Connecticut General Statutes
Chapter 368z - Health Systems Planning Unit
Section 19a-634. (Formerly Sec. 19a-150). - State-wide health care facility utilization study. State-wide health care facilities and services plan. Inventory of health care facilities, equipment and services.

(a) The Health Systems Planning Unit shall conduct, on a biennial basis, a state-wide health care facility utilization study. Such study may include an assessment of: (1) Current availability and utilization of acute hospital care, hospital emergency care, specialty hospital care, outpatient surgical care, primary care and clinic care; (2) geographic areas and subpopulations that may be underserved or have reduced access to specific types of health care services; and (3) other factors that the unit deems pertinent to health care facility utilization. Not later than June thirtieth of the year in which the biennial study is conducted, the executive director of the Office of Health Strategy shall report, in accordance with section 11-4a, to the Governor and the joint standing committees of the General Assembly having cognizance of matters relating to public health and human services on the findings of the study. Such report may also include the unit's recommendations for addressing identified gaps in the provision of health care services and recommendations concerning a lack of access to health care services.

(b) The unit, in consultation with such other state agencies as the executive director deems appropriate, shall establish and maintain a state-wide health care facilities and services plan. Such plan may include, but not be limited to: (1) An assessment of the availability of acute hospital care, hospital emergency care, specialty hospital care, outpatient surgical care, primary care and clinic care; (2) an evaluation of the unmet needs of persons at risk and vulnerable populations as determined by the executive director; (3) a projection of future demand for health care services and the impact that technology may have on the demand, capacity or need for such services; and (4) recommendations for the expansion, reduction or modification of health care facilities or services. In the development of the plan, the unit shall consider the recommendations of any advisory bodies which may be established by the executive director. The executive director may also incorporate the recommendations of authoritative organizations whose mission is to promote policies based on best practices or evidence-based research. The executive director, in consultation with hospital representatives, shall develop a process that encourages hospitals to incorporate the state-wide health care facilities and services plan into hospital long-range planning and shall facilitate communication between appropriate state agencies concerning innovations or changes that may affect future health planning. The unit shall update the state-wide health care facilities and services plan not less than once every two years.
(c) For purposes of conducting the state-wide health care facility utilization study and preparing the state-wide health care facilities and services plan, the unit shall establish and maintain an inventory of all health care facilities, the equipment identified in subdivisions (9) and (10) of subsection (a) of section 19a-638, and services in the state, including health care facilities that are exempt from certificate of need requirements under subsection (b) of section 19a-638. The unit shall develop an inventory questionnaire to obtain the following information: (1) The name and location of the facility; (2) the type of facility; (3) the hours of operation; (4) the type of services provided at that location; and (5) the total number of clients, treatments, patient visits, procedures performed or scans performed in a calendar year. The inventory shall be completed biennially by health care facilities and providers and such health care facilities and providers shall not be required to provide patient specific or financial data.
(P.A. 73-117, S. 8, 31; P.A. 75-562, S. 4, 8; P.A. 77-192, S. 5, 13; June Sp. Sess. P.A. 91-11, S. 14, 25; P.A. 93-381, S. 9, 39; P.A. 95-257, S. 12, 21, 45, 58; P.A. 09-77, S. 1; Sept. Sp. Sess. P.A. 09-3, S. 8; P.A. 10-18, S. 12; 10-179, S. 85; P.A. 11-183, S. 3; P.A. 12-170, S. 5; P.A. 18-91, S. 24.)
History: P.A. 75-562 required that recommendations be made to health commissioner rather than to governor and general assembly; P.A. 77-192 required consultation with state bureau of health planning and development and deleted commission's duty to formulate state-wide health care program for improving delivery of services; Sec. 19-73h transferred to Sec. 19a-150 in 1983; June Sp. Sess. P.A. 91-11 replaced reference to “state bureau of health planning and development” with department of health services, replaced utilization review with utilization study, and added Subsec. (b) requiring the commission to establish and maintain a state-wide health care facilities plan; 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 “commission” with “Office of Health Care Access” and “office” and “Department of Public Health and Addiction Services” with “Department of Public Health”, effective July 1, 1995; Sec. 19a-150 transferred to Sec. 19a-634 in 1997; P.A. 09-77 amended Subsec. (a) by eliminating Department of Public Health's consultative role in conducting annual state-wide health care facility utilization study and by revising scope of study, and amended Subsec. (b) by expanding commissioner's authority to incorporate recommendations of other agencies and entities in developing state-wide health care facilities plan, by revising scope of plan and by requiring that plan be updated on or before July 1, 2012, and every five years thereafter, effective July 1, 2009; Sept. Sp. Sess. P.A. 09-3 amended Subsec. (a) by replacing “Commissioner of Health Care Access” with “office”, by replacing “commissioner” with “Commissioner of Public Health” and by replacing “commissioner's” with “office's” and amended Subsec. (b) by substituting Commissioner of Public Health for Commissioner of Health Care Access, effective October 6, 2009; P.A. 10-18 made a technical change in Subsec. (b)(1); P.A. 10-179 amended Subsec. (b) by replacing “state-wide health care facilities plan” with “state-wide health care facilities and services plan” and added Subsec. (c) re inventory of health care facilities, equipment and services; P.A. 11-183 amended Subsec. (c) by making a technical change, effective July 13, 2011; P.A. 12-170 amended Subsec. (a) by replacing “annual” with “biennial” re study and “shall” with “may” re assessments to be included and making technical changes and amended Subsec. (b) by replacing provision requiring update to plan every 5 years with provision requiring update once every 2 years; P.A. 18-91 replaced references to Office of Health Care Access with references to Health Systems Planning Unit, and replaced references to Commissioner of Public Health with references to executive director of Office of Health Strategy, effective May 14, 2018.
Annotations to former section 19a-150:
Cited. 200 C. 489; 208 C. 663; 214 C. 321; 226 C. 105; 235 C. 128.

