Connecticut 2019 Regular Session Status: Enacted 3 D cosponsors

SB 921 — AN ACT CONCERNING THE SCOPE OF PRACTICE OF ADVANCED PRACTICE REGISTERED NURSES.

Last action — SIGNED BY GOVERNOR

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 21, 2019. Enacted.

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Likely to advance 62% · moderate confidence

Where this bill stands today.

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High

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  • Enacted

    Current position in the legislative process.

  • 6 sponsors

    6 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (3 D).

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Bill Text

What changed in the latest version

1122 added · 1003 removed

1122 line(s) added, 1003 removed.

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General Assembly Substitute Bill No.
General Assembly Raised Bill No.
921 January Session, 2019 AN ACT CONCERNING THE SCOPE OF PRACTICE OF ADVANCED PRACTICE REGISTERED NURSES.
921 January Session, 2019 LCO No.
4478 Referred to Committee on PUBLIC HEALTH Introduced by:
(PH) AN ACT CONCERNING THE SCOPE OF PRACTICE OF ADVANCED PRACTICE REGISTERED NURSES.
Subsection (a) of section 17a-81 of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2019):
Subsection (a) of section 17a-78 of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2019):
(a) Parental consent shall be necessary for treatment.
(a) If a physician or an advanced practice registered nurse determines that a child is in need of immediate hospitalization for evaluation or treatment of a mental disorder, the child may be hospitalized under an emergency or diagnostic certificate as provided in this section for not more than fifteen days without order of any court, unless a written application for commitment of such child has been filed in the Court of Probate prior to the expiration of the fifteen days, in which event such hospitalization shall be continued under the emergency certificate for an additional fifteen days or twenty-five days if the matter has been transferred to the Superior Court, or until the completion of court proceedings, whichever occurs first.
In the event such consent is withheld or immediately unavailable and the physician or advanced practice registered nurse certified as a psychiatric mental health provider by the American Nurses Credentialing Center concludes that treatment is necessary to prevent serious harm to the child, such emergency treatment may be administered pending receipt of parental consent.
At the time of delivery of such child to such hospital, there shall be left, with the LCO No.
4478 1 of 33 Raised Bill No.921 persons in charge of such hospital, a certificate, signed by a physician licensed to practice medicine or surgery in [Connecticut] under chapter 370 or an advanced practice registered nurse licensed under chapter 378, and dated not more than three days prior to its delivery to the person in charge of the hospital.
Such certificate shall state the findings of the physician or advanced practice registered nurse and the date of personal examination of the child to be hospitalized, which shall be not more than three days prior to the date of the signature of the certificate.
Subsection (f) of section 17a-78 of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2019):
(f) Any clinical social worker licensed under chapter 383b[, advanced practice registered nurse licensed under chapter 378] or professional counselor licensed under chapter 383c who has (1) received a minimum of eight hours of specialized training in the conduct of direct evaluations as a member of any emergency mobile psychiatric services team under contract with the Department of Children and Families, and (2) reasonable cause to believe, based on a direct evaluation of a child, that such child (A) has psychiatric disabilities, (B) is dangerous to himself or others or gravely disabled, and (C) is in need of immediate care and treatment may issue an emergency certificate that requires the hospitalization of such child for a psychiatric and medical evaluation.
Such child shall be evaluated not later than twenty-four hours after the issuance of the emergency certificate and shall not be held for more than seventy-two hours pursuant to such certificate unless committed pursuant to section 17a- 77.
The Commissioner of Children and Families shall collect and maintain statistical and demographic information pertaining to emergency certificates issued under this subsection.
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Subsection (a) of section 17a-81 of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2019):
LCO No.
4478 2 of 33 Raised Bill No.921 (a) Parental consent shall be necessary for treatment.
In the event such consent is withheld or immediately unavailable and the physician or advanced practice registered nurse concludes that treatment is necessary to prevent serious harm to the child, such emergency treatment may be administered pending receipt of parental consent.
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(i) An injury to an employee that results from the employee's voluntary participation in any activity the major purpose of which is social or recreational, including, but not limited to, athletic events, LCO \\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00921-R1 of 29 SB.docx Substitute Bill No.
(i) An injury to an employee that results from the employee's voluntary participation in any activity the major purpose of which is social or recreational, including, but not limited to, athletic events, parties and picnics, whether or not the employer pays some or all of the cost of such activity;
921 parties and picnics, whether or not the employer pays some or all of the cost of such activity;
As used in this clause, "police officer" means a member of the Division of State Police within the Department of Emergency Services and Public Protection, an organized local police department or a municipal constabulary, "firefighter" means a uniformed member of a municipal paid or volunteer fire department, and "in the line of duty" means any action that a police officer or firefighter is obligated or authorized by law, rule, regulation or written condition of employment service to perform, or for which the police officer or firefighter is compensated by the public entity such officer serves;
As used in this clause, "police officer" means a member of the Division of State Police within the Department LCO No.
4478 3 of 33 Raised Bill No.921 of Emergency Services and Public Protection, an organized local police department or a municipal constabulary, "firefighter" means a uniformed member of a municipal paid or volunteer fire department, and "in the line of duty" means any action that a police officer or firefighter is obligated or authorized by law, rule, regulation or written condition of employment service to perform, or for which the police officer or firefighter is compensated by the public entity such officer serves;
or (iv) Notwithstanding the provisions of subparagraph (B)(i) of this subdivision, "personal injury" or "injury" includes injuries to LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0092 of 29 R01-SB.docx } Substitute Bill No.
or (iv) Notwithstanding the provisions of subparagraph (B)(i) of this subdivision, "personal injury" or "injury" includes injuries to employees of local or regional boards of education resulting from participation in a school-sponsored activity but does not include any injury incurred while going to or from such activity.
921 employees of local or regional boards of education resulting from participation in a school-sponsored activity but does not include any injury incurred while going to or from such activity.
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Subsections (a) to (c), inclusive, of section 31-294d of the general statutes are repealed and the following is substituted in lieu thereof (Effective October 1, 2019):
Subsections (b) and (c) of section 31-294d of the general statutes are repealed and the following is substituted in lieu thereof (Effective October 1, 2019):
(a) (1) The employer, as soon as the employer has knowledge of an injury, shall provide a competent physician, [or] surgeon or advanced practice registered nurse to attend the injured employee and, in addition, shall furnish any medical and surgical aid or hospital and nursing service, including medical rehabilitation services and prescription drugs, as the physician, [or] or advanced practice registered nurse surgeon deems reasonable or necessary.
The employer, any insurer acting on behalf of the employer, or any other entity acting on behalf of the employer or insurer shall be responsible for paying the cost of such prescription drugs directly to the provider.
