Evidence status: DOCUMENTED LEGISLATIVE HISTORY. Connecticut created the current chronic-opioid treatment-agreement/care-plan requirement in 2019 and expanded its required nonopioid-treatment discussion in 2022.

Public Act 19-191

Section 6 of Public Act 19-191, effective October 1, 2019, created the requirement now codified at CGS §20-14s. It required a prescribing practitioner treating pain with opioids for longer than 12 weeks to establish a treatment agreement or discuss a chronic-opioid care plan and document it in the medical record.

Original minimum subjects

The 2019 law required treatment goals, opioid risks, urine drug screens, expectations for continuing opioid therapy, discontinuation circumstances, and—to the extent possible—nonopioid alternatives including manipulation, massage therapy, acupuncture, physical therapy, and other modalities.

Public Act 22-108

Effective July 1, 2022, Public Act 22-108 added chiropractic and spinal cord stimulation to the statutory list of nonopioid treatment options that should be included to the extent possible.

2023 technical amendment

Public Act 23-195 made a technical change to §20-14s without altering the core 12-week agreement/care-plan requirement.

Current status

The Connecticut General Assembly’s 2026 research report continues to identify §20-14s as an active opioid-prescribing requirement and describes the same 2019/2022 framework.

Sources

• Public Act 19-191
• Public Act 22-108
• Connecticut OLR — Connecticut’s Opioid Drug Abuse Laws (2026)

Reviewed: October 4, 2026.