Connecticut 2012 Regular Session

Connecticut House Bill HB05541 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	General Assembly Raised Bill No. 5541
2	2	February Session, 2012 LCO No. 2445
3	3	02445_______PH_
4	4	Referred to Committee on Public Health
5	5	Introduced by:
6	6	(PH)
7	7
8	8	General Assembly
9	9
10	10	Raised Bill No. 5541
11	11
12	12	February Session, 2012
13	13
14	14	LCO No. 2445
15	15
16	16	02445_______PH_
17	17
18	18	Referred to Committee on Public Health
19	19
20	20	Introduced by:
21	21
22	22	(PH)
23	23
24	24	AN ACT CONCERNING SERVICES PROVIDED BY DENTAL PROFESSIONALS AND CERTIFICATION FOR ADVANCED DENTAL HYGIENE PRACTITIONERS.
25	25
26	26	Be it enacted by the Senate and House of Representatives in General Assembly convened:
27	27
28	28	Section 1. Subsections (a) and (b) of section 20-126l of the general statutes are repealed and the following is substituted in lieu thereof (Effective October 1, 2012):
29	29
30	30	(a) As used in this section:
31	31
32	32	(1) "General supervision of a licensed dentist" means supervision that authorizes dental hygiene procedures to be performed with the knowledge of said licensed dentist, whether or not the dentist is on the premises when such procedures are being performed;
33	33
34	34	(2) "Public health facility" means an institution, as defined in section 19a-490, a community health center, a group home, a school, a preschool operated by a local or regional board of education or a head start program or a program offered or sponsored by the federal Special Supplemental Food Program for Women, Infants and Children; and
35	35
36	36	(3) The "practice of dental hygiene" means the performance of educational, preventive and therapeutic services including: Complete prophylaxis; the removal of [calcerous] calcareous deposits, accretions and stains from the supragingival and subgingival surfaces of the teeth by scaling, root planing and polishing; the application of pit and fissure sealants and topical solutions to exposed portions of the teeth; dental hygiene examinations and the charting of oral conditions; dental hygiene assessment, diagnosis, treatment planning and evaluation; dental triage; the administration of local anesthesia in accordance with the provisions of subsection (d) of this section; and collaboration in the implementation of the oral health care regimen.
37	37
38	38	(b) No person shall engage in the practice of dental hygiene unless such person (1) has a dental hygiene license issued by the Department of Public Health and (A) is practicing under the general supervision of a licensed dentist, [or] (B) has been practicing as a licensed dental hygienist for at least two years, is practicing in a public health facility and complies with the requirements of subsection (e) of this section, or (C) has an advanced dental hygiene practitioner certification issued by the department and is practicing under a collaborative management agreement with a licensed dentist, or (2) has a dental license.
39	39
40	40	Sec. 2. Section 20-112a of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2012):
41	41
42	42	(a) As used in this section:
43	43
44	44	(1) "Direct supervision" means that a licensed dentist has authorized that certain procedures be performed on a patient by a dental assistant with such dentist remaining on-site in the dental office while such procedures are performed and that, prior to the patient's departure from the dental office, such dentist reviews and approves the treatment performed by the dental assistant;
45	45
46	46	(2) "Dental assistant" means an entry level dental assistant, certified dental assistant, noncertified dental assistant and an expanded function dental auxiliary;
47	47
48	48	(3) "Certified dental assistant" means a person who passes the certified dental assistant or certified orthodontic assistant examination of the Dental Assisting National Board and maintains a current Dental Assisting National Board Certified Dental Assistant or Certified Orthodontic Assistant credential. Documentation of current certification shall be maintained on the premises by the employing dentist and made available to the Department of Public Health upon request;
49	49
50	50	(4) "Entry level dental assistant" means a person who has completed on-the-job training in dental assisting under the direct supervision, control and responsibility of an employing, licensed dentist and who successfully completes the infection control examination of the Dental Assisting National Board not later than six months after the date of commencing employment, provided any person employed as an entry level dental assistant on or before October 1, 2012, shall successfully complete said examination not later than October 1, 2013. An affidavit that supports the successful completion of said examination by any such entry level dental assistant shall be maintained on the premises by the employing dentist and made available to the Department of Public Health upon request;
51	51
