History: Sec. 19-33 transferred to Sec. 19-577 in 1977; P.A. 77-601 added exception re continued operation of certain
facilities in operation as of January 1, 1979; P.A. 77-614 replaced department of health with department of health services,
effective January 1, 1979; P.A. 79-610 added Subsec. (b) re validity of certain licenses issued before October 1, 1979;
P.A. 80-127 added Subsec. (c) re certificate of compliance with public health code; Sec. 19-577 transferred to Sec. 19a-491 in 1983; P.A. 84-546 made technical change to Subsec. (a), deleting obsolete provision re home health care agency,
homemaker-home health aide agency or coordination, assessment and monitoring agency in operation on January 1, 1979;
P.A. 85-588 added Subsec. (d) to include in the definition of "institution" any person or agency who advertises, arranges
or provides homemaker-home health aides or services in a patient's home; P.A. 89-350 added the language on consent
orders, deleted former Subsec. (b) re period of validity for licenses and renewal and relettered the remaining Subsecs. and
changed "annually" to "biennially" in Subsec. (b); May Sp. Sess. P.A. 92-6 added new Subsec. (d) to establish fees for
biennial licensing and inspection of chronic and convalescent nursing homes, rest homes with nursing supervision, homes
for the aged, ambulatory facilities, mental health residential facilities, hospitals, nonstate agency educational facilities and
for technical assistance for design, review and development; P.A. 93-74 amended Subsec. (d) by exempting municipal
health departments, health districts or licensed nursing or community health and well-child clinics from the biennial
licensing and inspection fees, by reducing educational institution infirmary fee from five hundred to seventy-five dollars
and by instituting a per-bed charge of twenty-five dollars, effective July 1, 1993; P.A. 93-201 amended Subdiv. (13) of
Subsec. (d) to add "infirmary", effective July 1, 1993; P.A. 93-381 replaced department and commissioner of health services
with department and commissioner of public health and addiction services, effective July 1, 1993; P.A. 93-415 added
Subsec. (e) authorizing commissioner to develop minimum service quality standards; P.A. 94-196 amended Subsec. (a) to
authorize issuance of more than one chronic disease hospital license to a single institution until the state offers a rehabilitation
hospital license, effective June 9, 1994 (Revisor's note: In 1995 the words "said chapter and sections" were replaced
editorially by the Revisors with "this chapter"); P.A. 95-160 amended Subsec. (e) by deleting a reference to coordination,
assessment and monitoring agencies and made a technical change, effective July 1, 1995; P.A. 95-257 replaced Commissioner and Department of Public Health and Addiction Services with Commissioner and Department of Public Health,
effective July 1, 1995; P.A. 96-139 changed effective date of P.A. 95-160 but without affecting this section; P.A. 97-112
replaced "homes for the aged" with "residential care homes"; P.A. 97-297 amended Subsec. (e) to add provision re training
of homemaker-home health care aides by continuing education; June 30 Sp. Sess. P.A. 03-3 amended Subsec. (b) by
requiring submittal of a lease agreement and deleting provisions re biennial issuance of certificate of compliance with
Public Health Code, deleted former Subsec. (c) defining "institution", redesignating existing Subsec. (d) as new Subsec.
(c) and adding licensing and inspection requirement for outpatient dialysis units and outpatient surgical facilities, deleting
references to residential care homes and ambulatory facilities and deleting provision re technical assistance fee, added
new Subsec. (d) to change license renewal for residential care homes from biennially to triennially and to increase fees
from three hundred dollars per site and three dollars per bed to four hundred fifty dollars per site and four dollars and fifty
cents per bed, added new Subsec. (e) to require license renewal and inspection with fees every four years for outpatient
clinics and maternity homes, added new Subsec. (f) re technical assistance fee, redesignated existing Subsec. (e) as new
Subsec. (g) and made technical changes, effective January 1, 2004; P.A. 05-64 amended Subsec. (g) by designating existing
language re regulations allowing for training as Subdiv. (1), making technical changes and adding new Subdivs. (1) and
(2) re additional requirements for regulations establishing minimum service quality standards, effective June 2, 2005.
