Connecticut General Statutes
Chapter 368z - Health Systems Planning Unit
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.

(a) On or before February twenty-eighth annually, for the fiscal year ending on September thirtieth of the immediately preceding year, each short-term acute care general or children's hospital shall report to the unit with respect to its operations in such fiscal year, in such form as the unit may by regulation require. Such report shall include: (1) Salaries and fringe benefits for the ten highest paid hospital and health system employees; (2) the name of each joint venture, partnership, subsidiary and corporation related to the hospital; (3) the salaries paid to hospital and health system employees by each such joint venture, partnership, subsidiary and related corporation and by the hospital to the employees of related corporations; and (4) information and data prescribed by the Office of Health Strategy concerning charges for trauma activation fees. For purposes of this subsection, “health system” has the same meaning as provided in section 33-182aa.

(b) The Office of Health Strategy shall adopt regulations in accordance with chapter 54 to provide for the collection of data and information in addition to the annual report required in subsection (a) of this section. Such regulations shall provide for the submission of information about the operations of the following entities: Persons or parent corporations that own or control the health care facility, institution or provider; corporations, including limited liability corporations, in which the health care facility, institution, provider, its parent, any type of affiliate or any combination thereof, owns more than an aggregate of fifty per cent of the stock or, in the case of nonstock corporations, is the sole member; and any partnerships in which the person, health care facility, institution, provider, its parent or an affiliate or any combination thereof, or any combination of health care providers or related persons, owns a greater than fifty per cent interest. For purposes of this subsection, “affiliate” means any person that directly or indirectly through one or more intermediaries, controls or is controlled by or is under common control with any health care facility, institution, provider or person that is regulated in any way under this chapter. A person is deemed controlled by another person if the other person, or one of that other person's affiliates, officers, agents or management employees, acts as a general partner or manager of the person in question.
(c) Each nonprofit short-term acute care general or children's hospital shall include in the annual report required pursuant to subsection (a) of this section a report of all transfers of assets, transfers of operations or changes of control involving its clinical or nonclinical services or functions from such hospital to a person or entity organized or operated for profit.
(d) Each hospital that is a party to a transfer of ownership involving a hospital for which a certificate of need application was filed and approved pursuant to this chapter shall, during the fiscal year ending on September thirtieth of the immediately preceding year, include in the annual report required pursuant to subsection (a) of this section any salary, severance payment, stock offering or other financial gain realized by each officer, director, board member or senior manager of the hospital as a result of such transaction.
(e) The unit shall require each hospital licensed by the Department of Public Health, that is not subject to the provisions of subsection (a) of this section, to report to said unit on its operations in the preceding fiscal year by filing copies of the hospital's audited financial statements, except a health system, as defined in section 19a-508c, may submit to the unit one such report that includes the audited financial statements for each of its hospitals. Such report shall be due at the unit on or before the close of business on the last business day of the fifth month following the month in which a hospital's fiscal year ends.
(P.A. 73-117, S. 28, 31; P.A. 81-465, S. 16, 18; P.A. 83-3, S. 4, 5; P.A. 84-57, S. 3, 4; P.A. 86-61, S. 1, 2; P.A. 89-371, S. 19; P.A. 91-125; May 25 Sp. Sess. P.A. 94-1, S. 119, 130; P.A. 95-257, S. 39, 58; P.A. 98-150, S. 15, 17; P.A. 99-172, S. 4, 7; P.A. 02-101, S. 2, 3; P.A. 03-278, S. 76; P.A. 04-258, S. 22; P.A. 06-64, S. 12; Sept. Sp. Sess. P.A. 09-3, S. 14; P.A. 10-179, S. 120; P.A. 15-146, S. 33, 40; P.A. 18-91, S. 35; P.A. 19-117, S. 245.)
History: P.A. 81-465 changed deadline for initial report from December 31, 1974, to February 28, 1982; Sec. 19-73s transferred to Sec. 19a-161 in 1983; P.A. 83-3 added reference to Sec. 19a-157; P.A. 84-57 specified that reports must be “in such form as the commission may by regulation require”; P.A. 86-61 required facilities issued rate orders to submit reports and made technical changes; P.A. 89-371 made technical changes, added reference to Secs. 19a-167 to 19a-167g, inclusive, and removed obsolete language; P.A. 91-125 added Subdivs. (1) to (5), inclusive, listing five specific items of information to be included in the report; May 25 Sp. Sess. P.A. 94-1 replaced revenue caps with revenue limits and made technical changes, effective July 1, 1994; P.A. 95-257 replaced Commission on Hospitals and Health Care with Office of Health Care Access, effective July 1, 1995; Sec. 19a-161 transferred to Sec. 19a-644 in 1997; P.A. 98-150 added Subsec. (b) re regulations on affiliation or control, effective June 5, 1998; P.A. 99-172 amended Subsec. (a) to make a technical change and to expand budget reporting and make it in the discretion of the office, and amended Subsec. (b) by changing “parent” to “persons or parent”, changing “an affiliate” to “any type of affiliate”, changing 50% to “an aggregate” of 50%, adding references to “person”, “provider” and “combination of health care providers or related persons”, and adding definition of “affiliate”, effective June 23, 1999; P.A. 02-101 amended Subsec. (a) to make the reporting requirements applicable to short-term acute care general or children's hospitals by deleting “each health care facility and institution for which a budget was approved or revenue limits were established under the provisions of section 19a-640 or section 19a-674” and added Subsec. (c) re reporting of hospital's audited financial records, effective July 1, 2002; P.A. 03-278 made technical changes in Subsec. (a), effective July 9, 2003; P.A. 04-258 added new Subsec. (c) requiring nonprofit short-term acute care general or children's hospital to include in annual report required by Subsec. (a) a report of all transfers of assets or operations and changes in control of clinical and nonclinical services to a for-profit entity and redesignated existing Subsec. (c) as Subsec. (d), effective July 1, 2004; P.A. 06-64 amended Subsec. (a) by deleting former Subdiv. (1) to remove information on average salaries by job classification from reporting requirements, redesignating existing Subdivs. (2) to (4) as Subdivs. (1) to (3) and eliminating office's discretionary authority to request breakdown of hospital and department budgets, effective July 1, 2006; Sept. Sp. Sess. P.A. 09-3 amended Subsec. (b) by substituting “Department of Public Health” for “office”, effective October 6, 2009; P.A. 10-179 amended Subsec. (d) by replacing “Office of Health Care Access” with “office” and by making a technical change; P.A. 15-146 amended Subsec. (a) by replacing “positions” with “hospital and health system employees” in Subdiv. (1), adding reference to health system in Subdiv. (3) and adding definition of “health system”, amended existing Subsec. (d) by adding exception re health system, added new Subsec. (d) re hospital that is a party to a transfer of ownership and redesignated existing Subsec. (d) as Subsec. (e), effective July 1, 2015; P.A. 18-91 amended Subsecs. (a) and (e) by replacing “office” with “unit”, and amended Subsec. (b) by replacing “Department of Public Health” with “Office of Health Strategy”, and making a technical change, effective May 14, 2018; P.A. 19-117 amended Subsec. (a) by adding Subdiv. (4) re information and data concerning charges for trauma activation fees and made technical changes.

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.