Substitute Senate Bill No. 1047
         Substitute Senate Bill No. 1047

              PUBLIC ACT NO. 93-381

AN  ACT CONCERNING ESTABLISHMENT OF THE DEPARTMENT
OF PUBLIC HEALTH AND ADDICTION SERVICES.


    Section  1.  (NEW)  (a) There is established a
department  of   public   health   and   addiction
services.   The   department  head  shall  be  the
commissioner  of  public  health   and   addiction
services,  who  shall be appointed by the governor
in accordance with the provisions of sections  4-5
to  4-8,  inclusive, of the general statutes, with
the powers and duties prescribed therein.
    (b)   The  department  of  public  health  and
addiction services shall  constitute  a  successor
department  to  the  department of health services
and  the  Connecticut  alcohol  and   drug   abuse
commission  for  the  purposes of the chapters and
sections listed in  section  10  of  this  act  in
accordance  with  sections  4-38d  and 4-39 of the
general statutes.
    (c)  Any order or regulation of the department
of health services or the Connecticut alcohol  and
drug abuse commission which is in force on July 1,
1993, shall continue in force  and  effect  as  an
order  or  regulation  of the department of public
health  and  addiction  services  until   amended,
repealed  or superseded pursuant to law. Where any
order  or  regulation  of  said   department   and
commission  conflict,  the  commissioner of public
health  and  addiction  services   may   implement
policies   and   procedures  consistent  with  the
provisions of this act while  in  the  process  of
adopting  the  policy  or  procedure in regulation
form, provided notice of intention  to  adopt  the
regulations  is  printed  in  the  Connecticut law
journal within twenty days of implementation.  The
policy  or procedure shall be valid until the time
final regulations are effective.
    Sec.  2.  (NEW)  The  commissioner  of  public
health and addiction  services  shall  employ  the
most   efficient   and  practical  means  for  the
prevention and suppression of  disease  and  shall
administer  all laws under the jurisdiction of the
department of public health and addiction services
and   the   public  health  code.  He  shall  have
responsibility  for  the  overall  operation   and
administration  of the department of public health
and addiction services. He  shall  be  responsible
for  the  coordination  of  all  activities in the
state relating to alcohol and drug abuse  problems
including  activities  of  other  departments  and
state-wide planning. The commissioner  shall  have
the  power and duty to: (1) Administer, coordinate
and direct the operation of  the  department;  (2)
adopt  and enforce regulations, in accordance with
chapter  54  of  the  general  statutes,  as   are
necessary   to  carry  out  the  purposes  of  the
department  as   established   by   statute;   (3)
establish  rules  for  the  internal operation and
administration of the  department;  (4)  establish
and  develop  programs  and administer services to
achieve  the  purposes  of   the   department   as
established   by   statute;   (5)   contract   for
facilities, services and programs to implement the
purposes  of  the  department  as  established  by
statute; (6) designate a  deputy  commissioner  or
other  employee  of  the  department  to  sign any
license, certificate  or  permit  issued  by  said
department;   (7)   conduct   a   hearing,   issue
subpoenas, administer  oaths,  complete  testimony
and  render  a  final  decision in any case when a
hearing  is  required  or  authorized  under   the
provisions   of   any  statute  dealing  with  the
department  of   public   health   and   addiction
services;  (8) with the health authorities of this
and other  states,  secure  information  and  data
concerning the prevention and control of epidemics
and conditions affecting or endangering the public
health,   and   compile   such   information   and
statistics  and  shall  disseminate  among  health
authorities  and  the  people  of  the  state such
information as  may  be  of  value  to  them;  (9)
annually  issue  a list of reportable diseases and
reportable laboratory findings and amend such list
as  he deems necessary and distribute such list as
well as  any  necessary  forms  to  each  licensed
physician  and  clinical laboratory in this state.
He shall prepare printed  forms  for  reports  and
returns,   with   such   instructions  as  may  be
necessary, for the use  of  directors  of  health,
boards   of   health   and   registrars  of  vital
statistics;  (10)  specify  uniform   methods   of
keeping  statistical  information  by  public  and
private agencies, organizations, and  individuals,
including  a client identifier system, and collect
and   make    available    relevant    statistical
information,   including  the  number  of  persons
treated, frequency of admission  and  readmission,
and   frequency  and  duration  of  treatment  and
require  all  facilities  for  the  treatment   of
alcohol or drug dependence licensed under sections
19a-490 to 19a-503, inclusive, to  implement  such
methods.  The  client  identifier  system shall be
subject to the  confidentiality  requirements  set
forth  in  section 17a-630 and regulations adopted
thereunder; (11) make an inspection, at least once
each  year,  of  all  public  hospitals,  asylums,
prisons, schools and  other  institutions,  within
available  appropriations. He shall have authority
over directors  of  health  and  may,  for  cause,
remove  any such director; but any person claiming
to be aggrieved by such removal may appeal to  the
superior  court  which  may  affirm or reverse the
action of the commissioner as the public  interest
requires.   He   shall  assist  and  advise  local
directors of health in the  performance  of  their
duties,  and  may  require  the enforcement of any
law, regulation or ordinance  relating  to  public
health.  When  requested  by  local  directors  of
health, he shall consult with them and investigate
and  advise  concerning  any  condition  affecting
public health within their jurisdiction. He  shall
investigate nuisances and conditions affecting, or
that he has reason  to  suspect  may  affect,  the
security  of  life and health in any locality and,
for that purpose, he, or any person authorized  by
him  so  to  do, may enter and examine any ground,
vehicle, apartment, building  or  place,  and  any
person  designated by him shall have the authority
conferred by  law  upon  constables.  Whenever  he
determines  that  any  provision  of  the  general
statutes or regulation of the public  health  code
is  not  being  enforced  effectively  by  a local
health department, he shall  forthwith  take  such
measures,  including  the  performance  of any act
required of the local health department, to ensure
enforcement  of  such  statute  or  regulation and
shall inform the local health department  of  such
measures.  The commissioner may solicit and accept
for use any gift of money or property made by will
or  otherwise,  and  any  grant of or contract for
money,  services  or  property  from  the  federal
government, the state or any political subdivision
thereof or any private source, and do  all  things
necessary to cooperate with the federal government
or any of its agencies in  making  an  application
for  any  grant  or contract. The commissioner may
establish   state-wide   and   regional   advisory
councils.
    Sec.  3. Section 19a-7 of the general statutes
is repealed and the following  is  substituted  in
lieu thereof:
    (a)  The  department of [health] PUBLIC HEALTH
AND ADDICTION services shall be  the  lead  agency
for   public  health  planning  and  shall  assist
communities in the  development  of  collaborative
health  planning  activities  which address public
health issues on a regional basis or which respond
to   public   health   needs   having   state-wide
significance.  THE  DEPARTMENT  SHALL  PREPARE   A
MULTI-YEAR STATE HEALTH PLAN WHICH WILL PROVIDE AN
ASSESSMENT  OF   THE   HEALTH   OF   CONNECTICUT'S
POPULATION  AND  THE  AVAILABILITY  OF  HEALTH AND
ADDICTION SERVICES AND FACILITIES. THE PLAN  SHALL
INCLUDE:   (1)  POLICY  RECOMMENDATIONS  REGARDING
ALLOCATION OF RESOURCES;  (2)  PUBLIC  HEALTH  AND
ADDICTION  SERVICES  PRIORITIES;  (3) QUANTITATIVE
GOALS  AND  OBJECTIVES   WITH   RESPECT   TO   THE
APPROPRIATE  SUPPLY, DISTRIBUTION AND ORGANIZATION
OF PUBLIC HEALTH AND ADDICTION RESOURCES; AND  (4)
EVALUATION  OF  THE IMPLICATIONS OF NEW TECHNOLOGY
FOR  THE  ORGANIZATION,  DELIVERY  AND   EQUITABLE
DISTRIBUTION  OF  SERVICES.  IN THE DEVELOPMENT OF
THE  PLAN  THE  DEPARTMENT  SHALL   CONSIDER   THE
RECOMMENDATIONS  OF  ANY ADVISORY BODIES WHICH MAY
BE ESTABLISHED BY THE COMMISSIONER.
    (b)   AS   PART   OF   THE  PLAN  REQUIRED  BY
SUBSECTION (a) OF  THIS  SECTION,  THE  DEPARTMENT
SHALL    BE   RESPONSIBLE   FOR   DEVELOPING   AND
IMPLEMENTING THE  CONNECTICUT  COMPREHENSIVE  PLAN
FOR PREVENTION, TREATMENT AND REDUCTION OF ALCOHOL
AND DRUG ABUSE PROBLEMS TO BE KNOWN AS  THE  STATE
SUBSTANCE  ABUSE  PLAN.  THE  PLAN  SHALL  INCLUDE
STATE-WIDE,   LONG-TERM   PLANNING    GOALS    AND
OBJECTIVES, AND ANNUAL REVISIONS OF OBJECTIVES. IN
THE DEVELOPMENT OF THE SUBSTANCE  ABUSE  PLAN  THE
DEPARTMENT   SHALL   SOLICIT   AND   CONSIDER  THE
RECOMMENDATIONS OF THE  SUBREGIONAL  PLANNING  AND
ACTION COUNCILS ESTABLISHED UNDER SECTION 17a-664,
AS AMENDED BY SECTION 26 OF THIS ACT.
    Sec.  4.  (NEW)  The  commissioner  of  public
health  and  addiction  services  may  appear  and
participate  as  an  intervenor  at any hearing or
proceeding  conducted   by   the   commission   on
hospitals  and  health  care  or  any  other state
agency concerning certificate of need or  rate  or
budget  review  of  any  health  care  facility or
institution  for  the   purpose   of   determining
compliance with the state health plan.
    Sec.  5.  (NEW)  The  commissioner  of  public
health and addiction services  shall  appoint  the
superintendents   of   all  the  institutions  and
facilities providing alcohol  and  drug  treatment
established  by  or transferred to the department,
all of whom shall be in the unclassified  service.
