LCO No. 2223 1 of 4 General Assembly Raised Bill No. 274 February Session, 2024 LCO No. 2223 Referred to Committee on PUBLIC HEALTH Introduced by: (PH) AN ACT CONCERNING OPIOIDS. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Section 17a-667 of the general statutes is repealed and the 1 following is substituted in lieu thereof (Effective from passage): 2 (a) There is established a Connecticut Alcohol and Drug Policy 3 Council which shall be within the Department of Mental Health and 4 Addiction Services. 5 (b) The council shall consist of the following members: (1) The 6 Secretary of the Office of Policy and Management, or the secretary's 7 designee; (2) the Commissioners of Children and Families, Consumer 8 Protection, Correction, Education, Mental Health and Addiction 9 Services, Public Health, Emergency Services and Public Protection, 10 Aging and Disability Services and Social Services, and the Insurance 11 Commissioner, or their designees; (3) the Chief Court Administrator, or 12 the Chief Court Administrator's designee; (4) the chairperson of the 13 Board of Regents for Higher Education, or the chairperson's designee; 14 (5) the president of The University of Connecticut, or the president's 15 Raised Bill No. 274 LCO No. 2223 2 of 4 designee; (6) the Chief State's Attorney, or the Chief State's Attorney's 16 designee; (7) the Chief Public Defender, or the Chief Public Defender's 17 designee; (8) the Child Advocate, or the Child Advocate's designee; and 18 (9) the cochairpersons and ranking members of the joint standing 19 committees of the General Assembly having cognizance of matters 20 relating to public health, criminal justice and appropriations, or their 21 designees. The Commissioner of Mental Health and Addiction Services 22 and the Commissioner of Children and Families shall be cochairpersons 23 of the council and may jointly appoint up to seven individuals to the 24 council as follows: (A) Two individuals in recovery from a substance use 25 disorder or representing an advocacy group for individuals with a 26 substance use disorder; (B) a provider of community-based substance 27 abuse services for adults; (C) a provider of community-based substance 28 abuse services for adolescents; (D) an addiction medicine physician; (E) 29 a family member of an individual in recovery from a substance use 30 disorder; and (F) an emergency medicine physician currently practicing 31 in a Connecticut hospital. The cochairpersons of the council may 32 establish subcommittees and working groups and may appoint 33 individuals other than members of the council to serve as members of 34 the subcommittees or working groups. Such individuals may include, 35 but need not be limited to: (i) Licensed alcohol and drug counselors; (ii) 36 pharmacists; (iii) municipal police chiefs; (iv) emergency medical 37 services personnel; and (v) representatives of organizations that provide 38 education, prevention, intervention, referrals, rehabilitation or support 39 services to individuals with substance use disorder or chemical 40 dependency. 41 (c) The council shall review policies and practices of state agencies 42 and the Judicial Department concerning substance abuse treatment 43 programs, substance abuse prevention services, the referral of persons 44 to such programs and services, and criminal justice sanctions and 45 programs and shall develop and coordinate a state-wide, interagency, 46 integrated plan for such programs and services and criminal sanctions. 47 (d) [Such plan shall be amended] The council shall amend such plan 48 not later than January 1, 2017, to contain measurable goals, including, 49 Raised Bill No. 274 LCO No. 2223 3 of 4 but not limited to, a goal for a reduction in the number of opioid-50 induced deaths in the state. 51 (e) (1) The council shall create a standing subcommittee to 52 periodically (A) review (i) publicly funded services for parents and 53 caregivers impacted by substance use disorder and their children, and 54 (ii) state agency programs that support the safety and well-being of such 55 children, and (B) develop, in consultation with representatives of 56 substance abuse treatment programs, family advocates and persons 57 with lived experience with substance use disorders, recommendations 58 to strengthen (i) delivery of substance abuse treatment programs and 59 substance abuse prevention services to families, (ii) safety planning 60 supports for children, and (iii) targeted distribution of naloxone to 61 parents and caregivers. 62 (2) On or before January 1, 2025, and triennially thereafter, the 63 standing subcommittee shall: 64 (A) Submit such recommendations to the council to consider for 65 inclusion in (i) the integrated plan, pursuant to subsection (d) of this 66 section, and (ii) any recommendations to the Commissioner of Mental 67 Health and Addiction Services when the council consults with the 68 commissioner on the state substance use disorder plan, developed 69 pursuant to subsection (j) of section 17a-451; 70 (B) Submit such recommendations to the Opioid Settlement Advisory 71 Committee, established pursuant to section 17a-674d; and 72 (C) Report on such recommendations, in accordance with the 73 provisions of section 11-4a, to the joint standing committees of the 74 General Assembly having cognizance of matters relating to public 75 health, appropriations and the budgets of state agencies and children. 76 Sec. 2. (Effective from passage) The Commissioner of Social Services and 77 the Insurance Commissioner, in consultation with the Commissioners 78 of Public Health and Mental Health and Addiction Services, shall 79 develop a plan to require Medicaid and private insurance coverage for 80 Raised Bill No. 274 LCO No. 2223 4 of 4 opioid antagonists for patients prescribed an opioid drug upon 81 discharge from a hospital or emergency department. Not later than 82 January 1, 2025, the commissioners shall report, in accordance with the 83 provisions of section 11-4a of the general statutes, to the joint standing 84 committees of the General Assembly having cognizance of matters 85 relating to public health, human services, general law and insurance 86 regarding such plan. For the purposes of this section, "opioid 87 antagonist" has the same meaning as provided in section 17a-714a of the 88 general statutes, and "opioid drug" has the same meaning as provided 89 in section 20-14o of the general statutes. 90 This act shall take effect as follows and shall amend the following sections: Section 1 from passage 17a-667 Sec. 2 from passage New section Statement of Purpose: To require (1) the Connecticut Alcohol and Drug Policy Council to establish a standing subcommittee to examine programs and services for parents and caregivers impacted by substance use disorder and their children and make recommendations regarding such programs and services, and (2) the Commissioner of Social Services and the Insurance Commissioner to develop a plan to require Medicaid and private insurance coverage for opioid antagonists for certain hospital and emergency department patients. [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]