52	52	(5) "Expanded function dental auxiliary" means a certified dental assistant, dental hygienist licensed under chapter 379a or a person holding a diploma from a foreign dental school who has successfully completed an expanded function dental auxiliary program at an institution that offers an education program accredited by the Commission on Dental Accreditation of the American Dental Association that includes: (A) Not less than seventy hours of clinical and laboratory instruction and not less than forty-three hours of clinical instruction in each area of expanded function dental auxiliary certification; (B) a comprehensive clinical examination; and (C) a standardized comprehensive written and clinical proficiency examination in expanded functions according to Dental Assisting National Board standards, provided prior to working as an expanded function dental auxiliary, the employing dentist shall verify that the expanded function dental auxiliary has successfully completed the required education and training and passed the required examinations. Documentation that the expanded function dental auxiliary has met such requirements shall be maintained on the premises by the employing dentist and made available to the Department of Public Health upon request; and
53	53
54	54	(6) "Noncertified dental assistant" means a person who has successfully completed a dental assistant education program accredited by the Commission on Dental Accreditation of the American Dental Association, or a person who has not less than three thousand hours of experience as an entry level dental assistant, and who has passed the infection control examination and the radiation health and safety examination of the Dental Assisting National Board. An affidavit that supports the successful completion of said examinations by any such noncertified level dental assistant shall be maintained on the premises by the employing dentist and made available to the Department of Public Health upon request.
55	55
56	56	(b) A licensed dentist may delegate to dental assistants such dental procedures as the dentist may deem advisable, including the taking of dental x-rays if the dental assistant can demonstrate successful completion of the dental radiography portion of an examination prescribed by the Dental Assisting National Board, but such procedures shall be performed under the dentist's supervision and control and the dentist shall assume responsibility for such procedures; provided such assistants may not engage in: (1) Diagnosis for dental procedures or dental treatment; (2) the cutting or removal of any hard or soft tissue or suturing; (3) the prescribing of drugs or medications that require the written or oral order of a licensed dentist or physician; (4) the administration of local, parenteral, inhalation or general anesthetic agents in connection with any dental operative procedure; (5) the taking of any impression of the teeth or jaws or the relationship of the teeth or jaws for the purpose of fabricating any appliance or prosthesis; (6) the placing, finishing and adjustment of [temporary or] final restorations, capping materials and cement bases; [or] (7) the practice of dental hygiene as defined in section 20-126l, as amended by this act; or (8) coronal polishing, unless the dental assistant is certified as an expanded function dental auxiliary and the procedure is not represented or billed as prophylaxis.
57	57
58	58	(c) An expanded function dental auxiliary shall: (1) Maintain in good standing certified dental assisting status with the Dental Assisting National Board or state dental hygiene licensure as prescribed in chapter 379a; (2) conspicuously display such certificate or license in the place of employment where such expanded function dental auxiliary services shall be performed; (3) maintain professional liability insurance or other indemnity against liability for professional malpractice while employed in such capacity in an amount that is not less than five hundred thousand dollars for one person, per occurrence, with an aggregate of not less than one million five hundred thousand dollars; and (4) limit his or her practice to providing services under the direct supervision of a licensed dentist, provided no dentist shall supervise more than two expanded function dental auxiliaries who are providing services at one time. An expanded function dental auxiliary may practice in settings that include, but are not limited to (A) a public health facility, as defined in section 20-126l, as amended by this act, or (B) a dental health professional shortage area as designated by the federal Health Resources and Services Administration.
59	59
60	60	(d) The Commissioner of Public Health, in consultation with the State Dental Commission, shall adopt regulations, in accordance with chapter 54, to implement the provisions of this section. Such regulations shall minimally: (1) Identify the types of procedures that may be performed by a certified dental assistant, entry level dental assistant, expanded function dental auxiliary and a noncertified dental assistant; (2) delineate the levels of supervision required for such procedures; and (3) prescribe that a dental assistant may work under the supervision of a licensed dental hygienist in a public health facility, as defined in section 20-126l, as amended by this act, or a dental health professional shortage area as designated by the federal Health Resources and Services Administration.
