Connecticut 2022 Regular Session Status: Enacted Bipartisan · 34 D · 6 R cosponsors

SB 2 — AN ACT EXPANDING PRESCHOOL AND MENTAL AND BEHAVIORAL SERVICES FOR CHILDREN.

Last action — SIGNED BY GOVERNOR

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 09, 2022. Enacted.

Prognosis

Likely to advance 78% · moderate confidence

Where this bill stands today.

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High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 67 sponsors

    67 primary, 0 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (34 D · 6 R) — cross-party backing.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

3408 added · 2027 removed

3408 line(s) added, 2027 removed.

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General Assembly Substitute Bill No.
Substitute Senate Bill No.
2 February Session, 2022 AN ACT EXPANDING PRESCHOOL AND MENTAL AND BEHAVIORAL SERVICES FOR CHILDREN.
2 Public Act No.
22-81 AN ACT EXPANDING PRESCHOOL AND MENTAL AND BEHAVIORAL SERVICES FOR CHILDREN.
Subdivision (1) of subsection (b) of section 10-16q of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2022):
(NEW) (Effective July 1, 2022) For thefiscal year ending June 30, 2023, and each fiscal year thereafter, the Department of Mental Health and Addiction Services shall make mobile crisis response services available twenty-four hours a day, seven days per week, to the public.
(b) (1) [For the fiscal year ending June 30, 2020, the per child cost of the Office of Early Childhood school readiness program offered by a school readiness provider shall not exceed eight thousand nine hundred twenty-seven dollars.
For the fiscal year ending June 30, 2021, and each fiscal year thereafter, the per child cost of the Office of Early Childhood school readiness program offered by a school readiness provider shall not exceed nine thousand twenty-seven dollars.] For the fiscal year ending June 30, 2023, and each fiscal year thereafter, the per child cost of the Office of Early Childhood school readiness program offered by a school readiness provider shall not exceed fourteen thousand five hundred dollars.
Subsection (l) of section 10-16p of the 2022 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2022):
(NEW) (Effective July 1, 2022) (a) There is established a Social Determinants of Mental Health Fund, which shall be a separate, nonlapsing account within the General Fund.
(l) For the fiscal year ending June 30, [2020] 2023, and each fiscal year LCO \\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00002-R1 of 61 SB.docx Substitute Bill No.
The account shall contain any moneys required by law to be deposited in the account, the resources of which shall be used by the Commissioner of Children and Families to assist families in covering the cost of mental health services and treatment for their children.
2 thereafter, any school readiness program that (1) is licensed by the Office of Early Childhood pursuant to chapter 368a, (2) provides full- day and year-round child care and education programs for children, and (3) receives funds pursuant to this section or section 10-16u, shall use any amount of the per child cost as described in subdivision (1) of subsection (b) of section 10-16q, as amended by this act, that is over the amount of [eight thousand nine hundred twenty-seven] fourteen thousand two hundred ten dollars, exclusively to increase the salaries of those individuals with direct responsibility for teaching or caring for children in a classroom at such school readiness program.
The commissioner shall establish eligibility criteria for families to receive such assistance based on social determinants of mental health, with a goal toward reducing racial, ethnic, gender and socioeconomic mental health disparities.
As used in this section, "social determinants of mental health" includes, but is not limited to, discrimination and social exclusion, adverse early life experiences, low educational attainment, poor educational quality and Substitute Senate Bill No.
2 educational inequality, poverty, income inequality and living in socioeconomically deprived neighborhoods, food insecurity, unemployment, underemployment and job insecurity, poor housing quality and housing instability, impact of climate change, adverse featuresofthestructuresandsystemsin whichpersonslive or workand poor access to health care.
(b) The commissioner may accept on behalf of the fund any federal funds or private grants or gifts made for purposes of this section.
The commissioner shall use such funds to make grants to families for the purposes described in this section.
Subsection (b) of section 8-210 of the 2022 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2022):
(NEW) (Effective July 1, 2022) Not later than July 1, 2023, the Department of Education, in collaboration with the governing authority for intramural and interscholastic athletics, shall develop a mental health plan for student athletes to raise awareness of mental health resources available to student athletes.
(b) The state, acting by and in the discretion of the Commissioner of Early Childhood, may enter into a contract with a municipality, a group child care home or family child care home, as described in section 19a- 77, as amended by this act, a human resource development agency or a nonprofit corporation for state financial assistance in developing and operating child care centers, group child care homes and family child care homes for children disadvantaged by reasons of economic, social or environmentalconditions,providedno suchfinancialassistance shall be available for the operating costs of any such child care center, group child care home or family child care home unless it has been licensed by the Commissioner of Early Childhood pursuant to section 19a-80,.
Such plan shall be made available to local and regional boards of education and implemented in accordance with the provisions of section 4 of this act.
Such financial assistance shall be available for a program of a municipality, of a group child care home or family child care home, of a human resource development agency or of a nonprofit corporation which may provide for personnel, equipment, supplies, activities, program materials and renovation and remodeling of the physical facilities of such child care centers, group child care homes or family child care homes.
Such plan shall include, but need not be limited to, provisions relating to (1) access to the mental health services team for the school district, (2) screening and recognizing appropriate referrals for student athletes, (3) communication among members of the mental health services team, (4) the management of administration of student athlete medications, (5) crisis intervention services, (6) the mitigation of risk to student athletes, and (7) transition care for those student athletes leaving intramural or interscholastic athletics by means of graduation, dismissal or suspension.
Such contract shall provide for state financial assistance, within available appropriations, in the form of a state grant-in-aid (1) for a portion of the cost of such program, as determined by the Commissioner of Early LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00002 of 61 R03-SB.docx } Substitute Bill No.
The department shall make such plan available on its Internet web site and provide technical assistance to local and regional boards of education in the implementation of the plan.
2 Childhood, if not federally assisted, (2) equal to one-half of the amount by which the net cost of such program, as approved by the Commissioner of Early Childhood, exceeds the federal grant-in-aid thereof, or (3) in an amount not less than (A) the per child cost as described in subdivision (1) of subsection (b) of section 10-16q, as amended by this act, for each child in such program that is three or four years of age and each child that is five years of age who is not eligible to enroll in school, pursuant to section 10-15c, while maintaining services to children under three years of age under this section, and (B) sixteen thousand dollars for each child three years of age or under who is in infant or toddler care and not in a preschool program.
For the fiscal year ending June 30, [2020] 2024, and each fiscal year thereafter, the amount per child pursuant to subdivision (3) of this subsection that is over the amountoftheper childcostthatwasprescribedpursuant tothecontract under said subdivision (3) for the fiscal year ending June 30, [2019] 2023, shall be used exclusively to increase the salaries of early childhood educators employed at the child care center.
The Commissioner of Early Childhood may authorize child care centers, group child care homes and family child care homes receiving financial assistance under this subsection to apply a program surplus to the next program year.
The Commissioner of Early Childhood shall consult with directors of child care centers in establishing fees for the operation of such centers.
(NEW) (Effective July 1, 2022) (a) As used in this section:
(NEW) (Effective July 1, 2022) For the school year commencing July 1, 2023, and each school year thereafter, each local and regional board of education shall implement the mental health plan for student Public Act No.
(1) "Child care services" has the same meaning as provided in section 19a-77 of the general statutes, as amended by this act;
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(2) "Child care facility" has the same meaning as provided in section 10-530 of the general statutes;
2 athletes, developed pursuant to section 3 of this act, for the school district.
(3) "Child care services provider" means (A) the employer of any person who is an employee of a child care facility, (B) a family child care provider, or (C) any other person who provides child care services under the child care subsidy program established pursuant to section 17b-749 of the general statutes, but does not include a person who is LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0003 of 61 R03-SB.docx } Substitute Bill No.
2 providing child care services under the child care subsidy program (i) exclusively to children to whom such person is related, and (ii) without being issued a license to provide child care services by the Office of Early Childhood;
(4) "Early childhood education program" means any privately operatedorstate-fundedpreschoolprogram,includingschoolreadiness programs;
and (5) "School readiness program" has the same meaning as provided in section 10-16p of the general statutes, as amended by this act.
(b) For the fiscal years ending June 30, 2023, and June 30, 2024, the Office of Early Childhood shall administer a wage supplement grant program for employees of child care service providers and early childhood education programs.
Grants under the program shall be calculated to increase the hourly salary of each such employee by one dollar.
The office shall pay such grant to child care services providers and operators of early childhood education programs, and such providers and operators shall distribute such funds to its employees in accordance with the policy developed by the Commissioner of Early Childhood pursuant to subsection (d) of this section.
(c) Each child care services provider and operator of an early childhood education program shall register, at such time and in such manner as prescribed by the commissioner, with the Office of Early Childhood to receive a grant under the program.
Upon registration, such provider and operator shall provide any information required by the office, in accordance with the policy developed by the commissioner pursuant to subsection (d) of this section.
(d) Not later than October 1, 2022, the commissioner shall develop a policy for the administration of the wage supplement grant program.
The policy shall include, but need not be limited to, eligibility requirements for the program, the registration process for the program, the distribution requirements of the grant and any other requirements LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0004 of 61 R03-SB.docx } Substitute Bill No.
2 the commissioner deems necessary.
Under the program, [a local or regional board of education shall partner with] the department shall (1) assist local and regional boards of education in enhancing existing partnerships or establishing new partnerships with providers of child care services and early childhood education programs, as well as any additional fields such as manufacturing, computer programming or the culinary arts, and one or more local businesses, to offer a pathways program (A) that assists students in (i) obtaining occupational licenses, (ii) participating in apprenticeship opportunities, and (iii) gaining immediate job skills, (B) that provides (i) industry-specific class time and cooperative work placements, (ii) on- site and apprenticeship training, and (iii) course credit and occupational licenses to students upon completion, and (C) in early childhood care and education and any additional fields, such as manufacturing, computer programming or theculinary arts,that may leadto adiploma, credential, certificate or license upon graduation, and (2) provide incentives to local and regional boards of education for establishing such partnerships.
Under the program, [a local or regional board of education shall partner with] the department shall (1) assist local and regional boards of education in enhancing existing partnerships or establishing new partnerships with providers of child care services, early childhood education programs or mental health services, as well as any additional fields such as manufacturing, computer programming or the culinary arts, and one or more local businesses, to offer a pathways program (A) that assists students in (i) obtaining occupational licenses, (ii) participating in apprenticeship opportunities, and (iii) gaining immediate job skills, (B) that provides (i) industry-specific class time and cooperative work placements, (ii) on-site and apprenticeship training, and (iii) course credit and occupational licenses to students upon completion, and (C) that may lead to a diploma, credential, certificate or license upon graduation in early child care, education or mental health services, and any additional fields, such as manufacturing, computer programming or the culinary arts, and (2) provide incentives to local and regional boards of education for establishing such partnerships.
(NEW) (Effective July 1, 2022) For the fiscal year ending June 30, 2023, and each fiscal year thereafter, the Department of Children and Families shall make mobile crisis response services available twenty- four hours a day, seven days per week, to the public.
(Effective July 1, 2022) The Neag School of Education at The University of Connecticut shall conduct a study of the impact of social media and mobile telephone usage on the mental health of students in grades kindergarten to twelve, inclusive.
Such study shall include, but need not be limited to, an evaluation of the mental health of students related to social media and phone usage across the elementary, middle and high school levels and how such usage impacts the educational Public Act No.
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2 experience for students and the school climate.
Not later than January 1, 2024, the Neag School of Education shall submit a report on its findings and any recommendations to the joint standing committee of the GeneralAssemblyhavingcognizanceofmattersrelatingtochildrenand public health, in accordance with the provisions of section 11-4a of the general statutes.
Sec.7.Subdivision(3)ofsubsection(a)ofsection19a-77ofthegeneral statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2022):
(3) A "family child care home" which consists of a private family home [caring] providing care (A) for (i) not more than six children, including the provider's own children not in school full time, [where the children are cared] without the presence or assistance of an assistant or substitute staff member approved by the Commissioner of Early Childhood, pursuant to section 19a-87b, present and assisting the provider, or (ii) not more than nine children, including the provider's own children, with the presence and assistance of such approved assistant or substitute staff member, and (B) for not less than three or more than twelve hours during a twenty-four-hour period and where care is given on a regularly recurring basis except that care may be provided in excess of twelve hours but not more than seventy-two consecutive hours to accommodate a need for extended care or intermittent short-term overnight care.
During the regular school year, for providers described in subparagraph (A)(i) of this subdivision, a maximum of three additional children who are in school full time, including [the] such provider's own children, shall be permitted, except that if [the] such provider has more than three children who are such provider's own children and in school full time, all of [the] such provider's own children shall be permitted.
During the summer months when regular school is not in session, for providers described in subparagraph (A)(i) of this subdivision, a maximum of three additional Public Act No.
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2 children who are otherwise enrolled in school full time [, including the provider'sownchildren,]shallbepermittedif there is suchanapproved assistant or substitute staff member [approved by the Commissioner of Early Childhood, pursuant to section 19a-87b,] present and assisting [the] such provider, except that [(A)] (i) if [the] such provider has more than three such additional children who are [the] such provider's own children, all of [the] such provider's own children shall be permitted, and [(B)] (ii) such approved assistant or substitute staff member shall not berequired ifallofsuchadditionalchildrenare [the]suchprovider's own children;
7.
(NEW) (Effective July 1, 2022) (a) There is established a Social Determinants of Mental Health Fund, which shall be a separate, nonlapsing account within the General Fund.
The account shall contain any moneys required by law to be deposited in the account, the resources of which shall be used by the Commissioner of Children and LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0005 of 61 R03-SB.docx } Substitute Bill No.
2 Families to assist families in covering the cost of mental health services and treatment for their children.
The commissioner shall establish eligibility criteria for families to receive such assistance based on social determinants of mental health, with a goal toward reducing racial, ethnic, gender and socioeconomic mental health disparities.
As used in this section, "social determinants of mental health" includes, but is not limited to, discrimination and social exclusion, adverse early life experiences, low educational attainment, poor educational quality and educational inequality, poverty, income inequality and neighborhood deprivation, food insecurity, unemployment, underemployment and job insecurity, poor housing quality and housing instability, impact of climate change, adverse features of the built environment and poor access to health care.
(b) The commissioner may accept on behalf of the fund any federal funds or private grants or gifts made for purposes of this section.
The commissioner shall use such funds to make grants to families for the purposes described in this section.
Sec.
(NEW) (Effective July 1, 2022) Not later than July 1, 2023, the Department of Education, in collaboration with the governing authority for intramural and interscholastic athletics, shall develop a mental health plan for student athletes to raise awareness of mental health resources available to student athletes.
(NEW) (Effective July 1, 2022) For the school year commencing July 1, 2022, and each school year thereafter, each local and regional board of education shall hire or designate an existing employee to serve as the family care coordinator for the school district.
Such plan shall be made available to local and regional boards of education and implemented in accordance with the provisions of section 9 of this act.
The family care coordinator shall work with school social workers, school psychologists and school counselors in the schools under the jurisdiction of the board.
Such plan shall include, but need not be limited to, provisions relating to (1) access to the mental health services team for the school district, (2) screening and recognizing appropriate referrals for student athletes, (3) communication among members of the mental health services team, (4) the management of medications of student athletes, (5) crisis intervention services, (6) the mitigation of risk to student athletes, and (7) transition care for those student athletes leaving intramural or interscholastic athletics by means of graduation, dismissal or suspension.
The family care coordinator shall serve as a liaison for the school system with mental health service providers for the purposes of providing students with access to mental health resources within the community bringing mental health services to students inside of the school.
The department shall make such plan available on its LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00006 of 61 R03-SB.docx } Substitute Bill No.
2 Internet web site and provide technical assistance to local and regional boards of education in the implementation of the plan.
(NEW) (Effective July 1, 2022) For the school year commencing July 1, 2023, and each school year thereafter, each local and regional board of education shall implement the mental health plan for student athletes, developed pursuant to section 8 of this act, for the school district.
Section 10-221o of the general statutes is repealed and the following is substituted in lieu thereof (Effective from passage):
