Senate Bill No. 1164
               Senate Bill No. 1164

              PUBLIC ACT NO. 95-257

AN   ACT   CONCERNING    THE    CONSOLIDATION   OF
STATE-OPERATED   PROGRAMS  AT   FAIRFIELD   HILLS,
NORWICH AND CONNECTICUT VALLEY HOSPITALS, TRANSFER
OF ADDICTION SERVICES  TO THE FORMER DEPARTMENT OF
MENTAL HEALTH, MEDICAID  WAIVER, AND THE OFFICE OF
HEALTH CARE ACCESS.


    Section 1. (NEW)  The  commissioner  of mental
health and addiction services shall develop a plan
for the closure  of the state-operated programs at
Fairfield Hills Hospital  and  at Norwich Hospital
and  the  consolidation   of   the   programs   at
Connecticut  Valley  Hospital.   The   plan  shall
accommodate the present  on-site  operation of the
private  providers currently  providing  substance
abuse services on  the Fairfield Hills and Norwich
Hospital  campuses  and   shall   assist   in  the
coordination  of  finding  locations,  within  the
area,  for such  services.  The  plan  shall  make
provisions for the  availability of state-operated
in-patient  services for  persons  with  substance
abuse  disabilities  in   the   geographic   areas
formerly served by  the  Fairfield  Hills Hospital
and the Norwich  Hospital.  The commissioner shall
submit  monthly reports  on  the  development  and
implementation  of  the   plan   developed   under
subsection (a) of  this  section to the committees
of  the  general  assembly  having  cognizance  of
matters   relating   to    public    health    and
appropriations.
    Sec. 2. (NEW)  (a)  There  is  established  an
implementation oversight committee  to oversee the
future  use of  the  Fairfield  Hills  campus  and
facilities.  The committee  shall  be  within  the
office of policy and management for administrative
purposes only. The  committee shall be composed of
the following: A  representative  of the office of
policy and management,  who  shall be appointed by
the governor; a  representative  of the department
of mental health and addiction services, who shall
be appointed by  the  president pro tempore of the
senate;  a representative  of  the  department  of
agriculture,  who  shall   be   appointed  by  the
majority leader of the senate; a representative of
the department of  economic development, who shall
be appointed by the minority leader of the senate;
a representative from  the  town  of  Newtown  who
shall be appointed  by the speaker of the house of
representatives; a member of the regional planning
agency for the  Housatonic  Valley,  who  shall be
appointed by the  majority  leader of the house of
representatives;   and  a   state   representative
representing  the  affected  area,  who  shall  be
appointed by the  minority  leader of the house of
representatives.
    (b) The committee shall (1) oversee the use of
the campus in an expeditious and efficient manner,
(2)  consult  with   the   office  of  policy  and
management  to ensure  that  future  uses  of  the
properties   meet  the   social,   economic,   and
environmental   needs   and    concerns   of   the
surrounding communities, the  region  as  a whole,
and  the economic  needs  of  the  state  and  (3)
provide a forum  for  addressing the issues, needs
and  concerns  of  the  users  of  the  facilities
located on the campus.
    Sec. 3. (NEW)  (a)  There  is  established  an
implementation oversight committee  to oversee the
future use of  the  Norwich  Hospital  campus  and
facilities.  The committee  shall  be  within  the
office of policy and management for administrative
purposes only. The  committee shall be composed of
the following: A  representative  of the office of
policy and management,  who  shall be appointed by
the governor; a  representative  of the department
of mental health and addiction services, who shall
be appointed by  the  president pro tempore of the
senate;  a representative  of  the  department  of
agriculture,  who  shall   be   appointed  by  the
majority leader of the senate; a representative of
the department of  economic development, who shall
be appointed by the minority leader of the senate;
a representative from  the  town  of  Norwich, who
shall be appointed  by the speaker of the house of
representatives; a member  of the regional council
of governments, who  shall  be  appointed  by  the
majority leader of  the  house of representatives;
and  a  state   representative   representing  the
affected  area, who  shall  be  appointed  by  the
minority leader of the house of representatives.
    (b) The committee shall (1) oversee the use of
the campus in an expeditious and efficient manner,
(2)  consult  with   the   office  of  policy  and
management  to ensure  that  future  uses  of  the
properties   meet  the   social,   economic,   and
environmental   needs   and    concerns   of   the
surrounding communities, the  region  as  a whole,
and  the economic  needs  of  the  state  and  (3)
provide a forum  for  addressing the issues, needs
and  concerns  of  the  users  of  the  facilities
located on the campus.
    Sec. 4. (NEW)  (a)  The commissioner of mental
health and addiction services, in consultation and
coordination with the advisory council established
under  subsection  (b)   of  this  section,  shall
develop  policies and  set  standards  related  to
clients  residing  on   the   Connecticut   Valley
Hospital campus and  to  the  placement of clients
discharged from the  hospital  into  the  adjacent
community. Any such  policies  and standards shall
assure that no discharge of any client admitted to
Whiting Forensic Division  under commitment by the
superior court or  transfer from the department of
correction   shall   take   place   without   full
compliance  with  sections   17a-511  to  17a-524,
inclusive, 17a-566 to  17a-575, inclusive, 17a-580
to 17a-603, inclusive,  and  54-56d of the general
statutes.
    (b) There is  established a Connecticut Valley
Hospital   advisory   council    to   advise   the
commissioner  of  mental   health   and  addiction
services on policies  concerning,  but not limited
to, building use,  security,  clients  residing on
the campus and the placement of clients discharged
from the campuses into the adjacent community. The
advisory  council shall  periodically  review  the
implementation  of  the   policies  and  standards
established by the  commissioner  in  consultation
with the advisory  council.  The  council shall be
composed of six  members appointed by the mayor of
Middletown,   six   members   appointed   by   the
commissioner  of  mental   health   and  addiction
services  and  one   member  who  shall  serve  as
chairperson appointed by the governor.
    Sec. 5. (NEW)  (a)  The  department  of mental
health and addiction  services  shall constitute a
successor  department to  the  addiction  services
component of the  department  of public health and
addiction    services.    Whenever    the    words
"commissioner  of  public   health  and  addiction
services" are used or referred to in the following
general  statutes,  the   words  "commissioner  of
mental health and  addiction  services"  shall  be
substituted in lieu thereof and whenever the words
"department  of  public   health   and   addiction
services" are used or referred to in the following
general statutes, the  words "department of mental
health   and   addiction    services"   shall   be
substituted in lieu thereof: 4a-12, 17a-3, 19a-2d,
19a-2e, 19a-2f, 19a-2g,  19a-4a,  19a-4b,  19a-4c,
19a-4d, 19a-4e, 19a-4f,  19a-4h,  19a-5b,  19a-5c,
19a-89c,  19a-126, 19a-126a,  19a-126b,  19a-126d,
19a-126e, 19a-126f, 19a-126g,  19a-127,  19a-127c,
20-74o, 20-74p, 20-74q,  20-74r,  21a-274a, 54-36i
and 54-56g.
    (b) Any order  or regulation of the department
of  mental  health   or   the  addiction  services
component of the  department  of public health and
addiction services that  is  in  force  on July 1,
1995, shall continue  in  force  and  effect as an
order or regulation  of  the  department of mental
health  and  addiction   services  until  amended,
repealed or superseded  pursuant to law. Where any
order or regulation  of  the departments conflict,
the commissioner of  mental  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. 6. (NEW) (a) As used in this section:
    (1) "Consolidation program"  means the process
of  consolidating  inpatient   mental  health  and
substance abuse services  throughout  the state at
the Connecticut Valley Hospital in Middletown; and
    (2) "Priority state hospital facility project"
or "project" means  each  step,  part or aspect of
the consolidation program. "Project" includes, but
is   not  limited   to,   repairing,   renovating,
enlarging  or  equipping  existing  buildings,  or
constructing new buildings,  on the grounds of the
Connecticut Valley Hospital.
    (b)  Notwithstanding  the  provisions  of  the
general  statutes  or   any   special   act,   the
consolidation program, each  project, each closure
and each contract  entered into in connection with
a project shall  be  exempt from the provisions of
sections 4b-58 and  4b-91  of the general statutes
and  from  the  requirements  for  approval  of  a
request or application provided for in subsections
(a) to (d),  inclusive,  of section 19a-154 and in
subsection (a) of  section  19a-155 of the general
statutes, provided (1) the project begins no later
than June 30,  1998;  (2) the project is completed
no later than  June  30, 2000; (3) the cost of the
project does not  exceed  twenty  million dollars;
and (4) the  commissioner  of  mental  health  and
addiction services certifies  in  writing  to  the
secretary of the  office  of policy and management
that the project  meets  the  criteria of this act
and upon such  certification  the secretary of the
office of policy  and  management  shall authorize
the commissioner of public works to implement such
project.
    Sec.  7. (NEW)  (a)  There  is  established  a
waiver application development  council that shall
be  composed  of   the   following   members:  The
chairpersons and ranking  members of the committee
having   cognizance   of   matters   relating   to
appropriations,  or  their   designees;   and  six
members  of  the   general  assembly,  one  member
appointed by the  president  pro  tempore  of  the
senate; one member  appointed  by  the  a majority
leader of the  senate; one member appointed by the
minority  leader  of   the   senate;   one  member
appointed  by  the   speaker   of   the  house  of
representatives;  one  member   appointed  by  the
majority leader of  the  house of representatives;
and one member appointed by the minority leader of
the house of representatives. The council shall be
responsible for advising  the department of social
services, which shall  be  the  lead agency in the
development   of   a    Medicaid    Research   and
Demonstration Waiver under  Section  1115  of  the
Social Security Act  for application to the Office
of  State  Health  Reform  of  the  United  States
Department of Health  and Human Services by May 1,
1996. The council shall advise the department with
respect to specific  provisions  within the waiver
application, including but  not  limited  to,  the
identification of populations  to be included in a
managed care program, a timetable for inclusion of
distinct populations, expansion of access to care,
quality  assurance and  grievance  procedures  for
consumers and providers.  The  council  shall also
advise the department with respect to the goals of
the  waiver, including  but  not  limited  to  the
expansion of access  and  coverage,  making  state
health  spending  more   efficient   and   to  the
reduction of uncompensated care.
    (b) There is  established  a  Medicaid  Waiver
Unit within the  department of social services for
the  purposes  of   developing  the  waiver  under
subsection  (a).  The   Medicaid   Waiver   Unit's
responsibilities shall include  but not be limited
to the following:  (1) Administrating the Medicaid
Managed  Care  Program,  established  pursuant  to
section 17b-28 of the general statutes, as amended
by section 56  of  this  act; (2) contracting with
and  evaluating  prepaid  health  plans  providing
Medicaid  services,  including   negotiation   and
establishment of capitated  rates;  (3)  assessing
quality  assurance  information  compiled  by  the
federally required independent  quality  assurance
contractor; (4) monitoring contractual compliance;
(5) evaluating enrolment  broker  performance; (6)
providing Medicaid data  to  the  health care data
institute, established pursuant to section 19a-616
of  the  general  statutes,  for  the  purpose  of
establishing a Medicaid  database;  (7)  providing
assistance to the  department of insurance for the
regulation of Medicaid  managed care health plans;
and (8) developing a system to compare performance
levels  among  prepaid   health   plans  providing
Medicaid services.
    Sec. 8. Funds  appropriated  to  the office of
policy and management  in section 1 and section 11
of  substitute house  bill  6696  of  the  current
session, for the fiscal year ending June 30, 1996,
and the fiscal  year ending June 30, 1997, for the
private provider account,  shall be distributed by
the  secretary  of   the   office  of  policy  and
management to the departments of mental health and
addiction  services,  mental  retardation,  social
services, and children  and  families and shall be
used     for    payments,     within     available
appropriations,  to private  providers  for  costs
related to (1)  collective  bargaining  agreements
with  unionized employees  and  (2)  increases  in
personnel costs for  non-unionized  employees. The
use of funds  distributed pursuant to this section
to the department  of  social  services  shall  be
limited to intermediate  care  facilities  for the
mentally retarded.
    Sec. 9. Subsection  (a)  of  section 12-19a of
the general statutes is repealed and the following
is substituted in lieu thereof:
    (a) On or  before January first, annually, the
secretary of the  office  of policy and management
shall determine the  amount  due, as a state grant
in lieu of  taxes,  to  each  town  in  this state
wherein state-owned real  property  or reservation
land held in  trust  by  the  state  for an Indian
tribe, except that which was acquired and used for
highways and bridges,  but  not excepting property
acquired and used  for  highway  administration or
maintenance  purposes,  is   located.   The  grant
payable to any  town  under the provisions of this
section in the  state  fiscal year commencing July
1, 1993, and each fiscal year thereafter, shall be
equal to the  total of (1) one hundred per cent of
the property taxes which would have been paid with
respect to any  facility  listed in subsection (w)
of section 1-1 and any other facility certified by
the  commissioner of  corrections,  on  or  before
August first of  each  year, to have been used for
incarcerative purposes during the preceding fiscal
year, (2) FORTY  PER  CENT  OF  THE PROPERTY TAXES
WHICH WOULD HAVE  BEEN  PAID  WITH  RESPECT TO THE
BUILDINGS  AND  GROUNDS   COMPRISING   CONNECTICUT
VALLEY HOSPITAL IN  MIDDLETOWN.  SUCH  GRANT SHALL
COMMENCE WITH THE  FISCAL  YEAR  BEGINNING JULY 1,
1995, AND CONTINUING  EACH  YEAR  THEREAFTER  and,
[(2)] (3) twenty  per  cent  of the property taxes
which would have  been  paid  with  respect to all
other state-owned real  property,  except  for the
exemption  applicable to  such  property,  on  the
assessment list in  such  town  for the assessment
date two years  prior  to  the commencement of the
state fiscal year  in which such grant is payable.
For the fiscal  year  ending  June  30,  1993, the
amount of the  grant  payable to each municipality
in accordance with  this  section shall be reduced
proportionately in the  event  that  the  total of
such  grants  in  such  year  exceeds  the  amount
appropriated for the purposes of this section with
respect to such year.
    Sec.  10.  Section   17a-450  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    (a) There shall  be  a  department  of  mental
health  AND  ADDICTION   SERVICES   headed   by  a
commissioner  of  mental   health   AND  ADDICTION
SERVICES,  appointed  by  the  governor  with  the
advice of the Board of Mental Health AND ADDICTION
SERVICES ESTABLISHED PURSUANT  TO SECTION 17a-456,
AS AMENDED BY SECTION 13 OF THIS ACT.
