Connecticut 2022 Regular Session Status: In Committee 2 D cosponsors

HB 5433 — AN ACT ESTABLISHING A COMMITTEE ON BEHAVIORAL AND MENTAL HEALTH POLICY AND OVERSIGHT.

Last action — FILE NO. 636

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

This bill died with 2022 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

228 added · 128 removed

228 line(s) added, 128 removed.

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General Assembly Raised Bill No.
House of Representatives General Assembly File No.
5433 February Session, 2022 LCO No.
636 February Session, 2022 Substitute House Bill No.
2166 Referred to Committee on APPROPRIATIONS Introduced by:
5433 House of Representatives, April 26, 2022 The Committee on Appropriations reported through REP.
(APP) AN ACT ESTABLISHING A COUNCIL ON MENTAL AND BEHAVIORAL HEALTH PROGRAM OVERSIGHT.
WALKER of the 93rd Dist., Chairperson of the Committee on the part of the House, that the substitute bill ought to pass.
AN ACT ESTABLISHING A COMMITTEE ON BEHAVIORAL AND MENTAL HEALTH POLICY AND OVERSIGHT.
(NEW) (Effective from passage) (a) There is established a Council on Mental and Behavioral Health Program Oversight which shall advise the Commissioner of Mental Health and Addiction Services on the planning and implementation of the delivery system for mental and behavioral health programs and services, including services for the treatment of substance use disorder.
(NEW) (Effective from passage) (a) There is established a Behavioral and Mental Health Policy and Oversight Committee.
The council shall monitor planning and implementation of matters related to mental and behavioral health program initiatives including, but not limited to, (1) eligibility standards, (2) benefits, (3) access, (4) quality assurance, and (5) outcome measures.
The committee shall evaluate the availability and efficacy of prevention, early intervention, and mental health treatment services and options for children from birth to age eighteen and make recommendations to the General Assembly and executive agencies regarding the governance and administration of the mental health care system for children.
(b) The council shall be composed of the following members:
(b) The committee shall consist of the following members:
LCO No.
sHB5433 / File No.
2166 1 of 5 Raised Bill No.5433 (2) Five appointed by the speaker of the House of Representatives, one of whom shall be a member of the General Assembly, one of whom shall be a community provider of adult mental or behavioral health services, one of whom shall be a consumer of adult mental or behavioral health services or an advocate for such consumers, one of whom shall be a representative of a federally qualified health center that provides psychiatric services and one of whom shall be a member of the Connecticut Hospital Association;
636 1 sHB5433 File No.
(3) Five appointed by the president pro tempore of the Senate, one of whom shall be a member of the General Assembly, one of whom shall be a representative of a nonprofit agency that provides mental and behavioral health services, one of whom shall be a representative of a for-profit agency that providesmentalor behavioralhealthservices,one of whom shall be a licensed health care provider of mental or behavioral health services and one of whom shall be a licensed alcohol and drug counselor;
636 (2) Three appointed by the speaker of the House of Representatives, one of whom shall be a member of the General Assembly and two of whom shall be providers of mental, emotional or behavioral health services for children in the state;
(4) Three appointed by the majority leader of the House of Representatives, one of whom shall be an advocate for persons with substance use disorder, one of whom shall be a family member of a person with substance use disorder and one of whom shall be a representative of a facility that provides in-patient substance use disorder services;
(3) Three appointed by the president pro tempore of the Senate, one of whom shall be a member of the General Assembly and two of whom shall be representatives of private advocacy groups that provide services for children and families in the state;
(5)Threeappointedby themajorityleaderoftheSenate,oneofwhom shall be a community provider of mental or behavioral health services for children and young adults, one of whom shall be the family member of a child or young adult who is a consumer of mental or behavioral health services, and one of whom is an advocate for such consumers;
(4) Two appointed by the majority leader of the House of Representatives, who shall be representatives of children's hospitals;
(6) Three appointed by the minority leader of the House of Representatives;
(5) One appointed by the majority leader of the Senate, who shall be a representative of public school superintendents in the state;
(7) Three appointed by the minority leader of the Senate;
(6) Two appointed by the minority leader of the House of Representatives, who shall be representatives of families with children who have been diagnosed with mental, emotional or behavioral health disorders;
(8) The Commissioners of Public Health, Social Services, Children LCO No.
