Sec. 10a-255. Joint ventures. Shared service agreements. Contracts. (a) To accomplish the purposes of sections 10a-250 to 10a-263, inclusive, the corporation may
enter into joint ventures or shared service agreements to procure hospital facilities and to
contract for services necessary or useful in connection with the procurement of hospital
facilities. The corporation shall establish and adopt specific policies, rules and procedures on purchasing and contracting. Such policies, rules and procedures shall be approved by a two-thirds vote of its full board of directors. The corporation shall conduct
its contracting and purchasing operations in accordance with such policies, rules and
procedures. Notwithstanding any other provision of law to the contrary, the corporation
may enter into joint ventures or shared service agreements and may procure hospital
facilities and contract for any services necessary or useful in connection with such procurement either (1) pursuant to a process of open or competitive bidding, provided that
(A) the corporation may determine the format, contents and scope of any joint venture
or shared service agreement or any procurement of hospital facilities, and services in
connection with such procurement, the conditions under which bidding shall take place
and the schedule and stipulations for contract award, and (B) the corporation may select
the contractor deemed to have submitted the most favorable bid, price and other factors
considered, when, in the judgment of the corporation, such award is in the best interests
of the hospital, or (2) if the corporation, in its discretion, determines that, due to the nature
of the joint venture or shared service agreement or hospital facilities to be contracted for
or procured, open or public bidding is either impracticable or not in the best interests
of the hospital, through negotiation with such person or persons as the corporation may
determine. The terms and conditions of joint ventures or shared service agreements or
contracts for hospital facilities shall be determined by the corporation, as shall the fees
or other compensation to be paid to such persons under such joint venture, shared service
agreement or contract, provided any contract for construction by the corporation or a
subsidiary of a hospital facility shall be subject to the provisions of section 31-53 and
any joint venture agreement or shared service agreement of the corporation shall contain
a neutrality clause signed by all parties to such joint venture agreement or shared service
agreement prohibiting employer interference by such parties in union organizing and
education campaigns, prohibiting discrimination in hiring based on past union activity
and prohibiting harassment of employees engaged in labor organizing, all in compliance
with section 31-104 and section 31-105. The joint venture, shared service agreement or
contracts entered into by the corporation shall not be subject to the approval of any state
department, office or agency other than as provided in this section. Copies of all contracts
of the corporation shall be maintained by the corporation at its offices as public records,
subject to the exemption provided in subsection (i) of section 10a-253. Nothing in this
subsection shall be deemed to restrict the discretion of the corporation to utilize its
own staff and workforce for the performance of any of its assigned responsibilities
and functions whenever, in the discretion of the corporation, it becomes necessary,
convenient or desirable to do so.
(b) Subject to the restrictions of subdivision (15) of section 10a-254 the corporation
may contract with the hospital to provide services for the hospital through joint ventures
or shared service agreements or to provide hospital facilities for the hospital, to provide
insurance for the hospital as provided in section 10a-256 and to contract for claims
management services, or to otherwise make hospital facilities or services provided by
joint ventures or shared service agreements available for the hospital. For the hospital
to enter into any contract for such services or hospital facilities or insurance or claims
management services with the corporation, to pay any reasonable fees and charges established by the corporation for such services or hospital facilities or to pledge payment
from any moneys made available by the state to the hospital including, but not limited
to, resources of the hospital fund established and administered pursuant to sections 10a-127 and 10a-128, other funds of the state and proceeds of financings by the state for the
payment of such fees and charges, it shall have the authorization of the Board of Trustees
of The University of Connecticut. Such authorization shall be given by adoption of a
resolution at a regularly or specially noticed meeting of said board of trustees. Any fees
and charges so established shall be deemed to be direct expenses of the hospital for
which the resources of the hospital fund may be used pursuant to section 10a-127 and
the State Treasurer is authorized to make payments of such fees and charges upon warrants issued by the State Comptroller, upon the order of authorized officers of The
University of Connecticut, pursuant to such a resolution. The provisions of section 4a-57 and any provision of law relating to contract approval other than sections 10a-250
to 10a-263, inclusive, shall not apply to such contracts between the hospital and the
corporation. Any such contract or contracts shall be upon such terms and conditions as
the corporation and the hospital shall determine to be reasonable including, but not
limited to, the reimbursement of all costs of planning, financing, acquisition, construction, operation and maintenance, and any claims arising therefrom. All payments of
fees and charges required under any contract or agreement entered into pursuant to the
provisions of this section are considered expenditures for public purposes by the state.
Any contract between the hospital and the corporation that provides for the procurement
by the corporation of hospital facilities or services as authorized by sections 10a-250
to 10a-263, inclusive, shall provide that the hospital shall be required to pay, through
service, lease, rental or installment sale payments for such hospital facilities or services,
all project costs of such hospital facilities or services at such times and in such amounts
as determined by the corporation and the hospital. Any such contract between the hospital and the corporation may contain provisions as to: (1) Pledging or assigning any part
of moneys and revenues, including reimbursement allowances, derived by the hospital
or the corporation, to secure payments required by such contract; (2) setting aside reserves and creating special funds and the disposition thereof; (3) defining the acts or
omissions to act which shall constitute a default in the obligations and duties of the
hospital or the corporation and providing for the rights and remedies of the hospital and
the corporation in the event of such default; (4) any other matters which may be deemed
necessary or desirable by the corporation to properly carry out its corporate purposes.
