CHAPTER 368c*
COMMISSION ON HOSPITALS AND HEALTH CARE

      *Annotations to former chapter 334a:

      A rule or "guideline" having substantial impact on rights and obligations of those regulated must be promulgated in accordance with Uniform Administrative Procedure Act. 177 C. 356, 357, 360, 361.

      Cited. 32 CS 300.

      Annotations to present chapter:

      Cited. 196 C. 451, 454. Cited. 210 C. 697, 698. Cited. 226 C. 105, 140. Commission on Hospitals and Health Care, Secs. 19a-145-19a-168 cited. Id. Cited. 235 C. 128, 139.

Table of Contents

Sec. 19a-145.
Secs. 19a-146 and 19a-147. (Formerly Secs. 19-73c and 19-73e). Commission on Hospitals and Health Care: Establishment. Officers; compensation; meetings.
Sec. 19a-148. (Formerly Sec. 19-73f). Staff. Commission to be within the Department of Public Health and Addiction Services.
Secs. 19a-148a to 19a-155.
Sec. 19a-155a.
Sec. 19a-156.
Sec. 19a-157. Exemptions from budget review procedure. Limitation.
Secs. 19a-158 to 19a-162.
Sec. 19a-163. Health Care Payer Advisory Board.
Secs. 19a-164 to 19a-165v. Task force to study the development of a prospective payment system and other health issues. Professional advisory committee. Definitions. Data necessary for the development and implementation of the prospective payment system; submission. Determination of rate orders; contents. Rate orders for the rate year commencing in 1987 and for subsequent rate years; establishing a standard fixed charge per case; inpatients; interim and final compliance; special arrangements. Gross inpatient service revenue for the fiscal year commencing in 1986 and for subsequent fiscal years. Estimates on volume and revenue, submission; adjustments. Establishing per diem charges for exempt cases; adjustments; outliers; billing form; reimbursement by Department of Income Maintenance. Discounts for medical assistance and Medicare payers. Uncompensated care. Gross outpatient service revenue; short hospital stays; transfer system. Alternative delivery systems. Review of hospital admissions; appeals of appropriateness of the diagnostic related group assigned to a discharge; fee. Federal waivers for Medicare and medical assistance payer participation. Adjustment of allowable revenues for the fiscal years commencing in 1985 and 1986. Application alleging financial integrity in jeopardy; hearing, determination, remedy; projects requiring approval by commission; adjustments. Hospitals not previously subject to the prospective payment system; new hospitals. Experiments and demonstration projects. Regulations for the prospective payment system. Issuance of rate orders for the fiscal year commencing in 1987. Conformance with rate order; decision; reconsideration; hearing. Prospective payment system account. Self-pay patients; appeals. Emergency regulations.
Sec. 19a-166.
Sec. 19a-166a. Report on the effectiveness of the regulation of hospital charges under the prospective payment system.
Sec. 19a-166b.
Secs. 19a-167 to 19a-167d. Definitions. Compensation of net and gross revenue caps for: Fiscal year commencing October 1, 1989; Fiscal year commencing October 1, 1991, and for subsequent fiscal years. Partial and detailed budget review. Adjustment of revenue caps.
Secs. 19a-167e to 19a-167o.
Secs. 19a-168 and 19a-168a. Uncompensated care pool. Definitions.
Sec. 19a-168b. Uncompensated care pool; administration, assessment.
Sec. 19a-168c. Oversight board.
Secs. 19a-168d to 19a-168f. Revenue cap adjustments for fiscal years commencing October 1, 1991, until April 1, 1994: For hospitals exempt from budget review; for partial budget review; for detailed budget review.
Sec. 19a-168g.
Sec. 19a-168h. Adjustments in accordance with budget authorizations.
Secs. 19a-168i and 19a-168j.
Sec. 19a-168k. Research, demonstration and pilot programs. Authorizations.
Secs. 19a-168l to 19a-168o. Termination of the uncompensated care pool in the event of: Lack of federal matching funds; exemption of a class of payers. Exemption of payer prior to termination of the uncompensated care pool. Health care initiative recommendations.
Sec. 19a-168p.
Secs. 19a-168q and 19a-168r. Appropriation. Reports to the appropriations committee.
Secs. 19a-168s to 19a-169c.
Sec. 19a-169d. Low income-uninsured account.
Sec. 19a-169e.
Sec. 19a-170.
Secs. 19a-170a to 19a-170g.
Secs. 19a-171 to 19a-174.

      Sec. 19a-145. Transferred to Chapter 368z, Sec. 19a-630.

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      Secs. 19a-146 and 19a-147. (Formerly Secs. 19-73c and 19-73e). Commission on Hospitals and Health Care: Establishment. Officers; compensation; meetings. Sections 19a-146 and 19a-147 are repealed, effective July 1, 1995.

