Connecticut Seal

General Assembly

File No. 438

    February Session, 2018

Substitute House Bill No. 5415

House of Representatives, April 12, 2018

The Committee on Public Health reported through REP. STEINBERG of the 136th Dist., Chairperson of the Committee on the part of the House, that the substitute bill ought to pass.

AN ACT CONCERNING THE COLLECTION AND USAGE OF HEALTH EQUITY DATA.

Be it enacted by the Senate and House of Representatives in General Assembly convened:

Section 1. Section 17b-59a of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2018):

(a) As used in this section:

(1) "Electronic health information system" means an information processing system, involving both computer hardware and software that deals with the storage, retrieval, sharing and use of health care information, data and knowledge for communication and decision making, and includes: (A) An electronic health record that provides access in real time to a patient's complete medical record; (B) a personal health record through which an individual, and anyone authorized by such individual, can maintain and manage such individual's health information; (C) computerized order entry technology that permits a health care provider to order diagnostic and treatment services, including prescription drugs electronically; (D) electronic alerts and reminders to health care providers to improve compliance with best practices, promote regular screenings and other preventive practices, and facilitate diagnoses and treatments; (E) error notification procedures that generate a warning if an order is entered that is likely to lead to a significant adverse outcome for a patient; and (F) tools to allow for the collection, analysis and reporting of data on adverse events, near misses, the quality and efficiency of care, patient satisfaction and other healthcare-related performance measures.

(2) "Interoperability" means the ability of two or more systems or components to exchange information and to use the information that has been exchanged and includes: (A) The capacity to physically connect to a network for the purpose of exchanging data with other users; and (B) the capacity of a connected user to access, transmit, receive and exchange usable information with other users.

(3) "Standard electronic format" means a format using open electronic standards that: (A) Enable health information technology to be used for the collection of clinically specific data; (B) promote the interoperability of health care information across health care settings, including reporting to local, state and federal agencies; and (C) facilitate clinical decision support.

(4) "Health equity data" means demographic data, including, but not limited to, race, ethnicity, primary language, age, gender, socioeconomic position, sexual minority status, disability, homelessness or geographic data that can be used to consider health equity issues.

(b) The Commissioner of Social Services, in consultation with the Health Information Technology Officer, shall (1) develop, throughout the Departments of Developmental Services, Public Health, Correction, Children and Families, Veterans Affairs and Mental Health and Addiction Services, uniform management information, uniform statistical information, uniform terminology for similar facilities, uniform electronic health information technology standards and uniform regulations for the licensing of human services facilities, (2) plan for increased participation of the private sector in the delivery of human services, (3) provide direction and coordination to federally funded programs in the human services agencies and recommend uniform system improvements and reallocation of physical resources and designation of a single responsibility across human services agencies lines to eliminate duplication.

(c) The Health Information Technology Officer, designated in accordance with section 19a-755, shall, in consultation with the Commissioner of Social Services and the Health Information Technology Advisory Council, established pursuant to section 17b-59f, implement and periodically revise the state-wide health information technology plan established pursuant to this section and shall establish electronic data standards to facilitate the development of integrated electronic health information systems for use by health care providers and institutions that receive state funding. Such electronic data standards shall: (1) Include provisions relating to security, privacy, data content, structures and format, vocabulary and transmission protocols; (2) limit the use and dissemination of an individual's Social Security number and require the encryption of any Social Security number provided by an individual; (3) require privacy standards no less stringent than the "Standards for Privacy of Individually Identifiable Health Information" established under the Health Insurance Portability and Accountability Act of 1996, P.L. 104-191, as amended from time to time, and contained in 45 CFR 160, 164; (4) require that individually identifiable health information be secure and that access to such information be traceable by an electronic audit trail; (5) be compatible with any national data standards in order to allow for interstate interoperability; (6) permit the collection of health information in a standard electronic format; and (7) be compatible with the requirements for an electronic health information system.

