Connecticut 2019 Regular Session

Connecticut Senate Bill SB00827 Compare Versions

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	7	+	General Assembly Substitute Bill No. 827
	8	+	January Session, 2019
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4		-	Substitute Senate Bill No. 827
5		-
6		-	Public Act No. 19-115
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8	13
9	14		AN ACT CONCERNING AL ZHEIMER'S DISEASE AND DEMENTIA
10	15		TRAINING AND BEST PRACTICES.
11	16		Be it enacted by the Senate and House of Representatives in General
12	17		Assembly convened:
13	18
14		-	Section 1. Subsection (b) of section 20-10b of the general statutes is
15		-	repealed and the following is substituted in lieu thereof (Effective
16		-	January 1, 2020):
17		-	(b) Except as otherwise provided in subsections (d), (e) and (f) of
18		-	this section, a licensee applying for license renewal shall earn a
19		-	minimum of fifty contact hours of continuing medical education
20		-	within the preceding twenty-four-month period. Such continuing
21		-	medical education shall (1) be in an area of the physician's practice; (2)
22		-	reflect the professional needs of the licensee in order to meet the health
23		-	care needs of the public; and (3) during the first renewal period in
24		-	which continuing medical education is required and not less than once
25		-	every six years thereafter, include at least one contact hour of training
26		-	or education in each of the following topics: (A) Infectious diseases,
27		-	including, but not limited to, acquired immune deficiency syndrome
28		-	and human immunodeficiency virus, (B) risk management, including,
29		-	but not limited to, for registration periods beginning on or after
30		-	October 1, 2015, prescribing controlled substances and pain
31		-	management, (C) sexual assault, (D) domestic violence, (E) cultural Substitute Senate Bill No. 827
	19	+	Section 1. Subsection (b) of section 20-10b of the general statutes is 1
	20	+	repealed and the following is substituted in lieu thereof (Effective July 2
	21	+	1, 2019): 3
	22	+	(b) Except as otherwise provided in subsections (d), (e) and (f) of 4
	23	+	this section, a licensee applying for license renewal shall earn a 5
	24	+	minimum of fifty contact hours of continuing medical education 6
	25	+	within the preceding twenty-four-month period. Such continuing 7
	26	+	medical education shall (1) be in an area of the physician's practice; (2) 8
	27	+	reflect the professional needs of the licensee in order to meet the health 9
	28	+	care needs of the public; and (3) during the first renewal period in 10
	29	+	which continuing medical education is required and not less than once 11
	30	+	every six years thereafter, include at least one contact hour of training 12
	31	+	or education in each of the following topics: (A) Infectious diseases, 13
	32	+	including, but not limited to, acquired immune deficiency syndrome 14
	33	+	and human immunodeficiency virus, (B) risk management, including, 15
	34	+	but not limited to, for registration periods beginning on or after 16
	35	+	October 1, 2015, prescribing controlled substances and pain 17
	36	+	management, (C) sexual assault, (D) domestic violence, (E) cultural 18
	37	+	competency, and (F) behavioral health, provided further that on and 19 Substitute Bill No. 827
32	38
33		-	Public Act No. 19-115 2 of 5
34	39
35		-	competency, and (F) behavioral health, provided further that on and
36		-	after January 1, 2016, such behavioral health continuing medical
37		-	education may include, but not be limited to, at least two contact hours
38		-	of training or education during the first renewal period in which
39		-	continuing education is required and not less than once every six years
40		-	thereafter, on [the topic of mental health conditions] diagnosing and
41		-	treating (i) cognitive conditions, including, but not limited to,
42		-	Alzheimer's disease, dementia, delirium, related cognitive
43		-	impairments and geriatric depression, or (ii) mental health conditions,
44		-	including, but not limited to, mental health conditions common to
45		-	veterans and family members of veterans. [, including (i)] Training for
46		-	mental health conditions common to veterans and family members of
47		-	veterans shall include best practices for (I) determining whether a
48		-	patient is a veteran or family member of a veteran, [(ii)] (II) screening
49		-	for conditions such as post-traumatic stress disorder, risk of suicide,
50		-	depression and grief, and [(iii)] (III) suicide prevention training. For
51		-	purposes of this section, qualifying continuing medical education
52		-	activities include, but are not limited to, courses offered or approved
