9 | 15 | | |
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10 | 16 | | |
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11 | 17 | | |
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12 | 18 | | |
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13 | 19 | | AN ACT CONCERNING THE DEPARTMENT OF MENTAL HEALTH |
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14 | 20 | | AND ADDICTION SERVICES' RECOMMENDATIONS REGARDING |
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15 | 21 | | VARIOUS REVISIONS TO MENTAL HEALTH AND ADDICTION |
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16 | 22 | | SERVICES STATUTES. |
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17 | 23 | | Be it enacted by the Senate and House of Representatives in General |
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18 | 24 | | Assembly convened: |
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19 | 25 | | |
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20 | 26 | | Section 1. Subparagraph (D) of subdivision (2) of subsection (e) of 1 |
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21 | 27 | | section 54-56q of the general statutes is repealed and the following is 2 |
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22 | 28 | | substituted in lieu thereof (Effective July 1, 2025): 3 |
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23 | 29 | | (D) If the court finds that a person is indigent and unable to pay for 4 |
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24 | 30 | | the substance use treatment component of the program, the court may 5 |
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25 | 31 | | waive all or any portion of the program fee for that component and the 6 |
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26 | 32 | | costs of such treatment, provided that such person participates in such 7 |
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27 | 33 | | treatment at a substance use treatment provider licensed by and located 8 |
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28 | 34 | | in this state. If such person has health insurance coverage through 9 |
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29 | 35 | | private health insurance, Medicare or Medicaid, any eligible costs 10 |
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30 | | - | waived under this subparagraph shall be paid by such insurance for any 11 |
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31 | | - | covered benefit. Any costs waived under this subparagraph that are not 12 |
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32 | | - | covered by such person's private health insurance, Medicare or 13 |
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33 | | - | Medicaid, including, but not limited to, any copay, coinsurance, 14 |
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34 | | - | deductible or other out-of-pocket expense attributable to such person's 15 |
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35 | | - | private insurance, Medicare or Medicaid, shall be paid by the 16 Substitute Bill No. 6834 |
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| 36 | + | waived under this subparagraph shall be paid by such insurance. Any 11 |
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| 37 | + | costs waived under this subparagraph that are not covered by such 12 |
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| 38 | + | person's private health insurance, Medicare or Medicaid, including, but 13 |
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| 39 | + | not limited to, any copay, coinsurance, deductible or other out-of-pocket 14 |
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| 40 | + | Raised Bill No. 6834 |
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41 | 49 | | Sec. 2. Subparagraph (D) of subdivision (3) of subsection (f) of section 18 |
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42 | 50 | | 54-56r of the general statutes is repealed and the following is substituted 19 |
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43 | 51 | | in lieu thereof (Effective July 1, 2025): 20 |
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44 | 52 | | (D) If the court finds that a person is indigent and unable to pay for 21 |
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45 | 53 | | the substance use treatment component of the program, the court may 22 |
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46 | 54 | | waive all or any portion of the program fee for that component and the 23 |
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47 | 55 | | costs of such treatment, provided that such person participates in such 24 |
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48 | 56 | | treatment at a substance use treatment provider licensed by and located 25 |
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49 | 57 | | in this state. If such person has health insurance coverage through 26 |
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50 | 58 | | private health insurance, Medicare or Medicaid, any eligible costs 27 |
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51 | | - | waived under this subparagraph shall be paid by such insurance for any 28 |
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52 | | - | covered benefit. Any costs waived under this subparagraph that are not 29 |
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53 | | - | covered by such person's private health insurance, Medicare or 30 |
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54 | | - | Medicaid, including, but not limited to, any copay, coinsurance, 31 |
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55 | | - | deductible or other out-of-pocket expense attributable to such person's 32 |
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56 | | - | private insurance, Medicare or Medicaid, shall be paid by the 33 |
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57 | | - | Department of Mental Health and Addiction Services. 34 |
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| 59 | + | waived under this subparagraph shall be paid by such insurance. Any 28 |
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| 60 | + | costs waived under this subparagraph that are not covered by such 29 |
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| 61 | + | person's private health insurance, Medicare or Medicaid, including, but 30 |
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| 62 | + | not limited to, any copay, coinsurance, deductible or other out-of-pocket 31 |
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| 63 | + | expense attributable to such person's private insurance, Medicare or 32 |
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| 64 | + | Medicaid, shall be paid by the Department of Mental Health and 33 |
