Connecticut Mass Gatherings — Conn. Agencies Regs. §§ 19-13-B81 to B96 (medical services at § 19-13-B87) with Conn. Gen. Stat. ch. 368s[1]
Summary
Connecticut Agencies Regs. Sec. 19-13-B87 ("Medical services") requires that physicians licensed and currently registered in Connecticut "be available at all times on the site in a convenient location in the proportion of one physician to each one thousand persons or fraction thereof attending to administer or supervise the administration of emergency care," assisted by Connecticut-licensed nurses "in such numbers as to provide at least one such nurse for every fifteen hundred persons." It further requires an enclosed covered treatment structure containing a separately enclosed treatment room for each physician; custody of all prescription drugs by a Connecticut-licensed physician or pharmacist with records of everything administered; patient records specifying name, address and tentative diagnosis; adequate provision for emergency ambulance service with at least one ambulance available at all times; a memorandum of understanding on file with a nearby general hospital, with the management of the gathering responsible for payment for care of illnesses or injuries occurring on the premises; and telephone service available to the medical director in the first aid area. The rule applies to a "mass gathering," defined at Sec. 19-13-B82 as an assembly attended by three thousand or more persons for eighteen or more consecutive hours. Compliance plans go to the local director of health thirty days in advance (Sec. 19-13-B83). Effective 7 December 1971.
So what
This is the most demanding event-medical staffing requirement in the United States, and the phrase that makes it so is "or fraction thereof" — the ratio does not round down, so an event of 3,001 attendees owes four physicians, not three. Every other US jurisdiction that sets a physician ratio sets it at 1:10,000 or weaker; Connecticut sets it ten times higher and adds a per-physician treatment room, which converts a staffing number into a facilities requirement. Three provisions are routinely overlooked and are directly operational: prescription drugs must be in the custody of a Connecticut-licensed physician or pharmacist with an administration log; patient records are mandated by the rule itself, not merely by practice; and the hospital MOU carries payment liability that sits with event management, not the patient. Note that the rule presumes a named "medical director" without defining the role — in 1971. The rule has not been amended since; whether it is enforced is a separate question from whether it is in force.