If the employer utilizes an approved providers list, when an employee reports a work-related injury or condition to the employer the employer shall provide the employee with such approved providers list within two business days of such reporting.
(2) If the injured employee is a local or state police officer, state marshal, judicial marshal, correction officer, emergency medical technician, paramedic, ambulance driver, firefighter, or active member of a volunteer fire company or fire department engaged in volunteer duties, who has been exposed in the line of duty to blood or bodily fluids that may carry blood-borne disease, the medical and surgical aid or hospital and nursing service provided by the employer shall include LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0093 of 29 R01-SB.docx } Substitute Bill No.
921 any relevant diagnostic and prophylactic procedure for and treatment of any blood-borne disease.
If the employer has a full-time staff physician or advanced practice registered nurse or if a physician or advanced practice registered nurse is available on call, the initial treatment required immediately following the injury may be rendered by that physician or advanced practice registered nurse, but the employee may thereafter select his own physician or advanced practice registered nurse as provided by this chapter for any further treatment without prior approval of the commissioner.
If the employer has a full-time staff physician or advanced practice LCO No.
4478 4 of 33 Raised Bill No.921 registered nurse or if a physician or advanced practice registered nurse is available on call, the initial treatment required immediately following the injury may be rendered by that physician or advanced practice registered nurse, but the employee may thereafter select his own physician or advanced practice registered nurse as provided by this chapter for any further treatment without prior approval of the commissioner.
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For the purpose of adjudication of claims for payment of benefits under the provisions of this chapter to a uniformed member of a paid municipal fire department or a regular member of a paid municipal police department or constable who began such employment on or after July 1, 1996, any condition or impairment of health caused by a cardiac emergency occurring to such member on or after July 1, 2009, while such member is in training for or engaged in fire duty at the site of an accident or fire, or other public safety operation within the scope of such member's employment for such member's municipal employer that results in death or temporary or permanent total or partial disability, shall be presumed to have been suffered in the line of duty and within the scope of such member's employment, unless the contrary is shown by a preponderance of the evidence, provided such member successfully passed a physical examination on entry into service conducted by a licensed physician or advanced practice registered nurse designated by such department which examination failed to reveal any evidence of such condition.
For the purpose of adjudication of claims for payment of benefits under the provisions of this chapter to a uniformed member of a paid municipal fire department or a regular member of a paid municipal police department or constable who began such employment on or after July 1, 1996, any condition or impairment of health caused by a cardiac emergency occurring to such member on or after July 1, 2009, while such member is in training for or engaged in fire duty at the site of an accident or fire, or other public safety operation within the scope LCO No.
4478 5 of 33 Raised Bill No.921 of such member's employment for such member's municipal employer that results in death or temporary or permanent total or partial disability, shall be presumed to have been suffered in the line of duty and within the scope of such member's employment, unless the contrary is shown by a preponderance of the evidence, provided such member successfully passed a physical examination on entry into service conducted by a licensed physician or advanced practice registered nurse designated by such department which examination failed to reveal any evidence of such condition.
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(c) The employer's or insurer's notice of intention to discontinue or reduce payments shall (1) identify the claimant, the claimant's attorney or other representative, the employer, the insurer, and the injury, including the date of the injury, the city or town in which the injury occurred and the nature of the injury, (2) include medical documentation that (A) establishes the basis for the discontinuance or LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0095 of 29 R01-SB.docx } Substitute Bill No.
(c) The employer's or insurer's notice of intention to discontinue or reduce payments shall (1) identify the claimant, the claimant's attorney or other representative, the employer, the insurer, and the injury, including the date of the injury, the city or town in which the injury occurred and the nature of the injury, (2) include medical documentation that (A) establishes the basis for the discontinuance or reduction of payments, and (B) identifies the claimant's attending physician or advanced practice registered nurse, and (3) be in substantially the following form:
921 reduction of payments, and (B) identifies the claimant's attending physician or advanced practice registered nurse, and (3) be in substantially the following form:
If you object to the reduction or discontinuance of benefits as stated in this notice, YOU MUST REQUEST A HEARING NOT LATER THAN 15 DAYS after your receipt of this notice, or this notice will automatically be approved.
LCO No.
4478 6 of 33 Raised Bill No.921 If you object to the reduction or discontinuance of benefits as stated in this notice, YOU MUST REQUEST A HEARING NOT LATER THAN 15 DAYS after your receipt of this notice, or this notice will automatically be approved.
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No contract between a managed care company, other organization or insurer authorized to do business in this state and a medical provider practicing in this state for the provision of services may require that the medical provider indemnify the managed care company, other organization or insurer for any expenses and liabilities including, without limitation, judgments, settlements, attorneys' fees, court costs and any associated charges incurred in connection with any claim or action brought against a managed care company, other organization or insurer on the basis of its determination of medical LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0096 of 29 R01-SB.docx } Substitute Bill No.
No contract between a managed care company, other organization or insurer authorized to do business in this state and a medical provider practicing in this state for the provision of services may require that the medical provider indemnify the managed care company, other organization or insurer for any expenses and liabilities including, without limitation, judgments, settlements, attorneys' fees, court costs and any associated charges incurred in connection with any claim or action brought against a managed care company, other organization or insurer on the basis of its determination of medical necessity or appropriateness of health care services if the information provided by such medical provider used in making the determination was accurate and appropriate at the time it was given.
921 necessity or appropriateness of health care services if the information provided by such medical provider used in making the determination was accurate and appropriate at the time it was given.
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(d) In the case of benefits payable for the services of a licensed physician, such benefits shall be payable for the same services when such services are lawfully rendered by a psychologist licensed under the provisions of chapter 383 or by such a licensed psychologist in a licensed hospital or clinic or an advanced practice registered nurse licensed under the provisions of chapter 378.
(d) In the case of benefits payable for the services of a licensed physician, such benefits shall be payable for the same services when LCO No.
4478 7 of 33 Raised Bill No.921 such services are lawfully rendered by a psychologist licensed under the provisions of chapter 383 or by such a licensed psychologist in a licensed hospital or clinic or an advanced practice registered nurse licensed under the provisions of chapter 378.
(3) A licensed marital and family therapist who has completed at LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00927 of 29 R01-SB.docx } Substitute Bill No.