    (b)  For  the  purposes  of  chapter  50,  the
department of mental health AND ADDICTION SERVICES
shall  be a  single  budgeted  agency.  [It  shall
consist of, but not be limited to, those divisions
and facilities which]  IT  SHALL  CONSIST  OF  TWO
DIVISIONS, THE DIVISION  OF MENTAL HEALTH SERVICES
AND THE DIVISION OF SUBSTANCE ABUSE SERVICES, THAT
SHALL  BE  ORGANIZED   TO  PROMOTE  COMPREHENSIVE,
CLIENT-BASED  SERVICES  IN  THE  AREAS  OF  MENTAL
HEALTH TREATMENT AND SUBSTANCE ABUSE TREATMENT AND
TO ENSURE THE  PROGRAMMATIC INTEGRITY AND CLINICAL
IDENTITY OF SERVICES  IN EACH AREA. THE DEPARTMENT
SHALL  perform  the   functions   of:  Centralized
administration, planning and  program development;
prevention and treatment  programs and facilities,
both  inpatient  and   outpatient,  for  [mentally
disordered   adults]  PERSONS   WITH   PSYCHIATRIC
DISABILITIES  OR  PERSONS   WITH  SUBSTANCE  ABUSE
DISABILITIES,  OR BOTH;  community  mental  health
centers and community  or  regional  programs  and
facilities   providing  services   for   [mentally
disordered   adults]  PERSONS   WITH   PSYCHIATRIC
DISABILITIES  OR  PERSONS   WITH  SUBSTANCE  ABUSE
DISABILITIES, OR BOTH; training and education; and
research and evaluation of programs and facilities
providing   services  for   [mentally   disordered
adults] PERSONS WITH  PSYCHIATRIC  DISABILITIES OR
PERSONS  WITH  SUBSTANCE  ABUSE  DISABILITIES,  OR
BOTH. The department  shall  include,  but  not be
limited   to,   the    following   divisions   and
facilities:  The office  of  the  commissioner  of
mental  health  AND  ADDICTION  SERVICES;  Capitol
Region Mental Health  Center;  Connecticut  Valley
Hospital;   Norwich  Hospital;   Fairfield   Hills
Hospital; the Connecticut  Mental  Health  Center;
the   Whiting   Forensic   [Institute]   DIVISION;
Ribicoff  Research  Center;   Cedarcrest  Regional
Hospital;  the  Franklin  S.  DuBois  Center;  the
Greater Bridgeport Community Mental Health Center;
BLUE  HILLS HOSPITAL;  BERKSHIRE  WOODS  TREATMENT
CENTER; EUGENE BONESKI  TREATMENT  CENTER; DUTCHER
TREATMENT  CENTER; and  any  other  state-operated
facility  for  the   treatment  of  [the  mentally
disordered] PERSONS WITH  PSYCHIATRIC DISABILITIES
OR PERSONS ADULTS  OR  ADULTS WITH SUBSTANCE ABUSE
DISABILITIES, OR BOTH, but shall not include those
portions of such  facilities  transferred  to  the
department  of  children   and  families  for  the
purpose of consolidation  of  children's services.
[or those portions  of such facilities transferred
to the department  of  public health and addiction
services    for    purposes     of    transferring
responsibility   for  alcohol   and   drug   abuse
treatment programs.]
    (c)  The  department   of  mental  health  AND
ADDICTION SERVICES may:
    (1) Solicit and  accept  for  use  any gift of
money or property  made  by will or otherwise, and
any grant of  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;
    (2) Keep records  and  engage  in research and
the gathering of relevant statistics;
    (3)  Work with  public  or  private  agencies,
organizations, facilities or individuals to ensure
the  operation  of   the  programs  set  forth  in
accordance  with  sections   17a-75   to   17a-83,
inclusive, 17a-450 to  17a-484, inclusive, 17a-495
to  17a-528,  inclusive,   17a-540   to   17a-550,
inclusive, 17a-560 to  17a-576, inclusive, 17a-580
to 17a-603, inclusive,  and  17a-615  to  17a-618,
inclusive;
    (4) Hold hearings, issue subpoenas, administer
oaths, compel testimony  and  order  production of
books, papers and  records  in  the performance of
its duties; and
    (5) Perform such  other  acts and functions as
may be necessary  or  convenient  to  execute  the
authority expressly granted to it.
    Sec. 11. (NEW) The department of mental health
and   addiction  services   shall   constitute   a
successor department to  the  department of mental
health. Whenever the words "commissioner of mental
health" are used  or  referred to in the following
general  statutes,  the   words  "commissioner  of
mental health and  addiction  services"  shall  be
substituted in lieu thereof and whenever the words
"department of mental health" are used or referred
to in the  following  general  statutes, the words
"department  of  mental   health   and   addiction
services" shall be  substituted  in  lieu thereof:
2c-2b, 4-5, 4-38c,  4-60i,  4-77a,  4a-12,  4a-16,
5-142,  8-206d,  10-19,  10-71,  10-76d,  13b-38n,
17a-14, 17a-26, 17a-31,  17a-33, 17a-218, 17a-246,
17a-450,  17a-451,  17a-452,   17a-453,   17a-454,
17a-455,  17a-456,  17a-457,   17a-458,   17a-459,
17a-460,  17a-463,  17a-464,   17a-465,   17a-466,
17a-467,  17a-468,  17a-470,   17a-471,   17a-472,
17a-473,  17a-474,  17a-476,   17a-478,   17a-479,
17a-480,  17a-481,  17a-482,   17a-483,   17a-484,
17a-498,  17a-499,  17a-502,   17a-506,   17a-510,
17a-511,  17a-512,  17a-513,   17a-519,   17a-528,
17a-560,  17a-561,  17a-562,   17a-565,   17a-576,
17a-581,   17a-582,  17b-28,   17b-222,   17b-223,
17b-225,   17b-359,  17b-420,   17b-694,   19a-4b,
19a-82,  19a-495,  19a-498,   19a-507a,  19a-507c,
19a-576,   19a-583,   20-14i,   20-14j,   21a-240,
21a-301,   22a-224,  27-122a,   31-222,   38a-514,
38a-539, 46a-28, 51-51o, 52-146h and 54-56d.
    Sec.  12.  Section   19a-1a   of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    (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,
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 PUBLIC health AND
ADDICTION services [and  the  Connecticut  Alcohol
and Drug Abuse Commission] for the purposes of the
chapters and sections listed in section 19a-1c, AS
AMENDED BY SECTION  21  OF THIS ACT, in accordance
with sections 4-38d and 4-39.
    (c) Any order  or regulation of the department
of [health services or the Connecticut Alcohol and
Drug Abuse Commission] PUBLIC HEALTH AND ADDICTION
SERVICES which is in force on July 1, [1993] 1995,
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]
DEPARTMENTS conflict, the  commissioner  of public
health  [and  addiction  services]  may  implement
policies  and  procedures   consistent   with  the
provisions of [public  act 93-381*] 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.  13.  Section   17a-456  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    (a) There shall  [continue  to be a department
of mental health  and] BE a Board of Mental Health
AND ADDICTION SERVICES  THAT  [which  board] shall
consist of (1)  [ten] FIFTEEN members appointed by
the governor, subject to the provisions of section
4-9a, FIVE OF  WHOM  SHALL  HAVE HAD EXPERIENCE IN
THE FIELD OF  SUBSTANCE  ABUSE  AND  FIVE  OF WHOM
SHALL BE FROM  THE  MENTAL HEALTH COMMUNITY, three
of whom shall  be  physicians licensed to practice
medicine in this  state who have had experience in
the field of  psychiatry  and two of whom shall be
psychologists licensed to  practice in this state,
(2) the chairmen  of  the  regional  mental health
boards established pursuant  to  section  17a-484,
[and] (3) one  designee of each such board AND (4)
ONE DESIGNEE FROM EACH SUBSTANCE ABUSE SUBREGIONAL
PLANNING AND ACTION  COUNCIL  ESTABLISHED PURSUANT
TO SECTION 19a-2e.  The members of the board shall
serve without compensation  except  for  necessary
expenses incurred in  performing their duties. The
members of the board shall include representatives
of nongovernment organizations  or  groups, and of
state agencies, concerned with planning, operation
or  utilization  of  facilities  providing  mental
health  AND SUBSTANCE  ABUSE  services,  including
consumers and providers  of  such services who are
familiar with the  need  for such services, except
that no more than half of the members of the board
shall be providers of such services. Members shall
serve on the  board  for terms of four years each.
None of the  appointive members of the board shall
be employed by  the  state  or  be a member of the
staff of any  institution wherein his compensation
is paid wholly  by  the state. No member may serve
more than two successive terms plus the balance of
any unexpired term to which he has been appointed.
A majority of the board shall constitute a quorum.
    (b) WHENEVER THE TERM "BOARD OF MENTAL HEALTH"
IS USED OR  REFERRED  TO IN THE FOLLOWING SECTIONS
OF THE GENERAL STATUTES, THE TERM "BOARD OF MENTAL
HEALTH   AND   ADDICTION    SERVICES"   SHALL   BE
SUBSTITUTED  IN  LIEU   THEREOF:  2c-2b,  17a-457,
17a-460, 17a-467, 17a-473, 17a-564.
    Sec.  14.  Section   17a-451  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    (a)  The commissioner  of  mental  health  AND
ADDICTION SERVICES shall  be  a  qualified  person
with  A MASTERS  DEGREE  OR  HIGHER  IN  A  HEALTH
RELATED FIELD AND AT LEAST TEN YEARS experience in
hospital, health, [or]  mental health OR SUBSTANCE
ABUSE administration.
    (b) The commissioner  shall  be  the executive
head  of  the  department  of  mental  health  AND
ADDICTION SERVICES.
    (c) He shall prepare and issue regulations for
the administration and operation of the department
of mental health  AND  ADDICTION SERVICES, and all
state-operated facilities and  community  programs
providing care for  [mentally  disordered  adults]
PERSONS WITH PSYCHIATRIC  DISABILITIES  OR PERSONS
WITH SUBSTANCE ABUSE DISABILITIES, OR BOTH.
    (d) He shall coordinate the community programs
receiving   state   funds    with    programs   of
state-operated  facilities for  the  treatment  of
[mentally   disordered   adults]    PERSONS   WITH
PSYCHIATRIC DISABILITIES OR PERSONS WITH SUBSTANCE
ABUSE DISABILITIES, OR BOTH.
    (e) He shall  collaborate  and  cooperate with
other  state  agencies   providing   services  for
mentally  disordered  children   and  adults  WITH
PSYCHIATRIC DISABILITIES OR PERSONS WITH SUBSTANCE
ABUSE   DISABILITIES,   OR   PERSONS   WITH   BOTH
DISABILITIES, and shall  coordinate the activities
of the department  of  mental health AND ADDICTION
SERVICES with the activities of said agencies.
    (f) He shall  establish  and enforce standards
and  policies  for   the  care  and  treatment  of
[mentally   disordered   adults]    PERSONS   WITH
PSYCHIATRIC DISABILITIES OR PERSONS WITH SUBSTANCE
ABUSE DISABILITIES, OR BOTH, in public and private
facilities which are  consistent with other health
care standards.
    (g) He shall  establish  and  direct research,
training, and evaluation programs.
    (h) He shall develop a state-wide plan for the
development  of  mental   health   services  which
identifies  needs  and   outlines  procedures  for
meeting these needs.
    (i)   HE  SHALL   BE   RESPONSIBLE   FOR   THE
COORDINATION  OF  ALL   ACTIVITIES  IN  THE  STATE
RELATING  TO  SUBSTANCE   ABUSE  DISABILITIES  AND
TREATMENT, INCLUDING ACTIVITIES OF THE DEPARTMENTS
OF  CHILDREN  AND   FAMILIES,  CORRECTION,  PUBLIC
HEALTH, SOCIAL SERVICES,  VETERANS'  AFFAIRS,  THE
JUDICIAL DEPARTMENT AND  ANY  OTHER  DEPARTMENT OR
ENTITY   PROVIDING  SERVICES   TO   PERSONS   WITH
SUBSTANCE ABUSE DISABILITIES.
    (j) HE 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
COMMISSIONER  SHALL  SOLICIT   AND   CONSIDER  THE
RECOMMENDATIONS OF THE  SUBREGIONAL  PLANNING  AND
ACTION COUNCILS ESTABLISHED UNDER SECTION 19a-2e.
    [(i)]  (k) He  shall  prepare  a  consolidated
budget request for the operation of the department
of mental health AND ADDICTION SERVICES.
    [(j)]  (l)  He   shall  appoint  professional,
technical and other  personnel  necessary  for the
proper discharge of  his  duties,  subject  to the
provisions of chapter 67.
    [(k)] (m) He  shall  from  time to time adjust
the  geographic territory  to  be  served  by  the
facilities and programs under his jurisdiction.
    (n)  HE  SHALL   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  19a-126h AND REGULATIONS ADOPTED
THEREUNDER.
    [(l)] (o) He  may contract [with any public or
private agency] for  services  TO  BE PROVIDED FOR
THE  DEPARTMENT  OR  BY  THE  DEPARTMENT  for  the
prevention of mental illness OR SUBSTANCE ABUSE in
[adults] PERSONS, as  well  as other mental health
OR SUBSTANCE ABUSE  services  described in section
17a-478 and shall  consult  with providers of such
services   in  developing   methods   of   service
delivery.
    [(m)]  (p)  (1)   He  may  make  available  to
municipalities     or     nonprofit      community
organizations any services,  premises and property
under the control  of  the  department  of  mental
health AND ADDICTION  SERVICES  BUT SHALL BE UNDER
NO OBLIGATION TO  CONTINUE  TO  MAKE SUCH PROPERTY
AVAILABLE IN THE  EVENT THE DEPARTMENT PERMANENTLY
VACATES A FACILITY.  Such  services,  premises and
property may be utilized by such municipalities or
nonprofit community organizations  in  any  manner
not inconsistent with  the  intended  purposes for
such   services,  premises   and   property.   The
commissioner  of  mental   health   AND  ADDICTION
SERVICES  shall  submit  to  the  commissioner  of
administrative   services   any    agreement   for
provision of services  by the department of mental
health AND ADDICTION SERVICES to municipalities or
nonprofit community organizations  for approval of
such agreement prior  to the provision of services
pursuant to this  section. (2) The municipality or
nonprofit   community   organization   using   any
premises  and property  of  said  [mental  health]
department  shall be  liable  for  any  damage  or
injury which occurs  on said premises and property
and shall furnish  to  the  commissioner of mental
health AND ADDICTION  SERVICES  proof of financial
responsibility to satisfy  claims  for  damages on
account of any  physical injury or property damage
which may be  suffered  while said municipality or
nonprofit  community organization  is  using  said
premises and property  of  said department in such
amount  as the  commissioner  [of  mental  health]
determines  to  be   necessary.   The   state   of
Connecticut shall not  be liable for any damage or
injury sustained on  said  premises  and  property
while  said  premises   and   property  are  being
utilized   by  any   municipality   or   nonprofit
community organization. (3)  The  commissioner  of
mental health AND  ADDICTION  SERVICES shall adopt
regulations, pursuant to  sections 4-166 to 4-174,
inclusive, to carry  out  the  provisions  of this
subsection.
    [(n)] (q) He  shall  prepare  an annual report
for the governor.
    [(o)] (r) He  shall  perform  all other duties
which are necessary  and  proper for the operation
of the department.
    [(p) On and  after January 1, 1991, he] (s) HE
may direct clinical  staff at department of mental
health AND ADDICTION  SERVICES  facilities  or  in
crisis  intervention  programs   funded   by   the
department  who  are   providing  treatment  to  a
patient  to  request  disclosure,  TO  THE  EXTENT
ALLOWED  UNDER  STATE  AND  FEDERAL  LAW,  of  the
patient's record of previous treatment in order to
accomplish   the  objectives   of   diagnosis   or
treatment of the patient. If the clinical staff in
possession of the requested record determines that
disclosure would assist  the accomplishment of the
objectives of diagnosis  or  treatment, the record
may be disclosed,  TO  THE  EXTENT  ALLOWED  UNDER
STATE AND FEDERAL  LAW, to the requesting clinical
staff without patient  consent.  Records disclosed
shall  be  limited   to   records   maintained  at
department  facilities  or   crisis   intervention
programs funded by  the department. [By January 1,
1991, the] THE  commissioner  of mental health AND
ADDICTION  SERVICES  shall  adopt  regulations  in
accordance  with  chapter  54  to  administer  the
provisions  of  this   subsection  and  to  ensure
maximum safeguards of patient confidentiality.