53		-	by the American Medical Association, American Osteopathic
54		-	Association, Connecticut Hospital Association, Connecticut State
55		-	Medical Society, Connecticut Osteopathic Medical Society, county
56		-	medical societies or equivalent organizations in another jurisdiction,
57		-	educational offerings sponsored by a hospital or other health care
58		-	institution or courses offered by a regionally accredited academic
59		-	institution or a state or local health department. The commissioner, or
60		-	the commissioner's designee, may grant a waiver for not more than ten
61		-	contact hours of continuing medical education for a physician who: (i)
62		-	Engages in activities related to the physician's service as a member of
63		-	the Connecticut Medical Examining Board, established pursuant to
64		-	section 20-8a; (ii) engages in activities related to the physician's service
65		-	as a member of a medical hearing panel, pursuant to section 20-8a; or
66		-	(iii) assists the department with its duties to boards and commissions
67		-	as described in section 19a-14. Substitute Senate Bill No. 827
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69		-	Public Act No. 19-115 3 of 5
	44	+	after January 1, 2016, such behavioral health continuing medical 20
	45	+	education may include, but not be limited to, at least two contact hours 21
	46	+	of training or education during the first renewal period in which 22
	47	+	continuing education is required and not less than once every six years 23
	48	+	thereafter, on the topic of mental health conditions common to 24
	49	+	veterans and family members of veterans, including (i) determining 25
	50	+	whether a patient is a veteran or family member of a veteran, (ii) 26
	51	+	screening for conditions such as post-traumatic stress disorder, risk of 27
	52	+	suicide, depression and grief, and (iii) suicide prevention training. On 28
	53	+	and after July 1, 2023, a licensee applying for license renewal shall also 29
	54	+	have completed a one-time course or courses, not exceeding eight 30
	55	+	hours, on the diagnosis, treatment and care of patients with 31
	56	+	Alzheimer's disease, dementia, delirium and related cognitive 32
	57	+	impairments, and geriatric depression, provided the commissioner 33
	58	+	shall waive this requirement for a licensee who provides documentary 34
	59	+	evidence satisfactory to the commissioner that he or she is not engaged 35
	60	+	in direct primary care of adults or emergency treatment of adults. For 36
	61	+	purposes of this section, qualifying continuing medical education 37
	62	+	activities include, but are not limited to, courses offered or approved 38
	63	+	by the American Medical Association, American Osteopathic 39
	64	+	Association, Connecticut Hospital Association, Connecticut State 40
	65	+	Medical Society, Connecticut Osteopathic Medical Society, county 41
	66	+	medical societies or equivalent organizations in another jurisdiction, 42
	67	+	educational offerings sponsored by a hospital or other health care 43
	68	+	institution or courses offered by a regionally accredited academic 44
	69	+	institution or a state or local health department. The commissioner, or 45
	70	+	the commissioner's designee, may grant a waiver for not more than ten 46
	71	+	contact hours of continuing medical education for a physician who: 47
	72	+	[(i)] (I) Engages in activities related to the physician's service as a 48
	73	+	member of the Connecticut Medical Examining Board, established 49
	74	+	pursuant to section 20-8a; [(ii)] (II) engages in activities related to the 50
	75	+	physician's service as a member of a medical hearing panel, pursuant 51
	76	+	to section 20-8a; or [(iii)] (III) assists the department with its duties to 52
	77	+	boards and commissions as described in section 19a-14. 53 Substitute Bill No. 827
70	78
71		-	Sec. 2. Subsection (b) of section 20-94d of the general statutes is
72		-	repealed and the following is substituted in lieu thereof (Effective
73		-	January 1, 2020):
74		-	(b) Except as provided in this section, for registration periods
75		-	beginning on and after October 1, 2014, a licensee applying for license
76		-	renewal shall earn a minimum of fifty contact hours of continuing
77		-	education within the preceding twenty-four-month period. Such
78		-	continuing education shall: (1) Be in an area of the advanced practice
79		-	registered nurse's practice; (2) reflect the professional needs of the
80		-	licensee in order to meet the health care needs of the public; (3) include
81		-	at least five contact hours of training or education in
82		-	pharmacotherapeutics; (4) include at least one contact hour of training
83		-	or education in each of the following topics: (A) Infectious diseases,