(a) Each local and regional board of education shall require each schoolunderitsjurisdictionto(1)offerallfulldaystudentsadailylunch period of not less than twenty minutes, and (2) include in the regular school day for each student enrolled in elementary school time devoted to physical exercise of not less than twenty minutes in total, except that a planning and placement team may develop a different schedule for a child requiring special education and related services in accordance with chapter 164 and the Individuals With Disabilities Education Act, USC 1400 et seq., as amended from time to time.
In the event of a Public Act No.
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2 conflict with this section and any provision of chapter 164, such other provision of chapter 164 shall be deemed controlling.
Nothing in this subsection shall prevent a local or regional board of education from including an additional amount of time, beyond the twenty minutes required for physical exercise, devoted to undirected play during the regular school day for each student enrolled in elementary school.
(b) [Not later than October 1, 2019, each local and regional board of education shall adopt a policy, as the board deems appropriate, concerning the issue regarding any school employee being involved in preventing a student from participating in the entire time devoted to physical exercise or undirected play in the regular school day, pursuant to subsection (a) of this section, as a form of discipline.] For the school year commencing July 1, 2022, and each school year thereafter, each local and regional board of education shall adopt a policy, as the board deems appropriate, concerning the circumstances when a school employeemaypreventorotherwiserestrictastudent fromparticipating in the entire time devoted to physical exercise in the regular school day, pursuant to subsection (a) of this section, as a form of discipline.
Such policy shall (1) permit such prevention or restriction (A) when a student poses a danger to the health or safety of other students or school personnel, or (B) when such prevention or restriction is limited to the period devoted to physical exercise that is the shortest in duration if there are two or more periods devoted to physical exercise in a school day, provided the period of time devoted to physical exercise that such student may participate in during such school day is at least twenty minutes in duration, (2) only permit such prevention or restriction once during a school week, unless such student is a danger to the health or safety of other students or school personnel, (3) not include any provisions that such board determines are unreasonably restrictive or punitive, (4) distinguish between (A) discipline imposed prior to the start of such time devoted to physical exercise and discipline imposed during such time devoted to physical exercise, and (B) discipline that (i) Public Act No.
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2 prevents or otherwise restricts a student from participating in such time devoted to physical exercise prior to such time devoted to physical exercise, and (ii) methods used to redirect a student's behavior during such time devoted to physical exercise, and (5) not permit such prevention or restriction if a student does not complete such student's work on time or for such student's academic performance.
For purposes of this section, "school employee" means [(1)] (A) a teacher, substitute teacher, school administrator, school superintendent, guidance counselor, school counselor, psychologist, social worker, nurse, physician, school paraprofessional or coach employed by a local or regional board of education or working in a public elementary, middle or high school;
or [(2)] (B) any other individual who, in the performance of his or her duties, has regular contact with students and who provides services to or on behalf of students enrolled in a public elementary, middle or high school, pursuant to a contract with the local or regional board of education.
(NEW) (Effective from passage) (a) The Department of Children and Families shall conduct an instructional program that utilizes a training model that will enable participants to provide adolescent screening, brief intervention and referral to treatment training to other individuals upon completion of the instructional program.
Subsection (a) of section 10-29a of the 2022 supplement to the general statutes is amended by adding subdivision (104) as follows (Effective October 1, 2022):
Such instructional program shall be offered to the employees of a local health department, district department of health formed pursuant to section 19a-241 of the general statutes, youth service bureau, municipality, paid municipal or volunteer fire department, local police department and local or regional board of education.
(NEW) (104) The Governor shall proclaim May twenty-sixth of each year to be Get Outside and Play for Children's Mental Health Day to raise awareness about issues relating to children's mental health and the positive effect that being outdoors has on children's mental health and wellness.
The department shall conduct such instructionalprogramatnochargetoparticipantsandat leastfourtimes in each year.
Suitable exercises shall be held in the State Capitol and in the public schools on the day so designated or, if that day is not a school day, on the school day preceding, or on any such other day as the local or regional board of education prescribes.
The department may conduct each such instructional program in a different geographical region of the state during the year.
(b) (1) Each local health department shall offer training in adolescent screening, brief intervention and referral to treatment free of charge to the employees of such local health department and to members of the public.
Any employee ofalocalhealthdepartment who hasparticipated in the instructional program described in subsection (a) of this section shall be the person to provide such training in adolescent screening, brief intervention and referral to treatment under this subdivision.
(2) A district department of health, youth service bureau, municipality, paid municipal or volunteer fire department, local police department or local or regional board of education may offer training in adolescent screening, brief intervention and referral to treatment free of charge to the employees of such district department of health, youth LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0007 of 61 R03-SB.docx } Substitute Bill No.
2 service bureau, municipality, paid municipal or volunteer fire department, local police department or local or regional board of education and to members of the public.
Any employee who has participated in the instructional program described in subsection (a) of this section shall be the person to provide such training in adolescent screening, brief intervention and referral to treatment under this subdivision.
(NEW) (Effective from passage) On or before July 1, 2022, the Commissioner of Public Health shall establish guidelines regarding the manner in which menstrual products may be provided pursuant to section 18-69e of the general statutes, as amended by this act, sections 13, 14 and 17 of this act and section 8-359a of the general statutes, as amendedbythisact,withoutstigmatizingtheperson whorequestssuch products.
(NEW) (Effective July 1, 2022) For the school year commencing July 1, 2022, and each school year thereafter, the Department of Education shall provide annual notice to local and regional boards of education about Get Outside and Play for Children's Mental Health Public Act No.
The commissioner shall post such guidelines on the Department of Public Health's Internet web site.
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For purposes of this section, "menstrual products" means tampons and sanitary napkins.
2 Day, as proclaimed pursuant to subdivision (104) of subsection (a) of section 10-29a of the general statutes, as amended by this act, and include with such notice any suggestions or materials for suitable exercises that may be held in observance of such day.
Section 18-69e of the general statutes is repealed and the following is substituted in lieu thereof (Effective September 1, 2022):
Section 17a-248g of the 2022 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2022):
CorrectionalstaffatYork CorrectionalInstitutionshall,uponrequest, provide an inmate at the institution with [feminine hygiene] menstrual products as soon as practicable.
(a) Subject to the provisions of this section, funds appropriated to the lead agency for purposes of section 17a-248, sections 17a-248b to 17a- 248f, inclusive, this section and sections 38a-490a and 38a-516a shall not be used to satisfy a financial commitment for services that would have been paid from another public or private source but for the enactment of said sections, except for federal funds available pursuant to Part C of the Individuals with Disabilities Education Act, 20 USC 1431 et seq., except that whenever considered necessary to prevent the delay in the receipt of appropriate early intervention services by the eligible child or family in a timely fashion, funds provided under said sections may be used to pay the service provider pending reimbursement from the publicorprivatesourcethathasultimateresponsibilityforthepayment.
Correctional staff shall provide such [feminine hygiene] menstrual products for free, [and] in a quantity that is appropriate to the health care needs of the inmate and in a manner that does not stigmatize any inmate seeking such products, pursuant to guidelines established by the Commissioner of Public Health under section 11 of this act.
(b) Nothing in section 17a-248, sections 17a-248b to 17a-248f, inclusive, this section and sections 38a-490a and 38a-516a shall be construed to permit the Department of Social Services or any other state agency to reduce medical assistance pursuant to this chapter or other assistance or services available to eligible children.
To carry out the provisions of this section, the Department of Correction may (1) accept donations of menstrual productsandgrantsfromany sourcefor thepurpose ofpurchasing such products, and (2) partner with a nonprofit or community-based organization.
Notwithstanding any provision of the general statutes, costs incurred for early intervention services that otherwise qualify as medical assistance that are furnished to an eligible child who is also eligible for benefits pursuant to this chapter shall be considered medical assistance for purposes of payments to providers and state reimbursement to the extent that federal financial participation is available for such services.
For purposes of this section, ["feminine hygiene products" means tampons and sanitary napkins] "menstrual products" has the same meaning as provided in section 11 of this act.
Public Act No.
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2 Sec.
2 (c) Providers of early intervention services shall, in the first instance and where applicable, seek payment from all third-party payers prior to claiming payment from the birth-to-three system for services rendered to eligible children, provided, for the purpose of seeking payment from the Medicaid program or from other third-party payers as agreed upon by the provider, the obligation to seek payment shall not apply to a payment from a third-party payer who is not prohibited from applying such payment, and who will apply such payment, to an annual or lifetime limit specified in the third-party payer's policy or contract.
(d) The commissioner, in consultation with the Office of Policy and Management and the Insurance Commissioner, shall adopt regulations, pursuant to chapter 54, providing public reimbursement for deductibles and copayments imposed under an insurance policy or health benefit plan to the extent that such deductibles and copayments are applicable to early intervention services.
(e) The commissioner shall not charge a fee for early intervention services to the parents or legal guardians of eligible children.
(f) With respect to early intervention services rendered prior to June 16, 2021, the commissioner shall develop and implement procedures to hold a recipient harmless for the impact of pursuit of payment for such services against lifetime insurance limits.
(g) Notwithstanding any provision of title 38a relating to the permissible exclusion of payments for services under governmental programs, no such exclusion shall apply with respect to payments made pursuant to section 17a-248, sections 17a-248b to 17a-248f, inclusive, this section and sections 38a-490a and 38a-516a.
Except as provided in this subsection, nothing in this section shall increase or enhance coverages provided for within an insurance contract subject to the provisions of section 10-94f, subsection (a) of section 10-94g, subsection (a) of section 17a-219b, subsection (a) of section 17a-219c, sections 17a-248, 17a-248b Public Act No.
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2 to 17a-248f, inclusive, this section, and sections 38a-490a and 38a-516a.
(h) For the fiscal years ending June 30, 2023, and June 30, 2024, the commissioner shall make a general administrative payment to providers in the amount of two hundred dollars for each child with an individualized family service plan on the first day of the billing month and whose plan accounts for less than nine hours of service during such billing month, provided at least one service is provided by such provider during such billing month.
Sec.
(NEW) (Effective July 1, 2022) For the school year commencing July 1, 2022, and each school year thereafter, each local and regional board of education shall provide free menstrual products, as defined in section 11 of this act, in restrooms that are accessible to students in each school under the jurisdiction of such boards and in a manner that does not stigmatize any student seeking such products, pursuant to guidelines established by the Commissioner of Public Health under section 11 of this act.
(NEW) (Effective October 1, 2022, and applicable to assessment years commencing on or after October 1, 2022) Any municipality may, by vote of its legislative body or, in a municipality where the legislative body is a town meeting, by vote of the board of selectmen, abate up to one hundred per cent of the property taxes due for any tax year, for not more than five tax years, for any property or portion of a property (1) used in the operation of a child care center or group child care home licensed pursuant to section 19a-80 of the general statutes, or a family child care home licensed pursuant to section 19a-87b of the general statutes, as amended by this act, and (2) owned by the person, persons, association, organization, corporation, institution or agency holding such license.
To carry out the provisions of this section, the local and regional boards of education may (1) accept donations of menstrual productsandgrantsfromany sourcefor thepurpose ofpurchasing such products, and (2) partner with a nonprofit or community-based organization.
(NEW) (Effective July 1, 2022) On and after September 1, 2022, each public institution of higher education, as defined in section 10a-173 ofthegeneralstatutes,shallprovidefree menstrualproducts,as defined in section 11 of this act, in no fewer than one designated and accessible central location on each campus of the institution and in a manner that does not stigmatize any student seeking such products, pursuant to guidelines established by the Department of Public Health under section 11 of this act.
Subsection (a) of section 19a-79 of the 2022 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2022):
Each public institution of higher education shall post notice of such location on its Internet web site.
(a) The Commissioner of Early Childhood shall adopt regulations, in accordance with the provisions of chapter 54, to carry out the purposes of sections 19a-77 to 19a-80, inclusive, as amended by this act, and 19a- to 19a-87, inclusive, and to assure that child care centers and group child care homes meet the health, educational and social needs of children utilizing such child care centers and group child care homes.
To carry out the provisions of this section, each public institution of higher education may (1) accept donations of menstrual products and grants from any source for the purpose of purchasing such products, and (2) partner with a nonprofit or community-based organization.
Such regulations shall (1) specify that before being permitted to attend Public Act No.
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2 any child care center or group child care home, each child shall be protected as age-appropriate by adequate immunization against diphtheria, pertussis, tetanus, poliomyelitis, measles, mumps, rubella, haemophilus influenzae type B and any other vaccine required by the schedule of active immunization adopted pursuant to section 19a-7f, (2) specify conditions under which child care center directors and teachers and group child care home providers may administer tests to monitor glucose levels in a child with diagnosed diabetes mellitus, and administermedicinalpreparations,including controlleddrugsspecified in the regulations by the commissioner, to a child receiving child care services at such child care center or group child care home pursuant to thewrittenorderofaphysicianlicensed topracticemedicineoradentist licensed to practice dental medicine in this or another state, or an advanced practice registered nurse licensed to prescribe in accordance with section 20-94a, or a physician assistant licensed to prescribe in accordance with section 20-12d, and the written authorization of a parent or guardian of such child, (3) specify that an operator of a child care center or group child care home, licensed before January 1, 1986, or an operator who receives a license after January 1, 1986, for a facility licensed prior to January 1, 1986, shall provide a minimum of thirty square feet per childof totalindoor usablespace, free offurniture except that needed for the children's purposes, exclusive of toilet rooms, bathrooms, coatrooms, kitchens, halls, isolation room or other rooms used for purposes other than the activities of the children, (4) specify that a child care center or group child care home licensed after January 1, 1986, shall provide thirty-five square feet per child of total indoor usable space, (5) establish appropriate child care center staffing requirements for employees certified in cardiopulmonary resuscitation by the American Red Cross, the American Heart Association, the National Safety Council, American Safety and Health Institute, Medic First Aid International, Inc.
or an organization using guidelines for cardiopulmonary resuscitation and emergency cardiovascular care published by the American Heart Association and International Liaison Public Act No.
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2 Committee on Resuscitation, (6) specify that a child care center or group child care home (A) shall not deny services to a child on the basis of a child's known or suspected allergy or because a child has a prescription for an automatic prefilled cartridge injector or similar automatic injectable equipment used to treat an allergic reaction, or for injectable equipment used to administer glucagon, (B) shall, not later than three weeks after such child's enrollment in such a center or home, have staff trained in the use of such equipment on-site during all hours when such a child is on-site, (C) shall require such child's parent or guardian to provide the injector or injectable equipment and a copy of the prescription for such medication and injector or injectable equipment upon enrollment of such child, and (D) shall require a parent or guardian enrolling such a child to replace such medication and equipment prior to its expiration date, (7) specify that a child care center or group child care home (A) shall not deny services to a child on the basis of a child's diagnosis of asthma or because a child has a prescription for an inhalant medication to treat asthma, and (B) shall, not later than three weeks after such child's enrollment in such a center or home, have staff trained in the administration of such medication on- site during all hours when such a child is on-site, [and] (8) establish physical plant requirements for licensed child care centers and licensed group child care homes that exclusively serve school-age children, (9) specify that a child care center or group child care home shall immediately notify the parent or guardian of a child enrolled in such center or home if such child exhibits or develops an illness or is injured while in the care of such center or home, (10) specify that a child care center or group child care home shall create a written record of any such illness or injury, which shall, (A) include, but not be limited to, (i) a description of such illness or injury, (ii) the date, time of occurrence and location of such illness or injury, (iii) any responsive action taken by an employee of such center or home, and (iv) whether such child was transported to a hospital emergency room, doctor's office or other medical facility as a result of such illness or injury, (B) be provided to Public Act No.
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2 the parent or guardianof such child not later than the next business day, and (C) be maintained by such center or home for a period of not less than two years and be made immediately available upon the request of the Office of Early Childhood, and (11) specify that a child care center or group child care home shall maintain any video recordings created at such center or home for a period of not less than thirty days, and make such recordings immediately available upon the request of the Office of Early Childhood.