The superintendent shall (1) be the administrative
head of the treatment facility, (2) be responsible
for  the  organization of their various activities
and (3) employ, in accordance with chapter  67  of
the  general  statutes,  all  members  of facility
staffs.
    Sec.  6.  (NEW)  (a)  The department of public
health and addiction services  shall  allocate  by
program  and  geographic  location,  in  a  manner
consistent with the annual alcohol and drug  plan,
funds  received by the department from the federal
government and the state which are  designated  in
the  department's budget to be used for grants and
contracts  for  alcohol  and  drug  programs   and
services. The department shall also administer and
supervise all federal and state grant and contract
funds   for   alcohol  and  drug  abuse  community
services  including  treatment  services,   except
those  services  designated  to  be carried out by
state agencies other than the department of mental
health.
    (b)  The  department  may:  (1) Make grants to
and  contracts  and  other  joint  or  cooperative
agreements  with  individuals,  organizations  and
state agencies for problems related to alcohol and
drug  abuse;  (2)  make  grants and contracts from
state  or  federal  funds  to  public  or  private
agencies as may be necessary in the performance of
its  duties  and  execution  of  its  powers;  (3)
require   quarterly  reports  from  recipients  of
grants made  or  allocated  by  it  and  from  all
departments  of  the  state  whose  activities are
related to alcohol or drug abuse problems for  the
purpose  of  evaluating  the implementation of the
state  plans.  The  department  shall  report  its
findings  on  or before January first of each year
to the governor and the general assembly, with its
recommendations for such executive and legislative
action  as  it  finds  beneficial  to  the  public
interest.
    Sec.  7.  (NEW)  Any nonprofit organization in
Connecticut or any municipal  department  or  unit
which   offers  or  proposes  to  offer  education
services, prevention services, public information,
community   intervention,  employees'  assistance,
training   or   job   development   services    to
alcohol-dependent or drug-dependent persons in the
state or treatment or rehabilitation  services  to
such  persons  either  as  part  of  comprehensive
community-based services on alcohol dependence  or
drug dependence or as part of a narcotic addiction
treatment center in an area of high  incidence  of
drug  addiction,  may  apply  to the department of
public health and addiction services for state and
federal  funds  to  establish,  expand or maintain
such services. The department may accept  requests
for  funds  from  any  nonprofit  organization  in
Connecticut or any municipal  department  or  unit
which  offers  or  proposes  to  offer  the  above
services, and such services may be funded if  they
meet the requirements of the department and are in
conformance  with  the  state   plans   concerning
alcohol  and  drug abuse. In the case of treatment
or rehabilitation  services,  the  department  may
accept requests for funds from such organizations,
departments or units which  offer  or  propose  to
offer certain selected services on a demonstration
or  research  basis  or  which  propose   services
contributing   to   alcohol  and  drug  dependence
services, and such services may be funded in whole
or  in  part if they meet such requirements as the
department  shall  specify  by   regulation.   The
application  for  funds  shall  be  made  on forms
provided  by   the   department   and   shall   be
accompanied  by (1) a definition of the area to be
served; (2) a plan  setting  forth  the  means  by
which  the  applicant  proposes  to coordinate its
activities with  those  of  other  local  agencies
presently   supplying   such   services;   (3)   a
description of the services to be provided and the
methods   through  which  such  services  will  be
provided; and (4) an  indication  of  the  methods
that  will  be employed to effect a balance in the
use of state and local resources so as  to  foster
local      initiative,      responsibility     and
participation.   Upon   approval   of   any   such
application, the department shall grant such funds
within available  appropriations  for  any  fiscal
year. No funds authorized by this section shall be
used  for  the  construction  or   renovation   of
buildings.  The  department may adopt regulations,
in accordance with the provisions of chapter 54 of
the general statutes, concerning minimum standards
for eligibility to receive such state funds.
    Sec.  8. (NEW) The department of public health
and addiction services shall establish  a  program
to provide alcohol and drug abuse services to deaf
and hearing impaired persons. Said  program  shall
provide  a  system  of  prevention,  intervention,
teaching and aftercare services in a manner  which
is  most  responsive  to  the  needs  of  deaf and
hearing impaired persons.
    Sec.  9.  (a) Whenever the words "commissioner
of health services" or "executive director of  the
Connecticut alcohol and drug abuse commission" are
used or referred to in the following  sections  of
the  general  statutes, the words "commissioner of
public health and  addiction  services"  shall  be
substituted in lieu thereof and whenever the words
"department  of  health  services",   "Connecticut
alcohol  and  drug  abuse  commission",  or "state
alcohol and drug abuse  commission"  are  used  or
referred  to  in  the  following  sections  of the
general statutes, the words "department of  public
health    and   addiction   services"   shall   be
substituted in lieu thereof: 1-21b, 2-20a,  3-129,
4-5,  4-38c,  4-60i,  4-67e,  4a-12, 4a-16, 4a-51,
4a-68, 5-169,  7-22a,  7-41a,  7-42,  7-44,  7-45,
7-47a,  7-48,  7-49, 7-51, 7-52, 7-53, 7-54, 7-55,
7-56, 7-59, 7-60, 7-62a, 7-62b, 7-62c, 7-65, 7-70,
7-72,  7-74,  7-504,  7-505, 7-536, 8-159a, 8-210,
10-19, 10-71,  10-76d,  10-203,  10-204a,  10-207,
10-212,  10-212a, 10-214, 10-215d, 10-253, 10-282,
10-284,  10-292,  10a-132,   10a-132b,   10a-132c,
10a-132d,   10a-155,   10a-162a,  12-62f,  12-634,
13a-175b, 13a-175ee,  13b-38n,  14-227a,  14-227c,
15-121,  15-140r,  15-140u, 16-19z, 16-32e, 16-43,
16-50c, 16-50d, 16-50j, 16-261a, 16-262l, 16-262m,
16-262n,   16-262o,   16-262q,   16a-36,  16a-36a,
16a-103,  17-83k,  17-134f,   17-134v,,   17-134w,
17-294, 17-295c, 17-308, 17-314, 17-314a, 17-314g,
17-314n, 17-585, 17-595, 17-600,  17-616,  17a-20,
17a-154,   17a-220,   17a-277,  17a-303,  17a-392,
17a-411,  17a-413,  17a-474,   17a-509,   17a-623,
17a-624,   17a-628,   17a-630,  17a-642,  17a-647,
17a-648, 17a-651, 17a-666, 19a-6, 19a-7b,  19a-7c,
19a-7d,  19a-7e,  19a-7f,  19a-7g,  19a-9, 19a-10,
19a-13, 19a-14, 19a-14a, 19a-14b, 19a-15,  19a-17,
19a-17a,  19a-19,  19a-21, 19a-23, 19a-24, 19a-25,
19a-26, 19a-27, 19a-28,  19a-29,  19a-30,  19a-32,
19a-33,  19a-34,  19a-35, 19a-36, 19a-36a, 19a-37,
19a-37a, 19a-37b, 19a-40, 19a-41, 19a-42,  19a-43,
19a-44,  19a-45,  19a-47,  19a-48, 19a-49, 19a-50,
19a-51, 19a-52, 19a-53,  19a-54,  19a-55,  19a-57,
19a-58,  19a-59, 19a-59b, 19a-59c, 19a-60, 19a-61,
19a-63, 19a-64, 19a-66,  19a-69,  19a-70,  19a-71,
19a-72,  19a-73, 19a-74, 19a-75, 19a-76, 19a-78 to
19a-80,  inclusive,  19a-80e,  19a-81  to  19a-91,
inclusive,   19a-93,   19a-94,  19a-102,  19a-103,
19a-104,  19a-105,  19a-108,   19a-109,   19a-110,
19a-110a,  19a-111,  19a-111a,  19a-112a, 19a-113,
19a-113a,  19a-114,  19a-115,  19a-116,   19a-121,
19a-121a,  19a-121b, 19a-121c, 19a-121d, 19a-121e,
19a-121f, 19a-122b, 19a-123a,  19a-123b,  19a-124,
19a-145,   19a-148,   19a-150,  19a-153,  19a-154,
19a-155a,  19a-162,  19a-166,  19a-167,  19a-168b,
19a-168k,  19a-168p,  19a-168q,  19a-175, 19a-176,
19a-178,  19a-179,  19a-180,  19a-181a,   19a-182,
19a-183,   19a-184,  19a-186,  19a-187,  19a-195a,
19a-200,  19a-201,  19a-202,   19a-204,   19a-207,
19a-208,   19a-215,   19a-219,  19a-221,  19a-223,
19a-229,  19a-241,  19a-242,   19a-243,   19a-244,
19a-245,   19a-250,   19a-253,  19a-255,  19a-257,
19a-262,  19a-269,  19a-270,  19a-270a,  19a-279l,
19a-310,   19a-311,   19a-312,  19a-313,  19a-320,
19a-323,  19a-329,  19a-330,   19a-331,   19a-332,
19a-332a,   19a-333,  19a-341,  19a-401,  19a-402,
19a-406,  19a-409,  19a-420,   19a-421,   19a-422,
19a-423,   19a-424,   19a-425,  19a-426,  19a-427,
19a-428,  19a-490,  19a-490c,  19a-491,  19a-491a,
19a-491b,  19a-492,  19a-493,  19a-493a,  19a-494,
19a-494a,  19a-496,  19a,497,  19a-499,   19a-500,
19a-501,   19a-503,  19a-504,  19a-504c,  19a-505,
19a-506, 19a-507a, 19a-507b,  19a-507c,  19a-507d,
19a-508,   19a-509a,  19a-512,  19a-514,  19a-515,
19a-517,  19a-518,  19a-519,   19a-520,   19a-521,
19a-521a,   19a-523,  19a-524,  19a-526,  19a-527,
19a-528,  19a-530,  19a-531,  19a-533,   19a-534a,
