Connecticut 2021 Regular Session

Connecticut House Bill HB06387 Latest Draft

Bill / Chaptered Version Filed 06/24/2021

                             
 
 
House Bill No. 6387 
 
Public Act No. 21-156 
 
 
AN ACT CONCERNING INSURANCE DISCRIMINATION AGAINST 
LIVING ORGAN DONORS AND ESTABLISHING A CHRONIC 
KIDNEY DISEASE ADVISORY COMMITTEE. 
Be it enacted by the Senate and House of Representatives in General 
Assembly convened: 
 
Section 1. Section 38a-1 of the general statutes is repealed and the 
following is substituted in lieu thereof (Effective January 1, 2022): 
Terms used in this title and section 2 of this act, unless it appears from 
the context to the contrary, shall have a scope and meaning as set forth 
in this section. 
(1) "Affiliate" or "affiliated" means a person that directly, or indirectly 
through one or more intermediaries, controls, is controlled by or is 
under common control with another person. 
(2) "Alien insurer" means any insurer that has been chartered by or 
organized or constituted within or under the laws of any jurisdiction or 
country without the United States. 
(3) "Annuities" means all agreements to make periodical payments 
where the making or continuance of all or some of the series of the 
payments, or the amount of the payment, is dependent upon the 
continuance of human life or is for a specified term of years. This  House Bill No. 6387 
 
Public Act No. 21-156 	2 of 19 
 
definition does not apply to payments made under a policy of life 
insurance. 
(4) "Commissioner" means the Insurance Commissioner. 
(5) "Control", "controlled by" or "under common control with" means 
the possession, direct or indirect, of the power to direct or cause the 
direction of the management and policies of a person, whether through 
the ownership of voting securities, by contract other than a commercial 
contract for goods or nonmanagement services, or otherwise, unless the 
power is the result of an official position with the person. 
(6) "Domestic insurer" means any insurer that has been chartered by, 
incorporated, organized or constituted within or under the laws of this 
state. 
(7) "Domestic surplus lines insurer" means any domestic insurer that 
has been authorized by the commissioner to write surplus lines 
insurance. 
(8) "Foreign country" means any jurisdiction not in any state, district 
or territory of the United States. 
(9) "Foreign insurer" means any insurer that has been chartered by or 
organized or constituted within or under the laws of another state or a 
territory of the United States. 
(10) "Insolvency" or "insolvent" means, for any insurer, that it is 
unable to pay its obligations when they are due, or when its admitted 
assets do not exceed its liabilities plus the greater of: (A) Capital and 
surplus required by law for its organization and continued operation; 
or (B) the total par or stated value of its authorized and issued capital 
stock. For purposes of this subdivision "liabilities" shall include but not 
be limited to reserves required by statute or by regulations adopted by 
the commissioner in accordance with the provisions of chapter 54 or  House Bill No. 6387 
 
Public Act No. 21-156 	3 of 19 
 
specific requirements imposed by the commissioner upon a subject 
company at the time of admission or subsequent thereto. 
(11) "Insurance" means any agreement to pay a sum of money, 
provide services or any other thing of value on the happening of a 
particular event or contingency or to provide indemnity for loss in 
respect to a specified subject by specified perils in return for a 
consideration. In any contract of insurance, an insured shall have an 
interest which is subject to a risk of loss through destruction or 
impairment of that interest, which risk is assumed by the insurer and 
such assumption shall be part of a general scheme to distribute losses 
among a large group of persons bearing similar risks in return for a 
ratable contribution or other consideration. 
(12) "Insurer" or "insurance company" includes any person or 
combination of persons doing any kind or form of insurance business 
other than a fraternal benefit society, and shall include a receiver of any 
insurer when the context reasonably permits. 
(13) "Insured" means a person to whom or for whose benefit an 
insurer makes a promise in an insurance policy. The term includes 
policyholders, subscribers, members and beneficiaries. This definition 
applies only to the provisions of this title and does not define the 
meaning of this word as used in insurance policies or certificates. 
(14) "Life insurance" means insurance on human lives and insurances 
pertaining to or connected with human life. The business of life 
insurance includes granting endowment benefits, granting additional 
benefits in the event of death by accident or accidental means, granting 
additional benefits in the event of the total and permanent disability of 
the insured, and providing optional methods of settlement of proceeds. 
Life insurance includes burial contracts to the extent provided by 
section 38a-464.  House Bill No. 6387 
 