      (P.A. 73-117, S. 3, 5, 31; P.A. 75-361, S. 1; 75-562, S. 2, 8; P.A. 77-192, S. 2, 13; 77-614, S. 163, 323, 610; P.A. 79-20; P.A. 80-73, S. 3; 80-482, S. 169, 345, 348; P.A. 81-465, S. 1, 2, 18; P.A. 89-371, S. 10, 11, 31; P.A. 93-229, S. 20, 21; May Sp. Sess. P.A. 94-3, S. 20, 28; P.A. 95-257, S. 57, 58.)

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      Sec. 19a-148. (Formerly Sec. 19-73f). Staff. Commission to be within the Department of Public Health and Addiction Services. Section 19a-148 is repealed, effective July 1, 1994.

      (P.A. 73-117, S. 6, 31; P.A. 75-562, S. 3, 8; P.A. 77-192, S. 4, 13; 77-614, S. 323, 332, 587, 610; P.A. 78-303, S. 85, 136; P.A. 81-465, S. 14, 18; P.A. 93-381, S. 9, 39; P.A. 94-3, S. 27, 28.)

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      Secs. 19a-148a to 19a-155. Transferred to Chapter 368z, Secs. 19a-631 to 19a-639, inclusive.

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      Sec. 19a-155a. Transferred to Chapter 319y, Sec. 17b-351.

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      Sec. 19a-156. Transferred to Chapter 368z, Sec. 19a-640.

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      Sec. 19a-157. Exemptions from budget review procedure. Limitation. Section 19a-157 is repealed.

      (P.A. 81-465, S. 8, 18; P.A. 84-57, S. 1, 4; P.A. 89-371, S. 30.)

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      Secs. 19a-158 to 19a-162. Transferred to Chapter 368z, Secs. 19a-641 to 19a-645, inclusive.

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      Sec. 19a-163. Health Care Payer Advisory Board. Section 19a-163 is repealed, effective July 1, 1995.

      (P.A. 81-465, S. 15, 18; P.A. 89-371, S. 21; P.A. 95-257, S. 57, 58.)

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      Secs. 19a-164 to 19a-165v. Task force to study the development of a prospective payment system and other health issues. Professional advisory committee. Definitions. Data necessary for the development and implementation of the prospective payment system; submission. Determination of rate orders; contents. Rate orders for the rate year commencing in 1987 and for subsequent rate years; establishing a standard fixed charge per case; inpatients; interim and final compliance; special arrangements. Gross inpatient service revenue for the fiscal year commencing in 1986 and for subsequent fiscal years. Estimates on volume and revenue, submission; adjustments. Establishing per diem charges for exempt cases; adjustments; outliers; billing form; reimbursement by Department of Income Maintenance. Discounts for medical assistance and Medicare payers. Uncompensated care. Gross outpatient service revenue; short hospital stays; transfer system. Alternative delivery systems. Review of hospital admissions; appeals of appropriateness of the diagnostic related group assigned to a discharge; fee. Federal waivers for Medicare and medical assistance payer participation. Adjustment of allowable revenues for the fiscal years commencing in 1985 and 1986. Application alleging financial integrity in jeopardy; hearing, determination, remedy; projects requiring approval by commission; adjustments. Hospitals not previously subject to the prospective payment system; new hospitals. Experiments and demonstration projects. Regulations for the prospective payment system. Issuance of rate orders for the fiscal year commencing in 1987. Conformance with rate order; decision; reconsideration; hearing. Prospective payment system account. Self-pay patients; appeals. Emergency regulations. Sections 19a-164 to 19a-165v, inclusive, are repealed.

      (P.A. 84-315, S. 1-20, 24; P.A. 86-86; 86-91, S. 1-4; P.A. 87-122, S. 1, 2; 87-443, S. 1-17; 87-510, S. 2-6; P.A. 88-8, S. 1; 88-357, S. 3, 4, 22; P.A. 89-371, S. 30, 31.)

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      Sec. 19a-166. Transferred to Chapter 368z, Sec. 19a-646.

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      Sec. 19a-166a. Report on the effectiveness of the regulation of hospital charges under the prospective payment system. Section 19a-166a is repealed.

      (P.A. 84-315, S. 23, 24; P.A. 87-510, S. 1; P.A. 88-335, S. 1, 5; P.A. 89-371, S. 30, 31.)

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      Sec. 19a-166b. Transferred to Chapter 368z, Sec. 19a-647.

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      Secs. 19a-167 to 19a-167d. Definitions. Compensation of net and gross revenue caps for: Fiscal year commencing October 1, 1989; Fiscal year commencing October 1, 1991, and for subsequent fiscal years. Partial and detailed budget review. Adjustment of revenue caps. Sections 19a-167 to 19a-167d, inclusive, are repealed, effective April 1, 1994.

      (P.A. 89-371, S. 1-5, 31; P.A. 90-14, S. 1-3; P.A. 91-80, S. 1, 2; Nov. Sp. Sess. P.A. 91-2, S. 10, 11, 27; P.A. 93-44, S. 6, 24; 93-262, S. 1, 87; 93-381, S. 9, 39; P.A. 94-9, S. 39, 41.)