(7) Two appointed by the minority leader of the Senate, who shall be providers of mental or behavioral health services;
2166 2 of 5 Raised Bill No.5433 and Families, and Mental Health and Addiction Services, or their designees, who shall be ex-officio nonvoting members;
(8) The Commissioners of Children and Families, Correction, Developmental Services, Early Childhood, Education, Insurance, Mental Health and Addiction Services, Public Health and Social Services, or their designees;
(9) The Comptroller, or the Comptroller's designee, who shall be an ex-officio nonvoting member;
(9) The executive director of the Office of Health Strategy, or the executive director's designee;
and (10) The Secretary of the Office of Policy and Management, or the secretary's designee, who shall be an ex-officio nonvoting member.
(10) The Child Advocate, or the Child Advocate's designee;
(c) The council shall choose a chairperson from among its members.
(11) The Healthcare Advocate, or the Healthcare Advocate's designee;
The Joint Committee on Legislative Management shall provide administrative support to such chairperson.
(12) The executive director of the Court Support Services Division of the Judicial Branch, or the executive director's designee;
(d) The council shall monitor and make recommendations concerning:
sHB5433 / File No.
(1) Access to quality mental and behavioral health services and effective outreach;
636 2 sHB5433 File No.
(2) the sufficiency of providers of mental and behavioral health services for adults and children throughout the state;
636 (13) The executive director of the Commission on Women, Children, Seniors, Equity and Opportunity, or the executive director's designee;
(3) the sufficiency of provider rates to maintain service access;
(14) The Secretary of the Office of Policy and Management, or the secretary's designee;
(4) funding and agency personnel resources to ensure timely access to services and effective management of mental and behavioral health programs;
and (15) One representative from each administrative services organization under contract with the Department of Social Services to provide such services for recipients of assistance under the HUSKY Health program, who shall be ex-officio nonvoting members.
(5) the linguistic and cultural competency of providers;
(c) Any member of the task force appointed under subdivisions (1) to (7), inclusive, of subsection (b) of this section may be a member of the General Assembly.
(6) program quality, including outcome measures and continuous quality improvement initiatives;
(d) Any vacancy shall be filled by the appointing authority.
(7) timely, accessible and effective consumer grievance procedures;
(e) The Secretary of the Office of Policy and Management, or the secretary's designee, and a member of the General Assembly selected jointly by the speaker of the House of Representatives and the president pro tempore of the Senate from among the members serving pursuant to subdivision (1), (2) or (3) of subsection (b) of this section shall be co- chairpersons of the committee.
and (8) the need for program quality studies within the areas identified in this section and the Department of Mental Health and Addiction Services' application for available grant funds for such studies.
Such co-chairpersons shall schedule the first meeting of the committee, which shall be held not later than sixty days after May 4, 2022.
(e) The Commissioner of Mental Health and Addiction Services shall provide monthly reports to the council on the matters described in subsection (d) of this section, including, but not limited to, policy changes and proposed regulations that affect mental and behavioral health services.
(f) Members of the committee shall serve without compensation, except for necessary expenses incurred in the performance of their duties.
The commissioner shall also provide the council with quarterly financial reports for department expenditures on mental and behavioral health services.
(g) Not later than January 1, 2023, the committee shall report, in accordance with section 11-4a of the general statutes, to the joint standing committees of the General Assembly having cognizance of matters relating to appropriations and the budgets of state agencies, public health, human services and children, and the Secretary of the Office of Policy and Management, regarding the following:
(f) The council shall biannually report on its activities and progress to LCO No.
(1) Any statutory and budgetary changes needed concerning the sHB5433 / File No.
2166 3 of 5 Raised Bill No.5433 the General Assembly.
636 3 sHB5433 File No.
(g) (1) There is established, within the Council on Mental and Behavioral Health Program Oversight, a standing subcommittee to study and make recommendations to the council on substance use disorder programs and services.
636 mental health system of prevention, development and treatment that the committee recommends to (A) improve developmental, mental health and behavioral health outcomes for children;
The subcommittee shall consist of council membersappointedby thechairpersonsofthecounciland other individuals who shall serve for terms prescribed by the cochairpersons to advise the council on specific needs of children and adults with substance use disorder.
