SB 274 — AN ACT CONCERNING OPIOIDS.

Senate General Assembly SubstituteFile Bill No.

27493 February Session, 2024 ANSubstitute ACTSenate CONCERNINGBill OPIOIDS.No.

274 Senate, March 25, 2024 The Committee on Public Health reported through SEN.

ANWAR of the 3rd Dist., Chairperson of the Committee on the part of the Senate, that the substitute bill ought to pass.

AN ACT CONCERNING OPIOIDS.

(5)sSB274 the/ presidentFile ofNo. The University of Connecticut, or the president's designee;

93 1 sSB274 File No.

93 (5) the president of The University of Connecticut, or the president's designee;

and (9) the cochairpersons and ranking members of the joint standing LCOcommittees \\PRDFS1\SCOUSERS\FORZANOF\WS\2024SB-00274-R01of the General Assembly having cognizance of 4matters SB.docxrelating Substituteto Billpublic No.health, criminal justice and appropriations, or their designees.

274 committees of the General Assembly having cognizance of matters relating to public health, criminal justice and appropriations, or their designees.

(d) [Such plan shall be amended] The council shall amend such plan notsSB274 later/ thanFile JanuaryNo. 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.

(e)93 (1)2 ThesSB274 councilFile shall create a standing subcommittee to LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2024SB-00272 of 4 R01-SB.docx } Substitute Bill No.

27493 periodicallynot (A)later reviewthan (i)January publicly1, funded2017, services for parents and caregivers impacted by substance use disorder and their children, and (ii)state agency programsthat support thesafety andwell-being of such children, and (B) develop, in consultation with representatives of substance abuse treatment programs, family advocates and persons with lived experience with substance use disorders, recommendations to strengthencontain (i)measurable deliverygoals, ofincluding, substancebut abusenot treatmentlimited programsto, anda substancegoal abuse prevention services to families, (ii) safety planning supports for children,a andreduction (iii)in targetedthe distributionnumber of naloxoneopioid- toinduced parentsdeaths andin caregiversthe ofstate. persons with substance use disorder.

(e) (1) The council shall create a standing subcommittee to periodically (A) review (i) publicly funded services for parents and caregivers impacted by substance use disorder and their children, and (ii)state agency programsthat support thesafety andwell-being of such children, and (B) develop, in consultation with representatives of substance abuse treatment programs, family advocates and persons with lived experience with substance use disorders, recommendations to strengthen (i) delivery of substance abuse treatment programs and substance abuse prevention services to families, (ii) safety planning supports for children, and (iii) targeted distribution of naloxone to parents and caregivers of persons with substance use disorder.

Sec.2.(Effectivefrompassage)TheCommissionerofSocialServicesand the Insurance Commissioner, in consultation with the Commissioners of Public Health and Mental Health and Addiction Services, shall developsSB274 a/ planFile toNo. require Medicaid and private insurance coverage for opioid antagonists for patients prescribed an opioid drug upon discharge from a hospital.

Not93 later3 thansSB274 JanuaryFile 1, 2025, the commissioners shall report, in accordance with the provisions of section LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2024SB-00273 of 4 R01-SB.docx } Substitute Bill No.

27493 11-4adevelop ofa theplan general statutes, to therequire jointMedicaid standingand committeesprivate ofinsurance thecoverage Generalfor Assemblyopioid havingantagonists cognizancefor ofpatients mattersprescribed relatingan toopioid publicdrug health,upon humandischarge services,from generala lawhospital. and insurance regarding such plan.

Not later than January 1, 2025, the commissioners shall 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, human services, general law and insurance regarding such plan.

-LCO LCOsSB274 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2024SB-00274-/ 4File ofNo. 4 R01-SB.docx }

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93 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.

In general, fiscal impacts are based upon a variety of informational sources, including the analyst’s professional knowledge.

Whenever applicable, agency data is consulted as part of the analysis, however final products do not necessarily reflect an assessment from any specific department.

OFA Fiscal Note State Impact:

None Municipal Impact:

None Explanation The bill, which requires (1) the Connecticut Alcohol and Drug Policy Council to create a standing subcommittee and report triennially, and (2) the Departments of Social Services and Insurance to develop a plan to require coverage for opioid antagonists in certain circumstances, is not anticipated to result in a fiscal impact as the council and agencies have the expertise necessary to meet the requirements of the bill.

The Out Years State Impact:

None Municipal Impact:

None sSB274 / File No.

93 5 sSB274 File No.

93 OLR Bill Analysis SB 274 AN ACT CONCERNING OPIOIDS.

SUMMARY This bill requires the Connecticut Alcohol and Drug Policy Council (ADPC) to create a standing subcommittee to periodically review and make recommendations on certain services and supports for families impacted by substance use disorder (e.g., safety planning supports for children and targeted Narcan distribution).

By law, the council’s co- chairpersons may establish subcommittees and working groups and appoint people who are not council members to serve on them (see BACKGROUND).

Under the bill, the standing subcommittee must, by January 1, 2025, and then every three years after, submit their recommendations to the ADPC, the Department of Mental Health and Addiction Services (DMHAS), and the Opioid Settlement Advisory Committee, and report on them to the Appropriations, Children’s and Public Health committees.

The bill also requires the social services and insurance commissioners, in consultation with the public health and DMHAS commissioners, to develop a plan to require Medicaid and private insurance coverage for opioid antagonists (e.g., Narcan) for patients prescribed an opioid when discharged from a hospital.

The commissioners must report on the plan to the General Law, Human Services, Insurance, and Public Health committees by January 1, 2025.

EFFECTIVE DATE:

Upon passage sSB274 / File No.

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93 ADPC STANDING SUBCOMMITTEE Duties Under the bill, the standing subcommittee must periodically review (1) publicly funded services for parents and caregivers impacted by substance use disorder, and their children, and (2) state agency programs that support these children’s safety and wellbeing.