Structure Connecticut General Statutes

Connecticut General Statutes

Title 19a - Public Health and Well-Being

Chapter 368z - Health Systems Planning Unit

Section 19a-610. - Short title: Office of Health Care Access Act.

Section 19a-611. - Definitions.

Section 19a-612. - Health Systems Planning Unit within Office of Health Strategy.

Section 19a-612a. - Office within Department of Public Health for administrative purposes only.

Section 19a-612b. - Office of Health Care Access to be successor agency to the Commission on Hospitals and Health Care.

Section 19a-612c. - Term “Commission on Hospitals and Health Care” deemed to mean “Office of Health Care Access”.

Section 19a-612d. - Health Systems Planning Unit overseen by executive director of the Office of Health Strategy.

Section 19a-613. - Powers and duties. Data collection.

Section 19a-614. - Support staff and consultants.

Section 19a-615. - Health Care Reform Review Board. Reports.

Section 19a-616. - Connecticut Health Care Data Institute. Regulations.

Section 19a-617. - Advisory board.

Section 19a-617a. - Demonstration project converting acute care hospital to provider of other medical services. Certificate of need waiver, property tax abatement.

Section 19a-617b. - Demonstration project for long-term acute care hospitals or satellite facilities. Waiver of licensure requirements. Certificate of need. Report.

Section 19a-617c. - Payments for services provided in long-term acute care hospitals or satellite facilities.

Section 19a-618 to 19a-622. - Definitions. Collection; methodology; reporting requirements. Fee schedule; reports, analyses and studies. Confidentiality of data. Filing of data with institute.

Section 19a-630. (Formerly Sec. 19a-145). - Definitions.

Section 19a-630a. - Affiliate deemed controlled by another person.

Section 19a-631. (Formerly Sec. 19a-148a). - Assessments of hospitals for expenses of the unit.

Section 19a-632. (Formerly Sec. 19a-148b). - Calculation of assessment and costs.

Section 19a-632a. - Payment of assessment by electronic funds transfer.

Section 19a-633. (Formerly Sec. 19a-149). - Investigative powers.

Section 19a-634. (Formerly Sec. 19a-150). - State-wide health care facility utilization study. State-wide health care facilities and services plan. Inventory of health care facilities, equipment and services.

Section 19a-635 and 19a-636. (Formerly Secs. 19a-151 and 19a-152). - Rate-setting powers. Requests for approval of lesser increases.

Section 19a-637. (Formerly Sec. 19a-153). - Office to promote effective health planning in the state.

Section 19a-637a. - Short-term acute care general or children's hospitals to submit budgets for next hospital fiscal year.

Section 19a-638. (Formerly Sec. 19a-154). - Certificate of need. When required and not required. Request for unit determination. Policies, procedures and regulations.

Section 19a-639. (Formerly Sec. 19a-155). - Certificate of need guidelines and principles. Application involving transfer of ownership of a hospital; denial; conditions on approval; hiring of post-transfer compliance reporter.

Section 19a-639a. - Certificate of need application process. Issuance of decision. Public hearings. Policies, procedures and regulations.

Section 19a-639b. - Certificate of need. Validity, extension, revocation and nontransferability. Policies, procedures and regulations.

Section 19a-639c. - Proposed relocation of a health care facility. Policies, procedures and regulations.

Section 19a-639d. - Certificate of need. Waiver for year 2000 computer capability.

Section 19a-639e. - Proposed termination of service by a health care facility. Policies, procedures and regulations.

Section 19a-639f. - Certificate of need involving hospital ownership. Cost and market impact review.

Section 19a-640. (Formerly Sec. 19a-156). - Submission and review of proposed budget. Hearing. Guidelines. Revisions.

Section 19a-641. (Formerly Sec. 19a-158). - Appeals.

Section 19a-642. (Formerly Sec. 19a-159). - Judicial enforcement.

Section 19a-643. (Formerly Sec. 19a-160). - Regulations.

Section 19a-644. (Formerly Sec. 19a-161). - Annual reports of short-term acute care general or children's hospitals. Regulations on affiliation or control of health care facilities and institutions. Required reporting of audited financial statements.

Section 19a-645. (Formerly Sec. 19a-162). - Taking of land to enlarge hospitals.

