Connecticut 2021 Regular Session Status: Enacted Bipartisan · 19 D · 3 R cosponsors

HB 5677 — AN ACT CONCERNING THE AVAILABILITY OF COMMUNITY VIOLENCE PREVENTION SERVICES UNDER MEDICAID.

Last action — SIGNED BY GOVERNOR

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

This bill has been enacted into law. Introduced January 27, 2021. Enacted.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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Prognosis

Likely to advance 78% · moderate confidence
  • Enacted

    Current position in the legislative process.

  • 31 sponsors

    31 primary, 0 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (19 D · 3 R) — cross-party backing.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

85 added · 239 removed

85 line(s) added, 239 removed.

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House of Representatives File No.
Substitute House Bill No.
747 General Assembly January Session, 2021(Reprint of File No.
5677 Public Act No.
427) Substitute House Bill No.
21-36 AN ACT CONCERNING THE AVAILABILITY OF COMMUNITY VIOLENCE PREVENTION SERVICES UNDER MEDICAID.
5677 As Amended by House Amendment Schedule "A" Approved by the Legislative Commissioner May 27, 2021 AN ACT CONCERNING THE AVAILABILITY OF COMMUNITY VIOLENCE PREVENTION SERVICES UNDER MEDICAID.
"Community violence preventionservices"may includetheprovisionof sHB5677 / File No.
"Community violence preventionservices"may includetheprovisionof peer support and counseling, mentorship, conflict mediation, crisis intervention,targetedcasemanagement,referralstocertifiedorlicensed health care professionals or social services providers, patient education or screening services to victims of community violence;
747 sHB5677 File No.
(3) "Interpersonal violence" means the intentional use of physical Substitute House Bill No.
747 peer support and counseling, mentorship, conflict mediation, crisis intervention,targetedcasemanagement,referralstocertifiedorlicensed health care professionals or social services providers, patient education or screening services to victims of community violence;
5677 force or power against other persons by an individual or small group of individuals;
(3) "Interpersonal violence" means the intentional use of physical force or power against other persons by an individual or small group of individuals;
sHB5677 / File No.
(c) Any prevention professional seeking certification as a certified violence prevention professional shall complete an accredited training and certification program for certified violence prevention Public Act No.
747 sHB5677 File No.
21-36 2 of 4 Substitute House Bill No.
747 (c) Any prevention professional seeking certification as a certified violence prevention professional shall complete an accredited training and certification program for certified violence prevention professionals,approvedinaccordance withsubsection(d)ofthissection and maintain such certification.
5677 professionals,approvedinaccordance withsubsection(d)ofthissection and maintain such certification.
and (2) Ensure that the certified violence prevention professional is sHB5677 / File No.
and (2) Ensure that the certified violence prevention professional is providing community violence prevention services in compliance with Public Act No.
747 sHB5677 File No.
21-36 3 of 4 Substitute House Bill No.
747 providing community violence prevention services in compliance with any applicable standards of care, rules, regulations and governing law of the state or federal government.
5677 any applicable standards of care, rules, regulations and governing law of the state or federal government.
This act shall take effect as follows and shall amend the following sections:
Approved June 14, 2021 Public Act No.
Section 1 October 1, 2021 New section sHB5677 / File No.
21-36 4 of 4
747 4 sHB5677 File No.
747 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:
Agency Affected Fund-Effect FY 22 $ FY 23 $ Social Services, Dept.
GF - Cost See Below See Below Note:
GF=General Fund Municipal Impact:
None Explanation The bill results in a cost to the Department of Social Services (DSS) associated withestablishing Medicaid coverage for community violence prevention services for certain Medicaid beneficiaries by July 1, 2022, to the extent allowed under federal law.
The cost to DSS depends on the utilization of such services by eligible individuals and the associated rate established.
The bill specifies implementation of the provisions is dependent on the availability of federal matching funds.
House "A" strikes the language in the underlying bill and the associated impact and results in the impact described above.
The Out Years The annualized ongoing fiscal impact identified above would continue into the future subject to inflation.
sHB5677 / File No.
747 sHB5677 File No.
747 OLR Bill Analysis sHB 5677 (as amended by House "A")* AN ACT CONCERNING THE AVAILABILITY OF COMMUNITY VIOLENCE PREVENTION SERVICES UNDER MEDICAID.
SUMMARY This bill requires the Department of Social Services (DSS) commissioner to amend the state Medicaid plan to provide coverage for community violence prevention services for beneficiaries who have:
1.
received medical treatment for an injury sustained from an act of community violence (i.e., an intentional act of interpersonal violence committed in public by someone who is not the victim’s family member or intimate partner) and 2.
been referred by a certified or licensed health care or social services provider to receive these services from a “certified violence prevention professional” after the provider determined the beneficiary is at a higher risk of retaliation or a violent injury from another act of community violence.
Under the bill, the DSS commissioner must do this by July 1, 2022, provided (1) federal law permits it;
(2) federal financial participation is available;
and (3) any needed federal approval is obtained, including Medicaid waivers or state plan amendments.
Additionally, the bill establishes training requirements for individuals seeking certification as a “certified violence prevention professional” and requires the Department of Public Health (DPH), by January 1, 2022, to approve at least one accredited training and certification program for these professionals.
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It also establishes documentationandcompliance requirements for entitiesthat employ or sHB5677 / File No.
747 6 sHB5677 File No.
747 contract with these professionals to provide community violence prevention services.
*House Amendment “A” (1) modifies the (a) definitions of community violence and community violence prevention services and (b)trainingrequirementsforcertifiedviolencepreventionprofessionals, (2) adds the interpersonal violence definition, (3) requires DPH to approve at least one accredited training program instead of approving an accrediting body to approve these programs, (4) removes the requirement that the DSS commissioner amend the Medicaid state plan in consultation with the DPH commissioner, and (5) adds the provision on title protection for certified violence prevention professionals.
EFFECTIVE DATE:
October 1, 2021 COMMUNITY VIOLENCE PREVENTION SERVICES The bill defines “community violence prevention services” as evidenced-based, trauma-informed, supportive, and non- psychotherapeutic services provided by a certified violence prevention professional to:
1.
promote improved health outcomes and positive behavioral change, 2.
prevent injury recidivism, and 3.
reduce the likelihood that victims of community violence will commit or promote violence themselves.
Under the bill, these services may be provided within or outside of a clinical setting and may include the provision of the following services to communityviolencevictims:peer supportor counseling,mentorship, conflict mediation, crisis intervention, targeted case management, referrals to certified or licensed health care or social services providers, patient education, or screening services.
CERTIFIED VIOLENCE PREVENTION PROFESSIONALS sHB5677 / File No.
747 7 sHB5677 File No.
747 Training Requirements Under the bill, a prevention professional (see BACKGROUND) seeking certification asa certifiedviolence prevention professional must complete a DPH-approved accredited training and certification program for certified violence prevention professionals and maintain the certification.
Training and Certification Program The bill requires DPH, by January 1, 2022, to approve at least one accredited training and certification program for certified violence prevention professionals.
The program must include at least 35 hours of initial training and address:
1.
the profound effects of trauma and violence and the basics of trauma-informed care;
2.
community violence prevention strategies, including conflict mediation and retaliation prevention;
3.
case management and advocacy practices;
and 4.
HIPAA’s patient privacy requirements.
Under the bill, the program must also include six hours of continuing education every two years.
Documentation and Compliance The bill requires any entity that employs or contracts with a certified violence prevention professional to provide community violence prevention services to:
1.
maintain documentation that the professional has met the qualifications listed above and 2.
ensure that theprofessionalcomplies withany applicable state or federal laws, regulations, rules, or standards of care.
The bill also specifies that it does not alter the scope of practice of any sHB5677 / File No.
747 8 sHB5677 File No.
747 health care professional or authorize the delivery of health care services in a setting or manner not currently authorized.
Title Protection The billprohibits anyonewho is not certifiedasaviolence prevention professional under the bill’s requirements from using the title “certified violence prevention professional” or any title, words, letters, abbreviations, or insignia indicating or implying that he or she is a certified violence prevention professional.
BACKGROUND Prevention Professionals Prevention professionals work in programs that address specific patient needs, such as suicide prevention, violence prevention, alcohol and drug avoidance, and tobacco prevention.
They generally complete training specific to the patient population they work with and work in a variety of settings providing various services such as case management, provider referral, and mentorship.
COMMITTEE ACTION Public Health Committee Joint Favorable Yea 33 Nay 0 (03/29/2021) sHB5677 / File No.
747 9
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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 21-36