Sec. 19a-493. (Formerly Sec. 19-578). Issuance and renewal of license. Provisional license. Scheduled and unscheduled inspections. Annual report. Change of
ownership. (a) Upon receipt of an application for an initial license, the Department of
Public Health, subject to the provisions of section 19a-491a, shall issue such license if,
upon conducting a scheduled inspection and investigation, it finds that the applicant
and facilities meet the requirements established under section 19a-495, provided a license shall be issued to or renewed for an institution, as defined in subsection (d), (e)
or (f) of section 19a-490, only if such institution is not otherwise required to be licensed
by the state. Upon receipt of an application for an initial license to establish, conduct,
operate or maintain an institution, as defined in subsection (d), (e) or (f) of section 19a-490, and prior to the issuance of such license, the commissioner may issue a provisional
license for a term not to exceed twelve months upon such terms and conditions as the
commissioner may require. If an institution, as defined in subsections (b), (c), (d), (e)
and (f) of section 19a-490, applies for license renewal and has been certified as a provider
of services by the United States Department of Health and Human Resources under
Medicare or Medicaid programs within the immediately preceding twelve-month period, or if an institution, as defined in subsection (b) of section 19a-490, is currently
certified, the commissioner or the commissioner's designee may waive the inspection
and investigation of such facility required by this section and, in such event, any such
facility shall be deemed to have satisfied the requirements of section 19a-495 for the
purposes of licensure. Such license shall be valid for two years or a fraction thereof and
shall terminate on March thirty-first, June thirtieth, September thirtieth or December
thirty-first of the appropriate year. A license issued pursuant to this chapter, other than
a provisional license or a nursing home license, unless sooner suspended or revoked,
shall be renewable biennially after an unscheduled inspection is conducted by the department, and upon the filing by the licensee, and approval by the department, of a report
upon such date and containing such information in such form as the department prescribes and satisfactory evidence of continuing compliance with requirements, and in
the case of an institution, as defined in subsection (d), (e) or (f) of section 19a-490, after
inspection of such institution by the department. Each license shall be issued only for
the premises and persons named in the application and shall not be transferable or assignable. Licenses shall be posted in a conspicuous place in the licensed premises.
(b) (1) A nursing home license may be renewed biennially after (A) an unscheduled
inspection conducted by the department, (B) submission of the information required by
subsections (a) and (c) of section 19a-491a and any other information required by the
commissioner pursuant to subsection (b) of said section, and (C) submission of evidence
satisfactory to the department that the nursing home is in compliance with the provisions
of this chapter, the Public Health Code and licensing regulations.
(2) Any change in the ownership of a facility or institution, as defined in subsection
(c) of section 19a-490, owned by an individual, partnership or association or the change
in ownership or beneficial ownership of ten per cent or more of the stock of a corporation
which owns, conducts, operates or maintains such facility or institution, shall be subject
to prior approval of the department after a scheduled inspection of such facility or institution is conducted by the department, provided such approval shall be conditioned upon
a showing by such facility or institution to the commissioner that it has complied with
all requirements of this chapter, the regulations relating to licensure and all applicable
requirements of the Public Health Code. Any such change in ownership or beneficial
ownership resulting in a transfer to a person related by blood or marriage to such an
owner or beneficial owner shall not be subject to prior approval of the department unless:
(A) Ownership or beneficial ownership of ten per cent or more of the stock of a corporation, partnership or association which owns, conducts, operates or maintains more than
one facility or institution is transferred; (B) ownership or beneficial ownership is transferred in more than one facility or institution; or (C) the facility or institution is the subject
of a pending complaint, investigation or licensure action. If the facility or institution is
not in compliance, the commissioner may require the new owner to sign a consent order
providing reasonable assurances that the violations shall be corrected within a specified
period of time. Notice of any such proposed change of ownership shall be given to the
department at least ninety days prior to the effective date of such proposed change. For
the purposes of this subdivision, "a person related by blood or marriage" means a parent,
spouse, child, brother, sister, aunt, uncle, niece or nephew. For the purposes of this
subdivision, a change in the legal form of the ownership entity, including, but not limited
to, changes from a corporation to a limited liability company, a partnership to a limited
liability partnership, a sole proprietorship to a corporation and similar changes, shall
not be considered a change of ownership if the beneficial ownership remains unchanged
and the owner provides such information regarding the change to the department as may
be required by the department in order to properly identify the current status of ownership
and beneficial ownership of the facility or institution. For the purposes of this subdivision, a public offering of the stock of any corporation that owns, conducts, operates or
maintains any such facility or institution shall not be considered a change in ownership
or beneficial ownership of such facility or institution if the licensee and the officers and
directors of such corporation remain unchanged, such public offering cannot result in
an individual or entity owning ten per cent or more of the stock of such corporation,
and the owner provides such information to the department as may be required by the
department in order to properly identify the current status of ownership and beneficial
ownership of the facility or institution.