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| 65 | + | Addiction Services. 34 |
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58 | 66 | | Sec. 3. Subsection (b) of section 17a-450 of the general statutes is 35 |
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59 | 67 | | repealed and the following is substituted in lieu thereof (Effective October 36 |
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60 | 68 | | 1, 2025): 37 |
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61 | 69 | | (b) For the purposes of chapter 48, the Department of Mental Health 38 |
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62 | 70 | | and Addiction Services shall be organized to promote comprehensive, 39 |
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63 | 71 | | client-based services in the areas of mental health treatment and 40 |
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64 | 72 | | substance [abuse] use treatment and to ensure the programmatic 41 |
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65 | 73 | | integrity and clinical identity of services in each area. The department 42 |
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66 | 74 | | shall perform the functions of: Centralized administration, planning 43 |
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67 | 75 | | and program development; prevention and treatment programs and 44 |
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68 | 76 | | facilities, both inpatient and outpatient, for persons with psychiatric 45 |
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76 | 86 | | persons with substance use disorders, or both; training and education; 49 |
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77 | 87 | | and research and evaluation of programs and facilities providing 50 |
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78 | 88 | | services for persons with psychiatric disabilities or persons with 51 |
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79 | 89 | | substance use disorders, or both. The department shall include, but not 52 |
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80 | 90 | | be limited to, the following divisions and facilities or their successor 53 |
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81 | 91 | | facilities: The office of the Commissioner of Mental Health and 54 |
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82 | 92 | | Addiction Services; Capitol Region Mental Health Center; Connecticut 55 |
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83 | 93 | | Valley Hospital, including the Addictions Division and the General 56 |
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84 | 94 | | Psychiatric Division of Connecticut Valley Hospital; the Whiting 57 |
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85 | 95 | | Forensic Hospital; the Connecticut Mental Health Center; Ribicoff 58 |
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86 | 96 | | Research Center; the Southwest Connecticut Mental Health System, 59 |
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87 | 97 | | including the Franklin S. DuBois Center and the Greater Bridgeport 60 |
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88 | 98 | | Community Mental Health Center; the Southeastern Mental Health 61 |
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89 | 99 | | Authority; River Valley Services; the Western Connecticut Mental 62 |
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90 | 100 | | Health Network; and any other state-operated facility for the treatment 63 |
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91 | 101 | | of persons with psychiatric disabilities or persons with substance use 64 |
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92 | 102 | | disorders, or both, but shall not include those portions of such facilities 65 |
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93 | 103 | | transferred to the Department of Children and Families for the purpose 66 |
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94 | 104 | | of consolidation of children's services. All department divisions and 67 |
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95 | 105 | | facilities shall provide their patient records to the electronic health 68 |
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96 | 106 | | record system established pursuant to subdivision (7) of subsection (c) 69 |
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97 | 107 | | of this section. Disclosures of patient information from the electronic 70 |
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98 | 108 | | health record system outside of the department shall be in accordance 71 |
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99 | 109 | | with applicable federal and state law. 72 |
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100 | 110 | | Sec. 4. Subsection (d) of section 17a-450 of the general statutes is 73 |
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101 | 111 | | repealed and the following is substituted in lieu thereof (Effective October 74 |
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102 | 112 | | 1, 2025): 75 |
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103 | 113 | | (d) The Department of Mental Health and Addiction Services is 76 |
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104 | 114 | | designated as the lead state agency for substance [abuse] use prevention 77 |
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105 | 115 | | and treatment in this state, and as such is designated as the state 78 |
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114 | 126 | | Human Services to exercise responsibility and authority for the 83 |
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115 | 127 | | treatment of opiate addiction with an opioid medication, and 84 |
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116 | 128 | | specifically for: (1) Approval of exceptions to federal opioid treatment 85 |
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117 | 129 | | protocols in accordance with the Center for Substance Abuse Treatment, 86 |
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118 | 130 | | (2) monitoring all opioid treatment programs in the state, and (3) 87 |
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119 | 131 | | approval of Center for Substance Abuse Treatment certification of all 88 |
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120 | 132 | | opioid treatment programs in the state. The Commissioner of Mental 89 |
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121 | 133 | | Health and Addiction Services may adopt regulations in accordance 90 |
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122 | 134 | | with chapter 54 to carry out the provisions of this subsection. 91 |