19a-535,   19a-535a,  19a-536,  19a-537,  19a-538,
19a-540,  19a-542,  19a-547,   19a-550,   19a-551,
19a-581,  19a-582,  19a-584, 19a-586, 20-8, 20-8a,
20-9, 20-10, 20-11, 20-11a, 20-12, 20-12a,  20-13,
20-13a,  20-13b,  20-13d,  20-13e,  20-14, 20-14j,
20-17, 20-18, 20-18a, 20-20, 20-27, 20-29,  20-37,
20-40,  20-45,  20-54, 20-55, 20-57, 20-59, 20-66,
20-68, 20-70, 20-71, 20-73, 20-73a, 20-74, 20-74a,
20-74i,  20-74o,  20-74p,  20-74q, 20-74r, 20-86b,
20-86c,  20-86d,  20-86f,  20-86h,  20-90,  20-92,
20-93, 20-94, 20-94a, 20-96, 20-97, 20-99, 20-99a,
20-101a, 20-103a, 20-106, 20-107, 20-108,  20-109,
20-110, 20-111, 20-111b, 20-111c, 20-214, 20-122a,
20-122b,  20-122c,   20-123a,   20-127,   20-128a,
20-129, 20-130, 20-133, 20-138a, 20-138c, 20-139a,
20-140a, 20-141, 20-143, 20-146, 20-146a,  20-149,
20-153,  20-154, 20-162n, 20-162p, 20-183, 20-188,
20-189, 20-190, 20-192, 20-193, 20-195a,  20-195m,
20-195p,  20-196,  20-198, 20-199, 20-200, 20-202,
20-206, 20-206a, 20-207, 20-211,  20-212,  20-213,
20-214,  20-217,  20-218,  20-220, 20-221, 20-222,
20-222a, 20-223, 20-224, 20-226,  20-227,  20-228,
20-229,  20-231, 20-235a, 202-236, 20-238, 20-241,
20-242, 20-243, 20-247, 20-250,  20-252,  20-252a,
20-255a,  20-256,  20-258, 20-262, 20-263, 20-267,
20-268, 20-269, 20-271,-20-272, 20-341d,  20-341e,
20-341f, 20-341g, 20-341m, 20-358, 20-361, 20-365,
20-396, 20-402, 20-404, 20-406,  20-408,  20-412a,
20-412b,  20-416,  21-7, 21a-11, 21a-86a, 21a-86c,
21a-116,  21a-138,  21a-150,  21a-150a,  21a-150b,
21a-150c,  21a-150d,  21a-150f, 21a-150j, 21a-240,
21a-249,  21a-260,  21a-274,  21a-274a,   21a-283,
21a-301,  21a-305, 21a-306, 22-6f, 22-131, 22-150,
22-152, 22-165, 22-332b, 22-344,  22-358,  22-417,
22a-29, 22a-54, 22a-65, 22a-66a, 22a-66l, 22a-66z,
22a-115, 22a-119,  22a-134g,  22a-134bb,  22a-137,
22a-163a,  22a-163i,  22a-176,  22a-191,  22a-192,
22a-208q,  22a-231,  22a-240,  22a-295,   22a-300,
22a-308,  22a-337,  22a-352,  22a-354i,  22a-354k,
22a-354w, 22a-354x, 22a-354aa,  22a-355,  22a-356,
22a-358,   22a-361,  22a-363b,  22a-371,  22a-378,
22a-423,  22a-424,  22a-426,  22a-430,   22a-434a,
22a-449i,   22a-471,   22a-474,   22a-601,  25-32,
25-32b, 25-32c, 25-32d,  25-32e,  25-32f,  25-32g,
25-32h,  25-32i,  25-33,  25-33a,  25-33c, 25-33d,
25-33e, 25-33f, 25-33g,  25-33h,  25-33i,  25-33j,
25-33k,   25-33l,  25-33n,  25-34,  25-35,  25-36,
25-37a, 25-37b, 25-37c,  25-37d,  25-37e,  25-37f,
25-37g,  25-39a,  25-39b,  25-39c,  25-40, 25-43b,
25-43c, 25-46, 25-49,  25-102gg,  25-128,  25-129,
25-137,  26-22, 26-119, 26-141b, 26-192a, 26-192b,
26-192c, 26-192e, 26-236, 27-140aa, 31-23, 31-51p,
31-51u, 31-101, 31-106, 31-111a, 31-111b, 31-121a,
31-222, 31-374, 31-397,  31-398,  31-400,  31-401,
31-402, 31-403, 32-23x, 38a-180, 38a-199, 38a-314,
38a-514,  38a-539,  38a-583,   45a-743,   45a-745,
45a-749,   45a-750,   45a-757,   46a-28,  46a-126,
46b-26,   46b-68,   46b-172a,   47a-52,   52-146f,
52-146k,  52-557b, 53-332, 53a-90, 54-36i, 54-56g,
54-142k, 54-203.
    (b)   If   the   term  "department  of  health
services", "Connecticut  alcohol  and  drug  abuse
commission",  or  "state  alcohol  and  drug abuse
commission" is used or referred to in  any  public
or  special act of 1993 or 1994, or in any section
of the general statutes which is amended  in  1993
or  1994,  it  shall be deemed to mean or refer to
the department  of  public  health  and  addiction
services.
    (c)   If  the  term  "commissioner  of  health
services"   or   "executive   director   of    the
Connecticut  alcohol and drug abuse commission" is
used or referred to in any public or  special  act
of  1993 or 1994, or in any section of the general
statutes which is amended  in  1993  or  1994,  it
shall   be   deemed   to  mean  or  refer  to  the
commissioner  of  public  health   and   addiction
services.
    Sec.  10.  Section  3  of special act 92-20 is
amended to read as follows:
    (a)  The  department  of social services shall
have three units: Administration,  operations  and
programs.  Programs  delivering  similar  services
shall  be  grouped  in  the  same  division.   The
divisions  shall  be:  (1)  Economic  support; (2)
elderly services;  (3)  employment  services;  (4)
community-based  services,  and  (5)  health  care
financing. The division of health  care  financing
shall  combine the Medicaid policy function of the
department of income maintenance with  the  powers
and  duties  of  the  commission  on hospitals and
health care.
    (b)   The  department  of  public  health  and
addiction  services  shall  have   [three   units:
Administration,   operations   and   programs]   A
STRATEGIC  PLANNING   AND   INFORMATION   SERVICES
DIVISION AND AN ADMINISTRATIVE AND SUPPORT SERVICE
DIVISION. The department shall have the  following
PROGRAM divisions: (1) [Public health, and] HEALTH
PROMOTION AND  DISEASE  PREVENTION  SERVICES,  (2)
addiction    [services]   AND   COMMUNITY   HEALTH
services,  (3)   REGULATORY   SERVICES   AND   (4)
LABORATORY SERVICES. The division of addiction AND
COMMUNITY  HEALTH   services   shall   include   a
coordinating  function  with  other state agencies
and other branches of state government as provided
in  sections  17a-635  and  17a-636 of the general
statutes.
    (c)   The   department  of  developmental  and
rehabilitative services shall  have  three  units:
Administration,   operations   and  programs.  The
department shall have the following divisions: (1)
Mental   health;   (2)   developmental   services,
including  services  for   persons   with   mental
retardation;  (3)  vocational  rehabilitation, and
(4) physical  and  other  disabilities,  including
services   for  persons  with  visual  impairment,
hearing impairment, autism, traumatic brain injury
and   learning   disabilities.   The  division  of
vocational rehabilitation, which shall include the
bureau of rehabilitation services, shall carry out
the duties required by federal law and  regulation
that pertain to the bureau's program.
    (d)  The  commissioners  of  the department of
social services, the department of  public  health
and  addiction  services  and  the  department  of
developmental and  rehabilitative  services  shall
ensure   that   the   following   intragency   and
interagency goals are addressed and met:  (1)  The
establishment   BY   THE   OFFICE  OF  POLICY  AND
MANAGEMENT  PURSUANT  TO  SECTION  16a-4a  OF  THE
GENERAL  STATUTES,  of  not  more than six uniform
regional service delivery areas to be developed in
consideration   of   (A)  geographical  size;  (B)
general population distribution; (C) agency target
population   and   caseload;   (D)   location   of
department facilities; (E)  the  accessibility  of
transportation  for  clients  to  service delivery
offices and for workers to  clients  and  (F)  any
federal  requirements; (2) the coordination BY THE
OFFICE  OF  POLICY  AND  MANAGEMENT  PURSUANT   TO
SECTION   16a-4a  of  THE  GENERAL  STATUTES,  the
regional service delivery  areas  of  other  state
agencies  which  provide  services  closely linked
with health and human services programs  with  the
regional service delivery areas developed pursuant
to subdivision (1) of  this  subsection;  (3)  the
decentralization    of    the   service   delivery
operations of  each  agency  to  provide  as  much
autonomy  as  possible  to  each  regional  office
enabling the office to respond effectively to  the
particular   service  needs  of  the  region;  (4)
coordinated control and direction for programs  to
ensure   consistency   and  uniformity  among  the
regions  in  the  development  and  provision   of
services;  (5)  the  development  of  a  strategic
planning unit in the office of  each  commissioner
to  centralize  policy  development  and  planning
within  the   agency   and   promote   interagency
coordination of health and human services planning
and  policy  development;  (6)  development  of  a
common  intake  process  for entry into the health
and human  services  system  for  information  and
referral,  screening,  eligibility  determinations
and service delivery; (7) the creation of a single
application form for client intake and eligibility
determinations with a  common  client  identifier;
(8)  development of a commonly-linked computerized
management information system with the capacity to
track  clients  and  determine  eligibility across
programs; (9) the coordination of current advisory
boards and councils to provide input and expertise
from consumers,  advocates  and  other  interested
parties   to   the  commissioners;  and  (10)  the
encouragement of collaborations that  will  foster
the  development  and  maintain the client-focused
structure of the health and human services system,
as  well  as  involve partnerships between clients
and their service providers.
