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18 | 19 | | AN ACT IMPLEMENTING THE RECOMMENDATIONS OF THE |
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19 | 20 | | PEDIATRIC HOSPICE WORKING GROUP. |
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20 | 21 | | Be it enacted by the Senate and House of Representatives in General |
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21 | 22 | | Assembly convened: |
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22 | 23 | | |
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23 | 24 | | Section 1. Section 29 of public act 24-19 is repealed and the following 1 |
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24 | 25 | | is substituted in lieu thereof (Effective from passage): 2 |
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25 | 26 | | (a) The chairpersons of the joint standing committee of the General 3 |
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26 | 27 | | Assembly having cognizance of matters relating to public health shall 4 |
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27 | 28 | | establish a working group to examine hospice services for pediatric 5 |
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28 | 29 | | patients across the state. The working group shall include, but need not 6 |
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29 | 30 | | be limited to, the following members: 7 |
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30 | 31 | | (1) At least one representative of each pediatric hospice association in 8 |
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31 | 32 | | the state; 9 |
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32 | 33 | | (2) One representative of each organization licensed as a hospice by 10 |
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33 | 34 | | the Department of Public Health pursuant to section 19a-122b of the 11 |
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34 | 35 | | general statutes; 12 |
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39 | 42 | | |
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40 | 43 | | state; 14 |
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41 | 44 | | (4) One representative each of two children's hospitals in the state; 15 |
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42 | 45 | | (5) One pediatric oncologist; 16 |
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43 | 46 | | (6) One pediatric intensivist; 17 |
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44 | 47 | | (7) The chairpersons and ranking members of the joint standing 18 |
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45 | 48 | | committee of the General Assembly having cognizance of matters 19 |
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46 | 49 | | relating to public health; 20 |
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47 | 50 | | (8) The Commissioner of Public Health, or the commissioner's 21 |
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48 | 51 | | designee; and 22 |
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49 | 52 | | (9) The Commissioner of Social Services, or the commissioner's 23 |
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50 | 53 | | designee. 24 |
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51 | 54 | | (b) [The] (1) On and before March 1, 2025, the working group shall be 25 |
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52 | 55 | | responsible for the following: 26 |
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53 | 56 | | [(1)] (A) Reviewing existing hospice services for pediatric patients 27 |
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54 | 57 | | across the state; 28 |
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55 | 58 | | [(2)] (B) Making recommendations for appropriate levels of hospice 29 |
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56 | 59 | | services for pediatric patients across the state; and 30 |
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57 | 60 | | [(3)] (C) Evaluating payment and funding options for pediatric 31 |
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58 | 61 | | hospice care. 32 |
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59 | 62 | | (2) On and after March 1, 2025, and before July 1, 2026, the working 33 |
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60 | 63 | | group shall be responsible for developing recommendations for the 34 |
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61 | 64 | | establishment of a Children's Health, Advocacy, Management and 35 |
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62 | 65 | | Palliative Care program and, within such program, a Pediatric Palliative 36 |
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63 | 66 | | and Hospice Care Center of Excellence pilot program, as described in 37 |
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64 | 67 | | the working group's report submitted pursuant to subdivision (1) of 38 |
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65 | 68 | | subsection (f) of this section, including, but not limited to, 39 |
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66 | 69 | | recommendations regarding (A) appropriations necessary to establish 40 |
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72 | 77 | | the pilot program, including, but not limited to, staff and facility 42 |
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73 | 78 | | requirements, (C) education and curriculum requirements for nurses 43 |
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74 | 79 | | participating in the pilot program or providing pediatric palliative or 44 |
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75 | 80 | | hospice care services, and (D) any licensing or certification requirements 45 |
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76 | 81 | | necessary for the operation of the pilot program or expanding the 46 |
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77 | 82 | | provision of pediatric palliative or hospice care services in the state. 47 |
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78 | 83 | | (c) The cochairpersons of the joint standing committee of the General 48 |
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79 | 84 | | Assembly having cognizance of matters relating to public health shall 49 |
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80 | 85 | | schedule the first meeting of the working group, which shall be held not 50 |
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81 | 86 | | later than [sixty days after the effective date of this section] July 20, 2024. 51 |
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82 | 87 | | (d) The members of the working group shall elect two chairpersons 52 |
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83 | 88 | | from among the members of the working group. Not later than thirty 53 |
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84 | 89 | | days after the effective date of this section, the chairpersons of the 54 |
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85 | 90 | | working group shall schedule a meeting of the working group to initiate 55 |
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86 | 91 | | work on the responsibilities described in subdivision (2) of subsection 56 |
