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General Assembly Raised Bill No. 6980
January Session, 2025
LCO No. 4742
Referred to Committee on PUBLIC HEALTH
Introduced by:
(PH)
AN ACT CONCERNING RECOMMENDATIONS OF THE LEGISLATIVE
COMMISSIONERS' OFFICE REGARDING TECHNICAL REVISIONS TO
PUBLIC HEALTH STATUTES.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. Subsection (f) of section 17a-210 of the general statutes is 1
repealed and the following is substituted in lieu thereof (Effective October 2
1, 2025): 3
(f) Any person with intellectual disability, or the legal representative 4
of such person, may object to (1) a proposed approval by the department 5
of a program for such person that includes the use of behavior-6
modifying medications or aversive procedures, or (2) a proposed 7
determination of the department that community placement is 8
inappropriate for such person placed under the direction of the 9
commissioner. The department shall provide written notice of any such 10
proposed approval or determination to the person, or to the legal 11
representative of such person, not less than ten days prior to making 12
such approval or determination. In the event of an objection to such 13
proposed approval or determination, the commissioner shall conduct a 14
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hearing in accordance with the provisions of chapter 54, provided no 15
such hearing shall be required if the commissioner withdraws such 16
proposed approval or determination. 17
Sec. 2. Subsection (f) of section 17a-227 of the general statutes is 18
repealed and the following is substituted in lieu thereof (Effective October 19
1, 2025): 20
(f) Any person, firm or corporation who operates any facility contrary 21
to the provisions of this section shall be fined not more than one 22
thousand dollars or imprisoned not more than six months, or both. Any 23
person, firm or corporation who operates any facility contrary to the 24
regulations adopted pursuant to subsection (b) of this section shall be 25
fined not more than one thousand dollars. 26
Sec. 3. Subsection (b) of section 17b-59a of the general statutes is 27
repealed and the following is substituted in lieu thereof (Effective October 28
1, 2025): 29
(b) The Commissioner of Social Services, in consultation with the 30
Commissioner of Health Strategy, shall (1) develop, throughout the 31
Departments of Developmental Services, Public Health, Correction, 32
Children and Families, Veterans Affairs and Mental Health and 33
Addiction Services, uniform management information, uniform 34
statistical information, uniform terminology for similar facilities [,] and 35
uniform electronic health information technology standards, (2) plan for 36
increased participation of the private sector in the delivery of human 37
services, and (3) provide direction and coordination to federally funded 38
programs in the human services agencies and recommend uniform 39
system improvements and reallocation of physical resources and 40
designation of a single responsibility across human services agencies 41
lines to facilitate shared services and eliminate duplication. 42
Sec. 4. Subsection (f) of section 17b-59e of the general statutes is 43
repealed and the following is substituted in lieu thereof (Effective October 44
1, 2025): 45
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(f) The Commissioner of Health Strategy shall adopt regulations in 46
accordance with the provisions of chapter 54 that set forth requirements 47
necessary to implement the provisions of this section. The commissioner 48
may implement policies and procedures necessary to administer the 49
provisions of this section while in the process of adopting such policies 50
and procedures in regulation form, provided the commissioner holds a 51
public hearing at least thirty days prior to implementing such policies 52
and procedures and publishes notice of intention to adopt the 53
regulations on the Office of Health Strategy's Internet web site and the 54
eRegulations System not later than twenty days after implementing 55
such policies and procedures. Policies and procedures implemented 56
pursuant to this subsection shall be valid until the time such regulations 57
are effective. 58
Sec. 5. Subdivision (2) of subsection (e) of section 17b-342 of the 59
general statutes is repealed and the following is substituted in lieu 60
thereof (Effective October 1, 2025): 61
(2) To the extent permitted by federal law, the commissioner shall 62
seek any federal waiver or amend the Medicaid state plan as necessary 63
to attempt to secure federal reimbursement for the costs of providing 64
coverage to persons determined to be presumptively eligible for 65
Medicaid coverage. The provisions of this subsection and any other 66
provision of this section relating to the establishment of a presumptive 67
Medicaid eligibility system, including, but not limited to, such 68
provisions located in subsections (c), (g) and (m) of this section, shall not 69
be effective until the commissioner secures such federal reimbursement 70
through a federal waiver or Medicaid state plan amendment. 71
Sec. 6. Subdivision (3) of subsection (i) of section 17b-342 of the 72
general statutes is repealed and the following is substituted in lieu 73
thereof (Effective October 1, 2025): 74
(3) Any person who resides in affordable housing under the assisted 75
living demonstration project established pursuant to section 17b-347e, 76