  5. IN CONCURRENCE

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

  7. SEN. ADOPTED HO. AMEND. SCH. A

  8. FILE NO. 747

  9. SENATE CALENDAR NUMBER 516

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

  11. HOUSE PASSED, HOUSE AMEND. SCH. A

  12. HOUSE ADOPTED HOUSE AMEND. SCH. A

  13. FILE NO. 427

  14. HOUSE CALENDAR NUMBER 319

  15. FAV. RPT., TABLED FOR HOUSE CALENDAR

  16. RPTD. OUT OF LCO

  17. REFERRED TO Office of Legislative Research AND Office of Fiscal Analysis 04/13/21

  18. FILED WITH LCO

  19. Joint Favorable

  20. PUBLIC HEARING 0324

  21. REF. TO JOINT COMM. ON Public Health

  22. DRAFTED BY COMMITTEE

  23. Vote to Draft

  24. CHG. REF., SEN. TO COMM. ON Public Health

  25. CHG. REF., HOUSE TO COMM. ON Public Health

  26. Change of Reference PH

  27. REF. TO JOINT COMM. ON Human Services

Sponsors

Sponsorship breakdown

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31 sponsors · 0 co-sponsors · 156 not signed on

Sponsors (31)

Co-sponsors (0)

None.

Not signed on (156)

156 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 5677?
HB 5677 is sponsored by Winfield, Gary A., Saud Anwar (Democratic), Devlin, Laura M., Jillian Gilchrest (Democratic), Maria P. Horn (Democratic), Josh Elliott (Democratic), Geraldo C. Reyes (Democratic), Petit, William A., Matthew Ritter (Democratic), Aimee Berger-Girvalo (Democratic), Anne M. Hughes (Democratic), John-Michael Parker (Democratic), Currey, Jeff, Hilda E. Santiago (Democratic), Bill Buckbee (Republican), Abercrombie, Catherine F., Eric C. Berthel (Republican), Anthony L. Nolan (Democratic), Witkos, Kevin D., Kara Rochelle (Democratic), Andre F. Baker (Democratic), Derek Slap (Democratic), Jennifer Leeper (Democratic), Joshua M. Hall (Democratic), Patricia A. Dillon (Democratic), Cheeseman, Holly H., Kerry S. Wood (Democratic), Porter, Robyn A., Paul Cicarella (Republican), Cristin McCarthy Vahey (Democratic), and Sanchez, R..
What is the current status of HB 5677?
This bill has been enacted into law. Introduced January 27, 2021. Enacted.
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