84		-	including, but not limited to, acquired immune deficiency syndrome
85		-	and human immunodeficiency virus, (B) risk management, (C) sexual
86		-	assault, (D) domestic violence, (E) cultural competency, and (F)
87		-	substance abuse, including, but not limited to, prescribing controlled
88		-	substances and pain management; [and] (5) on and after January 1,
89		-	2016, include not less than two contact hours of training or education
90		-	during the first renewal period in which continuing education is
91		-	required and not less than once every six years thereafter on the topic
92		-	of mental health conditions common to veterans and family members
93		-	of veterans, including (A) determining whether a patient is a veteran
94		-	or family member of a veteran, (B) screening for conditions such as
95		-	post-traumatic stress disorder, risk of suicide, depression and grief,
96		-	and (C) suicide prevention training; and (6) on and after January 1,
97		-	2020, may include not less than two contact hours of training or
98		-	education during the first renewal period in which continuing
99		-	education is required and not less than once every six years thereafter
100		-	in diagnosing and treating cognitive or mental health conditions,
101		-	including, but not limited to, Alzheimer's disease, dementia, delirium,
102		-	related cognitive impairments and geriatric depression. For purposes Substitute Senate Bill No. 827
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106		-	of this section, qualifying continuing education activities include, but
107		-	are not limited to, courses, including on-line courses, offered or
108		-	approved by the American Nurses Association, Connecticut Hospital
109		-	Association, Connecticut Nurses Association, Connecticut League for
110		-	Nursing, a specialty nursing society or an equivalent organization in
111		-	another jurisdiction, an educational offering sponsored by a hospital or
112		-	other health care institution or a course offered by a regionally
113		-	accredited academic institution or a state or local health department.
114		-	The commissioner may grant a waiver of not more than ten contact
115		-	hours of continuing education for an advanced practice registered
116		-	nurse who: [(i)] (A) Engages in activities related to the advanced
117		-	practice registered nurse's service as a member of the Connecticut State
118		-	Board of Examiners for Nursing, established pursuant to section 20-88;
119		-	or [(ii)] (B) assists the department with its duties to boards and
120		-	commissions as described in section 19a-14.
121		-	Sec. 3. (Effective from passage) (a) The executive director of the
122		-	Commission on Women, Children and Seniors shall convene a
123		-	working group to review the recommendations of the task force
124		-	established pursuant to section 1 of special act 13-11, determine gaps in
125		-	implementation of the task force's recommendations and make
126		-	recommendations concerning best practices for Alzheimer's disease
127		-	and dementia care.
128		-	(b) The working group shall be comprised of: (1) The executive
129		-	director of the Commission on Women, Children and Seniors, or the
130		-	executive director's designee, who shall be chairperson of the working
131		-	group; (2) the executive director of the Connecticut chapter of the
132		-	Alzheimer's Association, or the executive director's designee; (3) the
133		-	Commissioner of Rehabilitation Services, or the commissioner's
134		-	designee; (4) the executive director of the Connecticut chapter of the
135		-	American Association of Retired Persons, or the executive director's
136		-	designee; (5) the State Ombudsman, or the State Ombudsman's Substitute Senate Bill No. 827
	84	+	Sec. 2. Section 20-12g of the general statutes is repealed and the 54
	85	+	following is substituted in lieu thereof (Effective July 1, 2019): 55
	86	+	The department [may] shall, with the advice and assistance of the 56
	87	+	board, promulgate regulations regarding the renewal of licenses 57
	88	+	granted pursuant to section 20-12b, including a requirement that, on 58
	89	+	and after July 1, 2023, a licensee applying for license renewal shall have 59
	90	+	completed a one-time course or courses, not exceeding eight hours, on 60
	91	+	the diagnosis, treatment and care of patients with Alzheimer's disease, 61
	92	+	dementia, delirium and related cognitive impairments, and geriatric 62
	93	+	depression, provided the department shall waive this requirement for 63
	94	+	a licensee who provides documentary evidence satisfactory to the 64
	95	+	department that he or she is not engaged in direct primary care of 65
