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.

As Amended by House "A" (LCO 9329), House "B" (LCO 9326), House "C" (LCO 9375)

House Calendar No. : 404

Senate Calendar No. : 739

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, 8, 12, 13, 19 and 22-24 make changes to law concerning the disposition, removal and transit of deceased persons as well as burial permits, cremation permits, copies of such permits and related records. They do 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. 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 and 11 create continuing education requirements for certain licensees and do not result in a fiscal impact.

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

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

Sec. 17 allows for the use of low-level light laser therapy by physical therapists 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. 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 changes certain vital record requirements and does not result in a fiscal impact.

Sec. 25-27 and 29-38 is related to emergency services and does not result in a fiscal impact.

Sec. 28 makes changes to the development of a prescription drug purchasing plan and does not result in a fiscal impact.

Sec. 39 and 40 make changes to requirements for crematoriums and does not result in a fiscal impact.

Not included in these sections, the bill requires the University of Connecticut Health Center (UCHC) to develop and implement a pharmaceutical academic detailing program. This program would utilize licensed physicians, pharmacists and other health care professionals to conduct in-person educational visits with prescribing practitioners. It specifies that UCHC shall seek federal funds for the academic detailing program, allows UCHC to seek private funding, and specifies that UCHC shall not implement the detailing program if the aggregate of the state, federal and private funds available are insufficient to pay for the start-up and ongoing costs of the program. Therefore, these provisions do not result in a direct state cost. It is anticipated that UCHC would require 5. 5 full time positions to establish and operate this program. Including start-up and administrative costs, the program is expected to cost approximately $500,000 in it first year of operation, with annualized ongoing costs of $1 million.

In addition, the program is required to specifically reach out to health care practitioners who are providers in the Department of Social Services medical programs, the Department of Corrections health services program and the state employees' health insurance plans. To the extent that the program leads to more cost efficient care in these programs, an indeterminate savings will result.

Other sections within the bill do not result in a fiscal impact.

House “A” and House “C” make changes to the underlying bill that do not result in a fiscal impact.

House “B” creates the requirements related to the UCHC.

Sources:

3/16/09 Public Hearing Testimony, April 2009 Revised Agency Implementation Plan

The preceding Fiscal Impact statement is prepared for the benefit of the members of the General Assembly, solely for the purposes of information, summarization and explanation and does not represent the intent of the General Assembly or either chamber thereof for any purpose. In general, fiscal impacts are based upon a variety of informational sources, including the analyst's professional knowledge. Whenever applicable, agency data is consulted as part of the analysis, however final products do not necessarily reflect an assessment from any specific department.