Location:
BOARDS AND COMMISSIONS; MEDICAL CARE;
Scope:
Connecticut laws/regulations;

OLR Research Report


December 22, 2010

 

2010-R-0517

CONNECTICUT HEALTH CARE BOARDS, COMMISSIONS, AND COMMITTEES

By: Nicole Dube, Associate Analyst

Robin Cohen, Principal Analyst

John Kasprak, Senior Attorney

John Moran, Principal Analyst

Susan Price, Senior Attorney

Christopher Reinhart, Chief Attorney

 

You asked for a brief summary of statutorily required boards, commissions, and committees in Connecticut related to health care. Specifically, you wanted to know their statutory authority, charge, reporting requirements and deadlines, recommendations made, and current status of their work.

SUMMARY

We found five boards, one commission, one cabinet, 12 committees, and seven councils related to health care authorized by state law or executive order. This report provides a brief summary of each entity, including its (1) statutory authority; (2) charge; (3) subcommittees (if any); (4) reporting requirements and deadlines for action; (5) termination date, and (6) current status, including recommendations and recent reports. Please note this report does not include entities that license, regulate, or oversee health care professions.

TABLE OF CONTENTS

BEHAVIORAL AND DEVELOPMENTAL HEALTH 3

Behvioral Health Partnership Oversight Council 3

Children's Behavioral Health Advisory Committee 4

Community Mental Health Strategy Board 5

Council on Developmental Services 5

CHILDREN'S HEALTH 6

Children's Behavioral Health Advisory Committee 4

State Interagency Birth-to-Three Coordinating Council 6

Statewide Adolescent Health Council 7

HEALTH CARE REFORM 8

Connecticut Health Care Reform Advisory Board 8

Connecticut Health Care Reform Cabinet 9

SustiNet Health Partnership Board of Directors 10

SustiNet Healthcare Quality and Provider Advisory Committee 11

SustiNet Health Disparities and Equity Advisory Committee 12

SustiNet Health Information Technology Advisory Committee 13

SustiNet Patient-Centered Medical Home Advisory Committee 14

SustiNet Preventive Health Care Advisory Committee 15

LONG-TERM CARE 16

Long-Term Care Advisory Council 16

Long-Term Care Planning Committee 17

MEDICAL ASSISTANCE PROGRAMS 18

Medicaid Care Management Oversight Council 18

Medical Inefficiency Committee 18

MISCELLANEOUS 19

Advisory Committee to the Office of the Healthcare Advocate 19

Commission on Health Equity 20

Connecticut Alcohol and Drug Policy Council 21

Connecticut Allied Workforce Policy Board 22

Healthcare Cost Containment Committee 23

Stem Cell Research Advisory Committee 24

Tobacco and Health Trust Fund Board of Trustees 25

BEHAVIORAL AND DEVELOPMENTAL HEALTH

Behavioral Health Partnership Oversight Council

Statutory Authority:

CGS 17a-22j

Charge:

The council is charged with advising the departments of children and families (DCF), mental health and addiction services (DMHAS), and social services (DSS) on the planning and implementation of the Connecticut Behavioral Health Partnership, an integrated behavioral health system for (1) children and families receiving services under the HUSKY program; (2) children enrolled in DCF's voluntary services program; and (3) at the DCF, DHMAS, and DSS commissioners' discretion, other children and families DCF serves. 2010 legislation also allows the partnership, at the departments' discretion, to expand coverage to include (1) Medicaid recipients not enrolled in HUSKY Plan Part A and (2) Charter Oak Health Plan members.

The council must review and make recommendations on (1) contracts between the departments and Administrative Services Organizations (ASO) to assure ASO decisions are based solely on clinical management criteria developed by the partnership's clinical management committee, (2) behavioral health services provided under HUSKY A and HUSKY B to assure the maximization of federal revenues, (3) periodic reports on program activities, finances, and outcomes, including reports from the partnership director on achieving the system's goals, and (4) Charter Oak Health Plan behavioral health services.

Subcommittees:

Subcommittees include: Coordination of Care, DCF Advisory, Department of Mental Health and Addiction Services, Quality Management and Access, Provider Advisory, and Operations.

Reporting Requirements/

Deadlines:

Prior law required the council to annually report by March 1 on its activities and progress to the Appropriations, Human Services, and Public Health committees. PA 10-119 removed this requirement.

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

The council must meet at least six times annually. Meeting agendas, minutes, and prior annual reports are available on its website.