When establishing such requirements, the Office of Early Childhoodshallgive considerationto childcare centersandgroup child care homes that are located in private or public school buildings.
With respect to [this] subdivision [only] (8) of this subsection, the commissioner shall implement policies and procedures necessary to implement the physical plant requirements established pursuant to this subdivision while in the process of adopting such policies and procedures in regulation form.
Until replaced by policies and procedures implemented pursuant to this subdivision, any physical plant requirement specified in the office's regulations that is generally applicable to child care centers and group child care homes shall continue to be applicable to such centers and homes that exclusively serve school-age children.
The commissioner shall post notice of the intent to adopt regulations pursuant to this subdivision on the eRegulations System not later than twenty days after the date of implementation of such policies and procedures.
Policies and procedures implemented pursuant to this subdivision shall be valid until the time final regulations are adopted.
For purposes of this subsection, "illness" means fever, vomiting, diarrhea, rash, headache, persistent coughing, persistent crying or any other condition deemedan illness by the Commissioner of Early Childhood.
Section 8-359a of the general statutes is repealed and the following is substituted in lieu thereof (Effective September 1, 2022):
Subsection(f)ofsection19a-87bofthe 2022 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2022):
(a) The Commissioner of Housing may, upon application of any public or private organization or agency, make grants, within available appropriations, to develop and maintain programs for homeless individuals including programs for emergency shelter services, transitional housing services, on-site social services for available permanent housing and for the prevention of homelessness.
Public Act No.
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2 (b) Each shelter receiving a grant pursuant to this section (1) shall provide decent, safe and sanitary shelter for residents of the shelter, including, but not limited to, through the provision of free menstrual products, as defined in section 11 of this act, in each restroom of such shelter that is accessible to its residents and in a manner that does not stigmatize any resident seeking such products, pursuant to guidelines established by the Commissioner of Public Health under section 11 of this act;
2 (f) The commissioner shall adopt regulations, in accordance with the provisions of chapter 54, to ensure that family child care homes, as described in section 19a-77, meet the health, educational and social needs of children utilizing such homes.
(2) shall not suspend or expel a resident without good cause;
Such regulations shall (1) ensure that the family child care home is treated as a residence, and not an institutional facility, [.
(3) shall, in the case of a resident who is listed on the registry of sexual offenders maintained pursuant to chapter 969, provide verification of such person's residence at the shelter to a law enforcement officer upon the request of such officer;
Such regulations shall] (2) specify that each child be protected as age-appropriate by adequate immunization against diphtheria, pertussis, tetanus, poliomyelitis, measles, mumps, rubella, haemophilus influenzae type B and any other vaccine required by the schedule of active immunization adopted pursuant to section 19a-7f, [.
and (4) shall provide a grievance procedure by which residents can obtain review of grievances, including grievances concerning suspension or expulsion from the shelter.
Such regulations shall also] (3) specify conditions under which family child care home providers may administer tests to monitor glucose levels in a child with diagnosed diabetes mellitus, and administer medicinal preparations, including controlled drugs specified in the regulations by the commissioner, to a child receiving child care services at a family child care home pursuant to a written order of a physician licensed to practice medicine in this or another state, an advanced practice registered nurse licensed to prescribe in accordance with section 20-94a or a physician assistant licensed to prescribe in accordance with section 20-12d, and the written authorization of a parent or guardian of such child, [.
No shelter serving homeless families may admit a person who is listed on the registry of sexual offenders maintained pursuant to chapter 969.
Such regulations shall] (4) specify appropriate standards for extended care and intermittent short-term overnight care, (5) specify that a family child care home shall immediately notify the parent or guardian of a child enrolled in such home if such child exhibits or develops an illness or is injured while in the care of such home, (6) specify that a family child care home shall create a written record of any such illness or injury, which shall, (A) include, but not be limited to, (i) a description of such illness or injury, (ii) the date, time of occurrence and location ofsuch illness or injury, (iii) any responsive action taken by an employee of such home, and (iv) whether such child was transported to a hospital emergency room, doctor's office or other medical facility as a result of such illness or injury, (B) be provided to the parent or guardian of such child not later Public Act No.
The Commissioner of Housing shall adopt regulations, in accordance with the provisions of chapter 54, establishing (A) minimum standards for shelter grievance procedures and rules concerning the suspension and expulsion of shelter residents, and (B) standards for the review and approval of the operating policies of shelters receiving a grant under this section.
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Shelter operating policies shall establish a procedure for the release of informationconcerning a resident who is listed on theregistry of sexual offenders maintained pursuant to chapter 969 to a law enforcement officer in accordance with this subsection.
2 than the next business day, and (C) be maintained by such home for a period of not less than two years and be made immediately available upon the request of the Office of Early Childhood, and (7) specify that a family child care home shall maintain any video recordings created at such home for a period of not less than thirty days, and make such recordings immediately available upon therequest of the Office of Early Childhood.
To carry out the provisions of subdivision (1) of this subsection, each shelter may (i) accept donations of menstrual products and grants from any source for the purpose of purchasing such products, and (ii) partner with a nonprofit or community-based organization.
The commissioner shall inform each licensee, by way of a plain language summary provided not later than sixty days after the regulation's effective date, of any new or changed regulations adopted under this subsection with which a licensee must comply.
For purposes of this subsection, "illness" means fever, vomiting, diarrhea, rash, headache, persistent coughing, persistent crying or any other condition deemed an illness by the Commissioner of Early Childhood.
Subdivision (122) of section 12-412 of the 2022 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective from passage):
(NEW) (Effective July 1, 2022) (a) Not later than January 1, 2023, the Department of Children and Families shall establish a policy concerning the management and expenditure of Social Security disability insurance benefit payments received by, or on behalf of, children and youths in the care and custody of the Commissioner of Children and Families.
(122) Sales of [feminine hygiene] menstrual products.
Such policy shall include, but not be limited to, (1) a requirement that any such payments be deposited into a trust account maintained for the purpose of receiving such deposits, (2) a requirement that records be maintained concerning the total sum and remaining balance of such payments deposited on behalf of each child or youth receiving such payments, and (3) guidelines concerning the management and oversight of such account and permissible and impermissible withdrawals from such account by children or youths or the guardians of such children or youths.
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(b) The Department of Children and Families may employ personnel to implement the provisions of subsection (a) of this section.
2 Sec.
(c) No Social Security disability insurance benefit received by a child or youth in the care and custody of the Commissioner of Children and Public Act No.
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2 Families shall be utilized by the Department of Children and Families to offset the cost of such child or youth's care.
Sec.
(NEW) (Effective from passage) On and after September 1, 2022, each emergency shelter operated by a domestic violence agency, as defined in section 52-146k of the general statutes, shall provide free menstrual products, as defined in section 11 of this act, in each restroom of such shelter that is accessible to its residents and in a manner that does not stigmatize any resident seeking such products, pursuant to guidelines established by the Commissioner of Public Health under section 11 of this act.
(NEW) (Effective July 1, 2022) (a) Not later than July 1, 2023, the Commissioner of Public Health, in consultation with the Commissioner of Social Services, shall establish a pilot grant programto expand behavioral health care offered to children by providers of pediatric care in private practices.
To carry out the provisions of this section, each shelter may (1) accept donations of menstrual products and grants from any source for the purpose of purchasing such products, and (2) partner with a nonprofit or community-based organization.
(b) The Commissioner of Public Health, within available appropriations, shall establish a grant program to provide such providers with a fifty per cent match for costs associated with paying the salaries of licensed social workers providing counseling and other services to children receiving primary health care from such providers.
The commissioner shall (1) prescribe forms and criteria for such providers to apply and qualify for grant funds;
and (2) require such providers to report to the commissioner on use of the funds to expand behavioral health care for children.
(Effective July 1, 2022) The Neag School of Education at The University of Connecticut shall conduct a study of the impact of social media and mobile telephone usage on the mental health of students in grades kindergarten to twelve, inclusive.
(NEW) (Effective July 1, 2022) Not later than December 1, 2022, the Department of Consumer Protection shall develop documents concerning the safe storage by consumers of (1) prescription drugs, as defined in section 19a-754b of the general statutes, and (2) cannabis, as defined in section 21a-420 of the general statutes, and cannabis products, as defined in section 21a-420 of the general statutes.
Such study shall include, but need not be limited to, an evaluation of the mental health of students related to social media and phone usage across the elementary, middle and high school levels and how such usage impacts the educational experience for students and the school climate of schools.
Such documents shall contain, but need not be limited to, information concerning best practices for (A) storing prescription drugs and cannabis and cannabis products in a manner that renders such items inaccessible to children, and (B) disposal of unused and expired prescription drugs and cannabis and cannabis products.
Not later than January 1, 2024, the Neag School of Education shall submit a report on its findings and any recommendations to the joint standing committee of the General Assembly having cognizance of matters relating to children and public health, in accordance with the provisions of section 11-4a of the general statutes.
Not later than December 15, 2022, the department shall publish such documents on its Internet web site.
Subdivision (3) of subsection (a) of section 19a-77 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2022):
(NEW) (Effective July 1, 2022) Not later than January 1, 2023, Public Act No.
(3) A "family child care home" which consists of a private family home (A) caring for not more than six children, including the provider's own children not in school full time, or if there is an assistant or substitute staff member approved by the Commissioner of Early Childhood present, not more than nine children, (B) where the children are cared for not less than three or more than twelve hours during a LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00011 of 61 R03-SB.docx } Substitute Bill No.
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2 twenty-four-hour period, and (C) where care is given on a regularly recurring basis except that care may be provided in excess of twelve hours but not more than seventy-two consecutive hours to accommodate a need for extended care or intermittent short-term overnight care.
2 each pharmacy, as defined in section 20-635 of the general statutes, shall post a sign in a conspicuous place on the premises of such pharmacy, notifying consumers that they may visit the Internet web site of the DepartmentofConsumerProtectionforinformationconcerningthesafe storage of prescription drugs and disposal of unused and expired prescription drugs.
[During the regular school year, a maximum of three additional children who are in school full time, including the provider's own children, shall be permitted, except that if the provider has more than three children who are in school full time] At any time during the year, all of the provider's own children shall be permitted;
Sec.
[.
During the summer months when regular school is not in session, a maximum of three additional children who are otherwise enrolled in school full time, including the provider's own children, shall be permitted if there is an assistant or substitute staff member approved by the Commissioner of Early Childhood, pursuant to section 19a-87b, present and assisting the provider, except that (A) if the provider has more than three such additional children who are the provider's own children, all of the provider's own children shall be permitted, and (B) such approved assistant or substitute staff member shall not be required if all of such additional children are the provider's own children;] Sec.
Section 10-16r of the 2022 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2022):
(NEW) (Effective July 1, 2022) Not later than January 1, 2023, each retailer, as defined in section 21a-420 of the general statutes, and hybridretailer, asdefined insection21a-420of thegeneralstatutes,shall post a sign in a conspicuous place on the premises of such retailer or hybrid retailer notifying consumers that they may visit the Internet web site of the Department of Consumer Protection for information concerning the safe storage of cannabis and cannabis products and disposal of unused and expired cannabis and cannabis products.
(a) A town seeking to apply for a grant pursuant to subsection (c) of section 10-16p or section 10-16u shall convene a local school readiness council or shall establish a regional school readiness council pursuant to subsection (c) of this section.
Any other town may convene such a council.
The chief elected official of the town or, in the case of a regional school district, the chief elected officials of the towns in the school district and the superintendent of schools for the school district shall jointly appoint and convene such council.
Each school readiness council shall be composed of:
(1) The chief elected official, or the official's designee;
(2) the superintendent of schools, or a management level staff person as the superintendent's designee;
(3) parents;
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2 from local programs such as Head Start, child care providers receiving state financial assistance pursuant to section 8-210, as amended by this act, family resource centers, nonprofit and for-profit child care centers, group child care homes, prekindergarten and nursery schools, and family child care home providers;
(5) a representative from a health care provider in the community;
(6) the local homeless education liaison designated by the local or regional board of education for the school district, pursuant to Subtitle B of Title VII of the McKinney-Vento Homeless Assistance Act, 42 USC 11431 et seq., as amended from time to time;
(7) a representative from a workforce or job training entity in the community;
(8) a representative from a local business in the community;
and (9) other representatives from the community who provide services to children.
On and after July 1, 2021, the members of the school readiness council shall elect the chairperson of the school readiness council.
Each school readiness council is required to document efforts to ensure that the racial, ethnic and socioeconomic composition of the council reflects that of its town or region, as applicable.
At least twenty-five per cent ofthemembershipofthe school readiness council shall be parents or guardians of children eligible to attend a school readiness program.
Such parents or guardians may, withinavailableappropriations,becompensatedforanytimeandtravel related to council meetings, and any activities related to training, leadership and community engagement.
School readiness council meetings shall be held at times and locations that are convenient for the council members, including the parent and guardian members.
(b) The local school readiness council shall:
(1) Make recommendations to the chief elected official and the superintendent of schools on issues relating to school readiness, including any applications for grants pursuant to sections 10-16p, as amended by this act, 10-16u, 17b-749a and 17b-749c;
(2) foster partnerships among providers of school readiness programs;
(3) cooperate with the Office of Early Childhood in any evaluation of a school readiness program;
(4) identify existing and prospective resources and services available to children and families;
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2 services to children and families, including (A) referral procedures, and (B) before and after-school child care for children attending kindergarten programs;
(6) exchange information with other councils, the community and organizations serving the needs of children and families;
(7) make recommendations to school officials concerning transition from school readiness programs to kindergarten;
(8) encourage public participation;
[and] (9) collaborate with the Office of Early Childhood related to planning improvements to the state early care and education governance structure;
and (10) conduct, as necessary, a needs assessment for early childhood education for children and families in the community.
(c) Two or more towns or school districts and appropriate representatives of groups or entities interested in early childhood education in a region may establish a regional school readiness council.
If a priority school is located in at least one of such school districts, the regional school readiness council may apply for a grant pursuant to subsection (d) of section 10-16p.
The regional school readiness council may performthedutiesoutlinedin subdivisions(2)to (8),inclusive, and subdivision (10) of subsection (b) of this section.
(d) On and after July 1, 2022, following a local needs assessment conducted pursuant to subdivision (10) of subsection (b) of this section that reveals a surplus of unused school readiness spaces, a local or regional school readiness council may convert such unused school readiness spaces to infant and toddler spaces, provided the per child cost for such converted spaces does not exceed the per child cost for infant and toddler spaces for state-funded child care centers pursuant to section 8-210, as amended by this act.
(NEW) (Effective July 1, 2022) For the school year commencing July 1, 2022, and each school year thereafter, each local and regional board of education shall hire or designate an existing employee to serve as the family care coordinator for the school district.
(NEW) (Effective October 1, 2022) Each hospice and hospice care program licensed under section 19a-122b of the general statutes that provides hospice home care services for terminally ill persons shall dispose of any controlled substance, as defined in section 21a-240 of the general statutes, that such hospice or hospice care program dispensed or administered to a terminally ill person (1) as soon as practicable after the death of such person, and (2) in the manner described in subsection (d) of section 21a-262 of the general statutes, and in accordance with any other applicable state or federal law.
The family care coordinator shall work with school social workers and school psychologists in the schools under the jurisdiction of the board.
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2 family care coordinator shall serve as a liaison for the school system with mental health service providers for the purposes of providing students with access to mental health resources within the community bringing mental health services to students inside of the school.
(NEW) (Effective October 1, 2022, and applicable to assessment years commencing on or after October 1, 2022) Any municipality may, by vote of its legislative body or, in a municipality where the legislative body is a town meeting, by vote of the board of selectmen, abate up to one hundred per cent of the property taxes due for any tax year, for not more than five tax years, for any property or portion of a property (1) used in the operation of a child care center or group child care home licensed pursuant to section 19a-80 of the general statutes, or a family child care home licensed pursuant to section 19a-87b of the general statutes, and (2) owned by the person, persons, association, organization, corporation, institution or agency holding such license.
