AN ACT CONCERNING REVISIONS TO THE OFFICE OF HEALTH CARE ACCESS STATUTES.

Agency Affected	Fund-Effect	FY 07 $	FY 08 $
Health Care Access, Off.	GF - Revenue Loss	Potential Minimal	Potential Minimal
UConn Health Ctr.	Various - None	None	None

Note: GF=General Fund

Municipal Impact: None

Explanation

This bill makes various changes to law concerning the Office of Health Care Access. Fiscal impacts are as follows:

Sections 1 & 8 authorize the Commissioner of Health Care Access to exempt nonprofit entities under contract with any state agency from certificate of need (CON) review when seeking to terminate a service or facility, provided written confirmation is provided by the agency head that continuing service needs will be met. A corresponding workload reduction will result for the Office. Approximately four fewer CON reviews will be undertaken annually.

This change may facilitate the procurement of services by affected state agencies.

Sections 5, 13 and 19 extend the deadline by which hospitals must submit certain reporting documents from February 28^th to March 31^stannually. No fiscal impact is associated with these sections.

Sections 6-7 expand the definition of emergency under which the Commissioner may waive the letter of intent requirement associated with a CON request. The Office will experience no fiscal impact as a result of this policy change.

Section 9 authorizes the Commissioner to waive the CON requirement when an entity previously granted a CON for equipment having a replacement value of less than $2 million seeks to replace the equipment at a cost in excess of the original equipment cost indexed upwards by ten percent annually. A minimal number of fewer CON reviews may be required annually. The Office would experience a corresponding workload reduction and minimal revenue loss. ¹

Section 12 modifies certain hospital information that must be submitted to or may be requested by the Office. Its passage will result in no fiscal impact.

Sections 2-4, 10-11, 14-18, 20 and 21 repeal obsolete statutes and make conforming changes. No fiscal impact is associated with these sections.

Provisions in this bill are not anticipated to result in any fiscal impact for John Dempsey Hospital at the University of Connecticut Health Center.

The Out Years

State Impact:

Agency Affected	Fund-Effect	FY 09 $	FY 10 $	FY 11 $
Health Care Access, Off.	GF - Revenue Loss	Potential Minimal	Potential Minimal	Potential Minimal
UConn Health Ctr.	Various - None	None	None	None

¹A filing fee of $400 would otherwise have been paid when the CON request involved capital expenditures for major medical equipment, imaging equipment or a linear accelerator costing more than $400,000 but less than or equal to $1 million. A filing fee of $1,000 plus . 05 percent of the total project cost is paid when an applicant seeks to make a capital expenditure in excess of $1 million.