    Sec.  11. Section 7-73 of the general statutes
is repealed and the following  is  substituted  in
lieu thereof:
    (a)   To  the  person  performing  the  duties
required by the statutes relating to  registration
of  births,  marriages  and  deaths, the following
fees  shall  be  allowed:  To  the  registrar  for
completing  each  record of birth by procuring and
inserting the full name of the child, or  for  the
recording, indexing, copying and endorsing of each
birth, marriage or death certificate, two dollars;
for  ascertaining,  recording  and  indexing  each
birth or death of which no  certificate  has  been
returned  to  him,  one dollar; for the license to
marry, ten dollars; for  issuing  each  burial  or
removal  permit,  three dollars; for certifying to
each certificate returned by physicians,  midwives
and  persons  having charge of burial places, five
cents; for endorsing  and  recording  each  burial
permit  filed  pursuant  to law, ten cents; to the
sexton or other person making returns required  by
section 7-72, fifty cents for each monthly return,
and to the  registrar,  for  recording  the  same,
twenty-five  cents  for each certificate. All such
fees, except those for certificates of license  to
marry  and  for  removal permits, shall be paid by
the town in which the duties for which  said  fees
are allowed are performed.
    (b)  A  twenty-dollar  surcharge shall be paid
to the registrar for  each  license  to  marry  in
addition  to  the fee for such license established
pursuant to subsection (a) of  this  section.  The
registrar  shall  retain one dollar from each such
surcharge  for  administrative  costs  and   shall
forward  the remainder, on or before the tenth day
of the month following each calendar  quarter,  to
the state treasurer. The moneys shall be deposited
in the general fund for use by the  department  of
human  resources  for shelter services for victims
of household  abuse  in  accordance  with  section
17-580  and  by  the department of [health] PUBLIC
HEALTH AND  ADDICTION  services  for  rape  crisis
services  funded  under  section [19a-5] 2 OF THIS
ACT. Such  funds  shall  be  allocated  for  these
purposes by the office of policy and management in
consultation  with  the   commissioners   of   the
department  of  human resources and the department
of [health] PUBLIC HEALTH AND  ADDICTION  services
based  on  an evaluation of need, service delivery
costs and availability of  other  funds.  No  such
moneys  shall  supplant any state or federal funds
otherwise available for such services.
    Sec.   12.   Section  8-206d  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    The  commissioner  of housing shall administer
an emergency fuel assistance program  to  provide:
(1)   Emergency   fuel  assistance  on  behalf  of
private, nonprofit group homes and halfway  houses
receiving  state  aid  and  licensed  by  or under
contract with the department of PUBLIC health  AND
ADDICTION services, the department of children and
youth services, the department of  mental  health,
the department of correction [,] OR the department
of mental retardation, [or the state  alcohol  and
drug  abuse commission,] provided no group home or
halfway  house  shall   receive   emergency   fuel
assistance  in  excess  of  one  thousand  dollars
unless   the   commissioner    finds    additional
assistance  is necessary to protect the health and
safety of the residents  of  such  group  home  or
halfway  house;  (2)  grants to municipalities for
emergency fuel assistance to  receivers  of  rents
appointed  pursuant to section 47a-56a, to prevent
and  respond  to  abandonment  by   landlords   of
tenant-occupied   dwelling   units,   provided  no
municipality shall receive an amount in excess  of
one   thousand   five  hundred  dollars  for  each
receivership established within such  municipality
unless    the    commissioner   finds   additional
assistance is necessary to protect the health  and
safety of the residents of such dwelling units and
(3)   emergency   fuel   assistance   to   housing
authorities  for  state-financed housing projects,
for fuel costs incurred after October 1, 1979. The
commissioner    shall    adopt   regulations,   in
accordance with  the  provisions  of  chapter  54,
establishing    eligibility   criteria   for   the
distribution of state funds  appropriated  to  the
department   of  housing  for  such  program.  The
commissioner may, in his discretion and  based  on
his  determination  of  need,  allocate  any funds
appropriated for  the  purposes  of  this  section
among    group    homes    and   halfway   houses,
municipalities and housing authorities.
    Sec.   13.  Section  17-295d  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    The  state  shall  take into consideration the
costs mandated by collective bargaining agreements
with  certified  collective  bargaining  agents or
other agreements between employers  and  employees
when  making  grants to or entering into contracts
for services with  the  following:  (1)  Nonprofit
organizations  for mental health services pursuant
to section 17a-476;  (2)  nonprofit  organizations
concerning   services   for   drug-dependent   and
alcohol-dependent  persons  pursuant  to   section
[17a-635]  7  OF  THIS  ACT;  (3)  residential and
educational services pursuant to  subsections  (a)
and (b) of section 17a-17; (4) psychiatric clinics
and community mental health facilities pursuant to
section 17a-20; (5) day treatment centers pursuant
to  section  17a-22;  (6)  youth  service  bureaus
pursuant  to subsection (a) of section 17a-40; (7)
programs for the treatment and prevention of child
abuse  and  neglect  and  for  juvenile  diversion
pursuant to section  17a-49;  (8)  community-based
service  programs pursuant to sections 18-101i and
18-101k;  (9)  programs  for   mentally   retarded
children  and  adults pursuant to section 17a-217;
(10) community-based  residential  facilities  for
mentally  retarded  persons  pursuant  to  section
17a-218; and (11) vocational training programs for
mentally   retarded  adults  pursuant  to  section
17a-226.
    Sec.   14.   Section  17a-52  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    (a)  There  is  established  a  youth  suicide
advisory board, within the department of  children
and  youth services, which shall be a coordinating
source for youth  suicide  prevention.  The  board
shall  consist  of  twenty  members,  which  shall
include  one  psychiatrist  licensed  to  practice
medicine  in this state, one psychologist licensed
in this state, one representative of  a  local  or
regional  board  of  education,  one  high  school
teacher, one high school student, one  college  or
university   faculty   member,   one   college  or
university student and one parent,  all  appointed
by   the   commissioner   of  children  and  youth
services,   [and   one   representative   of   the
Connecticut  alcohol  and  drug  abuse  commission
appointed  by  the  executive  director  of   said
commission,]  one representative of the department
of [health] PUBLIC HEALTH AND  ADDICTION  services
appointed  by  the commissioner of [health] PUBLIC
HEALTH AND ADDICTION services, one  representative
of  the state department of education appointed by
the   commissioner   of    education    and    one
representative   of   the   department  of  higher
education appointed by the commissioner of  higher
education.  The  balance  of  the  board  shall be
comprised of persons with expertise in the  mental
health  of children or mental health issues with a
focus on suicide prevention and shall be appointed
by   the   commissioner   of  children  and  youth
services. Members of the  board  shall  serve  for
two-year  terms,  without compensation. Any member
who fails to attend three consecutive meetings  or
fifty  per  cent  of  all meetings held during any
calendar year shall be  deemed  to  have  resigned
from  the  board. The commissioner of children and
youth services shall be  a  nonvoting,  ex-officio
member  of  the  board.  The  board  shall elect a
chairman,  and  a  vice-chairman  to  act  in  the
chairman's absence.
    (b)  The  board  shall:  (1)  Increase  public
awareness of the existence of  youth  suicide  and
means  of  prevention; (2) make recommendations to
the commissioner for the development of state-wide
training  in  the prevention of youth suicide; (3)
develop a strategic youth suicide prevention plan;
(4)  recommend interagency policies and procedures
for the coordination of  services  for  youth  and
families  in  the  area of suicide prevention; (5)
make recommendations  for  the  establishment  and
implementation of suicide prevention procedures in
schools   and   communities;   (6)   establish   a
coordinated system for the utilization of data for
the prevention of  youth  suicide;  and  (7)  make
recommendations   concerning  the  integration  of
suicide  prevention  and  intervention  strategies
into    other   youth   focused   prevention   and
intervention programs.
    Sec.   15.  Section  17a-621  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    For  purposes of sections 17a-621 to [17a-643]
17a-642, inclusive, and subsection (d) of  section
17a-484:
    (1)  "Alcohol-dependent person" means a person
who has a  psychoactive  substance  dependence  on
alcohol  as  that condition is defined in the most
recent  edition  of   the   American   Psychiatric
Association's  "Diagnostic  and Statistical Manual
of Mental Disorders";
    (2)  "Business  day"  means  Monday to Friday,
inclusive, except when a legal  holiday  falls  on
any such day;
    [(3)   "Commission"   means   the  Connecticut
alcohol and  drug  abuse  commission,  established
under section 17a-634;]
    (3)   "DEPARTMENT"  MEANS  THE  DEPARTMENT  OF
PUBLIC HEALTH AND ADDICTION SERVICES;
    (4)  "Dangerous  to  himself" means there is a
substantial  risk  that  physical  harm  will   be
inflicted by a person on himself;
    (5)  "Dangerous  to  others"  means there is a
substantial  risk  that  physical  harm  will   be
inflicted by a person on another person;
    (6)  "Drug  or  drugs" means a controlled drug
as defined in section 21a-240;
    (7)  "Drug-dependent  person"  means  a person
who has a  psychoactive  substance  dependence  on
drugs  as  that  condition  is defined in the most
recent  edition  of   the   American   Psychiatric
Association's  "Diagnostic  and Statistical Manual
of  Mental  Disorders".   No   person   shall   be
classified  as drug dependent who is dependent (A)
upon a morphine-type substance as an  incident  to
current   medical   treatment  of  a  demonstrable
physical disorder other than drug  dependence,  or
(B)      upon     amphetamine-type,     ataractic,
barbiturate-type,    hallucinogenic    or    other
stimulant and depressant substances as an incident
to current medical  treatment  of  a  demonstrable
physical or psychological disorder, or both, other
than drug dependence; [.]