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and whose income is at or below two hundred per cent of the federal 77
poverty level, shall not be required to contribute to the cost of care. Any 78
person who resides in affordable housing under the assisted living 79
demonstration project established pursuant to section 17b-347e, and 80
whose income exceeds two hundred per cent of the federal poverty 81
level, shall contribute to the applied income amount determined in 82
accordance with the methodology established by the Department of 83
Social Services for recipients of medical assistance. Any person whose 84
income exceeds two hundred per cent of the federal poverty level and 85
who does not contribute to the cost of care in accordance with this 86
subdivision shall be ineligible to receive services under this subsection. 87
Notwithstanding any provision of sections 17b-60 and 17b-61, the 88
department shall not be required to provide an administrative hearing 89
to a person found ineligible for services under this subsection because 90
of a failure to contribute to the cost of care. 91
Sec. 7. Subsection (g) of section 17b-352 of the general statutes is 92
repealed and the following is substituted in lieu thereof (Effective October 93
1, 2025): 94
(g) The Commissioner of Social Services shall not approve any 95
requests for beds in residential facilities for persons with intellectual 96
disability which are licensed pursuant to section 17a-227 and are 97
certified to participate in the Title XIX Medicaid [Program] program as 98
intermediate care facilities for individuals with intellectual disabilities, 99
except those beds necessary to implement the residential placement 100
goals of the Department of Developmental Services which are within 101
available appropriations. 102
Sec. 8. Subdivision (1) of subsection (e) of section 17b-354 of the 103
general statutes is repealed and the following is substituted in lieu 104
thereof (Effective October 1, 2025): 105
(e) (1) A continuing care facility, as described in section 17b-520, (A) 106
shall arrange for a medical assessment to be conducted by an 107
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independent physician or an access agency approved by the Office of 108
Policy and Management and the Department of Social Services as 109
meeting the requirements for such agency as defined by regulations 110
adopted pursuant to subsection (m) of section 17b-342, prior to the 111
admission of any resident to the nursing facility and shall document 112
such assessment in the resident's medical file, and (B) may transfer or 113
discharge a resident who has intentionally transferred assets in a sum 114
which will render the resident unable to pay the cost of nursing facility 115
care in accordance with the contract between the resident and the 116
facility. 117
Sec. 9. Subsection (d) of section 19a-37 of the general statutes is 118
repealed and the following is substituted in lieu thereof (Effective October 119
1, 2025): 120
(d) Prior to the sale, exchange, purchase, transfer or rental of real 121
property on which a private or semipublic well is located, the owner 122
shall provide the buyer or tenant notice that educational material 123
concerning private well testing is available on the Department of Public 124
Health Internet web site. If the prospective buyer or tenant has hired a 125
real estate licensee to facilitate the property transaction, such real estate 126
licensee, or, if the prospective buyer or tenant has not hired a real estate 127
licensee, the owner, landlord or closing attorney shall provide to the 128
buyer or tenant an electronic or hard copy of educational material 129
prepared by the Department of Public Health that recommends testing 130
for the contaminants listed in subsection (c) of this section and any other 131
recommendation concerning well testing that the Department of Public 132
Health deems necessary. Failure to provide such notice or educational 133
material shall not invalidate any sale, exchange, purchase, transfer or 134
rental of real property. If the seller or landlord provides such notice or 135
educational material in writing, the seller or landlord and any real estate 136
licensee shall be deemed to have fully satisfied any duty to notify the 137
buyer or tenant. 138
Sec. 10. Subsection (c) of section 19a-563h of the general statutes is 139
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repealed and the following is substituted in lieu thereof (Effective October 140
1, 2025): 141
(c) The [commissioner] Commissioner of Public Health shall adopt 142
regulations in accordance with the provisions of chapter 54 that set forth 143
nursing home staffing level requirements to implement the provisions 144
of this section. The [Commissioner of Public Health] commissioner may 145
implement policies and procedures necessary to administer the 146
provisions of this section while in the process of adopting such policies 147
and procedures as regulations, provided notice of intent to adopt 148
regulations is published on the eRegulations System not later than 149
twenty days after the date of implementation. Policies and procedures 150
implemented pursuant to this section shall be valid until the time final 151
regulations are adopted. 152
Sec. 11. Subsection (e) of section 19a-564 of the general statutes is 153
repealed and the following is substituted in lieu thereof (Effective October 154