Children's Behavioral Health Advisory Committee

Statutory Authority:

CGS 17a-4a

Charge:

The advisory committee promotes and enhances the provision of behavioral health services for all children in the state.

According to its website, by-laws adopted in 2001 also require it to:

1. review the federal Mental Health Services Block Grant plan for the state and make recommendations concerning it;

2. serve as an advocate for children with serious emotional disturbance; and

3. monitor, review, and evaluate the allocation and adequacy of mental health services in the state.

Subcommittees:

There are no subcommittees specified in statute but by-laws require standing committees and authorize ad hoc committees as needed. Current standing committees are:

1. nominations and membership,

2. local systems of care and behavioral health services interface,

3. practice standards,

4. mental health block grant, and

5. multiculturalism.

Currently there is one ad hoc committee on transitioning youth.

Reporting Requirements/

Deadlines:

The committee reports to the State Advisory Council on Children and Families by October 1 annually on the status of local systems of care and practice standards for state-funded behavioral health programs.

By October 1 in odd-numbered years, it submits recommendations on the provision of behavioral health services for all children in the state to the State Advisory Council on Children and Families. The recommendations must include:

1. the target population for children with behavioral health needs and assessment and benefit options for them;

2. the appropriateness and quality of care for children with behavioral health needs;

3. coordination of behavioral health services under HUSKY with services from other publicly-funded programs;

4. performance standards for preventive services, family supports, and emergency service training programs;

5. assessment of community-based and residential care programs;

6. outcome measurements by reviewing provider practice; and

7. medication protocols and standards for monitoring medication and after-care programs.

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

Reports are submitted to the State Advisory Council on Children and Families. We did not find copies available electronically.

The committee adopted recommendations at its August 2010 meeting.

Community Mental Health Strategy Board

Statutory Authority:

CGS 17a-485b

Charge:

The board must at least annually approve DMHAS' commitments to and disbursements from the Community Mental Health Strategic Investment Fund that are consistent with the board's mental health strategic and financial assistance plans.

The Community Mental Health Strategic Investment Fund provides assistance to adults and children with mental illness by developing new or expanded community-based facilities, mental health services, and supportive housing. The fund has two subaccounts: Community Mental Health Restoration and Supportive Housing Enhancement.

Subcommittees:

Unknown

Reporting Requirements/

Deadlines:

The board must annually report by February 1 to the governor and legislature on (1) all disbursements made from the Community Mental Health Strategic Investment Fund and (2) an evaluation of each funded program or service outcome, and its effectiveness in expanding access to quality, appropriate community-based mental health care.

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

According to DCF, the board is not currently active. Its most recent report online is dated January 2008.

Council on Developmental Services

Statutory Authority:

CGS 17a-270

Charge:

The council must advise and consult on issues affecting the Department of Developmental Services (DDS) and its programs and services for Connecticut residents with mental retardation and their families. The council, with input from the public, advocates for all persons with developmental and intellectual disabilities in Connecticut.

Subcommittees:

Executive Committee

Reporting Requirements/

Deadlines:

The council must, in consultation with the DDS commissioner, recommend to the governor and the legislature legislation that would enhance or improve the quality of DDS programs and services.

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

The council generally meets monthly. Meeting schedules, agendas, and minutes are available on its website.

CHILDREN'S HEALTH

State Interagency Birth-To-Three Coordinating Council

Statutory Authority:

CGS 17a-248b

Charge:

The council:

1. assists DDS in the effective performance of its responsibilities regarding the birth-to-three program including identifying sources of fiscal support for early intervention services and programs, assignment of financial responsibility to the appropriate agency, promoting interagency agreements, and preparing applications and amendment required by federal law;

2. advising and assisting the DDS commissioner and other participating agencies in developing standards and procedures;

3. advising and assisting the education commissioner on transitioning children with disabilities to special education services;

4. advising and assisting the DDS commissioner in identifying barriers that impede timely and effective service delivery including regarding interagency disputes; and

5. reporting annually to the governor and legislature on the birth-to-three system.

The council also reviews all proposed rules and regulations regarding the birth-to-three system and makes recommendations to the DDS commissioner. The commissioner cannot act inconsistently with the recommendations without providing the council with reasons for the action. The council can vote to require an alternative approach to a proposed rule or regulation and have it published. If published, the commissioner must state the reasons for not selecting the alternative.

Subcommittees:

There are no subcommittees specified in statute but by-laws authorize standing committees to be determined yearly based on the needs of the statewide system of early intervention.

Current standing committees are Legislative/Fiscal, Communications, and Quality Services.