(3) A licensed marital and family therapist who has completed at least two thousand hours of post-master's marriage and family therapy work experience in a nonprofit agency qualifying as a tax-exempt organization under Section 501(c) of the Internal Revenue Code of 1986 or any subsequent corresponding internal revenue code of the United States, as from time to time amended, in a municipal, state or federal agency or in an institution licensed by the Department of Public Health under section 19a-490;
921 least two thousand hours of post-master's marriage and family therapy work experience in a nonprofit agency qualifying as a tax-exempt organization under Section 501(c) of the Internal Revenue Code of 1986 or any subsequent corresponding internal revenue code of the United States, as from time to time amended, in a municipal, state or federal agency or in an institution licensed by the Department of Public Health under section 19a-490;
(5) A licensed alcohol and drug counselor, as defined in section 20- 74s, or a certified alcohol and drug counselor, as defined in section 20- 74s;
(5) A licensed alcohol and drug counselor, as defined in section 20- 74s, or a certified alcohol and drug counselor, as defined in section 20- LCO No.
4478 8 of 33 Raised Bill No.921 74s;
LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00928 of 29 R01-SB.docx } Substitute Bill No.
(2) In the case of benefits payable for the services of a licensed psychologist under subsection (e) of this section, such benefits shall be payable for (A) services rendered in a child guidance clinic or residential treatment facility by a person with a master's degree in social work or by a person with a master's degree in marriage and family therapy under the supervision of such licensed psychologist, licensed marital and family therapist, or licensed clinical social worker who is eligible for reimbursement under subdivisions (1) to (4), inclusive, of subsection (e) of this section;
921 (2) In the case of benefits payable for the services of a licensed psychologist under subsection (e) of this section, such benefits shall be payable for (A) services rendered in a child guidance clinic or residential treatment facility by a person with a master's degree in social work or by a person with a master's degree in marriage and family therapy under the supervision of such licensed psychologist, licensed marital and family therapist, or licensed clinical social worker who is eligible for reimbursement under subdivisions (1) to (4), inclusive, of subsection (e) of this section;
[or] (C) services rendered in a residential treatment facility by a licensed professional counselor who is eligible for reimbursement under subdivision (6) of subsection (e) of this section;
[or] (C) services rendered in a residential LCO No.
4478 9 of 33 Raised Bill No.921 treatment facility by a licensed professional counselor who is eligible for reimbursement under subdivision (6) of subsection (e) of this section;
LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0099 of 29 R01-SB.docx } Substitute Bill No.
(h) Except in the case of emergency services or in the case of services for which an individual has been referred by a physician or an advanced practice registered nurse affiliated with a health care center, nothing in this section shall be construed to require a health care center to provide benefits under this section through facilities that are not affiliated with the health care center.
921 (h) Except in the case of emergency services or in the case of services for which an individual has been referred by a physician or an advanced practice registered nurse affiliated with a health care center, nothing in this section shall be construed to require a health care center to provide benefits under this section through facilities that are not affiliated with the health care center.
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(1) Initial training visits provided to an individual after the individual is initially diagnosed with diabetes that is medically necessary for the care and management of diabetes, including, but not limited to, counseling in nutrition and the proper use of equipment and supplies for the treatment of diabetes, totaling a maximum of ten hours;
(1) Initial training visits provided to an LCO No.
4478 10 of 33 Raised Bill No.921 individual after the individual is initially diagnosed with diabetes that is medically necessary for the care and management of diabetes, including, but not limited to, counseling in nutrition and the proper use of equipment and supplies for the treatment of diabetes, totaling a maximum of ten hours;
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[who has completed a formal educational nurse practitioner program and is certified by the American Nurses' Association, the National Board of Pediatric Nurse Practitioners and Associates or the Nurses' Association of the LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0010 of 29 R01-SB.docx } Substitute Bill No.
[who has completed a formal educational nurse practitioner program and is certified by the American Nurses' Association, the National Board of Pediatric Nurse Practitioners and Associates or the Nurses' Association of the American College of Obstetricians and Gynecologists;] (2) ["Certified psychiatric-mental health clinical nurse specialist"] "Certified psychiatric-mental health advanced practice registered nurse" means any advanced practice registered nurse licensed under chapter 378 who [has completed a formal educational program as a psychiatric-mental health clinical nurse specialist and is certified by the American Nurses' Association] is board certified as a psychiatric- mental health provider by the American Nurses Credentialing Center;
921 American College of Obstetricians and Gynecologists;] (2) ["Certified psychiatric-mental health clinical nurse specialist"] "Certified psychiatric-mental health advanced practice registered nurse" means any advanced practice registered nurse licensed under chapter 378 who [has completed a formal educational program as a psychiatric-mental health clinical nurse specialist and is certified by the American Nurses' Association] is board certified as a psychiatric- mental health provider by the American Nurses Credentialing Center;
(4) "Physician assistant" means an individual licensed pursuant to section 20-12b.
LCO No.
4478 11 of 33 Raised Bill No.921 (4) "Physician assistant" means an individual licensed pursuant to section 20-12b.
The payment of such benefits shall be subject to any policy LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0011 of 29 R01-SB.docx } Substitute Bill No.
The payment of such benefits shall be subject to any policy provisions which apply to other licensed health practitioners providing the same services.
921 provisions which apply to other licensed health practitioners providing the same services.
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(d) Each mammography report provided to a patient shall include information about breast density, based on the Breast Imaging Reporting and Data System established by the American College of Radiology.
(d) Each mammography report provided to a patient shall include information about breast density, based on the Breast Imaging LCO No.
4478 12 of 33 Raised Bill No.921 Reporting and Data System established by the American College of Radiology.
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Subdivision (5) of subsection (a) of section 38a-514b of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2019):
(5) "Diagnosis" means the medically necessary assessment, evaluation or testing performed by a licensed physician, licensed psychologist, [or] licensed clinical social worker or licensed advanced practice registered nurse to determine if an individual has autism spectrum disorder.
Sec.
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Subsection (c) of section 38a-514b of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2019):
(c) Such policy shall provide coverage for the following treatments, provided such treatments are (1) medically necessary, and (2) identified and ordered by a licensed physician, licensed psychologist, [or] licensed clinical social worker or licensed advanced practice registered nurse for an insured who is diagnosed with autism spectrum disorder, in accordance with a treatment plan developed by a licensed behavior analyst, licensed physician, licensed psychologist or licensed clinical social worker, pursuant to a comprehensive evaluation or reevaluation of the insured:
(A) Behavioral therapy;
LCO No.
