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.

AMENDMENT

LCO No.: 9326

File Copy No.: 616

House Calendar No.: 404

OFA Fiscal Note

State Impact:

Agency Affected

Fund-Effect

University of Connecticut Health Center

See Below

Various State Agencies

GF - Savings

Municipal Impact: None

Explanation

This amendment 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. The amendment specifies UCHC shall seek federal funds for the academic detailing program and allows UCHC to seek private funding.

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.

The amendment further 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. As it is anticipated that UCHC would not implement the program unless sufficient federal and private funds were available, the bill does not result in a direct state cost.

The amendment also requires that the program 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.

The amendment also makes changes to requirements for Certificates of Need, amongst other provisions, which do not result in a fiscal impact.

The Out Years

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

Sources:

Public Hearing Testimony, April 2009 Revised Agency Implementation Plan