Connecticut 2021 Regular Session Status: Passed Senate 3 R cosponsors

SB 1086 — AN ACT CONCERNING MENTAL AND BEHAVIORAL HEALTH SERVICES.

Last action — HOUSE CALENDAR NUMBER 599

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

This bill died with 2021 Regular Session. It reached “Passed Senate” 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This bill is no longer active — its legislative session has ended, so there are no live odds of enactment. It would have to be reintroduced in the current session to move again.

Bill Text

What changed in the latest version

157 added · 23 removed

157 line(s) added, 23 removed.

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General Assembly Substitute Bill No.
Senate General Assembly File No.
1086 January Session, 2021 AN ACT CONCERNING MENTAL AND BEHAVIORAL HEALTH SERVICES.
567 January Session, 2021 Substitute Senate Bill No.
1086 Senate, April 21, 2021 The Committee on Public Health reported through SEN.
DAUGHERTY ABRAMS of the 13th Dist., Chairperson of the Committee on the part of the Senate, that the substitute bill ought to pass.
AN ACT CONCERNING MENTAL AND BEHAVIORAL HEALTH SERVICES.
(b) A psychiatrist licensed pursuant to chapter 370, a psychologist licensed pursuant to chapter 383, anindependent social worker certified pursuant to chapter 383b or a marital and family therapist licensed pursuant to chapter 383a may provide outpatient mental health treatment to a minor without the consent or notification of a parent or guardian at the request of the minor if (1) requiring the consent or notification of a parentor guardian would cause the minor to reject such treatment;
(b) A psychiatrist licensed pursuant to chapter 370, a psychologist licensed pursuant to chapter 383, anindependent social worker certified sSB1086 / File No.
567 1 sSB1086 File No.
567 pursuant to chapter 383b or a marital and family therapist licensed pursuant to chapter 383a may provide outpatient mental health treatment to a minor without the consent or notification of a parent or guardian at the request of the minor if (1) requiring the consent or notification of a parentor guardian would cause the minor to reject such treatment;
(3) LCO \\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-01086-R01 of 7 SB.docx Substitute Bill No.
(3) the failure to provide such treatment would be seriously detrimental to the minor's well-being;
1086 the failure to provide such treatment would be seriously detrimental to the minor's well-being;
The provider of such treatment shall document the reasonsforanydeterminationmadetotreat aminorwithouttheconsent or notification of a parent or guardian and shall include such documentation in the minor's clinical record, along with a written statement signed by the minor stating that (A) he is voluntarily seeking such treatment;
The provider of such treatment shall document the reasonsforanydeterminationmadetotreataminorwithouttheconsent or notification of a parent or guardian and shall include such documentation in the minor's clinical record, along with a written statement signed by the minor stating that (A) he is voluntarily seeking such treatment;
No provider shall notify a parent or guardian of treatment provided pursuant to this section or disclose any information concerning such treatment to a parent or guardian without the consent of the minor.] [(d)] (c) A parent or guardian who is not informed of the provision of outpatient mental health treatment for his minor child pursuant to this LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-01082 of 7 R01-SB.docx } Substitute Bill No.
No provider shall notify a parent or guardian of treatment provided pursuant to this section or disclose any information sSB1086 / File No.
1086 section shall not be liable for the costs of the treatment provided.
567 2 sSB1086 File No.
567 concerning such treatment to a parent or guardian without the consent of the minor.] [(d)] (c) A parent or guardian who is not informed of the provision of outpatient mental health treatment for his minor child pursuant to this section shall not be liable for the costs of the treatment provided.
(6) One appointed by the minority leader of the Senate;
sSB1086 / File No.
567 3 sSB1086 File No.
567 (6) One appointed by the minority leader of the Senate;
and LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-01083 of 7 R01-SB.docx } Substitute Bill No.
and (8) The Commissioner of Public Health, or the commissioner's designee.
1086 (8) The Commissioner of Public Health, or the commissioner's designee.
(a) No insurance company, hospital service corporation, medical service corporation, health care center or other entity delivering, issuing for delivery, renewing, amending or continuing an individual health insurance policy or contract that provides coverage for prescription drugs may:
(a) No insurance company, hospital service corporation, medical sSB1086 / File No.
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567 4 sSB1086 File No.