(P.A. 87-458, S. 6, 18.)
Sec. 10a-256. Hospital Insurance Fund. Exemption from certain provisions of
chapter 368z. (a) There is created, as a separate trust fund of the corporation, a Hospital
Insurance Fund to be held by the State Treasurer. To this fund shall be charged all
payments required to satisfy claims against the hospital and the corporation arising
from health care services including (1) claims against the hospital's officers, agents,
employees, physicians enjoying privileges at the hospital or at the school of medicine
or dental medicine or persons otherwise implementing the purposes of the hospital, (2)
all direct expenses and payments for the protection of the interests of the hospital or the
state in connection with protection against any of the foregoing, including the payment
of insurance premiums and the settlement of claims and (3) all operating expenses of
the corporation, including the cost of professional services, which are attributable to the
administration or maintenance of the fund. To the fund shall be credited all receipts of
the corporation from contracts for insurance with the hospital or the state as provided
under subsection (b) of section 10a-255 and such other moneys of the corporation as
the corporation deems necessary or desirable and which are available for the fund. Moneys in the fund that are not needed to satisfy claims or meet the expenses and payments
and obligations of the corporation may be invested in the manner provided by section
3-31a, and all income from such investments shall become part of the Hospital Insurance
Fund.
(b) In lieu of the procedures set forth in section 4a-20, the corporation shall procure
or provide insurance coverage for the hospital against the liabilities described in subsection (a) of this section. The corporation shall procure such insurance coverages including
coverage of related legal expenses which the corporation determines is necessary or
desirable for the operations of the hospital. The corporation may cause sufficient
amounts to be available in the Hospital Insurance Fund to self-insure against the liabilities which are charges against the Hospital Insurance Fund.
(c) The corporation shall designate the agent or agents of record and shall select
the companies from whom insurance coverage shall be purchased. The corporation shall
have full authority to negotiate all elements of insurance premiums, including the agent's
commission. Any refund, dividend or other payment from any insurance company in
connection with insurance for the hospital shall be deposited in the Hospital Insurance
Fund. The corporation shall establish specifications for each contract of insurance and
shall request bids for each such contract through the agent of record. Each such contract
shall be for a specified period of time. The corporation shall purchase such insurance
policies, develop and administer a self-insurance program, or any combination thereof,
as will provide the insurance coverages or combinations thereof determined in accordance with subsection (b) of this section.
(d) The amount of money necessary to fund the amount that has been actuarially
determined to be necessary to protect the hospital for the purposes for which the Hospital
Insurance Fund was created, as determined and approved by the Board of Trustees of
The University of Connecticut, shall be transferred to the Hospital Insurance Fund from
the revolving fund of the hospital. Such determination shall not be subject to other review
and shall be legally conclusive for purposes of this section.
(e) Any self-insurance program through the Hospital Insurance Fund shall be operated on an actuarially sound basis, and deposits shall be made to the fund as needed to
comply with this policy. If from time to time in the opinion of the corporation the addition
of money to the fund is required to meet the obligations of the Hospital Insurance Fund
as provided in sections 10a-250 to 10a-263, inclusive, the hospital shall upon written
direction from the corporation provide sufficient funds to maintain the Hospital Insurance Fund on an actuarially sound basis.
(f) The corporation may purchase such risk management, actuarial or other professional services as may be required to carry out the purposes of this section.
(g) The corporation and its subsidiaries shall be exempt from the provisions of
chapter 368z, except those relating to certificates of need applications and capital expenditures, to the same extent as the hospital.
(P.A. 87-458, S. 7, 18.)
Sec. 10a-257. Implementation plans. The corporation shall develop a plan for
implementing the purposes of sections 10a-250 to 10a-263, inclusive, with respect to
hospital facilities used by or in the operation of outpatient practices related to the hospital
or in the practices of medical, dental or related health professionals related to the hospital.
The hospital shall provide funds to the corporation for the development of such a plan.
The corporation shall submit its plan or any revised plan to the Secretary of the Office
of Policy and Management for approval. The Secretary of the Office of Policy and
Management may review and evaluate any plan or revised plan submitted by the corporation pursuant to this section and, if in the sole determination of the secretary such plan
or revised plan is consistent with the purposes of said sections, which determination
shall not be subject to other review and shall be legally conclusive for purposes of this
section, may approve any such plan or revised plan. Upon receipt by the corporation of
written approval of such a plan but in no event prior to December 1, 1988, the powers
and purposes of the corporation may be implemented in accordance with such plan
pursuant to a contract with the hospital in accordance with the provisions of section
10a-255.
(P.A. 87-458, S. 8, 18.)