    [(8)  "Executive director" means the executive
director of the Connecticut alcohol and drug abuse
commission;]
    (8)  "COMMISSIONER"  MEANS THE COMMISSIONER OF
PUBLIC HEALTH AND ADDICTION SERVICES;
    (9)  "Gravely  disabled"  means a condition in
which a person, as a result of the use of  alcohol
or  drugs on a periodic or continuous basis, is in
danger of serious physical harm because (A) he  is
not  providing  for  his  essential  needs such as
food, clothing, shelter, vital  medical  care,  or
safety,  (B)  he  needs,  but  is  not  receiving,
inpatient treatment for alcohol dependency or drug
dependency  and (C) he is incapable of determining
whether  to  accept  such  treatment  because  his
judgment is impaired;
    (10)   "Hospital"   means   an   establishment
licensed under the provisions of sections  19a-490
to  19a-503,  inclusive, for the lodging, care and
treatment of persons  suffering  from  disease  or
other  abnormal physical or mental conditions, and
includes inpatient psychiatric services in general
hospitals;
    (11)   "Incapacitated   by  alcohol"  means  a
condition in which a person as a result of the use
of alcohol has his judgment so impaired that he is
incapable  of  realizing  and  making  a  rational
decision with respect to his need for treatment;
    (12)  "Incompetent  person" means a person who
has  been  adjudged  incompetent  by  a  court  of
competent jurisdiction;
    (13)   "Intoxicated  person"  means  a  person
whose   mental   or   physical   functioning    is
substantially  impaired  as a result of the use of
alcohol or drugs;
    (14)   "Medical   officer"  means  a  licensed
physician in attendance at a treatment facility or
hospital;
    (15)   "Respondent"  means  a  person  who  is
alleged to be alcohol-dependent or  drug-dependent
and   for   whom  a  petition  for  commitment  or
recommitment to an  inpatient  treatment  facility
has been filed;
    (16)    "Treatment"   means   any   emergency,
outpatient, intermediate  and  inpatient  services
and   care,   including   diagnostic   evaluation,
medical,  psychiatric,  psychological  and  social
services, vocational and social rehabilitation and
other appropriate services, which may be  extended
to   alcohol-dependent   persons,   drug-dependent
persons and intoxicated persons;
    (17)   "Treatment   facility"   means   (A)  a
facility providing treatment and  operating  under
the  direction  and  control  of  the [commission]
DEPARTMENT or (B)  a  private  facility  providing
treatment  and  licensed  under  the provisions of
sections 19a-490 to 19a-503, inclusive.
    Sec.   16.  Section  17a-622  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    (a)    The   [commission]   DEPARTMENT   shall
establish [in ways consistent with its state plan,
adopted  in  accordance  with  the  provisions  of
section 17a-635,]  comprehensive  and  coordinated
programs  for  the  treatment of alcohol-dependent
persons, drug-dependent  persons  and  intoxicated
persons.
    (b)   The   programs   of   the   [commission]
DEPARTMENT shall be consistent with its state plan
and  shall  include,  but  not  be limited to: (1)
Emergency treatment; (2) inpatient treatment;  (3)
intermediate  treatment;  and  (4)  outpatient and
follow-up   treatment,    including    appropriate
rehabilitation services.
    (c)  The [commission] DEPARTMENT shall provide
for  adequate  and   appropriate   treatment   for
alcohol-dependent  persons, drug-dependent persons
and intoxicated persons  admitted  under  sections
17a-621 to [17a-643] 17a-642, inclusive. Treatment
may not be provided at a correctional  institution
except for inmates.
    (d)   The   administrator  of  each  treatment
facility operated by the  [commission]  DEPARTMENT
shall  make  an annual report of its activities to
the [commission] DEPARTMENT SERVICES in  the  form
and  manner  the  [commission] DEPARTMENT SERVICES
specifies.
    (e)   All   appropriate   public  and  private
resources shall be coordinated with  and  utilized
in the program if possible.
    Sec.  17. Subsection (a) of section 17a-628 of
the general statutes is repealed and the following
is substituted in lieu thereof:
    (a)  Petitions for commitment and recommitment
pursuant to sections 17a-621 to [17a-643] 17a-642,
inclusive,  or  for  termination  of commitment or
recommitment and discharge shall not  require  the
payment  of an entry fee to the court, and neither
petitioner nor  respondent  shall  be  liable  for
costs.
    Sec.  18.  Subsections  (a) and (b) of section
17a-630 of the general statutes are  repealed  and
the following is substituted in lieu thereof:
    (a)  All  records  maintained  by the court of
cases coming before it  under  the  provisions  of
sections  17a-621 to [17a-643] 17a-642, inclusive,
shall  be  sealed  and  available  only   to   the
respondent  or his counsel unless the court, after
hearing  held  with  notice  to  the   respondent,
determines  such  record  should  be disclosed for
cause shown.
    (b)  Medical  treatment  facilities shall keep
and submit such records of all  persons  examined,
admitted  or  treated pursuant to sections 17a-621
to  [17a-643]  17a-642,  inclusive,  as   may   be
required by the [commission] DEPARTMENT.
    Sec.   19.  Section  17a-631  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    (a)  No  medical  officer or staff member of a
treatment facility or  hospital  who  submits  any
report   or   files   any   petition  required  or
authorized  by  sections  17a-621   to   [17a-643]
17a-642, inclusive, shall be held to have violated
any otherwise confidential relationship.
    (b)  Any  medical officer or staff member of a
treatment   facility   or   hospital   acting   in
compliance  with  sections  17a-621  to  [17a-643]
17a-642, inclusive, shall be deemed to  be  acting
in  the  course of his official duty and shall not
be criminally or civilly liable therefor.
    (c)  Any  police  officer acting in compliance
with  sections  17a-621  to   [17a-643]   17a-642,
inclusive,  shall  be  deemed  to be acting in the
course  of  official  duty  and   shall   not   be
criminally or civilly liable therefor.
    (d)  Any  person who is lawfully designated to
assist in protective custody and  transport  under
the  provisions of section 17a-625 shall be deemed
to be acting in the course of  official  duty  and
shall   not   be   criminally  or  civilly  liable
therefor.
    (e)  Any  person  who  wilfully  and knowingly
causes or attempts to  cause  any  person  not  an
alcohol-dependent  person  or not a drug-dependent
person  to  be  committed  pursuant   to   section
17a-626,  or  section  17a-627,  or any person who
knowingly makes  a  false  statement  of  fact  or
belief  in  any  petition,  certificate  or report
required by sections 17a-621 to [17a-643] 17a-642,
inclusive,   or   any   person  who  wilfully  and
knowingly reports falsely  to  any  court,  judge,
prosecutor  or  law  enforcement  officer that any
person  is  an  alcohol-dependent  person   or   a
drug-dependent  person, may be imprisoned not more
than one year or fined not more than one  thousand
dollars or both.
    (f)   Any   person   who   fraudulently  makes
application  for  treatment  as  a  drug-dependent
person, or who makes more than one application for
such  treatment  with  the  intent  of   obtaining
controlled  drugs in excess of that provided for a
patient in treatment or to  conceal  or  thwart  a
prior  treatment  program  at  another or the same
treatment facility, shall be fined not  more  than
five  hundred  dollars or imprisoned not more than
one year, or both.
    Sec.  20. Subsection (c) of section 17a-632 of
the general statutes is repealed and the following
is substituted in lieu thereof:
    (c)  Nothing  in sections 17a-621 to [17a-643]
17a-642, inclusive, shall affect any  law  against
driving  under  the influence of alcoholic liquor,
or other similar offense involving  the  operation
of  a  vehicle, aircraft, boat, machinery or other
equipment,  or  regarding  the   sale,   purchase,
dispensing,   possessing   or   use  of  alcoholic
beverages at stated  times  and  places  or  by  a
particular class of persons.
    Sec.   21.  Section  17a-640  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    [(a)  The  department  of  mental  health  may
continue  operating   alcohol   and   drug   abuse
treatment  facilities  during  the  period  of the
transition pursuant to section 17a-639.
    (b)    Notwithstanding   the   provisions   of
subsection  (a)  of   this   section,   the]   THE
department  of  mental  health may operate or fund
any alcohol  and  drug  abuse  treatment  facility
through  a  contract with the [Connecticut alcohol
and drug abuse commission]  DEPARTMENT  OF  PUBLIC
HEALTH AND ADDICTION SERVICES.
    [(c)    The    executive   director   of   the
Connecticut alcohol and drug abuse commission  may
place any person committed to his care pursuant to
section 17a-627 in those alcohol  and  drug  abuse
treatment facilities operated by the department of
mental health prior to being  transferred  to  the
commission pursuant to section 17a-639.
    (d)  Any  person who has been committed to the
commissioner of mental health pursuant to  section
17a-627 on or before July 1, 1986, shall be deemed
to have been committed to the  executive  director
of   the   Connecticut   alcohol  and  drug  abuse
commission.]
    Sec.   22.  Section  17a-644  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    (a)  It  shall  be  the  policy  of the [state
alcohol and drug abuse commission]  DEPARTMENT  OF
PUBLIC  HEALTH  AND  ADDICTION SERVICES to develop
and    implement    treatment     programs     for
substance-abusing  pregnant  women  of any age and
their children. The [commission] DEPARTMENT  shall
seek  private  and public funds for such programs.
Each program shall, to  the  extent  possible  and
within     available     appropriations,     offer
comprehensive services,  including  (1)  education
and prevention programs in high schools and family
planning  clinics;  (2)   outreach   services   to
identify  pregnant  substance  abusers  early  and
enroll them in prenatal care and  substance  abuse
treatment  programs; (3) case management services;
(4) hospital care with substance  abuse  treatment
available in coordination with obstetric services;
(5) pediatric care, including therapeutic care for
neurologically,  behaviorally  or  developmentally
impaired  infants;  (6)  child  care   for   other
siblings;  (7)  classes  on  parenting skills; (8)
home visitation  for  those  who  need  additional
support  or who are reluctant to enter a treatment
program; (9) access to WIC and  other  entitlement
programs;  (10)  vocational  training  for mothers
seeking entry  to  the  job  market;  and  (11)  a
housing  component.  To  the  extent  possible all
services shall be coordinated to be delivered from
a  centralized  location,  utilizing  medical vans
where  available  and   providing   transportation
assistance when needed.
    (b)  In  addition to establishing new programs
pursuant to subsection (a) of  this  section,  the
[commission]   DEPARTMENT  shall  incorporate  the
comprehensive services set forth in subsection (a)
of  this  section  in  existing treatment programs
when feasible.
    (c)  THE DEPARTMENT SHALL INCLUDE IN THE STATE
SUBSTANCE ABUSE PLAN, DEVELOPED IN ACCORDANCE WITH
SECTION  3 OF THIS ACT, GOALS TO OVERCOME BARRIERS
TO TREATMENT WHICH ARE SPECIFIC TO PREGNANT  WOMEN
AND  WOMEN  WITH CHILDREN AND TO PROVIDE INCREASED
TREATMENT SERVICES AND PROGRAMS TO PREGNANT WOMEN.
