reglab/statecodes huggingface dataset:
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368v - Health Care Institutions › Section 19a-562f. - Nursing home facility staffing levels. Definitions.

As used in this section and sections 19a-562g and 19a-562h:
(1) “Nurse” means an advanced practice registered nurse, registered nurse or licensed practical nurse licensed pursuant to chapter 378;
(2) “Advanced practice registered nurse” means an advanced practice registered nurse licensed pursuant to chapter 378;
(3) “Registered nurse” means a registered nurse licensed pursuant to chapter 378;
(4) “Licensed practical nurse” means a practical nurse licensed pursuant to chapter 378;
(5) “Nurse's aide” means a nurse's aide registered pursuant to chapter 378a;
(6) “Nursing home facility” has the same meaning as provided in section 19a-521;
(7) “Transportation duty” means the responsibility of a nurse or nurse's aide to accompany the resident while he or she is being transported to or from the nursing home facility;
(8) “Direct patient care” means any care of a patient that is provided personally by a nursing home facility staff member and includes, but is not limited to, treatment, counseling, self-care and the administration of medication; and
(9) “Primary portion of his or her shift” means six or more hours of an eight-hour shift.
(P.A. 19-89, S. 1.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368v - Health Care Institutions › Section 19a-562g. - Calculation of nurses and nurse's aides providing direct patient care. Daily posting. Public availability of information.

(a) Each nursing home facility shall calculate on a daily basis, for the purposes of posting the information required under subsection (b) of this section, the total number of nurses and nurse's aides providing direct patient care to residents of the nursing home facility. In calculating the total number, a nursing home facility shall not include any nurse or nurse's aide who is on transportation duty and who is not providing direct patient care for the primary portion of his or her shift or any nurse or nurse's aide who is categorized as a member of the nursing home facility's management or administration and who is not providing direct patient care for the primary portion of his or her shift.
(b) Each nursing home facility shall post, in accordance with 42 CFR 483.35(g), the following information on a daily basis at the beginning of each shift, in a legible format and in a conspicuous place readily accessible to and clearly visible by residents, employees and visitors of the nursing home facility, including, but not limited to, persons in a wheelchair:
(1) Name of the nursing home facility;
(2) Date;
(3) Total number of (A) advanced practice registered nurses, (B) registered nurses, (C) licensed practical nurses, and (D) nurse's aides, who will be responsible for direct patient care during the shift;
(4) Total number of hours such (A) advanced practice registered nurses, (B) registered nurses, (C) licensed practical nurses, and (D) nurse's aides are scheduled to work during the shift; and
(5) Total number of nursing home facility residents.
(c) In addition to the information posted pursuant to subsection (b) of this section, each nursing home facility shall post the following information on a daily basis, at the beginning of each shift, in a legible format and in a conspicuous place readily accessible to and visible by residents, employees and visitors of the nursing home facility, including, but not limited to, persons in a wheelchair:
(1) The minimum number of nursing home facility staff per shift that is required by the regulations of Connecticut state agencies to be responsible for providing direct patient care to residents of the nursing home facility; and
(2) The telephone number or Internet web site that a resident, employee or visitor of the nursing home facility may use to report a suspected violation by the nursing home facility of a regulatory requirement concerning staffing levels and direct patient care.
(d) Each nursing home facility shall, upon oral or written request, make the daily information posted pursuant to subsections (b) and (c) of this section available to the public for review. The nursing home facility shall retain such information for not less than eighteen months from the date such information was posted.
(P.A. 19-89, S. 2.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368v - Health Care Institutions › Section 19a-562h. - Failure to comply with nursing home facility staffing level requirement. Disciplinary action and citation. Posting and inclusion in Department of Public Health listing.

(a) If the Commissioner of Public Health finds that a nursing home facility has substantially failed to comply with a nursing home facility staffing level requirement established pursuant to the regulations of Connecticut state agencies, the commissioner may (1) take any disciplinary action against the nursing home facility permitted under section 19a-494, and (2) issue or cause to be issued a citation to the licensee of such nursing home facility pursuant to the provisions of section 19a-524.
(b) A citation of a nursing home facility staffing level requirement set forth in the regulations of Connecticut state agencies shall be prominently posted in the nursing home facility and included in the listing prepared by the Department of Public Health pursuant to the provisions of section 19a-540.
(P.A. 19-89, S. 3.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368v - Health Care Institutions › Section 19a-563a. - Provision of emergency plan of operations by nursing homes and dementia special care units to their political subdivision of this state.