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123 | 135 | | Sec. 5. Subsection (a) of section 17a-451 of the general statutes is 92 |
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124 | 136 | | repealed and the following is substituted in lieu thereof (Effective October 93 |
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125 | 137 | | 1, 2025): 94 |
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126 | 138 | | (a) The Commissioner of Mental Health and Addiction Services shall 95 |
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127 | 139 | | be a qualified person with a master's degree or higher in a health-related 96 |
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128 | 140 | | field and at least ten years' experience in hospital, health, mental health 97 |
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129 | 141 | | or substance [abuse] use administration. 98 |
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130 | 142 | | Sec. 6. Section 17a-464 of the general statutes is repealed and the 99 |
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131 | 143 | | following is substituted in lieu thereof (Effective October 1, 2025): 100 |
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132 | 144 | | The Ribicoff Research Center is established and shall be operated by 101 |
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133 | 145 | | the Department of Mental Health and Addiction Services as a facility 102 |
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134 | 146 | | with state-wide responsibility for research in mental health or substance 103 |
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135 | 147 | | [abuse] use, or both, to include, but not be limited to, the following 104 |
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136 | 148 | | areas: Neurochemistry, neurophysiology, clinical behavior and clinical 105 |
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137 | 149 | | evaluation. 106 |
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138 | 150 | | Sec. 7. Section 17a-484c of the general statutes is repealed and the 107 |
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139 | 151 | | following is substituted in lieu thereof (Effective October 1, 2025): 108 |
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149 | 163 | | Commissioner of Mental Health and Addiction Services may adopt 114 |
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150 | 164 | | regulations, in accordance with chapter 54, to carry out the provisions 115 |
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151 | 165 | | of this section. 116 |
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152 | 166 | | Sec. 8. Subsection (b) of section 17a-484f of the general statutes is 117 |
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153 | 167 | | repealed and the following is substituted in lieu thereof (Effective October 118 |
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154 | 168 | | 1, 2025): 119 |
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155 | 169 | | (b) The duties of each regional behavioral health action organization, 120 |
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156 | 170 | | within its mental health region, shall include, but need not be limited to: 121 |
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157 | 171 | | (1) Assessing the behavioral health needs of children, adolescents and 122 |
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158 | 172 | | adults across the region and engaging with stakeholders to identify 123 |
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159 | 173 | | needs, problems, barriers and gaps in the behavioral health service 124 |
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160 | 174 | | continuum, (2) enhancing the capacity of local communities to 125 |
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161 | 175 | | understand and address problem gambling, (3) raising awareness and 126 |
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162 | 176 | | advocating for the general public for mental health promotion and 127 |
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163 | 177 | | substance [abuse] use prevention, treatment and recovery, (4) receiving 128 |
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164 | 178 | | and expanding federal, state and local funds and leveraging funds to 129 |
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165 | 179 | | support behavioral health promotion, prevention, treatment and 130 |
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166 | 180 | | recovery activities, (5) serving on local, regional and state advisory and 131 |
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167 | 181 | | planning bodies, (6) within available appropriations, providing training 132 |
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168 | 182 | | in the administration of an opioid antagonist, as defined in section 17a-133 |
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169 | 183 | | 714a, and distributing supplies of opioid antagonists to communities, 134 |
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170 | 184 | | (7) reporting community needs, program review findings and 135 |
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171 | 185 | | conclusions annually to the relevant local, regional and state 136 |
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172 | 186 | | stakeholders with recommendations for the establishment, modification 137 |
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173 | 187 | | or expansion of behavioral health services within the mental health 138 |
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174 | 188 | | region, and (8) serving as the regional partner responsible for 139 |
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175 | 189 | | coordinating and aligning federal, state, regional and local behavioral 140 |
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176 | 190 | | health initiatives. 141 |
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185 | 201 | | within available appropriations, operate a behavioral health recovery 146 |
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186 | 202 | | program to provide clinical substance [abuse] use treatment, psychiatric 147 |
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187 | 203 | | treatment and nonclinical recovery support services, which are not 148 |
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188 | 204 | | covered under the Medicaid program, for individuals with substance 149 |
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189 | 205 | | use disorders or psychiatric disabilities who are eligible for Medicaid 150 |
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190 | 206 | | pursuant to Sections 1902(a)(10)(A)(i)(VIII) and 1902(k)(2) of the Social 151 |