SUCH  PROGRAMS SHALL BE DEVELOPED IN COLLABORATION
WITH OTHER STATE AGENCIES  PROVIDING  CHILD  CARE,
FAMILY   SUPPORT,   HEALTH   SERVICES   AND  EARLY
INTERVENTION  SERVICES  FOR  PARENTS   AND   YOUNG
CHILDREN.  SUCH COLLABORATION SHALL NOT BE LIMITED
TO AGENCIES PROVIDING SUBSTANCE ABUSE SERVICES.
    (d)   ON   OR   BEFORE   NOVEMBER   THIRTIETH,
ANNUALLY, THE DEPARTMENT SHALL SUBMIT A REPORT  TO
THE   JOINT  STANDING  COMMITTEE  OF  THE  GENERAL
ASSEMBLY HAVING COGNIZANCE OF MATTERS RELATING  TO
PUBLIC  HEALTH  REGARDING  THE STATUS OF TREATMENT
PROGRAM AVAILABILITY FOR PREGNANT WOMEN, INCLUDING
STATISTICAL   AND   DEMOGRAPHIC   DATA  CONCERNING
PREGNANT  WOMEN  AND  WOMEN   WITH   CHILDREN   IN
TREATMENT AND ON WAITING LISTS FOR TREATMENT.
    Sec.   23.  Section  17a-645  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    The   department   of   correction   [and  the
Connecticut alcohol  and  drug  abuse  commission]
shall,  within the available appropriations of the
department OF CORRECTION, establish a  fifteen-bed
segregated,   community-based   alcohol  and  drug
treatment  facility  targeted  solely  for  female
offenders.
    Sec.   24.  Section  17a-659  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    The   [Connecticut   alcohol  and  drug  abuse
commission]  DEPARTMENT  OF  PUBLIC   HEALTH   AND
ADDICTION  SERVICES shall establish a committee on
substance-abusing   pregnant   women   and   their
children. The committee shall make recommendations
to the [commission] DEPARTMENT in the  development
and    oversight   of   treatment   programs   for
substance-abusing   pregnant   women   and   their
children  established pursuant to section 17a-644,
AS  AMENDED  BY  SECTION  22  OF  THIS  ACT.   The
committee  shall  be composed of the commissioners
of  income   maintenance,   children   and   youth
services, PUBLIC health AND ADDICTION services and
human resources or their designees, [the executive
director  of  the  commission, who shall chair the
committee,] A REPRESENTATIVE OF THE COMMISSION  ON
CHILDREN  and  six members who are representatives
of other public or private agencies which work  in
the  area  of  substance-abusing  women  and their
children, one of whom shall be  appointed  by  the
president  pro  tempore  of the senate, one by the
speaker of the house of  representatives,  one  by
the  majority  leader  of  the  senate, one by the
majority leader of the house  of  representatives,
one  by  the minority leader of the senate and one
by  the  minority   leader   of   the   house   of
representatives. THE COMMISSIONER OF PUBLIC HEALTH
AND   ADDICTION   SERVICES   SHALL   APPOINT   THE
CHAIRPERSON  OF THE COMMITTEE. The committee shall
(1) review all studies  available  concerning  the
prevalence  of substance-abusing pregnant women in
the state and the impact of substance abuse on the
health of their children; (2) develop a survey for
the [alcohol and drug abuse commission] DEPARTMENT
to  send to community-based treatment providers to
assist in the assessment of  unmet  service  needs
state-wide;  (3)  collect data on the availability
of private funding for  treatment  facilities  for
women  and  provide  the  data to the [commission]
DEPARTMENT;  (4)  study   whether   the   possible
liability   of   providers   of   substance  abuse
treatment services to pregnant  women  acts  as  a
deterrent  to  providing  such  services;  and (5)
recommend policy and funding  initiatives  to  the
[commission]   DEPARTMENT   for   prevention   and
treatment programs for substance-abusing  pregnant
women.
    Sec.   25.  Section  17a-646  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    [(a)  Not  later  than  ninety  days after the
secretary of the office of policy  and  management
completes  the  long-range  planning study for the
facilities of the department of mental retardation
and   the   long-range   planning  study  for  the
facilities of the department of mental health, the
Connecticut  alcohol  and  drug  abuse  commission
shall  identify,  from   such   studies,   surplus
institutions  or  facilities  for  a  program  for
alcohol and  drug  abuse  treatment  programs  (1)
operated by public or private agencies for alcohol
or drug dependent persons,  including  any  person
accused  of  a  crime,  and  (2)  which  shall  be
consistent with the state-wide  services  delivery
plan  for  type  and  location  of  services.  The
commission shall implement the program  not  later
than July 1, 1990.
    (b)  The  Connecticut  alcohol  and drug abuse
commission shall identify service delivery  system
gaps  in  such  alcohol  and  drug abuse treatment
programs and  facilities,  and  determine  whether
such  facilities are owned or leased by the state,
and report its findings to the select committee on
substance  abuse prevention not later than January
15, 1990. If  the  commission  identifies  surplus
institutions and facilities which would permit the
commission to implement the program prior to  July
1,   1990,  the  commission  shall  implement  the
program prior to said date.
    (c)   The   commissioners   of  administrative
services,  correction,   mental   health,   mental
retardation  and  children  and youth services and
the chief  court  administrator  of  the  judicial
department  shall  cooperate  with  the  executive
director  in   implementation   of   the   program
established under subsection (a) of this section.]
    [(d)]   Notwithstanding   the   provisions  of
sections 19a-154  and  19a-155,  (1)  a  community
agency  operating a program in a state institution
or  facility,  [under  subsection  (a)   of   this
section,]   (2)   a   nonprofit  community  agency
operating  a  program,  identified  as  closing  a
service  delivery  system  gap  in  the state-wide
service delivery plan, in a state  institution  or
facility,    and    receiving   funds   from   the
[commission]  DEPARTMENT  OF  PUBLIC  HEALTH   AND
ADDICTION  SERVICES,  or (3) a nonprofit substance
abuse treatment facility, identified as closing  a
service  delivery  system  gap  in  the state-wide
service delivery plan and receiving funds from the
[commission]  DEPARTMENT, shall not be required to
obtain a certificate of need from  the  commission
on hospitals and health care.
    [(e)  The  commissioner  of public works shall
provide all necessary assistance to complete, in a
timely  manner,  site  selection and renovation of
sites  designated  for  alcohol  and  drug   abuse
treatment programs under this section.]
    Sec.   26.  Section  17a-664  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    (a)  The  [commission]  DEPARTMENT  OF  PUBLIC
HEALTH AND ADDICTION SERVICES shall encourage  the
establishment  of  subregional planning and action
councils. Such councils shall: (1)  Determine  the
extent  of  the  substance  abuse  problems within
their subregions;  (2)  determine  the  status  of
resources  to  address such problems; (3) identify
gaps in the  substance  abuse  service  continuum;
[and]   (4)  IDENTIFY  CHANGES  TO  THE  COMMUNITY
ENVIRONMENT THAT WILL REDUCE SUBSTANCE ABUSE;  (5)
DESIGN  PROGRAMS THAT FILL IDENTIFIED SERVICE GAPS
AND WILL REDUCE SUBSTANCE ABUSE  BY  CHANGING  THE
COMMUNITY  ENVIRONMENT;  AND [(4)] (6) develop AND
IMPLEMENT a plan to close such gaps.
    (b)   Membership   of   such   councils  shall
include, but need not be  limited  to,  the  chief
elected  official,  the  chief  of  police and the
superintendent of  schools  of  each  municipality
within    the    subregion,   one   representative
designated  by  the  [executive  director  of  the
commission]  COMMISSIONER  OF  PUBLIC  HEALTH  AND
ADDICTION SERVICES from  each  treatment  facility
operated   by   the  [commission]  DEPARTMENT  and
serving such subregion, business and  professional
leaders,   members   of   the   general  assembly,
substance    abuse    service    providers     and
representatives of minority populations, religious
organizations,        [nonprofit        community]
REPRESENTATIVES  OF  PRIVATE FUNDING organizations
and the media. SUCH MEMBERSHIP REQUIREMENTS MAY BE
WAIVED  SUBJECT TO THE APPROVAL OF THE DEPARTMENT.
Members of the councils shall not  be  compensated
for  their  services  but may be reimbursed by the
council for necessary  expenses  incurred  in  the
performance  of  their  duties. The members of the
council shall elect, by majority vote, a president
and   such   other   officers  as  may  be  deemed
necessary.  [Each  council  shall  appoint   three
representatives  to  its  regional planning board,
one of whom shall be  the  director,  if  any,  or
other   paid  professional  staff  member  of  the
council. The other two representatives,  only  one
of whom may be a substance abuse service provider,
shall be  elected  by  a  majority  vote  of  each
council.]   The   councils  shall  meet  at  least
quarterly.
    (c)  Each  council  may  employ a director and
other necessary staff.
    (d)  Any  council  which  is incorporated as a
nonprofit   organization    OR    ANY    NONPROFIT
ORGANIZATION ACTING AS FIDUCIARY FOR A COUNCIL may
apply to the [commission] DEPARTMENT for  a  grant
for  staffing  and  administrative  costs  OF  THE
COUNCIL. The  [commission]  DEPARTMENT  may  adopt
regulations  pursuant  to  chapter 54 to establish
minimum standards for eligibility of the  councils
to  receive  state funds. Any state funds received
pursuant to this subsection shall be accounted for
annually  to  the  [commission]  DEPARTMENT BY THE
GRANTEE.