Section 19a-646. (Formerly Sec. 19a-166). - Negotiation of discounts and different rates and methods of payments with hospitals. Filing with the unit.

Section 19a-647. (Formerly Sec. 19a-166b). - Preferred provider network. Definitions. Filing requirements.

Section 19a-648. (Formerly Sec. 19a-167e). - Performance or billing by affiliates after the base year. Adjustments. Civil penalty.

Section 19a-649. (Formerly Sec. 19a-167f). - Uncompensated care. Annual submission of information.

Section 19a-650. (Formerly Sec. 19a-167g). - Regulations.

Section 19a-651. (Formerly Sec. 19a-167h). - Data requirement. Rate order compliance. Adjustment.

Section 19a-652. (Formerly Sec. 19a-167i). - Termination of prospective payment system. Savings clause.

Section 19a-653. (Formerly Sec. 19a-167j). - Failure to file data or information. Civil penalty. Notice. Extension. Hearing. Appeal. Deduction from Medicaid payments.

Section 19a-654. (Formerly Sec. 19a-167k). - Data submission requirements. Memorandum of understanding. Regulations.

Section 19a-655. (Formerly Sec. 19a-167l). - Hospital budget calculations for the fiscal year commencing October 1, 1993.

Section 19a-656 to 19a-658. (Formerly Secs. 19a-167m to 19a-167o). - Compliance assessment calculation for fiscal year commencing October 1, 1991, to be applied in fiscal year commencing fiscal year October 1, 1993. Request for adjustment to authoriz...

Section 19a-659. (Formerly Sec. 19a-170). - Definitions.

Section 19a-660. (Formerly Sec. 19a-168g). - Adjustments to orders.

Section 19a-661. (Formerly Sec. 19a-168i). - Penalty.

Section 19a-662. (Formerly Sec. 19a-168j). - Cost reduction plan requirement. Regulations.

Section 19a-663. (Formerly Sec. 19a-168p). - Bond authorization.

Section 19a-664 and 19a-665. (Formerly Secs. 19a-168s and 19a-168t). - Assessment factor for the uncompensated care pool adjustments for the fiscal year commencing October 1, 1993. Authorized governmental shortfall calculation for the fiscal year com...

Section 19a-666. (Formerly Sec. 19a-168u). - Uncompensated care pool expenditures.

Section 19a-667 and 19a-668. (Formerly Secs. 19a-168v and 19a-168w). - Uncompensated care pool termination; final settlement. Assistance for termination of uncompensated care pool.

Section 19a-669. (Formerly Sec. 19a-169). - Determination and information re disproportionate share payments and emergency assistance to families.

Section 19a-670. (Formerly Sec. 19a-169a). - Unit to report on review and financial stability of hospitals.

Section 19a-670a. - Application for federal approval by the Department of Social Services.

Section 19a-670b. - Construction with respect to children's general hospitals.

Section 19a-671 (Formerly Sec. 19a-169b) and 19a-671a. - Calculation and determination of payments. Adjustment of overpayments for disproportionate share-medical emergency assistance by reducing Medicaid payments.

Section 19a-671b. - Provisions for waiver of certain penalties and interest assessed pertaining to liability for taxes owed under chapter 211a or 219.

Section 19a-672 (Formerly Sec. 19a-169c) and 19a-672a. - Use of medical assistance disproportionate share-emergency assistance account funds. Payments when short-term general hospital changes ownership during fiscal year.

Section 19a-673. (Formerly Sec. 19a-169e). - Collections by hospitals and entities owned by or affiliated with a hospital from uninsured patients.

Section 19a-673. (Formerly Sec. 19a-169e). *(See end of section f - Collections by hospitals from uninsured patients.

Section 19a-673a. - Regulations re uniform debt collection standards for hospitals.

Section 19a-673b. - *(See end of section for amended version and effective date.) Initiation of debt collection activities.

Section 19a-673c. - Debt collection report.

Section 19a-673d. - *(See end of section for amended version and effective date.) Cessation of collection efforts upon debtor's eligibility for bed funds or other services.

Section 19a-674 and 19a-675. (Formerly Secs. 19a-170a and 19a-170b). - Net revenue limit. Filings for partial or detailed budget review; hearings.

Section 19a-676. (Formerly Sec. 19a-170c). - Compliance with authorized revenue limits.

Section 19a-676a. - Termination of net revenue compliance payments.

Section 19a-677. (Formerly Sec. 19a-170d). - Computation of relative cost of hospitals.

Section 19a-678. (Formerly Sec. 19a-170e). - Inflation factor.

Section 19a-679. (Formerly Sec. 19a-170f). - Computation of equivalent discharges. Inpatient and outpatient gross revenues and units of service.

Section 19a-680. (Formerly Sec. 19a-170g). - Net revenue limit interim adjustment.

Section 19a-681. - Definitions. Filing of current pricemaster. Charges to be in accordance with detailed schedule of charges on file. Penalty.

Section 19a-682. - Additional billing for services rendered from November 1, 1994, through June 1, 1995.

Section 19a-683. - Reconciliation account.