4478 13 of 33 Raised Bill No.921 (B) Prescription drugs, to the extent prescription drugs are a covered benefit for other diseases and conditions under such policy, prescribed by a licensed physician, a licensed physician assistant or an advanced practice registered nurse for the treatment of symptoms and comorbidities of autism spectrum disorder;
(C) Direct psychiatric or consultative services provided by a licensed psychiatrist;
(D) Direct psychological or consultative services provided by a licensed psychologist;
(E) Physical therapy provided by a licensed physical therapist;
(F) Speech and language pathology services provided by a licensed speech and language pathologist;
and (G) Occupational therapy provided by a licensed occupational therapist.
Sec.
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Subsection (e) of section 38a-514b of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2019):
(e) (1) Except for treatments and services received by an insured in an inpatient setting, an insurer, health care center, hospital service corporation, medical service corporation or fraternal benefit society may review a treatment plan developed as set forth in subsection (c) of this section for such insured, in accordance with its utilization review requirements, not more than once every six months unless such insured's licensed physician, licensed psychologist, [or] licensed clinical social worker or licensed advanced practice registered nurse agrees that a more frequent review is necessary or changes such insured's treatment plan.
(2) For the purposes of this section, the results of a diagnosis shall be valid for a period of not less than twelve months, unless such insured's licensed physician, licensed psychologist, [or] licensed clinical social LCO No.
4478 14 of 33 Raised Bill No.921 worker or licensed advanced practice registered nurse determines a shorter period is appropriate or changes the results of such insured's diagnosis.
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(2) training and education that is medically necessary as a result of a subsequent diagnosis by a physician or LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0012 of 29 R01-SB.docx } Substitute Bill No.
(2) training and education that is medically necessary as a result of a subsequent diagnosis by a physician or advanced practice registered nurse of a significant change in the individual's symptoms or condition which requires modification of the individual's program of self-management of diabetes, totaling a maximum of four hours;
921 advanced practice registered nurse of a significant change in the individual's symptoms or condition which requires modification of the individual's program of self-management of diabetes, totaling a maximum of four hours;
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A report of your mammography results, which contains information about your breast density, has been sent to your physician's or advanced practice registered nurse's office and you should contact your physician or advanced practice registered nurse if you have any questions or concerns about this report.".
A report of your mammography results, which contains information about your breast density, has been sent to your LCO No.
4478 15 of 33 Raised Bill No.921 physician's or advanced practice registered nurse's office and you should contact your physician or advanced practice registered nurse if you have any questions or concerns about this report.".
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LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0013 of 29 R01-SB.docx } Substitute Bill No.
Upon such application being filed, the judge to whom the same has been presented shall cause reasonable notice to be given to such hospital, hospital society or corporation of the time when and place where such petition will be heard, and such judge, after due hearing and notice, may order the officer authorized to act in the capacity of manager of such hospital to produce before [him] the court and deliver into [his] the custody of the court the history, bedside notes, charts, pictures and plates of such patient for the purpose of being examined or copied by such patient [,] or his or her physician, advanced practice registered nurse or authorized attorney.
921 Upon such application being filed, the judge to whom the same has been presented shall cause reasonable notice to be given to such hospital, hospital society or corporation of the time when and place where such petition will be heard, and such judge, after due hearing and notice, may order the officer authorized to act in the capacity of manager of such hospital to produce before [him] the court and deliver into [his] the custody of the court the history, bedside notes, charts, pictures and plates of such patient for the purpose of being examined or copied by such patient [,] or his or her physician, advanced practice registered nurse or authorized attorney.
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(c) For deaths occurring on or after July 1, 1997, the Social Security number of the deceased person shall be recorded in the "administrative purposes" section of the death certificate.
(c) For deaths occurring on or after July 1, 1997, the Social Security LCO No.
4478 16 of 33 Raised Bill No.921 number of the deceased person shall be recorded in the "administrative purposes" section of the death certificate.
The decedent's Social Security number LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00914 of 29 R01-SB.docx } Substitute Bill No.
The decedent's Social Security number shall be removed or redacted from such certificate or information or the administrative purposes section shall be omitted from such certificate.
921 shall be removed or redacted from such certificate or information or the administrative purposes section shall be omitted from such certificate.
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Said hospital shall not be required to admit any such child unless it can conveniently receive and care for such child at the time application is made and said hospital may return to the town in which such child resides any child so taken who is pronounced by [the physicians] a physician or advanced practice registered nurse on the staff of said hospital, after examination, to be unsuitable for retention or who, by reason of improvement in his condition or completion of his treatment or training, ought not to be further retained.
Said hospital shall not be required to admit any such child unless it can conveniently receive and care for such child at the time application is made and said hospital may return to the town in which such child resides any child so taken who is pronounced by [the physicians] a physician or advanced practice LCO No.
4478 17 of 33 Raised Bill No.921 registered nurse on the staff of said hospital, after examination, to be unsuitable for retention or who, by reason of improvement in his condition or completion of his treatment or training, ought not to be further retained.
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LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0015 of 29 R01-SB.docx } Substitute Bill No.
When there is found in any town in this state any child of sound mind who is physically disabled or who is afflicted with poliomyelitis or rheumatic fever, or any uncontagious disabling disease, and who is unable to pay and whose relatives who are legally liable for his support are unable to pay the full cost of treating such disease, if such child and one of such relatives reside in this state, the selectmen of such town, or the guardian or any relative of such child, or any public health agency, [or] physician or advanced practice registered nurse in this state, may make application to The Children's Center, located at Hamden, for the admission of such child to said center.
921 When there is found in any town in this state any child of sound mind who is physically disabled or who is afflicted with poliomyelitis or rheumatic fever, or any uncontagious disabling disease, and who is unable to pay and whose relatives who are legally liable for his support are unable to pay the full cost of treating such disease, if such child and one of such relatives reside in this state, the selectmen of such town, or the guardian or any relative of such child, or any public health agency, [or] physician or advanced practice registered nurse in this state, may make application to The Children's Center, located at Hamden, for the admission of such child to said center.
The center may refuse to admit any child who is pronounced by [the physicians] a physician or advanced practice registered nurse on the staff of said center, after examination, to be unfit for admission, and may refuse to admit any such child when the facilities at the center will not, in the judgment of said [physicians] physician or advanced practice registered nurse, permit the center to care for such child adequately and properly.
