2020 Issues Conference: Expanding Access to Care research guide


General resources

OLR Report 2020-R-0110, COVID-19 Executive Orders Affecting Health and Human Services

OLR Report 2020-R-0142, Payment Protection Program and Health Care Enhancement Act of 2020

Federal legislation

  • PL 116-123, Coronavirus Preparedness and Response Supplemental Appropriations Act

  • PL 116-127, Families First Coronavirus Response Act

  • PL 116-136, Coronavirus Aid, Relief, and Economic Security (CARES) Act

  • PL 116-139, Paycheck Protection Program and Health Care Enhancement Act

  • PL 116-142, Paycheck Protection Program Flexibility Act of 2020

State COVID-19 daily data report – released every weekday



OLR Report 2020-R-0138, COVID-19 Executive Orders Concerning Telehealth

OLR Report 2020-R-0212, Insurance Coverage of Telehealth Services

OLR Report 2020-R-0226, Recent Changes to Connecticut’s Telehealth Law

Executive orders

  • EO 7F s. 3 (expanded Medicaid coverage for telehealth services)

  • EO 7G s. 5(a), 5(c), and 5(e) (telehealth service delivery); s. 5(d) (payment for telehealth services) (s. 5(b) later amended by EO 7DD)

  • EO 7DD s. 1 (authorized telehealth providers expanded); s. 2(a), 2(c), and 2(e) (telehealth service delivery); s. 2(b) (licensure and certification requirements for telehealth providers); s. 2(d) (payment for telehealth services)

  • EO 7FF (telehealth service delivery)

PA 20-2, July Special Session – modified requirements for the delivery of telehealth services and insurance coverage of these services until March 15, 2021


Long-term care

OLR Report 2020-R-0140, Nursing Home Visitor Restrictions During the COVID-19 Pandemic

OLR Report 2020-R-0157, Connecticut COVID-19 Recovery Facilities

OLR Report 2020-R-0184, COVID-19 Executive Orders Affecting Older Adults

Executive orders (see OLR Report 2020-R-0110 for analysis)

  • EO 7A (visitor restrictions)

  • EO 7Y s. 1 and 6 (resident testing); s. 2 (designated COVID-19 recovery facilities)

  • EO 7NN s. 7 (federal relief funding distribution; s. 5, 6, and 8 were later amended by EO 7EEE)

  • EO 7AAA s. 4 (staff testing)

  • EO 7EEE s. 1 (federal relief funding distribution)

Dept. of Public Health (DPH) April 11 implementation order regarding designated COVID-19 recovery facilities

Dept. of Public Health (DPH) implementation orders regarding long-term care facility visitor restrictions: March 13, April 21, May 9, June 12, Aug. 27, Sept. 25 (Sept. 25 order rescinded restrictions following the Sept. 17 Centers for Medicare and Medicaid Services memorandum)

Centers for Medicare and Medicaid Services (CMS) Sept. 17 memorandum regarding nursing home visitation

Dept. of Public Health (DPH) Oct. 23 order regarding weekly staff testing

COVID-19 in nursing homes and assisted living facilities – two weekly reports from the Dept. of Public Health

A Study of the COVID-19 Outbreak and Response in Connecticut Long-Term Care Facilities – by Mathematica Policy Research, September 2020

Nursing Home and Assisted Living Oversight Working Group


Health care workforce

Executive orders (see OLR Report 2020-R-0110 for analysis)

  • EO 7K s. 4 (DPH regulatory requirements)

  • EO 7O s. 1 (DPH license renewal and inspection requirements)

  • EO 7V s. 2 (temporary permits for certain health care professionals); s. 3-5 (practice before licensure for certain health care profession applicants and graduates); s. 6 (immunity from civil liability)

  • EO 7DD s. 4 and 5 (graduate medical education); s. 6 and 7 (advanced practice registered nurse and physician assistant supervision requirements); s. 8 (respiratory care students); s. 9 (continuing medical education) (s. 3 was later amended by EO 7HHH)