	96	+	adults or emergency treatment of adults. The department may 66
	97	+	promulgate such other regulations as may be necessary for the 67
	98	+	implementation of sections 20-12a to 20-12f, inclusive. 68
	99	+	Sec. 3. Subsection (b) of section 20-94d of the general statutes is 69
	100	+	repealed and the following is substituted in lieu thereof (Effective July 70
	101	+	1, 2019): 71
	102	+	(b) Except as provided in this section, for registration periods 72
	103	+	beginning on and after October 1, 2014, a licensee applying for license 73
	104	+	renewal shall earn a minimum of fifty contact hours of continuing 74
	105	+	education within the preceding twenty-four-month period. Such 75
	106	+	continuing education shall: (1) Be in an area of the advanced practice 76
	107	+	registered nurse's practice; (2) reflect the professional needs of the 77
	108	+	licensee in order to meet the health care needs of the public; (3) include 78
	109	+	at least five contact hours of training or education in 79
	110	+	pharmacotherapeutics; (4) include at least one contact hour of training 80
	111	+	or education in each of the following topics: (A) Infectious diseases, 81
	112	+	including, but not limited to, acquired immune deficiency syndrome 82
	113	+	and human immunodeficiency virus, (B) risk management, (C) sexual 83
	114	+	assault, (D) domestic violence, (E) cultural competency, and (F) 84
	115	+	substance abuse, including, but not limited to, prescribing controlled 85
	116	+	substances and pain management; and (5) on and after January 1, 2016, 86 Substitute Bill No. 827
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140		-	designee; and (6) (A) a family representative of a person with
141		-	Alzheimer's disease, (B) a family representative of a person with
142		-	dementia, (C) a person diagnosed with Alzheimer's disease or
143		-	dementia, and (D) a health care professional with expertise in the
144		-	diagnosis and treatment of Alzheimer's disease and dementia, all
145		-	appointed by the executive director of the Commission on Women,
146		-	Children and Seniors.
147		-	(c) The executive director of the Commission on Women, Children
148		-	and Seniors shall make appointments and convene the working group
149		-	not later than thirty days after the effective date of this section. Any
150		-	vacancy shall be filled by said executive director.
151		-	(d) The administrative staff of the Commission on Women, Children
152		-	and Seniors shall serve as administrative staff of the working group.
153		-	(e) Not later than January 30, 2020, the working group shall submit
154		-	a report on its findings and recommendations to the joint standing
155		-	committee of the General Assembly having cognizance of matters
156		-	relating to aging, in accordance with the provisions of section 11-4a of
157		-	the general statutes. The working group shall terminate on the date
158		-	that it submits such report or December 1, 2020, whichever is later.
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	123	+	include not less than two contact hours of training or education during 87
	124	+	the first renewal period in which continuing education is required and 88
	125	+	not less than once every six years thereafter on the topic of mental 89
	126	+	health conditions common to veterans and family members of 90
	127	+	veterans, including (A) determining whether a patient is a veteran or 91
	128	+	family member of a veteran, (B) screening for conditions such as post-92
	129	+	traumatic stress disorder, risk of suicide, depression and grief, and (C) 93
	130	+	suicide prevention training. On and after July 1, 2023, a licensee 94
	131	+	applying for license renewal shall also have completed a one-time 95
	132	+	course or courses, not exceeding eight hours, on the diagnosis, 96
	133	+	treatment and care of patients with Alzheimer's disease, dementia, 97
	134	+	delirium and related cognitive impairments, and geriatric depression, 98
	135	+	provided the commissioner shall waive this requirement for a licensee 99
	136	+	who provides documentary evidence satisfactory to the commissioner 100
	137	+	that he or she is not engaged in direct primary care of adults or 101
	138	+	emergency treatment of adults. For purposes of this section, qualifying 102
	139	+	continuing education activities include, but are not limited to, courses, 103
	140	+	including on-line courses, offered or approved by the American 104
	141	+	Nurses Association, Connecticut Hospital Association, Connecticut 105
	142	+	Nurses Association, Connecticut League for Nursing, a specialty 106
	143	+	nursing society or an equivalent organization in another jurisdiction, 107
	144	+	an educational offering sponsored by a hospital or other health care 108
