Sec. 19a-244. (Formerly Sec. 19-109). Qualifications, term and duties of director of health. Employees. The director of health shall either (1) be a doctor of medicine
and hold a degree in public health as a result of having at least one year's special training
in public health, or, in lieu of said degree, shall meet the qualifications prescribed by
the Commissioner of Public Health, or (2) be trained in public health and hold a masters
degree in public health. The board may specify in a written agreement with such director
the term of office, which shall not exceed three years, salary and duties required of and
responsibilities assigned to such director in addition to those required by the general
statutes or the Public Health Code, if any. He shall be removed during the term of such
written agreement only for cause after a public hearing by the board on charges preferred,
of which reasonable notice shall have been given. He shall devote his entire time to the
performance of such duties as are required of directors of health by the general statutes
or the Public Health Code and as the board specifies in its written agreement with him;
and shall act as secretary and treasurer of the board, without the right to vote. He shall
give to the district a bond with a surety company authorized to transact business in the
state, for the faithful performance of his duties as treasurer, in such sum and upon such
conditions as the board requires. He shall be the executive officer of the district department of health. Full-time employees of a city, town or borough health department at the
time such city, town or borough votes to form or join a district department of health
shall become employees of such district department of health. Such employees may
retain their rights and benefits in the pension system of the town, city or borough by
which they were employed and shall continue to retain their active participating membership therein until retired. Such employees shall pay into such pension system the contributions required of them for their class and membership. Any additional employees to
be hired by the district or any vacancies to be filled shall be filled in accordance with
the rules and regulations of the merit system of the state of Connecticut and the employees who are employees of cities, towns or boroughs which have adopted a local civil
service or merit system shall be included in their comparable grade with fully attained
seniority in the state merit system. Such employees shall perform such duties as are
prescribed by the director of health. In the event of the withdrawal of a town, city or
borough from the district department, or in the event of a dissolution of any district
department, the employees thereof, originally employed therein, shall automatically
become employees of the appropriate town, city or borough's board of health.
(1949 Rev., S. 3880; 1969, P.A. 688, S. 2; 1971, P.A. 183; P.A. 78-303, S. 67, 136; P.A. 79-85; P.A. 82-8; P.A. 93-381, S. 9, 39; P.A. 95-257, S. 12, 21, 58.)
History: 1969 act replaced statement that necessary assistants and clerks be appointed subject to approval of board with
specific provisions re personnel of city, town or borough health departments as employees of district health department
and deleted provision that compensation be fixed by the board; 1971 act permitted health director to be "trained in public
health and hold a master's degree in public health" as alternative qualification; P.A. 78-303 replaced public health council
with commissioner of health services; P.A. 79-85 added provision re written agreement with director setting term of office
and duties in addition to those required by state law or public health code; P.A. 82-8 specified that district health departments
must hire full-time employees of town, city or borough which joins or forms the district department where previously part-time employees were included by implication through use of term "personnel" without reference to type of employment;
Sec. 19-109 transferred to Sec. 19a-244 in 1983; P.A. 93-381 replaced commissioner of health services with commissioner
of public health and addiction services, effective July 1, 1993; P.A. 95-257 replaced Commissioner and Department of
Public Health and Addiction Services with Commissioner and Department of Public Health, effective July 1, 1995.
Sec. 19a-245. (Formerly Sec. 19-110). Reimbursement by state. Upon application to the Department of Public Health, each health district shall annually receive from
the state an amount equal to one dollar and ninety-four cents per capita for each town,
city and borough of such district which has a population of five thousand or less, and
one dollar and sixty-six cents per capita for each town, city and borough of such district
which has a population of more than five thousand, provided (1) the Commissioner of
Public Health approves the public health program and budget of such health district,
and (2) the towns, cities and boroughs of such district appropriate for the maintenance
of the health district not less than one dollar per capita from the annual tax receipts.
Such district departments of health are authorized to use additional funds, which the
Department of Public Health may secure from federal agencies or any other source and
which it may allot to such district departments of health. The district treasurer shall
disburse the money so received upon warrants approved by a majority of the board and
signed by its chairman and secretary. The Comptroller shall quarterly, in July, October,
January and April, upon such application and upon the voucher of the Commissioner
of Public Health, draw the Comptroller's order on the State Treasurer in favor of such
district department of health for the amount due in accordance with the provisions of
this section and under rules prescribed by the commissioner. Any moneys remaining
unexpended at the end of a fiscal year shall be included in the budget of the district for
the ensuing year. This aid shall be rendered from appropriations made from time to time
by the General Assembly to the Department of Public Health for this purpose.