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191 | 207 | | Security Act. Services provided under the program may include, but 152 |
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192 | 208 | | shall not be limited to, residential substance [abuse] use treatment, 153 |
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193 | 209 | | recovery support services, peer supports, housing assistance, 154 |
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194 | 210 | | transportation, food, clothing and personal care items. The Department 155 |
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195 | 211 | | of Mental Health and Addiction Services shall be responsible for all 156 |
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196 | 212 | | services and payments related to the provision of the behavioral health 157 |
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197 | 213 | | recovery support services for eligible recipients. 158 |
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198 | 214 | | Sec. 10. Section 17a-667 of the general statutes is repealed and the 159 |
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199 | 215 | | following is substituted in lieu thereof (Effective October 1, 2025): 160 |
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200 | 216 | | (a) There is established a Connecticut Alcohol and Drug Policy 161 |
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201 | 217 | | Council which shall be within the Department of Mental Health and 162 |
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202 | 218 | | Addiction Services. 163 |
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203 | 219 | | (b) The council shall consist of the following members: (1) The 164 |
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204 | 220 | | Secretary of the Office of Policy and Management, or the secretary's 165 |
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205 | 221 | | designee; (2) the Commissioners of Children and Families, Consumer 166 |
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206 | 222 | | Protection, Correction, Education, Mental Health and Addiction 167 |
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207 | 223 | | Services, Public Health, Emergency Services and Public Protection, 168 |
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208 | 224 | | Aging and Disability Services and Social Services, and the Insurance 169 |
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209 | 225 | | Commissioner, or their designees; (3) the Chief Court Administrator, or 170 |
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210 | 226 | | the Chief Court Administrator's designee; (4) the chairperson of the 171 |
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211 | 227 | | Board of Regents for Higher Education, or the chairperson's designee; 172 |
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222 | 240 | | relating to public health, criminal justice and appropriations, or their 179 |
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223 | 241 | | designees. The Commissioner of Mental Health and Addiction Services 180 |
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224 | 242 | | and the Commissioner of Children and Families shall be cochairpersons 181 |
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225 | 243 | | of the council and may jointly appoint up to seven individuals to the 182 |
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226 | 244 | | council as follows: (A) Two individuals in recovery from a substance use 183 |
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227 | 245 | | disorder or representing an advocacy group for individuals with a 184 |
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228 | 246 | | substance use disorder; (B) a provider of community-based substance 185 |
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229 | 247 | | [abuse] use services for adults; (C) a provider of community-based 186 |
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230 | 248 | | substance [abuse] use services for adolescents; (D) an addiction 187 |
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231 | 249 | | medicine physician; (E) a family member of an individual in recovery 188 |
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232 | 250 | | from a substance use disorder; and (F) an emergency medicine 189 |
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233 | 251 | | physician currently practicing in a Connecticut hospital. The 190 |
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234 | 252 | | cochairpersons of the council may establish subcommittees and 191 |
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235 | 253 | | working groups and may appoint individuals other than members of 192 |
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236 | 254 | | the council to serve as members of the subcommittees or working 193 |
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237 | 255 | | groups. Such individuals may include, but need not be limited to: (i) 194 |
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238 | 256 | | Licensed alcohol and drug counselors; (ii) pharmacists; (iii) municipal 195 |
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239 | 257 | | police chiefs; (iv) emergency medical services personnel; and (v) 196 |
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240 | 258 | | representatives of organizations that provide education, prevention, 197 |
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241 | 259 | | intervention, referrals, rehabilitation or support services to individuals 198 |
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242 | 260 | | with substance use disorder or chemical dependency. 199 |
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243 | 261 | | (c) The council shall review policies and practices of state agencies 200 |
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244 | 262 | | and the Judicial Department concerning substance [abuse] use 201 |
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245 | 263 | | treatment programs, substance [abuse] use prevention services, the 202 |
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246 | 264 | | referral of persons to such programs and services, and criminal justice 203 |
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247 | 265 | | sanctions and programs and shall develop and coordinate a state-wide, 204 |
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248 | 266 | | interagency, integrated plan for such programs and services and 205 |
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259 | 279 | | 1, 2025): 212 |
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260 | 280 | | (e) The Connecticut Alcohol and Drug Policy Council shall convene 213 |