(Effective from passage)TheCommissioner ofRevenue Services shall conduct a study to identify options for establishing a tax credit against the personal income tax for taxpayers with dependent children enrolled in child care.
Not later than January 1, 2023, the commissioner shall submit a report, in accordance with the provisions of section 11-4a of the general statutes, to the joint standing committee of the General Assembly having cognizance ofmattersrelating to children.Suchreport shall include the findings of such study and any legislative Public Act No.
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2 recommendations.
Subsection (a) of section 19a-79 of the 2022 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2022):
(Effective from passage) (a) For the purposes of this section, "child care facilities" means child care centers, group child care homes and family child care homes that provide "child care services", as described in section 19a-77 of the general statutes, as amended by this act, and "out-of-pocket costs" has the same meaning as provided in section 19a-755b of the general statutes.
(a) The Commissioner of Early Childhood shall adopt regulations, in accordance with the provisions of chapter 54, to carry out the purposes of sections 19a-77 to 19a-80, inclusive, as amended by this act, and 19a- 82 to 19a-87, inclusive, and to assure that child care centers and group child care homes meet the health, educational and social needs of children utilizing such child care centers and group child care homes.
(b) The Commissioner of Social Services, in consultation with the Office of the State Comptroller, shall conduct a study to identify ways inwhichthestatemay providefinancialassistancetoemployeesofchild care facilities for out-of-pocket costs associated with the provision of medical care to such employees.
Such regulations shall (1) specify that before being permitted to attend any child care center or group child care home, each child shall be protected as age-appropriate by adequate immunization against diphtheria, pertussis, tetanus, poliomyelitis, measles, mumps, rubella, haemophilus influenzae type B and any other vaccine required by the schedule of active immunization adopted pursuant to section 19a-7f, (2) specify conditions under which child care center directors and teachers and group child care home providers may administer tests to monitor glucose levels in a child with diagnosed diabetes mellitus, and LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0015 of 61 R03-SB.docx } Substitute Bill No.
Not later than January 1, 2024, the commissioner of Social Services shall submit a report, in accordance with the provisions of section 11-4a of the general statutes, to the joint standing committee of the General Assembly having cognizance of matters relating to children.
2 administermedicinalpreparations,including controlleddrugsspecified in the regulations by the commissioner, to a child receiving child care services at such child care center or group child care home pursuant to thewrittenorderofaphysicianlicensedtopracticemedicineoradentist licensed to practice dental medicine in this or another state, or an advanced practice registered nurse licensed to prescribe in accordance with section 20-94a, or a physician assistant licensed to prescribe in accordance with section 20-12d, and the written authorization of a parent or guardian of such child, (3) specify that an operator of a child care center or group child care home, licensed before January 1, 1986, or an operator who receives a license after January 1, 1986, for a facility licensed prior to January 1, 1986, shall provide a minimum of thirty square feet per childof totalindoor usablespace, free offurniture except that needed for the children's purposes, exclusive of toilet rooms, bathrooms, coatrooms, kitchens, halls, isolation room or other rooms used for purposes other than the activities of the children, (4) specify that a child care center or group child care home licensed after January 1, 1986, shall provide thirty-five square feet per child of total indoor usable space, (5) establish appropriate child care center staffing requirements for employees certified in cardiopulmonary resuscitation by the American Red Cross, the American Heart Association, the National Safety Council, American Safety and Health Institute, Medic First Aid International, Inc.
Such report shall include the findings of such study, including, but not limited to, an analysis of whether such employeesmay beeligible for participationinany stateemployeehealth insurance plan under development, and any legislative recommendations.
or an organization using guidelines for cardiopulmonary resuscitation and emergency cardiovascular care published by the American Heart Association and International Liaison Committee on Resuscitation, (6) specify that a child care center or group child care home (A) shall not deny services to a child on the basis of a child's known or suspected allergy or because a child has a prescription for an automatic prefilled cartridge injector or similar automatic injectable equipment used to treat an allergic reaction, or for injectable equipment used to administer glucagon, (B) shall, not later than three weeks after such child's enrollment in such a center or home, have staff trained in the use of such equipment on-site during all hours when such a child is on-site, (C) shall require such child's parent or guardian to provide the injector or injectable equipment and a copy of the LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0016 of 61 R03-SB.docx } Substitute Bill No.
2 prescription for such medication and injector or injectable equipment upon enrollment of such child, and (D) shall require a parent or guardian enrolling such a child to replace such medication and equipment prior to its expiration date, (7) specify that a child care center or group child care home (A) shall not deny services to a child on the basis of a child's diagnosis of asthma or because a child has a prescription for an inhalant medication to treat asthma, and (B) shall, not later than three weeks after such child's enrollment in such a center or home, have staff trained in the administration of such medication on- site during all hours when such a child is on-site, [and] (8) establish physical plant requirements for licensed child care centers and licensed group child care homes that exclusively serve school-age children, (9) specify that a child care center or group child care home shall immediately notify the parent or guardian of a child enrolled in such center or home if such child becomes ill or is injured while in the care of such center or home, (10) specify that a child care center or group child care home shall create a written record of any illness or injury described in subdivision (9) of this subsection, which shall, (A) include, but not be limited to, (i) a description of such illness or injury, (ii) the date, time of occurrence and location of such illness or injury, (iii) any responsive action taken by an employee of such center or home, and (iv) whether suchchildwastransportedtoa hospitalemergency room,doctor'soffice or other medical facility as a result of such illness or injury, (B) be provided to the parent or guardian of such child not later than the next business day, and (C) be maintained by such center or homefor aperiod of not less than two years and be made immediately available upon the request of the Office of Early Childhood, and (11) specify that a child care center or group child care home shall maintain any video recordings created at such center or home for a period of not less than thirty days, and make such recordings immediately available upon the request of the Office of Early Childhood.
When establishing such requirements, the Office of Early Childhood shall give consideration to child care centers and group child care homes that are located in private or public school buildings.
With respect to [this] subdivision [only] (8) of this subsection, the commissioner shall implement policies and LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0017 of 61 R03-SB.docx } Substitute Bill No.
2 procedures necessary to implement the physical plant requirements establishedpursuanttothissubdivisionwhileintheprocessofadopting such policies and procedures in regulation form.
Until replaced by policies and procedures implemented pursuant to this subdivision, any physical plant requirement specified in the office's regulations that is generally applicable to child care centers and group child care homes shall continue to be applicable to such centers and homes that exclusively serve school-age children.
The commissioner shall post notice of the intent to adopt regulations pursuant to this subdivision on the eRegulations System not later than twenty days after the date of implementation of such policies and procedures.
Policies and procedures implemented pursuant to this subdivision shall be valid until the time final regulations are adopted.
(NEW) (Effective July 1, 2022) (a) There is established the Children's Behavioral Health Cabinet.
(Effective from passage) (a) There is established a task force to continue to study the comprehensive needs of children in the state and the extent to which such needs are being met by educators, community members and local and state agencies.
The cabinet shall consist of the:
The task force shall (1) address subdivisions (1) to (6), inclusive, of subsection (a) of section 30 of public act 21-46, (2) provide recommendations to meet the demand for infant and toddler care in the state by increasing access to and enrollment in child care centers, group child care homes and family child care homes, and identify resources to assist such centers and homes in meeting such demand, and (3) study the feasibility of adjusting school start times to improve students' mental and physical well-being.
(1) Commissioner of Children and Families, or the commissioner's designee, (2) Commissioner of Mental Health and Addiction Services, or the commissioner's designee, (3) Commissioner of Public Health, or the commissioner's designee, (4) Commissioner of Developmental Services, or the commissioner's designee, (5) Commissioner of Social Services, or the commissioner's designee, (6) Commissioner of Early Childhood, or the commissioner's designee, (7) Commissioner of Correction, or the commissioner's designee, (8) Insurance Commissioner, or the commissioner's designee, (9) Commissioner of Education, or the commissioner's designee, (10) Secretary of the Office of Policy and Management, or the secretary's designee, (11) Healthcare Advocate, or the Healthcare Advocate's designee, (12) Child Advocate, or the Child Advocate's designee, (13) Chief Court Administrator,or the Chief Court Administrator's designee, (14) executive director of the Office of Health Strategy, or the executive director's designee, and (15) executive director of the Commission on Women, Children, Seniors, Equity and Opportunity, or the executive director's designee.
Public Act No.
(b) The Commissioner of Children and Families, or the LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00018 of 61 R03-SB.docx } Substitute Bill No.
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2 commissioner's designee, shall serve as the chairperson of the cabinet.
2 (b) The task force shall consist of the members appointed to the task force to study the comprehensive needs of children pursuant to subsection(b)of section30ofpublicact 21-46, except that ifany member declines such appointment, a new appointee shall be selected by the appointing authority pursuant to said subsection.
The cabinet shall meet at least quarterly.
(c) Any member of the task force appointed under subdivisions (1) to (6), inclusive, of subsection (b) of section 30 of public act 21-46 may be a member of the General Assembly.
Members shall not be compensated for their services.
(d) All initial appointments to the task force shall be made not later thanthirty daysafter theeffective date ofthis section.Any vacancy shall be filled by the appointing authority not later than thirty days after the vacancy occurs.If a vacancy is not filledby the appointing authority,the chairpersons of the task force may fill such vacancy.
(c) The cabinet shall (1) assess children's behavioral health services in the state to identify areas for improvement in (A) the delivery of such services, (B) the policies and practices of providers of such services, (C) the outcomes for children receiving such services, and (D) patient experiences, (2) make recommendations for improvements in such areas, and (3) consult with private insurers, the Commissioner of Social Services and the Behavioral Health Partnership developed pursuant to section 17a-22h of the general statutes, to ensure timely access to behavioral health services for children in need of such services.
(e)The speaker oftheHouse ofRepresentativesandthepresident pro tempore of the Senate shall select the chairpersons of the task force from among the members of the task force.
(d) Not later than January 1, 2023, and quarterly thereafter, the cabinet shall submit a status report, in accordance with the provisions of section 11-4a of the general statutes, to the Governor and the joint standing committees of the General Assembly having cognizance of matters relating to children, insurance and public health.
Such chairpersons shall schedule the first meeting ofthe task force, whichshall beheld not later thansixty days after the effective date of this section.
Such report shall include the cabinet's findings and recommendations from the previous quarter.
(f) The administrative staff of the joint standing committee of the General Assembly having cognizance of matters relating to children shall serve as administrative staff of the task force.
(e) The Department of Children and Families shall provide support staff to the Children's Behavioral Health Cabinet.
(g) Not later than January 1, 2023, and January 1, 2024, the task force shall update the report issued pursuant to subsection (g) of section 30 of public act 21-46, and submit such updated report and any additional findings and recommendations to the joint standing committee of the General Assembly having cognizance of matters relating to children, in accordance with the provisions of section 11-4a of the general statutes.
Sec.
The task force shall terminate on the date that it submits such report or January 1, 2024, whichever is later.
Public Act No.
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2 Sec.
(NEW) (Effective July 1, 2022) No Social Security disability benefit received by a child or youth in the care and custody of the Commissioner of Children and Families shall be utilized by the Department of Children and Families to offset the cost of such child or youth's care.
Section 17b-28e of the general statutes is amended by adding subsection (d) as follows (Effective July 1, 2022):
(NEW) (d) (1) Not later than October 1, 2022, the Commissioner of Social Services shall provide Medicaid payments to an enrolled independent licensed behavioral health clinician in private practice for covered services performed by an associate licensed behavioral health clinician working within such associate clinician's scope of practice under the supervision of such independent clinician, provided such independent clinician is (A) authorized under state law to supervise such associate clinician, and (B) complies with any supervision and documentation requirements required by law.
Nothing in this subsection shall be construed to alter any requirement concerning such services, including, but not limitedto,scopeofpractice, supervisionand documentation requirements.
(2) For purposes of this subsection, (A) "independent licensed behavioral health clinician" means a psychologist licensed under chapter 383 of the general statutes, marital and family therapist licensed under chapter 383a of the general statutes, clinical social worker licensed under chapter 383b of the general statutes or professional counselor licensed under chapter 383c of the general statutes, (B) "associate licensed behavioral health clinician" means a marital and family therapy associate licensed under chapter 383a of the general statutes,mastersocialworkerlicensedunder chapter383bofthegeneral statutes or professional counselor associate licensed under chapter 383c of the general statutes, and (C) "private practice" means a practice setting that does not require a facility or institutional license and includes both solo and group practices of independent licensed behavioral health clinicians.
(NEW) (Effective July 1, 2022) (a) The Commissioner of Social Services, in consultation with the Commissioner of Public Health, shall establish a pilot grant program to expand behavioral health care offered to children at federally qualified health centers.
(NEW) (Effective from passage) (a) The Commissioner of Public Health,inconsultationwiththeCommissionerofEarlyChildhood,shall develop and implement a plan to establish licensure by reciprocity or Public Act No.
(b) The Commissioner of Social Services, within available LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0019 of 61 R03-SB.docx } Substitute Bill No.
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2 appropriations, shall establish a grant program to provide such health centers with a fifty per cent match for the cost of hiring licensed social workers to provide counseling and other services to children receiving primary health care at such health centers.
2 endorsement of a person who (1) is (A) a speech and language pathologist licensed or certified to provide speech and language pathology services, or entitled to provide speech and language pathology services under a different designation, in another state having requirements for practicing in such capacity that are substantially similar to or higher than the requirements in force in this state, or (B) an occupational therapist licensed or certified to provide occupational therapy services, or entitled to provide occupational therapy services under a different designation, in another state having requirements for practicing in such capacity that are substantially similar to or higher than the requirements in force in this state, (2) has no disciplinary action or unresolved complaint pending against such person, and (3) intends to provide early intervention services under the employment of an early intervention service program participating in the birth-to-three program established pursuant to section 17a-248b of the general statutes.
The commissioner shall (1) prescribe forms and criteria for such health centers to apply and qualify for grant funds;
When developing and implementing such plan, the CommissionerofPublicHealthshallconsider eliminatingbarrierstothe expedient licensure of such persons in order to immediately address the needs of children receiving early intervention services under the birth- to-three program.
and (2) require such centers to report to the commissioner on use of the funds to expand behavioral health care for children.
The provisions of any interstate licensure compact regarding a speech and language pathologist or occupational therapist adopted by the state shall supersede any program of licensure by reciprocity or endorsement implemented under this section for such speech and language pathologist or occupational therapist.
Sec.
(b) On or before January 1, 2023, the Commissioner of Public Health shall (1) implement the plan to establish licensure by reciprocity or endorsement, and (2) report, in accordance with the provisions of section 11-4a of the general statutes, to the joint standing committees of the General Assembly having cognizance of matters relating to public health and children regarding such plan and recommendations for any necessary legislative changes related to such plan.
Public Act No.
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2 Sec.
(NEW) (Effective July 1, 2022) Not later than December 1, 2022, the Department of Consumer Protection shall develop documents concerning the safe storage by consumers of (1) prescription drugs, as defined in section 19a-754b of the general statutes, and (2) cannabis, as defined in section 21a-420 of the general statutes, and cannabis products, as defined in section 21a-420 of the general statutes.
Section 17a-667 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2022):
Such documents shall contain, but need not be limited to, information concerning best practices for (A) storing prescription drugs and cannabis and cannabis products in a manner that renders such items inaccessible to children, and (B) disposal of unused and expired prescription drugs and cannabis and cannabis products.
(a) There is established a Connecticut Alcohol and Drug Policy Council which shall be within the Department of Mental Health and Addiction Services.
Not later than December 15, 2022, the department shall publish such documents on its Internet web site.
(b) The council shall consist of the following members:
(1) The Secretary of the Office of Policy and Management, or the secretary's designee;
(2) the Commissioners of Children and Families, Consumer Protection, Correction, Education, Mental Health and Addiction Services, Public Health, Emergency Services and Public Protection, Aging and Disability Services and Social Services, and the Insurance Commissioner, or their designees;
(3) the Chief Court Administrator, or the Chief Court Administrator's designee;
