Connecticut Seal

General Assembly



January Session, 2013

LCO No. 7261



Offered by:


REP. CARTER, 2nd Dist.


To: House Bill No. 5762

File No. 12

Cal. No. 37


After the last section, add the following and renumber sections and internal references accordingly:

"Sec. 501. (NEW) (Effective from passage) (a) The Commissioner of Public Health, within available appropriations, shall develop a chronic disease treatment and prevention plan in consultation with (1) representatives of hospitals, other health care facilities and local and regional health departments, (2) consumer representatives, and (3) patients with chronic conditions.

(b) The commissioner shall utilize existing programs funded by the Centers for Disease Control and Prevention in developing the chronic disease treatment and prevention plan. Said plan shall endeavor to (1) reduce the incidence of chronic disease, including, but not limited to, (A) chronic cardiovascular disease, (B) cancer, (C) stroke, (D) chronic obstructive pulmonary disease, (E) diabetes, (F) arthritis, and (G) chronic metabolic disease; (2) improve chronic care coordination in the state; and (3) reduce the incidence and effects of chronic disease at health care facilities.

(c) The commissioner shall, within available appropriations, submit a report on or before January fifteenth biannually, in accordance with the provisions of section 11-4a of the general statutes, to the Governor and the joint standing committee of the General Assembly having cognizance of matters relating to public health. The report shall include, but need not be limited to: (1) (A) A description of the chronic diseases that are most likely to cause a person's death or disability, (B) the approximate number of persons affected by such chronic diseases, and (C) an assessment of the financial effect of each such disease on the state and on hospitals and health care facilities; (2) a description and assessment of programs and actions that have been implemented by the Department of Public Health or hospitals and health care facilities to improve chronic care coordination and prevent disease; (3) the source and amounts of funding received by the department to treat persons with multiple chronic conditions and to treat or reduce the most prevalent chronic diseases in the state; (4) a description of chronic care coordination between the department and hospitals and health care facilities and among health care facilities to prevent and treat chronic disease; (5) detailed recommendations concerning actions to be taken by hospitals and health care facilities to reduce the effects of the most prevalent chronic diseases, including recommendations concerning: (A) Ways to reduce hospital readmission rates, (B) transitional care plans, and (C) comprehensive medication management as described by the national Patient-Centered Primary Care Collaborative to help patients with multiple chronic conditions achieve clinical and patient goals of therapy and improve clinical outcomes; (6) adoption of standards related to quality that are publicly reported, evidence-based measures endorsed through a multi stakeholder process such as the National Quality Forum; (7) patient self–management training; (8) identification of anticipated results from a hospital or health care facility's implementation of the recommendations described in subdivision (5) of this subsection; (9) identification of goals for coordinating care and reducing the incidence of multiple chronic conditions; and (10) an estimate of costs and other resources necessary to implement the recommendations described in subdivision (5) of this subsection.

(d) The commissioner shall, within available appropriations, post such reports on the Department of Public Health's Internet web site not later than thirty days after submitting each report. "

This act shall take effect as follows and shall amend the following sections:

Sec. 501

from passage

New section