1, 2025): 155
(e) An assisted living services agency shall: (1) Ensure that all services 156
being provided on an individual basis to clients are fully understood 157
and agreed upon between either the client or the client's representative; 158
(2) ensure that the client or the client's representative [are] is made 159
aware of the cost of any such services; (3) disclose fee increases to a 160
resident or a resident's representative not later than sixty days prior to 161
such fees taking effect; and (4) provide, upon request, to a resident and 162
a resident's representative the history of fee increases over the past three 163
calendar years. Nothing in this subsection shall be construed to limit an 164
assisted living services agency from immediately adjusting fees to the 165
extent such adjustments are directly related to a change in the level of 166
care or services necessary to meet individual resident safety needs at the 167
time of a scheduled resident care meeting or if a resident's change of 168
condition requires a change in services. 169
Sec. 12. Subsection (a) of section 19a-754e of the general statutes is 170
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repealed and the following is substituted in lieu thereof (Effective October 171
1, 2025): 172
(a) The Commissioner of Health Strategy, in consultation with the 173
Office of Policy and Management, the Department of Social Services, the 174
Connecticut Insurance Department and the Connecticut Health 175
Insurance Exchange established pursuant to section 38a-1081, shall 176
study the feasibility of offering health care coverage for (1) income-177
eligible children ages nine to eighteen, inclusive, regardless of 178
immigration status, who are not otherwise eligible for Medicaid, the 179
Children's Health Insurance Program, or an offer of affordable 180
[employer sponsored] employer-sponsored insurance as defined in the 181
Affordable Care Act, as an employee or a dependent of an employee, 182
and (2) adults with household income not exceeding two hundred per 183
cent of the federal poverty level who do not otherwise qualify for 184
medical assistance, an offer of affordable [,] employer-sponsored 185
insurance as defined in the Affordable Care Act, as an employee or a 186
dependent of an employee, or health care coverage through the 187
Connecticut Health Insurance Exchange due to household income. 188
Sec. 13. Subparagraph (C) of subdivision (1) of subsection (b) of 189
section 19a-754g of the general statutes is repealed and the following is 190
substituted in lieu thereof (Effective October 1, 2025): 191
(C) (i) The commissioner shall hold at least one informational public 192
hearing prior to adopting the health care cost growth benchmarks and 193
primary care spending targets for each succeeding five-year period 194
described in this subdivision. The commissioner may hold 195
informational public hearings concerning any annual health care cost 196
growth benchmark and primary care spending target set pursuant to 197
subsection (a) of this section or subdivision (1) of subsection (b) of this 198
section. Such informational public hearings shall be held at a time and 199
place designated by the commissioner in a notice prominently posted 200
by the commissioner on the office's Internet web site and in a form and 201
manner prescribed by the commissioner. The commissioner shall make 202
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available on the office's Internet web site a summary of any such 203
informational public hearing and include the commissioner's 204
recommendations, if any, to modify or not to modify any such annual 205
benchmark or target. 206
(ii) If the commissioner determines, after any informational public 207
hearing held pursuant to this subparagraph, that a modification to any 208
health care cost growth benchmark or annual primary care spending 209
target is, in the commissioner's discretion, reasonably warranted, the 210
commissioner may modify such benchmark or target. 211
(iii) The commissioner shall annually (I) review the current and 212
projected rate of inflation, and (II) include on the office's Internet web 213
site the commissioner's findings of such review, including the reasons 214
for making or not making a modification to any applicable health care 215
cost growth benchmark. If the commissioner determines that the rate of 216
inflation requires modification of any health care cost growth 217
benchmark adopted under this section, the commissioner may modify 218
such benchmark. In such event, the commissioner shall not be required 219
to hold an informational public hearing concerning such modified 220
health care cost growth benchmark. 221
Sec. 14. Subdivision (2) of subsection (a) of section 19a-906 of the 222
general statutes is repealed and the following is substituted in lieu 223
thereof (Effective October 1, 2025): 224
(2) "Facility fee" has the same meaning as provided in section 19a-225
508c. 226
Sec. 15. Subsection (f) of section 19a-906 of the general statutes is 227
repealed and the following is substituted in lieu thereof (Effective October 228
1, 2025): 229
(f) The provision of telehealth services and health records maintained 230
and disclosed as part of a telehealth interaction shall comply with the 231
provisions of the Health Insurance Portability and Accountability Act of 232
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1996, P.L. 104-191, as amended from time to time. 233