(1953, 1955, S. 2053d; P.A. 77-304, S. 4; 77-601, S. 3, 11; 77-614, S. 323, 587, 610; P.A. 78-303, S. 85, 136; P.A. 79-46, S. 2, 3; P.A. 80-17; 80-199; P.A. 81-135; 81-201, S. 1; P.A. 84-546, S. 168, 173; P.A. 85-146, S. 2, 4; P.A. 89-350, S.
7; P.A. 90-13, S. 7; June Sp. Sess. P.A. 91-8, S. 28, 63; P.A. 93-381, S. 9, 39; P.A. 95-257, S. 12, 21, 58; June Sp. Sess.
P.A. 99-2, S. 15, 72; P.A. 00-10; P.A. 05-272, S. 6.)
History: Sec. 19-34 transferred to Sec. 19-578 in 1977; P.A. 77-304 added provisions re report of portions of federal
income tax information as condition for license renewal and re notice and approval of proposed changes in ownership;
P.A. 77-601 added provisions re approval and inspection of institutions required for issuance and renewal, respectively,
of licenses; P.A. 77-614 and P.A. 78-303 replaced commissioner and department of health commissioner and department
of health services, effective January 1, 1979; P.A. 79-46 rephrased proviso re license issuance or renewal and allowed
issuance or renewal only if institution not otherwise required to be licensed by state; P.A. 80-17 allowed waiver of inspection
and investigation if currently certified as provider of services by U.S. Department of Health and Human Resources or
certified within last twelve months; P.A. 80-199 rephrased provision re prior approval of change in ownership; P.A. 81-135 specified that inspections conducted by the department of health services prior to the initial licensure of a facility or
prior to the transfer of ownership of a nursing home shall be "scheduled" inspections and that inspections conducted for
purposes of license renewal shall be "unscheduled"; P.A. 81-201 replaced requirement that a nursing home owner submit
pertinent portions of his personal Federal Income Tax for purposes of annual license renewal with authorization for the
department of health services to require the submission of "information related to the character and financial condition"
of the owner; Sec. 19-578 transferred to Sec. 19a-493 in 1983; P.A. 84-546 made technical changes; P.A. 85-146 authorized
the issuance of provisional licenses; P.A. 89-350 divided the existing section into Subsecs. (a) and (b), provided for biennial
licensure, added the language in Subsec. (b) on requirements for the renewal of a nursing home license and on consent
orders and made technical changes; P.A. 90-13 made technical change in Subsec. (a); June Sp. Sess. P.A. 91-8 amended
Subsec. (b) to specify when changes re transfer or change of ownership to relatives are not subject to department approval
and defined "a person related by blood or marriage"; P.A. 93-381 replaced department of health services with department
of public health and addiction services, effective July 1, 1993; P.A. 95-257 replaced Commissioner and Department of
Public Health and Addiction Services with Commissioner and Department of Public Health, effective July 1, 1995; June
Sp. Sess. P.A. 99-2 amended Subsec. (b) by expanding definition of "a person related by blood or marriage" to include a
"brother, sister, aunt, uncle, niece or nephew" and by adding provision re change in legal form of ownership entity, effective
June 29, 1999; P.A. 00-10 made technical changes and added provisions re a public offering of stock that shall not be
considered a change in ownership or beneficial ownership; P.A. 05-272 amended Subsec. (a) to remove "without charge"
re biennial renewal of certain health care institution licenses.