Reporting Requirements/

Deadlines:

The council must submit an annual status report on the birth-to-three system to the governor and legislature.

Under federal law, it must also report to the U.S. Department of Education and the governor on the status of early intervention programs for infants and toddlers with disabilities and their families.

Termination Date:

None specified

Current Status:

(i.e.,work to date, recommendations, recent reports, etc.)

The council has issued several reports including:

1. annual data reports,

2. 2010 annual report, and

3. 2008-2009 Annual Performance Report submitted to the U.S. Department of Education and the governor (dated December 14, 2009):

Statewide Adolescent Health Council

Statutory Authority:

CGS 19a-125

Charge:

The council must advise the commissioners of public health, social services, education, and children and families on the coordination of service delivery to and health needs of teens. The council must examine (1) contributing factors of high risk behaviors, (2) how multiple problems interrelate, and (3) strategies for prevention. The council must make recommendations on facilitating federal, state and community action to address teen pregnancy, mental health, violence, substance abuse, sexually transmitted diseases, acquired immune deficiency syndrome and other areas it determines are relevant to adolescent health needs.

Subcommittees:

Unknown

Reporting Requirements/

Deadlines:

The council was required to submit a report to the Public Health, Human Services, and Education committees by June 30, 1994.

There are no other reporting requirements.

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

It appears this council is inactive.

HEALTH CARE REFORM

Connecticut Health Care Reform Advisory Board

Statutory Authority:

The advisory board was created by the Governor's Executive Order 30 (July 2009).

Charge:

The executive order created a multi-stakeholder “Health Care Reform Advisory Board” charged with examining the federal health care reform legislation and making recommendations that are relevant to the citizens of Connecticut.

The advisory board is chaired by Christine Vogel, Deputy Commissioner, Department of Public Health (DPH).

Members include representatives from various state agencies, the comptroller, and private sector individuals representing insurance, health information technology, physicians, nurses, hospitals, benefits consultants, independent businesses, and others.

The board is staffed by DPH and the Office of Policy and Management (OPM).

Subcommittees:

None

Reporting Requirements/

Deadlines:

The advisory board's interim report was due by February 1, 2010; final recommendations must be submitted to the Governor and General Assembly by January 1, 2011.

(But, further work on federal health care reform has been instead undertaken by the Health Care Reform Cabinet created by Executive Order 43 (April 2010); see below)

Termination Date:

The advisory board submitted its final report on June 30, 2010 completing its work.

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

The advisory board's final report issued on June 30, 2010 includes recommendations in four main areas: quality and cost innovation; health insurance exchanges; patient care and healthy Connecticut; and medical liability reform.

Connecticut Health Care Reform Cabinet

Statutory Authority:

The cabinet was created by the Governor's Executive Order 43 (April 2010).

Charge:

Executive Order 43 directs the cabinet to “develop a strategy that applies national health care reform so as to build upon Connecticut's successful health care programs.” Also the cabinet must “ensure that Connecticut's residents and businesses realize the benefits of national health care reform” by (1) providing transparent access to information so individuals and businesses can make informed decisions; (2) assessing insurance market reforms needed to prepare Connecticut for final implementation of national health care reform in 2014; (3) developing a plan to pursue federal funds for a temporary high-risk insurance pool; and (4) creating a health insurance purchasing exchange.

The cabinet is chaired by the DPH deputy commissioner whose primary focus is health care access (currently Christine Vogel). Other members include representatives of OPM; Insurance, Social Services, Public Health, Mental Health and Addiction Services, Developmental Disabilities, Children and Families, Revenue Services, Economic and Community Development, and Information Technology departments; and Connecticut Health and Educational Facilities Authority.

On July 20, 2010, DPH Deputy Commissioner Christine Vogel was named Special Advisor to the Governor on Health Care Reform to oversee integration of federal health care reform initiatives and to help implement the cabinet's strategies.

Subcommittees:

The cabinet has two subcommittees: (1) the Connecticut Insurance Exchange Workgroup/Planning Grant Committee and (2) the Communications Workgroup.

Reporting Requirements/

Deadlines:

The cabinet has no specific report requirements or deadlines.

Termination Date:

The cabinet has no specific termination date. Special Advisor Vogel is expected to leave upon the change of administration. The status of the cabinet is unclear.

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

The cabinet has issued four progress reports to date. It has also applied for and received a federal grant to plan the state's health insurance exchange. The cabinet's website also maintains a list of the state's federal grant recipients and an inventory of the state's health care reform funding opportunities.