(4) the chairperson of the Board of Regents for Higher Education, or the chairperson's designee;
(5) the president of The University of Connecticut, or the president's designee;
(6) the Chief State's Attorney, or the Chief State's Attorney's designee;
(7) the Chief Public Defender, or the Chief Public Defender's designee;
[and] (8) the Child Advocate, or the Child Advocate's designee;
and (9) the cochairpersons and ranking members of the joint standing committees of the General Assembly having cognizance of matters relating to public health, criminal justice and appropriations, or their designees.
The Commissioner of Mental Health and Addiction Services and the Commissioner of Children and Families shall be cochairpersons of the council and may jointly appoint up to seven individuals to the council as follows:
(A) Two individuals in recovery from a substance use disorder or representing an advocacy group for individuals with a substance use disorder;
(B) a provider of community- based substance abuse services for adults;
(C) a provider of community- based substance abuse services for adolescents;
(D) an addiction medicine physician;
(E) a family member of an individual in recovery from a substance use disorder;
and (F) an emergency medicine Public Act No.
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2 physician currently practicing in a Connecticut hospital.
The cochairpersons of the council may establish subcommittees and working groups and may appoint individuals other than members of the council to serve as members of the subcommittees or working groups.
Such individuals may include, but need not be limited to:
(i) Licensed alcohol and drug counselors;
(ii) pharmacists;
(iii) municipal police chiefs;
(iv) emergency medical services personnel;
and (v) representatives of organizations that provide education, prevention, intervention, referrals, rehabilitation or support services to individuals with substance use disorder or chemical dependency.
(c) The council shall review policies and practices of state agencies and the Judicial Department concerning substance abuse treatment programs, substance abuse prevention services, the referral of persons to such programs and services, and criminal justice sanctions and programs and shall develop and coordinate a state-wide, interagency, integrated plan for such programs and services and criminal sanctions.
(d) Such plan shall be amended not later than January 1, 2017, to contain measurable goals, including, but not limited to, a goal for a reduction in the number of opioid-induced deaths in the state.
(NEW) (Effective July 1, 2022) Not later than January 1, 2023, each pharmacy, as defined in section 20-635 of the general statutes, shall post a sign in a conspicuous place on the premises of such pharmacy, notifying consumers that they may visit the Internet web site of the DepartmentofConsumerProtectionforinformationconcerningthesafe storage of prescription drugs and disposal of unused and expired prescription drugs.
Section 19a-7d of the 2022 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective from passage):
(a) [Not later than January 1, 2022, the] The Commissioner of Public Health shall establish, within available resources, a program to provide three-year grants to community-based providers of primary care services in order to expand access to health care for the uninsured.
The grants may be awarded to community-based providers of primary care for (1) funding for direct services, (2) recruitment and retention of primary care clinicians and registered nurses through subsidizing of salaries or through a loan repayment program, and (3) capital Public Act No.
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2 expenditures.
The community-based providers of primary care under the direct service program shall provide, or arrange access to, primary andpreventive services, behavioralhealthservices, referralsto specialty services, including rehabilitative and mental health services, inpatient care, prescription drugs, basic diagnostic laboratory services, health education and outreach to alert people to the availability of services.
Primary care clinicians and registered nurses participating in the state loan repayment program or receiving subsidies shall provide services to the uninsured based on a sliding fee schedule, provide free care if necessary, accept Medicare assignment and participate as Medicaid providers, or provide nursing services in school-based health centers and expanded school health sites, as such terms are defined in section 19a-6r.
The commissioner may adopt regulations, in accordance with the provisions of chapter 54, to establish eligibility criteria, services to be provided by participants, the sliding fee schedule, reporting requirements and the loan repayment program.
For the purposes of this section, "primary care clinicians" includes family practice physicians, general practice osteopaths, obstetricians and gynecologists, internal medicine physicians, pediatricians, dentists, certified nurse midwives, advanced practice registered nurses, physician assistants, [and] dental hygienists, psychiatrists, psychologists, licensed clinical social workers, licensed marriage and family therapists and licensed professional counselors.
(b) Funds appropriated for the state loan repayment program shall not lapse until fifteen months following the end of the fiscal year for which such funds were appropriated.
For the fiscal year ending June 30, 2023, the department shall expend at least one million six hundred thousand dollars of the funds appropriated for the state loan repayment program for repayments for physicians.
Any remaining funds may be expended for other health care providers.
For purposes of this section, "physician" means any physician licensed pursuant to chapter 370 who (1) graduated from a medical school in the state or completed his or her Public Act No.
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2 medical residency program at a hospital licensed under chapter 368v, and (2) is employed as a physician in the state.
(NEW) (Effective July 1, 2022) Not later than January 1, 2023, each retailer, as defined in section 21a-420 of the general statutes, and hybridretailer, asdefinedinsection21a-420of thegeneralstatutes,shall post a sign in a conspicuous place on the premises of such retailer or hybridretailer, notifying consumersthat theymay visit theInternetweb LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0020 of 61 R03-SB.docx } Substitute Bill No.
(Effective July 1, 2022) (a) On or before January 1, 2023, the CommissionerofPublicHealthshallconveneaworkinggrouptoadvise the commissioner regarding methods to enhance physician recruitment in the state.
2 site of the Department of Consumer Protection for information concerning the safe storage of cannabis and cannabis products and disposal of unused and expired cannabis and cannabis products.
The working group shall examine issues that include, but need not be limited to, (1) recruiting, retaining and compensating primary care, psychiatric and behavioral health care providers;
(2) the potential effectiveness of student loan forgiveness;
(3) barriers to recruiting and retaining physicians as a result of covenants not to compete, as defined in section 20-14p of the general statutes;
(4) access to health care providers;
(5) the effect, if any, of the health insurance landscape on limiting health care access;
(6) barriers to physician participation in health care networks;
and (7) assistance for graduate medical education training.
(b) The working group convened pursuant to subsection (a) of this section shall include, but need not be limited to, the following members:
(1) A representative of a hospital association in the state;
(2) a representative of a medical society in the state;
(3) a physician licensed under chapter 370 of the general statutes with a small group practice;
(4) a physician licensed under chapter 370 of the general statutes with a multisite group practice;
(5) one representative each of at least three differentschoolsofmedicine;
(6)arepresentativeofaregionalphysician recruiter association;
(7) the human resources director of at least one hospital in the state;
(8) a member of a patient advocacy group;
and (9) four members of the general public.
The working group shall elect chairpersons from among its members.
As used in this subsection, "small group practice" means a group practice comprised of less than eight full-time equivalent physicians and "multisite group practice" means a group practice comprised of over one hundred full-time equivalent physicians practicing throughout the state.
Public Act No.
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2 (c) On or before January 1, 2024, the working group shall report, in accordance with the provisions of section 11-4a of the general statutes, its findings to the commissioner and to the joint standing committee of the General Assembly having cognizance of matters relating to public health.
(NEW) (Effective October 1, 2022) Each hospice and hospice care program licensed under section 19a-122b of the general statutes that provides hospice home care services for terminally ill persons shall dispose of any controlled substance, as defined in section 21a-240 of the general statutes, that such hospice or hospice care program dispensed or administered to a terminally ill person (1) as soon as practicable after the death of such person, and (2) in a manner that complies with any applicable state or federal law regarding disposal of controlled substances.
Subdivision (12) of subsection (a) of section 19a-906 of the general statutes is repealed and the following is substituted in lieu thereof (Effective from passage):
(12) "Telehealth provider" means (A) any physician licensed under chapter 370, physical therapist licensed under chapter 376, chiropractor licensed under chapter 372, naturopath licensed under chapter 373, podiatrist licensed under chapter 375, occupational therapist licensed under chapter 376a, optometrist licensed under chapter 380, registered nurse or advanced practice registered nurse licensed under chapter 378, physician assistant licensed under chapter 370, psychologist licensed under chapter 383, marital and family therapist licensed under chapter 383a, clinical social worker or master social worker licensed under chapter 383b, alcohol and drug counselor licensed under chapter 376b, professional counselor licensed under chapter 383c, dietitian- nutritionist certified under chapter 384b, speech and language pathologist licensed under chapter 399, respiratory care practitioner licensed under chapter 381a, audiologist licensed under chapter 397a, pharmacist licensed under chapter 400j or paramedic licensed pursuant to chapter 384d who is providing health care or other health services through the use of telehealth within such person's scope of practice and inaccordance withthe standardofcare applicableto theprofession, and (B) on and after July 1, 2024, an appropriately licensed, certified or registered physician, naturopath, registered nurse, advanced practice registered nurse, physician assistant, psychologist, marital and family therapist, clinical social worker, master social worker, alcohol and drug counselor, professional counselor, dietitian-nutritionist, nurse-midwife, Public Act No.
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2 behavior analyst, music therapist or art therapist, in another state or territory of the United States or the District of Columbia, who (i) provides telehealth services under any relevant order issued pursuant to section 33 of this act, (ii) provides mental or behavioral health care through the use of telehealth within such person's scope of practice and inaccordance withthe standardofcare applicableto theprofession, and (iii) maintains professional liability insurance, or other indemnity against liability for professional malpractice, in an amount that is equal to or greater than that required for similarly licensed, certified or registered Connecticut mental or behavioral health care providers.
(NEW) (Effective July 1, 2022) (a) There is established an account to be known as the "transitional housing for youths experiencing homelessness account" which shall be a separate, nonlapsing account within the General Fund.
Subsection (h) of section 19a-906 of the general statutes is repealed and the following is substituted in lieu thereof (Effective from passage):
The account shall contain any moneys required by law to be deposited in the account.
(h) No telehealth provider or hospital shall charge a facility fee for telehealth services.
Moneys in the account shall be expended by the Department of Housing for the purpose of providing grants for transitional housing for individuals under the age of twenty-one who are experiencing homelessness.
Such prohibition shall apply to hospital telehealth serviceswhether providedoncampusor otherwise.
(b) The Commissioner of Housing shall establish a grant application process, eligibility criteria for the provision of grants and a formula for determining the amount of each grant awarded pursuant to this subsection.
For purposesofthis subsection, "hospital" has the same meaning as provided in section 19a- and "campus" has the same meaning as provided in section 19a- 508c.
The commissioner shall implement policies and procedures to carry out the provisions of this section while in the process of adopting such policies and procedures in regulation form, provided the commissioner posts notice of intent to adopt the regulation on the eRegulations System not later than twenty days after implementation.
Such policies and procedures shall be valid until the final regulations are adopted.
(Effective from passage)TheCommissioner ofRevenue Services shall conduct a study to identify options for establishing a tax credit LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0021 of 61 R03-SB.docx } Substitute Bill No.
Section 1 of public act 21-9, as amended by section 3 of public act 21-133, is repealed and the following is substituted in lieu thereof (Effective from passage):
2 against the personal income tax for taxpayers with dependent children enrolled in child care.
(a) As used in this section:
Not later than January 1, 2023, the commissioner shall submit a report, in accordance with the provisions of section 11-4a of the general statutes, to the joint standing committee of the General Assembly having cognizance ofmattersrelating to children.Suchreport shall include the findings of such study and any legislative recommendations.
(1) "Asynchronous" has the same meaning asprovidedin section 19a- of the general statutes, as amended by this act.
(2) "Connecticut medical assistance program" means the state's Medicaid program and the Children's Health Insurance program administered by the Department of Social Services.
Public Act No.
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2 (3) "Facility fee" has the same meaning as provided in section 19a- 508c of the general statutes.
(4) "Health record" has the same meaning as provided in section 19a- of the general statutes, as amended by this act.
(5) "Medical history" has the same meaning as provided in section 19a-906 of the general statutes, as amended by this act.
(6) "Medication-assisted treatment" has the same meaning as provided in section 19a-906 of the general statutes, as amended by this act.
(7) "Originating site" has the same meaning as provided in section 19a-906 of the general statutes, as amended by this act.
(8) "Peripheral devices" has the same meaning as provided in section 19a-906 of the general statutes, as amended by this act.
(9) "Remote patient monitoring" has the same meaning as provided in section 19a-906 of the general statutes, as amended by this act.
(10) "Store and forward transfer" has the same meaning as provided in section 19a-906 of the general statutes, as amended by this act.
(11) "Synchronous" has the same meaning as provided in section 19a- of the general statutes, as amended by this act.
(12) "Telehealth" means the mode of delivering health care or other health services via information and communication technologies to facilitate the diagnosis, consultation and treatment, education, care management and self-management of a patient's physical, oral and mental health, and includes interaction between the patient at the originatingsiteandthetelehealthprovideratadistantsite,synchronous interactions, asynchronous store and forward transfers or remote patient monitoring, but does not include interaction through [(A)] Public Act No.
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2 facsimile,textingor electronicmail.[,or (B)audio-only telephone unless the telehealth provider is (i) in-network, or (ii) a provider enrolled in the Connecticut medical assistance program providing such health care or other health services to a Connecticut medical assistance program recipient.] (13) "Telehealth provider" means any person who is (A) [an in- network provider or a provider enrolled in the Connecticut medical assistance program] providing health care or other health services [to a Connecticut medical assistance program recipient] through the use of telehealth within such person's scope of practice and in accordance with the standard of care applicable to such person's profession, and (B) (i) a physician or physician assistant licensed under chapter 370 of the general statutes, physical therapist or physical therapist assistant licensed under chapter 376 of the general statutes, chiropractor licensed under chapter 372 of the general statutes, naturopath licensed under chapter 373 ofthe general statutes, podiatrist licensed under chapter 375 of the general statutes, occupational therapist or occupational therapy assistant licensed under chapter376aofthegeneralstatutes,optometrist licensed under chapter 380 of the general statutes, registered nurse or advanced practice registered nurse licensed under chapter 378 of the general statutes, psychologist licensed under chapter 383 of the general statutes, marital and family therapist licensed under chapter 383a of the general statutes, clinical social worker or master social worker licensed under chapter 383b of the general statutes, alcohol and drug counselor licensed under chapter 376b of the general statutes, professional counselor licensed under chapter 383c of the general statutes, dietitian- nutritionist certified under chapter 384b of the general statutes, speech and language pathologist licensed under chapter 399 of the general statutes, respiratory care practitioner licensed under chapter 381a of the general statutes, audiologist licensed under chapter 397a of the general statutes, pharmacist licensed under chapter 400j of the general statutes, paramedic licensed pursuant to chapter 384d of the general statutes, Public Act No.
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2 nurse-midwife licensed under chapter 377 of the general statutes, dentist licensed under chapter 379 of the general statutes, behavior analyst licensed under chapter 382a of the general statutes, genetic counselor licensed under chapter 383d of the general statutes, music therapist certified in the manner described in chapter 383f of the general statutes, art therapist [certified] licensed in the manner described in chapter 383g of the general statutes or athletic trainer licensed under chapter 375a of the general statutes, or (ii) an appropriately licensed, certified or registered physician, physician assistant, physical therapist, physical therapist assistant, chiropractor, naturopath, podiatrist, occupational therapist, occupational therapy assistant, optometrist, registered nurse, advanced practice registered nurse, psychologist, marital and family therapist, clinical social worker, master social worker, alcohol and drug counselor, professional counselor, dietitian- nutritionist, speech and language pathologist, respiratory care practitioner, audiologist, pharmacist, paramedic, nurse-midwife, dentist, behavior analyst, genetic counselor, music therapist, art therapist or athletic trainer, in another state or territory of the United States or the District of Columbia, that provides telehealth services pursuant to his or her authority under any relevant order issued by the Commissioner of Public Health and maintains professional liability insurance, or other indemnity against liability for professional malpractice, in an amount that is equal to or greater than that required for similarly licensed, certified or registered Connecticut health care providers.
(b) (1) Notwithstanding the provisions of section 19a-906 of the general statutes, as amended by this act, during the period beginning on [the effective date of this section] May 10, 2021, and ending on June 30, [2023] 2024, a telehealth provider may only provide a telehealth service to a patient when the telehealth provider:
(A) Is communicating through real-time, interactive, two-way Public Act No.
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2 communication technology or store and forward transfer technology;
(B) Has determined whether the patient has health coverage that is fully insured, not fully insured or provided through [Medicaid or the Children's Health Insurance Program] the Connecticut medical assistance program, and whether the patient's health coverage, if any, provides coverage for the telehealth service;
(C) Has access to, or knowledge of, the patient's medical history, as provided by the patient, and the patient's health record, including the name and address of the patient's primary care provider, if any;
(D) Conforms to the standard of care applicable to the telehealth provider's profession and expected for in-person care as appropriate to the patient's age and presenting condition, except when the standard of care requires the use of diagnostic testing and performance of a physical examination, such testing or examination may be carried out through the use of peripheral devices appropriate to the patient's condition;
