Connecticut 2025 Regular Session

Connecticut House Bill HB06834 Compare Versions

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3-LCO 1 of 11
3+LCO No. 3872 1 of 12
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5+General Assembly Raised Bill No. 6834
6+January Session, 2025
7+LCO No. 3872
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6-General Assembly Substitute Bill No. 6834
7-January Session, 2025
10+Referred to Committee on PUBLIC HEALTH
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12+
13+Introduced by:
14+(PH)
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1016
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1319 AN ACT CONCERNING THE DEPARTMENT OF MENTAL HEALTH
1420 AND ADDICTION SERVICES' RECOMMENDATIONS REGARDING
1521 VARIOUS REVISIONS TO MENTAL HEALTH AND ADDICTION
1622 SERVICES STATUTES.
1723 Be it enacted by the Senate and House of Representatives in General
1824 Assembly convened:
1925
2026 Section 1. Subparagraph (D) of subdivision (2) of subsection (e) of 1
2127 section 54-56q of the general statutes is repealed and the following is 2
2228 substituted in lieu thereof (Effective July 1, 2025): 3
2329 (D) If the court finds that a person is indigent and unable to pay for 4
2430 the substance use treatment component of the program, the court may 5
2531 waive all or any portion of the program fee for that component and the 6
2632 costs of such treatment, provided that such person participates in such 7
2733 treatment at a substance use treatment provider licensed by and located 8
2834 in this state. If such person has health insurance coverage through 9
2935 private health insurance, Medicare or Medicaid, any eligible costs 10
30-waived under this subparagraph shall be paid by such insurance for any 11
31-covered benefit. Any costs waived under this subparagraph that are not 12
32-covered by such person's private health insurance, Medicare or 13
33-Medicaid, including, but not limited to, any copay, coinsurance, 14
34-deductible or other out-of-pocket expense attributable to such person's 15
35-private insurance, Medicare or Medicaid, shall be paid by the 16 Substitute Bill No. 6834
36+waived under this subparagraph shall be paid by such insurance. Any 11
37+costs waived under this subparagraph that are not covered by such 12
38+person's private health insurance, Medicare or Medicaid, including, but 13
39+not limited to, any copay, coinsurance, deductible or other out-of-pocket 14
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40-Department of Mental Health and Addiction Services. 17
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46+expense attributable to such person's private insurance, Medicare or 15
47+Medicaid, shall be paid by the Department of Mental Health and 16
48+Addiction Services. 17
4149 Sec. 2. Subparagraph (D) of subdivision (3) of subsection (f) of section 18
4250 54-56r of the general statutes is repealed and the following is substituted 19
4351 in lieu thereof (Effective July 1, 2025): 20
4452 (D) If the court finds that a person is indigent and unable to pay for 21
4553 the substance use treatment component of the program, the court may 22
4654 waive all or any portion of the program fee for that component and the 23
4755 costs of such treatment, provided that such person participates in such 24
4856 treatment at a substance use treatment provider licensed by and located 25
4957 in this state. If such person has health insurance coverage through 26
5058 private health insurance, Medicare or Medicaid, any eligible costs 27
51-waived under this subparagraph shall be paid by such insurance for any 28
52-covered benefit. Any costs waived under this subparagraph that are not 29
53-covered by such person's private health insurance, Medicare or 30
54-Medicaid, including, but not limited to, any copay, coinsurance, 31
55-deductible or other out-of-pocket expense attributable to such person's 32
56-private insurance, Medicare or Medicaid, shall be paid by the 33
57-Department of Mental Health and Addiction Services. 34
59+waived under this subparagraph shall be paid by such insurance. Any 28
60+costs waived under this subparagraph that are not covered by such 29
61+person's private health insurance, Medicare or Medicaid, including, but 30
62+not limited to, any copay, coinsurance, deductible or other out-of-pocket 31
63+expense attributable to such person's private insurance, Medicare or 32
64+Medicaid, shall be paid by the Department of Mental Health and 33
65+Addiction Services. 34
5866 Sec. 3. Subsection (b) of section 17a-450 of the general statutes is 35
5967 repealed and the following is substituted in lieu thereof (Effective October 36
6068 1, 2025): 37
6169 (b) For the purposes of chapter 48, the Department of Mental Health 38