SustiNet Partnership Board of Directors

Statutory Authority:

The board of directors was established by PA 09-148; its authorizing statues are CGS 710 et. seq.

Charge:

The eleven-member board of directors must make legislative recommendations, by January 1, 2011, on the design and implementation of the “SustiNet Plan.” The SustiNet Plan is a self-insured health care delivery plan designed to ensure that its enrollees receive high-quality health care coverage without unnecessary costs.

The SustiNet legislation specifies that these recommendations address:

1. establishment of a public authority or other entity with the power to contract with insurers and health care providers, develop health care infrastructure (“medical homes”), set reimbursement rates, create advisory committees, and encourage the use of health information technology;

2. provisions for the phased-in offering of the SustiNet plan to state employees and retirees, HUSKY A and B beneficiaries, people without employer-sponsored insurance (ESI), people with unaffordable ESI, small and large employers, and others;

3. guidelines for developing a model benefits package; and

4. public outreach and methods of identifying uninsured citizens.

Upon receiving these recommendations, the legislature may consider proposals to implement them.

The state comptroller and health care advocate serve as board chairpersons.

Subcommittees:

The board of directors has five advisory committees: (1) Health Disparities and Equity, (2) Health Information Technology, (3) Patient Centered Medical Homes, (4) Preventive Health Care, and (5) Healthcare Quality and Providers. In addition there are three task forces on obesity, tobacco use, and the health care workforce.

Reporting Requirements/

Deadlines:

The three task forces were required to report to the SustiNet Board of Directors and the Public Health, Human Services, and Appropriations committees by July 1, 2010. The task forces terminate when the reports are submitted or on January 1, 2011. All three task force reports have been submitted.

In addition, PA 09-148 required the board to submit preliminary recommendations for implementing the SustiNet Plan to the legislature within 60 days after the federal government enacted national health care reform. The board submitted its 60-day report on May 30, 2010.

Termination Date:

The board of directors does not have a termination date. The three task forces already terminated upon submission of their final reports (see above).

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

The board of directors held seven meetings in 2009 and 13 meetings in 2010; two public briefings were held in December 2010. It also issued a 2009-2011 workplan.

With the help of expert economists and statisticians, the board is currently examining the coverage and cost estimates of various financial models for the SustiNet plan implementation.

SustiNet Healthcare Quality and Provider Advisory Committee

Statutory Authority:

CGS 19a-716 (PA 09-148 7)

Charge:

SustiNet legislation requires the Board of Directors to establish a Healthcare Quality and Provider Advisory Committee “that shall develop recommended clinical care and safety guidelines for use by participating health care providers.” The committee must choose from nationally and internationally recognized guidelines for the provision of care, including guidelines for hospital safety and the inpatient and outpatient treatment of particular conditions. The committee must “continually assess the quality of evidence relevant to the costs, risks, and benefits of treatments described in such guidelines.”

Also, the committee must offer recommendations that participating SustiNet health care providers receive confidential reports comparing their practice patterns with those of their peers.

Subcommittees:

None

Reporting Requirements/

Deadlines:

The advisory committee must submit its final report to the SustiNet Board of Directors. (It did so on July 1, 2010.)

Termination Date:

None specified

Current Status:

(i.e. ,work to date, recommendations, recent reports, etc.)

The advisory committee issued its September 2009-June 2010 workplan and July 1, 2010 final report. The report makes a number of recommendations in the following areas: quality assessment and improvement and clinical care and safety guidelines; safety in all care settings; cost control; and payment systems and methodologies.

The committee recommended that the SustiNet Board of Directors incorporate the following elements in the SustiNet plan design: (1) use of evidence-based standards of care and recognized quality metrics; (2) effective cost control through a combination of payment design and delivery system redesign that promotes provider accountability for costs and reduces unnecessary care; (3) ongoing oversight of and advisement on quality, safety, and payment by standing committees; and (4) support for providers through health information technology, medical home model implementation, and payment for better and more efficient care.

SustiNet Health Disparities and Equity Advisory Committee

Statutory Authority:

CGS 19a-713 (PA 09-148 4)

Charge:

SustiNet legislation directs its Board of Directors to establish an information technology advisory committee “to formulate a plan for developing, acquiring, financing, leasing, or purchasing fully interoperable electronic medical records software and hardware packages for subscribing providers.”