Sec. 16. Subsection (c) of section 20-123b of the general statutes is 234
repealed and the following is substituted in lieu thereof (Effective October 235
1, 2025): 236
(c) The commissioner may renew such permit annually, provided (1) 237
application for renewal is received by the commissioner not later than 238
three months after the date of expiration of such permit, (2) payment of 239
a renewal fee of two hundred dollars is received with such application, 240
and (3) an on-site evaluation of the dentist's facility has been conducted 241
in the preceding five years in consultation with [The] the Connecticut 242
Society of Oral and Maxillo-Facial Surgeons by an individual or 243
individuals selected from a list of site evaluators approved by the 244
commissioner, provided such evaluation is conducted without cost to 245
the state on a schedule established in regulations adopted pursuant to 246
this section and the commissioner approves the results of each such 247
evaluation. 248
Sec. 17. Subsection (b) of section 20-195ttt of the general statutes is 249
repealed and the following is substituted in lieu thereof (Effective October 250
1, 2025): 251
(b) There is established within the Office of Health Strategy a 252
Community Health Worker Advisory Body. Said body shall (1) advise 253
said office and the Department of Public Health on matters relating to 254
the educational and certification requirements for training programs for 255
community health workers, including the minimum number of hours 256
and internship requirements for certification of community health 257
workers, (2) conduct a continuous review of such educational and 258
certification programs, and (3) provide the department with a list of 259
approved educational and certification programs for community health 260
workers. [;] 261
Sec. 18. Subdivision (11) of section 20-207 of the general statutes is 262
repealed and the following is substituted in lieu thereof (Effective October 263
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1, 2025): 264
(11) "Manager" means an individual who (A) is licensed as an 265
embalmer or funeral director pursuant to this chapter, and (B) has direct 266
and personal responsibility for the daily operation and management of 267
a funeral service business; and 268
Sec. 19. Subsection (a) of section 38a-498a of the general statutes is 269
repealed and the following is substituted in lieu thereof (Effective October 270
1, 2025): 271
(a) No individual health insurance policy providing coverage of the 272
type specified in subdivisions (1), (2), (4), (6), (10), (11) and (12) of section 273
38a-469 [,] and delivered, issued for delivery or renewed in this state, on 274
or after January 1, 2025, shall direct or require an enrollee to obtain 275
approval from the insurer or health care center prior to (1) calling a 9-1-276
1 local prehospital emergency medical service system whenever such 277
enrollee is confronted with a life or limb threatening emergency, or (2) 278
transporting such enrollee when medically necessary by ambulance to 279
a hospital. For purposes of this section, a "life or limb threatening 280
emergency" means any event which the enrollee believes threatens such 281
enrollee's life or limb in such a manner that a need for immediate 282
medical care is created to prevent death or serious impairment of health. 283
Sec. 20. Subsection (a) of section 38a-525a of the general statutes is 284
repealed and the following is substituted in lieu thereof (Effective October 285
1, 2025): 286
(a) No group health insurance policy providing coverage of the type 287
specified in subdivisions (1), (2), (4), (6), (10), (11) and (12) of section 38a-288
469 [,] and delivered, issued for delivery or renewed in this state, on or 289
after January 1, 2025, shall direct or require an enrollee to obtain 290
approval from the insurer or health care center prior to (1) calling a 9-1-291
1 local prehospital emergency medical service system whenever such 292
enrollee is confronted with a life or limb threatening emergency, or (2) 293
transporting such enrollee when medically necessary by ambulance to 294
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a hospital. For purposes of this section, a "life or limb threatening 295
emergency" means any event which the enrollee believes threatens such 296
enrollee's life or limb in such a manner that a need for immediate 297
medical care is created to prevent death or serious impairment of health. 298
This act shall take effect as follows and shall amend the following
sections:
Section 1 October 1, 2025 17a-210(f)
Sec. 2 October 1, 2025 17a-227(f)
Sec. 3 October 1, 2025 17b-59a(b)
Sec. 4 October 1, 2025 17b-59e(f)
Sec. 5 October 1, 2025 17b-342(e)(2)
Sec. 6 October 1, 2025 17b-342(i)(3)
Sec. 7 October 1, 2025 17b-352(g)
Sec. 8 October 1, 2025 17b-354(e)(1)
Sec. 9 October 1, 2025 19a-37(d)
Sec. 10 October 1, 2025 19a-563h(c)
Sec. 11 October 1, 2025 19a-564(e)
Sec. 12 October 1, 2025 19a-754e(a)
Sec. 13 October 1, 2025 19a-754g(b)(1)(C)
Sec. 14 October 1, 2025 19a-906(a)(2)
Sec. 15 October 1, 2025 19a-906(f)
Sec. 16 October 1, 2025 20-123b(c)
Sec. 17 October 1, 2025 20-195ttt(b)
Sec. 18 October 1, 2025 20-207(11)
Sec. 19 October 1, 2025 38a-498a(a)
Sec. 20 October 1, 2025 38a-525a(a)
Statement of Purpose:
To make minor and technical revisions to the public health statutes.
[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.]