The center may LCO No.
4478 18 of 33 Raised Bill No.921 refuse to admit any child who is pronounced by [the physicians] a physician or advanced practice registered nurse on the staff of said center, after examination, to be unfit for admission, and may refuse to admit any such child when the facilities at the center will not, in the judgment of said [physicians] physician or advanced practice registered nurse, permit the center to care for such child adequately and properly.
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The Commissioner of Social Services, to the extent permitted by federal law, shall take such action as may be necessary to amend the LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0016 of 29 R01-SB.docx } Substitute Bill No.
The Commissioner of Social Services, to the extent permitted by federal law, shall take such action as may be necessary to amend the Medicaid state plan and the state children's health insurance plan to provide coverage without prior authorization for each child diagnosed with cancer on or after January 1, 2000, who is covered under the HUSKY Health program, for neuropsychological testing ordered by a licensed physician or licensed advanced practice registered nurse, to assess the extent of any cognitive or developmental delays in such child due to chemotherapy or radiation treatment.
921 Medicaid state plan and the state children's health insurance plan to provide coverage without prior authorization for each child diagnosed with cancer on or after January 1, 2000, who is covered under the HUSKY Health program, for neuropsychological testing ordered by a licensed physician or licensed advanced practice registered nurse, to assess the extent of any cognitive or developmental delays in such child due to chemotherapy or radiation treatment.
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(4) establish and develop programs and administer services to achieve the purposes of the department as established by statute;
(4) establish and develop programs and administer services to achieve the purposes of LCO No.
4478 19 of 33 Raised Bill No.921 the department as established by statute;
(8) with the health authorities of this and other states, secure information and data concerning the prevention and control of epidemics and conditions affecting or endangering the public health, and compile such LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0017 of 29 R01-SB.docx } Substitute Bill No.
(8) with the health authorities of this and other states, secure information and data concerning the prevention and control of epidemics and conditions affecting or endangering the public health, and compile such information and statistics and shall disseminate among health authorities and the people of the state such information as may be of value to them;
921 information and statistics and shall disseminate among health authorities and the people of the state such information as may be of value to them;
but any person claiming to be aggrieved by such removal may appeal to the Superior Court which may affirm or reverse the action of the commissioner as the public interest requires.
but any person claiming to be aggrieved by such removal may appeal to the Superior Court which may affirm or reverse the LCO No.
4478 20 of 33 Raised Bill No.921 action of the commissioner as the public interest requires.
In the event the commissioner reasonably suspects impropriety on the part of a local director of health or district director of health, or employee of such director, in the performance of his or her duties, the commissioner shall provide notification and any evidence of such impropriety to the appropriate governing authority of the municipal health authority, established pursuant to section 19a- 200, or the district department of health, established pursuant to section 19a-244, for purposes of reviewing and assessing a director's or LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0018 of 29 R01-SB.docx } Substitute Bill No.
In the event the commissioner reasonably suspects impropriety on the part of a local director of health or district director of health, or employee of such director, in the performance of his or her duties, the commissioner shall provide notification and any evidence of such impropriety to the appropriate governing authority of the municipal health authority, established pursuant to section 19a- 200, or the district department of health, established pursuant to section 19a-244, for purposes of reviewing and assessing a director's or an employee's compliance with such duties.
921 an employee's compliance with such duties.
The commissioner may solicit and accept for use any gift of money or property made by will or otherwise, and any grant of or contract for money, services or property from the federal government, the state, any political subdivision thereof, any other state or any private source, and do all things necessary to cooperate with the federal government or any of its agencies in making an application for any grant or contract.
The commissioner may solicit and accept for use any gift of money or LCO No.
4478 21 of 33 Raised Bill No.921 property made by will or otherwise, and any grant of or contract for money, services or property from the federal government, the state, any political subdivision thereof, any other state or any private source, and do all things necessary to cooperate with the federal government or any of its agencies in making an application for any grant or contract.
20.
25.
Subsection (a) of section 19a-26 of the general statutes is LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00919 of 29 R01-SB.docx } Substitute Bill No.
Subsection (a) of section 19a-26 of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2019):
921 repealed and the following is substituted in lieu thereof (Effective October 1, 2019):
If the commissioner establishes a schedule of fees, the commissioner may waive (1) the fees, in full or in part, for others if the commissioner determines that the public health requires a waiver, and (2) fees for chlamydia and gonorrhea testing for nonprofit organizations and institutions of higher education if the organization or institution provides combination chlamydia and gonorrhea test kits.
If the commissioner establishes a schedule of fees, the commissioner may waive (1) the fees, in full or in part, for others if the commissioner determines that the public health requires a LCO No.
4478 22 of 33 Raised Bill No.
921 waiver, and (2) fees for chlamydia and gonorrhea testing for nonprofit organizations and institutions of higher education if the organization or institution provides combination chlamydia and gonorrhea test kits.
21.
26.
LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0020 of 29 R01-SB.docx } Substitute Bill No.
(a) Upon the written request of a patient or the patient's attorney or authorized representative, or pursuant to a written authorization, an institution licensed pursuant to this chapter shall furnish to the person making such request a copy of the patient's health record, including but not limited to, copies of bills, laboratory reports, prescriptions and other technical information used in assessing the patient's health condition.
921 (a) Upon the written request of a patient or the patient's attorney or authorized representative, or pursuant to a written authorization, an institution licensed pursuant to this chapter shall furnish to the person making such request a copy of the patient's health record, including but not limited to, copies of bills, laboratory reports, prescriptions and other technical information used in assessing the patient's health condition.
Any institution or laboratory that has released an original slide, an original tissue block or new section pursuant to the provisions of this subsection shall not be subject to any liability arising out of releasing or not retaining the slide, block or new section and no cause of action for damages shall arise against any such institution for releasing or not retaining the slide, block or new section.
Any institution or laboratory that has released an original slide, an original tissue block or new section pursuant to the provisions of this LCO No.
No such institution shall charge more than sixty-five cents per page, including any research fees, clerical fees, handling fees or related costs, and the cost of first class postage, if applicable, for furnishing or providing access to a health record pursuant to this subsection, except such an institution may charge the amount necessary to cover its cost of materials for furnishing a copy of an x-ray or for furnishing an original retained slide, an original tissue block or a new section cut from a retained LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00921 of 29 R01-SB.docx } Substitute Bill No.