Sec. 19a-493b. Definition of outpatient surgical facility. Licensure and exceptions. Compliance with certificate of need requirements. Dental clinics not subject
to section. Waiver of certain licensure regulation requirements. (a) As used in this
section and subsection (a) of section 19a-490, "outpatient surgical facility" means any
entity, individual, firm, partnership, corporation, limited liability company or association, other than a hospital, engaged in providing surgical services or diagnostic procedures for human health conditions that include the use of moderate or deep sedation,
moderate or deep analgesia or general anesthesia, as such levels of anesthesia are defined
from time to time by the American Society of Anesthesiologists, or by such other professional or accrediting entity recognized by the Department of Public Health. An outpatient
surgical facility shall not include a medical office owned and operated exclusively by
a person or persons licensed pursuant to section 20-13, provided such medical office:
(1) Has no operating room or designated surgical area; (2) bills no facility fees to third
party payers; (3) administers no deep sedation or general anesthesia; (4) performs only
minor surgical procedures incidental to the work performed in said medical office of
the physician or physicians that own and operate such medical office; and (5) uses only
light or moderate sedation or analgesia in connection with such incidental minor surgical
procedures. Nothing in this subsection shall be construed to affect any obligation to
comply with the provisions of section 19a-691.
(b) No entity, individual, firm, partnership, corporation, limited liability company
or association, other than a hospital, shall individually or jointly establish or operate an
outpatient surgical facility in this state without complying with chapter 368z, except as
otherwise provided by this section, and obtaining a license within the time specified in
this subsection from the Department of Public Health for such facility pursuant to the
provisions of this chapter, unless such entity, individual, firm, partnership, corporation,
limited liability company or association: (1) Provides to the Office of Health Care Access
satisfactory evidence that it was in operation on or before July 1, 2003, or (2) obtained,
on or before July 1, 2003, from the Office of Health Care Access, a determination that
a certificate of need is not required. An entity, individual, firm, partnership, corporation,
limited liability company or association otherwise in compliance with this section may
operate an outpatient surgical facility without a license through March 30, 2007, and
shall have until March 30, 2007, to obtain a license from the Department of Public
Health.
(c) Notwithstanding the provisions of this section, no outpatient surgical facility
shall be required to comply with section 19a-631, 19a-632, 19a-637a, 19a-644, 19a-645, 19a-646, 19a-648, 19a-649, 19a-650, 19a-652, or 19a-654 to 19a-683, inclusive.
Each outpatient surgical facility shall continue to be subject to the obligations and requirements applicable to such facility, including, but not limited to, any applicable provision of this chapter and those provisions of chapter 368z not specified in this subsection,
except that a request for permission to undertake a transfer or change of ownership or
control shall not be required pursuant to subsection (a) of section 19a-638 if the Office
of Health Care Access determines that the following conditions are satisfied: (1) Prior
to any such transfer or change of ownership or control, the outpatient surgical facility
shall be owned and controlled exclusively by persons licensed pursuant to section 20-13, either directly or through a limited liability company, formed pursuant to chapter 613,
a corporation, formed pursuant to chapters 601 and 602, or a limited liability partnership,
formed pursuant to chapter 614, that is exclusively owned by persons licensed pursuant
to section 20-13, or is under the interim control of an estate executor or conservator
pending transfer of an ownership interest or control to a person licensed under section
20-13, and (2) after any such transfer or change of ownership or control, persons licensed
pursuant to section 20-13, a limited liability company, formed pursuant to chapter 613,
a corporation, formed pursuant to chapters 601 and 602, or a limited liability partnership,
formed pursuant to chapter 614, that is exclusively owned by persons licensed pursuant
to section 20-13, shall own and control no less than a sixty per cent interest in the
outpatient surgical facility.
(d) The provisions of this section shall not apply to persons licensed to practice
dentistry or dental medicine pursuant to chapter 379 or to outpatient clinics licensed
pursuant to this chapter.
(e) Any outpatient surgical facility that is accredited as provided in section 19a-691
shall continue to be subject to the requirements of section 19a-691.
(f) The Commissioner of Public Health may provide a waiver for outpatient surgical
facilities from the physical plant and staffing requirements of the licensing regulations
adopted pursuant to this chapter, provided no waiver may be granted unless the health,
safety and welfare of patients is ensured.
(P.A. 03-274, S. 1; P.A. 04-249, S. 1; P.A. 05-3, S. 1; 05-151, S. 2.)