1086 (1) Require any person covered under such policy or contract to obtain prescription drugs from a mail order pharmacy as a condition of obtaining benefits for such drugs;
567 service corporation, health care center or other entity delivering, issuing for delivery, renewing, amending or continuing an individual health insurance policy or contract that provides coverage for prescription drugs may:
(1) Require any person covered under such policy or contract to obtain prescription drugs from a mail order pharmacy as a condition of obtaining benefits for such drugs;
Subsection (a) of section 38a-544 of the general statutes is repealedandthefollowingissubstitutedinlieuthereof(EffectiveJanuary 1, 2022):
Subsection (a) of section 38a-544 of the general statutes is sSB1086 / File No.
(a) No insurance company, hospital service corporation, medical service corporation, health care center or other entity delivering, issuing LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-010865 of 7 R01-SB.docx } Substitute Bill No.
567 5 sSB1086 File No.
1086 for delivery, renewing, amending or continuing a group health insurance policy or contract that provides coverage for prescription drugs may:
567 repealedandthefollowingissubstitutedinlieuthereof(EffectiveJanuary 1, 2022):
(a) No insurance company, hospital service corporation, medical service corporation, health care center or other entity delivering, issuing for delivery, renewing, amending or continuing a group health insurance policy or contract that provides coverage for prescription drugs may:
For purposes of this section, "step therapy" means a protocol or program that establishes the specific sequence in which prescriptiondrugsforaspecifiedmedicalconditionaretobeprescribed.
For purposes of this section, "step therapy" means a sSB1086 / File No.
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567 6 sSB1086 File No.
1086 This act shall take effect as follows and shall amend the following sections:
567 protocol or program that establishes the specific sequence in which prescriptiondrugsforaspecifiedmedicalconditionaretobeprescribed.
This act shall take effect as follows and shall amend the following sections:
-LCO LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-01086- 7 of 7 R01-SB.docx }
-LCO sSB1086 / File No.
567 7 sSB1086 File No.
567 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 This bill, which makes various changes to the laws relating to the provision of mental and behavioral health services, has no fiscal impact on the state or municipalities.
The bill also establishes a nine-member task force to study the health benefits of psilocybin and requires the task force to submit its findings and recommendations to the Public Health Committee by January 1, 2022.
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This provision has no fiscal impact as PA 17-236 prohibits transportation allowances for task force members.
The Out Years State Impact:
None Municipal Impact:
None sSB1086 / File No.
567 8 sSB1086 File No.
567 OLR Bill Analysis sSB 1086 AN ACT CONCERNING MENTAL AND BEHAVIORAL HEALTH SERVICES.
SUMMARY This bill makes various unrelated changes in the laws relating to the provision of mental and behavioral health services.
Specifically, it:
1.
eliminates the requirement that specified health professionals who provide outpatient mental health treatment to a minor without parental consent or notification reassess, every sixth session, whether continuing the treatment without such consent or notification is still warranted (§ 1);
2.
requires physicians, physician assistants, and advanced practice registered nurses, starting October 1, 2021, to perform a “mental health exam” (undefined by the bill) on a patient during the patient’s annual physical exam (§ 2);
3.
establishes a nine-member task force to study the health benefits of psilocybin and requires the task force to submit its findings and recommendations to the Public Health Committee by January 1, 2022 (§ 3);
and 4.
prohibits individual and group health insurance policies from requiringtheuseofsteptherapy(seeBACKGROUND)foradrug prescribed to treat a behavioral health condition, provided it was prescribed in compliance with FDA indications (§§ 4 & 5).
The latter applies to individual and group health insurance policies delivered, issued, renewed, amended, or continued in Connecticut by an insurer, hospital service corporation, medical service corporation, health care center (i.e., HMO), or other entity that provides coverage for sSB1086 / File No.
567 9 sSB1086 File No.
567 prescription drugs.
EFFECTIVE DATE:
Upon passage, except the provisions on (1) step therapy take effect January 1, 2022, and (2) outpatient mental health treatment for minors take effect July 1, 2021.
§ 1 — OUTPATIENT MENTAL HEALTH TREATMENT FOR MINORS The bill eliminates the requirement that psychiatrists, psychologists, social workers, and marital and family therapists who provide outpatient mental health treatment to a minor without parental consent or notification do the following after the sixth session:
1.
notify the minor that parental or guardian consent, notification, or involvement is required to continue treatment unless it would be seriously detrimental to the minor’s well-being;
2.
document in the minor’s clinical record if the provider determines that continuing the treatment without parental or guardian notification is warranted;
3.
review the determination every six sessions and document the review;
4.
require parental or guardian consent, notification, or involvement if the provider determines it is no longer seriously detrimental to the minor’s well-being;
and 5.
obtain the minor’s consent before notifying a parent or guardian that such treatment has been provided or disclose any related information.
By law, these health professionals may provide outpatient mental health services to a minor without the consent or notification of the minor’s parent or guardian if under the following circumstances:
1.
requiring the consent or notification would cause the minor to reject the treatment, sSB1086 / File No.
567 10 sSB1086 File No.
567 2.
the treatment is clinically indicated and failing to provide it would be seriously determinantal to the minor’s well-being, 3.
the minor knowingly and voluntarily sought the treatment, and 4.
theproviderbelievestheminor ismature enoughtoproductively participate in the treatment.
§ 3 — PSILOCYBIN TASK FORCE Duties The bill establishes a task force to study the health benefits of psilocybin, which is the chemical compound obtained from certain types of hallucinogenic mushrooms that grow naturally in regions of Europe, South America, Mexico, and the United States.
Under the bill, the study must examine whether using psilocybin under the direction of a health care provider may benefit a person’s physical or mental well-being.
Membership and Meetings Under the bill, the task force consists of nine members:
(1) two appointees each by the House speaker and Senate president pro tempore, (2) one appointee each by the House and Senate majority and minority leaders, and (3) the Department of Mental Health and Addiction Services commissioner or her designee.
Appointing authorities must make their initial appointments within 30 days after the bill’s passage and fill any vacancies.
Members appointed by legislative leaders may be legislators.
The bill requires the House speaker and Senate president pro tempore to select the task force’s chairpersons from among its members.
The chairpersons must schedule the task force’s first meeting, which must be held within 60 days after the bill’s passage.
The Public Health Committee’s administrative staff must serve as the task force’s administrative staff.
Report sSB1086 / File No.
567 11 sSB1086 File No.
567 The task force must report its findings and recommendations to the Public Health Committee by January 1, 2022.
It terminates on this date or the date it submits its report, whichever is later.
BACKGROUND Related Bills sSB 2, favorably reported by the Children’s Committee, allows minors to receive more than six outpatient mental health treatment sessions without their parent’s or guardian’s consent.
sHB 6461, favorably reported by the Higher Education and Employment Advancement Committee, allows minors to receive more than six outpatient mental health treatment sessions without their parent’s or guardian’s consent.
Step Therapy Step therapy is a protocol establishing the sequence for prescribing drugs for specific medical conditions that generally requires patients to try less expensive drugs before higher cost drugs.
COMMITTEE ACTION Public Health Committee Joint Favorable Yea 23 Nay 10 (03/31/2021) sSB1086 / File No.
567 12
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Action History

  1. HOUSE CALENDAR NUMBER 599

  2. FAV. RPT., TABLED FOR HOUSE CALENDAR

  3. SEN. PASSED, SEN. AMEND. SCH. A

  4. SEN. ADOPTED SEN. AMEND. SCH. A

  5. FILE NO. 567

  6. SENATE CALENDAR NUMBER 335

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

  8. RPTD. OUT OF LCO

  9. REFERRED TO Office of Legislative Research AND Office of Fiscal Analysis 04/20/21

  10. FILED WITH LCO

  11. Joint Favorable

  12. PUBLIC HEARING 0329

  13. REF. TO JOINT COMM. ON Public Health

Sponsors

Sponsorship breakdown

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5 sponsors · 0 co-sponsors · 182 not signed on

Sponsors (5)

Co-sponsors (0)

None.

Not signed on (182)

182 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 SB 1086?
SB 1086 is sponsored by Heather S. Somers (Republican), Paul Cicarella (Republican), Miner, Craig, Eric C. Berthel (Republican), and Kevin C. Kelly.
What is the current status of SB 1086?
This bill died with 2021 Regular Session. It reached “Passed Senate” 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 SB 1086?
Track SB 1086 free on One Click Politics — get push/email alerts when it moves.

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