OFFICE OF FISCAL ANALYSIS
Legislative Office Building, Room 5200
Hartford, CT 06106 (860) 240-0200
http://www.cga.ct.gov/ofa
sHB-5488
AN ACT CONCERNING VARIOUS REVISIONS TO THE PUBLIC
HEALTH STATUTES.
Primary Analyst: RP 4/9/24
Contributing Analyst(s): RDP, DD, LG, ES
Reviewer: PR
OFA Fiscal Note
State Impact:
Agency Affected Fund-Effect FY 25 $ FY 26 $
UConn; UConn Health Ctr. GF - Cost See Below See Below
Note: GF=General Fund
Municipal Impact:
Municipalities Effect FY 25 $ FY 26 $
Various Municipalities STATE
MANDATE
1
- Cost
See Below See Below
Explanation
The bill makes various changes to the public health statutes and
results in the following fiscal impact.
Section 3 results in annual costs beginning in FY 25 to the University
of Connecticut (UConn), the University of Connecticut Health Center,
and various municipalities. It requires ambulances to carry glucagon
nasal powder for emergency medical services, affecting some
municipalities
2
as well as UConn and UConn Health, which both own
1
State mandate is defined in Sec. 2-32b(2) of the Connecticut General Statutes, "state
mandate" means any state initiated constitutional, statutory or executive action that
requires a local government to establish, expand or modify its activities in such a way
as to necessitate additional expenditures from local revenues.
2
Less than 40% of municipalities own ambulances, with most towns being serviced by
non-profit ambulance agencies. 2024HB-05488-R000423-FN.DOCX Page 2 of 2
ambulances. Glucagon nasal powder has an approximate per unit cost
of $300 and will need to be replaced about every 18 months unless
administered sooner.
3
This section is not anticipated to result in a cost to municipal police
departments, even though many police officers are certified emergency
medical responders (EMR). The bill does not specify that EMRs or their
vehicles need to be equipped with glucagon nasal powder.
The Out Years
The annualized ongoing fiscal impact identified above would
continue into the future subject to the shelf-life and usage of glucagon
nasal powder and inflation.
3
These costs may not be fully recouped through ambulance billing, as such billing rates
are set by the Department of Public Health and are not typically itemized.