History: P.A. 03-274 effective July 1, 2003; P.A. 04-249 amended Subsec. (a) by adding provision of diagnostic
procedures to definition and including list of facilities not included in definition, amended Subsec. (b) by deleting provisions
re exception for outpatient surgical facilities under development, deleting moratorium on new facilities and making technical and conforming changes, deleted former Subsec. (c) re determination of commencement of development, redesignated
existing Subsecs. (d) to (f) and (h) as new Subsecs. (c) to (e) and (f), respectively, amended new Subsec. (c) by listing
sections from which facilities are exempt, providing factors under which request for permission to change control or
ownership of facility not required and imposing limitations on ownership and control of facilities, and deleted former
Subsec. (g) re rights and obligations of such facilities, effective July 1, 2004; P.A. 05-3 amended Subsec. (b) by changing
"and" to "or" re conditions to be met in order for a facility to operate without a license until March 30, 2007, effective
April 1, 2005; P.A. 05-151 amended Subsec. (c) by removing reference to repealed Sec. 19a-617a.
Sec. 19a-497. Filing of strike contingency plan. Summary order. Civil penalty:
Notification and hearing requirement. Regulations. Collective bargaining implications. (a) Each institution shall, upon receipt of a notice of intention to strike by a labor
organization representing the employees of such institution, in accordance with the
provisions of the National Labor Relations Act, 29 USC 158, file a strike contingency
plan with the commissioner not later than five days before the date indicated for the
strike.
(b) The commissioner may issue a summary order to any nursing home facility, as
defined in section 19a-521, that fails to file a strike contingency plan that complies with
the provisions of this section and the regulations adopted by the commissioner pursuant
to this section within the specified time period. Such order shall require the nursing home
facility to immediately file a strike contingency plan that complies with the provisions of
this section and the regulations adopted by the commissioner pursuant to this section.
(c) Any nursing home facility that is in noncompliance with this section shall be
subject to a civil penalty of not more than ten thousand dollars for each day of noncompliance.
(d) (1) If the commissioner determines that a nursing home facility is in noncompliance with this section or the regulations adopted pursuant to this section, for which a
civil penalty is authorized by subsection (c) of this section, the commissioner may send
to an authorized officer or agent of the nursing home facility, by certified mail, return
receipt requested, or personally serve upon such officer or agent, a notice that includes:
(1) A reference to this section or the section or sections of the regulations involved; (2)
a short and plain statement of the matters asserted or charged; (3) a statement of the
maximum civil penalty that may be imposed for such noncompliance; and (4) a statement
of the party's right to request a hearing to contest the imposition of the civil penalty.
(2) A nursing home facility may make written application for a hearing to contest
the imposition of a civil penalty pursuant to this section not later than twenty days after
the date such notice is mailed or served. All hearings under this section shall be conducted
in accordance with the provisions of chapter 54. If a nursing home facility fails to request
a hearing or fails to appear at the hearing or if, after the hearing, the commissioner
finds that the nursing home facility is in noncompliance, the commissioner may, in the
commissioner's discretion, order that a civil penalty be imposed that is not greater than
the penalty stated in the notice. The commissioner shall send a copy of any order issued
pursuant to this subsection by certified mail, return receipt requested, to the nursing
home facility named in such order.
(e) The commissioner shall adopt regulations, in accordance with the provisions of
chapter 54: (1) Establishing requirements for a strike contingency plan, which shall
include, but not be limited to, a requirement that the plan contain documentation that
the institution has arranged for adequate staffing and security, food, pharmaceuticals
and other essential supplies and services necessary to meet the needs of the patient
population served by the institution in the event of a strike; and (2) for purposes of the
imposition of a civil penalty upon a nursing home facility pursuant to subsections (c)
and (d) of this section.
(f) Such plan shall be deemed a statement of strategy or negotiation with respect to
collective bargaining for the purpose of subdivision (9) of subsection (b) of section
1-210.
(P.A. 81-201, S. 3; P.A. 93-381, S. 9, 39; P.A. 95-257, S. 12, 21, 58; P.A. 01-195, S. 153, 181; P.A. 05-172, S. 1.)