and (E) Provides the patient with the telehealth provider's license number, if any, and contact information.
(2) Notwithstanding the provisions of section 19a-906 of the general statutes, as amended by this act, if a telehealth provider provides a telehealth service to a patient during the period beginning on [the effective date ofthissection]May 10,2021, andending onJune30, [2023] 2024, the telehealth provider shall, at the time of the telehealth provider's first telehealth interaction with a patient, inform the patient concerning the treatment methods and limitations of treatment using a telehealth platform, including, but not limited to, the limited duration of the relevant provisions of this section and sections 3 to 7, inclusive, of [this act] public act 21-9, as amended by this act, and, after providing the patient with such information, obtain the patient's consent to provide telehealth services.
The telehealth provider shall document such notice Public Act No.
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2 and consent in the patient's health record.
If a patient later revokes such consent, the telehealth provider shall document the revocation in the patient's health record.
(c) Notwithstanding the provisions of this section or title 20 of the general statutes, no telehealth provider shall, during the period beginningon[theeffectivedateofthissection]May10,2021,andending on June 30, [2023] 2024, prescribe any schedule I, II or III controlled substance through the use of telehealth, except a schedule II or III controlled substance other than an opioid drug, as defined in section 20- 14o of the general statutes, in a manner fully consistent with the Ryan Haight Online Pharmacy Consumer Protection Act, 21 USC 829(e), as amended from time to time, for the treatment of a person with a psychiatric disability or a person with a substance use disorder, as defined in section 17a-458 of the general statutes, including, but not limited to, medication-assisted treatment.
A telehealth provider using telehealth to prescribe a schedule II or III controlled substance pursuant to this subsection shall electronically [submit] transmit the prescription pursuant to section 21a-249 of the general statutes, as amended by [this act] public act 21-9.
(d) During the period beginning on [the effective date of this section] May 10, 2021, and ending on June 30, [2023] 2024, each telehealth provider shall, at the time of the initial telehealth interaction, ask the patient whether the patient consents to the telehealth provider's disclosure of records concerning the telehealth interaction to the patient's primary care provider.
If the patient consents to such disclosure, the telehealth provider shall provide records of all telehealth interactions during such period to the patient's primary care provider, in a timely manner, in accordance with the provisions of sections 20-7b to 20-7e, inclusive, of the general statutes.
(e) During the period beginning on [the effective date of this section] May 10, 2021, and ending on June 30, [2023] 2024, any consent or Public Act No.
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2 revocation of consent under this section shall be obtained from or communicated by the patient, or the patient's legal guardian, conservator or other authorized representative, as applicable.
(f) (1) The provision of telehealth services and health records maintained anddisclosed aspart ofatelehealthinteractionshallcomply with all provisions of the Health Insurance Portability and Accountability Act of 1996, P.L.
104-191, as amended from time to time, and the rules and regulations adopted thereunder, that are applicable to such provision, maintenance or disclosure.
(2) Notwithstanding the provisions of section 19a-906 of the general statutes, as amended by this act, and subdivision (1) of this subsection, a telehealth provider that is an in-network provider or a provider enrolled in the Connecticut medical assistance program that provides telehealth services to a Connecticut medical assistance program recipient, may, during the period beginning on [the effective date of this section] May 10, 2021, and ending on June 30, [2023] 2024, use any information or communication technology in accordance with the directions, modifications or revisions, if any, made by the Office for Civil Rights of the United States Department of Health and Human Services to the provisions of the Health Insurance Portability and Accountability Act of 1996 P.L.
104-191, as amended from time to time, or the rules and regulations adopted thereunder.
(g) Notwithstanding any provision of the general statutes, nothing in this section shall, during the period beginning on [the effective date of this section] May 10, 2021, and ending on June 30, [2023] 2024, prohibit a health care provider from:
(1) Providing on-call coverage pursuant to an agreement with another health care provider or such health care provider's professional entity or employer;
(2) consulting with another health care provider concerning a patient's care;
(3) ordering care for hospital outpatients or inpatients;
or (4) using telehealth for a hospital inpatient, including for thepurpose ofordering medicationor treatment Public Act No.
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2 for such patient in accordance with the Ryan Haight Online Pharmacy Consumer ProtectionAct, 21 USC 829(e), as amended from time to time.
As used in this subsection, "health care provider" means a person or entity licensed or certified pursuant to chapter 370, 372, 373, 375, 376 to 376b, inclusive, 378, 379, 380, 381a, 383 to 383c, inclusive, 384b, 397a, 399 or 400j of thegeneral statutes or licensed or certified pursuant to chapter 368d or 384d of the general statutes.
(h) Notwithstanding any provision of the general statutes, no telehealth provider shall charge a facility fee for a telehealth service provided during the period beginning on [the effective date of this section] May 10, 2021, and ending on June 30, [2023] 2024.
(i) (1) Notwithstanding any provision of the general statutes, no telehealth provider shall provide health care or health services to a patient through telehealth during the period beginning on [the effective date of this section] May 10, 2021, and ending on June 30, [2023] 2024, unlessthetelehealthproviderhasdeterminedwhetherornotthepatient has health coverage for such health care or health services.
(2) Notwithstanding any provision of the general statutes, a telehealth provider who provides health care or health services to a patient through telehealth during the period beginning on [the effective date of this section] May 10, 2021, and ending on June 30, [2023] 2024, shall:
(A) Accept as full payment for such health care or health services:
(i) An amount that is equal to the amount that Medicare reimburses for such health care or health services if the telehealth provider determines that the patient does not have health coverage for such health care or health services;
or (ii) The amount that the patient's health coverage reimburses, and any coinsurance, copayment, deductible or other out-of-pocket expense Public Act No.
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2 imposed by the patient's health coverage, for such health care or health services if the telehealth provider determines that the patient has health coverage for such health care or health services.
If the patient's health coverage uses a provider network, the amount of such reimbursement, and such coinsurance, copayment, deductible or other out-of-pocket expense, shall not exceed the in-network amount regardless of the network status of such telehealth provider.
(3) If a telehealth provider determines that a patient is unable to pay for any health care or health services described in subdivisions (1) and (2) of this subsection, the provider shall offer to the patient financial assistance, if such provider is otherwise required to offer to the patient such financial assistance, under any applicable state or federal law.
(j) Subject to compliance with all applicable federal requirements, notwithstanding any provision of the general statutes, state licensing standards or any regulation adopted thereunder, a telehealth provider may provide telehealth services pursuant to the provisions of this section from any location.
(k) Notwithstanding the provisions of section 19a-906 of the general statutes, as amended by this act, during the period beginning on [the effective date ofthissection]May 10,2021, andending onJune30, [2023] 2024, any Connecticut entity, institution or health care provider that engages or contracts with a telehealth provider that is licensed, certified or registered in another state or territory of the United States or the District of Columbia to provide health care or other health services shall verify the credentials of such provider in the state in which he or she is licensed, certified or registered, ensure that such [a] provider is in good standing in such state, and confirm that such provider maintains professional liability insurance or other indemnity against liability for professional malpractice in an amount that is equal to or greater than that required for similarly licensed, certified or registered Connecticut health care providers.
Public Act No.
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2 (l) Notwithstanding sections 4-168 to 4-174, inclusive, of the general statutes, from the period beginning on [the effective date of this section] May 10, 2021, and ending on June 30, [2023] 2024, the Commissioner of Public Health may temporarily waive, modify or suspend any regulatory requirements adopted by the Commissioner of Public Health or any boards or commissions under chapters 368a, 368d, 368v, 369 to 381a, inclusive, 382a, 383 to 388, inclusive, 397a, 398, 399, 400a, 400c, 400j and 474 of the general statutes as the Commissioner of Public Health deems necessary to reduce the spread of COVID-19 and to protect the public health for the purpose of providing residents of this state with telehealth services from out-of-state practitioners.
(Effective from passage) (a) For the purposes of this section, "child care facilities" means child care centers, group child care homes and family child care homes that provide "child care services", as described in section 19a-77 of the general statutes, as amended by this act, and "out-of-pocket costs" has the same meaning as provided in section 19a-755b of the general statutes.
(NEW) (Effective July 1, 2022) The Commissioner of Public Health may issue an order authorizing telehealth providers who are not licensed, certified or registered to practice in this state to provide telehealth services to patients in this state.
(b) The Commissioner of Social Services, in consultation with the Office of the State Comptroller, shall conduct a study to identify ways inwhichthestatemay providefinancialassistancetoemployeesofchild care facilities for out-of-pocket costs associated with the provision of medical care to such employees.
Such order may be of limited duration and limited to one or more types of providers described in subdivision (13) of subsection (a) of section 1 of public act 21-9, as amended by this act, or subdivision (12) of subsection (a) of section 19a- of the general statutes, as amended by this act.
Not later than January 1, 2023, the commissioner of Social Services shall submit a report, in accordance with the provisions of section 11-4a of the general statutes, to the joint standing committee of the General Assembly having cognizance of matters relating to children.
The commissioner may impose conditions including, but not limited to, a requirement that any telehealth provider providing telehealth services to patients in this state pursuant to such order shall submit an application for licensure, certification or registration, as applicable.
Such report shall include the findings of such study, including, but not limited to, an analysis of whether such employeesmay beeligiblefor participationintheState PartnershipPlan 2.0, and any legislative recommendations.
The commissioner may suspend or revoke any authorization provided pursuant to this section to a telehealth provider who violates any condition imposed by the commissioner or applicable requirements for the provision of telehealth services under the law.
Any such order issued pursuant to this section shall not constitute a regulation, as defined in section 4-166 of the general statutes.
(Effective from passage) (a) There is established a task force to continue to study the comprehensive needs of children in the state and the extent to which such needs are being met by educators, community members and local and state agencies.
Subsection (c) of section 21a-249 of the 2022 supplement to the general statutes is repealed and the following is substituted in lieu Public Act No.
The task force shall address subdivisions (1) to (6), inclusive, of subsection (a) of section 30 of public act 21-46.
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(b) The task force shall consist of the members appointed to the task LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0022 of 61 R03-SB.docx } Substitute Bill No.
2 thereof (Effective from passage):
2 force to study the comprehensive needs of children pursuant to subsection(b)of section30of publicact 21-46, except that ifany member declines such appointment, a new appointee shall be selected by the appointing authority pursuant to said subsection.
(c) A licensed practitioner shall not be required to electronically transmit a prescription when:
(c) Any member of the task force appointed under subdivisions (1) to (6), inclusive, of subsection (b) of section 30 of public act 21-46 may be a member of the General Assembly.
(1) Electronic transmission is not available due to a temporary technological or electrical failure.
(d) All initial appointments to the task force shall be made not later thanthirty daysafter theeffective date ofthis section.Any vacancy shall be filled by the appointing authority not later than thirty days after the vacancy occurs.If a vacancy is not filledby the appointing authority,the chairpersons of the task force may fill such vacancy.
In the event of a temporary technological or electrical failure, the practitioner shall, without undue delay, reasonably attempt to correct any cause for the failure that is within his or her control.
(e)The speaker oftheHouse ofRepresentativesandthepresident pro tempore of the Senate shall select the chairpersons of the task force from among the members of the task force.
A practitioner who issues a prescription, but fails to electronically transmit the prescription, as permitted by this subsection, shall document the reason for the practitioner's failure to electronically transmit the prescription in the patient's medical record as soon as practicable, but in no instance more than seventy-two hours following the end of the temporary technological or electrical failure that prevented the electronic transmittal of the prescription.
Such chairpersons shall schedule thefirst meeting ofthe task force, whichshall beheld not later thansixty days after the effective date of this section.
For purposes of this subdivision, "temporary technological or electrical failure" means failure of a computer system, application or device or the loss of electrical power to such system, application or device, or any other service interruption to such system, application or device that reasonably prevents the practitioner from utilizing his or her certified application to electronically transmit the prescription in accordance with subsection (b) of this section;
(f) The administrative staff of the joint standing committee of the General Assembly having cognizance of matters relating to children shall serve as administrative staff of the task force.
(2) The practitioner reasonably determines that it would be impractical for the patient to obtain substances prescribed by an electronically transmitted prescription in a timely manner and that such delay would adversely impact the patient's medical condition, provided if such prescription is for a controlled substance, the quantity of such controlled substance does not exceed a five-day supply for the patient, if the controlled substance was used in accordance with the directions for use.
(g) Not later than January 1, 2023, the task force shall update the report issued pursuant to subsection (g) of section 30 of public act 21-46, and submit such updated report and any additional findings and recommendations to the joint standing committee of the General Assembly having cognizance of matters relating to children, in accordance with the provisions of section 11-4a of the general statutes.
A practitioner who issues a prescription, but fails to electronically transmit the prescription, as permitted by this subsection, shall document the reason for the practitioner's failure to electronically Public Act No.
The task force shall terminate on the date that it submits such report or January 1, 2023, whichever is later.
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2 transmit the prescription in the patient's medical record;
(3) The prescription is to be dispensed by a pharmacy located outside this state.
A practitioner who issues a prescription, but fails to electronically transmit the prescription, as permitted by this subsection, shall document the reason for the practitioner's failure to electronically transmit the prescription in the patient's medical record;
(4) Use of an electronically transmitted prescription may negatively impact patient care, such as a prescription containing two or more products to be compounded by a pharmacist, a prescription for direct administration to a patient by parenteral, intravenous, intramuscular, subcutaneous or intraspinal infusion, a prescription that contains long or complicated directions, a prescription that requires certain elements to be included by the federal Food and Drug and Administration, or an oral prescription communicated to a pharmacist by a health care practitioner for a patient in a chronic and convalescent nursing home, licensed pursuant to chapter 368v;
or (5) The practitioner demonstrates, in a form and manner prescribed by the commissioner, that such practitioner does not have the technological capacity to issue an electronically transmitted [prescriptions] prescription.
For the purposes of this subsection, "technological capacity" means possession of a computer system, hardware or device that canbeused toelectronically transmit controlled substance prescriptions consistent with the requirements of the federal Controlled Substances Act, 21 USC 801, as amended from time to time.
The provisions of this subdivision shall not apply to a practitioner when such practitioner is prescribing as a telehealth provider, as defined in section 19a-906, as amended by this act, section 1 of public act 20-2 of the July special session or section 1 of public act 21-9, as amended by this act, as applicable, pursuant to subsection (c) of section 19a-906, subsection (c) of section 1 of public act 20-2 of the July special session or subsection (c) of section 1 of public act 21-9, as amended by this act, as Public Act No.
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2 applicable.
Section 17b-28e of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2022):
Section 3 of public act 21-9 is repealed and the following is substituted in lieu thereof (Effective from passage):
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(a) For the purposes of this section:
2 (a) The Commissioner of Social Services shall amend the Medicaid state plan to include, on and after January 1, 2009, hospice services as optional services covered under the Medicaid program.
(1) "Asynchronous" has the same meaning asprovidedin section 19a- of the general statutes, as amended by this act;
Said state plan amendment shall supersede any regulations of Connecticut state agencies concerning such optional services.
(2) "Originating site" has the same meaning as provided in section 19a-906 of the general statutes, as amended by this act;
Hospice services covered under the Medicaid program for individuals who are residents in long- term care facilities shall be paid at a rate that is ninety-five per cent of the facility's per diem rate.
(3) "Remote patient monitoring" has the same meaning as provided in section 19a-906 of the general statutes, as amended by this act;
(b) Not later than October 1, 2011, the Commissioner of Social Services shall amend the Medicaid state plan to include podiatry as an optional service under the Medicaid program.
(4) "Store and forward transfer" has the same meaning as provided in section 19a-906 of the general statutes, as amended by this act;
(c) Not later than October 1, [2014] 2022, the Commissioner of Social Services shall amend the Medicaid state plan to include services provided by the following licensed behavioral health clinicians in independent practice to Medicaid recipients who are twenty-one years of age or older:
(5) "Synchronous" has the same meaning as provided in section 19a- of the general statutes, as amended by this act;
(1) Psychologists licensed under chapter 383, (2) clinical social workers licensed under subsection (c) or (e) of section 20-195n, (3) alcohol and drug counselors licensed under section 20-74s, (4) professional counselors licensed under sections 20-195cc and 20-195dd, [and] (5) marital and family therapists licensed under section 20-195c, and (6) master social workers licensed under chapter 383b who work under the supervision of psychologists licensed under chapter 383 or clinical social workers licensed under subsection (c) or (e) of section 20- 195n.