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87 | 92 | | (b) of this section. 57 |
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88 | 93 | | (e) The administrative staff of the joint standing committee of the 58 |
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89 | 94 | | General Assembly having cognizance of matters relating to public 59 |
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90 | 95 | | health shall serve as administrative staff of the working group. 60 |
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91 | 96 | | (f) (1) Not later than March 1, 2025, the chairpersons of the working 61 |
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92 | 97 | | group shall report, in accordance with the provisions of section 11-4a of 62 |
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93 | 98 | | the general statutes, to the joint standing committee of the General 63 |
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94 | 99 | | Assembly having cognizance of matters relating to public health 64 |
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95 | 100 | | concerning the findings of the working group. 65 |
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96 | 101 | | (2) Not later than March 1, 2026, the chairpersons of the working 66 |
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97 | 102 | | group shall report, in accordance with the provisions of section 11-4a of 67 |
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98 | 103 | | the general statutes, to the joint standing committee of the General 68 |
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99 | 104 | | Assembly having cognizance of matters relating to public health 69 |
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100 | 105 | | concerning the recommendations developed pursuant to subdivision (2) 70 |
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101 | 106 | | of subsection (b) of this section. 71 |
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107 | 114 | | Commissioner of Public Health shall, in collaboration with hospitals 73 |
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108 | 115 | | and hospice agencies in the state, establish a Children's Health, 74 |
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109 | 116 | | Advocacy, Management and Palliative Care program and, within such 75 |
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110 | 117 | | program, a Pediatric Palliative and Hospice Care Center of Excellence 76 |
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111 | 118 | | pilot program. Such pilot program shall (1) utilize best practices to 77 |
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112 | 119 | | support the expansion of pediatric palliative and hospice care in the 78 |
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113 | 120 | | state, and (2) include tracking of patient metrics to predict the scope of 79 |
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114 | 121 | | future pediatric palliative and hospice care services needs in the state. 80 |
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115 | 122 | | The commissioner may contract with a hospice agency in the state to 81 |
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116 | 123 | | operate such pilot program. Not later than January 1, 2027, the 82 |
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117 | 124 | | commissioner shall submit a report, in accordance with the provisions 83 |
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118 | 125 | | of section 11-4a of the general statutes, to the joint standing committee 84 |
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119 | 126 | | of the General Assembly having cognizance of matters relating to public 85 |
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120 | 127 | | health regarding such pilot program. Such report shall include, but need 86 |
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121 | 128 | | not be limited to, information regarding the number of pediatric 87 |
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122 | 129 | | patients that received hospice care under the pilot program, a summary 88 |
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123 | 130 | | of any relevant pilot program feedback received by the commissioner 89 |
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124 | 131 | | from any patient, patient's family member, health care provider, 90 |
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125 | 132 | | hospital or hospice agency and legislative recommendations for the 91 |
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126 | 133 | | expansion of the Children's Health, Advocacy, Management and 92 |
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127 | 134 | | Palliative Care program or the Pediatric Palliative and Hospice Care 93 |
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128 | 135 | | Center of Excellence pilot program. 94 |
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129 | 136 | | This act shall take effect as follows and shall amend the following |
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130 | 137 | | sections: |
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131 | 138 | | |
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132 | 139 | | Section 1 from passage PA 24-19, Sec. 29 |
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133 | 140 | | Sec. 2 from passage New section |
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134 | 141 | | |
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135 | | - | PH Joint Favorable C/R APP |
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| 142 | + | Statement of Purpose: |
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| 143 | + | To (1) require the working group concerning pediatric palliative and |
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| 144 | + | hospice care to develop recommendations for the establishment of a |
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| 145 | + | Children's Health, Advocacy, Management and Palliative Care program |
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| 146 | + | and Pediatric Palliative and Hospice Care Center of Excellence pilot |
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| 147 | + | Raised Bill No. 1540 |
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| 148 | + | |
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| 149 | + | |
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| 150 | + | |
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| 151 | + | LCO No. 6497 5 of 5 |
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| 152 | + | |
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| 153 | + | program, and (2) require the Commissioner of Public Health to establish |
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| 154 | + | such programs. |
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| 155 | + | |
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| 156 | + | [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except |
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| 157 | + | that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not |
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| 158 | + | underlined.] |
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