History: P.A. 93-381 replaced commissioner of health services with commissioner of public health and addiction
services, effective July 1, 1993; P.A. 95-257 replaced Commissioner and Department of Public Health and Addiction
Services with Commissioner and Department of Public Health, effective July 1, 1995; P.A. 01-195 substituted "institution"
for "facility" and made other technical changes, effective July 11, 2001; P.A. 05-172 designated existing language re filing
of strike contingency plan as Subsec. (a), deleted former provision re regulations and established five-day pre-strike deadline
for filing plan, added Subsec. (b) authorizing commissioner to issue summary orders to noncomplying nursing home
facilities, added Subsec. (c) subjecting noncomplying nursing home facilities to civil penalty, added Subsec. (d) establishing
notification and hearing requirements for imposition of civil penalty, added Subsec. (e) requiring commissioner to adopt
regulations establishing requirements for strike contingency plans and for imposition of civil penalty, and designated
existing language deeming strike contingency plan a statement of strategy or negotiation with respect to collective bargaining as Subsec. (f).
Sec. 19a-509a. Audits of hospital bills. Charges. (a) No hospital shall charge
payers which are health insurance plans or insurance arrangements issued to or in accordance with a trust established pursuant to collective bargaining subject to the federal
Labor Management Relations Act, a fee for an audit to verify that charges are correct
and that services were actually performed, provided the amount of the charges is ten
thousand dollars or more and one hundred per cent of the charges, excluding any applicable coinsurance and deductibles, is paid on or before the tenth business day after receipt
of the bill by the payer in accordance with the terms of the patient's health insurance
coverage agreement. If the amount of the charges is less than ten thousand dollars and one
hundred per cent of the charges, excluding any applicable coinsurance and deductibles, is
paid on or before the tenth business day after receipt of the bill by the payer, a fee, not
to exceed two per cent of the amount of the total bill, may be charged for the audit.
(b) Upon receipt of a written audit request pursuant to an agreement between the
hospital and the payer or the provisions of subsection (a) of this section, a hospital shall,
within thirty days of the request or within thirty days of receipt by the hospital of any
patient authorization required prior to the release of records or information, whichever
is later, provide a detailed itemization of charges to the patient and make available all
medical records and supporting documentation at no cost to the party conducting the
audit except as provided in subsection (a) of this section and a reasonable fee for photocopying and mailing. Within fifteen days after receipt of the audit report, which shall
be in writing and set forth in detail the findings of the auditor, the hospital shall respond
to the auditor. If the hospital fails to respond, the audit findings shall be deemed correct
and any required adjustments to the charges or payments shall be made by the payer or
hospital. Any balance due or refund owed shall be remitted within twenty days.
(c) If a dispute arises which the parties are unable to resolve within thirty days of
the receipt of the audit findings, the dispute shall be immediately submitted to arbitration
to be conducted by the American Arbitration Association. The cost of arbitration shall
be borne equally by the parties to the dispute.
(d) When an audit request is submitted in accordance with an agreement between
the hospital and the payer or the provisions of subsection (a) of this section, the hospital
shall not issue, in any form, bills to the patient, nor initiate self-pay collection efforts
until the audit is complete and the charges are determined to be correct either by mutual
agreement of the parties or arbitration. If a balance is due to the hospital and it is not
paid within twenty days, collection efforts may be initiated.
(e) As used in this section "hospital" means a hospital included within the definition
of health care facilities or institutions under section 19a-630 and licensed as a short-term general hospital by the Department of Public Health, including John Dempsey
Hospital of The University of Connecticut Health Center.
(P.A. 91-267; P.A. 93-381, S. 9, 39; P.A. 95-257, S. 12, 21, 58; P.A. 05-288, S. 78, 79.)
History: P.A. 93-381 replaced department of health services with department of public health and addiction services,
effective July 1, 1993; P.A. 95-257 replaced Commissioner and Department of Public Health and Addiction Services with
Commissioner and Department of Public Health, effective July 1, 1995; P.A. 05-288 made technical changes in Subsecs.
(b) and (d), effective July 13, 2005.
Sec. 19a-515. (Formerly Sec. 19-596). License renewal. Continuing education
requirement. (a) Each nursing home administrator's license issued pursuant to the
provisions of sections 19a-511 to 19a-520, inclusive, shall be renewed once every two
years, in accordance with section 19a-88, except for cause, by the Department of Public
Health, upon forms to be furnished by said department and upon the payment to said
department, by each applicant for license renewal, of the sum of one hundred dollars.