On or before January 1, 2022, the administrative head of each nursing home and each dementia special care unit shall provide its emergency plan of operations to the political subdivision of this state in which it is located for purposes of the development of the emergency plan of operations for such political subdivision of this state required pursuant to the Interstate Mutual Aid Compact made and entered into under section 28-22a.
(P.A. 21-185, S. 2.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368v - Health Care Institutions › Section 19a-563b. - Nursing homes. Personal protective equipment requirements. Process for evaluating, provision of feedback on, approval and distribution of personal protective equipment in a public health emergency.

(a) The administrative head of each nursing home shall ensure that (1) the home maintains at least a two-month supply of personal protective equipment for its staff, and (2) the personal protective equipment is of various sizes based on the needs of the home's staff. The personal protective equipment shall not be shared amongst the home's staff and may only be reused in accordance with the strategies to optimize personal protective equipment supplies in health care settings published by the National Centers for Disease Control and Prevention. The administrative head of each nursing home shall hold fittings of his or her staff for N95 masks or higher rated masks certified by the National Institute for Occupational Safety and Health, at a frequency determined by the Department of Public Health.
(b) On or before January 1, 2022, the Department of Emergency Management and Homeland Security, in consultation with the Department of Public Health, shall establish a process to evaluate, provide feedback on, approve and distribute personal protective equipment for use by nursing homes in a public health emergency.
(P.A. 21-185, S. 3.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368v - Health Care Institutions › Section 19a-563c. - Nursing homes. Staff member or contracted professional licensed or certified to start an intravenous line. Requirement.

The administrative head of each nursing home shall ensure that there is at least one staff member or contracted professional licensed or certified to start an intravenous line who is available on-call during each shift to start an intravenous line.
(P.A. 21-185, S. 4.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368v - Health Care Institutions › Section 19a-563d. - Nursing homes. Infection prevention and control committee requirements.

Each nursing home's infection prevention and control committee shall meet (1) at least monthly, and (2) during an outbreak of an infectious disease, daily, provided daily meetings do not cause a disruption to the operations of the nursing home, in which case the committee shall meet at least weekly. The prevention and control committee shall be responsible for establishing infection prevention and control protocols for the nursing home and monitoring the nursing home's infection prevention and control specialist. Not less than annually and after every outbreak of an infectious disease in the nursing home, the prevention and control committee shall evaluate (A) the implementation and analyze the outcome of such protocols, and (B) whether the infection prevention and control specialist is satisfactorily performing his or her responsibilities under subsection (b) of section 19a-563.
(P.A. 21-185, S. 5.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368v - Health Care Institutions › Section 19a-563e. - Nursing homes. Testing of staff and residents during an infectious disease outbreak.

Each nursing home shall, during an outbreak of an infectious disease, test staff and residents of the nursing home for the infectious disease at a frequency determined by the Department of Public Health as appropriate based on the circumstances surrounding the outbreak and the impact of testing on controlling the outbreak.
(P.A. 21-185, S. 6.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368v - Health Care Institutions › Section 19a-563f. - Nursing homes and dementia special care units. Establishment and duties of family council. Definition.

On or before January 1, 2022, the administrative head of each nursing home and dementia special care unit shall encourage the establishment of a family council and assist in any such establishment. The family council shall facilitate and support open communication between the nursing home or dementia special care unit and each resident's family members and friends. As used in this section, “family council” means an independent, self-determining group of the family members and friends of the residents of a nursing home or dementia special care unit that is geared to meeting the needs and interests of the residents and their family members and friends.
(P.A. 21-185, S. 7.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368v - Health Care Institutions › Section 19a-563g. - Nursing homes. Resident care plans.

(a) On or before January 1, 2022, the administrative head of each nursing home shall ensure that each resident's care plan includes the following:
(1) Measures to address the resident's social, emotional and mental health needs, including, but not limited to, opportunities for social connection and strategies to minimize isolation;
(2) Visitation protocols and any other information relevant to visitation that shall be written in plain language and in a form that may be reasonably understood by the resident and the resident's family members and friends; and
(3) Information on the role of the Office of the Long-Term Care Ombudsman established under section 17a-405 including, but not limited to, the contact information for said office.
(b) On or before January 1, 2022, the administrative head of each nursing home shall ensure that its staff is educated regarding (1) best practices for addressing the social, emotional and mental health needs of residents, and (2) all components of person-centered care.
(P.A. 21-185, S. 8.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368v - Health Care Institutions › Section 19a-563h. - Nursing homes. Minimum staffing level requirements. Regulations.