61	61
62	62	Sec. 3. Subsection (a) of section 20-13j of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2012):
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64	64	(a) For the purposes of this section:
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66	66	(1) "Department" means the Department of Public Health; and
67	67
68	68	(2) "Health care provider" means: (A) A physician licensed under this chapter; (B) a dentist licensed under chapter 379; (C) a chiropractor licensed under chapter 372; (D) an optometrist licensed under chapter 380; (E) a podiatrist licensed under chapter 375; (F) a natureopath licensed under chapter 373; (G) a dental hygienist licensed under chapter 379a; (H) an advanced dental hygiene practitioner certified in accordance with sections 4 and 5 of this act; (I) an advanced practice registered nurse licensed under chapter 378; or [(I)] (J) a physical therapist licensed under chapter 376.
69	69
70	70	Sec. 4. (NEW) (Effective October 1, 2012) No person shall engage in advanced dental hygiene practice unless such person holds and maintains a dental hygiene license in good standing and an advanced dental hygiene practitioner certification issued by the Department of Public Health under section 5 of this act. An advanced dental hygiene practitioner certification shall be renewed annually in accordance with the provisions of section 19a-88 of the general statutes.
71	71
72	72	Sec. 5. (NEW) (Effective October 1, 2012) (a) Each application for an advanced dental hygiene practitioner certification shall be in writing on forms prescribed by the Department of Public Health, signed by the applicant and accompanied by an application fee of two hundred dollars. An applicant shall have graduated from a master's degree program in advanced dental hygiene practice from an institution of higher learning accredited by the State Board of Education in accordance with the provisions of section 10a-34 of the general statutes. Any such master's degree program accredited by the State Board of Education shall include a curriculum that incorporates advanced dental hygiene practitioner competencies as adopted by the American Dental Hygienists' Association.
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74	74	(b) An applicant for an advanced dental hygiene practitioner certification shall be examined as to his or her professional knowledge and skill prior to the granting of such certification, through a comprehensive, competency-based examination, prescribed by the Department of Public Health and administered independently of any institution of higher education that offers a master's degree program in advanced dental hygiene practice.
75	75
76	76	Sec. 6. (NEW) (Effective October 1, 2012) (a) As used in this section:
77	77
78	78	(1) "Advanced dental hygiene practitioner" means a licensed dental hygienist who satisfies the requirements of sections 4 and 5 of this act and is authorized to perform all services set forth in section 20-126l of the general statutes, as amended by this act, pursuant to a collaborative management agreement;
79	79
80	80	(2) "Collaborative management agreement" means a written agreement between an advanced dental hygiene practitioner and a dentist, licensed in accordance with the provisions of chapter 379 of the general statutes, that outlines a mutually agreed upon relationship in which the advanced dental hygiene practitioner and the dentist agree to the parameters of practice provided by such advanced dental hygiene practitioner that does not allow the advanced dental hygiene practitioner to practice independently; and
81	81
82	82	(3) "Public health facility" means an institution, as defined in section 19a-490 of the general statutes, a community health center, group home, school, preschool operated by a local or regional board of education or head start program.
83	83
84	84	(b) Pursuant to a collaborative management agreement with a licensed dentist, an advanced dental hygiene practitioner may:
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86	86	(1) Formulate an individualized care plan based on scientific rationale, evidence-based standards of care, and practice guidelines in collaboration with the patient and other licensed health care professionals, as necessary;
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88	88	(2) Administer local anesthesia;
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90	90	(3) Diagnose and treat for oral diseases and conditions within the advanced dental hygiene practitioner scope of practice;
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92	92	(4) Provide diagnostic, educational, palliative, therapeutic, prescriptive and minimally invasive restorative oral health services including: (A) Preparation and restoration of primary and permanent teeth using direct placement of appropriate dental materials; (B) temporary placement of crowns and restorations; (C) placement of preformed crowns; (D) pulpotomies on primary teeth; (E) direct and indirect pulp capping in primary and permanent teeth; and (F) placement of atraumatic temporary restorations;
93	93
94	94	(5) Prescribe, dispense and administer only the following drugs within the parameters of the collaborative management agreement and within the scope of practice of the advanced dental hygiene practitioner: Analgesics, fluorides, anti-inflammatories, antimicrobials and antibiotics;
95	95
96	96	(6) Perform removal of mobile or exfoliating primary teeth and mobile permanent teeth;
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98	98	(7) Place and remove sutures;
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100	100	(8) Prevent or intercept potential orthodontic problems and parafunctional habits by early identification of such problems, space maintenance services and appropriate referral to other health care professionals;
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102	102	(9) Provide temporary reparative services to patients with defective prosthetic appliances;
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104	104	(10) Consult, collaborate and coordinate care with other health care professionals;
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106	106	(11) Provide referrals to patients as needed for further dental procedures or other health care needs;
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108	108	(12) Utilize emerging technologies in assessment, evaluation, diagnosis, prognosis, intervention and prevention of disease or conditions that impair oral or systemic health and wellness; and
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110	110	(13) Use electronic technology to transfer digital radiography, photography, clinical assessment data and fiber optic imaging in collaboration with other health care professionals when warranted for the health of the patient.