(d) The Health Information Technology Officer shall, within existing resources and in consultation with the State Health Information Technology Advisory Council: (1) Oversee the development and implementation of the State-wide Health Information Exchange in conformance with section 17b-59d; (2) coordinate the state's health information technology and health information exchange efforts to ensure consistent and collaborative cross-agency planning and implementation; and (3) serve as the state liaison to, and work collaboratively with, the State-wide Health Information Exchange established pursuant to section 17b-59d to ensure consistency between the state-wide health information technology plan and the State-wide Health Information Exchange and to support the state's health information technology and exchange goals.

(e) The state-wide health information technology plan, implemented and periodically revised pursuant to subsection (c) of this section, shall (1) enhance interoperability to support optimal health outcomes and include, but not be limited to [(1)] (A) general standards and protocols for health information exchange, and [(2)] (B) national data standards to support secure data exchange data standards to facilitate the development of a state-wide, integrated electronic health information system for use by health care providers and institutions that are licensed by the state. Such electronic data standards shall [(A)] (i) include provisions relating to security, privacy, data content, structures and format, vocabulary and transmission protocols, [(B)] (ii) be compatible with any national data standards in order to allow for interstate interoperability, [(C)] (iii) permit the collection of health information in a standard electronic format, and [(D)] (iv) be compatible with the requirements for an electronic health information system; and (2) enhance the ability to collect and utilize health equity data to improve health outcomes and include, but not be limited to, general standards with respect to collection, storage and usage of health equity data. Such standards shall (A) include provisions relating to security, privacy, data content, structures and format and vocabulary, (B) be compatible with any national data standards in order to allow for interstate interoperability, (C) permit the collection of health equity data in a standard electronic format, and (D) be compatible with the requirements for an electronic health information system.

(f) Not later than February 1, 2017, and annually thereafter, the Health Information Technology Officer, in consultation with the State Health Information Technology Advisory Council, shall report in accordance with the provisions of section 11-4a to the joint standing committees of the General Assembly having cognizance of matters relating to human services and public health concerning: (1) The development and implementation of the state-wide health information technology plan and data standards, established and implemented by the Health Information Technology Officer pursuant to this section; (2) the establishment of the State-wide Health Information Exchange; and (3) recommendations for policy, regulatory and legislative changes and other initiatives to promote the state's health information technology and exchange goals.

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

Section 1

July 1, 2018

17b-59a

PH

Joint Favorable Subst.

 

The following Fiscal Impact Statement and Bill Analysis are prepared for the benefit of the members of the General Assembly, solely for purposes of information, summarization and explanation and do 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.


OFA Fiscal Note

State Impact: None

Municipal Impact: None

Explanation

This bill, which expands State-Wide Health Information Technology Plan requirements, does not result in a fiscal impact to the state or municipalities. The Office of Health Strategy has the necessary expertise to accommodate this expansion.

The Out Years

State Impact: None

Municipal Impact: None

OLR Bill Analysis

sHB 5415

AN ACT CONCERNING THE COLLECTION AND USAGE OF HEALTH EQUITY DATA.

SUMMARY

This bill requires the statewide health information technology plan to (1) enhance the ability to collect and use health equity data to improve health outcomes and (2) include general standards on collecting, storing, and using such data. Under the bill, “health equity data” is demographic data, including race, ethnicity, primary language, age, gender, socioeconomic position, sexual minority status, disability, homelessness, or geographic data, that can be used to consider health equity issues.

The bill requires the data standards to:

Under existing law, the state's health information technology officer must implement and periodically revise the statewide health information technology plan. He must do so in consultation with the social services commissioner and the Health Information Technology Advisory Council.

Existing law also requires the officer, in consultation with the council, to annually report to the Human Services and Public Health committees on the development and implementation of the statewide health information technology plan and related data standards.

EFFECTIVE DATE: July 1, 2018

COMMITTEE ACTION

Public Health Committee

Joint Favorable Substitute

Yea

17

Nay

9

(03/26/2018)

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