4478 23 of 33 Raised Bill No.921 subsection shall not be subject to any liability arising out of releasing or not retaining the slide, block or new section and no cause of action for damages shall arise against any such institution for releasing or not retaining the slide, block or new section.
921 pathology tissue block.
No such institution shall charge more than sixty-five cents per page, including any research fees, clerical fees, handling fees or related costs, and the cost of first class postage, if applicable, for furnishing or providing access to a health record pursuant to this subsection, except such an institution may charge the amount necessary to cover its cost of materials for furnishing a copy of an x-ray or for furnishing an original retained slide, an original tissue block or a new section cut from a retained pathology tissue block.
22.
27.
Section 19a-551 of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2019):
Each nursing home facility and residential care home shall:
(1) On or before the admission of each resident provide such resident or such resident's legally liable relative, guardian or conservator with a written statement explaining such resident's rights regarding the resident's personal funds and listing the charges that may be deducted from such funds.
Such statement shall explain that the nursing home facility or residential care home shall on and after October 1, 1992, pay interest at a rate not less than four per cent per annum and on and after October 1, 1994, pay interest at a rate not less than five and one-half per cent per annum on any security deposit or other advance payment required of such resident prior to admission to the nursing home facility or residential care home.
In the case of residents receiving benefits under Title XVIII or XIX of the federal Social Security Act the statement shall include a list of charges not covered by said titles and not covered by the basic per diem rate provided by said titles.
Upon delivery of such LCO No.
4478 24 of 33 Raised Bill No.921 statement the person in charge of the nursing home facility or residential care home shall obtain a signed receipt acknowledging such delivery;
(2) upon written consent or request of the resident or the resident's legally liable relative, guardian or conservator, manage such resident's personal funds, provided such consent by a resident shall not be effective unless cosigned by the resident's legally liable relative or guardian if such resident has been determined by a physician or advanced practice registered nurse to be mentally incapable of understanding and no conservator has been appointed.
As manager of such personal funds the nursing home facility or residential care home shall:
(A) Either maintain separate accounts for each resident or maintain an aggregate trust account for residents' funds to prevent commingling the personal funds of residents with the funds of such facility or residential care home.
Such facility or residential care home shall notify in writing each resident receiving Medicaid assistance or such resident's legally liable relative, guardian or conservator when the amount in the resident's account reaches two hundred dollars less than the dollar amount determined under the Medicaid program as the maximum for eligibility under the program and advise the resident or such resident's legally liable relative, guardian or conservator that if the amount in the account plus the value of the resident's other nonexempt resources reaches the maximum the resident may lose his or her Medicaid eligibility;
(B) obtain signed receipts for each expenditure from each resident's personal funds;
(C) maintain an individual itemized record of income and expenditures for each resident, including quarterly accountings;
and (D) permit the resident or the resident's legally liable relative, guardian or conservator, and the regional long-term care ombudsman, and representatives from the Departments of Social Services and Public Health, access to such record;
and (3) (A) refund any overpayment or deposit from a former resident or such resident's legally liable relative, guardian or conservator not later than thirty days after the resident's discharge and (B) refund any deposit from an individual planning to be admitted to such facility or residential care home not later than thirty days after receipt of written notification that the individual is no longer planning LCO No.
4478 25 of 33 Raised Bill No.921 to be admitted.
A refund issued after thirty days shall include interest at a rate of ten per cent per annum.
For the purposes of this section "deposit" shall include liquidated damages under any contract for pending admission.
Sec.
28.
(b) A collaborative drug therapy management agreement may authorize a pharmacist to implement, modify or discontinue a drug therapy that has been prescribed for a patient, order associated LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0022 of 29 R01-SB.docx } Substitute Bill No.
(b) A collaborative drug therapy management agreement may authorize a pharmacist to implement, modify or discontinue a drug therapy that has been prescribed for a patient, order associated laboratory tests and administer drugs, all in accordance with a patient- specific written protocol.
921 laboratory tests and administer drugs, all in accordance with a patient- specific written protocol.
In instances where drug therapy is LCO No.
In instances where drug therapy is discontinued, the pharmacist shall notify the treating physician or advanced practice registered nurse of such discontinuance no later than twenty-four hours from the time of such discontinuance.
4478 26 of 33 Raised Bill No.921 discontinued, the pharmacist shall notify the treating physician or advanced practice registered nurse of such discontinuance no later than twenty-four hours from the time of such discontinuance.
23.
29.
(a) Not later than January 1, 2006, the Commissioner of Consumer Protection, in consultation with the Commission of Pharmacy, shall establish and operate a two-year pilot program to allow not more than ten pharmacists licensed under this chapter who are determined eligible in accordance with subsection (c) of this section and employed by or under contract with a licensed community pharmacy, to enter into a written protocol-based collaborative drug therapy management agreement with one or more physicians licensed under chapter 370 or LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0023 of 29 R01-SB.docx } Substitute Bill No.
(a) Not later than January 1, 2006, the Commissioner of Consumer Protection, in consultation with the Commission of Pharmacy, shall establish and operate a two-year pilot program to allow not more than ten pharmacists licensed under this chapter who are determined eligible in accordance with subsection (c) of this section and employed by or under contract with a licensed community pharmacy, to enter into a written protocol-based collaborative drug therapy management agreement with one or more physicians licensed under chapter 370 or advanced practice registered nurses licensed under chapter 378, to manage the drug therapy of individual patients receiving drug therapy for diabetes, asthma, hypertension, hyperlipidemia, osteoporosis, LCO No.
921 advanced practice registered nurses licensed under chapter 378, to manage the drug therapy of individual patients receiving drug therapy for diabetes, asthma, hypertension, hyperlipidemia, osteoporosis, congestive heart failure or smoking cessation, including patients who qualify as targeted beneficiaries under the provisions of Section 1860D- 4(c)(2)(A)(ii) of the federal Social Security Act, in accordance with subsections (b) to (d), inclusive, of this section and subject to the approval of the licensed community pharmacy.
4478 27 of 33 Raised Bill No.921 congestive heart failure or smoking cessation, including patients who qualify as targeted beneficiaries under the provisions of Section 1860D- 4(c)(2)(A)(ii) of the federal Social Security Act, in accordance with subsections (b) to (d), inclusive, of this section and subject to the approval of the licensed community pharmacy.
The collaborative drug therapy management agreement and protocols shall be available LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0024 of 29 R01-SB.docx } Substitute Bill No.
The collaborative drug therapy management agreement and protocols shall be available for inspection by the Departments of Public Health and Consumer Protection.
921 for inspection by the Departments of Public Health and Consumer Protection.
Sec.
LCO No.
24.
4478 28 of 33 Raised Bill No.921 Sec.
30.