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112	112	(c) An advanced dental hygiene practitioner, certified in accordance with the provisions of sections 4 and 5 of this act, may practice in settings that include, but are not limited to, a public health facility or a dental health professional workforce shortage area as designated by the federal Health Resources and Services Administration.
113	113
114	114	(d) A collaborative management agreement entered into in accordance with the provisions of this section shall be in writing, signed by the parties to the agreement and maintained by the advanced dental hygiene practitioner at the location where such practitioner is employed and shall be available for inspection by the Department of Public Health upon request. A collaborative management agreement shall be reviewed by the parties involved on an annual basis and shall minimally include: (1) A description of the supervisory relationship between the advanced dental hygiene practitioner and the licensed dentist; (2) specific protocols for prescribing, administering and dispensing medications, including, the types of medications to be prescribed, administered and dispensed and the conditions and circumstances under which such medications are to be prescribed, dispensed and administered subject to the limitations set forth in subsection (b) of this section; and (3) an emergency protocol that addresses situations under which the following shall occur: (A) Consultation with a licensed dentist or other licensed health care provider; (B) transfer of patient care to a licensed dentist or other licensed health care provider; (C) the provision of emergency care; (D) methods for disclosing the relationship covered by such agreement to the patient; and (E) methods for reviewing patient outcomes.
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116	116	(e) All advanced dental hygiene practitioners shall participate in continuing education programs prescribed by the Commissioner of Public Health pursuant to section 14 of this act.
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118	118	Sec. 7. (NEW) (Effective October 1, 2012) An advanced dental hygiene practitioner's certificate along with such practitioner's dental hygiene license for the current year shall be displayed conspicuously in the public health facility, office, place of business or place of employment of such practitioner. Each advanced dental hygiene practitioner shall promptly notify the department of any change of address or employment subsequent to his or her licensure and certification.
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120	120	Sec. 8. (NEW) (Effective October 1, 2012) (a) The Department of Public Health may take any of the actions set forth in section 19a-17 of the general statutes for any of the following causes: (1) The presentation to the department of any diploma, certificate or license illegally or fraudulently obtained, obtained from an institution that is not accredited or from an unrecognized or irregular institution or state board, or obtained by the practice of any fraud or deception; (2) illegal conduct; (3) negligent, incompetent or wrongful conduct in professional activities; (4) conviction of the violation of any of the provisions of sections 20-126h to 20-126w, inclusive, of the general statutes, as amended by this act, by any court of criminal jurisdiction; (5) violation of any of the provisions of said sections of the general statutes or of the regulations adopted hereunder; (6) aiding or abetting a person not certified or licensed to practice advanced dental hygiene in this state; (7) engaging in fraud or material deception in the course of professional activities; (8) the effects of physical or mental illness, emotional disorder or loss of motor skill, including, but not limited to, deterioration through the aging process, upon the certificate or license holder; (9) abuse or excessive use of drugs, including alcohol, narcotics or chemicals; (10) failure to comply with mandatory continuing education requirements; (11) failure to maintain professional liability insurance; (12) practicing without a collaborative management agreement; (13) failure to properly supervise dental assistants; or (14) failure to provide information to the Department of Public Health required to complete a health care profile, as set forth in section 20-13j of the general statutes, as amended by this act. A violation of any of the provisions of sections 4 to 14, inclusive, of this act, by any noncertified or unlicensed advanced dental hygiene practitioner, with the knowledge of such practitioner's employer, shall be deemed a violation thereof by such employer. The Commissioner of Public Health may order a certificate or license holder to submit to a reasonable physical or mental examination if his or her physical or mental capacity to practice safely is the subject of an investigation. The commissioner may petition the superior court for the judicial district of Hartford to enforce such order or any action taken pursuant to said section 19a-17.