(a) On or before January 1, 2022, the Department of Public Health shall (1) establish minimum staffing level requirements for nursing homes of three hours of direct care per resident per day, and (2) modify staffing level requirements for social work and recreational staff of nursing homes such that the requirements (A) for social work are one full-time social worker per sixty residents, and (B) for recreational staff are lower than the current requirements, as deemed appropriate by the Commissioner of Public Health.
(b) The commissioner shall adopt regulations in accordance with the provisions of chapter 54 that set forth nursing home staffing level requirements to implement the provisions of this section.
(P.A. 21-185, S. 10.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368v - Health Care Institutions › Section 19a-564. - Assisted living services agencies. Licensure. Dementia special care approval. Regulations.

(a) The Commissioner of Public Health shall license assisted living services agencies, as defined in section 19a-490. A managed residential community wishing to provide assisted living services shall become licensed as an assisted living services agency or shall arrange for assisted living services to be provided by another entity that is licensed as an assisted living services agency.
(b) A managed residential care community that intends to arrange for assisted living services shall only do so with a currently licensed assisted living services agency. Such managed residential community shall submit an application to arrange for the assisted living services to the Department of Public Health in a form and manner prescribed by the commissioner.
(c) An assisted living services agency providing services as a dementia special care unit or program, as defined in section 19a-562, shall obtain approval for such unit or program from the Department of Public Health. Such assisted living services agencies shall ensure that they have adequate staff to meet the needs of the residents. Each assisted living services agency that provides services as a dementia special care unit or program, as defined in section 19a-562, shall submit to the Department of Public Health a list of dementia special care units or locations and their staffing plans for any such units and locations when completing an initial or a renewal licensure application, or upon request from the department.
(d) An assisted living services agency shall ensure that (1) all services being provided on an individual basis to clients are fully understood and agreed upon between either the client or the client's representative, and (2) the client or the client's representative are made aware of the cost of any such services.
(e) The Department of Public Health may adopt regulations, in accordance with the provisions of chapter 54, to carry out the purposes of this section.
(P.A. 21-121, S. 56.)
History: P.A. 21-121 effective July 1, 2021.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368v - Health Care Institutions › Section 19a-565a. (Formerly Sec. 19a-30a). - Reporting of clinical laboratory errors.

(a) Each clinical laboratory, licensed pursuant to section 19a-565, which discovers a medical error made in the performance or reporting of any test or examination performed by the laboratory shall promptly notify, in writing, the authorized person ordering the test of the existence of such error and shall promptly issue a corrected report or request for a retest, with the exception of HIV testing, in which case, errors shall be reported in person and counseling provided in accordance with chapter 368x.
(b) If the patient has requested the test directly from the laboratory, notice shall be sent to the patient, in writing, stating that a medical error in the reported patient test results has been detected and the patient is requested to contact the laboratory to arrange for a retest or other confirmation of test results. Said laboratory shall verbally or in writing inform the patient that in the event of a medical error the laboratory is required by law to inform him and that he may designate where such notification is to be sent. Such written notification shall be confidential and subject to the provisions of chapter 368x.
(c) Failure to comply with the provisions of this section may be cause for suspension or revocation of the license granted under said section 19a-565 or the imposition of any other disciplinary action specified in section 19a-17.
(d) The Department of Public Health may adopt regulations in accordance with the provisions of chapter 54 to implement the provisions of this section.
(P.A. 94-100; P.A. 95-257, S. 12, 21, 58; P.A. 15-242, S. 15.)
History: 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. 15-242 amended Subsec. (c) to add reference to any other disciplinary action specified in Sec. 19a-17; Sec. 19a-30a transferred to Sec. 19a-565a in 2023.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368v - Health Care Institutions › Section 19a-565b. (Formerly Sec. 19a-31). - Clinical laboratories to analyze chiropractic specimens.

Any licensed clinical laboratory in this state shall accept or obtain specimens for analysis at the request of any chiropractic physician licensed under the provisions of chapter 372.
(P.A. 76-83, S. 4.)
History: Sec. 19-9b transferred to Sec. 19a-31 in 1983; Sec. 19a-31 transferred to Sec. 19a-565b in 2023.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368v - Health Care Institutions › Section 19a-565c. (Formerly Sec. 19a-31b). - Hair follicle drug testing by clinical laboratories.