The advisory committee must offer recommendations on (1) furnishing approved software to subscribing and participating providers consistent with the capital acquisition, technical support, reduced-cost digitization of records, software updating, and software transition procedures and (2) developing and implementing procedures to ensure that physicians, nurses, hospitals, and other providers gain access to hardware and approved software for interoperable electronic medical records and establishing such records for SustiNet plan members.

Subcommittees:

Subcommittees include: Financing; Market Research, Outreach, and Enrollment; ARRA and Federal Health Reform; Organizational Tasks; and Final Recommendations and Report.

Reporting Requirements/

Deadlines:

The advisory committee submitted its final report to the SustiNet Board of Directors on July 1, 2010.

Termination Date:

The advisory committee terminated upon submission of its final report on July 1, 2010 but may reconvene as needed.

Current Status:

(i.e.,work to date, recommendations, recent reports, etc.)

The advisory committee issued its September 2009-June 2010 workplan and July 1, 2010 final report. The report recommends that SustiNet electronic medical record requirements align with ongoing state and national efforts. A key forum for this work is the new Health Information Technology Exchange of Connecticut (HITECT, created by PA 10-117) that will be formally activated on January 1, 2011. The report recommends that SustiNet have a formal role on the HITECT Board of Directors “to ensure that the needs of new coverage programs and delivery systems will be integrated into the emerging system designs.”

SustiNet Health Information Technology (HIT) Advisory Committee

Statutory Authority:

CGS 19a-714 (PA 09-148 5)

Charge:

The advisory committee must develop an action plan to reduce health disparities and increase equity through the SustiNet health plan with the goal of improving access to health care and health outcomes for ethnic, racial, and linguistic minorities, as well as other disadvantaged populations in Connecticut.

Subcommittees:

None

Reporting Requirements/

Deadlines:

The advisory committee submitted its final report to the SustiNet Board of Directors on July 1, 2010.

Termination Date:

The advisory committee terminated upon submission of its final report on July 1, 2010 but may reconvene as needed.

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

The advisory committee issued its October 2009-June 2010 workplan and final report.

SustiNet Patient-Centered Medical Home (PCMH) Advisory Committee

Statutory Authority:

CGS 19a-715 (PA 09-148 6)

Charge:

SustiNet legislation directs the SustiNet board to “establish a medical home advisory committee that shall develop recommended internal procedures and proposed regulations governing the administration of patient-centered medical homes that provide health care services to SustiNet plan members.”

Advisory committee recommendations must include that (1) medical home functions be defined by the board of directors on an ongoing basis incorporating evolving research on delivery of health care services and (2) if limitations in provider infrastructure prevent all SustiNet plan members from being enrolled in medical homes, enrollment in medical homes be implemented in phases with priority given to members for whom cost savings are most likely, including members with chronic conditions.

Subcommittees:

None

Reporting Requirements/

Deadlines:

The advisory committee submitted its final report to the SustiNet Board of Directors on July 1, 2010.

Termination Date:

The advisory committee terminated upon submission of its final report on July 1, 2010 but may reconvene as needed.

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

The advisory committee issued its September 2009-June 2010 workplan and final report. Among its recommendations, the advisory committee decided to endorse the National Committee for Quality Assurance (NCQA) as the standard for PCMH recognition in Connecticut. It also endorsed tying provider payment to NCQA levels of PCMH recognition. The committee recommended that providers in each PCMH must have prescribing authority and have or have arrangements for hospital admitting privileges. The committee also voiced strong consensus that Connecticut “should do all it can to remove any barriers to certification that are not related to quality, including financial and administrative barriers.”

The advisory committee also held a briefing in October 2010 on a Medicare PCMH demonstration application.

SustiNet Preventive Health Advisory Committee

Statutory Authority:

CGS 19a-715 (PA 09-148 8)

Charge:

SustiNet legislation directs the SustiNet Board of Directors to establish a Preventive Health Care Advisory Committee that must “use evolving medical research to draft recommendations to improve health outcomes for members in areas involving nutrition, sleep, physical exercise, and the prevention and cessation of the use of tobacco and other addictive substances.”

Such recommendations may be targeted to member populations where they are most likely to have a beneficial impact on their health and may include behavioral components and financial incentives for participants. The recommendations must take into account existing state-administered preventive care programs.

Subcommittees:

Subcommittees include: Plan Design; Provider and Patient; and Optimal State and Community Health Programs

Reporting Requirements/

Deadlines:

The advisory committee must annually submit recommendations to the SustiNet Board of Directors starting July 1, 2010.