(6) "Telehealth" means the mode of delivering health care or other health services via information and communication technologies to facilitate the diagnosis, consultation and treatment, education, care management and self-management of an insured's physical, oral and mental health, and includes interaction between the insured at the originatingsiteandthetelehealthprovideratadistantsite,synchronous interactions, asynchronous store and forward transfers or remote patient monitoring, but does not include interaction through (A) facsimile, texting or electronic mail, or (B) audio-only telephone if the policydescribedinsubsection(b)ofthissectionusesaprovidernetwork and the telehealth provider is out-of-network;
The commissioner shall include such services as optional services covered under the Medicaid program and provide direct Medicaid reimbursements to such licensed behavioral health clinicians who are enrolled as Medicaid providers and who treat such Medicaid recipients in independent practice settings.
and (7) "Telehealth provider" means any person who (A) provides health care or other health services through the use of telehealth within such Public Act No.
The commissioner may implement policies and procedures necessary to implement this subsection in advance of regulations, provided the commissioner prints notice of intent to adopt the regulations in accordance with section 17b-10 not later than twenty days after the date of implementation of such policies and procedures.
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Such policies and procedures shall be valid until the LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-0024 of 61 R03-SB.docx } Substitute Bill No.
2 person's scope of practice and in accordance with the standard of care applicable to such person's profession, and (B) is (i) a physician or physician assistant licensed under chapter 370 of the general statutes, physical therapist or physical therapist assistant licensed under chapter of the general statutes, chiropractor licensed under chapter 372 of the general statutes, naturopath licensed under chapter 373 of the general statutes, podiatrist licensed under chapter 375 of the general statutes, occupational therapist or occupational therapy assistant licensed under chapter 376a of the general statutes, optometrist licensed under chapter 380 of the general statutes, registered nurse or advanced practice registered nurse licensed under chapter 378 of the general statutes, psychologist licensed under chapter 383 of the general statutes, marital and family therapist licensed under chapter 383a of the general statutes, clinical social worker or master social worker licensed under chapter383bofthegeneralstatutes,alcoholanddrugcounselorlicensed under chapter 376b of the general statutes, professional counselor licensed under chapter 383c of the general statutes, dietitian-nutritionist certified under chapter 384b of the general statutes, speech and language pathologist licensed under chapter 399 of the general statutes, respiratory care practitioner licensed under chapter 381a of the general statutes, audiologist licensed under chapter 397a of the general statutes, pharmacist licensed under chapter 400j of the general statutes, paramedic licensed pursuant to chapter 384d of the general statutes, nurse-midwife licensed under chapter 377 of the general statutes, dentist licensed under chapter 379 of the general statutes, behavior analyst licensed under chapter 382a of the general statutes, genetic counselor licensed under chapter 383d of the general statutes, music therapist certified in the manner described in chapter 383f of the general statutes, art therapist [certified] licensed in the manner described in chapter 383g of the general statutes or athletic trainer licensed under chapter 375a of the general statutes, or (ii) an in-network and appropriately licensed, certified or registered physician, physician assistant, physical therapist, physical therapist assistant, chiropractor, Public Act No.
2 time final regulations are adopted.
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2 naturopath, podiatrist, occupational therapist, occupational therapy assistant, optometrist, registered nurse, advanced practice registered nurse, psychologist, marital and family therapist, clinical social worker, master social worker, alcohol and drug counselor, professional counselor, dietitian-nutritionist, speech and language pathologist, respiratorycarepractitioner,audiologist,pharmacist,paramedic,nurse- midwife, dentist, behavior analyst, genetic counselor, music therapist, art therapist or athletic trainer, in another state or territory of the United States or the District of Columbia, that provides telehealth services pursuant to his or her authority under any relevant order issued by the Commissioner of Public Health and maintains professional liability insurance, or other indemnity against liability for professional malpractice, in an amount that is equal to or greater than that required for similarly licensed, certified or registered Connecticut health care providers.
(b) Notwithstanding any provision of the general statutes, each individual health insurance policy that provides coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 of the general statutes that is effective at any time during the period beginningon[theeffectivedateofthissection]May10,2021,andending on June 30, [2023] 2024, shall, at all times that the policy remains in effect during such period, provide coverage for medical advice, diagnosis, care or treatment provided through telehealth, to the same extent coverage is provided for such advice, diagnosis, care or treatment when provided to the insured in person.
The policy shall not, at any time during such period, exclude coverage for a service that is appropriately provided through telehealth because such service is provided through telehealth or a telehealth platform selected by an in-network telehealth provider.
(c) Notwithstanding any provision of the general statutes, no telehealth provider who receives a reimbursement for a covered service Public Act No.
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2 provided through telehealth in accordance with subsection (b) of this section shall seek any payment for such service from the insured who received such service, except for any coinsurance, copayment, deductible or other out-of-pocket expense set forth in the insured's policy.
Such amount shall be deemed by the telehealth provider to be payment in full.
(d) Nothing in this section shall prohibit or limit a health insurer, health care center, hospital service corporation, medical service corporation or other entity from conducting utilization review for telehealth services, provided such utilization review is conducted in the same manner and uses the same clinical review criteria as a utilization review for an in-person consultation for the same service.
Except as provided in subsection (b) or (c) of this section, the coverage required under subsection (b) of this section shall be subject to the same terms and conditions applicable to all other benefits under the policy providing such coverage.
(e) The provisions of this section shall apply to a high deductible health plan, as that term is used in subsection (f) of section 38a-493 of the general statutes, to the maximum extent permitted by federal law, except if such plan is used to establish a medical savings account or an Archer MSA pursuant to Section 220 of the Internal Revenue Code of 1986, as amended from time to time, or any subsequent corresponding internal revenue code of the United States, as amended from time to time, or a health savings account pursuant to Section 223 of said Internal Revenue Code of 1986, as amended from time to time.
The provisions of this section shall apply to such plan to the maximum extent that (1) is permitted by federal law, and (2) does not disqualify such account for the deduction allowed under said Section 220 or 223, as applicable.
Section 4 of public act 21-9 is repealed and the following is substituted in lieu thereof (Effective from passage):
Public Act No.
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2 (a) For the purposes of this section:
(1) "Asynchronous" has the same meaning asprovidedin section 19a- of the general statutes, as amended by this act;
(2) "Originating site" has the same meaning as provided in section 19a-906 of the general statutes, as amended by this act;
(3) "Remote patient monitoring" has the same meaning as provided in section 19a-906 of the general statutes, as amended by this act;
(4) "Store and forward transfer" has the same meaning as provided in section 19a-906 of the general statutes, as amended by this act;
(5) "Synchronous" has the same meaning as provided in section 19a- of the general statutes, as amended by this act;
(6) "Telehealth" means the mode of delivering health care or other health services via information and communication technologies to facilitate the diagnosis, consultation and treatment, education, care management and self-management of an insured's physical, oral and mental health, and includes interaction between the insured at the originatingsiteandthetelehealthprovideratadistantsite,synchronous interactions, asynchronous store and forward transfers or remote patient monitoring, but does not include interaction through (A) facsimile, texting or electronic mail, or (B) audio-only telephone if the policydescribedinsubsection(b)ofthissectionusesaprovidernetwork and the telehealth provider is out-of-network;
and (7) "Telehealth provider" means any person who (A) provides health care or other health services through the use of telehealth within such person's scope of practice and in accordance with the standard of care applicable to such person's profession, and (B) is (i) a physician or physician assistant licensed under chapter 370 of the general statutes, physical therapist or physical therapist assistant licensed under chapter Public Act No.
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2 of the general statutes, chiropractor licensed under chapter 372 of the general statutes, naturopath licensed under chapter 373 of the general statutes, podiatrist licensed under chapter 375 of the general statutes, occupational therapist or occupational therapy assistant licensed under chapter 376a of the general statutes, optometrist licensed under chapter 380 of the general statutes, registered nurse or advanced practice registered nurse licensed under chapter 378 of the general statutes, psychologist licensed under chapter 383 of the general statutes, marital and family therapist licensed under chapter 383a of the general statutes, clinical social worker or master social worker licensed under chapter383bofthegeneralstatutes,alcoholanddrugcounselorlicensed under chapter 376b of the general statutes, professional counselor licensed under chapter 383c of the general statutes, dietitian-nutritionist certified under chapter 384b of the general statutes, speech and language pathologist licensed under chapter 399 of the general statutes, respiratory care practitioner licensed under chapter 381a of the general statutes, audiologist licensed under chapter 397a of the general statutes, pharmacist licensed under chapter 400j of the general statutes, paramedic licensed pursuant to chapter 384d of the general statutes, nurse-midwife licensed under chapter 377 of the general statutes, dentist licensed under chapter 379 of the general statutes, behavior analyst licensed under chapter 382a of the general statutes, genetic counselor licensed under chapter 383d of the general statutes, music therapist certified in the manner described in chapter 383f of the general statutes, art therapist [certified] licensed in the manner described in chapter 383g of the general statutes or athletic trainer licensed under chapter 375a of the general statutes, or (ii) an in-network and appropriately licensed, certified or registered physician, physician assistant, physical therapist, physical therapist assistant, chiropractor, naturopath, podiatrist, occupational therapist, occupational therapy assistant, optometrist, registered nurse, advanced practice registered nurse, psychologist, marital and family therapist, clinical social worker, master social worker, alcohol and drug counselor, professional Public Act No.
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2 counselor, dietitian-nutritionist, speech and language pathologist, respiratorycarepractitioner,audiologist,pharmacist,paramedic,nurse- midwife, dentist, behavior analyst, genetic counselor, music therapist, art therapist or athletic trainer, in another state or territory of the United States or the District of Columbia, that provides telehealth services pursuant to his or her authority under any relevant order issued by the Commissioner of Public Health and maintains professional liability insurance, or other indemnity against liability for professional malpractice, in an amount that is equal to or greater than that required for similarly licensed, certified or registered Connecticut health care providers.
(b) Notwithstanding any provision of the general statutes, each group health insurance policy that provides coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 of the general statutes that is effective at any time during the period beginningon[theeffectivedateofthissection]May10,2021,andending on June 30, [2023] 2024, shall, at all times that the policy remains in effect during such period, provide coverage for medical advice, diagnosis, care or treatment provided through telehealth, to the same extent coverage is provided for such advice, diagnosis, care or treatment when provided to the insured in person.
The policy shall not, at any time during such period, exclude coverage for a service that is appropriately provided through telehealth because such service is provided through telehealth or a telehealth platform selected by an in-network telehealth provider.
(c) Notwithstanding any provision of the general statutes, no telehealth provider who receives a reimbursement for a covered service provided through telehealth in accordance with subsection (b) of this section shall seek any payment for such service from the insured who received such service, except for any coinsurance, copayment, deductible or other out-of-pocket expense set forth in the insured's Public Act No.
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2 policy.
Such amount shall be deemed by the telehealth provider to be payment in full.
(d) Nothing in this section shall prohibit or limit a health insurer, health care center, hospital service corporation, medical service corporation or other entity from conducting utilization review for telehealth services, provided such utilization review is conducted in the same manner and uses the same clinical review criteria as a utilization review for an in-person consultation for the same service.
Except as provided in subsection (b) or (c) of this section, the coverage required under subsection (b) of this section shall be subject to the same terms and conditions applicable to all other benefits under the policy providing such coverage.
(e) The provisions of this section shall apply to a high deductible health plan, as that term is used in subsection (f) of section 38a-520 of the general statutes, to the maximum extent permitted by federal law, except if such plan is used to establish a medical savings account or an Archer MSA pursuant to Section 220 of the Internal Revenue Code of 1986, as amended from time to time, or any subsequent corresponding internal revenue code of the United States, as amended from time to time, or a health savings account pursuant to Section 223 of said Internal Revenue Code of 1986, as amended from time to time.
The provisions of this section shall apply to such plan to the maximum extent that (1) is permitted by federal law, and (2) does not disqualify such account for the deduction allowed under said Section 220 or 223, as applicable.
Sec.
37.
Section 5 of public act 21-9 is repealed the following is substituted in lieu thereof (Effective from passage):
(a) As used in this section:
(1) "Health carrier" has the same meaning as provided in section 38a- of the general statutes;
Public Act No.
22-81 46 of 112 Substitute Senate Bill No.
2 (2) "Insured" has the same meaning as provided in section 38a-1 of the general statutes;
(3) "Telehealth" has the same meaning as provided in sections 3 and of [this act] public act 21-9, as amended by this act;
and (4) "Telehealth provider" has the same meaning as provided in sections 3 and 4 of [this act] public act 21-9, as amended by this act.
(b) Notwithstanding any provision of the general statutes, no health carrier shall reduce the amount of a reimbursement paid to a telehealth provider for covered health care or health services that the telehealth provider appropriately provided to an insured through telehealth during the period beginning on [the effective date of this section] May 10, 2021, and ending on June 30, [2023] 2024, because the telehealth provider provided such health care or health services to the patient through telehealth and not in person.
Sec.
38.
Section 7 of public act 21-9 is repealed and the following is substituted in lieu thereof (Effective from passage):
(a) As used in this section:
(1) "Advanced practice registered nurse" means an advanced practice registered nurse licensed pursuant to chapter 378ofthegeneralstatutes;
(2) "Physician" has the same meaning as provided in section 21a-408 of the general statutes;
(3) "Qualifying patient" has the same meaning as provided in section 21a-408 of the general statutes;
and (4) "Written certification" has the same meaning as provided in section 21a-408 of the general statutes.
(b) Notwithstanding the provisions of sections 21a-408 to 21a-408n, Public Act No.
22-81 47 of 112 Substitute Senate Bill No.
2 inclusive, of the general statutes, or any other section, regulation, rule, policy or procedure concerning the certification of medical marijuana patients, a physician or advanced practice registered nurse may issue a written certification to a qualifying patient and provide any follow-up care using telehealth services during the period beginning on [the effective date ofthissection]May 10,2021, andending onJune30, [2023] 2024, provided all other requirements for issuing the written certification to the qualifying patient and all recordkeeping requirements are satisfied.
Sec.
39.
Section 38a-499a of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2024):
(a) As used in this section, "telehealth" has the same meaning as provided in section 19a-906, as amended by this act.
(b) Each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 ofthegeneralstatutesdelivered,issuedfor delivery,renewed,amended or continued in this state shall provide coverage for medical advice, diagnosis, care or treatment provided through telehealth, to the extent coverage is provided for such advice, diagnosis, care or treatment when provided through in-person consultation between the insured and a health care provider licensed in the state.
Such coverage shall be subject to the same terms and conditions applicable to all other benefits under such policy.
(c) No such policy shall:
(1) Exclude a service for coverage solely because such service is provided only through telehealth and not through in-person consultation between the insured and a health care provider licensed in the state, provided telehealth is appropriate for the provision of such service;
or (2) be required to reimburse a treating or consulting health care provider for the technical fees or technical costs for the provision of telehealth services.
Public Act No.
22-81 48 of 112 Substitute Senate Bill No.
2 (d) Nothing in this section shall prohibit or limit a health insurer, health care center, hospital service corporation, medical service corporation or other entity from conducting utilization review for telehealth services, provided such utilization review is conducted in the same manner and uses the same clinical review criteria as a utilization review for an in-person consultation for the same service.
Sec.
40.
Section 38a-526a of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2024):
(a) As used in this section, "telehealth" has the same meaning as provided in section 19a-906, as amended by this act.
(b) Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 ofthegeneralstatutesdelivered,issuedfor delivery,renewed,amended or continued in this state shall provide coverage for medical advice, diagnosis, care or treatment provided through telehealth, to the extent coverage is provided for such advice, diagnosis, care or treatment when provided through in-person consultation between the insured and a health care provider licensed in the state.
Such coverage shall be subject to the same terms and conditions applicable to all other benefits under such policy.
(c) No such policy shall:
(1) Exclude a service for coverage solely because such service is provided only through telehealth and not through in-person consultation between the insured and a health care provider, provided telehealth is appropriate for the provision of such service;
or (2) be required to reimburse a treating or consulting health care provider licensed in the state for thetechnical fees or technical costs for the provision of telehealth services.
(d) Nothing in this section shall prohibit or limit a health insurer, health care center, hospital service corporation, medical service Public Act No.
22-81 49 of 112 Substitute Senate Bill No.
2 corporation or other entity from conducting utilization review for telehealth services, provided such utilization review is conducted in the same manner and uses the same clinical review criteria as a utilization review for an in-person consultation for the same service.
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Action History