No clinical laboratory, as defined in section 19a-490, that offers hair follicle drug testing as part of its array of diagnostic testing services shall refuse to administer a hair follicle drug test that has been ordered by a physician or physician assistant, licensed under chapter 370, or an advanced practice registered nurse, licensed under chapter 378.
(P.A. 15-72, S. 1; P.A. 22-58, S. 24.)
History: P.A. 22-58 replaced “19a-30” with “19a-490”; Sec. 19a-31b transferred to Sec. 19a-565c in 2023.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-572. - Failure to execute document creates no presumption re wishes of patient.

Sections 19a-571 and 19a-573 to 19a-575a, inclusive, create no presumption concerning the wishes of a patient who has not executed a document as described in sections 19a-575 and 19a-575a.
(P.A. 85-606, S. 3; P.A. 93-407, S. 6.)
History: P.A. 93-407 added references to Sec. 19a-575a.
Cited. 209 C. 692.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-573. - Comfort care and pain alleviation to be provided. Documents executed prior to October 1, 1991.

(a) Notwithstanding the provisions of sections 19a-571, 19a-572, 19a-575, 19a-575a, 19a-577, 19a-580a and 19a-580b, comfort care and pain alleviation shall be provided in all cases.
(b) Any document executed prior to October 1, 1991, in accordance with section 19a-575, revision of 1958, revised to January 1, 1991, and section 19a-575a shall not be invalidated by any provision of public act 91-283*. Any document executed prior to October 1, 1991, shall not be presumed to prohibit withholding or withdrawal of life support systems as defined in section 19a-570, revision of 1958, revised to January 1, 1991, unless such prior document specifically addresses such withholding or withdrawal.
(P.A. 85-606, S. 4; P.A. 91-283, S. 4; P.A. 93-407, S. 7; P.A. 18-11, S. 3.)
*Note: Public act 91-283 is entitled “An Act Concerning Living Wills”. (See Reference Table captioned “Public Acts of 1991” in Volume 16 which lists the sections amended, created or repealed by the act.)
History: P.A. 91-283 added provision re validity of document executed prior to October 1, 1991, and presumption re withholding or withdrawal of life support systems; P.A. 93-407 added references to Sec. 19a-575a; P.A. 18-11 amended Subsec. (a) by deleting reference to Sec. 19a-574, effective May 24, 2018.
Cited. 209 C. 692.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-574. - Nonapplicability to pregnant patient.

Section 19a-574 is repealed, effective May 24, 2018.
(P.A. 85-606, S. 5; P.A. 93-407, S. 8; P.A. 18-11, S. 4.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-578. - Proof of living will document or document appointing health care representative. Physician to make documents and oral communications re health care and withdrawal of life support systems part of medical record.

(a) Any or all of the attesting witnesses to any living will document or any document appointing a health care representative may, at the request of the declarant, make and sign an affidavit before any officer authorized to administer oaths in or out of this state, stating such facts as they would be required to testify to in court to prove such living will. The affidavit shall be written on the living will document, or if that is impracticable, on some paper attached thereto. The sworn statement of any such witness so taken shall be accepted by a court of competent jurisdiction as if it had been taken before such court.
(b) A physician or other health care provider who is furnished with a copy of a written living will or appointment of health care representative shall make it a part of the declarant's medical record. A physician or other health care provider shall also record in the patient's medical record any oral communication concerning any aspect of the patient's health care, including the withholding or withdrawal of life support systems, made by the patient directly to the physician or other health care provider or to the patient's health care representative, legal guardian, conservator, next-of-kin or person designated in accordance with section 1-56r.
(P.A. 91-283, S. 7; P.A. 02-105, S. 8; P.A. 06-195, S. 69.)
History: P.A. 02-105 amended Subsec. (b) by adding a person designated by the patient in accordance with Sec. 1-56r to the list of those whose communications with the patient regarding his wishes must be recorded in the patient's medical record; P.A. 06-195 substituted “health care representative” for “health care agent” throughout, amended Subsec. (a) to authorize “a court of competent jurisdiction”, rather than “the Court of Probate”, to accept sworn statements of attesting witnesses to living will documents or documents appointing health care representatives and amended Subsec. (b) to make a technical change for the purpose of gender neutrality.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-579. - When living will or appointment of health care representative becomes operative. Disclosure of physician's determination of incapacity.

A living will or appointment of health care representative becomes operative when (1) the document is furnished to the attending physician or advanced practice registered nurse, and (2) the declarant is determined by the attending physician or advanced practice registered nurse to be incapacitated. At any time after the appointment of a health care representative, the attending physician or advanced practice registered nurse shall disclose such determination of incapacity, in writing, upon the request of the person named as the health care representative.
(P.A. 91-283, S. 10; P.A. 06-195, S. 70; P.A. 18-168, S. 39.)
History: P.A. 06-195 substituted “health care representative” for “health care agent”, made a technical change and added provision requiring attending physician to make written disclosure of determination of declarant's incapacity at health care representative's request; P.A. 18-168 added references to advanced practice registered nurse.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-579a. - Revocation of living will. Absence of knowledge of revocation.