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122	122	(b) For purposes of subdivision (7) of subsection (a) of this section, fraud or material deception shall include, but not be limited to, the following practices: (1) Submission of a claim form to a third party intentionally reporting incorrect treatment dates for the purpose of assisting a patient in obtaining benefits under a dental plan, which benefits would otherwise be disallowed; (2) increasing a fee to a patient for a service in excess of the fee charged solely because the patient has dental insurance; (3) intentionally describing a procedure incorrectly on a third-party claim form in order to receive a greater payment or reimbursement or intentionally misrepresenting a procedure not otherwise eligible for payment or reimbursement on such claim form for the purpose of receiving payment or reimbursement; and (4) intentionally accepting payment from a third party as payment in full for patient services rendered when (A) the patient has been excused from payment of any applicable deductible by the certificate or license holder, and (B) such certificate or license holder fails to notify the third party of such action.
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124	124	Sec. 9. (NEW) (Effective October 1, 2012) No person shall falsely claim to hold a license, certificate, diploma or degree granted by a society, school or by the Department of Public Health, or, with intent to deceive the public, pretend to be a graduate of any advanced dental hygiene practice program or college, or append the letters "A.D.H.P." to his or her name, without having the degree indicated by such letters conferred upon him or her by diploma from a college, a school, a board of examiners, or other agency empowered to confer the same.
125	125
126	126	Sec. 10. (NEW) (Effective October 1, 2012) Payment for advanced dental hygiene practice care rendered to patients in chronic and convalescent hospitals or convalescent homes shall be made directly to the certified advanced dental hygiene practitioner rendering such care. The Commissioner of Social Services shall not be required to recognize the cost of employing or contracting with an advanced dental hygiene practitioner in the rates established for convalescent homes pursuant to section 17b-340 of the general statutes.
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128	128	Sec. 11. (NEW) (Effective October 1, 2012) Any person who violates any provision of sections 4 to 14, inclusive, of this act shall be fined not more than five thousand dollars in aggregate. Any person who continues to practice as an advanced dental hygiene practitioner or engage as an advanced dental hygiene practitioner, after his or her license, certificate or authority to so do has been suspended or revoked and while such disability continues, shall be fined not more than five thousand dollars in aggregate. For purposes of this section, each instance of patient contact or consultation which is in violation of any provision of this section shall constitute a separate offense. Failure to renew a license or certificate in a timely manner shall not constitute a violation for the purposes of this section.
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130	130	Sec. 12. (NEW) (Effective October 1, 2012) Nothing in sections 4 to 14, inclusive, of this act shall be construed to: (1) Allow a certified advanced dental hygiene practitioner to practice independently or beyond the parameters of the collaborative management agreement with the collaborating licensed dentist; or (2) prevent a licensed dentist from providing advanced dental hygiene practice services.
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132	132	Sec. 13. (NEW) (Effective October 1, 2012) (a) Each certified advanced dental hygiene practitioner who provides direct patient care services shall maintain professional liability insurance or other indemnity against liability for professional malpractice. The amount of insurance that each such person shall maintain as insurance or indemnity against claims for injury or death for professional malpractice shall not be less than five hundred thousand dollars for one person, per occurrence, with an aggregate of not less than one million five hundred thousand dollars.
133	133
134	134	(b) Each insurance company that issues professional liability insurance, as defined in subdivision (4) of subsection (b) of section 38a-393 of the general statutes, as amended by this act, shall, on and after January 1, 2013, render to the Commissioner of Public Health a true record of the names, according to classification, of cancellations of and refusals to renew professional liability insurance policies and the reasons for such cancellations or refusal to renew said policies for the year ending on the thirty-first day of December next preceding.