    (e)   Each   council  shall  provide  to  [its
regional planning board] THE DEPARTMENT an  annual
plan  IN A MANNER DIRECTED BY THE DEPARTMENT. Such
plan shall include: (1) Estimates of the extent of
substance  abuse  within the subregion; [(2) plans
or] (2) IDENTIFYING GAPS IN  THE  SUBSTANCE  ABUSE
SERVICE   CONTINUUM;   [(2)]  (3)  activities  for
coordination  of  prevention,   intervention   and
treatment     within     the    subregion;    [(3)
recommendations  for  cost-effective  delivery  of
services;  and (4) recommendations to increase the
availability  of  prevention,   intervention   and
treatment  within the subregion] (4) ACTIVITIES TO
DEVELOP PROGRAMS  THAT  FILL  IDENTIFIED  GAPS  IN
SERVICE;   AND   (5)  ACTIVITIES  TO  DEVELOP  AND
IMPLEMENT CHANGES  TO  THE  COMMUNITY  ENVIRONMENT
THAT WILL REDUCE SUBSTANCE ABUSE.
    (f)  Each  council  may solicit and accept for
use  local,  public   and   private   funds   from
municipalities, foundations and corporations. Such
funds shall be  expended  to  close  gaps  in  the
service  delivery  system identified in the annual
plan developed by the council, provided such  plan
is   not   in   conflict  with  the  [commission's
comprehensive] DEPARTMENT'S plan adopted  pursuant
to  section [17a-635] 19a-7, AS AMENDED BY SECTION
3 OF THIS ACT.
    (g)  The  activities  of each council shall be
limited to planning for  service  development  and
coordination  and  shall not include the provision
of services to clients.
    Sec.   27.  Section  17a-665  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    Nothing   contained  in  section  17a-635  and
sections 17a-662 to 17a-665, inclusive,  shall  be
construed  as removing from the [state alcohol and
drug abuse commission] DEPARTMENT OF PUBLIC HEALTH
AND ADDICTION SERVICES any power or duty regarding
overall state-wide planning or the  administration
and  control  of  treatment facilities operated by
the [commission] DEPARTMENT and other  prevention,
intervention and treatment programs granted to the
[commission] DEPARTMENT by the general statutes.
    Sec.   28.   Section   19a-3  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    In  accordance with the provisions of sections
4-5 to 4-8, inclusive, the governor shall  appoint
a  commissioner  of  [health]  PUBLIC  HEALTH  AND
ADDICTION   services,    who    shall    be    the
administrative   head   of  the  department.  Said
commissioner shall  either  (1)  be  a  physician,
graduated   by   an  acceptable  medical  college,
recognized by one of the medical examining  boards
of  this  state, experienced in actual practice of
his profession, skilled in  sanitary  science  and
experienced  in  public  health administration and
shall have had a minimum of one year of university
graduate     instruction    in    public    health
administration as evidenced by  a  certificate  of
graduation  or  a  degree in public health, or (2)
hold a graduate degree in public health. He  shall
not  engage  in  any  other  occupation.  [He  may
appoint deputy commissioners, who shall be in  the
unclassified  service, one of whom shall supervise
each of the divisions of the department of  health
services.]
    Sec.   29.  Section  19a-125  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    There  is  established a state-wide adolescent
health council. The council shall consist  of  the
following  members:  The commissioners of [health]
PUBLIC HEALTH AND ADDICTION services, children and
youth  services,  education,  higher education and
human resources or their designees; [the  director
of   the   Connecticut   alcohol  and  drug  abuse
commission or his designee;] a  representative  of
the  commission  on  children; a representative of
the permanent commission on the status of women; a
representative of a school-based health center and
a  media  specialist  to  be  appointed   by   the
governor;  a  representative  of the United Way of
Connecticut  and  the  Teen  Pregnancy  Prevention
Coalition  of  Connecticut  to be appointed by the
president   pro   tempore   of   the   senate;   a
representative  of  the  Mental Health Association
and  the  Connecticut  Chapter  of  the   American
Academy  of  Pediatrics  to  be  appointed  by the
majority leader of the senate; a representative of
[the regional action councils established pursuant
to section 17a-663 and] the Connecticut Chapter of
the  National  Association of Social Workers to be
appointed by the minority leader of the senate;  a
representative  of  the Connecticut Association of
Human Services and the Connecticut  Conference  of
Municipalities  to  be appointed by the speaker of
the house of representatives; a representative  of
the     Connecticut    Association    of    Family
Practitioners and the Connecticut  Sexual  Assault
Crisis  Center  to  be  appointed  by the majority
leader of the  house  of  representatives;  and  a
representative  of  the  Connecticut Youth Service
Association  and  the  Connecticut  Primary   Care
Association to be appointed by the minority leader
of the house of representatives.  The  chairperson
and  the  vice-chairperson of the council shall be
elected by the full membership of the council from
among  its  membership.  The council shall meet at
regular   intervals   as   determined    by    the
chairperson.  The  members  of  the  council shall
serve  without  compensation.  The  council  shall
consult   with  and  advise  the  commissioner  of
[health  services]  PUBLIC  HEALTH  AND  ADDICTION
SERVICES  and  the commissioner of human resources
concerning the coordination of service delivery to
and  health  needs  of  teens.  The  council shall
examine issues,  including  but  not  limited  to,
contributing  factors  of high risk behaviors, how
multiple problems interrelate and  strategies  for
prevention. The council shall make recommendations
on  facilitating  federal,  state  and   community
action  to  address teen pregnancy, mental health,
violence, substance  abuse,  sexually  transmitted
diseases,  acquired immune deficiency syndrome and
such other areas as  the  council  determines  are
relevant  to  adolescent health needs. The council
shall  submit  a  report  to  the  joint  standing
committees   of   the   general   assembly  having
cognizance of matters relating to  public  health,
human  services  and education, in accordance with
the provisions  of  section  11-4a  on  or  before
January 31, 1994.
    Sec.  30. Subsection (a) of section 19a-153 of
the general statutes is repealed and the following
is substituted in lieu thereof:
    (a)  In  any  of its deliberations involving a
proposal, request or submission regarding rates or
services by a health care facility or institution,
the commission shall take into  consideration  and
make  written  findings  concerning  each  of  the
following   principles   and    guidelines:    The
relationship   of   the   proposal,   request   or
submission  to  the   state   health   plan;   the
relationship   of   the   proposal,   request   or
submission to the applicant's long-range plan; the
financial  feasibility of the proposal, request or
submission and its impact on the applicant's rates
and   financial  condition;  the  impact  of  such
proposal, request or submission on  the  interests
of  consumers  of  health  care  services  and the
payers for such services; the contribution of such
proposal,  request  or  submission to the quality,
accessibility  and  cost-effectiveness  of  health
care  delivery  in  the region; whether there is a
clear public need for  any  proposal  or  request;
whether the health care facility or institution is
competent  to  provide  efficient   and   adequate
service  to  the  public  in that such health care
facility   or    institution    is    technically,
financially and managerially expert and efficient;
that rates be sufficient to allow the health  care
facility  or  institution  to cover its reasonable
capital and operating costs; the  relationship  of
any  proposed  change  to  the applicant's current
utilization statistics; the teaching and  research
responsibilities  of  the  applicant;  the special
characteristics of the  patient-physician  mix  of
the   applicant;  the  voluntary  efforts  of  the
applicant in improving productivity and containing
costs;  and any other factors which the commission
deems  relevant,  including,  in  the  case  of  a
facility  or  institution as defined in subsection
(c) of section 19a-490, such factors as,  but  not
limited  to, the business interests of all owners,
partners,  associates,  incorporators,  directors,
sponsors,   stockholders  and  operators  and  the
personal backgrounds of such persons. WHENEVER THE
GRANTING,  MODIFICATION  OR DENIAL OF A REQUEST IS
INCONSISTENT WITH THE STATE HEALTH PLAN, A WRITTEN
EXPLANATION  OF  THE REASONS FOR THE INCONSISTENCY
SHALL BE INCLUDED IN THE DECISION.
    Sec.   31.  Section  19a-252  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    The  department  of  [health services, through
the office of public  health]  PUBLIC  HEALTH  AND
ADDICTION  SERVICES,  is  designated  as the state
agency to administer and distribute state funds to
be   used   for  the  control  of  lung  diseases,
including  tuberculosis,  within  the  state.  The
director  of health of any town or of any district
department of health or any nonprofit  corporation
may  apply  to said office for funds to be used to
assist in establishing, maintaining  or  expanding
services for treatment or control of lung diseases
within the state.
    Sec.   32.  Section  19a-253  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    The  department  of  [health  services through
the office of public  health]  PUBLIC  HEALTH  AND
ADDICTION  SERVICES shall admit to chronic disease
hospitals only patients with chronic  illness  and
shall give preference to patients receiving public
assistance  from  the  state  or   any   political
subdivision thereof.
    Sec.   33.  Section  19a-495  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    (a)  The  department of [health] PUBLIC HEALTH
AND ADDICTION services shall,  after  consultation
with the appropriate public and voluntary hospital
planning agencies,  establish  classifications  of
institutions. It shall, in its public health code,
adopt,  amend,   promulgate   and   enforce   such
regulations  based  upon  reasonable  standards of
health,  safety  and  comfort  of   patients   and
demonstrable  need  for  such  institutions,  with
respect to each classification of institutions  to
be  licensed  under  sections  19a-490 to 19a-503,
inclusive, including their special facilities,  as
will further the accomplishment of the purposes of
said  sections  in  promoting  safe,  humane   and
adequate  care  and  treatment  of  individuals in
institutions. Said  department  shall  adopt  such
regulations  concerning home health care agencies,
homemaker-home   health    aide    agencies    and
coordination,  assessment and monitoring agencies,
as defined in section 19a-490, on the basis of the
recommendations   of  the  commissioner  on  aging
pursuant to section 17a-303.  An  entity  that  is
licensed   as   a   coordination,  assessment  and
monitoring agency may be associated with an entity
that  is  licensed as a provider of direct patient
care.  Only  those  coordination,  assessment  and
monitoring  agencies which, as of January 1, 1986,
are both based in a licensed general hospital  and
licensed   as   a   coordination,  assessment  and
monitoring agency may contract with an  associated
entity  to provide direct care services to persons
who are  receiving  coordination,  assessment  and
monitoring services from such agency.