(a) A living will may be revoked at any time and in any manner by the declarant, without regard to the declarant's mental or physical condition.
(b) The attending physician or other health care provider shall make the revocation a part of the declarant's medical record.
(c) In the absence of knowledge of the revocation of a living will, a person is not subject to civil or criminal liability or discipline for unprofessional conduct for carrying out the living will pursuant to the requirements of sections 19a-570, 19a-571, 19a-573 and 19a-575 to 19a-580c, inclusive.
(P.A. 91-283, S. 9; P.A. 93-407, S. 9; P.A. 06-195, S. 71.)
History: P.A. 93-407 amended Subsec. (c) by incorporating reference to Sec. 19a-575a; P.A. 06-195 amended Subsec. (a) by deleting provision re revocation of appointment of health care agent and amended Subsec. (c) by deleting provisions re health care agent's immunity from liability when acting without knowledge of revocation.
See Sec. 19a-575a re revocation of appointment of health care representative and immunity from liability for actions undertaken without knowledge of such revocation.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-579b. - Revocation of appointment of spouse as health care representative upon divorce or legal separation.

The appointment of the principal's spouse as health care representative shall be revoked upon the divorce or legal separation of the principal and spouse or upon the annulment or dissolution of their marriage, unless the principal specifies otherwise.
(P.A. 91-283, S. 14; P.A. 06-195, S. 72.)
History: P.A. 06-195 substituted “health care representative” for “health care agent”.
See Sec. 19a-575a re revocation of appointment of health care representative.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-580. - Notification of certain persons prior to removal of life support system.

Within a reasonable time prior to withholding or causing the removal of any life support system pursuant to sections 19a-570, 19a-571, 19a-573 and 19a-575 to 19a-580c, inclusive, the attending physician, physician assistant or advanced practice registered nurse shall make reasonable efforts to notify the individual's health care representative, next-of-kin, legal guardian, conservator or person designated in accordance with section 1-56r, if available.
(P.A. 91-283, S. 8; P.A. 93-407, S. 10; P.A. 02-105, S. 9; P.A. 06-195, S. 73; P.A. 16-39, S. 25; P.A. 21-196, S. 31.)
History: P.A. 93-407 incorporated reference to Sec. 19a-575a; P.A. 02-105 amended section by adding person designated in accordance with Sec. 1-56r to list of those to be notified; P.A. 06-195 substituted “health care representative” for “health care agent”; P.A. 16-39 added reference to advanced practice registered nurse; P.A. 21-196 added reference to physician assistant.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-580a. - Transfer of patient when attending physician or health care provider unwilling to comply with wishes of patient.

An attending physician or health care provider who is unwilling to comply with the wishes of the patient or sections 19a-570, 19a-571, 19a-573 and 19a-575 to 19a-580c, inclusive, shall, as promptly as practicable, take all reasonable steps to transfer care of the patient to a physician or health care provider who is willing to comply with the wishes of the patient and said sections.
(P.A. 91-283, S. 11; P.A. 93-407, S. 11.)
History: P.A. 93-407 incorporated reference to Sec. 19a-575a.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-580b. - Prohibition re requiring living will or appointment of health care representative as condition of treatment or health benefits.

No physician, health care provider or health care insurer shall require a person to execute a living will or appoint a health care representative as a condition of treatment or receiving health care benefits.
(P.A. 91-283, S. 13; P.A. 06-195, S. 74.)
History: P.A. 06-195 substituted “health care representative” for “health care agent”.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-580c. - Probate Court jurisdiction over disputes re provisions concerning withholding or withdrawal of life support systems or other medical treatment and capacity of health care representative. Health care representative's standing to challenge revocation.