(B) improve transparency and accountability with respect to state-funded services for children and youth with an emphasis on goals identified by the committee for community-based programs and facility-based interventions;
For the purposes of completing the report required pursuant to this subsection, such individuals shall include, but need not be limited to:
and (C) promote the efficient sharing of information by state and state-funded agencies to ensure the regular collection and reporting of data regarding children and families' access to, utilization of and benefit from services necessary to promote public health and mentalandbehavioralhealthoutcomesfor childrenandyouthandtheir families;
(A) The Child Advocate, or the Child Advocate's designee;
(2) The gaps in services identified by the committee with respect to children and families involved in the mental health system, and recommendations to address such gaps in services;
(B) a family or child advocate;
(3) Strengths and barriers identified by the committee that support or impede the mental health needs of children and youth with specific recommendations for reforms;
(C) the executive director of the Connecticut Association of Public School Superintendents, or the executive director's designee;
(4)Anexaminationofthewaystateagenciescanworkcollaboratively through school-based efforts and other processes to improve mental health and developmental outcomes for children;
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(D) an expert in the diagnosis, evaluation, education and treatment of children and young adults with substance use disorder;
(5) An examination of disproportionate access and outcomes across the mental health care system for children of color;
(E) an expert in the diagnosis, evaluation, education and treatment of adults with substance use disorder;
(6) An examination of disproportionate access and outcomes across the mental health care system for children with developmental disabilities;
and (F) the Healthcare Advocate, or the Healthcare Advocate's designee.
(7) A plan to ensure a quality assurance framework for facilities and programsthatarepartofthementalhealthcaresystemandareoperated privately or by the state that includes data regarding efficacy and outcomes;
(2)Not laterthanJuly 1,2023,the subcommittee shallsubmit a report, in accordance with section 11-4a of the general statutes to the council, the Governor and the joint standing committees of the General Assembly having cognizance of matters relating to children, human services, public health and appropriations and the budgets of state agencies regarding the sufficiency of treatment and services for children and adults with substance use disorder.
and (8) A governance structure for the children's mental health system sHB5433 / File No.
Such report shall include, but need not be limited to:
636 4 sHB5433 File No.
(A) Metrics for evaluating the quality of available services;
636 that will best facilitate the public policy and healthcare goals of the state to ensure that all children and families can access high-quality mental health care.
(B) statutory changes needed to promote effective service delivery;
(h) The committee shall complete its duties under this section after consultation with one or more organizations that focus on the quality of services for children or research related to the well-being of children, including, but not limited to, The Child Health and Development Institute or Connecticut Voices for Children.
and (C) any other changes needed to address gaps in services identified by the subcommittee or council.
The committee may accept administrative support and technical and research assistance from any such organization.
The committee shall work in collaboration with any results-first initiative implemented pursuant to any section of the general statutes or any public or special act.
The committee shall have allocated funds to provide staffing support for its work.
(i) The committee shall be given access to data collected by the state on matters related to children's behavioral health from the relevant state agencies or directly from contracted administrative service organizations, as applicable.
(j) The committee shall include two or more subcommittees chaired by a member of the committee to inform its recommendations.
The subcommittees may focus on:
Workforce-related issues, school-based health, prevention, and intermediate or acute care.
All subcommittees shall examine gaps, reimbursement rates, parity in the outcomes of services and the efficacy of services.
(k) The committee shall establish a time frame for reviewing and making follow-up reports on the status or progress of the committee's recommendations and activities.
Each report submitted by the committee pursuant to this subsection shall include specific recommendations to improve outcomes related to children's mental, emotional or behavioral health and a timeline indicating dates by which specific tasks or outcomes should be achieved.
(l) The committee shall develop a strategic plan that integrates the recommendations identified pursuant to subsection (g) of this section.
sHB5433 / File No.
