| Old | New | Differences | |
|---|---|---|---|
| 1 | - | General Assembly | |
| 2 | - | January Session, 2017 LCO No. | |
| 3 | - | * | |
| 1 | + | General Assembly Proposed Bill No. 6433 | |
| 2 | + | January Session, 2017 LCO No. 2966 | |
| 3 | + | *02966* | |
| 4 | 4 | Referred to Committee on INSURANCE AND REAL ESTATE | |
| 5 | 5 | Introduced by: | |
| 6 | - | ||
| 6 | + | REP. FOX, 148th Dist. | |
| 7 | 7 | ||
| 8 | 8 | General Assembly | |
| 9 | 9 | ||
| 10 | - | ||
| 10 | + | Proposed Bill No. 6433 | |
| 11 | 11 | ||
| 12 | 12 | January Session, 2017 | |
| 13 | 13 | ||
| 14 | - | LCO No. | |
| 14 | + | LCO No. 2966 | |
| 15 | 15 | ||
| 16 | - | * | |
| 16 | + | *02966* | |
| 17 | 17 | ||
| 18 | 18 | Referred to Committee on INSURANCE AND REAL ESTATE | |
| 19 | 19 | ||
| 20 | 20 | Introduced by: | |
| 21 | 21 | ||
| 22 | - | ||
| 22 | + | REP. FOX, 148th Dist. | |
| 23 | 23 | ||
| 24 | 24 | AN ACT CONCERNING CLINICAL PEER REVIEW PERFORMED FOR PURPOSES OF A UTILIZATION REVIEW. | |
| 25 | 25 | ||
| 26 | 26 | Be it enacted by the Senate and House of Representatives in General Assembly convened: | |
| 27 | 27 | ||
| 28 | - | Section 1. Subdivision (7) of section 38a-591a of the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2018): | |
| 29 | - | ||
| 30 | - | (7) "Clinical peer" means a physician or other health care professional who (A) holds a nonrestricted license in [a] this state [of the United States and] in the same [or similar] specialty as typically manages the medical condition, procedure or treatment under review, and (B) for a review specified under subparagraph (B) or (C) of subdivision (38) of this section concerning (i) a child or adolescent substance use disorder or a child or adolescent mental disorder, holds (I) a national board certification in child and adolescent psychiatry, or (II) a doctoral level psychology degree with training and clinical experience in the treatment of child and adolescent substance use disorder or child and adolescent mental disorder, as applicable, or (ii) an adult substance use disorder or an adult mental disorder, holds (I) a national board certification in psychiatry, or (II) a doctoral level psychology degree with training and clinical experience in the treatment of adult substance use disorders or adult mental disorders, as applicable. | |
| 31 | - | ||
| 32 | - | ||
| 33 | - | ||
| 34 | - | ||
| 35 | - | This act shall take effect as follows and shall amend the following sections: | |
| 36 | - | Section 1 January 1, 2018 38a-591a(7) | |
| 37 | - | ||
| 38 | - | This act shall take effect as follows and shall amend the following sections: | |
| 39 | - | ||
| 40 | - | Section 1 | |
| 41 | - | ||
| 42 | - | January 1, 2018 | |
| 43 | - | ||
| 44 | - | 38a-591a(7) | |
| 28 | + | That the general statutes be amended to require any medical professional who performs a clinical peer review for purposes of a utilization review performed under title 38a of the general statutes to be licensed in the same medical specialty that manages the medical condition, procedure or treatment under review. | |
| 45 | 29 | ||
| 46 | 30 | Statement of Purpose: | |
| 47 | 31 | ||
| 48 | - | To require that a clinical peer who performs a clinical peer review during a utilization review be licensed in this state in the same specialty as typically manages the medical condition, procedure or treatment under review. | |
| 49 | - | ||
| 50 | - | [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.] | |
| 51 | - | ||
| 52 | - | ||
| 53 | - | ||
| 54 | - | Co-Sponsors: REP. FOX, 148th Dist. | |
| 55 | - | ||
| 56 | - | Co-Sponsors: | |
| 57 | - | ||
| 58 | - | REP. FOX, 148th Dist. | |
| 59 | - | ||
| 60 | - | H.B. 6433 | |
| 32 | + | To require the clinical peer review performed for purposes of a utilization review to be licensed in the same specialty that manages the medical condition, procedure or treatment under review. |