HB 5196 — AN ACT EXPANDING THE PODIATRIC SCOPE OF PRACTICE.

Substitute House ofBill Representatives File No.

6295196 GeneralPublic AssemblyAct February Session, 2024Reprint of File No.

96)24-112 SubstituteAN HouseACT BillEXPANDING No.THE PODIATRIC SCOPE OF PRACTICE.

5196 As Amended by House Amendment Schedule "B" Approved by the Legislative Commissioner May 1, 2024 AN ACT EXPANDING THE PODIATRIC SCOPE OF PRACTICE.

(1) (A) Graduation on or after June 1, 2006, from a three-year residency program in podiatric medicine and surgery that was accredited by the Council on Podiatric Medical Education, or its successor organization, at the time of graduation, and (B) current board certification or qualification in reconstructive rearfoot ankle surgery by sHB5196the /American FileBoard No.of Foot and Ankle Surgery, or its successor organization;

629or sHB5196(2) File(A) graduation prior to June 1, 2006, from a residency program in podiatric medicine and surgery that was at least two years in length and accredited at the time of graduation by said council, and (B) current board certification or qualification in Substitute House Bill No.

6295196 reconstructive rearfoot ankle surgery by the American Board of Foot and Ankle Surgery, or its successor organization;organization.

or (2) (A) graduation prior to June 1, 2006, from a residency program in podiatric medicine and surgery that was at least two years in length and accredited at the time of graduation by said council, and (B) current board certification or qualification in reconstructive rearfoot ankle surgery by the American Board of Foot and Ankle Surgery, or its successor organization.

Not later September 1, 2024, the panel shall submit a report, in accordance with the provisions of section 11-4a of the general statutes, regarding the panel's protocol to the joint sHB5196standing /committee Fileof No.the General Assembly having cognizance of matters relating to public health and the Commissioner of Public Health.

629Not sHB5196later Filethan October 1, 2024, the commissioner shall post such Public Act No.

62924-112 standing2 committee of the3 GeneralSubstitute AssemblyHouse havingBill cognizanceNo. of matters relating to public health and the Commissioner of Public Health.

Not5196 later than October 1, 2024, the commissioner shall post such protocol on the Department of Public Health's Internet web site.

ThisApproved actJune shall4, take2024 effectPublic asAct followsNo. and shall amend the following sections:

Section24-112 13 Octoberof 1,3 2024 20-54(c) Sec.

2 from passage New section sHB5196 / File No.

629 sHB5196 File No.

629 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:

None Municipal Impact:

None Explanation The bill, which allows licensed podiatrists to perform Chopart joint- level amputations and total ankle replacement surgeries under certain conditions and requires the Public Health Committee to convene a panel, is not anticipated to result in a fiscal impact to the state or municipalities.

House "B" strikes the language of the underlying bill and its associated fiscal impact and replaces it with the language discussed above.

The Out Years State Impact:

None Municipal Impact:

None sHB5196 / File No.

629 4 sHB5196 File No.

629 OLR Bill Analysis sHB 5196 (as amended by House "B")* AN ACT EXPANDING THE PODIATRIC SCOPE OF PRACTICE.

SUMMARY This bill expands the scope of practice of podiatric medicine to allow podiatrists to independently perform Chopart joint-level (i.e., forefoot and midfoot) amputations.

To do so, a licensed podiatrist must provide the Department of Public Health (DPH) documentation that they:

1.

graduated from a podiatric residency program meeting specified criteria and 2.

hold current board certification or qualification in reconstructive rearfoot ankle surgery by the American Board of Foot and Ankle Surgery, or its successor.

Under the bill, the residency program must have been accredited by the Council on Podiatric Medical Education, or its successor, when the podiatrist graduated.

The program must have been at least (1) two years in length if the person graduated before June 1, 2006, or (2) three years for graduates on or after that date.

Current law already allows podiatrists who meet the above criteria to independently perform certain ankle surgeries, including all soft tissue and osseous procedures (e.g., fixing ankle factures, ankle fusions, and ankle arthroscopy).

They cannot perform total ankle replacements (see below), tibial pilon fracture surgeries, or surgeries to treat complications within the tibial diaphysis related to the use of external fixation pins.

The bill also requires the Public Health Committee co-chairpersonsto convene a panel of two representatives each from an organization sHB5196 / File No.

629 5 sHB5196 File No.

629 representing podiatrists and an organization representing orthopedic physicians in Connecticut.