    [(q)]  (t)  The   commissioner   shall   adopt
regulations to establish  a  fair  hearing process
which  provides  the   right   to   appeal   final
determinations of the  department of mental health
AND ADDICTION SERVICES  or  of grantee agencies as
determined  by  the  commissioner  regarding:  The
NATURE  OF  denial,   involuntary   reduction   or
termination of services.  Such  hearings  shall be
conducted in accordance  with  the  provisions  of
chapter  54, after  a  person  has  exhausted  the
department's established grievance  procedure. Any
matter which falls  within the jurisdiction of the
Psychiatric Security Review  Board  under sections
17a-580  to  17a-603,   inclusive,  shall  not  be
subject to the  provisions  of  this  section. Any
person receiving services  from  a  department  of
mental health AND ADDICTION SERVICES facility or a
grantee agency determined  by  the commissioner to
be subject to this subsection and who is aggrieved
by a violation  of  sections  17a-540  to 17a-549,
inclusive, may elect  to  either use the procedure
specified in this  subsection or file for remedies
under section 17a-550.
    Sec.  15.  Section   17a-452  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    (a) There shall be two deputy commissioners of
mental health [,] AND ADDICTION SERVICES appointed
by the commissioner  with  the advice of the Board
of  Mental  Health  AND  ADDICTION  SERVICES.  The
deputy commissioner for  [treatment] MENTAL HEALTH
services  shall  [be   a   qualified  psychiatrist
licensed to practice  medicine  in Connecticut and
shall have] HOLD A MASTERS DEGREE OR HIGHER, SHALL
HAVE  A  MINIMUM   OF   TEN  YEARS  experience  in
BUSINESS,  hospital,  health   or   mental  health
administration [, who]  AND  shall  be responsible
for the supervision of medical and other treatment
activities of the  [department] DIVISION of mental
health.     The    deputy     commissioner     for
[administrative services shall  have experience in
business,  hospital,  health   or   mental  health
administration, and shall  be  responsible for the
organizational,     financial     and      general
administration  of  all  nonmedical  or  treatment
activities of the  department  of  mental  health]
ADDICTION SERVICES SHALL  HOLD A MASTERS DEGREE OR
HIGHER,  SHALL  HAVE   A   MINIMUM  OF  TEN  YEARS
EXPERIENCE  IN THE  PREVENTION  AND  TREATMENT  OF
SUBSTANCE  ABUSE AND  SHALL  BE  KNOWLEDGEABLE  IN
SUBSTANCE    ABUSE    PROGRAM     PLANNING     AND
ADMINISTRATION AND SHALL  BE  RESPONSIBLE  FOR THE
SUPERVISION  AND  COORDINATION  OF  ALL  SUBSTANCE
ABUSE ACTIVITIES OF  THE DEPARTMENT AND WITH OTHER
DEPARTMENTS.
    (b)  THERE  SHALL   BE   A   MEDICAL  DIRECTOR
APPOINTED BY THE COMMISSIONER OF MENTAL HEALTH AND
ADDICTION SERVICES WITH THE ADVICE OF THE BOARD OF
MENTAL HEALTH AND  ADDICTION SERVICES. THE MEDICAL
DIRECTOR SHALL BE  A  QUALIFIED PHYSICIAN LICENSED
TO PRACTICE MEDICINE IN CONNECTICUT AND SHALL HAVE
EXPERIENCE IN COMPREHENSIVE  HEALTH  CARE OR HUMAN
SERVICES OPERATIONS. THE MEDICAL DIRECTOR SHALL BE
RESPONSIBLE    FOR    (1)    THE    QUALITY    AND
APPROPRIATENESS OF SERVICES BY DEVELOPING POLICIES
RELATING TO CLINICAL  SERVICES  REGULATED  BY  THE
DEPARTMENT  AND  THOSE   SERVICES   DELIVERED   IN
DEPARTMENT FACILITIES OR  UNDER  CONTRACT  TO  THE
DEPARTMENT; (2) DIRECTING  A STANDARDS AND QUALITY
ASSURANCE PROGRAM, A UTILIZATION REVIEW PROGRAM, A
PHYSICIAN RECRUITMENT AND  RETENTION PROGRAM AND A
PEER  REVIEW  PROGRAM  FOR  PHYSICIANS  AND  OTHER
CLINICAL STAFF EMPLOYED  BY  OR  UNDER CONTRACT TO
THE DEPARTMENT; AND (3) OTHER TASKS AS DIRECTED BY
THE COMMISSIONER.
    Sec.  16.  Section   17a-458  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    When  used  in   this   section  and  sections
17a-450,  17a-451,  17a-455,   17a-457,   17a-465,
17a-470, 17a-472, 17a-473  and 17a-475, AS AMENDED
BY THIS ACT,  unless otherwise expressly stated or
unless the context otherwise requires:
    (a)  ["Mentally  disordered"]   "PERSONS  WITH
PSYCHIATRIC  DISABILITIES"  means  those  [adults]
PERSONS who are  suffering from one or more mental
disorders as defined in the most recent edition of
the American Psychiatric Association's "Diagnostic
and Statistical Manual of Mental Disorders";
    (b)    "PERSONS    WITH     SUBSTANCE    ABUSE
DISABILITIES" MEANS ALCOHOL  DEPENDENT PERSONS, AS
THAT TERM IS DEFINED IN SUBDIVISION (1) OF SECTION
19a-126, OR DRUG  DEPENDENT  PERSONS, AS THAT TERM
IS DEFINED IN SUBDIVISION (7) OF SECTION 19a-126.
    [(b)]  (c) "State-operated  facilities"  means
those  hospitals  or  other  facilities  providing
treatment for [mentally disordered adults] PERSONS
WITH PSYCHIATRIC DISABILITIES  OR FOR PERSONS WITH
SUBSTANCE ABUSE DISABILITIES,  OR  BOTH, which are
operated in whole  or in part by the department of
mental  health  AND   ADDICTION   SERVICES.   Such
facilities  include,  but   are  not  limited  to,
Capitol Region Mental  Health  Center, Connecticut
Valley Hospital, Norwich Hospital, Fairfield Hills
Hospital, the Connecticut  Mental  Health  Center,
[the Whiting Forensic  Institute,] the Franklin S.
DuBois Center, Cedarcrest Regional Hospital, [and]
the  Greater Bridgeport  Community  Mental  Health
Center,  BLUE  HILLS   HOSPITAL,  BERKSHIRE  WOODS
TREATMENT CENTER, EUGENE BONESKI TREATMENT CENTER,
AND  DUTCHER  TREATMENT   CENTER,  but  shall  not
include   those  portions   of   such   facilities
transferred  to the  department  of  children  and
families  for  the  purpose  of  consolidation  of
children's services. [or  those  portions  of such
facilities transferred to the department of public
health  and addiction  services  for  purposes  of
transferring responsibility for  alcohol  and drug
abuse treatment programs.]
    Sec.  17.  Section   17a-470  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    Each  state  hospital,   [or]   state-operated
facility OR THE  WHITING  FORENSIC DIVISION OF THE
CONNECTICUT VALLEY HOSPITAL  for  the treatment of
[the mentally disordered] PERSONS WITH PSYCHIATRIC
DISABILITIES  OR  PERSONS   WITH  SUBSTANCE  ABUSE
DISABILITIES,  OR  BOTH,  except  the  Connecticut
Mental Health Center,  [and  the  Whiting Forensic
Institute] may have an advisory board appointed by
the superintendent or director of the facility for
terms to be  decided  by  such  superintendent  or
director. In any  case where the present number of
members of an  advisory  board  is  less  than the
number of members designated by the superintendent
or director of  the  facility,  he  shall  appoint
additional members to  such  board  in  accordance
with this section in such manner that the terms of
an approximately equal  number  of  members  shall
expire   in   each    odd-numbered    year.    The
superintendent or director  shall fill any vacancy
that may occur  for  the  unexpired portion of any
term. No member may serve more than two successive
terms plus the  balance  of  any unexpired term to
which he had been appointed. The superintendent or
director of the  facility  shall  be an ex-officio
member of the  advisory  board.  Each member of an
advisory board of a state-operated facility within
the  department of  mental  health  AND  ADDICTION
SERVICES assigned a  geographical  territory shall
be  a  resident   of   the  assigned  geographical
territory. Members of  said  advisory boards shall
receive no compensation  for  their  services  but
shall  be  reimbursed   for   necessary   expenses
involved in the  performance  of  their duties. At
LEAST ONE-THIRD OF  SUCH  MEMBERS  SHALL BE FROM A
SUBSTANCE ABUSE SUBREGIONAL  PLANNING  AND  ACTION
COUNCIL ESTABLISHED PURSUANT  TO  SECTION  19a-2e,
AND AT least  one-third  [of  the  members of such
advisory board] shall  be members of the catchment
area councils, as provided in section 17a-483, for
the  catchment  areas  served  by  such  facility,
except that members serving as of October 1, 1977,
shall serve out their terms.
    Sec.  18.  Section   17a-561  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    The Whiting Forensic  [Institute]  DIVISION OF
THE CONNECTICUT VALLEY  HOSPITAL  shall  exist for
the  care and  treatment  of  (1)  [mentally  ill]
patients WITH PSYCHIATRIC  DISABILITIES,  confined
in facilities under  the control of the department
of  mental  health  AND  ADDICTION  SERVICES,  who
require care and  treatment under maximum security
conditions, (2) persons  convicted  of any offense
enumerated   in   section   17a-566   who,   after
examination by the staff of the diagnostic unit of
the [institute] DIVISION  as  herein provided, are
determined  to  [be   mentally   ill   and]   HAVE
PSYCHIATRIC  DISABILITIES  AND   BE  dangerous  to
themselves or others  and to require custody, care
and treatment at  the [institute] DIVISION and (3)
inmates in the  custody  of  the  commissioner  of
correction who are  transferred in accordance with
sections 17a-512 to  17a-517,  inclusive,  and who
require  custody,  care   and   treatment  at  the
institute.
    Sec.  19.  Section   17a-562  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    [Said institute] THE WHITING FORENSIC DIVISION
OF THE CONNECTICUT VALLEY HOSPITAL shall be within
the general administrative control and supervision
of the department  of  mental health AND ADDICTION
SERVICES. The director,  with  the approval of the
commissioner and the  board,  shall establish such
[divisions and] subdivisions, which may be located
geographically  separate  from   the   [institute]
DIVISION,  as  may   be   deemed  proper  for  the
administrative control and the efficient operation
thereof,  one of  which  [divisions]  SUBDIVISIONS
shall be the diagnostic unit.
    Sec. 20. (NEW)  (a) On and after July 1, 1995,
wherever the words  "Whiting  Forensic  Institute"
are used or  referred  to in the following general
statutes, the words  "Whiting  Forensic  Division"
shall be substituted  in lieu thereof and wherever
the word "institute" is used or referred to in the
following general statutes,  the  word  "division"
shall  be substituted  in  lieu  thereof:  5-145a,
5-173,  5-192f,  17a-517,   17a-521,  17a-548  and
17a-560 to 17a-576, inclusive.
    (b) If the  term  "Whiting Forensic Institute"
is used or  referred  to  in any public or special
act of 1995  or  1996  or  in  any  section of the
general statutes which  is amended in 1995 or 1996
it shall be deemed to mean or refer to the Whiting
Forensic  Division  of   the   Connecticut  Valley
Hospital.
    Sec.  21.  Section   19a-1c   of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    (a) Whenever the words "commissioner of PUBLIC
health  AND  ADDICTION  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"]  "COMMISSIONER   OF   PUBLIC
HEALTH" shall be  substituted  in lieu thereof and
whenever the words  "department  of  PUBLIC health
AND ADDICTION 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"] "DEPARTMENT OF PUBLIC HEALTH"
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,  7-73,  7-74,  7-127e,  7-504,
[7-505,]  7-536,  8-159a,  8-206d,  8-210,  10-19,
10-71, 10-76d, 10-91a,  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,  12-263a,
12-407,  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-52,
17a-154,  17a-219c,  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,] 17b-6,
17b-99,   17a-225,  17b-234,   17b-265,   17b-288,
17b-340,  17b-341,  17b-347,   17b-350,   17b-351,
17b-354,  17b-357,  17b-358,   17b-406,   17b-408,
17b-420,  17b-552,  17b-611,   17b-733,   17b-737,
17b-740,  17b-748,  17b-803,   17b-808,  17b-851a,
19a-1d,  19a-4b, 19a-4i,  19a-6,  19a-6a,  19a-7d,
19a-7c, 19a-7d, 19a-7e,  19a-7f,  19a-7g,  19a-7h,
19a-9, 19a-10, 19a-13,  19a-14,  19a-14a, 19a-14b,
19a-15, 19a-17, 19a-17a, 19a-17m, 19a-17n, 19a-19,
19a-20, 19a-21, 19a-23,  19a-24,  19a-25, 19a-25a,
19a-26, 19a-27, 19a-28,  19a-29,  19a-29a, 19a-30,
19a-30a, 19a-32, 19a-33,  19a-32a, 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-59a,
19a-59b,   19a-59c,   19a-59d,   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-79, 19a-80,  [inclusive,  19a-80e,] 19a-81
to  19a-91, inclusive,  19a-92a,  19a-93,  19a-94,
19a-94a,  19a-102a,  19a-103,   19a-104,  19a-105,
19a-108,  19a-109,  19a-110,   19a-110a,  19a-111,
19a-111a, 19a-111e, 19a-112a,  19a-112b, 19a-112c,
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-123d, 19a-124,  19a-125, 19a-126h,
19a-145,  19a-148,  19a-148a,   19a-150,  19a-153,
19a-154,  19a-155, [19a-155a,]  19a-162,  19a-166,
19a-168b, 19a-168k, 19a-168p,  19a-169e,  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-252,   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-490d, 19a-490e, 19a-490g,  19a-491,  19a-491a,
19a-491b,  19a-492,  19a-493,  19a-493a,  19a-494,
19a-494a,  19a-495,  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-554,  19a-581,   19a-582,   19a-584,
19a-586, 20-8, 20-8a,  20-9, 20-10, 20-11, 20-11a,
20-11b,  20-12,  20-12a,  20-13,  20-13a,  20-13b,
20-13d,  20-13e,  20-14,   20-14j,  20-17,  20-18,
20-18a,  20-18b,  20-20,  20-27,  20-28a,  20-28b,
20-29, 20-37, 20-39a,  20-40, 20-45, 20-54, 20-55,
20-57, 20-58a, 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,] 20-744a, 20-74dd, 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, 20-102aa TO 20-102ee, INCLUSIVE, 20-103a,
20-106, 20-107, 20-108,  20-109,  20-110, [20-111,
20-111b,   20-111c,  20-214,]   20-114,   20-122a,
20-122b,  20-122c,  20-123a,   20-126h,   20-126j,
20-126k,  20-126l,  20-126o,   20-126p,   20-126q,
20-126r,   20-126u,  20-126v,   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, 20-206m, 20-206p, 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, 20-474
TO  20-476,  INCLUSIVE,   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, 22-6g,
22-6i, 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-240a,  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,
25-32k,  25-32l, 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,] 31-40u, 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-214,  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,   52-473a,
52-557b,   53-332,  [54-36i,   54-56g,]   54-102a,
54-102b, 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"]  "DEPARTMENT  OF  PUBLIC  HEALTH  AND
ADDICTION SERVICES" is  used or referred to in any
public or special  act  of  [1993 or 1994] 1995 OR
1996, or in  any  section  of the general statutes
which is amended  in  [1993 or 1994] 1995 OR 1996,
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"]
"COMMISSIONER  OF  PUBLIC   HEALTH  AND  ADDICTION
SERVICES" is used  or referred to in any public or
special act of  [1993 or 1994] 1995 OR 1996, or in
any  section of  the  general  statutes  which  is
amended in [1993  or  1994] 1995 OR 1996, it shall
be deemed to  mean or refer to the commissioner of
public health. [and addiction services.]