6270 and Addiction Services shall be organized to promote comprehensive, 39
6371 client-based services in the areas of mental health treatment and 40
6472 substance [abuse] use treatment and to ensure the programmatic 41
6573 integrity and clinical identity of services in each area. The department 42
6674 shall perform the functions of: Centralized administration, planning 43
6775 and program development; prevention and treatment programs and 44
6876 facilities, both inpatient and outpatient, for persons with psychiatric 45
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6983 disabilities or persons with substance use disorders, or both; community 46
7084 mental health centers and community or regional programs and 47
71-facilities providing services for persons with psychiatric disabilities or 48 Substitute Bill No. 6834
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85+facilities providing services for persons with psychiatric disabilities or 48
7686 persons with substance use disorders, or both; training and education; 49
7787 and research and evaluation of programs and facilities providing 50
7888 services for persons with psychiatric disabilities or persons with 51
7989 substance use disorders, or both. The department shall include, but not 52
8090 be limited to, the following divisions and facilities or their successor 53
8191 facilities: The office of the Commissioner of Mental Health and 54
8292 Addiction Services; Capitol Region Mental Health Center; Connecticut 55
8393 Valley Hospital, including the Addictions Division and the General 56
8494 Psychiatric Division of Connecticut Valley Hospital; the Whiting 57
8595 Forensic Hospital; the Connecticut Mental Health Center; Ribicoff 58
8696 Research Center; the Southwest Connecticut Mental Health System, 59
8797 including the Franklin S. DuBois Center and the Greater Bridgeport 60
8898 Community Mental Health Center; the Southeastern Mental Health 61
8999 Authority; River Valley Services; the Western Connecticut Mental 62
90100 Health Network; and any other state-operated facility for the treatment 63
91101 of persons with psychiatric disabilities or persons with substance use 64
92102 disorders, or both, but shall not include those portions of such facilities 65
93103 transferred to the Department of Children and Families for the purpose 66
94104 of consolidation of children's services. All department divisions and 67
95105 facilities shall provide their patient records to the electronic health 68
96106 record system established pursuant to subdivision (7) of subsection (c) 69
97107 of this section. Disclosures of patient information from the electronic 70
98108 health record system outside of the department shall be in accordance 71
99109 with applicable federal and state law. 72
100110 Sec. 4. Subsection (d) of section 17a-450 of the general statutes is 73
101111 repealed and the following is substituted in lieu thereof (Effective October 74
102112 1, 2025): 75
103113 (d) The Department of Mental Health and Addiction Services is 76
104114 designated as the lead state agency for substance [abuse] use prevention 77
105115 and treatment in this state, and as such is designated as the state 78
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106122 methadone authority. As the designated state methadone authority, the 79
107123 department is authorized by the federal Center for Substance Abuse 80
108124 Treatment of the Substance Abuse and Mental Health Services 81
109-Administration within the United States Department of Health and 82 Substitute Bill No. 6834
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125+Administration within the United States Department of Health and 82
114126 Human Services to exercise responsibility and authority for the 83
115127 treatment of opiate addiction with an opioid medication, and 84
116128 specifically for: (1) Approval of exceptions to federal opioid treatment 85
117129 protocols in accordance with the Center for Substance Abuse Treatment, 86
118130 (2) monitoring all opioid treatment programs in the state, and (3) 87
119131 approval of Center for Substance Abuse Treatment certification of all 88
120132 opioid treatment programs in the state. The Commissioner of Mental 89
121133 Health and Addiction Services may adopt regulations in accordance 90
122134 with chapter 54 to carry out the provisions of this subsection. 91
123135 Sec. 5. Subsection (a) of section 17a-451 of the general statutes is 92
124136 repealed and the following is substituted in lieu thereof (Effective October 93
125137 1, 2025): 94
126138 (a) The Commissioner of Mental Health and Addiction Services shall 95
127139 be a qualified person with a master's degree or higher in a health-related 96