636 5 sHB5433 File No.
636 The plan may include short-term, medium-term and long-term goals.
In developing the plan, the committee shall collaborate with any state agency with responsibilities relating to the mental health system.
(m) Not later than August 1, 2023, the committee shall report, in accordance with section 11-4a of the general statutes, such plan together with an account of progress made toward the full implementation of such plan and any recommendations concerning the implementation of identified goals in the plan to the joint standing committees of the General Assembly having cognizance of matters relating to appropriations and the budgets of state agencies, public health, human services and children, and the Secretary of the Office of Policy and Management.
Section 1 from passage New section LCO No.
from passage Section 1 New section APP Joint Favorable Subst.
2166 4 of 5 Raised Bill No.
sHB5433 / File No.
5433 Statement of Purpose:
636 6 sHB5433 File No.
To establish a council on mental and behavioral health program oversight.
636 The following Fiscal Impact Statement and Bill Analysis are prepared for the benefit of the members of the General Assembly, solely for purposes of information, summarization and explanation and do not represent the intent of the General Assembly or either chamber thereof for any purpose.
[Proposed deletions are enclosed in brackets.
In general, fiscal impacts are based upon a variety of informational sources, including the analyst’s professional knowledge.
Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.] LCO No.
Whenever applicable, agency data is consulted as part of the analysis, however final products do not necessarily reflect an assessment from any specific department.
2166 5 of 5
OFA Fiscal Note State Impact:
See Below Municipal Impact:
None Explanation The bill establishes a Behavioral and Mental Health Policy and Oversight Committee to evaluate the availability and efficacy of prevention, early intervention, and mental health treatment services and options for children, and make recommendations regarding the governance and administration of the mental health care system for children.While members of the committee serve without compensation, the bill allows for necessary expenses incurred in the performance of member duties and requires allocated funds to provide staffing support for the committee's work.
The Out Years The annualized ongoing fiscal impact identified above would continue into the future subject to inflation.
sHB5433 / File No.
636 7 sHB5433 File No.
636 OFA Bill Analysis HB 5433 AN ACT ESTABLISHING A COMMITTEE ON BEHAVIORAL AND MENTAL HEALTH POLICY AND OVERSIGHT.
SUMMARY:
The bill establishes a Behavioral and Mental Health Policy and Oversight Committee to evaluate the availability and efficacy of prevention, early intervention, and mental health treatment services and options for children.
The Committee must make recommendations regarding the governance and administration of the mental health care system for children and report to the Appropriations, Public Health, Social Services, and Children's Committees, and the Office of Policy and Management (OPM) by January 1, 2023.
The Committee must then develop a strategic plan that integrates such recommendations, and report on the progress made toward implementing the plan as well as recommendations related to implementing any goals identified in the plan, by August 1, 2023.
The bill requires the Committee to consult with one or more organizations that focus on the quality of services for children or research related to thewell-being of children, and allows the Committee to accept administrative support and technical and research assistance from any such organization.
While members of the Committee serve without compensation, the bill allows for necessary expenses incurred in the performance of member duties and requires the Committee to have allocated funds to provide staffing support for the committee's work.
sHB5433 / File No.
636 8 sHB5433 File No.
636 EFFECTIVE DATE:
Upon passage COMMITTEE ACTION Appropriations Committee Joint Favorable Substitute Yea 50 Nay 0 (04/07/2022) sHB5433 / File No.
636 9
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Action History

  1. FILE NO. 636

  2. HOUSE CALENDAR NUMBER 480

  3. FAV. RPT., TABLED FOR HOUSE CALENDAR

  4. RPTD. OUT OF LCO

  5. REFERRED TO Office of Legislative Research AND Office of Fiscal Analysis 04/25/22

  6. FILED WITH LCO

  7. Joint Favorable Substitute

  8. PUBLIC HEARING 0318

  9. REF. TO JOINT COMM. ON Appropriations

Sponsors

Sponsorship breakdown

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2 sponsors · 0 co-sponsors · 185 not signed on

Sponsors (2)

Co-sponsors (0)

None.

Not signed on (185)

185 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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Frequently asked questions

Who sponsors HB 5433?
HB 5433 is sponsored by Anthony L. Nolan (Democratic) and Susan M. Johnson (Democratic).
What is the current status of HB 5433?
This bill died with 2022 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track HB 5433?
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