    Sec.  22.  Section   19a-1d   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  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 OR (3)  HAVE  A  MASTERS  DEGREE IN A FIELD
PERTAINING TO PUBLIC ADMINISTRATION, PUBLIC POLICY
OR  PUBLIC HEALTH  AND  A  MINIMUM  OF  TEN  YEARS
MANAGEMENT  EXPERIENCE  IN  THE  FIELD  OF  PUBLIC
HEALTH.  He  shall   not   engage   in  any  other
occupation.
    Sec.  23.  Section   19a-4g   of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    The department of  [public]  MENTAL health and
addiction services shall  establish a committee on
substance-abusing   pregnant   women   and   their
children. The committee shall make recommendations
to the department in the development and oversight
of   treatment  programs   for   substance-abusing
pregnant  women  and  their  children  established
pursuant to section 19a-4f. The committee shall be
composed of the  commissioners of social services,
children and families,  [and]  public  health  AND
MENTAL  HEALTH and  addiction  services  or  their
designees, 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]
MENTAL health and addiction services shall appoint
the chairperson of  the  committee.  The committee
shall (1) review  all studies available concerning
the INCIDENCE AND  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 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  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  department  for prevention and
treatment programs for  substance-abusing pregnant
women.
    Sec.  24.  Section   19a-2a   of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    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, 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]  COMPEL
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  19a-126h 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.  THE  COMMISSIONER  MAY
DESIGNATE ANY PERSON  TO PERFORM ANY OF THE DUTIES
LISTED IN SUBDIVISION  (7)  OF  THIS  SECTION.  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. In September
of each year  he shall certify to the secretary of
the office of policy and management the population
of each municipality. 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. 25. Section 19a-7 of the general statutes
is repealed and  the  following  is substituted in
lieu thereof:
    [(a)] The department  of  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
multiyear 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 19a-2e.]
    Sec.  26.  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  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.
    (b) The commissioner  of  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  AND
ADDICTION SERVICES, with  respect  to  any  mental
health facility, as  defined  in subsection (h) of
section  19a-490, OR  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 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 public health  [and  addiction  services] and a
copy  shall  be   maintained   in  the  facility's
licensure file.
    (d) In addition,  the  commissioner  of social
services, 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 social services or
his designated representative  at  all  reasonable
times.
    Sec. 27. Section  1  of public act 94-3 of the
May special session  is repealed and the following
is substituted in lieu thereof:
    [(a)   Notwithstanding   the   provisions   of
subsection (a) of  section 1 of special act 92-20,
there shall be  established a department of health
effective July 1,  1995,  which  shall include (1)
all programs of  the  department  of public health
and addiction services  as set forth in public act
93-381 and (2)  all  programs of the department of
mental  health.  (A)   Said  department  shall  be
organized  so  as   to   enhance,   the   specific
disciplines of substance  abuse, mental health and
public health. The  department  shall  be  charged
with  developing  a   coordinated  and  integrated
approach for promoting  the health and wellness of
the citizens of  Connecticut  and for implementing
community   based   efforts   toward   prevention,
education and treatment  in  the  areas  of mental
health,  public health  and  substance  abuse.  In
identifying and providing  for  service needs, the
department shall strive  to enhance client access,
assure effective service  and  promote  management
efficiencies. The department  shall  serve  as the
lead agency for  substance  abuse issues and shall
work  in  conjunction   with  other  state  agency
providers of substance  abuse services to ensure a
coordinated  and comprehensive  approach  to  such
issues. (B) The  secretary of the office of policy
and management, in directing the implementation of
the reorganization of  health  and  human services
agencies, pursuant to  the  provisions  of special
act 92-20, shall  develop  an  implementation plan
for  the  department   of   health  involving  the
commissioners of mental  health, public health and
addiction services, social  services, children and
families,  education and  corrections,  the  chief
court administrator of  the  judicial  department,
agency staff, service  providers and others in the
public  health,  mental  health,  substance  abuse
sectors  and other  individuals  as  he  may  deem
necessary. In developing  such plan, the secretary
shall consult with  advisory  councils established
by the relevant  commissioner for each such sector
and with a  joint  advisory council established by
the secretary, that  represents  equally all three
sectors. The secretary  shall  also  report on the
progress of the  planning  process  at least three
times to a  legislative  oversight group comprised
of the cochairpersons  and  ranking members of the
joint standing committee  of  the general assembly
have  cognizance of  matters  relating  to  public
health and the  cochairpersons and ranking members
of the subcommittee  on  hospitals and health care
of the joint  standing  committee  of  the general
assembly having cognizance  of matters relating to
appropriations and the  budgets of state agencies.
Such   planning   process   shall   consider   the
requirements  of  potential  revenue  maximization
efforts in determining  the  structure  of the new
agency.   The   secretary    shall   submit   this
implementation plan for  the  department of health
to the joint  standing  committees  of the general
assembly having cognizance  of matters relating to
appropriations, human services  and public health,
on or before  January 1, 1995, including suggested
legislation for the  merger  of  the department of
health to be effective July 1, 1995.
    (b)]  The  department   of  developmental  and
rehabilitative services shall  not  be  created on
July 1, 1995. The department of mental retardation
shall remain an  independent agency. The bureau of
rehabilitation services shall  remain  within  the
department of social  services.  The commission on
the deaf and  hearing  impaired  and  the board of
education and services  for the blind shall remain
for   administrative  purposes   only   with   the
department of social  services.  The developmental
disabilities    council    shall     remain    for
administrative purposes only  with  the department
of mental retardation.
    Sec. 28. Section  3  of  special act 92-20, as
amended by section 3 of public act 94-3 of the May
special session, 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.   The
department shall have the following divisions: (1)
Public health, and  (2)  addiction  services.  The
division of addiction  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)] (b) The commissioners of the [department]
DEPARTMENTS   of   social   services,   [and   the
department of health] PUBLIC HEALTH, MENTAL HEALTH
AND  ADDICTION SERVICES,  MENTAL  RETARDATION  AND
CHILDREN  AND  FAMILIES   shall  ensure  that  the
following     [intragency]    INTRA-AGENCY     and
interagency goals are  addressed  and met: (1) The
establishment  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 of 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.  29.  Section   17a-464  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    The Ribicoff Research  Center  is  established
and shall be  operated by the department of mental
health AND ADDICTION  SERVICES  as a facility with
state-wide responsibility for  research  in mental
health OR SUBSTANCE  ABUSE,  OR  BOTH, to include,
but  not  be  limited  to,  the  following  areas:
Neurochemistry, neurophysiology, clinical behavior
and clinical evaluation.
    Sec.  30.  Section   17b-222  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    As used in  sections 17b-223, 17b-228, 17b-229
and 17b-748, "state humane institution" or "humane
institution"  means  and   includes  state  mental
hospitals,   community  mental   health   centers,
treatment facilities for children and adolescents,
or any other  facility  or program administered by
the  [state  department]   DEPARTMENTS  of  mental
health  AND  ADDICTION   SERVICES,   [or]   mental
retardation, [the department  of public health and
addiction  services]  or   [the   department   of]
children and families.  The  person  in  charge of
each state humane  institution  shall  furnish the
commissioner  of administrative  services  with  a
daily report of  changes in the patient roster and
the date of formal commitment of each patient.
    Sec. 31. Subdivision  (1) of subsection (a) of
section 10-71 of  the general statutes is repealed
and the following is substituted in lieu thereof:
    (1) The percentage  of  the  eligible costs of
adult education a  local  board of education shall
receive, under the  provisions  of  this  section,
shall be determined  as  follows:  (A)  Each  town
shall be ranked  in  descending  order from one to
one hundred sixty-nine  according  to  such town's
adjusted equalized net  grand  list per capita, as
defined in section  10-261;  (B)  based  upon such
ranking, a percentage  of  not  less than zero nor
more than sixty-five  shall be determined for each
town on a  continuous  scale.  Any such percentage
shall  be  increased   by   seven   and   one-half
percentage points but  shall not exceed sixty-five
per cent for  any  local  board of education which
provides basic adult education programs for adults
at [both of  the following types of] facilities [:
(i)  Those] operated  by  or  within  the  general
administrative  control  and  supervision  of  the
department  of  mental   health  [and  (ii)  those
operated by the  department  of public health] and
addiction services, provided such adults reside at
such  facilities. Any  such  percentage  shall  be
increased by one  and  one-half  percentage points
but shall not  exceed  sixty-five per cent for any
local  board  of   education   which  served  four
thousand or more  students  who  were  enrolled at
least twelve hours  in  the  fiscal year two years
prior to the  year of the grant and whose ratio of
students served in the fiscal year two years prior
to the year  of  the  grant to persons in the town
who were twenty-five years of age or older and did
not have a  high  school  diploma according to the
most recent federal  decennial  census  is greater
than fifteen one-hundredths.  (C)  Notwithstanding
the  provisions  of   subparagraph   (B)  of  this
subdivision, any local  board  of  education which
served two thousand  or  more  students  who  were
enrolled at least  twelve hours in the fiscal year
two years prior  to  the  year  of the grant shall
receive a grant  in the amount determined pursuant
to subparagraph (B)  or  the  amount  obtained  by
multiplying the number  of such students served in
the fiscal year two years prior to the year of the
grant by twenty-five, whichever is greater.
    Sec. 32. Subsection  (e)  of section 10-76d of
the general statutes is repealed and the following
is substituted in lieu thereof:
    (e)  (1)  Any   local  or  regional  board  of
education   which   provides   special   education
pursuant to any  mandates  in  this  section shall
provide  transportation,  to  and  from,  but  not
beyond the curb  of,  the  residence of the child,
unless otherwise agreed  upon by the board and the
parent or guardian of the child, tuition, room and
board and other  items  as  are  necessary  to the
provision of such  special  education  except  for
children who are  placed in a residential facility
because  of  the  need  for  services  other  than
educational services, in  which case the financial
responsibility of the  school district and payment
to  such  district   shall   be   limited  to  the
reasonable costs of  special education instruction
as defined in  the  regulations of the State Board
of Education. If  a  hearing  board,  pursuant  to
subsection  (d) of  section  10-76h,  rejects  the
educational program prescribed  by  the  local  or
regional board of  education and determines that a
placement by a parent or guardian was appropriate,
the local or  regional  board  of  education shall
reimburse  the  parent   or   guardian   for   the
reasonable costs incurred  for  the  provision  of
special education pursuant  to  this  section from
the initiation of review procedures as provided by
said section 10-76h.
    (2) Notwithstanding any  other  provisions  of
the general statutes,  for  the fiscal year ending
June 30, 1987,  and  each  fiscal year thereafter,
whenever a public  agency,  other  than a local or
regional board of  education,  the  State Board of
Education or the superior court acting pursuant to
section 10-76h, places  a  child in a foster home,
group home, hospital, state institution, receiving
home,   custodial   institution   or   any   other
residential or day  treatment  facility,  and such
child requires special  education,  the  local  or
regional   board   of    education   under   whose
jurisdiction   the  child   would   otherwise   be
attending school or,  if  no  such  board  can  be
identified,  the  local   or   regional  board  of
education of the  town  where the child is placed,
shall: (A) Provide  the  requisite  identification
and evaluation of  such  child  in accordance with
the  provisions  of   this  section;  and  (B)  be
financially  responsible, except  as  provided  in
this  subdivision, for  the  reasonable  costs  of
special education instruction,  as  defined in the
regulations of the State Board of Education, in an
amount equal to the lesser of one hundred per cent
of the costs of such education or two and one-half
times the average  per  pupil educational costs of
such board of education for the prior fiscal year,
determined in accordance  with  the  provisions of
subsection (a) of  section 10-76f. The State Board
of Education shall  pay on a current basis, except
as provided in  this  subdivision  and subdivision
(3) of this subsection, any costs in excess of the
local or regional board's basic contributions paid
by such board  of education in accordance with the
provisions  of  this   subdivision,  provided  any
school district in which (i) the ratio of children
placed in foster  homes  by  a public agency other
than a local  or  regional board of education, the
State Board of  Education  or  the  superior court
acting pursuant to  section  10-76h,  for  whom no
school  district  can  be  identified  where  such
children would otherwise  be  attending  school to
the  average  daily   membership   of  the  school
district, as defined in subdivision (2) of section
10-261, exceeds one-quarter of one per cent at any
time during the  school  year  and  (ii) the total
number of such  children  in  the  school district
exceeds five at  any  time  during the school year
shall  be  paid  by  September  thirtieth  of  the
following fiscal year  by  the agency which placed
the children fifty per cent of the actual costs of
special education and related services provided to
such  children  or   the  difference  between  the
average per pupil educational costs of such school
district for the  prior  fiscal year as determined
in  accordance  with   the   provisions   of  said
subsection (a) of  section  10-76f  and the actual
costs of special  education  and  related services
costs for such  children,  whichever  is less. The
costs for services other than educational shall be
paid by the  state  agency which placed the child.
Said state agency shall make available current and
accurate  information to  the  local  or  regional
board of education  of the town where the child is
placed if a  local  or  regional board under whose
jurisdiction   the  child   would   otherwise   be
attending school is  not  identified, for purposes
of identifying such  a  board.  The  provisions of
this subdivision shall  not  apply  to  the school
districts  established within  the  department  of
children and families, pursuant to section 17a-37,
the department of  correction, pursuant to section
18-99a, or the  department  of mental retardation,
pursuant to section 17a-240.
    (3) Payment for  children  who require special
education and who  reside on state-owned or leased
property  or in  permanent  family  residences  as
defined in section  17a-154,  and  who are not the
educational responsibility of  the  unified school
districts established pursuant  to section 17a-37,
section 17a-240 or  section  18-99a, shall be made
in  the  following  manner:  The  State  Board  of
Education shall pay  to  the school district which
is responsible for  providing instruction for each
such child pursuant  to  the  provisions  of  this
subsection one hundred  per cent of the reasonable
costs of such  instruction.  In  the  fiscal  year
following  such  payment,   the   State  Board  of
Education shall deduct  from the special education
grant due the local or regional board of education
under whose jurisdiction the child would otherwise
be attending school,  where  such  board  has been
identified, the amount  for which such board would
otherwise   have  been   financially   responsible
pursuant to the  provisions of subparagraph (B) of
subdivision  (2)  of   this  subsection.  No  such
deduction shall be  made  for  any school district
which  is  responsible   for   providing   special
education instruction for  children  whose parents
or  legal guardians  do  not  reside  within  such
district. The amount deducted shall be included as
a net cost  of special education by the department
of education for  purposes  of the state's special
education  grant calculated  pursuant  to  section
10-76g. A school  district  otherwise eligible for
reimbursement  under  the   provisions   of   this
subdivision for the  costs of education of a child
residing in a  permanent  family  residence  shall
continue to be  so  eligible  in  the event that a
person providing foster  care  in  such  residence
adopts the child.