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

The advisory committee issued its September 2009-June 2010 workplan and July 2010 final report. The advisory committee's recommendations address governance, criteria for developing a preventive services package, the process for developing a preventive services package, components of the package, community-based preventive care services, payment and financial incentives, data collection and use, and intersecting issues.

LONG-TERM CARE

Long-Term Care Advisory Council

Statutory Authority:

CGS 17b-338

Charge:

The advisory council is composed primarily of human services providers and advocates. It advises and makes recommendations to the Long-Term Care Planning Committee, which is composed of legislators and Executive Branch representatives (see below).

Subcommittees:

None specified

Reporting Requirements/

Deadlines:

None specified

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

Most recently, the advisory council held a joint legislative briefing with the Commission on Aging in June 2010 on federal health care reform long-term care provisions.

It also held a joint briefing with the Commission on Aging in February 2010 on long-term care system rebalancing.

Materials from both briefings and other publications are available on its website.

Long-Term Care Planning Committee

Statutory Authority:

CGS 17b-337

Charge:

The Planning Committee is responsible for (1) exchanging information on long-term care issues, coordinating long-term care policy development, (2) establishing a statewide long-term care plan and revising it every three years, and (3) studying related issues.

The statewide long-term care (LTC) plan must include: (1) a LTC system vision and mission statement, (2) the current number of LTC service recipients and demographic data by service type, (3) the current aggregate cost of LTC services, (4) forecasts of future demand for services, (5) the type of services available and the amount of funds necessary to meet the demand, (6) projected costs for LTC programs, (7) strategies to promote the partnership for long-term care program, (8) resources necessary to accomplish future goals, (9) available funding sources, and (10) the number and types of providers needed to deliver services. The plan must also address how changes in one component of the long-term care system impact other system components.

Subcommittees:

None specified

Reporting Requirements/

Deadlines:

The Planning Committee must submit its statewide long-term care plan to the legislature every three years. Its most recent plan was submitted in January 2010.

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

The Planning Committee continues to meet periodically; its two most recent long-term care plans are as follows:

1. 2007 Long-Term Care Plan

2. 2010 Long-Term Care Plan

MEDICAL ASSISTANCE PROGRAMS

Medicaid Care Management Oversight Council

Statutory Authority:

CGS 17b-28

Charge:

The council must advise the DSS commissioner on the planning and implementation of a system of Medicaid managed care and must monitor the planning and implementation. The council must also make recommendations concerning many aspects of care, including guaranteed access to enrollees and effective outreach and client education.

Subcommittees:

Behavioral Health, Consumer Access, Quality Assurance, Women's Health, Primary Care

Reporting Requirements/

Deadlines:

The council must report to the legislature on its activities and progress each quarter.

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

The council and subcommittees meet monthly. Meeting agendas, minutes, and quarterly reports are available on its website.

Medical Inefficiency Committee

Statutory Authority:

PA 09-7, 107

Charge:

The committee must (1) advise DSS on the amended definition of medically necessary (in the context of DSS' medical assistance programs) and (2) provide comment to DSS and the legislature on its impact.

Subcommittees:

None

Reporting Requirements/

Deadlines:

The committee must submit annual reports on its findings and recommendations for three years, beginning no later than January 1, 2010.

Termination Date:

The later of (1) the date the committee submits its third report or (2) January 1, 2012.

Current Status:

(i.e. work to date, recommendationsrecent reports, etc.)

The committee submitted its first report, which included a new medically necessary definition that the legislature adopted (PA 10-3, 22 and 27). The committee has been meeting monthly during the interim and will issue a second report in early 2011.

MISCELLANEOUS

Advisory Committee to the Office of the Healthcare Advocate

Statutory Authority:

CGS 38a-1049

Charge:

The advisory committee must meet for times per year with the Healthcare Advocate and the staff of the Office of the Healthcare Advocate (OHA) to review and assess the office's performance.

Subcommittees:

None

Reporting Requirements/

Deadlines:

The advisory committee must submit an annual evaluation of the effectiveness of OHA to the governor and the public health and insurance committees. The evaluation must be submitted no later than April 1.

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

The advisory committee completed its 2009 annual evaluation in April of 2010. (A copy of the evaluation is attached.)

Its recommendations include that OHA (1) continue legislative advocacy efforts to enhance insurance consumer protections, (2) continue and expand efforts to educate consumers about the risks and benefits of various insurance products in Connecticut, (3) expand capacity and staff to further assist consumers, and (4) continue and expand successful public education campaigns to help consumers choose appropriate coverage for their needs and access it effectively.