Public Act No. 21-156 	4 of 19 
 
(15) "Mutual insurer" means any insurer without capital stock, the 
managing directors or officers of which are elected by its members. 
(16) "Person" means an individual, a corporation, a partnership, a 
limited liability company, an association, a joint stock company, a 
business trust, an unincorporated organization or other legal entity. 
(17) "Policy" means any document, including attached endorsements 
and riders, purporting to be an enforceable contract, which 
memorializes in writing some or all of the terms of an insurance 
contract. 
(18) "State" means any state, district, or territory of the United States. 
(19) "Subsidiary" of a specified person means an affiliate controlled 
by the person directly, or indirectly through one or more intermediaries. 
(20) "Unauthorized insurer" or "nonadmitted insurer" means an 
insurer that has not been granted a certificate of authority by the 
commissioner to transact the business of insurance in this state or an 
insurer transacting business not authorized by a valid certificate. 
(21) "United States" means the United States of America, its territories 
and possessions, the Commonwealth of Puerto Rico and the District of 
Columbia.  
Sec. 2. (NEW) (Effective January 1, 2022) (a) Notwithstanding any 
provision of the general statutes, no insurer delivering, issuing for 
delivery or amending a life insurance policy, long-term care insurance 
policy or a policy providing disability income protection coverage in 
this state on or after January 1, 2022, shall, for any such policy issued on 
or after said date:  
(1) Decline to provide coverage, or limit the coverage provided, for 
an individual under such policy solely because the individual is a living  House Bill No. 6387 
 
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organ donor; 
(2) Preclude an individual from donating all or part of an organ as a 
condition to maintaining coverage under such policy; or 
(3) Otherwise engage in discrimination in offering, issuing for 
delivery, amending or cancelling, or in setting the amount, price or 
conditions of, coverage for an individual under such policy solely 
because the individual is a living organ donor. 
(b) Any violation of this section shall be deemed an unfair method of 
competition and unfair and deceptive act or practice in the business of 
insurance under section 38a-816 of the general statutes, as amended by 
this act. 
Sec. 3. Section 38a-816 of the general statutes is repealed and the 
following is substituted in lieu thereof (Effective January 1, 2022): 
The following are defined as unfair methods of competition and 
unfair and deceptive acts or practices in the business of insurance: 
(1) Misrepresentations and false advertising of insurance policies. 
Making, issuing or circulating, or causing to be made, issued or 
circulated, any estimate, illustration, circular or statement, sales 
presentation, omission or comparison which: (A) Misrepresents the 
benefits, advantages, conditions or terms of any insurance policy; (B) 
misrepresents the dividends or share of the surplus to be received, on 
any insurance policy; (C) makes any false or misleading statements as 
to the dividends or share of surplus previously paid on any insurance 
policy; (D) is misleading or is a misrepresentation as to the financial 
condition of any person, or as to the legal reserve system upon which 
any life insurer operates; (E) uses any name or title of any insurance 
policy or class of insurance policies misrepresenting the true nature 
thereof; (F) is a misrepresentation, including, but not limited to, an 
intentional misquote of a premium rate, for the purpose of inducing or  House Bill No. 6387 
 
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tending to induce to the purchase, lapse, forfeiture, exchange, 
conversion or surrender of any insurance policy; (G) is a 
misrepresentation for the purpose of effecting a pledge or assignment of 
or effecting a loan against any insurance policy; or (H) misrepresents 
any insurance policy as being shares of stock. 
(2) False information and advertising generally. Making, publishing, 
disseminating, circulating or placing before the public, or causing, 
directly or indirectly, to be made, published, disseminated, circulated or 
placed before the public, in a newspaper, magazine or other publication, 
or in the form of a notice, circular, pamphlet, letter or poster, or over any 
radio or television station, or in any other way, an advertisement, 
announcement or statement containing any assertion, representation or 
statement with respect to the business of insurance or with respect to 
any person in the conduct of his insurance business, which is untrue, 
deceptive or misleading. 
(3) Defamation. Making, publishing, disseminating or circulating, 
directly or indirectly, or aiding, abetting or encouraging the making, 
publishing, disseminating or circulating of, any oral or written 
statement or any pamphlet, circular, article or literature which is false 
or maliciously critical of or derogatory to the financial condition of an 
insurer, and which is calculated to injure any person engaged in the 
business of insurance. 
(4) Boycott, coercion and intimidation. Entering into any agreement 
to commit, or by any concerted action committing, any act of boycott, 
coercion or intimidation resulting in or tending to result in unreasonable 
restraint of, or monopoly in, the business of insurance. 
(5) False financial statements. Filing with any supervisory or other 
public official, or making, publishing, disseminating, circulating or 
delivering to any person, or placing before the public, or causing, 
directly or indirectly, to be made, published, disseminated, circulated or  House Bill No. 6387 
 