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261 | 281 | | a working group to study substance [abuse] use treatment referral 214 |
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262 | 282 | | programs that have been established by municipal police departments 215 |
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263 | 283 | | to refer persons with an opioid use disorder or seeking recovery from 216 |
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264 | 284 | | drug addiction to substance [abuse] use treatment facilities. The 217 |
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265 | 285 | | working group shall (1) examine such referral programs, (2) identify any 218 |
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266 | 286 | | barriers faced by such referral programs, and (3) determine the 219 |
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267 | 287 | | feasibility of implementing such programs on a state-wide basis. Not 220 |
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268 | 288 | | later than February 1, 2018, the council shall report, in accordance with 221 |
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269 | 289 | | the provisions of section 11-4a, to the joint standing committees of the 222 |
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270 | 290 | | General Assembly having cognizance of matters relating to public 223 |
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271 | 291 | | health and public safety and security regarding the findings of the 224 |
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272 | 292 | | working group. 225 |
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273 | 293 | | Sec. 12. Subsections (a) and (b) of section 17a-674d of the general 226 |
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274 | 294 | | statutes are repealed and the following is substituted in lieu thereof 227 |
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275 | 295 | | (Effective from passage): 228 |
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276 | 296 | | (a) There is established an Opioid Settlement Advisory Committee to 229 |
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277 | 297 | | ensure (1) that proceeds received by the state pursuant to section 17a-230 |
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278 | 298 | | 674c are allocated and spent on substance use disorder abatement 231 |
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279 | 299 | | infrastructure, programs, services, supports and resources for 232 |
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280 | 300 | | prevention, treatment, recovery and harm reduction, and (2) robust 233 |
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281 | 301 | | public involvement, accountability and transparency in allocating and 234 |
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282 | 302 | | accounting for the moneys in the fund. 235 |
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293 | 315 | | who shall serve as ex-officio members; 242 |
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294 | 316 | | (4) The president pro tempore of the Senate, the speaker of the House 243 |
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295 | 317 | | of Representatives, the majority leaders of the Senate and House of 244 |
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296 | 318 | | Representatives, the minority leaders of the Senate and House of 245 |
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297 | 319 | | Representatives, the Senate and House chairpersons and ranking 246 |
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298 | 320 | | members of the joint standing committees of the General Assembly 247 |
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299 | 321 | | having cognizance of matters relating to appropriations and the budgets 248 |
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300 | 322 | | of state agencies and public health, or their designees, provided such 249 |
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301 | 323 | | persons have experience living with a substance use disorder or are the 250 |
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302 | 324 | | family member of a person who has experience living with a substance 251 |
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303 | 325 | | use disorder; 252 |
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304 | 326 | | (5) [Twenty-three] Twenty-five individuals representing 253 |
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305 | 327 | | municipalities, who shall be appointed by the Governor; 254 |
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306 | 328 | | (6) The executive director of the Commission on Racial Equity in 255 |
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307 | 329 | | Public Health, or a representative of the commission designated by the 256 |
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308 | 330 | | executive director; and 257 |
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309 | 331 | | (7) Eight individuals appointed by the commissioner as follows: (A) 258 |
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310 | 332 | | A provider of community-based substance use treatment services for 259 |
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311 | 333 | | adults, who shall be a nonvoting member; (B) a provider of community-260 |
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312 | 334 | | based substance use treatment services for adolescents, who shall be a 261 |
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313 | 335 | | nonvoting member; (C) an addiction medicine licensed health care 262 |
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314 | 336 | | professional with prescribing ability, who shall be a nonvoting member; 263 |
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315 | 337 | | (D) three individuals with experience living with a substance use 264 |
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328 | 352 | | substance through the use of telehealth, except a schedule II or III 273 |
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329 | 353 | | controlled substance [other than an opioid drug, as defined in section 274 |
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330 | 354 | | 20-14o,] used (1) as part of medication-assisted treatment, or (2) for the 275 |
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331 | 355 | | treatment of persons with psychiatric disabilities or substance use 276 |
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332 | 356 | | disorders, as defined in section 17a-458, provided such prescription is 277 |
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333 | 357 | | provided in a manner fully consistent with the Ryan Haight Online 278 |