    [(4) (A) Notwithstanding  any  other provision
of this section,  the  board  of  education of the
school district in  which  a  facility operated by
the  department of  public  health  and  addiction
services   is  located   shall   provide   regular
education  and  special   education   and  related
services to eligible  residents  in  such facility
who are eighteen  to  twenty-one  years of age. In
the  case  of  a  resident  who  requires  special
education, such board  shall provide the requisite
identification and evaluation  of such resident in
accordance with the  provisions  of  this section.
The board shall be financially responsible for the
provision of educational  services  to an eligible
resident.  The department  of  public  health  and
addiction services shall notify residents of their
eligibility for educational  programs  and  notify
the board of  education  which  is responsible for
providing  such  education.  The  State  Board  of
Education shall pay  to  the school district which
is responsible for  providing educational services
under this subdivision one hundred per cent of the
reasonable  costs of  such  educational  services.
Payment by the  state  shall  be  made as follows:
Eighty-five per cent  of  the  estimated  cost  in
September and the  adjusted  balance in June. Each
such  board  shall   submit  a  report  of  actual
expenditures to the  commissioner  of education in
such manner and  on such forms as the commissioner
prescribes   on   or   before   August   fifteenth
immediately following the  end  of the grant year.
Based  on  the  data  in  each  such  report,  the
commissioner shall calculate  any  underpayment or
overpayment of the  grant  paid  pursuant  to this
subdivision and shall  adjust  the  grant  for the
fiscal year following  the  fiscal  year  in which
such   underpayment   or    overpayment   occurred
accordingly.
    (B)] (4) Notwithstanding  any  other provision
of this section,  the  department of mental health
AND  ADDICTION  SERVICES   shall  provide  regular
education  and  special   education   and  related
services  to  eligible   residents  in  facilities
operated by the  department  who  are  eighteen to
twenty-one years of age. In the case of a resident
who  requires special  education,  the  department
shall  provide the  requisite  identification  and
evaluation of such resident in accordance with the
provisions of this  section.  The department shall
be financially responsible  for  the  provision of
educational services to  eligible  residents.  The
departments  of  mental   health   AND   ADDICTION
SERVICES,  children  and  families  and  education
shall  develop  and   implement   an   interagency
agreement which specifies  the role of each agency
in ensuring the provision of appropriate education
services to eligible  residents in accordance with
this section. The  State  Board of Education shall
pay  to  the   department  of  mental  health  AND
ADDICTION SERVICES one  hundred  per  cent  of the
reasonable  costs  of  such  educational  services
provided to eligible residents of such facilities.
Payment shall be  made  by  the  board as follows:
Eighty-five per cent  of  the  estimated  cost  in
September and the adjusted balance in May.
    (5) Application for  the  grant  to be paid by
the state for  costs  in  excess  of  the local or
regional board of  education's  basic contribution
shall be made by such board of education by filing
with the State  Board of Education, in such manner
as prescribed by  the  commissioner  of education:
(A)  Annually  on   or  before  October  first  an
estimate  of  the   cost   of   providing  special
education, as defined  in  subdivision (2) of this
subsection, for a  child  of the board placed by a
state agency in  accordance with the provisions of
said  subdivision  or,   where   appropriate,   an
estimate  of the  cost  of  providing  educational
services other than  special  educational services
pursuant to the  provisions  of  subsection (b) of
section 10-253, AS  AMENDED  BY SECTION 33 OF THIS
ACT, and (B)  annually on or before April first of
such fiscal year a revised estimate of such costs.
Payment by the  state  for such excess costs shall
be  made  to   the  local  or  regional  board  of
education as follows:  One-half  of  the estimated
cost  in  December   and  the  adjusted  estimated
balance in June. The amount due each town pursuant
to the provisions  of  this  subdivision  and  the
amount due to  each  town  as  tuition  from other
towns pursuant to  this  section  shall be paid to
the treasurer of  each  town entitled to such aid,
provided the treasurer  shall  treat such grant or
tuition received, or  a  portion  of such grant or
tuition,  which  relates   to   special  education
expenditures incurred pursuant to subdivisions (2)
and (3) of  this  subsection  in  excess  of  such
board's budgeted estimate of such expenditures, as
a  reduction in  expenditures  by  crediting  such
expenditure account, rather than town revenue. The
state shall notify  the local or regional board of
education when payments  are made to the treasurer
of the town pursuant to this subdivision.
    Sec. 33. Subsection  (a)  of section 10-253 of
the general statutes is repealed and the following
is substituted in lieu thereof:
    (a) Children placed out by the commissioner of
children and families  or  by  other  agencies  or
persons,   including   private   child-caring   or
child-placing agencies licensed  by the department
of children and  families,  and eligible residents
of facilities operated by the department of mental
health AND ADDICTION SERVICES or by the department
of public health  [and addiction services] who are
eighteen to twenty-one  years  of  age,  shall  be
entitled to all  free  school  privileges  of  the
school district where they then reside as a result
of  such  placement,   EXCEPT   AS   PROVIDED   IN
SUBPARAGRAPH (B) OF  SUBDIVISION (4) OF SUBSECTION
(e) OF SECTION 10-76d, AS AMENDED BY SECTION 32 OF
THIS ACT. Except  as provided in subsection (d) of
this section and subdivision (4) of subsection (e)
of section 10-76d,  AS  AMENDED  BY  SECTION 32 OF
THIS ACT, payment for such education shall be made
by the board  of  education of the school district
under   whose  jurisdiction   such   child   would
otherwise be attending  school where such a school
district is identified.
    Sec.  34. (NEW)  The  office  of  health  care
access, established pursuant to section 19a-612 of
the general statutes,  as amended by section 36 of
this act, shall be within the department of public
health for administrative purposes only.
    Sec. 35. (NEW)  (a)  The office of health care
access shall constitute  a successor agency to the
commission  on  hospitals   and  health  care,  in
accordance with the  provisions  of sections 4-38d
and 4-39 of the general statutes.
    (b)   Wherever  the   words   "commission   on
hospitals and health care" are used in the general
statutes, the words "office of health care access"
shall be substituted in lieu thereof.
    (c) Any order, decision, agreed settlement, or
regulation  of the  commission  on  hospitals  and
health care which  is  in  force on June 30, 1995,
shall continue in  force and effect as an order or
regulation of the  office  of  health  care access
until amended, repealed  or superseded pursuant to
law. The commissioner  of  health  care access may
implement policies and  procedures consistent with
the provisions of sections 34 to 47, inclusive, 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.  36.  Section   19a-612  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    (a) There is  established  an Office of Health
Care Access. The  powers  of  the  office shall be
vested  in  and   exercised   by   a  [board.  The
membership of the  board  shall  consist  of three
members, one of  whom  shall  be  appointed by the
governor, who shall  serve  as  chairperson of the
board, be subject  to  the  provisions  of section
4-9a  and  serve   a  term  coterminous  with  the
governor.  The  other   members   shall   be   the
commissioner  of  public   health   and  addiction
services  or  his   designee   and  the  insurance
commissioner or his  designee  who  shall serve ex
officio.   Upon   expiration    of   the   initial
appointment, subsequent appointments  made  by the
governor shall be  for terms of four years. At the
end of a term a member may continue to serve until
a successor is  appointed.  Any  vacancy occurring
other than by expiration of a term shall be filled
by appointment by  the governor for the balance of
the unexpired term. Each board member appointed by
the governor shall  serve on a full-time basis and
shall  be  compensated   in  accordance  with  the
provisions of section 4-40.
    (b) No person  who  is an officer, employee or
significant  shareholder or  other  owner  of,  or
serving as an agent or independent contractor for,
a health care  provider,  health  insurer,  health
care center, as  defined  in  section  38a-175, or
certified health plan may serve as a member of the
board. Nothing contained  in this subsection shall
prevent any such  person from (1) membership on an
advisory committee to  the  office or (2) entering
into  a  contract  to  perform  services  for  the
office.] COMMISSIONER WHO  SHALL  BE  APPOINTED BY
THE GOVERNOR IN  ACCORDANCE WITH THE PROVISIONS OF
SECTIONS 4-5 TO  4-8, INCLUSIVE. SAID COMMISSIONER
SHALL HAVE (1) A GRADUATE DEGREE AND (2) A MINIMUM
OF TEN YEARS  EXPERIENCE IN THE FIELD OF FINANCIAL
MANAGEMENT,     HEALTH     INSURANCE,     HOSPITAL
ADMINISTRATION   OR   A    COMBINATION   OF   SUCH
EXPERIENCE.
    Sec.  37.  Section   19a-613  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    (a) The Office  of  Health  Care  Access shall
employ  the most  effective  and  practical  means
necessary to fulfill  the  purposes  of 19a-610 to
19a-622, including but  not limited to, performing
the  duties  and   functions   as   enumerated  in
[subsections] SUBSECTION (b)  [and  (c)]  of  this
section.
    [(b)  The  office  shall  be  responsible  for
developing a plan  for  a  consolidation  of state
health regulation and  financing. The office shall
be  responsible  for   developing   a   plan   and
recommendations for health  system  reform  in the
state, which reform shall attain the goals of: (1)
Enrolling all residents  not later than January 1,
1997, in a  health  plan  to  receive at least the
care  provided in  a  standard  benefits  package,
regardless of age,  sex,  race, employment, health
condition or economic status; (2) providing access
to all residents  of  the state to appropriate and
timely  health  care;   (3)   consolidating  state
government health care spending; and (4) improving
and enhancing effective cost containment.
    (c)] (b) The  office  shall: (1) Authorize and
oversee the collection  of  data required to carry
out the provisions  of sections 19a-610 to 19a-622
AND COORDINATE WITH  THE  CONNECTICUT  HEALTH CARE
DATA  INSTITUTE  ON   ISSUES   RELATING   TO   THE
COLLECTION  AND  ANALYSIS   OF  HEALTH  CARE  DATA
DESCRIBED   IN  SECTIONS   19a-619   TO   19a-622,
INCLUSIVE;  (2)  oversee   and  coordinate  health
system planning for  the state; (3) monitor health
care costs; [and]  (4)  CONTINUE THE FUNCTIONS AND
DUTIES OF CHAPTER  368c, AS AMENDED BY SECTIONS 34
TO 47 INCLUSIVE,  OF  THIS  ACT; AND (5) implement
and oversee health  care  reform as enacted by the
general assembly.
    [(d) The office  may establish a working group
composed  of  health   care  providers,  insurers,
business representatives, patient  representatives
and  others  to   study  the  feasibility  of  the
development of a  regional  health care plan which
may serve as  a  model for health system reform in
the state. The  office  shall  report to the joint
standing committee of  the general assembly having
cognizance of matters  relating  to  public health
regarding  the  recommendations   of  the  working
group.]
    (c) THE COMMISSIONER  OF HEALTH CARE ACCESS OR
ANY PERSON DESIGNATED BY HIM MAY CONDUCT A HEARING
AND RENDER A  FINAL  DECISION  IN  ANY CASE WHEN A
HEARING  IS  REQUIRED   OR  AUTHORIZED  UNDER  THE
PROVISIONS OF ANY  STATUTE DEALING WITH THE OFFICE
OF HEALTH CARE ACCESS.
    Sec.  38.  Section   19a-614  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    [(a) The Board  of  the  Office of Health Care
Access  shall employ  an  executive  director  who
shall be exempt  from classified service. He shall
be the chief  administrative officer of the Office
of  Health  Care   Access  and  shall  direct  and
supervise  administrative  affairs  and  technical
activities in accordance  with  the  directives of
the  board. He  shall  approve  all  accounts  for
salaries, accountable expenses of the office or of
any employee or  consultant  thereof  and expenses
incidental to the  operation  of  the  office.  He
shall perform such other duties as may be directed
by the board  in  carrying  out  the  purposes  of
sections  19a-610  to   19a-622,   inclusive.  The
executive director shall  attend  all  meetings of
the board, keep  a  record  of the proceedings and
shall maintain and  be  custodian  of  all  books,
documents and papers  filed with the office and of
the minute book and other records of the office.]
    [(b)] (a) The  [board]  COMMISSIONER OF HEALTH
CARE ACCESS may  employ  and  pay professional and
support staff subject to the provisions of chapter
67 and contract  with  and  engage consultants and
other   independent  professionals   as   may   be
necessary or desirable  to carry out the functions
of the office.
    [(c) The board  shall  establish  an  advisory
committee, composed of  no  more  than twenty-five
members, to provide  such advice and assistance to
the office as  may  be  requested by the office or
directed by statute.  The committee shall include,
but not be  limited  to, representatives of health
care  providers,  employers,  insurers,  insurance
agents,   consumers,  and   affected   industries,
businesses and unions.]
    [(d)] (b) The [board] COMMISSIONER [shall] MAY
establish a consumer  education  unit  within  the
office to provide  information to residents of the
state concerning the  availability  of  public and
private health care coverage.
    Sec. 39. (NEW)  (a) On and after July 1, 1995,
wherever the word "commission" is used or referred
to  in  the  following  sections  of  the  general
statutes, the word  "office"  shall be substituted
in lieu thereof and whenever the words "commission
on hospitals and health care" are used or referred
to  in  the  following  sections  of  the  general
statutes, the words "office of health care access"
shall be substituted in lieu thereof: 1-84, 1-84b,
12-263a,  17b-234,  17b-240,   17b-352,   17b-353,
17b-356,   19a-5b,  19a-149,   19a-151,   19a-152,
19a-154,  19a-155,  19a-156,   19a-158,   19a-159,
19a-160,  19a-161,  19a-162,   19a-166,  19a-166b,
19a-167e, 19a-167f, 19a-167g,  19a-167j, 19a-167k,
19a-168b, 19a-168d, 19a-168e,  19a-168f, 19a-168g,
19a-168i, 19a-168j, 19a-169,  19a-169a,  19a-169b,
19a-170a, 19a-170b, 19a-170c,  19a-170d, 19a-170e,
19a-170f, 19a-499, 19a-507, 19a-509b, 19a-535b.
    (b) If the  term  "commission on hospitals and
health care" is  used or referred to in any public
or special act  of  1995 or 1996 or in any section
of the general  statutes  which is amended in 1995
or 1996 it shall be deemed to mean or refer to the
office of health care access.
    Sec. 40. Section  4-5  of the general statutes
is repealed and  the  following  is substituted in
lieu thereof:
    As  used  in  section  4-6,  section  4-7  and
section  4-8, the  term  "department  head"  means
secretary of the  office of policy and management,
commissioner    of    administrative     services,
commissioner of revenue  services, commissioner of
banking, commissioner of  children  and  families,
commissioner of consumer  protection, commissioner
of    correction,   commissioner    of    economic
development,    State    Board    of    Education,
commissioner    of    environmental    protection,
commissioner  of  agriculture,   commissioner   of
public   health,   [and    addiction    services,]
commissioner of housing,  insurance  commissioner,
labor  commissioner,  Liquor  Control  Commission,
commissioner  of  mental   health   AND  ADDICTION
SERVICES,   commissioner   of    public    safety,
commissioner of social  services,  commissioner of
mental   retardation,   commissioner    of   motor
vehicles,    commissioner    of    transportation,
commissioner  of  public  works,  commissioner  of
veterans'  affairs, COMMISSIONER  OF  HEALTH  CARE
ACCESS,  and  the   chairperson   of   the  Public
Utilities Control Authority.