  1. SIGNED BY GOVERNOR

  2. TRANSMITTED BY SECRETARY OF THE STATE TO GOVERNOR

  3. TRANSMITTED TO SECRETARY OF THE STATE

  4. PUBLIC ACT 22-81

  5. IN CONCURRENCE

  6. HOUSE PASSED, SEN. AMEND. SCH. A

  7. HOUSE REJECTED HOUSE AMEND. SCH. A

  8. HOUSE ADOPTED SEN. AMEND. SCH. A

  9. HOUSE CALENDAR NUMBER 469

  10. FAV. RPT., TABLED FOR HOUSE CALENDAR

  11. SEN. PASSED, SEN. AMEND. SCH. A

  12. SEN. ADOPTED SEN. AMEND. SCH. A

  13. FAV. RPT., TAB. FOR CAL., SEN.

  14. NO NEW FILE BY COMM. ON Appropriations

  15. RPTD. OUT OF LCO

  16. FILED WITH LCO

  17. Joint Favorable

  18. REF. BY SEN. TO COMM. ON Appropriations

  19. FILE NO. 276

  20. SENATE CALENDAR NUMBER 207

  21. FAV. RPT., TAB. FOR CAL., SEN.

  22. RPTD. OUT OF LCO

  23. REFERRED TO Office of Legislative Research AND Office of Fiscal Analysis 04/04/22

  24. FILED WITH LCO

  25. Joint Favorable

  26. REF. TO JOINT COMM. ON Committee on Children

  27. DRAFTED BY COMMITTEE

  28. Vote to Draft

  29. PUBLIC HEARING 0225

  30. Reserved for Subject Matter Public Hearing

  31. REF. TO JOINT COMM. ON Committee on Children

Sponsors

Sponsorship breakdown

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67 sponsors · 0 co-sponsors · 120 not signed on

Sponsors (67)

Co-sponsors (0)

None.

Not signed on (120)

120 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

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Subjects

public-safety healthcare education
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Frequently asked questions

Who sponsors SB 2?
SB 2 is sponsored by Ryan, Kevin, Anthony L. Nolan (Democratic), Hampton, John K., Smith, Brian T., Geraldo C. Reyes (Democratic), Haskell, Will, Douglas McCrory (Democratic), Mike Demicco (Democratic), Patricia A. Dillon (Democratic), Patricia Billie Miller (Democratic), Hilda E. Santiago (Democratic), Christine Cohen (Democratic), Young, Philip L., Kara Rochelle (Democratic), Goupil, Christine, Michel, David, Cassano, Steve, Currey, Jeff, Concepcion, Julio A., Conley, Christine, Rick Lopes (Democratic), Jillian Gilchrest (Democratic), Palm, Christine, Eric C. Berthel (Republican), Travis Simms (Democratic), Mae Flexer (Democratic), Lucy Dathan (Democratic), Formica, Paul M., Cheeseman, Holly H., Wood, Terrie E., Martin M. Looney (Democratic), Derek Slap (Democratic), Matthew Ritter (Democratic), Bradley, Dennis A., Bob Godfrey (Democratic), Saud Anwar (Democratic), Kate Farrar (Democratic), Jorge Cabrera (Democratic), Henry J. Genga (Democratic), Maria P. Horn (Democratic), Paul Cicarella (Republican), Brandon Chafee (Democratic), Julie Kushner (Democratic), Delany, Hubert D., Winkler, Michael A., John W. Fonfara (Democratic), Tony Hwang (Republican), Morrin Bello, Amy, John A. Kissel (Republican), Williams, Quentin, Robin E. Comey (Democratic), Bob Duff (Democratic), Bobby G. Gibson (Democratic), Mccarthy Vahey, Cristin, Mary M. Mushinsky (Democratic), Tammy R. Exum (Democratic), Daugherty Abrams, Mary, Heather S. Somers (Republican), Khan, Maryam, Thomas, Stephanie, Josh Elliott (Democratic), Matthew L. Lesser (Democratic), Ryan Fazio (Republican), Gary A. Winfield (Democratic), Kevin C. Kelly, Marilyn Moore, and Mccarty, K..
What is the current status of SB 2?
This bill has been enacted into law. Introduced February 09, 2022. Enacted.
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