(4) "Identifiable" and "identify a patient" refer to communications and records which contain (A) names or other descriptive data from which a person acquainted with the patient might reasonably recognize the patient as the person referred to, or (B) codes or numbers LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0025 of 29 R01-SB.docx } Substitute Bill No.
(4) "Identifiable" and "identify a patient" refer to communications and records which contain (A) names or other descriptive data from which a person acquainted with the patient might reasonably recognize the patient as the person referred to, or (B) codes or numbers which are in general use outside of the mental health facility which prepared the communications and records;
921 which are in general use outside of the mental health facility which prepared the communications and records;
(5) "Mental health facility" includes any hospital, clinic, ward, LCO No.
(5) "Mental health facility" includes any hospital, clinic, ward, [psychiatrist's] psychiatric mental health provider's office or other facility, public or private, which provides inpatient or outpatient service, in whole or in part, relating to the diagnosis or treatment of a patient's mental condition;
4478 29 of 33 Raised Bill No.921 [psychiatrist's] psychiatric mental health provider's office or other facility, public or private, which provides inpatient or outpatient service, in whole or in part, relating to the diagnosis or treatment of a patient's mental condition;
25.
31.
For purposes of this subsection, persons in professional training are to LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0026 of 29 R01-SB.docx } Substitute Bill No.
For purposes of this subsection, persons in professional training are to be considered as engaged in the diagnosis or treatment of the patients.
921 be considered as engaged in the diagnosis or treatment of the patients.
(2) Communications or records may be disclosed when the [psychiatrist] psychiatric mental health provider determines that there is substantial risk of imminent physical injury by the patient to himself LCO No.
(2) Communications or records may be disclosed when the [psychiatrist] psychiatric mental health provider determines that there is substantial risk of imminent physical injury by the patient to himself or others or when a [psychiatrist] psychiatric mental health provider, in the course of diagnosis or treatment of the patient, finds it necessary to disclose the communications or records for the purpose of placing the patient in a mental health facility, by certification, commitment or otherwise, provided the provisions of sections 52-146d to 52-146j, inclusive, as amended by this act, shall continue in effect after the patient is in the facility.
4478 30 of 33 Raised Bill No.921 or others or when a [psychiatrist] psychiatric mental health provider, in the course of diagnosis or treatment of the patient, finds it necessary to disclose the communications or records for the purpose of placing the patient in a mental health facility, by certification, commitment or otherwise, provided the provisions of sections 52-146d to 52-146j, inclusive, as amended by this act, shall continue in effect after the patient is in the facility.
(4) Communications made to or records made by a [psychiatrist] psychiatric mental health provider in the course of a psychiatric examination ordered by a court or made in connection with the application for the appointment of a conservator by the Probate Court for good cause shown may be disclosed at judicial or administrative proceedings in which the patient is a party, or in which the question of his incompetence because of mental illness is an issue, or in appropriate pretrial proceedings, provided the court finds that the LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0027 of 29 R01-SB.docx } Substitute Bill No.
(4) Communications made to or records made by a [psychiatrist] psychiatric mental health provider in the course of a psychiatric examination ordered by a court or made in connection with the application for the appointment of a conservator by the Probate Court for good cause shown may be disclosed at judicial or administrative proceedings in which the patient is a party, or in which the question of his incompetence because of mental illness is an issue, or in appropriate pretrial proceedings, provided the court finds that the patient has been informed before making the communications that any communications will not be confidential and provided the communications shall be admissible only on issues involving the patient's mental condition.
921 patient has been informed before making the communications that any communications will not be confidential and provided the communications shall be admissible only on issues involving the patient's mental condition.
LCO No.
(5) Communications or records may be disclosed in a civil proceeding in which the patient introduces his mental condition as an element of his claim or defense, or, after the patient's death, when his condition is introduced by a party claiming or defending through or as a beneficiary of the patient and the court or judge finds that it is more important to the interests of justice that the communications be disclosed than that the relationship between patient and [psychiatrist] psychiatric mental health provider be protected.
4478 31 of 33 Raised Bill No.
921 (5) Communications or records may be disclosed in a civil proceeding in which the patient introduces his mental condition as an element of his claim or defense, or, after the patient's death, when his condition is introduced by a party claiming or defending through or as a beneficiary of the patient and the court or judge finds that it is more important to the interests of justice that the communications be disclosed than that the relationship between patient and [psychiatrist] psychiatric mental health provider be protected.
26.
32.
Section 1 October 1, 2019 17a-81(a) Sec.
Section 1 October 1, 2019 17a-78(a) Sec.
2 October 1, 2019 31-275(16)(B) Sec.
2 October 1, 2019 17a-78(f) Sec.
3 October 1, 2019 31-294d(a) to (c) Sec.
3 October 1, 2019 17a-81(a) Sec.
4 October 1, 2019 31-294d(f) Sec.
4 October 1, 2019 31-275(16)(B) Sec.
5 October 1, 2019 31-294i LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-0092128 of 29 R01-SB.docx } Substitute Bill No.
5 October 1, 2019 31-294d(b) and (c) Sec.
6 October 1, 2019 31-294d(f) Sec.
7 October 1, 2019 31-294i Sec.
8 October 1, 2019 31-296(c) Sec.
9 October 1, 2019 38a-472a Sec.
10 October 1, 2019 38a-488a(d) to (h) Sec.
11 October 1, 2019 38a-492e(b) LCO No.
4478 32 of 33 Raised Bill No.
6 October 1, 2019 31-296(c) Sec.
12 October 1, 2019 38a-499 Sec.
7 October 1, 2019 38a-472a Sec.
13 October 1, 2019 38a-503(d) Sec.
8 October 1, 2019 38a-488a(d) to (h) Sec.
14 October 1, 2019 38a-514b(a)(5) Sec.
9 October 1, 2019 38a-492e(b) Sec.
15 October 1, 2019 38a-514b(c) Sec.
10 October 1, 2019 38a-499 Sec.
16 October 1, 2019 38a-514b(e) Sec.
11 October 1, 2019 38a-503(d) Sec.
17 October 1, 2019 38a-518e(b) Sec.
12 October 1, 2019 38a-518e(b) Sec.
18 October 1, 2019 38a-530(d) Sec.
13 October 1, 2019 38a-530(d) Sec.
19 October 1, 2019 4-105 Sec.
14 October 1, 2019 4-105 Sec.
20 October 1, 2019 7-51a(c) Sec.
15 October 1, 2019 7-51a(c) October 1, 2019 Sec.
21 October 1, 2019 17b-233 October 1, 2019 Sec.
16 17b-233 Sec.
22 17b-236 Sec.
17 October 1, 2019 17b-236 Sec.
23 October 1, 2019 17b-278d Sec.
18 October 1, 2019 17b-278d Sec.
24 October 1, 2019 19a-2a Sec.
19 October 1, 2019 19a-2a Sec.
25 October 1, 2019 19a-26(a) Sec.
20 October 1, 2019 19a-26(a) Sec.
26 October 1, 2019 19a-490b(a) Sec.
21 October 1, 2019 19a-490b(a) Sec.
27 October 1, 2019 19a-551 Sec.
22 October 1, 2019 20-631(a) and (b) Sec.
28 October 1, 2019 20-631(a) and (b) Sec.
23 October 1, 2019 20-631a(a) and (b) Sec.
29 October 1, 2019 20-631a(a) and (b) Sec.
24 October 1, 2019 52-146d Sec.
30 October 1, 2019 52-146d Sec.
25 October 1, 2019 52-146f(1) to (5) Sec.
31 October 1, 2019 52-146f(1) to (5) Sec.
26 October 1, 2019 52-584 Statement of Legislative Commissioners:
32 October 1, 2019 52-584 Statement of Purpose:
In Section 3, Subsec.
To update the general statutes to reflect the current scope of practice of advanced practice registered nurses.
(a) of section 31-294d was added and amended to include "advanced practice registered nurse" for clarity and accuracy.
[Proposed deletions are enclosed in brackets.
PH Joint Favorable Subst.
Proposed additions are indicated by underline, not underlined.] the entire text of a bill or resolution or a section of a bill or resolution is new, it is LCO No.
LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00921- 29 of 29 R01-SB.docx }
4478 33 of 33
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How this bill changes current law