Commission on Health Equity

Statutory Authority:

CGS 38a-1051 (PA 08-171)

Charge:

The Commission was established in 2008 to eliminate disparities in health status based on race, ethnicity, and linguistic ability, and improve the quality of health for all of the Connecticut residents. It is part of OHA for administrative purposes only. It may (1) employ necessary staff within available appropriations and in compliance with the State Personnel Act; (2) use any funds available from federal, state, or other sources; and (3) enter contracts to carry out its duties.

The Commission must:

1. review and comment on any proposed state legislation and regulations that would affect the health of the state's populations experiencing racial, ethnic, cultural, and linguistic disparities in health status;

2. advise and provide information to the governor and legislature on the state policies concerning the health of these populations;

3. work as a liaison between these populations and state agencies to eliminate health disparities;

4. evaluate the impact of policies, procedures, activities, and resource allocations on eliminating these health disparities;

5. review and comment on the Department of Public Health's health disparities performance measures; and

6. (a) explore successful programs in other sectors and states and (b) pilot and provide grants for new creative programs that may diminish or contribute to the elimination of health disparities in this state and culturally appropriate health education demonstration projects that the commission funds with public and private funds.

The commission also has the authority to:

1. collect and analyze government and other data regarding the health status of state inhabitants based on race, ethnicity, national origin, and linguistic ability, including access, services, and outcomes in private and public health care institutions within the state, including the data collected by the Connecticut Health Information Network;

2. draft and recommend proposed legislation, regulations, and other policies designed to address disparities in health status;

3. conduct hearings and interviews, and receive testimony, regarding matters pertinent to its mission; and

convene the directors of state agencies with purview over the elimination of health disparities, including the Office of Health Care Access, Housing Finance Authority, and departments of Public Health, Social Services, Children and Families, Developmental Services, Education, Mental Health and Addiction Services, Labor, and Transportation to advise and direct them in the implementation of policies, procedures, activities, and resource allocations to eliminate these health disparities.

Subcommittees:

Policy, Legislative, Public Voice, Data, and Resource Development subcommittees

Reporting Requirements/

Deadlines:

Starting June 2010, the Commission must submit to the governor and legislature an annual report on both a retrospective and prospective view of health disparities and the state's efforts to ameliorate those among the state's populations experiencing racial, ethnic, cultural, and linguistic disparities in health status.

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

The Commission issued its first annual report in September 2010 which provides a detailed plan for its work in subsequent years.

Meeting summaries, agendas, and other publications are available on its website.

It is now in the process of hiring a Health Equity Director to work with the Commission and its subcommittees to coordinate and fully implement its action plan for the first year.

Connecticut Alcohol and Drug Policy Council

Statutory Authority:

CGS 17a-667

Charge:

The Council is a legislatively mandated body comprised of representatives from all three branches of State government, consumer and advocacy groups, private service providers, individuals in recovery from addictions, and other stakeholders in a coordinated statewide response to alcohol, tobacco and other drug use and abuse in Connecticut.

The Council, co-chaired by DMHAS and DCF, is charged with (1) reviewing policies and practices of individual agencies and the Judicial Branch concerning substance abuse treatment programs, substance abuse prevention services, and criminal justice sanctions and programs and (2) developing and coordinating a state-wide, interagency, integrated plan for programs and services and criminal sanctions.

Subcommittees:

Unknown

Reporting Requirements/

Deadlines:

The council must annually report to the governor and legislature on its statewide plan including any recommended changes.

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

According to DCF, the council is currently active; the most recent annual report posted online is dated January 2008.

Connecticut Allied Health Workforce Policy Board

Statutory Authority:

CGS 4-124dd (PA 04-220)

Charge:

The board must:

1. monitor data and trends in the allied health workforce including:

a. the state's current and future supply and demand for allied health professionals; and,

b. the current and future capacity of the state higher education system to educate and train students pursuing allied health professions;

2. develop recommendations for the formation and promotion of an economic cluster for allied health professions;

3. identify recruitment and retention strategies for public and independent institutions of higher education with allied health programs;

4. develop recommendations for promoting diversity in the allied health workforce including but not limited to racial, ethnic, and gender diversity and for enhancing the attractiveness of allied health professions;

5. develop recommendations regarding financial and other assistance to students enrolled in or considering enrolling in allied health programs offered at public or independent institutions of higher education;

6. identify recruitment and retention strategies for allied health employers;

7. develop recommendations about recruiting and utilizing retired nursing faculty members to teach or train students to become licensed practical nurses or registered nurses; and

8. examine nursing programs at public and private higher education institutions and develop recommendations about the possibility of streamlining the curricula offered in such programs to facilitate timely program completion.

