OFFICE OF FISCAL ANALYSIS

Legislative Office Building, Room 5200

Hartford, CT 06106 (860) 240-0200

http: //www. cga. ct. gov/ofa

sHB-6678

AN ACT CONCERNING REVISIONS TO DEPARTMENT OF PUBLIC HEALTH LICENSING STATUTES.

OFA Fiscal Note

State Impact:

Agency Affected

Fund-Effect

FY 10 $

FY 11 $

Public Health, Dept.

GF - Potential Revenue Gain

See Below

See Below

Note: GF=General Fund

Municipal Impact: None

Explanation

This bill makes various changes, which have fiscal impacts as follows:

Sec. 1 changes certain requirements for transporting of bodies and entombment in a crypt or mausoleum and does not result in a fiscal impact.

Sec. 2 and 3 expand DPH's ability to take disciplinary action against certain license and permit holders. Any increase in associated workload can be accommodated within normally budgeted resources.

Sec. 4 expands the definition of ''public health facility" related to the provision of dental services, increasing DPH's ability to take disciplinary action against dental service providers. Any increase in associated workload can be accommodated within normally budgeted resources.

Sec. 5 and 6 reduce the allowed number of persons at a mass gathering and the length of time of such gatherings, and do not result in a fiscal impact.

Sec. 7 makes changes to Connecticut Tumor Registry related statutes, including allowing DPH to collect civil penalties from hospitals and other health care providers that fail to comply with the provisions of those statutes, resulting in a potential minimal revenue gain to the General Fund to the extent that these penalties will be assessed and collected by the agency.

Sec. 8, 12, 22, and 23 make changes to law concerning removal, transit and burial permits, cremation permits, and copies of such permits, and do not result in a fiscal impact.

Sec. 9 modifies the mission of the Commission on Health Equity to include the elimination of disparities in health status based on gender, and does not result in a fiscal impact.

Sec. 10 creates continuing education requirements for persons holding a license to practice dentistry, optometry, midwifery or dental hygiene. Sec. 11 makes these requirements applicable to licensed veterinarians. Both sections do not result in a fiscal impact.

Sec. 13 changes the length of time records need to be maintained by funeral service businesses and does not result in a fiscal impact.

Sec. 14 changes nursing home inspection requirements and does not result in a fiscal impact.

Sec. 15 requires the Department of Higher Education to obtain certification from DPH regarding educational programs related to health care professions. Any increase in associated workload can be accommodated within the agencies' normally budgeted resources.

Sec. 16 expands continuing medical education for physicians to include cultural competency and does not result in a fiscal impact.

Sec. 17 allows higher education institutions operating a program in mortuary science to install working preparation embalming rooms and does not result in a fiscal impact.

Sec. 18 expands fines for sextons that fail to comply with reporting requirements beyond the current requirements under 7-72 of the general statutes, resulting in a potential minimal revenue gain to the General Fund to the extent that these fines will be assessed and collected.

Sec. 19 makes changes to disinterment permit requirements and does not result in a fiscal impact.

Sec. 20 allows DPH, in concurrence with the Commissioners of Consumer Protection and Environmental Protection, to issue variances to the regulations of Connecticut state agencies to an institution of higher education related to the location of geothermal wells. Any increase in associated workload from this section of the bill can be accommodated within the agencies' normally budgeted resources.

Sec. 21 requires health care service providers treating pregnant women to provide information on umbilical cord blood options and does not result in a fiscal impact.

Sec. 22 removes Sec. 7-71 ("Report of name of sexton") of the general statutes as an item for consumer complaint and does not result in a fiscal impact.

Sec. 25 repeals Sec. 10-292p of the general statutes, which requires that any school-based health clinic (SBHC) located in or attached to a school building constructed on or after July 1, 2009, that shares a first floor exterior wall with the school building, must include an entrance that is separate from the entrance to the school building. This may reduce local costs in instances in which new SBHCs are placed in existing buildings. Since the state does not routinely provide financial support for SBHC related capital costs, no state fiscal impact is anticipated.

Sec. 26 repeals Sec. 7-68 and 7-72 of the general statutes. Sec. 7-68 of the general statutes concerns issuance of disinterment or removal permits and the repeal of this statute does not result in a fiscal impact. Sec. 7-72 is related to sextons fines and does not result in a fiscal impact due to Sec. 18 of the bill, which expands the fines under this statute.

The Out Years

The annualized ongoing fiscal impact identified above would continue into the future subject to inflation.

Sources:

3/16/09 Public Hearing Testimony