AN ACT REQUIRING THE ESTABLISHMENT OF AN ALERT IN THE STATE-WIDE HEALTH INFORMATION EXCHANGE REGARDING PATIENTS WITH A HISTORY OF VIOLENCE OR COMBATIVE BEHAVIOR TOWARD A HEALTH CARE PROVIDER.

House of Representatives
HB5169 / File No. 38 1

General Assembly File No. 38
February Session, 2026 House Bill No. 5169

House of Representatives, March 17, 2026

The Committee on Public Health reported through REP.
MCCARTHY VAHEY of the 133rd Dist., Chairperson of the
Committee on the part of the House, that the bill ought to pass.

AN ACT REQUIRING THE ESTABLISHMENT OF AN ALERT IN THE
STATE-WIDE HEALTH INFORMATION EXCHANGE REGARDING
PATIENTS WITH A HISTORY OF VIOLENCE OR COMBATIVE
BEHAVIOR TOWARD A HEALTH CARE PROVIDER.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:

Section 1. (NEW) (Effective October 1, 2026) (a) Not later than January 1
1, 2027, the Department of Public Health shall develop a system (1) for 2
health care providers with an electronic health record system capable of 3
connecting to and participating in the State -wide Health Information 4
Exchange as specified in section 17b-59e of the general statutes to report 5
to said exchange incidences of patient violence or combative behavior 6
directed at a health care provider, and (2) that alerts a health care 7
provider with such an electronic health record system when the 8
provider accepts a new patient or has a scheduled visit with an existing 9
patient who has a documented history of any such incidence. 10
(b) On and after January 1, 2027, each health care provider with an 11
electronic health record system capable of connecting to and 12
HB5169 File No. 38

HB5169 / File No. 38 2

participating in the State -wide Health Information Exchange as 13
specified in section 17b-59e of the general statutes shall document in its 14
electronic health record system any incidence of violence or combative 15
behavior that a patient directs at the health care provider or that the 16
health care provider witnesses the patient direct at another health care 17
provider. 18
This act shall take effect as follows and shall amend the following
sections:

Section 1 October 1, 2026 New section

PH Joint Favorable

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HB5169 / File No. 38 3

The following Fiscal Impact Statement and Bill Analysis are prepared for the benefit of the members of
the General Assembly, solely for purposes of information, summarization and explanation and do not
represent the intent of the General Assembly or either chamber thereof for any purpose. In general,
fiscal impacts are based upon a variety of informational sources, including the analyst’s professional
knowledge. Whenever applicable, agency data is consulted as part of the analysis, however final
products do not necessarily reflect an assessment from any specific department.

OFA Fiscal Note

State Impact:
Agency Affected Fund-Effect FY 27 $ FY 28 $
Public Health, Dept. GF - Cost At least
500,000
None
Public Health, Dept.; Office of
Health Strategy
GF - Potential
Cost
Potential
Significant
None
Note: GF=General Fund

Municipal Impact: None
Explanation
The bill results in a one-time cost to the Department of Public Health
(DPH) of at least $500,000 in FY 27 to develop a report and alert system
within the Statewide Health Information Exchange (i.e. , "Connie") that
tracks patient violence or combative behavior towards healthcare
providers. The Office of Health Strategy (OHS) currently manages the
Statewide Health Information Exchange.
DPH lacks the necessary statutory authority and expertise for these
changes, resulting in potential significant legal expenses in FY 27 (for
both DPH and OHS), to determine a compliant implementation plan as
required by the bill.

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HB5169 / File No. 38 4

OLR Bill Analysis
HB 5169

AN ACT REQUIRING THE ESTABLISHMENT OF AN ALERT IN THE
STATE-WIDE HEALTH INFORMATION EXCHANGE REGARDING
PATIENTS WITH A HISTORY OF VIOLENCE OR COMBATIVE
BEHAVIOR TOWARD A HEALTH CARE PROVIDER.

SUMMARY
This bill requires the Department of Public Health, by January 1, 2027,
to develop a system for reporting incidences of violence or combative
behavior that a patient directs at a health care provider to the Statewide
Health Information Exchange (i.e. “Connie”). The system must (1) be for
health care providers with an electronic health record (EHR) system
capable of connecting to and participating in Connie and (2) alert these
providers when they accept a new patient or have a scheduled visit with
an existing patient who ha s a documented history of any of those
incidences.
Starting January 1, 2027, the bill also requires providers with these
EHR systems to document in them any incidence of violence or
combative behavior (the bill does not define this term) that a patient
directs at a health care provider , or that the provider witness es the
patient direct at another provider.
EFFECTIVE DATE: October 1, 2026
COMMITTEE ACTION
Public Health Committee
Joint Favorable
Yea 21 Nay 10 (03/03/2026)