Each such fee shall be remitted to the Department of Public Health on or before the date
prescribed under section 19a-88. Such renewals shall be granted unless said department
finds the applicant has acted or failed to act in such a manner or under such circumstances
as would constitute grounds for suspension or revocation of such license.
(b) Each licensee shall complete a minimum of forty hours of continuing education
every two years. Such two-year period shall commence on the first date of renewal of
the licensee's license after January 1, 2004. The continuing education shall be in areas
related to the licensee's practice. Qualifying continuing education activities are courses
offered or approved by the Connecticut Association of Healthcare Facilities, the Connecticut Association of Not-For-Profit Providers for the Aging, the Connecticut Chapter
of the American College of Health Care Administrators, the Association For Long Term
Care Financial Managers, any accredited college or university, or programs presented
or approved by the National Continuing Education Review Service of the National
Association of Boards of Examiners of Long Term Care Administrators, or by federal
or state departments or agencies.
(c) Each licensee shall obtain a certificate of completion from the provider of the
continuing education for all continuing education hours that are successfully completed
and shall retain such certificate for a minimum of three years. Upon request by the
department, the licensee shall submit the certificate to the department. A licensee who
fails to comply with the continuing education requirements shall be subject to disciplinary action pursuant to section 19a-517.
(d) The continuing education requirements shall be waived for licensees applying
for licensure renewal for the first time. The department may, for a licensee who has a
medical disability or illness, grant a waiver of the continuing education requirements
for a specific period of time or may grant the licensee an extension of time in which to
fulfill the requirements.
(1969, P.A. 754, S. 9; P.A. 77-287, S. 3; 77-574, S. 2, 6; 77-614, S. 323, 610; P.A. 80-484, S. 8, 176; P.A. 89-251, S.
72, 203; P.A. 93-381, S. 9, 39; P.A. 95-257, S. 12, 21, 58; P.A. 03-118, S. 4; June 30 Sp. Sess. P.A. 03-3, S. 20; P.A. 04-221, S. 18; P.A. 05-272, S. 32.)
History: Sec. 19-42f transferred to Sec. 19-596 in 1977; P.A. 77-287 required proof of completion of required continuing
education courses for license renewal; P.A. 77-574 required annual renewal rather than biennial renewal in odd-numbered
years and raised fee from ten to twenty-five dollars; P.A. 77-614 replaced department of health with department of health
services, effective January 1, 1979; P.A. 80-484 made renewals in accordance with Sec. 14-95 and replaced "board", i.e.
licensure board with "department", i.e. health services department; Sec. 19-596 transferred to Sec. 19a-515 in 1983; P.A.
89-251 increased the renewal fee from twenty-five dollars to fifty dollars; P.A. 93-381 replaced department of health
services with department of public health and addiction services, effective July 1, 1993; P.A. 95-257 replaced Commissioner
and Department of Public Health and Addiction Services with Commissioner and Department of Public Health, effective
July 1, 1995; P.A. 03-118 designated existing provisions as Subsec. (a) and deleted provisions therein re regulations for
continuing education requirements, and added Subsecs. (b) to (d) re continuing education requirements; June 30 Sp. Sess.
P.A. 03-3 changed license renewal from annually to biennially, and made conforming changes to renewal fee and continuing
education requirements, effective January 1, 2004; P.A. 04-221 amended Subsec. (b) by changing commencement date
for two-year period from October 1, 2004 to January 1, 2004, and making a technical change, effective June 8, 2004; P.A.
05-272 amended Subsec. (b) by including courses offered by the Association for Long Term Care Financial Managers in
the list of qualifying continuing education activities.
Sec. 19a-550a. Patient's rights pursuant to Medicare conditions of participation. Each hospital, as defined in section 19a-490, shall notify each patient, or where
appropriate and permitted by state and federal privacy laws, the patient's representative
or guardian, upon such patient's admission to the hospital, of the patient's rights enumerated in the federal Medicare conditions of participation. Such notification shall (1) be
in writing, (2) specifically identify the rights in the federal Medicare conditions of participation, and (3) provide information regarding the means of redress or complaint available to patients, including, but not limited to, contact information for the Department
of Public Health.
(P.A. 05-128, S. 1.)