128140 field and at least ten years' experience in hospital, health, mental health 97
129141 or substance [abuse] use administration. 98
130142 Sec. 6. Section 17a-464 of the general statutes is repealed and the 99
131143 following is substituted in lieu thereof (Effective October 1, 2025): 100
132144 The Ribicoff Research Center is established and shall be operated by 101
133145 the Department of Mental Health and Addiction Services as a facility 102
134146 with state-wide responsibility for research in mental health or substance 103
135147 [abuse] use, or both, to include, but not be limited to, the following 104
136148 areas: Neurochemistry, neurophysiology, clinical behavior and clinical 105
137149 evaluation. 106
138150 Sec. 7. Section 17a-484c of the general statutes is repealed and the 107
139151 following is substituted in lieu thereof (Effective October 1, 2025): 108
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140158 Any licensed residential treatment facility that provides adult mental 109
141159 health or substance [abuse] use treatment services, or both, and receives 110
142160 state funds for the provision of such services shall prepare a discharge 111
143161 plan, including housing referrals, for each client receiving such services 112
144-prior to such client's release from such residential treatment facility. The 113 Substitute Bill No. 6834
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162+prior to such client's release from such residential treatment facility. The 113
149163 Commissioner of Mental Health and Addiction Services may adopt 114
150164 regulations, in accordance with chapter 54, to carry out the provisions 115
151165 of this section. 116
152166 Sec. 8. Subsection (b) of section 17a-484f of the general statutes is 117
153167 repealed and the following is substituted in lieu thereof (Effective October 118
154168 1, 2025): 119
155169 (b) The duties of each regional behavioral health action organization, 120
156170 within its mental health region, shall include, but need not be limited to: 121
157171 (1) Assessing the behavioral health needs of children, adolescents and 122
158172 adults across the region and engaging with stakeholders to identify 123
159173 needs, problems, barriers and gaps in the behavioral health service 124
160174 continuum, (2) enhancing the capacity of local communities to 125
161175 understand and address problem gambling, (3) raising awareness and 126
162176 advocating for the general public for mental health promotion and 127
163177 substance [abuse] use prevention, treatment and recovery, (4) receiving 128
164178 and expanding federal, state and local funds and leveraging funds to 129
165179 support behavioral health promotion, prevention, treatment and 130
166180 recovery activities, (5) serving on local, regional and state advisory and 131
167181 planning bodies, (6) within available appropriations, providing training 132
168182 in the administration of an opioid antagonist, as defined in section 17a-133
169183 714a, and distributing supplies of opioid antagonists to communities, 134
170184 (7) reporting community needs, program review findings and 135
171185 conclusions annually to the relevant local, regional and state 136
172186 stakeholders with recommendations for the establishment, modification 137
173187 or expansion of behavioral health services within the mental health 138
174188 region, and (8) serving as the regional partner responsible for 139
175189 coordinating and aligning federal, state, regional and local behavioral 140
176190 health initiatives. 141
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177197 Sec. 9. Subsection (a) of section 17a-485i of the general statutes is 142
178198 repealed and the following is substituted in lieu thereof (Effective October 143
179199 1, 2025): 144
180-(a) The Commissioner of Mental Health and Addiction Services shall, 145 Substitute Bill No. 6834
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200+(a) The Commissioner of Mental Health and Addiction Services shall, 145
185201 within available appropriations, operate a behavioral health recovery 146
186202 program to provide clinical substance [abuse] use treatment, psychiatric 147
187203 treatment and nonclinical recovery support services, which are not 148
188204 covered under the Medicaid program, for individuals with substance 149
189205 use disorders or psychiatric disabilities who are eligible for Medicaid 150
190206 pursuant to Sections 1902(a)(10)(A)(i)(VIII) and 1902(k)(2) of the Social 151
191207 Security Act. Services provided under the program may include, but 152
192208 shall not be limited to, residential substance [abuse] use treatment, 153
193209 recovery support services, peer supports, housing assistance, 154
