HB 5241 Connecticut House · 2026 Regular Session

AN ACT CONCERNING A STUDY OF TRIPLE BOTTOM LINE JUSTICE.

HB 5241 establishes a pilot program in a city with over 148,000 residents to test a "Triple Bottom Line Justice" approach, which integrates environmental cleanup, health equity, and community engagement. The program requires state health and environmental agencies to partner with a local community organization to use ICD-10 Z codes (which track social and environmental health factors) in healthcare billing, aiming for 20% adoption by 2030. It mandates annual reports on progress, develops educational materials for healthcare providers on these codes, and evaluates how transforming polluted sites ("Brownfields to Healthfields") can reduce long-term health costs. The pilot must conclude by January 2028 with a final report to the legislature.

Issues: ✓ Environment ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Feb 2026

Committee Review

Apr 2026

House Passage

May 2026

Senate Passage

May 2026

Signed into Law

Jun 2026

Introduced Feb 18, 2026 Signed Jun 4, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Raised Bill → APP Joint Favorable Substitute · 4 edits

MODERATE

The bill was revised from a 'Raised Bill' to a 'Joint Favorable Substitute,' incorporating specific edits to the definitions and program goals. The most significant change is the removal of a requirement to use ICD-10 Z codes to track social determinants of health, which was replaced by a focus on 'Brownfields to Healthfields' initiatives. Additionally, the language regarding collaboration between state officials was updated from 'consultation' to 'collaboration,' and the definition of 'Brownfields to Healthfields' was expanded to explicitly include strengthening physical and mental health.

Scope change

The bill's scope shifted from a broad pilot program involving environmental remediation and health code tracking to a more focused demonstration of community-led brownfield redevelopment. The requirement to track social determinants of health via specific diagnostic codes was removed.

DEFINITION

The definition of 'Brownfields to Healthfields' was updated to explicitly state that the methodology strengthens 'physical and mental health,' in addition to resiliency, equity, and vitality.

REQUIREMENT

The requirement to establish a pilot program was changed from 'consultation' with the Commissioner of Energy and Environmental Protection to 'collaboration' with that commissioner.

The definition and specific goal of using 'ICD-10 Z codes' to track social, economic, and environmental determinants of health were removed from the bill.

The program goals were revised to remove the objective of generating educational curriculum based on environmental remediation outcomes and the goal of increasing the utilization rate of ICD-10 Z codes.

Floor votes · Senate May 6, 2026 · House May 4, 2026

How they voted

33–0

Passed · 3 other

Total votes 36

May 6, 2026

D Democratic25

22 Yea 3

88% Yea

R Republican11

11 Yea

100% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Jun 4, 2026

Signed into law

SIGNED BY GOVERNOR

lower

May 6, 2026

Senate · Passed

Senate Vote: pass (33-0-3)

senate

May 5, 2026

Upper · Passed

SEN. PASSED, HO. AMEND. SCH. A

upper

May 5, 2026

Upper · Passed

SEN. ADOPTED HO. AMEND. SCH. A

upper

May 4, 2026

Lower · Passed

HOUSE PASSED, HOUSE AMEND. SCH. A

lower

May 4, 2026

Lower · Passed

HOUSE ADOPTED HOUSE AMEND. SCH. A

lower

Apr 13, 2026

Lower · Passed

Joint Favorable Substitute

lower

Apr 7, 2026

Lower · Passed

REF. BY HOUSE TO COMMITTEE ON Appropriations

lower

Mar 9, 2026

Lower · Passed

Joint Favorable

lower

Feb 18, 2026

Committee

REF. TO JOINT COMM. ON Public Health

lower

3 primary · 0 co-sponsors