  • EO 7GG s. 6 (temporary waiver for practitioners’ controlled substance registration)

  • EO 7SS (temporary nurse aides)

  • EO 7HHH s. 1 (out-of-state health care providers)

Dept. of Public Health (DPH) implementation order regarding license renewal and inspection requirements: March 30

Dept. of Public Health (DPH) implementation orders regarding regulatory requirements for out-of-state practitioners: March 23, May 15 (first), May 15 (second), July 14



OLR Report 2020-R-0116, Certificate of Need Waivers During COVID-19 Public Health Emergency

Executive orders

  • EO 7I s. 3 (HUSKY B copayments suspended)

  • EO 7S s. 5 (Medicaid waivers and state plan amendments)

  • EO 7EE s. 4 (Medicaid prior authorization requirements)

  • EO 7II s. 2 (home health services regulations)

Dept. of Social Services (DSS) May 11 order authorizing advanced practice registered nurses (APRNs) and physician assistants (PAs) to order home health care services


Pharmacy and prescription drugs

Executive orders

  • EO 7L s. 4 (medical marijuana program)

  • EO 7I s. 2 (Medicare Part D copayments for dual eligibles suspended); s. 9 (pharmacist authority to refill prescriptions extended)

National Conference of State Legislatures (NCSL) Statewide Prescription Drug Database – tracks legislation in 50 states from 2015-2020

Connecticut Law About Medical Marijuana – research guide by the Judicial Branch Law Libraries


Access to health insurance

Kaiser Family Foundation health insurance coverage statistics for Connecticut – shows one year at a time; years can be selected in the “timeframe” menu on the left

Health Insurance Coverage in the United States – annual report by the U.S. Census Bureau (most recent edition covers 2019)

State Dept. of Labor monthly publications – including Connecticut Labor Situation, Connecticut Economic Digest, Local Area Unemployment Statistics, Business and Employment Changes Announced in the News Media, and more.

Quarterly data report (report and rate grid) – by Access Health CT; pursuant to CGS 38a-1092(a). Includes data on enrollment and costs. Most recent edition, linked here, covers the third quarter of 2020; earlier editions are accessible in full text through the Legislative Library intranet catalog or by contacting the library.

Towards Health Equity in Connecticut: The Role of Social Inequality and the Impact of COVID-19 – by DataHaven, June 2020



Other legislative ideas to expand access to care

OLR Issue Brief 2020-R-0271, Connecticut Health Insurance Reform Proposals

OLR Issue Brief 2018-R-0218, State Health Reinsurance Programs

OLR Issue Brief 2018-R-0204, Federal and State Individual Mandate Penalties

2019 HB 7267 and 2020 SB 328 – reinsurance program

2019 SB 984 – individual mandate

2019 SB 127 and 2019 SB 128 – tax benefits for long-term care insurance

National Conference of State Legislatures (NCSL) Health Innovations State Law Database – tracks legislation in 50 states from 2015-2020

Policies to Achieve Near-Universal Health Insurance Coverage – Congressional Budget Office (CBO), October 2020


Affordable Care Act federal court case

California v. Texas (U.S. Supreme Court Docket No. 19-840)

  • U.S. Supreme Court docket (continually updated)

  • Health Affairs summary (Nov. 9, 2020)

  • Kaiser Family Foundation summary (Sept. 1, 2020)


Federal requirement for insurers to cover COVID-19 testing, treatment, and vaccination

OLR Issue Brief 2020-R-0113, The CARES and Families First Coronavirus Response Acts: Insurance Provisions

Congressional Research Service (CRS) reports

Executive orders

  • EO 7U s. 2 (COVID-19 treatment for the uninsured) (s. 2(a) and 2(b) later repealed by EO 7CC, accounting for the passage of the federal CARES Act)

  • EO 7CC s. 9 (COVID-19 out-of-network treatment)