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136	136	Sec. 14. (NEW) (Effective October 1, 2012) The Commissioner of Public Health shall adopt regulations, in accordance with chapter 54 of the general statutes, to: (1) Define basic requirements for continuing education programs; (2) delineate qualifying programs; (3) establish a system of control and reporting; (4) provide for waiver of the continuing education requirement by the commissioner for good cause; and (5) implement the provisions of sections 4 to 13, inclusive, of this act.
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138	138	Sec. 15. Subsection (c) of section 19a-14 of the 2012 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2012):
139	139
140	140	(c) No board shall exist for the following professions that are licensed or otherwise regulated by the Department of Public Health:
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142	142	(1) Speech and language pathologist and audiologist;
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144	144	(2) Hearing instrument specialist;
145	145
146	146	(3) Nursing home administrator;
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148	148	(4) Sanitarian;
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150	150	(5) Subsurface sewage system installer or cleaner;
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152	152	(6) Marital and family therapist;
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154	154	(7) Nurse-midwife;
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156	156	(8) Licensed clinical social worker;
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158	158	(9) Respiratory care practitioner;
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160	160	(10) Asbestos contractor and asbestos consultant;
161	161
162	162	(11) Massage therapist;
163	163
164	164	(12) Registered nurse's aide;
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166	166	(13) Radiographer;
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168	168	(14) Dental hygienist;
169	169
170	170	(15) Dietitian-Nutritionist;
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172	172	(16) Asbestos abatement worker;
173	173
174	174	(17) Asbestos abatement site supervisor;
175	175
176	176	(18) Licensed or certified alcohol and drug counselor;
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178	178	(19) Professional counselor;
179	179
180	180	(20) Acupuncturist;
181	181
182	182	(21) Occupational therapist and occupational therapist assistant;
183	183
184	184	(22) Lead abatement contractor, lead consultant contractor, lead consultant, lead abatement supervisor, lead abatement worker, inspector and planner-project designer;
185	185
186	186	(23) Emergency medical technician, advanced emergency medical technician, emergency medical responder and emergency medical services instructor;
187	187
188	188	(24) Paramedic;
189	189
190	190	(25) Athletic trainer;
191	191
192	192	(26) Perfusionist;
193	193
194	194	(27) Master social worker subject to the provisions of section 20-195v; [and]
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196	196	(28) Advanced dental hygiene practitioner; and
197	197
198	198	[(28) On and after July 1, 2011, a] (29) A radiologist assistant, subject to the provisions of section 20-74tt.
199	199
200	200	The department shall assume all powers and duties normally vested with a board in administering regulatory jurisdiction over such professions. The uniform provisions of [this chapter] sections 4 to 14, inclusive, of this act and chapters 368v, 369 to 381a, inclusive, 383 to 388, inclusive, 393a, 395, 398, 399, 400a and 400c, including, but not limited to, standards for entry and renewal; grounds for professional discipline; receiving and processing complaints; and disciplinary sanctions, shall apply, except as otherwise provided by law, to the professions listed in this subsection.
201	201
202	202	Sec. 16. Subsection (a) of section 19a-12a of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2012):
203	203
204	204	(a) As used in this section and section 19a-12b:
205	205
206	206	(1) "Chemical dependency" means abusive or excessive use of drugs, including alcohol, narcotics or chemicals, that results in physical or psychological dependence;
207	207
208	208	(2) "Department" means the Department of Public Health;
209	209
210	210	(3) "Health care professionals" includes any person licensed or who holds a certificate or permit pursuant to chapter 370, 372, 373, 375, 375a, 376, 376a, 376b, 376c, 377, 378, 379, 379a, 380, 381, 381a, 383, 383a, 383b, 383c, 384, 384a, 384b, 384c, 384d, 385, 398 or 399 or sections 4 to 14, inclusive, of this act;
211	211
212	212	(4) "Medical review committee" means any committee that reviews and monitors participation by health care professionals in the assistance program, including a medical review committee described in section 19a-17b; and
213	213
214	214	(5) "Assistance program" means the program established pursuant to subsection (b) of this section to provide education, prevention, intervention, referral assistance, rehabilitation or support services to health care professionals who have a chemical dependency, emotional or behavioral disorder or physical or mental illness.