Subcommittees:

None

Reporting Requirements/

Deadlines:

The board must annually submit recommendations to the legislature.

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

The board began meeting in March 2005 and issued its first annual report to the legislature in February 2006. It's 2009 and 2010 annual reports are available online.

Throughout its tenure, the board has met regularly to discuss current initiatives in allied health in the state, gaps in workforce data, issues related to educational programming, and recruitment and retention of the workforce, as well as researching and developing solutions to allied health workforce shortages.

Healthcare Cost Containment Committee

Statutory Authority:

The committee was established in accordance with the contract between the state and State Employees' Bargaining Agent Coalition (SEBAC) pursuant to CGS 5-278(f). Committee members include representatives from management and state employee labor unions.

Charge:

The committee is responsible for helping to (1) limit the cost of state employee health care costs; (2) develop and issue requests for proposals (RFPs) for insurance carriers or third party administrators for state employee and retiree medical and prescription coverage; and (3) monitor various aspects of state employee health plans.

Committee recommendations are sent to state comptroller for approval.

Subcommittees:

Subcommittees are formed as needed. For example, an RFP subcommittee was formed in 2009 when the state was considering changing carriers or becoming self-insured.

Reporting Requirements/

Deadlines:

None specified

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

The committee's work is ongoing. It meets at least monthly; copies of meeting agendas and minutes are available online.

Stem Cell Research Advisory Committee

Statutory Authority:

CGS 19a-32f

Charge:

The committee must (1) develop and oversee the stem cell research grants-in-aid program, (2) develop a donated funds program to encourage the development of funds other than state appropriations for embryonic and human adult stem cell research, and (3) promote for-profit and not-for-profit stem cell and related research in the state. Between 2005 and 2015, the committee must allocate approximately $100 million to encourage stem cell research in the state.

Connecticut Innovations, Inc. serves as administrative staff to the committee, assisting with the development and review of grant applications and executing grant agreements.

Subcommittees:

Grant Modification and Ethics and Law

Reporting Requirements/

Deadlines:

The committee must annually report to the governor and legislature on (1) the amount of grants-in-aid awarded to eligible institutions from the Stem Cell Research Fund, (2) the recipients of grants-in-aid, and (3) the current status of stem cell research in the State.

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

Meeting minutes, agendas, and annual reports are available on its website.

According to its 2010 annual report, the committee received 89 applications in December 2009. In May 2010, Connecticut's Stem Cell Peer Review Committee considered these applications in accordance with National Institutes of Health guidelines and provided to the full Advisory Committee its recommendations for the awards, which are allocated based upon available funding. In 2010, the state awarded $9.82 million in grants to support 24 stem cell research projects by scientists at the University of Connecticut and Yale. Since 2005, the state has allocated $49.24 million in support of stem cell researchers.

Tobacco and Health Trust Fund Board of Trustees

Statutory Authority:

CGS 4-28f

Charge:

The board was established in 2000 to administer the Tobacco and Health Trust Fund and select programs to receive money from the fund. Through FY 2003, the board could recommend disbursement of up to half the net earnings from the fund's principal. Its operations were statutorily suspended for FY 04 and FY 05. Through FY 2009, the board could recommend disbursement of the entire net earnings of the principal. Starting in FY 09, the board can now recommend up to one-half the annual transfer from the Tobacco Settlement Fund to the trust fund from the previous fiscal year, up to a maximum of $6 million, plus the net earnings from the trust fund's principal from the previous year.

Subcommittees:

None

Reporting Requirements/

Deadlines:

The board must annually report to the:

1. Appropriations and Public Health committees on the board's activities and accomplishments and any recommendations for authorization of disbursement from the trust fund and

2. legislature on the trust fund's disbursements and expenditures, including an evaluation of the performance and impact of each program that received funds.

Termination Date:

None specified

Current Status:

(i.e., work to date, recommendations, recent reports, etc.)

The board meets several times annually and has posted meeting materials on its website. Most recently, it issued its FY 2010 report to the Appropriations and Public Health committees. The board determined that the best approach for FY 10 disbursements was to support and expand programs initiated in FY 09 and to provide funding opportunities for innovative programs that do not fit into existing categories. It recommended authorization of disbursement of $6,377,745 from the trust fund for FY 2010 which is $484,711 less than the FY 09 disbursement due to lower trust fund earnings.

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