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      Secs. 19a-167e to 19a-167o. Transferred to Chapter 368z, Secs. 19a-648 to 19a-658, inclusive.

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      Secs. 19a-168 and 19a-168a. Uncompensated care pool. Definitions. Sections 19a-168 and 19a-168a are repealed, effective April 1, 1994.

      (Nov. Sp. Sess. P.A. 91-2, S. 1, 2, 27; May Sp. Sess. P.A. 92-16, S. 55, 89; P.A. 93-44, S. 8, 9, 24; 93-229, S. 8, 9, 21; 93-262, S. 1, 87; 93-435, S. 59, 95; P.A. 94-9, S. 39, 41.)

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      Sec. 19a-168b. Uncompensated care pool; administration, assessment. Section 19a-168b is repealed, effective October 1, 1996.

      (Nov. Sp. Sess. P.A. 91-2, S. 7, 27; May Sp. Sess. P.A. 92-16, S. 60-62, 89; P.A. 93-44, S. 10, 24; 93-229, S. 10, 11, 21; 93-262, S. 1, 87; 93-381, S. 9, 39; 93-435, S. 59, 95; P.A. 94-9, S. 40, 41; May 25 Sp. Sess. P.A. 94-1, S. 54, 130; P.A. 95-257, S. 12, 21, 21, 39, 58.)

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      Sec. 19a-168c. Oversight board. Section 19a-168c is repealed, effective April 1, 1994.

      (Nov. Sp. Sess. P.A. 91-2, S. 6, 27; P.A. 93-262, S. 1. 87; P.A. 94-9, S. 39, 41.)

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      Secs. 19a-168d to 19a-168f. Revenue cap adjustments for fiscal years commencing October 1, 1991, until April 1, 1994: For hospitals exempt from budget review; for partial budget review; for detailed budget review. Sections 19a-168d to 19a-168f, inclusive, are repealed, effective October 1, 1996.

      (Nov. Sp. Sess. P.A. 91-2, S. 3-5, 27; May Sp. Sess. P.A. 92-16, S. 56-59, 89; P.A. 93-44, S. 11-13, 24; P.A. 94-9, S. 40, 41; May 25 Sp. Sess. P.A. 94-1, S. 55-57, 130; P.A. 95-257, S. 39, 58.)

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      Sec. 19a-168g. Transferred to Chapter 368z, Sec. 19a-660.

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      Sec. 19a-168h. Adjustments in accordance with budget authorizations. Section 19a-168h is repealed, effective April 1, 1994.

      (Nov. Sp. Sess. P.A. 91-2, S. 22, 27; P.A. 94-9, S. 39, 41.)

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      Secs. 19a-168i and 19a-168j. Transferred to Chapter 368z, Secs. 19a-661 and 19a-662.

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      Sec. 19a-168k. Research, demonstration and pilot programs. Authorizations. Section 19a-168k is repealed, effective July 1, 1995.

      (Nov. Sp. Sess. P.A. 91-2, S. 14, 27; May Sp. Sess. P.A. 92-16, S. 44, 89; P.A. 93-381, S. 9, 39; P.A. 94-9, S. 11, 41; P.A. 95-257, S. 57, 58.)

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      Secs. 19a-168l to 19a-168o. Termination of the uncompensated care pool in the event of: Lack of federal matching funds; exemption of a class of payers. Exemption of payer prior to termination of the uncompensated care pool. Health care initiative recommendations. Sections 19a-168l to 19a-168o, inclusive, are repealed, effective April 1, 1994.

      (Nov. Sp. Sess. P.A. 91-2, S. 15, 16, 18, 26, 27; May Sp. Sess. P.A. 92-16, S. 63, 89; P.A. 93-44, S. 17, 24; 93-262, S. 1, 87; P.A. 94-9, S. 39, 41.)

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      Sec. 19a-168p. Transferred to Chapter 368z, Sec. 19a-663.

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      Secs. 19a-168q and 19a-168r. Appropriation. Reports to the appropriations committee. Sections 19a-168q and 19a-168r are repealed, effective April 1, 1994.

      (Nov. Sp. Sess. P.A. 91-2, S. 19, 27; May Sp. Sess. P.A. 92-16, S. 45, 74, 89; P.A. 93-262, S. 1, 87; 93-381, S. 9, 39; P.A. 94-9, S. 39, 41.)

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      Secs. 19a-168s to 19a-169c. Transferred to Chapter 368z, Secs. 19a-664 to 19a-672, inclusive.

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      Sec. 19a-169d. Low income-uninsured account. Section 19a-169d is repealed, effective July 1, 1995.

      (P.A. 94-9, S. 12, 41; P.A. 95-257, S. 57, 58.)

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      Sec. 19a-169e. Transferred to Chapter 368z, Sec. 19a-673.

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      Sec. 19a-170. Transferred to Chapter 368z, Sec. 19a-659.

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      Secs. 19a-170a to 19a-170g. Transferred to Chapter 368z, Secs. 19a-674 to 19a-680, inclusive.

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      Secs. 19a-171 to 19a-174. Reserved for future use.

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