215	215
216	216	Sec. 17. Section 38a-393 of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2012):
217	217
218	218	(a) Each insurance company doing business in this state shall, annually, on or before the first day of March, render to the Insurance Commissioner a true record of the number, according to classification, of cancellations of and refusals to renew professional liability insurance policies for the year ending on the thirty-first day of December next preceding.
219	219
220	220	(b) For purposes of sections 38a-393 to 38a-395, inclusive, "professional liability insurance" means professional liability contracts for: (1) Physicians and surgeons, (2) hospitals, (3) lawyers, (4) dentists and other dental professionals, (5) architects and engineers, (6) chiropractors, (7) licensed natureopaths, (8) podiatrists, (9) advanced practice registered nurses, and (10) physical therapists and such other categories as the Insurance Commissioner, in the commissioner's discretion, shall adopt by regulations in accordance with chapter 54.
221	221
222	222
223	223
224	224
225	225	This act shall take effect as follows and shall amend the following sections:
226	226	Section 1 October 1, 2012 20-126l(a) and (b)
227	227	Sec. 2 October 1, 2012 20-112a
228	228	Sec. 3 October 1, 2012 20-13j(a)
229	229	Sec. 4 October 1, 2012 New section
230	230	Sec. 5 October 1, 2012 New section
231	231	Sec. 6 October 1, 2012 New section
232	232	Sec. 7 October 1, 2012 New section
233	233	Sec. 8 October 1, 2012 New section
234	234	Sec. 9 October 1, 2012 New section
235	235	Sec. 10 October 1, 2012 New section
236	236	Sec. 11 October 1, 2012 New section
237	237	Sec. 12 October 1, 2012 New section
238	238	Sec. 13 October 1, 2012 New section
239	239	Sec. 14 October 1, 2012 New section
240	240	Sec. 15 October 1, 2012 19a-14(c)
241	241	Sec. 16 October 1, 2012 19a-12a(a)
242	242	Sec. 17 October 1, 2012 38a-393
243	243
244	244	This act shall take effect as follows and shall amend the following sections:
245	245
246	246	Section 1
247	247
248	248	October 1, 2012
249	249
250	250	20-126l(a) and (b)
251	251
252	252	Sec. 2
253	253
254	254	October 1, 2012
255	255
256	256	20-112a
257	257
258	258	Sec. 3
259	259
260	260	October 1, 2012
261	261
262	262	20-13j(a)
263	263
264	264	Sec. 4
265	265
266	266	October 1, 2012
267	267
268	268	New section
269	269
270	270	Sec. 5
271	271
272	272	October 1, 2012
273	273
274	274	New section
275	275
276	276	Sec. 6
277	277
278	278	October 1, 2012
279	279
280	280	New section
281	281
282	282	Sec. 7
283	283
284	284	October 1, 2012
285	285
286	286	New section
287	287
288	288	Sec. 8
289	289
290	290	October 1, 2012
291	291
292	292	New section
293	293
294	294	Sec. 9
295	295
296	296	October 1, 2012
297	297
298	298	New section
299	299
300	300	Sec. 10
301	301
302	302	October 1, 2012
303	303
304	304	New section
305	305
306	306	Sec. 11
307	307
308	308	October 1, 2012
309	309
310	310	New section
311	311
312	312	Sec. 12
313	313
314	314	October 1, 2012
315	315
316	316	New section
317	317
318	318	Sec. 13
319	319
320	320	October 1, 2012
321	321
322	322	New section
323	323
324	324	Sec. 14
325	325
326	326	October 1, 2012
327	327
328	328	New section
329	329
330	330	Sec. 15
331	331
332	332	October 1, 2012
333	333
334	334	19a-14(c)
335	335
336	336	Sec. 16
337	337
338	338	October 1, 2012
339	339
340	340	19a-12a(a)
341	341
342	342	Sec. 17
343	343
344	344	October 1, 2012
345	345
346	346	38a-393
347	347
348	348	Statement of Purpose:
349	349
350	350	To describe services that may be performed by certain dental professionals and to increase access to and utilization of dental care for underserved populations through the use of advanced dental hygiene practitioners.
351	351
352	352	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]