194210 transportation, food, clothing and personal care items. The Department 155
195211 of Mental Health and Addiction Services shall be responsible for all 156
196212 services and payments related to the provision of the behavioral health 157
197213 recovery support services for eligible recipients. 158
198214 Sec. 10. Section 17a-667 of the general statutes is repealed and the 159
199215 following is substituted in lieu thereof (Effective October 1, 2025): 160
200216 (a) There is established a Connecticut Alcohol and Drug Policy 161
201217 Council which shall be within the Department of Mental Health and 162
202218 Addiction Services. 163
203219 (b) The council shall consist of the following members: (1) The 164
204220 Secretary of the Office of Policy and Management, or the secretary's 165
205221 designee; (2) the Commissioners of Children and Families, Consumer 166
206222 Protection, Correction, Education, Mental Health and Addiction 167
207223 Services, Public Health, Emergency Services and Public Protection, 168
208224 Aging and Disability Services and Social Services, and the Insurance 169
209225 Commissioner, or their designees; (3) the Chief Court Administrator, or 170
210226 the Chief Court Administrator's designee; (4) the chairperson of the 171
211227 Board of Regents for Higher Education, or the chairperson's designee; 172
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212234 (5) the president of The University of Connecticut, or the president's 173
213235 designee; (6) the Chief State's Attorney, or the Chief State's Attorney's 174
214236 designee; (7) the Chief Public Defender, or the Chief Public Defender's 175
215237 designee; (8) the Child Advocate, or the Child Advocate's designee; and 176
216238 (9) the cochairpersons and ranking members of the joint standing 177
217-committees of the General Assembly having cognizance of matters 178 Substitute Bill No. 6834
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239+committees of the General Assembly having cognizance of matters 178
222240 relating to public health, criminal justice and appropriations, or their 179
223241 designees. The Commissioner of Mental Health and Addiction Services 180
224242 and the Commissioner of Children and Families shall be cochairpersons 181
225243 of the council and may jointly appoint up to seven individuals to the 182
226244 council as follows: (A) Two individuals in recovery from a substance use 183
227245 disorder or representing an advocacy group for individuals with a 184
228246 substance use disorder; (B) a provider of community-based substance 185
229247 [abuse] use services for adults; (C) a provider of community-based 186
230248 substance [abuse] use services for adolescents; (D) an addiction 187
231249 medicine physician; (E) a family member of an individual in recovery 188
232250 from a substance use disorder; and (F) an emergency medicine 189
233251 physician currently practicing in a Connecticut hospital. The 190
234252 cochairpersons of the council may establish subcommittees and 191
235253 working groups and may appoint individuals other than members of 192
236254 the council to serve as members of the subcommittees or working 193
237255 groups. Such individuals may include, but need not be limited to: (i) 194
238256 Licensed alcohol and drug counselors; (ii) pharmacists; (iii) municipal 195
239257 police chiefs; (iv) emergency medical services personnel; and (v) 196
240258 representatives of organizations that provide education, prevention, 197
241259 intervention, referrals, rehabilitation or support services to individuals 198
242260 with substance use disorder or chemical dependency. 199
243261 (c) The council shall review policies and practices of state agencies 200
244262 and the Judicial Department concerning substance [abuse] use 201
245263 treatment programs, substance [abuse] use prevention services, the 202
246264 referral of persons to such programs and services, and criminal justice 203
247265 sanctions and programs and shall develop and coordinate a state-wide, 204
248266 interagency, integrated plan for such programs and services and 205
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249273 criminal sanctions. 206
250274 (d) Such plan shall be amended not later than January 1, 2017, to 207
251275 contain measurable goals, including, but not limited to, a goal for a 208
252276 reduction in the number of opioid-induced deaths in the state. 209
253277 Sec. 11. Subsection (e) of section 17a-667a of the general statutes is 210
254-repealed and the following is substituted in lieu thereof (Effective October 211 Substitute Bill No. 6834
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256-
257-LCO 8 of 11
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278+repealed and the following is substituted in lieu thereof (Effective October 211