Public Act No. 21-156 	7 of 19 
 
delivered to any person, or placed before the public, any false statement 
of financial condition of an insurer with intent to deceive; or making any 
false entry in any book, report or statement of any insurer with intent to 
deceive any agent or examiner lawfully appointed to examine into its 
condition or into any of its affairs, or any public official to whom such 
insurer is required by law to report, or who has authority by law to 
examine into its condition or into any of its affairs, or, with like intent, 
wilfully omitting to make a true entry of any material fact pertaining to 
the business of such insurer in any book, report or statement of such 
insurer. 
(6) Unfair claim settlement practices. Committing or performing with 
such frequency as to indicate a general business practice any of the 
following: (A) Misrepresenting pertinent facts or insurance policy 
provisions relating to coverages at issue; (B) failing to acknowledge and 
act with reasonable promptness upon communications with respect to 
claims arising under insurance policies; (C) failing to adopt and 
implement reasonable standards for the prompt investigation of claims 
arising under insurance policies; (D) refusing to pay claims without 
conducting a reasonable investigation based upon all available 
information; (E) failing to affirm or deny coverage of claims within a 
reasonable time after proof of loss statements have been completed; (F) 
not attempting in good faith to effectuate prompt, fair and equitable 
settlements of claims in which liability has become reasonably clear; (G) 
compelling insureds to institute litigation to recover amounts due under 
an insurance policy by offering substantially less than the amounts 
ultimately recovered in actions brought by such insureds; (H) 
attempting to settle a claim for less than the amount to which a 
reasonable man would have believed he was entitled by reference to 
written or printed advertising material accompanying or made part of 
an application; (I) attempting to settle claims on the basis of an 
application which was altered without notice to, or knowledge or 
consent of the insured; (J) making claims payments to insureds or  House Bill No. 6387 
 
Public Act No. 21-156 	8 of 19 
 
beneficiaries not accompanied by statements setting forth the coverage 
under which the payments are being made; (K) making known to 
insureds or claimants a policy of appealing from arbitration awards in 
favor of insureds or claimants for the purpose of compelling them to 
accept settlements or compromises less than the amount awarded in 
arbitration; (L) delaying the investigation or payment of claims by 
requiring an insured, claimant, or the physician of either to submit a 
preliminary claim report and then requiring the subsequent submission 
of formal proof of loss forms, both of which submissions contain 
substantially the same information; (M) failing to promptly settle claims, 
where liability has become reasonably clear, under one portion of the 
insurance policy coverage in order to influence settlements under other 
portions of the insurance policy coverage; (N) failing to promptly 
provide a reasonable explanation of the basis in the insurance policy in 
relation to the facts or applicable law for denial of a claim or for the offer 
of a compromise settlement; (O) using as a basis for cash settlement with 
a first party automobile insurance claimant an amount which is less than 
the amount which the insurer would pay if repairs were made unless 
such amount is agreed to by the insured or provided for by the 
insurance policy. 
(7) Failure to maintain complaint handling procedures. Failure of any 
person to maintain complete record of all the complaints which it has 
received since the date of its last examination. This record shall indicate 
the total number of complaints, their classification by line of insurance, 
the nature of each complaint, the disposition of these complaints, and 
the time it took to process each complaint. For purposes of this 
subsection "complaint" means any written communication primarily 
expressing a grievance. 
(8) Misrepresentation in insurance applications. Making false or 
fraudulent statements or representations on or relative to an application 
for an insurance policy for the purpose of obtaining a fee, commission,  House Bill No. 6387 
 
Public Act No. 21-156 	9 of 19 
 
money or other benefit from any insurer, producer or individual. 
(9) Any violation of any one of sections 38a-358, 38a-446, 38a-447, 38a-
488, 38a-825, 38a-826, 38a-828 and 38a-829. None of the following 
practices shall be considered discrimination within the meaning of 
section 38a-446 or 38a-488 or a rebate within the meaning of section 38a-
825: (A) Paying bonuses to policyholders or otherwise abating their 
premiums in whole or in part out of surplus accumulated from 
nonparticipating insurance, provided any such bonuses or abatement of 
premiums shall be fair and equitable to policyholders and for the best 
interests of the company and its policyholders; (B) in the case of policies 
issued on the industrial debit plan, making allowance to policyholders 
who have continuously for a specified period made premium payments 
directly to an office of the insurer in an amount which fairly represents 
the saving in collection expense; (C) readjustment of the rate of premium 
for a group insurance policy based on loss or expense experience, or 
both, at the end of the first or any subsequent policy year, which may be 
made retroactive for such policy year. 
(10) Notwithstanding any provision of any policy of insurance, 
certificate or service contract, whenever such insurance policy or 
certificate or service contract provides for reimbursement for any 
services which may be legally performed by any practitioner of the 
healing arts licensed to practice in this state, reimbursement under such 
insurance policy, certificate or service contract shall not be denied 
because of race, color or creed nor shall any insurer make or permit any 
unfair discrimination against particular individuals or persons so 
licensed. 
(11) Favored agent or insurer: Coercion of debtors. (A) No person 
may (i) require, as a condition precedent to the lending of money or 
extension of credit, or any renewal thereof, that the person to whom 
such money or credit is extended or whose obligation the creditor is to 
acquire or finance, negotiate any policy or contract of insurance through  House Bill No. 6387 
 
