants is in FY 24 only.