    Sec. 41. Subsection  (a) of section 19a-145 of
the general statutes is repealed and the following
is substituted in lieu thereof:
    (a) As used  in this chapter [, subsection (a)
of  section  17b-238   and  section  19a-114]  AND
CHAPTER  368z:  (1)   "Health   care  facility  or
institution"  means any  facility  or  institution
engaged primarily in  providing  services  for the
prevention, diagnosis or treatment of human health
conditions,  including,  but   not   limited   to,
outpatient  clinics,  free   standing   outpatient
surgical facilities, imaging  centers, home health
care   agencies,   homemaker-home    health   aide
agencies, as defined  in section 19a-490; clinical
laboratory or central  service  facilities serving
one or more  health care facilities, practitioners
or institutions; hospitals;  personal  care homes;
nursing   homes;   nonprofit    health    centers;
diagnostic      and     treatment      facilities;
rehabilitation  facilities,  and   mental   health
facilities; health care  facility  or  institution
includes any parent company, subsidiary, affiliate
or joint venture  or  any combination thereof of a
health  care  facility  or  institution;  but  not
including  any outpatient  clinic  operated  by  a
town,  city  or   borough  or  any  state-operated
hospital or any  rehabilitation center referred to
in section 17b-243,  or  any  health care facility
operated by a  nonprofit  educational  institution
solely for the students, faculty and staff of such
institution and their dependents, or any Christian
Science  sanatorium  operated,   or   listed   and
certified,  by  the   First   Church   of  Christ,
Scientist,  Boston,  Massachusetts;   (2)   "state
health  care  facility  or  institution"  means  a
hospital or other  such  facility  or  institution
operated by the state providing services which are
eligible for reimbursement  under  Title  XVIII or
XIX of the  federal  Social  Security  Act, 42 USC
Section 301 et seq., as amended; (3) ["commission"
means the Commission on Hospitals and Health Care]
"OFFICE" MEANS THE  OFFICE  OF HEALTH CARE ACCESS;
and (4) "commissioner"  means  the commissioner of
[public health and addiction services] HEALTH CARE
ACCESS.
    Sec. 42. Subsection (b) of section 19a-148a of
the general statutes is repealed and the following
is substituted in lieu thereof:
    (b) Each hospital  shall  annually  pay to the
commissioner  of  public  health,  [and  addiction
services,] for deposit  in  the  general  fund, an
amount  equal  to   its   share   of   the  actual
expenditures made by the [commission] OFFICE WHICH
ARE ACCOUNTABLE TO  THE  FUNCTIONS  OF  THE OFFICE
TRANSFERRED FROM THE  COMMISSION  ON HOSPITALS AND
HEALTH CARE PURSUANT  TO  SECTION  35  OF THIS ACT
during each fiscal  year  [,  except  that for the
fiscal year commencing  July  1,  1993, only, each
hospital's share shall be seventy-five per cent of
its share of  all  expenses  of  the  commission,]
including  the  cost   of   fringe   benefits  for
[commission] OFFICE personnel  as estimated by the
comptroller, the amount  of  expenses  for central
state services attributable  to  the  [commission]
OFFICE for the  fiscal  year  as  estimated by the
comptroller, plus the  expenditures made on behalf
of  the  [commission]   OFFICE  from  the  capital
equipment purchase fund  pursuant  to section 4a-9
for  such  year.   Payments   shall   be  made  by
assessment  of  all   hospitals   of   the   costs
calculated and collected  in  accordance  with the
provisions of this section and section 19a-148b AS
AMENDED BY SECTION 43 OF THIS ACT.
    Sec.  43.  Section  19a-148b  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    (a) On or  before  September  first, annually,
the  [Commission on  Hospitals  and  Health  Care]
OFFICE OF HEALTH  CARE  ACCESS shall determine (1)
the total net  revenue  of  each  hospital for the
most  recently  completed   hospital  fiscal  year
beginning  October first;  and  (2)  the  proposed
assessment on the  hospital  for  the state fiscal
year. [beginning July first of 1993 and subsequent
fiscal years.] The  assessment  on  each  hospital
shall be calculated  by multiplying the hospital's
percentage  share  of   the   total   net  revenue
specified in subdivision  (1)  of  this subsection
times the costs  of  the  [Commission on Hospitals
and Health Care]  OFFICE  WHICH ARE ACCOUNTABLE TO
THE FUNCTIONS OF  THE  OFFICE TRANSFERRED FROM THE
COMMISSION ON HOSPITALS  AND  HEALTH CARE PURSUANT
TO  SECTION 35  OF  THIS  ACT,  as  determined  in
subsection (b) of this section.
    (b) The costs of the [commission] OFFICE shall
be the total  OF  THAT  PORTION  of (1) the amount
appropriated for the  operation of the [commission
for the state  fiscal year beginning July first of
1993 and subsequent  fiscal  years] OFFICE FOR THE
FISCAL YEAR, (2)  the  cost of fringe benefits for
[commission] OFFICE personnel  for  such  year, as
estimated by the  comptroller,  (3)  the amount of
expenses for central  state  services attributable
to the [commission]  OFFICE for the fiscal year as
estimated  by  the   comptroller,   and   (4)  the
estimated   expenditures   on    behalf   of   the
[commission]  OFFICE from  the  Capital  Equipment
Purchase Fund pursuant  to  section  4a-9 for such
year WHICH ARE  ATTRIBUTABLE  TO  THE FUNCTIONS OF
THE  OFFICE TRANSFERRED  FROM  THE  COMMISSION  ON
HOSPITALS AND HEALTH  CARE  PURSUANT TO SECTION 35
OF  THIS  ACT,   provided  for  purposes  of  this
calculation the amount  SO  appropriated  [to  the
commission] plus the  cost  of fringe benefits for
[commission] personnel, the amount of expenses for
SAID central state  services  [attributable to the
commission] for the  fiscal  year  as estimated by
the   comptroller,  and   [the]   SAID   estimated
expenditures [on behalf  of  the  commission] from
the Capital Equipment  Purchase  Fund  pursuant to
section 4a-9 shall  be  deemed  to  be  the actual
expenditures of the [commission] OFFICE.
    (c)  On  or   before   December  thirty-first,
annually,  for each  fiscal  year,  each  hospital
shall pay the  commission  twenty-five per cent of
its proposed assessment,  adjusted  to reflect any
credit  or  amount   due  under  the  recalculated
assessment for the  preceding state fiscal year as
determined  pursuant to  subsection  (d)  of  this
section.  The hospital  shall  pay  the  remaining
seventy-five per cent  of  its  assessment  to the
[commission] OFFICE in  three equal instalments on
or before the  following  March thirty-first, June
thirtieth and September thirtieth, annually.
    (d) Immediately following  the  close  of each
state fiscal year the [chairman of the commission]
COMMISSIONER   shall  recalculate   the   proposed
assessment for each hospital based on the costs of
the  [commission]  OFFICE   in   accordance   with
subsection (b) of  this  section  using the actual
expenditures  made  by   the  [commission]  OFFICE
during   that   fiscal   year   and   the   actual
expenditures made on  behalf  of  the [commission]
OFFICE from the  Capital  Equipment  Purchase Fund
pursuant  to  section  4a-9.  On  or  before  July
thirty-first,     annually,     the     [chairman]
COMMISSIONER  shall  render  to  each  hospital  a
statement  showing  the   difference  between  the
respective recalculated assessment  and the amount
previously paid. On or before August thirty-first,
the  [chairman of  the  commission]  COMMISSIONER,
after receiving any objections to such statements,
shall make such  adjustments  which in his opinion
may be indicated  and  shall  render  an  adjusted
assessment, if any,  to  the  affected  hospitals.
Adjustments to reflect  any  credit  or amount due
under the recalculated assessment for the previous
state fiscal year  shall  be  made to the proposed
assessment due on  or before December thirty-first
of the following state fiscal year.
    (e) If any  assessment is not paid when due, a
late fee of ten dollars shall be added thereto and
interest at the  rate  of  one  and one-fourth per
cent per month  or  fraction thereof shall be paid
on such assessment and late fee.
    (f) The [commission]  OFFICE shall deposit all
payments received pursuant  to  this  section with
the state treasurer. The moneys so deposited shall
be credited to  the  general  fund  and  shall  be
accounted   for   as   expenses   recovered   from
hospitals.
    (g) For the  hospital  fiscal  year commencing
October 1, 1993,  and for subsequent fiscal years,
assessments made under this section, excluding any
interest or fee payable pursuant to subsection (e)
of  this  section,   shall   be  included  in  the
computation of net and gross revenue caps for each
hospital.
    Sec.  44.  Section   19a-149  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    The  [commission,  or   any  member  thereof,]
COMMISSIONER  or  any  agent  authorized  by  [the
commission]   HIM   to    conduct   any   inquiry,
investigation or hearing  under  the provisions of
this chapter, shall have power to administer oaths
and take testimony  under  oath  relative  to  the
matter of inquiry or investigation. At any hearing
ordered   by   the    [commission]   OFFICE,   the
[commission]  COMMISSIONER or  such  agent  having
authority  by  law   to  issue  such  process  may
subpoena witnesses and  require  the production of
records, papers and  documents  pertinent  to such
inquiry. If any  person  disobeys such process or,
having appeared in  obedience  thereto, refuses to
answer any pertinent  question  put  to him by the
[commission or its] COMMISSIONER OR HIS authorized
agent  or  to   produce  any  records  and  papers
pursuant   thereto,  the   [commission   or   its]
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 to process  or refusal to answer, 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.
    Sec.  45.  Section   19a-150  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    (a) The [commission]  OFFICE  OF  HEALTH  CARE
ACCESS, in consultation  with  the  department  of
public  health, [and  addiction  services,]  shall
carry  out a  continuing  state-wide  health  care
facility utilization study,  including  a study of
existing health care  delivery  systems; recommend
improvements  in health  care  procedures  to  the
health care facilities and institutions; recommend
to the commissioner  legislation  in  the  area of
health care programs;  and  report annually to the
governor and the  general  assembly  its findings,
recommendations  and  proposals,   as  of  January
first, for improving  efficiency,  lowering health
care costs, coordinating  use  of  facilities  and
services and expanding  the availability of health
care throughout the state.
    (b) The [commission]  OFFICE  shall  establish
and maintain a  state-wide  health care facilities
plan,   including  provisions   for   an   ongoing
evaluation  of  the   facility  utilization  study
conducted  pursuant  to  subsection  (a)  of  this
section  to: (1)  Determine  the  availability  of
acute care, long-term  care  and  home health care
services in private  and  public institutional and
community-based facilities providing diagnostic or
therapeutic services for  residents of this state;
(2) determine the  scope of such services; and (3)
anticipate future needs  for  such  facilities and
services. The health care facilities plan shall be
considered  part of  the  state  health  plan  for
purposes  of  [commission]   OFFICE  deliberations
pursuant to section 19a-153.
    Sec. 46. Subsection  (b) of section 19a-154 of
the general statutes is repealed and the following
is substituted in lieu thereof:
    (b) The [commission]  OFFICE  shall  make such
review of a  request  made pursuant to subdivision
(1), (2) or  (3) of subsection (a) of this section
as it deems necessary, including, in the case of a
proposed transfer of ownership or control prior to
initial  licensure,  such   factors  as,  but  not
limited  to,  the   financial  responsibility  and
business  interests  of  the  transferee  and  the
ability of the  institution to continue to provide
needed  services,  or   in   the   case   of   the
introduction of an additional function or service,
ascertaining the availability  of  such service or
function   at   other   inpatient   rehabilitation
facilities, health care facilities or institutions
or state health  care  facilities  or institutions
within the area  to  be  served, the need for such
service or function within such area and any other
factors  which  the   [commission]   OFFICE  deems
relevant  to  a   determination   of  whether  the
facility   or   institution    is   justified   in
introducing such additional  functions or services
into its program  or  increasing  its  staff.  The
[commission] OFFICE shall  grant,  modify  or deny
such request within  ninety  days  of  the receipt
thereof, except as  provided  for in this section.
Upon the request  of  the  applicant,  the  review
period may be  extended  for an additional fifteen
days  if the  [commission]  OFFICE  has  requested
additional   information   subsequent    to    the
commencement of the  [commission's] review period.
[Upon  the  vote   of  the  commission,  the]  THE
COMMISSIONER MAY EXTEND  THE review period [may be
extended] for a  maximum  of  thirty  days  if the
applicant  has  not   filed  in  a  timely  manner
information deemed necessary  by  the [commission]
OFFICE. Failure of  the [commission] OFFICE to act
on such request within such review period shall be
deemed approval thereof. [,  except  that  if  the
failure to act  results  from  a  tie  vote of the
commission on a  motion to approve, modify or deny
the request, the review period shall automatically
be extended fifteen  days.]  The ninety-day review
period,  pursuant  to   this  subsection,  for  an
application filed by  a  hospital  as  defined  in
section  19a-490  and  licensed  as  a  short-term
acute-care general hospital or children's hospital
by the department of public health, [and addiction
services,] shall not  apply if, in the certificate
of  need  application  or  request,  the  hospital
projects   that   the   implementation   of   such
application or request  will require future budget
adjustments. Upon a  showing  by  such facility or
institution that the  need  for  such  function or
service or increase  in  staff  is of an emergency
nature,  in  that   the  function  or  service  or
increase in staff  is  necessary  to  comply  with
requirements  of  any   federal,  state  or  local
health, fire, building  or  life  safety  code the
[commission] COMMISSIONER may  waive the letter of
intent requirement and  the  requirement  that the
request  for  such  permission  be  submitted,  in
accordance with any  schedule  established  by the
[commission] OFFICE pursuant  to subsection (c) of
this  section,  provided  such  request  shall  be
submitted at least  ten  business  days before the
proposed date of  institution  of  the function or
service.