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AI-generated reading aid from the bill's amendatory text — verify against the official bill.

This bill expands the scope of practice for advanced practice registered nurses in various mental health and workers' compensation contexts.

  • Section 17a-78

    Connecticut

    Removes the specific reference to 'Connecticut' for the licensing of advanced practice registered nurses.

  • Section 17a-78

    advanced practice registered nurse licensed under chapter 378

    Removes the mention of advanced practice registered nurses from the list of professionals who can issue emergency certificates.

  • Section 17a-81

    advanced practice registered nurse

    Removes the mention of advanced practice registered nurses in the context of parental consent and emergency treatment.

  • Section 31-275

    advanced practice registered nurse who is certified as a psychiatric mental health provider by the American Nurses Credentialing Center

    Excludes the requirement for advanced practice registered nurses to be certified as psychiatric mental health providers to diagnose PTSD in firefighters.

  • Section 31-294d

    surgeon or advanced practice registered nurse

    Clarifies that employees may select an advanced practice registered nurse alongside physicians and surgeons.

  • Section 31-294d

    surgeon or advanced practice registered nurse

    Ensures a change of physician can include an advanced practice registered nurse.

  • Section 31-294d

    surgeon or advanced practice registered nurse

    Allows injured employees to obtain treatment from an advanced practice registered nurse if the employer fails to do so.

  • Section 31-294i

    advanced practice registered nurse

    Clarifies that the examination for health conditions can be performed by an advanced practice registered nurse.

  • Section 31-296

    attending physician or advanced practice registered nurse

    Allows for flexibility in identifying the medical provider responsible for the injured employee's care.

Action History

  1. SIGNED BY GOVERNOR

  2. TRANSMITTED BY SECRETARY OF THE STATE TO GOVERNOR

  3. TRANSMITTED TO SECRETARY OF THE STATE

  4. PUBLIC ACT 19-98

  5. IN CONCURRENCE

  6. ON CONSENT CALENDAR

  7. HOUSE PASSED

  8. HOUSE CALENDAR NUMBER 469

  9. FAV. RPT., TABLED FOR HOUSE CALENDER

  10. ON CONSENT CALENDAR

  11. SENATE PASSED

  12. FILE NO. 594

  13. SENATE CALENDAR NUMBER 300

  14. FAV. RPT., TAB. FOR CAL., SEN.

  15. RPTD. OUT OF LCO

  16. REFERRED TO Office of Legislative Research AND Office of Fiscal Analysis 04/09/19

  17. FILED WITH LCO

  18. Joint Favorable Substitute

  19. PUBLIC HEARING 0304

  20. REF. TO JOINT COMM. ON Public Health

Sponsors

Sponsorship breakdown

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6 sponsors · 0 co-sponsors · 181 not signed on

Sponsors (6)

Co-sponsors (0)

None.

Not signed on (181)

181 members have not signed on to this bill.

Show all 181 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare labor
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Frequently asked questions

Who sponsors SB 921?
SB 921 is sponsored by Bergstein, Alexandra, Serra, Joseph C., Leone, Carlo, Bob Duff (Democratic), Norman Needleman (Democratic), and Catherine A. Osten (Democratic).
What is the current status of SB 921?
This bill has been enacted into law. Introduced February 21, 2019. Enacted.
Where can I track SB 921?
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