(1949 Rev., S. 3881; 1963, P.A. 508; P.A. 77-614, S. 323, 610; P.A. 78-251, S. 1, 2, 7; 78-303, S. 68, 136; P.A. 85-421, S. 2, 3; P.A. 87-414, S. 2, 3; P.A. 93-381, S. 9, 39; P.A. 95-257, S. 12, 21, 58; P.A. 96-180, S. 58, 166; P.A. 98-250,
S. 17, 39; P.A. 00-216, S. 3, 28; June 30 Sp. Sess. P.A. 03-3, S. 3.)
History: 1963 act provided for reimbursement to health district instead of constituent municipalities, made state's
payment quarterly instead of annually in June, deleted provision that sums received be one-half those actually paid and
limits of four thousand dollars per town and twenty thousand dollars in the aggregate, and added provisions that amount
received be twenty-five cents per capita, limited maximum amount received by district annually to one hundred thousand
dollars, added provision re additional funds from federal agencies or other sources and provided for disbursement of money
upon warrants approved by board majority and signed by chairman and secretary; P.A. 77-614 replaced commissioner and
department of health with commissioner and department of health services, effective January 1, 1979; P.A. 78-251 increased
per capita amount received from twenty-five to thirty cents contingent upon approval of public health program and budget
by commissioner, increased maximum amount received to one hundred twenty thousand dollars, removed limit on additional funds of amount equal to one-half the total district budget and, in conjunction with P.A. 78-303, referred to rules
prescribed by commissioner rather than by public health council; Sec. 19-110 transferred to Sec. 19a-245 in 1983; P.A.
85-421 increased quarterly per capita payments to health districts from thirty cents to (1) forty-two and one-half cents for
each town, city and borough of a district which has a population of five thousand or less and (2) thirty-two and one-half
cents for each town, city or borough of a district which has a population of more than five thousand and increased maximum
annual payment to a district from one hundred twenty thousand to one hundred forty-five thousand dollars; P.A. 87-414
increased the per capita payments to forty-four and one-half cents per capita and thirty-eight cents per capita on basis
previously established and deleted the annual cap on payments to districts; P.A. 93-381 replaced department and commissioner of health services with department and commissioner of public health and addiction services, effective July 1, 1993;
P.A. 95-257 replaced Commissioner and Department of Public Health and Addiction Services with Commissioner and
Department of Public Health, effective July 1, 1995; P.A. 96-180 changed "treasurer" to "State Treasurer", effective June
3, 1996; P.A. 98-250 changed the amount received from the state from forty-four and one half cents for municipalities
under five thousand and thirty-eight cents for municipalities over five thousand annually to two dollars and nine cents and
one dollar and seventy-nine cents, annually, effective July 1, 1998; P.A. 00-216 made technical changes and increased
annual per capita payments from two dollars and nine cents to two dollars and thirty-two cents and from one dollar and
seventy-nine cents to one dollar and ninety-nine cents, effective July 1, 2000; June 30 Sp. Sess. P.A. 03-3 decreased annual
per capita payments from two dollars and thirty-two cents to one dollar and ninety-four cents per populations of five
thousand or less, and from one dollar and ninety-nine cents to sixty-six cents for populations of more than five thousand,
and made a technical change, effective August 20, 2003.
Sec. 19a-246. (Formerly Sec. 19-111). Withdrawal from district. (a) Any constituent town, city or borough may, by vote passed prior to January first in any year,
withdraw from the district, such withdrawal to become effective on the first day of July
following, provided such city, town or borough shall have been a member of the district
for at least twenty-four months prior to such vote of withdrawal. A city, town or borough
on withdrawal shall at once resume such status with respect to the appointment of its
director of health, employees and board of health as it held prior to becoming a member
of the district as provided in section 19a-244. Employees shall not lose any benefits or
civil services status as a result of the withdrawal from the district.
(b) Notwithstanding the provisions of subsection (a) of this section, no withdrawal
or termination of participation by any constituent municipality shall affect any pledge,
agreement, assignment or mortgage of any income, revenue proceeds or property of a
district made for the benefit or security of any borrowing of the district entered into
pursuant to subsection (b) of section 19a-243.
(c) Notwithstanding any other provision of the general statutes, no district shall
cease to exist until such time as payment or provision for payment of the outstanding
balance of borrowings of such district entered into pursuant to subsection (b) of section
19a-243 is made.
(1949 Rev., S. 3882; 1961, P.A. 391, S. 3; 1969, P.A. 688, S. 3; P.A. 99-234, S. 12, 14.)
History: 1961 act provided that vote for withdrawal be prior to January first rather than April first, required membership
for at least twenty-four months prior to vote or withdrawal and provided that town, city or borough resume status "with
respect to the appointment of its director of health and board of health" as it held prior to district membership; 1969 act
included references to status re appointment of employees and added provision protecting benefits and civil service status
of employees; Sec. 19-111 transferred to Sec. 19a-246 in 1983; P.A. 99-234 designated existing provisions as Subsec. (a)
and added new Subsecs. (b) and (c) re exceptions to statutory provisions upon withdrawal from district, effective June
29, 1999.