(a) The probate court for the district in which the person is domiciled or is located at the time of the dispute shall have jurisdiction over any dispute concerning the meaning or application of any provision of sections 19a-570, 19a-571, 19a-573 and 19a-575 to 19a-580c, inclusive. With respect to any communication of a patient's wishes other than by means of a document executed in accordance with sections 19a-575 and 19a-575a, the court shall consider whether there is clear and convincing evidence of such communication.
(b) The probate court for the district in which the person is domiciled or is located at the time of the dispute shall have jurisdiction over any dispute concerning the capacity of the health care representative or over any claim that the actions of the person named as health care representative would interfere with the treatment of the declarant or the person named as health care representative.
(c) A person whose appointment as a health care representative has been revoked shall have standing to file a claim challenging the validity of such revocation with the probate court for the district in which the declarant is domiciled or is located at the time of the dispute.
(P.A. 91-283, S. 12; P.A. 93-407, S. 12; P.A. 06-195, S. 75.)
History: P.A. 93-407 added references to Sec. 19a-575a; P.A. 06-195 designated existing provisions as Subsec. (a) and amended same by adding reference to Sec. 19a-575, added Subsec. (b) re disputes over health care representative's capacity and claims of interference with treatment of declarant or person named as health care representative and added Subsec. (c) re health care representative's standing to challenge validity of revocation of appointment.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-580d. - Do not resuscitate orders. Definition. Regulations.

(a) For purposes of this section, “do not resuscitate order” or “DNR order” means an order written by a physician licensed under chapter 370 or advanced practice registered nurse licensed under chapter 378 for a particular patient to withhold cardiopulmonary resuscitation of such patient, including chest compressions, defibrillation or breathing, or ventilation of such patient by any assistive or mechanical means, including, but not limited to, mouth-to-mouth, bag-valve mask, endotracheal tube or ventilator.
(b) The Department of Public Health shall adopt regulations, in accordance with chapter 54, to provide for a system governing the recognition and transfer of do not resuscitate or DNR orders between health care institutions licensed pursuant to chapter 368v and upon intervention by emergency medical services providers certified or licensed pursuant to chapter 368d. The regulations shall include, but not be limited to, procedures concerning the use of do not resuscitate bracelets. The regulations shall specify that, upon request of the patient or his or her authorized representative, the physician or advanced practice registered nurse who issued the do not resuscitate order shall assist the patient or his or her authorized representative in utilizing the system. The regulations shall not limit the authority of the Commissioner of Developmental Services under subsection (g) of section 17a-238 concerning orders applied to persons receiving services under the direction of the Commissioner of Developmental Services.
(P.A. 95-113; 95-257, S. 12, 21, 58; P.A. 07-73, S. 2(b); P.A. 16-39, S. 21; P.A. 17-146, S. 6.)
History: 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; pursuant to P.A. 07-73 “Commissioner of Mental Retardation” was changed editorially by the Revisors to “Commissioner of Developmental Services”, effective October 1, 2007; P.A. 16-39 added reference to advanced practice registered nurse and made technical changes; P.A. 17-146 designated existing provisions re adoption of regulations as Subsec. (b), added Subsec. (a) re definition of “do not resuscitate order”, and made technical and conforming changes.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-580e. - Conservator's duty to comply with conserved person's health care instructions or other wishes. Precedence of health care representative's decisions. Exceptions.

(a) Except as authorized by a court of competent jurisdiction, a conservator shall comply with a conserved person's individual health care instructions and other wishes, if any, expressed while the conserved person had capacity and to the extent known to the conservator, and the conservator may not revoke the conserved person's advance health care directive or a directive executed in accordance with subdivision (10) of section 1-351l or section 45a-318, unless the appointing court expressly so authorizes.
(b) Absent a court order to the contrary, a decision of a health care representative concerning health care or the disposition of the body of a deceased person takes precedence over that of a conservator, except under the following circumstances: (1) When the health care decision concerns a person who is subject to the provisions of section 17a-566, 17a-587, 17a-588 or 54-56d; (2) when a conservator has been appointed for a conserved person who is subject to an order authorized under subsection (e) of section 17a-543, for the duration of the conserved person's hospitalization; or (3) when a conservator has been appointed for a conserved person subject to an order authorized under section 17a-543a.
(P.A. 06-195, S. 79; P.A. 07-116, S. 32; P.A. 14-204, S. 4; P.A. 15-240, S. 54; P.A. 16-40, S. 5, 9.)
History: P.A. 07-116 substituted “conserved person” for “ward”; P.A. 14-204 amended Subsec. (a) by adding reference to directive executed in accordance with Secs. 1-52(14) or 45a-318 and amended Subsec. (b) by substituting “decision” for “health care decision” and adding “concerning health care or the disposition of the body of a deceased person”; P.A. 15-240 amended Subsec. (a) by deleting reference to Sec. 1-52(14), effective July 1, 2016; P.A. 16-40 changed effective date of P.A. 15-240, S. 54, from July 1, 2016, to October 1, 2016, effective May 27, 2016, and amended Subsec. (a) to add “subdivision (10) of section 1-351
l
, or”, effective October 1, 2016.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-580f. - Validity of advance directives, appointments of health care agent and powers of attorney for health care decisions executed before October 1, 2006.