259279 1, 2025): 212
260280 (e) The Connecticut Alcohol and Drug Policy Council shall convene 213
261281 a working group to study substance [abuse] use treatment referral 214
262282 programs that have been established by municipal police departments 215
263283 to refer persons with an opioid use disorder or seeking recovery from 216
264284 drug addiction to substance [abuse] use treatment facilities. The 217
265285 working group shall (1) examine such referral programs, (2) identify any 218
266286 barriers faced by such referral programs, and (3) determine the 219
267287 feasibility of implementing such programs on a state-wide basis. Not 220
268288 later than February 1, 2018, the council shall report, in accordance with 221
269289 the provisions of section 11-4a, to the joint standing committees of the 222
270290 General Assembly having cognizance of matters relating to public 223
271291 health and public safety and security regarding the findings of the 224
272292 working group. 225
273293 Sec. 12. Subsections (a) and (b) of section 17a-674d of the general 226
274294 statutes are repealed and the following is substituted in lieu thereof 227
275295 (Effective from passage): 228
276296 (a) There is established an Opioid Settlement Advisory Committee to 229
277297 ensure (1) that proceeds received by the state pursuant to section 17a-230
278298 674c are allocated and spent on substance use disorder abatement 231
279299 infrastructure, programs, services, supports and resources for 232
280300 prevention, treatment, recovery and harm reduction, and (2) robust 233
281301 public involvement, accountability and transparency in allocating and 234
282302 accounting for the moneys in the fund. 235
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283309 (b) The committee shall consist of the following members: 236
284310 (1) The Secretary of the Office of Policy and Management, or the 237
285311 secretary's designee; 238
286312 (2) The Attorney General, or the Attorney General's designee; 239
287313 (3) The Commissioners of Children and Families, Mental Health and 240
288-Addiction Services and Public Health, or said commissioners' designees, 241 Substitute Bill No. 6834
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314+Addiction Services and Public Health, or said commissioners' designees, 241
293315 who shall serve as ex-officio members; 242
294316 (4) The president pro tempore of the Senate, the speaker of the House 243
295317 of Representatives, the majority leaders of the Senate and House of 244
296318 Representatives, the minority leaders of the Senate and House of 245
297319 Representatives, the Senate and House chairpersons and ranking 246
298320 members of the joint standing committees of the General Assembly 247
299321 having cognizance of matters relating to appropriations and the budgets 248
300322 of state agencies and public health, or their designees, provided such 249
301323 persons have experience living with a substance use disorder or are the 250
302324 family member of a person who has experience living with a substance 251
303325 use disorder; 252
304326 (5) [Twenty-three] Twenty-five individuals representing 253
305327 municipalities, who shall be appointed by the Governor; 254
306328 (6) The executive director of the Commission on Racial Equity in 255
307329 Public Health, or a representative of the commission designated by the 256
308330 executive director; and 257
309331 (7) Eight individuals appointed by the commissioner as follows: (A) 258
310332 A provider of community-based substance use treatment services for 259
311333 adults, who shall be a nonvoting member; (B) a provider of community-260
312334 based substance use treatment services for adolescents, who shall be a 261
313335 nonvoting member; (C) an addiction medicine licensed health care 262
314336 professional with prescribing ability, who shall be a nonvoting member; 263
315337 (D) three individuals with experience living with a substance use 264
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316344 disorder or family members of an individual with experience living 265
317345 with a substance use disorder; and (E) two individuals with experience 266
318346 supporting infants and children affected by the opioid crisis. 267
319347 Sec. 13. Subsection (c) of section 19a-906 of the general statutes is 268
320348 repealed and the following is substituted in lieu thereof (Effective from 269
321349 passage): 270
322350 (c) Notwithstanding the provisions of this section or title 20, no 271
323-telehealth provider shall prescribe any schedule I, II or III controlled 272 Substitute Bill No. 6834
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351+telehealth provider shall prescribe any schedule I, II or III controlled 272