	145	+	institution or a course offered by a regionally accredited academic 109
	146	+	institution or a state or local health department. The commissioner 110
	147	+	may grant a waiver of not more than ten contact hours of continuing 111
	148	+	education for an advanced practice registered nurse who: (i) Engages 112
	149	+	in activities related to the advanced practice registered nurse's service 113
	150	+	as a member of the Connecticut State Board of Examiners for Nursing, 114
	151	+	established pursuant to section 20-88; or (ii) assists the department 115
	152	+	with its duties to boards and commissions as described in section 19a-116
	153	+	14. 117
	154	+	Sec. 4. Section 20-99a of the general statutes is repealed and the 118
	155	+	following is substituted in lieu thereof (Effective July 1, 2019): 119 Substitute Bill No. 827
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	161	+
	162	+	The Department of Public Health shall, with the advice and 120
	163	+	assistance of the board, promulgate regulations regarding the renewal 121
	164	+	of licenses granted pursuant to sections 20-93, 20-94, 20-96 and 20-97, 122
	165	+	including a requirement that, on and after July 1, 2023, a licensee 123
	166	+	applying for license renewal shall have completed a one-time course or 124
	167	+	courses, not exceeding eight hours, on the diagnosis, treatment and 125
	168	+	care of patients with Alzheimer's disease, dementia, delirium and 126
	169	+	related cognitive impairments, and geriatric depression, provided the 127
	170	+	department shall waive this requirement for a licensee who provides 128
	171	+	documentary evidence satisfactory to the department that he or she is 129
	172	+	not engaged in direct primary care of adults or emergency treatment of 130
	173	+	adults. The department may adopt other regulations necessary for the 131
	174	+	implementation of this chapter. 132
	175	+	Sec. 5. (Effective from passage) (a) The Commissioner of Rehabilitation 133
	176	+	Services shall establish a working group to review the 134
	177	+	recommendations of the task force established pursuant to section 1 of 135
	178	+	special act 13-11, determine gaps in implementation of the task force's 136
	179	+	recommendations and make recommendations concerning best 137
	180	+	practices for Alzheimer's disease and dementia care. 138
	181	+	(b) The working group shall be comprised of: (1) The Commissioner 139
	182	+	of Rehabilitation Services, or the commissioner's designee; (2) the 140
	183	+	executive director of the Connecticut chapter of the Alzheimer's 141
	184	+	Association, or the executive director's designee; (3) the executive 142
	185	+	director of the Commission on Women, Children and Seniors, or the 143
	186	+	executive director's designee, who shall be chairperson of the working 144
	187	+	group; (4) the executive director of the Connecticut chapter of the 145
	188	+	American Association of Retired Persons, or the executive director's 146
	189	+	designee; (5) the State Ombudsman, or a representative of the Office of 147
	190	+	the Long-Term Care Ombudsman; (6) a family representative of a 148
	191	+	person with Alzheimer's disease; (7) a family representative of a 149
	192	+	person with dementia; (8) a person diagnosed with Alzheimer's 150
	193	+	disease or dementia; and (9) a health care professional with expertise 151
	194	+	in the diagnosis and treatment of Alzheimer's disease and dementia. 152 Substitute Bill No. 827
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	201	+	(c) The Commissioner of Rehabilitation Services shall make all 153
	202	+	appointments to the working group not later than thirty days after the 154
	203	+	effective date of this section. Any vacancy shall be filled by the 155
	204	+	commissioner. 156
	205	+	(d) The administrative staff of the Department of Rehabilitation 157
	206	+	Services shall serve as administrative staff of the working group. 158
	207	+	(e) Not later than November 30, 2019, the working group shall 159
	208	+	submit a report on its findings and recommendations to the joint 160
	209	+	standing committee of the General Assembly having cognizance of 161
	210	+	matters relating to aging, in accordance with the provisions of section 162
	211	+	11-4a of the general statutes. The working group shall terminate on the 163
	212	+	date that it submits such report or December 1, 2020, whichever is 164
	213	+	later. 165
	214	+	This act shall take effect as follows and shall amend the following
	215	+	sections:
	216	+
	217	+	Section 1 July 1, 2019 20-10b(b)
	218	+	Sec. 2 July 1, 2019 20-12g
	219	+	Sec. 3 July 1, 2019 20-94d(b)
	220	+	Sec. 4 July 1, 2019 20-99a
	221	+	Sec. 5 from passage New section
	222	+
	223	+	AGE Joint Favorable Subst.
159	224