(a) An advance directive properly executed prior to October 1, 2006, shall have the same legal force and effect as if it had been executed in accordance with the provisions of this chapter.
(b) An appointment of health care agent properly executed prior to October 1, 2006, shall have the same legal force and effect as if it had been executed in accordance with the provisions of this chapter in effect at the time of its execution.
(c) A power of attorney for health care decisions properly executed prior to October 1, 2006, shall have the same power and effect as provided under section 1-54a of the general statutes, revision of 1958, revised to January 1, 2005, in effect at the time of its execution.
(P.A. 06-195, S. 80; P.A. 07-252, S. 21; P.A. 15-240, S. 51; P.A. 16-40, S. 6, 9.)
History: P.A. 07-252 designated existing provisions as Subsec. (a) and added Subsecs. (b) and (c) re legal force and effect of appointments of health care agent and powers of attorney for health care decisions executed before October 1, 2006; P.A. 15-240 amended Subsec. (c) by adding “of the general statutes, revision of 1958, revised to January 1, 2015”, effective July 1, 2016; P.A. 16-40 changed effective date of P.A. 15-240, S. 51, from July 1, 2016, to October 1, 2016, effective May 27, 2016, and amended Subsec. (c) by substituting reference to Sec. 1-54a for reference to Sec. 1-55 and substituting “January 1, 2005” for “January 1, 2015”, effective October 1, 2016.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-580g. - Validity of advance directives executed in other states or foreign countries.

Health care instructions or appointment of a health care proxy executed under the laws of another state in compliance with the laws of that state or the state of Connecticut, and which are not contrary to the public policy of this state, are deemed validly executed for purposes of this chapter. Health care instructions or appointment of a health care proxy executed in a foreign country in compliance with the laws of the country or the state of Connecticut, and which are not contrary to the public policy of this state, are deemed validly executed for the purposes of this chapter. A healthcare provider may rely on such health care instructions or recognize such appointment of a health care proxy based upon any of the following: (1) An order or decision by a court of competent jurisdiction; (2) presentation of a notarized statement from the patient or person offering the health care proxy that the proxy (A) is valid under the laws of the state or country in which it was made, and (B) is not contrary to the public policy of this state; or (3) the healthcare provider's own good faith legal analysis.
(P.A. 06-195, S. 81.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368w - Removal of Life Support Systems and Medical Orders for Life-Sustaining Treatment › Section 19a-580i. - Medical orders for life-sustaining treatment advisory council.

There is established, within available appropriations, a medical orders for life-sustaining treatment advisory council. The advisory council shall consist of health care providers, public health professionals and consumer advocates and shall make recommendations to the Commissioner of Public Health concerning the requirements prescribed in section 19a-580h. The advisory council shall consist of the following members, who shall be appointed by the commissioner not later than January 1, 2018: (1) A public health practitioner; (2) two physicians, one of whom shall be an emergency department physician; (3) an advanced practice registered nurse; (4) a physician assistant; (5) an emergency medical service provider; (6) two patient advocates, one of whom shall be an advocate for persons with disabilities; (7) a hospital representative; (8) a long-term care facility representative; and (9) any person or a representative from any other organization who, as determined by the commissioner, possesses familiarity with the issues concerning medical orders for life-sustaining treatment. The advisory council shall meet at least annually to be updated on the status of the program and advise the department on matters related to improving the program established pursuant to section 19a-580h.
(P.A. 17-70, S. 2.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368x - AIDS Testing and Medical Information › Section 19a-585. - Requirements for disclosure of HIV-related information.