328352 substance through the use of telehealth, except a schedule II or III 273
329353 controlled substance [other than an opioid drug, as defined in section 274
330354 20-14o,] used (1) as part of medication-assisted treatment, or (2) for the 275
331355 treatment of persons with psychiatric disabilities or substance use 276
332356 disorders, as defined in section 17a-458, provided such prescription is 277
333357 provided in a manner fully consistent with the Ryan Haight Online 278
334358 Pharmacy Consumer Protection Act, 21 USC 829(e), as amended from 279
335359 time to time. [, for the treatment of a person with a psychiatric disability 280
336360 or substance use disorder, as defined in section 17a-458, including, but 281
337361 not limited to, medication-assisted treatment.] A telehealth provider 282
338362 using telehealth to prescribe a schedule II or III controlled substance 283
339363 pursuant to this subsection shall electronically submit the prescription 284
340364 pursuant to section 21a-249. 285
341365 Sec. 14. Subdivision (4) of subsection (a) of section 17a-674h of the 286
342366 general statutes is repealed and the following is substituted in lieu 287
343367 thereof (Effective from passage): 288
344368 (4) "Opioid drug" has the same meaning as provided in [42 CFR 8.2, 289
345369 as amended from time to time] section 20-14o, as amended by this act; 290
346370 Sec. 15. Subdivision (1) of subsection (a) of section 20-14o of the 291
347371 general statutes is repealed and the following is substituted in lieu 292
348372 thereof (Effective from passage): 293
349-(1) "Opioid drug" [has the same meaning as provided in 42 CFR 8.2] 294
373+(1) "Opioid drug" [has the same meaning as provided in 42 CFR 8.2,] 294
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350380 means "opioid", as defined in 21 USC 802, as amended from time to time; 295
351381 Sec. 16. Subdivision (1) of subsection (a) of section 20-14r of the 296
352382 general statutes is repealed and the following is substituted in lieu 297
353383 thereof (Effective from passage): 298
354384 (1) "Opioid drug" has the same meaning as provided in [42 CFR 8.2, 299
355385 as amended from time to time] section 20-14o, as amended by this act; 300
356386 Sec. 17. Subsection (a) of section 20-633d of the general statutes is 301
357-repealed and the following is substituted in lieu thereof (Effective from 302 Substitute Bill No. 6834
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387+repealed and the following is substituted in lieu thereof (Effective from 302
362388 passage): 303
363389 (a) A prescribing practitioner, as defined in section 20-14c, who is 304
364390 authorized to prescribe an opioid antagonist, as defined in section 17a-305
365391 714a, and a pharmacy may enter into an agreement for a medical 306
366392 protocol standing order at such pharmacy allowing a pharmacist 307
367393 licensed under part II of this chapter to dispense an opioid antagonist 308
368394 that is (1) administered by an intranasal application delivery system or 309
369395 an auto-injection delivery system, (2) approved by the federal Food and 310
370396 Drug Administration, and (3) dispensed to any person at risk of 311
371397 experiencing an overdose of an opioid drug, as defined in [42 CFR 8.2] 312
372398 section 20-14o, as amended by this act, or to a family member, friend or 313
373399 other person in a position to assist a person at risk of experiencing an 314
374400 overdose of an opioid drug. 315
375401 This act shall take effect as follows and shall amend the following
376402 sections:
377403
378404 Section 1 July 1, 2025 54-56q(e)(2)(D)
379405 Sec. 2 July 1, 2025 54-56r(f)(3)(D)
380406 Sec. 3 October 1, 2025 17a-450(b)
381407 Sec. 4 October 1, 2025 17a-450(d)
382408 Sec. 5 October 1, 2025 17a-451(a)
383409 Sec. 6 October 1, 2025 17a-464
384410 Sec. 7 October 1, 2025 17a-484c
385411 Sec. 8 October 1, 2025 17a-484f(b)
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386418 Sec. 9 October 1, 2025 17a-485i(a)
387419 Sec. 10 October 1, 2025 17a-667
388420 Sec. 11 October 1, 2025 17a-667a(e)
389421 Sec. 12 from passage 17a-674d(a) and (b)
390422 Sec. 13 from passage 19a-906(c)
391423 Sec. 14 from passage 17a-674h(a)(4)
392424 Sec. 15 from passage 20-14o(a)(1)
393425 Sec. 16 from passage 20-14r(a)(1)
394426 Sec. 17 from passage 20-633d(a)
395427
396-PH Joint Favorable Subst.
428+Statement of Purpose:
429+To implement the Department of Mental Health and Addiction Services'
430+recommendations regarding various revisions to mental health and
431+addiction services statutes.
432+
433+[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
434+that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
435+underlined.]
397436