Connecticut 2016 Regular Session

Connecticut House Bill HB05538 Compare Versions

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

Old	New	Differences
1	1	General Assembly Raised Bill No. 5538
2	2	February Session, 2016 LCO No. 2373
3	3	02373_______PH_
4	4	Referred to Committee on PUBLIC HEALTH
5	5	Introduced by:
6	6	(PH)
7	7
8	8	General Assembly
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10	10	Raised Bill No. 5538
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12	12	February Session, 2016
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14	14	LCO No. 2373
15	15
16	16	02373_______PH_
17	17
18	18	Referred to Committee on PUBLIC HEALTH
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20	20	Introduced by:
21	21
22	22	(PH)
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24	24	AN ACT CONCERNING THE SCOPE OF PRACTICE FOR ANESTHESIOLOGISTS.
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26	26	Be it enacted by the Senate and House of Representatives in General Assembly convened:
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28	28	Section 1. Section 20-123a of the 2016 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2016):
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30	30	For purposes of this section, [and] section 20-123b, as amended by this act, and section 2 of this act:
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32	32	(1) "Deep sedation" means a drug-induced depression of consciousness during which (A) a person cannot be easily aroused but responds purposefully following repeated or painful stimulation, (B) a person's ability to independently maintain ventilator function may be impaired, (C) assistance may be required for a person to maintain his or her airway and spontaneous ventilation may be inadequate, and (D) cardiovascular function is usually maintained;
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34	34	(2) "General anesthesia" means a drug-induced loss of consciousness during which (A) a person is not able to be aroused, even by painful stimulation, (B) a person's ability to independently maintain ventilator function is often impaired, (C) a person often requires assistance in maintaining his or her airway and positive pressure ventilation may be required because of depressed spontaneous ventilation or drug-induced depression of neuromuscular function, and (D) a person's cardiovascular function may be impaired;
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36	36	(3) "Minimal sedation" means a minimally depressed level of consciousness that (A) is produced by a pharmacological method that retains a person's ability to independently and continuously maintain an airway and to respond appropriately to physical stimulation or a verbal command, (B) may result in modest impairment of cognitive function and coordination but does not affect a person's ventilator and cardiovascular function, and (C) is produced by nitrous oxide or an orally administered sedative using not more than the maximum therapeutic dose recommended by the federal Food and Drug Administration and that may be prescribed for unmonitored use by a person in his or her home;
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38	38	(4) "Moderate sedation" means a drug-induced depression of consciousness during which (A) a person responds purposefully to verbal commands, either alone or when accompanied by light tactile stimulation, (B) intervention is not required to maintain a person's airway and spontaneous ventilation is adequate, and (C) a person's cardiovascular function is usually maintained; and
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40	40	(5) "Commissioner" means the Commissioner of Public Health.
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42	42	Sec. 2. (NEW) (Effective October 1, 2016) A physician licensed under chapter 370 of the general statutes who is a board-certified anesthesiologist may administer minimal sedation, moderate sedation, deep sedation or general anesthesia on the patient of a dentist licensed under chapter 379 of the general statutes for purposes of assisting the dentist in his or her treatment of the patient.
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44	44	Sec. 3. Section 20-123b of the 2016 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2016):
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46	46	(a) [On and after the effective date of the regulations adopted in accordance with subsection (d) of this section, no] No dentist licensed under this chapter shall use moderate sedation, deep sedation or general anesthesia, as these terms are defined in section 20-123a, as amended by this act, on any patient unless such dentist has a permit, currently in effect, issued by the commissioner, initially for a period of twelve months and renewable annually thereafter, authorizing the use of such moderate sedation, deep sedation or general anesthesia. A dentist may use minimal sedation, as defined in section 20-123a, as amended by this act, without obtaining a permit issued by the commissioner.
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48	48	(b) No applicant shall be issued a permit initially as required in subsection (a) of this section unless (1) the commissioner approves the results of an on-site evaluation of the applicant's facility conducted in consultation with the Connecticut Society of Oral and Maxillo-Facial Surgeons by an individual or individuals selected from a list of site evaluators approved by the commissioner, provided such evaluation is conducted without cost to the state, (2) the commissioner is satisfied that the applicant is in compliance with guidelines in the American Dental Association Guidelines for Teaching and the Comprehensive Control of Pain and Anxiety in Dentistry, and (3) such initial application includes payment of a fee in the amount of two hundred dollars.
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50	50	(c) The commissioner may renew such permit annually, provided (1) application for renewal is received by the commissioner not later than three months after the date of expiration of such permit, (2) payment of a renewal fee of two hundred dollars is received with such application, and (3) an on-site evaluation of the dentist's facility is conducted in consultation with The Connecticut Society of Oral and Maxillo-Facial Surgeons by an individual or individuals selected from a list of site evaluators approved by the commissioner, provided such evaluation is conducted without cost to the state on a schedule established in regulations adopted pursuant to this section and the commissioner approves the results of each such evaluation.
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52	52	(d) A dentist shall not be required to obtain a permit issued under this section if a physician who is (1) licensed under chapter 370, and (2) a board-certified anesthesiologist assists the dentist by administering moderate sedation, deep sedation or general anesthesia on the dentist's patient.
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54	54	[(d)] (e) The commissioner, with the advice and assistance of the State Dental Commission, shall adopt regulations in accordance with the provisions of chapter 54 to implement the provisions of this section.
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59	59	This act shall take effect as follows and shall amend the following sections:
60	60	Section 1 October 1, 2016 20-123a
61	61	Sec. 2 October 1, 2016 New section
62	62	Sec. 3 October 1, 2016 20-123b
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64	64	This act shall take effect as follows and shall amend the following sections:
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66	66	Section 1
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68	68	October 1, 2016
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70	70	20-123a
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72	72	Sec. 2
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74	74	October 1, 2016
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76	76	New section
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78	78	Sec. 3
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80	80	October 1, 2016
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82	82	20-123b
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84	84	Statement of Purpose:
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86	86	To permit anesthesiologists to administer sedation and general anesthesia on dental patients and eliminate the need for dentists to obtain permits for the use of moderate sedation, deep sedation and general anesthesia when assisted by an anesthesiologist who administers such sedation and anesthesia on their patients.
87	87
88	88	[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.]