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334 | 358 | | Pharmacy Consumer Protection Act, 21 USC 829(e), as amended from 279 |
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335 | 359 | | time to time. [, for the treatment of a person with a psychiatric disability 280 |
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336 | 360 | | or substance use disorder, as defined in section 17a-458, including, but 281 |
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337 | 361 | | not limited to, medication-assisted treatment.] A telehealth provider 282 |
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338 | 362 | | using telehealth to prescribe a schedule II or III controlled substance 283 |
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339 | 363 | | pursuant to this subsection shall electronically submit the prescription 284 |
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340 | 364 | | pursuant to section 21a-249. 285 |
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341 | 365 | | Sec. 14. Subdivision (4) of subsection (a) of section 17a-674h of the 286 |
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342 | 366 | | general statutes is repealed and the following is substituted in lieu 287 |
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343 | 367 | | thereof (Effective from passage): 288 |
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344 | 368 | | (4) "Opioid drug" has the same meaning as provided in [42 CFR 8.2, 289 |
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345 | 369 | | as amended from time to time] section 20-14o, as amended by this act; 290 |
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346 | 370 | | Sec. 15. Subdivision (1) of subsection (a) of section 20-14o of the 291 |
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347 | 371 | | general statutes is repealed and the following is substituted in lieu 292 |
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348 | 372 | | thereof (Effective from passage): 293 |
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350 | 380 | | means "opioid", as defined in 21 USC 802, as amended from time to time; 295 |
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351 | 381 | | Sec. 16. Subdivision (1) of subsection (a) of section 20-14r of the 296 |
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352 | 382 | | general statutes is repealed and the following is substituted in lieu 297 |
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353 | 383 | | thereof (Effective from passage): 298 |
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354 | 384 | | (1) "Opioid drug" has the same meaning as provided in [42 CFR 8.2, 299 |
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355 | 385 | | as amended from time to time] section 20-14o, as amended by this act; 300 |
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356 | 386 | | Sec. 17. Subsection (a) of section 20-633d of the general statutes is 301 |
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362 | 388 | | passage): 303 |
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363 | 389 | | (a) A prescribing practitioner, as defined in section 20-14c, who is 304 |
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364 | 390 | | authorized to prescribe an opioid antagonist, as defined in section 17a-305 |
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365 | 391 | | 714a, and a pharmacy may enter into an agreement for a medical 306 |
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366 | 392 | | protocol standing order at such pharmacy allowing a pharmacist 307 |
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367 | 393 | | licensed under part II of this chapter to dispense an opioid antagonist 308 |
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368 | 394 | | that is (1) administered by an intranasal application delivery system or 309 |
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369 | 395 | | an auto-injection delivery system, (2) approved by the federal Food and 310 |
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370 | 396 | | Drug Administration, and (3) dispensed to any person at risk of 311 |
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371 | 397 | | experiencing an overdose of an opioid drug, as defined in [42 CFR 8.2] 312 |
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372 | 398 | | section 20-14o, as amended by this act, or to a family member, friend or 313 |
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373 | 399 | | other person in a position to assist a person at risk of experiencing an 314 |
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374 | 400 | | overdose of an opioid drug. 315 |
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375 | 401 | | This act shall take effect as follows and shall amend the following |
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376 | 402 | | sections: |
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377 | 403 | | |
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378 | 404 | | Section 1 July 1, 2025 54-56q(e)(2)(D) |
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379 | 405 | | Sec. 2 July 1, 2025 54-56r(f)(3)(D) |
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380 | 406 | | Sec. 3 October 1, 2025 17a-450(b) |
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381 | 407 | | Sec. 4 October 1, 2025 17a-450(d) |
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382 | 408 | | Sec. 5 October 1, 2025 17a-451(a) |
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383 | 409 | | Sec. 6 October 1, 2025 17a-464 |
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384 | 410 | | Sec. 7 October 1, 2025 17a-484c |
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385 | 411 | | Sec. 8 October 1, 2025 17a-484f(b) |
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386 | 418 | | Sec. 9 October 1, 2025 17a-485i(a) |
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387 | 419 | | Sec. 10 October 1, 2025 17a-667 |
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388 | 420 | | Sec. 11 October 1, 2025 17a-667a(e) |
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389 | 421 | | Sec. 12 from passage 17a-674d(a) and (b) |
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390 | 422 | | Sec. 13 from passage 19a-906(c) |
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391 | 423 | | Sec. 14 from passage 17a-674h(a)(4) |
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392 | 424 | | Sec. 15 from passage 20-14o(a)(1) |
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393 | 425 | | Sec. 16 from passage 20-14r(a)(1) |
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394 | 426 | | Sec. 17 from passage 20-633d(a) |
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395 | 427 | | |
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