    [(b)   Any   licensing  regulation  concerning
mental  health  facilities  or  alcohol  or   drug
treatment  facilities adopted by the department of
mental health under section 17-227 shall remain in
effect as provided in section 4-38d until repealed
or amended by the department of  health  services,
with  the  advice  of  the Connecticut alcohol and
drug  abuse   commission,   in   accordance   with
subsection (a). On and after October 1, 1979, such
licensing regulations shall be considered part  of
the public health code.]
    [(c)]  (b)  The  department of [health] PUBLIC
HEALTH AND ADDICTION services, with the advice  of
the  department of mental health, shall include in
the regulations adopted pursuant to subsection (a)
of   this   section,   additional   standards  for
community  residences,  as  defined   in   section
19a-507a,  which shall include, but not be limited
to, standards for:  (1)  Safety,  maintenance  and
administration;  (2)  protection  of human rights;
(3) staffing requirements; (4)  administration  of
medication;  (5) program goals and objectives; (6)
services to be offered; and (7) population  to  be
served.
    Sec.   34.  Section  19a-498  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    (a)  Subject  to  the  provisions  of  section
19a-493, the department of [health] PUBLIC  HEALTH
AND  ADDICTION  services shall make or cause to be
made  a  biennial  licensure  inspection  of   all
institutions   and   such  other  inspections  and
investigations of institutions and examination  of
their  records  as  it deems necessary. [Notice of
the biennial inspection  or  investigation  of  an
alcohol  or  drug treatment facility for licensure
or certification shall  be  sent,  not  less  than
thirty   days   prior   to   the   inspection   or
investigation, to the Connecticut alcohol and drug
abuse   commission   which   may   accompany   the
department on such inspection or investigation.]
    (b)   The   commissioner  of  [health]  PUBLIC
HEALTH  AND  ADDICTION  services   or   an   agent
authorized   by   him   to  conduct  any  inquiry,
investigation or hearing under the  provisions  of
this  chapter,  shall  have  power  to inspect the
premises of an institution, administer  oaths  and
take  testimony  under oath relative to the matter
of  inquiry  or  investigation.  At  any   hearing
ordered by the department, the commissioner or his
agent  may  subpoena  witnesses  and  require  the
production   of   records,  papers  and  documents
pertinent to such inquiry. If any person  disobeys
such  subpoena  or,  having  appeared in obedience
thereto, refuses to answer any pertinent  question
put  to him by the commissioner or his agent or to
produce any records and  papers  pursuant  to  the
subpoena,  the commissioner or his agent may apply
to the superior court for the judicial district of
Hartford-New Britain* or for the judicial district
wherein the person resides or wherein the business
has  been conducted, or to any judge of said court
if the same is not in session, setting forth  such
disobedience  or  refusal,  and said court or such
judge shall cite such person to appear before said
court  or such judge to answer such question or to
produce such records and papers.
    (c)  The  department  of  mental  health, with
respect to any mental health facility  as  defined
in  subsection  (h)  of section 19a-490 [, and the
Connecticut   state   alcohol   and   drug   abuse
commission,  with  respect  to any alcohol or drug
treatment facility as defined in subsection (i) of
section 19a-490,] shall be authorized, either upon
the request of the commissioner of [health] PUBLIC
HEALTH  AND  ADDICTION  services  or at such other
times  as  they  deem  necessary,  to  enter  such
facility  for  the  purpose of inspecting programs
conducted  therein.  A  written  report   of   the
findings of any such inspection shall be forwarded
to the commissioner of [health] PUBLIC HEALTH  AND
ADDICTION  services and a copy shall be maintained
in the facility's licensure file.
    (d)  In  addition,  the commissioner of income
maintenance, or his designated representative,  at
the  request  of  the  commission on hospitals and
health care or when  said  commissioner  deems  it
necessary,  may  examine  and  audit the financial
records of any nursing home facility,  as  defined
in   section   19a-521.  Each  such  nursing  home
facility shall retain all  financial  information,
data  and records relating to the operation of the
facility for a period of not less than ten  years,
and  all  financial  information, data and records
relating to any real estate transactions affecting
such  operation,  for  a  period  of not less than
twenty-five years,  which  financial  information,
data  and  records  shall  be made available, upon
request, to the commissioner of income maintenance
or his designated representative at all reasonable
times.
    Sec. 35. (NEW) The department of public health
and addiction services  shall  pay the expenses of
necessary transportation for any alcohol-dependent
person admitted to  a  treatment facility pursuant
to the provisions of section 17a-624 or 17a-626 of
the general statutes  or  to any program funded by
the department pursuant  to section 6 of this act,
or  for  any   person   intoxicated   by   alcohol
transported to a  hospital  for  treatment,  which
expenses are certified  by  such  hospital  to the
department,    unless    the     department     of
administrative    services    determines     after
investigation that such person is able to pay. The
department  may  pay   such  expense  pending  the
investigation   provided   if    the    department
determines that the  person  is  able  to pay, the
transportation   provider  shall   reimburse   the
department. The department  may adopt regulations,
in accordance with provisions of chapter 54 of the
general  statutes,  concerning   the   payment  of
transportation expenses under this section.
    Sec. 36. The secretary of the office of policy
and   management,   in    conjunction   with   the
commissioners of the  departments of public health
and  addiction  services,   social  services,  and
mental  health, shall  develop  a  strategic  plan
relating  to  the   organization,  management  and
coordination  of  substance   abuse  programs  and
activities in order  to  maximize federal revenues
and  achieve  administrative   efficiencies.   The
secretary of the  office  of policy and management
shall provide oversight of the development of this
strategic   plan  within   his   authority   under
subsection (b) of  section  1 of special act 92-20
to direct the  reorganization  of health and human
services  agencies.  The   strategic   plan  shall
promote the prevention  and treatment of substance
abuse   and  the   provision   of   cost-effective
comprehensive  substance  abuse   services   on  a
continuum  of  care.   It  shall  focus  on  three
interrelated areas: (1)  A  strategy  to  maximize
federal revenues, including,  but  not limited to,
Title XIX Medicaid  Disproportionate  Share  (DSH)
and  other  federal  reimbursement  programs,  for
substance abuse programs;  (2)  a strategy for the
cost-effective management of  substance  abuse and
mental  health services,  including  a  review  of
applicable    certification   and    accreditation
requirements, and the  possible  consolidation  of
administrative    functions    and    programmatic
activities such that  the state-operated substance
abuse  services  would  be  transferred  from  the
department of public health and addiction services
to  the  department   of  mental  health  or  that
contractual arrangements would be made whereby the
department of mental  health  manages and operates
the  services  with   funding   support  from  the
department of public health and addiction services
and (3) a  planning and coordinating mechanism for
substance abuse related activities which (A) meets
federal  substance abuse  block  grant  and  other
federal grant program conditions pertaining to the
role of the  principal  state agency for substance
abuse and maintenance  of effort requirements, and
(B) meets the  requirements  of  section 2 of this
act,    pertaining    to     state    coordinating
responsibilities   for   substance    abuse.   The
strategic plan shall  include a recommended course
of action and  set  of activities to implement the
plan as well as the estimated costs to be incurred
if  any; the  estimated  federal  revenues  to  be
realized; potential administrative efficiencies or
other  cost-effective measures  such  as  shifting
administrative cost savings  into direct services;
potential   impact   on   collective   bargaining;
proposed  statutory  changes  needed;  and  a  set
timeline consistent with any federal reimbursement
time frames for implementing any program transfers
or other administrative  or  programmatic  changes
that are recommended in the strategic plan. In the
development of the  strategic  plan, opportunities
for comment shall  be  given  to users of services
and their families, affected collective bargaining
units,  private  service  providers,  citizen  and
community advisory groups,  other  state  agencies
and any other  interested  groups  or individuals.
The  strategic plan  shall  be  submitted  by  the
office  of policy  and  management  to  the  joint
standing committees on  appropriations  and public
health  of  the  general  assembly  on  or  before
February 1, 1994.
    Sec.  37. The sum of $32,604,693 of the amount
appropriated   to   the   department   of   income
maintenance  in section 1 of public act 93-80, for
the fiscal year ending  June  30,  1994,  for  DMH
Medicaid  Disproportionate  Share,  and the sum of
$33,378,567 of  the  amount  appropriated  to  the
department  of  income maintenance in section 1 of
public act 93-80, for the fiscal year ending  June
30, 1995, for DMH Medicaid Disproportionate Share,
shall   be   transferred    to    the    following
appropriations:

                         1993-94          1994-95
                     $
CONNECTICUT ALCOHOL
AND DRUG ABUSE
COMMISSION
Personal Services      18,877,189       18,848,359
Other Expenses          1,015,865        1,055,971
Patient Services        4,337,111        4,337,111
Connecticut Mental
Health Center             701,759          701,759
OTHER THAN PAYMENTS
TO LOCAL GOVERNMENTS
Connecticut Mental
Health Center           1,017,211        1,017,211

AGENCY TOTAL           25,949,135       25,960,411

MISCELLANEOUS
APPROPRIATIONS
ADMINISTERED BY THE
COMPTROLLER

UNEMPLOYMENT
COMPENSATION
Other Expenses            119,900           37,000

STATE EMPLOYEES
RETIREMENT
CONTRIBUTIONS
Other Expenses          2,616,900        4,107,800

INSURANCE - GROUP
LIFE
Other Expenses             24,300            9,300

EMPLOYERS SOCIAL
SECURITY TAX
Other Expenses          1,476,000        1,409,500

STATE EMPLOYEES
HEALTH SERVICE COST
Other Expenses          2,418,458        1,854,556

TOTAL                   6,655,558        7,418,156
MISCELLANEOUS
APPROPRIATIONS
ADMINISTERED BY THE
COMPTROLLER

TOTAL                  32,604,693       33,378,567
GENERAL FUND
    Sec.   38.   Sections   17a-633   to  17a-639,
inclusive,  17a-641,  17a-643,  17a-660,  17a-663,
19a-1,  19a-2,  19a-4  and  19a-5  of  the general
statutes are repealed.
    Sec.  39.  This  act shall take effect July 1,
1993.