    Sec. 47. Subsection  (a) of section 19a-155 of
the general statutes is repealed and the following
is substituted in lieu thereof:
    (a) Except for  (1)  a  program  of ambulatory
services established and  conducted  by  a  health
maintenance  organization,  (2)   any   outpatient
rehabilitation facility affiliated with the Easter
Seal Society of  Connecticut,  Inc.,  (3)  a  home
health agency or  (4) a nursing home, home for the
aged, rest home  or  residential  facility for the
mentally  retarded licensed  pursuant  to  section
17a-227 and certified  to participate in the Title
XIX  Medicaid  program  as  an  intermediate  care
facility for the  mentally retarded, any inpatient
rehabilitation facility affiliated with the Easter
Seal Society of Connecticut, Inc., any health care
facility or institution  or  any state health care
facility  or  institution   proposing   a  capital
expenditure exceeding one  million dollars, or the
acquisition of major medical equipment requiring a
capital  expenditure, as  defined  in  regulations
adopted pursuant to  section 19a-160, in excess of
four  hundred  thousand   dollars,  including  the
leasing of equipment or a facility, shall submit a
request for approval  of  such  expenditure to the
[commission] OFFICE, with  such  data, information
and plans as  the  [commission] OFFICE requires in
advance of the  proposed  initiation  date of such
project  and  in   accordance  with  any  schedule
established by the [commission] OFFICE pursuant to
subsection (c) of  this  section. The [commission]
OFFICE shall thereupon  hold a public hearing with
respect  to such  request,  at  least  two  weeks'
notice of which  shall be given to the facility or
institution by certified mail and to the public by
publication in a  newspaper  having  a substantial
circulation in the  area served by the facility or
institution.  THE COMMISSIONER  SHALL  NOTIFY  THE
COMMISSIONER OF SOCIAL SERVICES OF ANY APPLICATION
THAT MAY IMPACT  ON  EXPENDITURES  UNDER THE STATE
MEDICAL ASSISTANCE PROGRAM.  Such hearing shall be
held at the  discretion of the [commission] OFFICE
in  Hartford  or   in  the  area  so  served.  The
[commission] OFFICE shall consider such request in
relation to the  community  or  regional  need for
such capital program  or  purchase  of  land,  the
possible effect on  the  operating  costs  of  the
health care facility or institution and such other
relevant factors as  the [commission] OFFICE deems
necessary. In approving or modifying such request,
the [commission] COMMISSIONER  may  not  prescribe
any condition, such  as  but  not  limited to, any
condition or limitation on the indebtedness of the
facility or institution  in connection with a bond
issue, the principal  amount  of any bond issue or
any other details  or  particulars  related to the
financing  of  such   capital   expenditure,   not
directly related to  the  scope  of  such  capital
program and within  control  of  the  facility  or
institution. An applicant,  prior  to submitting a
certificate of need  application, shall request in
writing, application forms  and  instructions from
the  [commission] OFFICE.  The  request  shall  be
known as a  letter  of  intent. A letter of intent
shall include: (A)  The  name  of the applicant or
applicants; (B) a statement indicating whether the
application is for  a  new  facility,  service  or
function,  expansion  of   an  existing  facility,
service or function and any new or additional beds
and their type;  (C)  the  estimated capital cost;
(D) the town  where  the  project will be located;
and  (E)  a  brief  description  of  the  proposed
project. No certificate  of  need application will
be considered filed  with  the [commission] OFFICE
unless a current letter of intent, specific to the
proposal and in  accordance  with this subsection,
has been on  file  with the [commission] OFFICE at
least ninety days. A current letter of intent is a
letter of intent  which  has  been  on file at the
[commission]  OFFICE  no  more  than  one  hundred
twenty days. Upon  a  showing  by such facility or
institution that the need for such capital program
is of an  emergency  nature,  in  that the capital
expenditure  is  necessary   to  comply  with  any
federal, state or  local health, fire, building or
life safety code,  the  [commission]  COMMISSIONER
may waive the letter of intent requirement and the
requirement  that  the  request  be  submitted  in
accordance with any  schedule  established  by the
[commission] OFFICE pursuant  to subsection (c) of
this section and  that  a  public  hearing be held
thereon, provided such  request shall be submitted
at least ten  business  days  before  the proposed
initiation date of  the  project. The [commission]
COMMISSIONER  shall grant,  modify  or  deny  such
request within ninety  days or within ten business
days, as the  case  may  be,  of  receipt thereof,
except as provided  for  in this section. Upon the
request of the applicant, the review period may be
extended for an  additional  fifteen  days  if the
[commission]  OFFICE  has   requested   additional
information subsequent to  the commencement of the
[commission's] review period.  [Upon  the  vote of
the commission, the]  THE  COMMISSIONER MAY EXTEND
THE review period  [may be extended] for a maximum
of thirty days if the applicant has not filed in a
timely manner, information deemed necessary by the
[commission] OFFICE. Failure  of  the [commission]
OFFICE to act  thereon  within  such review period
shall  be deemed  approval  of  such  request.  [,
except that if  the  failure to act results from a
tie vote of the commission on a motion to approve,
modify or deny  the  request,  the  review  period
shall automatically be extended fifteen days.] The
ninety-day  review  period,   pursuant   to   this
section, for an application filed by a hospital as
defined under section  19a-490  and  licensed as a
short-term  acute-care  general   hospital   or  a
children's hospital by  the  department  of public
health, [and addiction  services,] shall not apply
if, in the  certificate  of  need  application  or
request,   the   hospital    projects   that   the
implementation of such application or request will
require    future    budget    adjustments.    The
[commission]  OFFICE  shall   [,  not  later  than
January 1, 1981,]  adopt  regulations to establish
an expedited hearing  process to be used to review
requests  by  any   facility  or  institution  for
approval of a  capital expenditure to establish an
energy  conservation program  or  to  comply  with
requirements  of  any   federal,  state  or  local
health, fire, building  or  life  safety code. The
[commission]  OFFICE shall  adopt  regulations  in
accordance with the  provisions  of  chapter 54 to
provide for the  waiver of a hearing, for any part
of a request  by  a  facility or institution for a
capital  expenditure, provided  such  facility  or
institution and the [commission] OFFICE agree upon
such waiver.
    Sec. 48. (NEW)  (a)  Whenever the term "mental
illness" is used  or  referred to in the following
sections  of  the   general   statutes,  the  term
"psychiatric disabilities" shall be substituted in
lieu thereof: 17a-474,  17a-478, 17a-479, 17a-495,
to  17a-508,  inclusive,   17a-510   to   17a-513,
inclusive,  17a-515,  17a-521,  17a-523,  17a-524,
17a-526, 17a-528, 178a-540  to 17a-543, inclusive,
17a-546,  17a-582, 17a-584,  17a-586  to  17a-588,
inclusive, 17a-592, 17a-593,  17a-594, 17a-596 and
17a-599.
    (b) Whenever the term "mentally ill person" or
"mentally ill persons"  is  used or referred to in
the following sections  of  the  general statutes,
the term "person with psychiatric disabilities" or
"persons with psychiatric  disabilities",  as  the
context requires, shall  be  substituted  in  lieu
thereof: 17a-497 to  17a-501,  inclusive, 17a-504,
17a-509, 17a-514 and 17a-580.
    (c) Whenever the  term "state hospital for the
mentally ill" is used in the following sections of
the general statutes, the term "state hospital for
persons with psychiatric  disabilities"  shall  be
substituted in lieu  thereof: 17a-499, 17a-510 and
17a-517.
    (d) Whenever the  term  "mentally ill" is used
or referred to  in  the  following sections of the
general  statutes,  the   term   "a   person  with
psychiatric disabilities" shall  be substituted in
lieu  thereof:  17a-514,   17a-593,   17a-594  and
17-596.
    (e) Whenever the  term  "the  mentally ill" is
used or referred  to  in the following sections of
the  general  statutes,  the  term  "persons  with
psychiatric disabilities" shall  be substituted in
lieu thereof: 17a-469,  17a-474, 17a-475, 17a-479,
17a-499, 17a-501, 17a-510,  17a-521,  17a-522  and
17a-523.
    (f) Whenever the  term  "is  mentally  ill" is
used or referred  to  in the following sections of
the general statutes,  the  term  "has psychiatric
disabilities"  shall  be   substituted   in   lieu
thereof:  17a-497,  17a-498,   17a-502,   17a-503,
17a-504, 17a-508, 17a-526,  17a-566,  17a-569  and
17a-580.
    (g) Whenever the term "is not mentally ill" is
used or referred  to  in the following sections of
the general statutes,  the  term  "does  not  have
psychiatric disabilities" shall  be substituted in
lieu  thereof:  17a-504,   17a-510,   17a-514  and
17a-580.
    (h) Whenever the  term  "be  mentally  ill" is
used or referred  to  in the following sections of
the general statutes,  the  term "have psychiatric
disabilities"  shall  be   substituted   in   lieu
thereof: 17a-519, 17a-525, 17a-528 and 17a-567.
    Sec.  49.  Section   17a-505  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    When   any   [mentally    ill]   female   WITH
PSYCHIATRIC DISABILITIES is  escorted  to  a state
hospital  for  [mental   illness]   PERSONS   WITH
PSYCHIATRIC   DISABILITIES  by   a   male   guard,
attendant or other  employee  of a correctional or
reformatory  institution,  or   by   a   male  law
enforcement  officer,  under   the  provisions  of
sections 17a-75 to  17a-83,  inclusive, 17a-450 to
17a-484, inclusive, 17a-495 to 17a-528, inclusive,
17a-540 to 17a-550, inclusive, 17a-560 to 17a-576,
inclusive, and 17a-615  to 17a-618, inclusive, the
person so escorting her shall be accompanied by an
adult member of her family or at least one woman.
    Sec.  50.  Section   17a-517  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    If  any  person   in   the   custody   of  the
commissioner of correction  who  is  brought  to a
hospital pursuant to  the  provisions  of sections
17a-499, 17a-509, 17a-512  to  17a-517, inclusive,
17a-520 and 17a-521  is  a  desperate or dangerous
individual, such person  shall  be hospitalized in
the Whiting Forensic  Institute.  If  the  Whiting
Forensic Institute is  unable  to accommodate such
transfer, then such  person  shall  remain  in the
custody  of the  commissioner  at  a  correctional
institution, there confined under appropriate care
and supervision. Under  no  circumstances shall [a
mentally   ill]   AN   inmate   WITH   PSYCHIATRIC
DISABILITIES requiring maximum security conditions
be placed in  a  state  hospital for [the mentally
ill] PERSONS WITH  PSYCHIATRIC  DISABILITIES which
does not have the facilities and trained personnel
to provide appropriate  care  and  supervision for
such individuals.
    Sec.  51.  Section   17a-495  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    (a) For the  purposes  of  sections  17a-75 to
17a-83, inclusive, [17a-450 to 17a-484, inclusive,
17a-495 to 17a-528, inclusive, 17a-540 to 17a-550,
inclusive,  17a-560 to  17a-576,  inclusive,]  and
17a-615 to 17a-618, inclusive, the following terms
shall have the  following meanings: "Business day"
means Monday to  Friday,  inclusive, except when a
legal holiday falls on any such day; "hospital for
mental  illness"  means   any  public  or  private
hospital, retreat, institution,  house or place in
which  any mentally  ill  person  is  received  or
detained as a  patient,  but shall not include any
correctional institution of  this state; "mentally
ill person" means  any  person who has a mental or
emotional condition which  has substantial adverse
effects on his  or her ability to function and who
requires  care  and  treatment,  and  specifically
excludes  a person  who  is  an  alcohol-dependent
person or a  drug-dependent  person, as defined in
section  19a-126;  "patient"   means   any  person
detained and taken  care  of  as  a  mentally  ill
person; "keeper of  a hospital for mental illness"
means any person,  body  of persons or corporation
which   has   the    immediate    superintendence,
management and control  of  a  hospital for mental
illness  and  the   patients   therein;  "support"
includes all necessary food, clothing and medicine
and  all general  expenses  of  maintaining  state
institutions  for  the   mentally  ill;  "indigent
person"  means  any   person  who  has  an  estate
insufficient, in the  judgment  of  the  court  of
probate, to provide for his or her support and has
no person or  persons  legally liable who are able
to support him  or  her;  "dangerous to himself or
herself or others"  means  there  is a substantial
risk that physical  harm  will  be inflicted by an
individual upon his  or  her  own  person  or upon
another person, and  "gravely disabled" means that
a person, as  a  result  of  mental  or  emotional
impairment, is in  danger  of  serious  harm  as a
result of an  inability  or failure to provide for
his or her own basic human needs such as essential
food,  clothing,  shelter   or   safety  and  that
hospital treatment is  necessary and available and
that  such  person   is   mentally   incapable  of
determining  whether  or   not   to   accept  such
treatment because his  judgment is impaired by his
mental illness. "Respondent" means a person who is
alleged  to  be  mentally  ill  and  for  whom  an
application for commitment to a mental institution
has  been filed;  "voluntary  patient"  means  any
patient sixteen years  of age or older who applies
in writing to  and  is  admitted to a hospital for
mental illness as  a  mentally  ill  person or any
patient under sixteen years of age whose parent or
legal guardian applies in writing to such hospital
for  admission  of   such   patient;  "involuntary
patient" means any  patient  hospitalized pursuant
to an order  of a judge of the probate court after
an appropriate hearing  or  a patient hospitalized
for emergency diagnosis,  observation or treatment
upon certification of a qualified physician.
    (b) FOR THE  PURPOSES  OF  SECTIONS 17a-450 TO
17a-484, INCLUSIVE, 17a-495 TO 17a-528, INCLUSIVE,
17a-540  TO 17a-550,  INCLUSIVE,  AND  17a-560  TO
17a-576, INCLUSIVE, THE FOLLOWING TERMS SHALL HAVE
THE  FOLLOWING  MEANINGS:   "BUSINESS  DAY"  MEANS
MONDAY TO FRIDAY,  INCLUSIVE,  EXCEPT WHEN A LEGAL
HOLIDAY  FALLS ON  ANY  SUCH  DAY;  "HOSPITAL  FOR
PERSONS WITH PSYCHIATRIC  DISABILITIES"  MEANS ANY
PUBLIC OR PRIVATE  HOSPITAL, RETREAT, INSTITUTION,
HOUSE  OR  PLACE   IN   WHICH   ANY   PERSON  WITH
PSYCHIATRIC DISABILITIES IS  RECEIVED  OR DETAINED
AS  A  PATIENT,   BUT   SHALL   NOT   INCLUDE  ANY
CORRECTIONAL INSTITUTION OF  THIS STATE; "PATIENT"
MEANS ANY PERSON  DETAINED  AND TAKEN CARE OF AS A
PERSON WITH PSYCHIATRIC DISABILITIES; "KEEPER OF A
HOSPITAL    FOR    PERSONS     WITH    PSYCHIATRIC
DISABILITIES" MEANS ANY PERSON, BODY OF PERSONS OR
CORPORATION     WHICH    HAS     THE     IMMEDIATE
SUPERINTENDENCE,  MANAGEMENT  AND   CONTROL  OF  A
HOSPITAL FOR PERSONS WITH PSYCHIATRIC DISABILITIES
AND THE PATIENTS  THEREIN;  "SUPPORT" INCLUDES ALL
NECESSARY  FOOD, CLOTHING  AND  MEDICINE  AND  ALL
GENERAL EXPENSES OF MAINTAINING STATE INSTITUTIONS
FOR  THE PERSONS  WITH  PSYCHIATRIC  DISABILITIES;
"INDIGENT PERSON" MEANS  ANY  PERSON  WHO  HAS  AN
ESTATE INSUFFICIENT, IN  THE JUDGMENT OF THE COURT
OF PROBATE, TO  PROVIDE FOR HIS OR HER SUPPORT AND
HAS NO PERSON  OR  PERSONS  LEGALLY LIABLE WHO ARE
ABLE TO SUPPORT  HIM OR HER; "DANGEROUS TO HIMSELF
OR HERSELF OR OTHERS" MEANS THERE IS A SUBSTANTIAL
RISK THAT PHYSICAL  HARM  WILL  BE INFLICTED BY AN
INDIVIDUAL UPON HIS  OR  HER  OWN  PERSON  OR UPON
ANOTHER PERSON; "GRAVELY  DISABLED"  MEANS  THAT A
PERSON,  AS  A   RESULT  OF  MENTAL  OR  EMOTIONAL
IMPAIRMENT, IS IN  DANGER  OF  SERIOUS  HARM  AS A
RESULT OF AN  INABILITY  OR FAILURE TO PROVIDE FOR
HIS OR HER OWN BASIC HUMAN NEEDS SUCH AS ESSENTIAL
FOOD,  CLOTHING,  SHELTER   OR   SAFETY  AND  THAT
HOSPITAL TREATMENT IS  NECESSARY AND AVAILABLE AND
THAT  SUCH  PERSON   IS   MENTALLY   INCAPABLE  OF
DETERMINING  WHETHER  OR   NOT   TO   ACCEPT  SUCH
TREATMENT BECAUSE HIS  JUDGMENT IS IMPAIRED BY HIS
PSYCHIATRIC  DISABILITIES;  "RESPONDENT"  MEANS  A
PERSON  WHO  IS   ALLEGED   TO   HAVE  PSYCHIATRIC
DISABILITIES  AND  FOR  WHOM  AN  APPLICATION  FOR
COMMITMENT  TO AN  INSTITUTION  FOR  PERSONS  WITH
PSYCHIATRIC   DISABILITIES   HAS    BEEN    FILED;
"VOLUNTARY  PATIENT"  MEANS  ANY  PATIENT  SIXTEEN
YEARS OF AGE  OR  OLDER  WHO APPLIES IN WRITING TO
AND IS ADMITTED  TO  A  HOSPITAL  FOR PERSONS WITH
PSYCHIATRIC   DISABILITIES  AS   A   PERSON   WITH
PSYCHIATRIC  DISABILITIES  OR  ANY  PATIENT  UNDER
SIXTEEN  YEARS  OF   AGE  WHOSE  PARENT  OR  LEGAL
GUARDIAN APPLIES IN  WRITING  TO SUCH HOSPITAL FOR
ADMISSION  OF  SUCH   PATIENT;   AND  "INVOLUNTARY
PATIENT" MEANS ANY  PATIENT  HOSPITALIZED PURSUANT
TO AN ORDER  OF A JUDGE OF THE PROBATE COURT AFTER
AN APPROPRIATE HEARING  OR  A PATIENT HOSPITALIZED
FOR EMERGENCY DIAGNOSIS,  OBSERVATION OR TREATMENT
UPON CERTIFICATION OF A QUALIFIED PHYSICIAN.