(a) Whenever confidential HIV-related information is disclosed it shall be accompanied by a statement in writing, whenever possible, which includes the following or substantially similar language: “This information has been disclosed to you from records whose confidentiality is protected by state law. State law prohibits you from making any further disclosure of it without the specific written consent of the person to whom it pertains, or as otherwise permitted by said law. A general authorization for the release of medical or other information is NOT sufficient for this purpose.” An oral disclosure shall be accompanied or followed by such a notice within ten days.
(b) Except for disclosures made to a federal, state, or local health officer when such disclosure is mandated or authorized by federal or state law or to persons reviewing information or records in the ordinary course of ensuring that a health facility is in compliance with applicable quality of care standards or any other authorized program evaluation, program monitoring or service review, a notation of all such disclosures shall be placed in the medical record or with any record of an HIV-related test result of a protected individual, who shall be informed of such disclosures upon request; provided for disclosures made to governmental agents requiring information necessary for payments to be made on behalf of patients or clients pursuant to contract or law, such notation need only be entered at the time the disclosure is first made.
(c) Nothing in this chapter shall limit a person's or agency's responsibility to report, investigate or disclose child protective services information pursuant to sections 17a-101, 17a-101a to 17a-101k, inclusive, 17a-103 and 46b-129a and regulations adopted pursuant to said sections.
(d) The provisions of subsections (a) and (b) of this section shall not be applicable to disclosures made pursuant to subdivision (11) of subsection (a) of section 19a-583.
(e) Except as provided in subparagraph (G) of subdivision (5) of subsection (d) of section 19a-582, nothing in this chapter shall prohibit the recording of HIV and AIDS-related information in the medical chart or medical records of a protected individual or the listing of AIDS, HIV-related illness or HIV infection in a certificate of death or autopsy report. This chapter shall not be construed to modify regulations relating to access to death certificates or autopsy reports. This chapter shall not be construed to modify the provisions of section 19a-25 or 19a-221.
(P.A. 89-246, S. 5; P.A. 93-291, S. 6; P.A. 96-246, S. 30; P.A. 09-133, S. 2.)
History: P.A. 93-291 made technical changes in Subsecs. (c) and (e); P.A. 96-246 amended Subsec. (c) by adding references to Secs. 17a-101a to 17a-101k, inclusive, and 46b-129a; P.A. 09-133 amended Subsec. (e) by making a technical change, effective July 1, 2009.
Cited. 236 C. 845.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368x - AIDS Testing and Medical Information › Section 19a-586. - Testing for insurance purposes.

(a) Any insurer that requests an applicant for insurance coverage to take an HIV-related test shall obtain the applicant's written informed consent for such test prior to conducting it.
(b) The Insurance Commissioner shall adopt regulations, in consultation with the Commissioner of Public Health and in accordance with the provisions of chapter 54, which establish all necessary requirements for the provision of informed consent pursuant to the provisions of subsection (a) of this section. Such regulations shall include, but not be limited to, requirements regarding (1) sufficient notice at the time of application that the insured will be tested for HIV infection and (2) an explanation of AIDS and HIV infection.
(P.A. 89-246, S. 6; P.A. 93-381, S. 9, 39; P.A. 95-257, S. 12, 21, 58.)
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.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368x - AIDS Testing and Medical Information › Section 19a-587. - Disclosure by insurers.

Nothing in this chapter shall prohibit the disclosure by a life or health insurer or health care center of a positive HIV-related test result to an organization that assembles or collects information about insurance applicants for the purposes of detecting fraud, misrepresentation, or nondisclosure in connection with insurance underwriting, provided such result is provided as a nonspecific blood test result, within a general code category, which code is not designated solely for HIV-related test results and provided the majority of results included in the general code are not HIV-related and the code does not otherwise allow members of the organization to reasonably identify an applicant's test result as an HIV-related test.
(P.A. 89-246, S. 7.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368x - AIDS Testing and Medical Information › Section 19a-588. - Notification of procedures to certain municipal employees.

Each town shall notify its police, fire and emergency medical services personnel of the procedures under subdivision (5) of subsection (d) of section 19a-582 and subdivision (7) of subsection (a) of section 19a-583 pertaining to workers who have experienced a significant exposure.
(P.A. 89-246, S. 8; P.A. 09-133, S. 3.)
History: P.A. 09-133 made a technical change, effective July 1, 2009.
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368x - AIDS Testing and Medical Information › Section 19a-589. - Regulations.

The commissioner shall adopt such regulations, as he deems necessary, in accordance with the provisions of chapter 54 to implement the provisions of sections 19a-581 to 19a-585, inclusive.
(P.A. 89-246, S. 9.)
2023 Connecticut General Statutes › Title 19a - Public Health and Well-Being › Chapter 368x - AIDS Testing and Medical Information › Section 19a-590. - Liability for violations.

Any person, except as otherwise provided in this chapter, who wilfully violates any provision of this chapter shall be liable in a private cause of action for injuries suffered as a result of such violation. Upon a finding that an individual has been injured as a result of such violation, damages shall be assessed in the amount sufficient to compensate said individual for such injury.
(P.A. 89-246, S. 10.)
Cited. 236 C. 845.
Cited. 38 CA 360.