Public Health Committee

JOINT FAVORABLE REPORT

Bill No.:

HB-5537

Title:

AN ACT CONCERNING VARIOUS REVISIONS TO THE PUBLIC HEALTH STATUTES.

Vote Date:

3/21/2016

Vote Action:

Joint Favorable Substitute

PH Date:

3/7/2016

File No.:

SPONSORS OF BILL:

Public Health Committee

REASONS FOR BILL: Make revisions to various public health statues

RESPONSE FROM ADMINISTRATION/AGENCY:

Commisioner Raul Pino, M.D., M.P.H., Department of Public Health: Supports all sections of the bill. Sec. 1: corrects a typographical error.

Sec. 2: adds language to tattooing without a license.

Sec. 3: updates language that expanded the reporting of impaired health care practitioners. Sec. 4: provides continuity of care for patients who are admitted to a nursing home and receive treatment for an opioid addiction by allowing a treatment center to administer methadone.

Sec. 5: revises the definition of a residential care home, revises the definition of a mental health facility and adds nursing home facility to CGS Section 19a-490.

Sections 6 and 7 aligns the definitions of nursing home and residential care home with the definitions in 19a-490.

Sec. 8: expands MOLST pilot.

Sections 10-13 relate to public health and safety by enhancing infection control in dental settings.

Sec: 14 removes obsolete language regarding Masters Level Social Worker.

Sections 15-19 updates the names of certifying and accrediting bodies for midwifery education programs.

Sec. 20: corrects language in Public Act 15-242 pertaining to licensure of hairdressers, with out of state licenses.

Sec. 21 authorizes DPH to establish regulations regarding wells for semipublic use.

Sec. 22 adjusts statues to ensure couples cannot marry each other more than once.

Sec. 23 amends CGS sec. 19a-55.

Sec. 24: allows maintenance of medical records by a chronic disease of children's hospital in an offsite location.

Sec. 25: revises the regulations regarding the delivery of bodies to institutions of higher learning.

Sec. 26: allows a hospital to implement an order from a dietitian.

Sec. 27: allows a woman who has given birth to take possession of a placenta for personal use.

Sec. 28: defines a psychology technician and allows a licensed psychologist to utilize a technician.

Sec. 29: relates to the qualifying continuing medical education providers for physicians and their assistants.

Sec. 30: repeals outdated statues.

NATURE AND SOURCES OF SUPPORT:

The Connecticut Hospital Association (CHA): Supports specifically Sections 8, 25,26, and 27. Section 8: extends the Medical Orders for Life-Sustaining Treatment (MOLST) until Oct. 2017. Section 25: clarifies the timeline for a hospital to make arrangements for disposing of dead bodies that have not been claimed by family or friends. Section 26: removes legislation related to diet orders and clarifies that a physician can make a verbal diet order with the inclusion of a dietician if the physician later cosigns the order. Section 27: would authorize a hospital to honor a mothers request to take home a placenta for personal purposes. CHA is concerned with sections 5 and 24 of the bill. Section 5: redefines certain mental health facilities as adult facilities when in reality many of these facilities treat older teens. Section 24 seeks to clarify that chronic and children's hospitals are not required to have all records stored on site. CHA is concerned that the language here is too narrow and may conflict with other laws pertaining to record request.

Connecticut State Dental Association: Requests that there is a requirement of 1 hour of training or education in infection control in a dental setting, every 2 years for dentist and hygienists. The requirement that dental assistants pass Dental Assisting National Board (DANB) Infection Control Exam (ICE) is onerous and costly. The CSDA instead that an alternative path to DANB examination be offered.

Dr. Timothy Belliveau, Clinical Neuropsychologist: Supports section 28: that allows the use of psychology technicians. Request that the committee adopt safeguards that include “restriction of technicians to test administration and scoring activities under the supervision of a doctoral level, licensed psychologist, and exclusion of technicians from clinical interviews, selection of tests, interpretation of test results, or communication of results, diagnosis, or recommendations to patients or families..”

Mag Morelli, President Of Leadingage Connecticut: Specifically supports section 4: which pertains to nursing home residents in need of methadone treatments and section 5: which alters the definition of Residential Care Home.

Mary Moran Boudreau Executive Director, Connecticut Oral Health Initiative (COHI): Specifically supports sections 10-13 as they promote good infection control in the dentistry practice.

Mashantucket Pequot Tribal Council: request, that Sec. 22: be amended to clarify marriage validation and recognition on tribal lands.

NATURE AND SOURCES OF OPPOSITION: NONE

Reported by: Walter L. Morton IV

Date: 03/31/2016