    (c) FOR THE  PURPOSES  OF  SECTIONS 17a-495 TO
17a-528,  INCLUSIVE,  "PERSON   WITH   PSYCHIATRIC
DISABILITIES" MEANS ANY PERSON WHO HAS A MENTAL OR
EMOTIONAL CONDITION WHICH  HAS SUBSTANTIAL ADVERSE
EFFECTS ON HIS  OR HER ABILITY TO FUNCTION AND WHO
REQUIRES  CARE  AND  TREATMENT,  AND  SPECIFICALLY
EXCLUDES  A PERSON  WHO  IS  AN  ALCOHOL-DEPENDENT
PERSON OR A  DRUG-DEPENDENT  PERSON, AS DEFINED IN
SECTION 19a-126.
    (d) FOR THE  PURPOSES  OF  SECTIONS 17a-452 TO
17a-454, INCLUSIVE, 17a-456,  17a-458  TO 17a-464,
INCLUSIVE, 17a-466 TO 17a-469, INCLUSIVE, 17a-471,
17a-474, 17a-476 TO 17a-484, INCLUSIVE, 17a-540 TO
17a-550, INCLUSIVE, 17a-560 TO 17a-576, INCLUSIVE,
AND 17a-615 TO  17a-618,  INCLUSIVE,  "PERSON WITH
PSYCHIATRIC DISABILITIES" MEANS ANY PERSON WHO HAS
A  MENTAL  OR   EMOTIONAL   CONDITION   WHICH  HAS
SUBSTANTIAL ADVERSE EFFECTS  ON HIS OR HER ABILITY
TO FUNCTION AND  WHO  REQUIRES CARE AND TREATMENT,
AND  SPECIFICALLY INCLUDES  A  PERSON  WHO  IS  AN
ALCOHOL-DEPENDENT  PERSON  OR   A   DRUG-DEPENDENT
PERSON, AS DEFINED IN SECTION 19a-126.
    Sec.  52.  Section   17a-520  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    When any person  has been transferred from any
correctional institution to  a  state hospital for
[the  mentally  ill]   PERSONS   WITH  PSYCHIATRIC
DISABILITIES and is  confined  in such hospital at
the  time  of   the  expiration  of  the  term  of
imprisonment for which  he  was  committed and [is
then   mentally   ill]    THEN   HAS   PSYCHIATRIC
DISABILITIES, the superintendent  of such hospital
shall cause proceedings for the commitment of such
person to be  instituted  in  the court of probate
having  jurisdiction  in   the   town  where  such
hospital is located, unless such person is already
under  an  order  of  commitment  of  a  court  of
probate. The court  of  probate  shall appoint two
physicians  of  recognized   standing,   and  such
physicians shall fully  investigate  the  facts of
the  case  and   report  to  the  court.  If  such
physicians report that  such  person  [is mentally
ill] HAS PSYCHIATRIC DISABILITIES and the court so
finds, it may  order  such person detained in such
hospital until he  has  recovered  his sanity. Any
person  committed under  the  provisions  of  this
section may be  paroled  under  the  provisions of
section 17a-521 or  placed  in a licensed boarding
home  under the  provisions  of  section  17a-509.
During  the  pendency   of   any  application  for
commitment under the  provisions  of this section,
any person may  be  detained at any state hospital
for [the mentally  ill]  PERSONS  WITH PSYCHIATRIC
DISABILITIES for a  period  not  exceeding  thirty
days beyond the  expiration  of  his sentence. Any
person aggrieved by  any  order of a probate court
under the provisions hereof may within thirty days
appeal to the  superior  court  for  the  judicial
district having jurisdiction.
    Sec.  53.  Section   17a-474  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    Whenever any person  has been committed by any
court to any  state  hospital for [mental illness]
PERSONS  WITH PSYCHIATRIC  DISABILITIES  or  other
humane   institution,  the   mental   health   AND
ADDICTION  SERVICES  commissioner   [,]   OR   the
commissioner  of  children   and   families,   [or
commissioner  of  public   health   and  addiction
services,] as the  case  may  be,  or  any  person
interested  may,  at  any  time  thereafter,  make
application  to the  court  making  the  order  of
commitment for a  revocation  or  modification  of
such order or of the terms and conditions thereof.
Such court shall  thereupon  order  such notice of
the time and  place of hearing thereon as it deems
advisable,   shall   hear   and   determine   such
application and may  thereupon  revoke,  modify or
affirm such order,  and  the  action  of the court
thereon shall be  subject  to  appeal  as in other
cases. Any inmate  of a state institution for [the
mentally    ill,]   PERSONS    WITH    PSYCHIATRIC
DISABILITIES OR FOR epileptic or mentally retarded
may be transferred  to any other state institution
for [the mentally  ill,]  PERSONS WITH PSYCHIATRIC
DISABILITIES OR FOR epileptic or mentally retarded
by  order  of   the   court  making  the  original
commitment of such  inmate,  upon  application  in
writing by the  superintendent  of the institution
from which such transfer is to be made. Such court
shall transmit copies  of  such order forthwith to
the   mental   health   AND   ADDICTION   SERVICES
commissioner [,] OR  the  commissioner of children
and families, [or  commissioner  of  public health
and addiction services,]  as  the case may be, and
the institution from  which transfer is made shall
pay all costs  of  such  order  and transfer. Said
commissioner may at  any  time  cause an inmate of
one state hospital  for  [mental  illness] PERSONS
WITH PSYCHIATRIC DISABILITIES  to  be  removed  to
another  state  hospital   for   [mental  illness]
PERSONS  WITH  PSYCHIATRIC  DISABILITIES,  as  the
circumstances  or  necessities  of  the  case  may
require.
    Sec.  54.  Section   17a-472  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    Except as otherwise provided, the commissioner
of  mental health  AND  ADDICTION  SERVICES  shall
appoint and remove  (1)  the  superintendents  and
directors   of   state-operated   facilities   and
divisions constituting the  department  of  mental
health AND ADDICTION SERVICES AND (2) THE DIRECTOR
OF THE WHITING  FORENSIC  DIVISION  OF CONNECTICUT
VALLEY HOSPITAL, WHO  SHALL REPORT TO THE DIRECTOR
OF FORENSIC SERVICES  AND  SHALL  HAVE AS HIS SOLE
RESPONSIBILITY THE ADMINISTRATION  OF  THE WHITING
FORENSIC DIVISION. Each superintendent or director
shall be a  qualified  person  with  experience in
health, hospital or mental health administration.
    Sec.  55.  Section   17a-457  of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    (a) The Board  of  Mental Health AND ADDICTION
SERVICES shall meet  monthly with the commissioner
of mental health  AND ADDICTION SERVICES to review
with him and  advise him on programs, policies and
plans  of the  department  of  mental  health  AND
ADDICTION SERVICES.
    (b)  The  board   shall  advise  the  governor
concerning   candidates  for   the   position   of
commissioner  of  mental   health   AND  ADDICTION
SERVICES.
    (c) The board  may  issue  periodic reports to
the governor and the commissioner of mental health
AND ADDICTION SERVICES.
    (d) The board  shall  select  a  chairman  and
other  officers  from   its   membership  and  may
establish rules governing its internal procedures.
    (e) Members of the board may examine the files
and  records  of   the   central   office  of  the
department of mental health AND ADDICTION SERVICES
at  any  time  and,  upon  reasonable  notice,  of
state-operated  facilities for  the  treatment  of
[the mentally disordered] PERSONS WITH PSYCHIATRIC
DISABILITIES OR SUBSTANCE ABUSE DISABILITIES.
    (f) The board  shall  advise  and  assist  the
commissioner  of  mental   health   AND  ADDICTION
SERVICES  on  program  development  and  community
mental   health   OR    SUBSTANCE   ABUSE   center
construction planning.
    (g) The board is designated and shall serve as
the state advisory  council  to  consult  with the
state department of  mental  health  AND ADDICTION
SERVICES  in  administering   the  state's  mental
health [program] AND SUBSTANCE ABUSE PROGRAMS.
    (h) The board  may, from time to time, appoint
nonmembers  to  serve  on  such  ad  hoc  advisory
committees as it  deems  necessary  to assist with
its functions.
    Sec.  56.  Section   17b-28   of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    (a) There is established a council which shall
advise the commissioner  of social services on the
planning  and  implementation   of   a  system  of
Medicaid  managed  care  and  shall  monitor  such
planning and implementation  AND  SHALL ADVISE THE
WAIVER     APPLICATION    DEVELOPMENT     COUNCIL,
ESTABLISHED PURSUANT TO  SECTION 7 OF THIS ACT, ON
MATTERS INCLUDING, BUT NOT LIMITED TO, ELIGIBILITY
STANDARDS, BENEFITS, ACCESS AND QUALITY ASSURANCE.
The council shall  be composed of the chairmen and
ranking members of  the  joint standing committees
of  the  general  assembly  having  cognizance  of
matters  relating to  human  services  and  public
health, or their  designees;  TWO  MEMBERS  OF THE
GENERAL  ASSEMBLY, ONE  TO  BE  APPOINTED  BY  THE
PRESIDENT PRO TEMPORE  OF THE SENATE AND ONE TO BE
APPOINTED  BY  THE   SPEAKER   OF   THE  HOUSE  OF
REPRESENTATIVES; THE DIRECTOR OF THE COMMISSION ON
AGING,  OR  HIS  DESIGNEE;  the  director  of  the
Commission  on  Children,  or  his  designee;  two
community  providers  of   health   care,   to  be
appointed by the  president  pro  tempore  of  the
senate;  two  representatives   of  the  insurance
industry, to be  appointed  by  the speaker of the
house  of  representatives;   two   advocates  for
persons receiving Medicaid, one to be appointed by
the majority leader  of  the  senate and one to be
appointed by the  minority  leader  of the senate;
ONE  ADVOCATE FOR  PERSONS  WITH  SUBSTANCE  ABUSE
DISABILITIES,  TO BE  APPOINTED  BY  THE  MAJORITY
LEADER  OF  THE   HOUSE  OF  REPRESENTATIVES;  ONE
ADVOCATE    FOR    PERSONS     WITH    PSYCHIATRIC
DISABILITIES,  TO BE  APPOINTED  BY  THE  MINORITY
LEADER  OF  THE   HOUSE  OF  REPRESENTATIVES;  two
members of the public who are currently recipients
of Medicaid, one  to  be appointed by the majority
leader of the  house of representatives and one to
be appointed by  the  minority leader of the house
of  representatives; two  representatives  of  the
department of social  services, to be appointed by
the   commissioner   of   social   services;   two
representatives  of  the   department   of  public
health, [and addiction  services,] to be appointed
by  the  commissioner   of   public  health;  [and
addiction services;] two  representatives  of  the
department   of  mental   health   AND   ADDICTION
SERVICES, to be  appointed  by the commissioner of
mental  health  AND  ADDICTION  SERVICES  and  the
members of the  Health Care Access Board who shall
be ex-officio members  and  who  may not designate
persons to serve in their place. THE COUNCIL SHALL
CHOOSE A CHAIR  FROM  AMONG  ITS  MEMBERS, AND THE
STAFF OF THE PUBLIC HEALTH COMMITTEE SHALL PROVIDE
ADMINISTRATIVE SUPPORT TO  SUCH CHAIR. The council
shall convene its first meeting no later than June
1, 1994.
    (b)  The council  shall  make  recommendations
concerning (1) guaranteed  access to enrollees and
effective  outreach  and   client  education;  (2)
available services comparable  to those already in
the   Medicaid   state   plan,   including   those
guaranteed under the  federal  Early  and Periodic
Screening Diagnosis and Treatment Program; (3) the
sufficiency   of  provider   networks;   (4)   the
sufficiency of capitated  rates provider payments,
financing and staff  resources to guarantee timely
access to services;  (5)  participation in managed
care by existing community Medicaid providers; (6)
the   linguistic  and   cultural   competency   of
providers  and  other  program  facilitators;  (7)
quality  assurance;  (8)  timely,  accessible  and
effective   client   grievance   procedures;   (9)
coordination of the  Medicaid  managed  care  plan
with state and  federal  health care reforms; (10)
ELIGIBILITY LEVELS FOR  INCLUSION  IN THE PROGRAM;
(11)  COST  SHARING  PROVISIONS;  (12)  A  BENEFIT
PACKAGE; AND (13)  OTHER  ISSUES PERTAINING TO THE
DEVELOPMENT   OF   A    MEDICAID    RESEARCH   AND
DEMONSTRATION WAIVER UNDER  SECTION  1115  OF  THE
SOCIAL SECURITY ACT.
    (c) The commissioner  of social services shall
seek a federal  waiver  for  the  Medicaid managed
care plan. Implementation  of the Medicaid managed
care plan shall not occur before July 1, 1995.
    (d) On July  1,  1994, and monthly thereafter,
the commissioner of  social services shall provide
monthly reports on the plans and implementation of
the Medicaid managed care system to the council.
    (e)  On  October   1,   1994,   and  quarterly
thereafter,   the   council   shall   report   its
activities and progress to the general assembly.
    Sec. 57. Subdivision  (30)  of  subsection (a)
and subdivision (11)  of subsection (b) of section
2c-2b,  and  sections   17b-5,   19a-1b,   19a-2c,
19a-114,  19a-146,  19a-147,   19a-163,  19a-168k,
19a-169d,  19a-615  and  19a-617  of  the  general
statutes are repealed.
    Sec. 58. This  act  shall take effect from its
passage, except that  sections  1 to 5, inclusive,
and 7 to  57, inclusive, shall take effect July 1,
1995.

Approved June 12, 1995