Public Act No. 21-156 	10 of 19 
 
a particular insurer or group of insurers or producer or group of 
producers; (ii) unreasonably disapprove the insurance policy provided 
by a borrower for the protection of the property securing the credit or 
lien; (iii) require directly or indirectly that any borrower, mortgagor, 
purchaser, insurer or producer pay a separate charge, in connection 
with the handling of any insurance policy required as security for a loan 
on real estate or pay a separate charge to substitute the insurance policy 
of one insurer for that of another; or (iv) use or disclose information 
resulting from a requirement that a borrower, mortgagor or purchaser 
furnish insurance of any kind on real property being conveyed or used 
as collateral security to a loan, when such information is to the 
advantage of the mortgagee, vendor or lender, or is to the detriment of 
the borrower, mortgagor, purchaser, insurer or the producer complying 
with such a requirement. 
(B) (i) Subparagraph (A)(iii) of this subdivision shall not include the 
interest which may be charged on premium loans or premium 
advancements in accordance with the security instrument. (ii) For 
purposes of subparagraph (A)(ii) of this subdivision, such disapproval 
shall be deemed unreasonable if it is not based solely on reasonable 
standards uniformly applied, relating to the extent of coverage required 
and the financial soundness and the services of an insurer. Such 
standards shall not discriminate against any particular type of insurer, 
nor shall such standards call for the disapproval of an insurance policy 
because such policy contains coverage in addition to that required. (iii) 
The commissioner may investigate the affairs of any person to whom 
this subdivision applies to determine whether such person has violated 
this subdivision. If a violation of this subdivision is found, the person in 
violation shall be subject to the same procedures and penalties as are 
applicable to other provisions of section 38a-815, subsections (b) and (e) 
of section 38a-817 and this section. (iv) For purposes of this section, 
"person" includes any individual, corporation, limited liability 
company, association, partnership or other legal entity.  House Bill No. 6387 
 
Public Act No. 21-156 	11 of 19 
 
(12) Refusing to insure, refusing to continue to insure or limiting the 
amount, extent or kind of coverage available to an individual or 
charging an individual a different rate for the same coverage because of 
physical disability, mental or nervous condition as set forth in section 
38a-488a or intellectual disability, except where the refusal, limitation or 
rate differential is based on sound actuarial principles or is related to 
actual or reasonably anticipated experience. 
(13) Refusing to insure, refusing to continue to insure or limiting the 
amount, extent or kind of coverage available to an individual or 
charging an individual a different rate for the same coverage solely 
because of blindness or partial blindness. For purposes of this 
subdivision, "refusal to insure" includes the denial by an insurer of 
disability insurance coverage on the grounds that the policy defines 
"disability" as being presumed in the event that the insured is blind or 
partially blind, except that an insurer may exclude from coverage any 
disability, consisting solely of blindness or partial blindness, when such 
condition existed at the time the policy was issued. Any individual who 
is blind or partially blind shall be subject to the same standards of sound 
actuarial principles or actual or reasonably anticipated experience as are 
sighted persons with respect to all other conditions, including the 
underlying cause of the blindness or partial blindness. 
(14) Refusing to insure, refusing to continue to insure or limiting the 
amount, extent or kind of coverage available to an individual or 
charging an individual a different rate for the same coverage because of 
exposure to diethylstilbestrol through the female parent. 
(15) (A) Failure by an insurer, or any other entity responsible for 
providing payment to a health care provider pursuant to an insurance 
policy, to pay accident and health claims, including, but not limited to, 
claims for payment or reimbursement to health care providers, within 
the time periods set forth in subparagraph (B) of this subdivision, unless 
the Insurance Commissioner determines that a legitimate dispute exists  House Bill No. 6387 
 
Public Act No. 21-156 	12 of 19 
 
as to coverage, liability or damages or that the claimant has fraudulently 
caused or contributed to the loss. Any insurer, or any other entity 
responsible for providing payment to a health care provider pursuant 
to an insurance policy, who fails to pay such a claim or request within 
the time periods set forth in subparagraph (B) of this subdivision shall 
pay the claimant or health care provider the amount of such claim plus 
interest at the rate of fifteen per cent per annum, in addition to any other 
penalties which may be imposed pursuant to sections 38a-11, 38a-25, 
38a-41 to 38a-53, inclusive, 38a-57 to 38a-60, inclusive, 38a-62 to 38a-64, 
inclusive, 38a-76, 38a-83, 38a-84, 38a-117 to 38a-124, inclusive, 38a-129 
to 38a-140, inclusive, 38a-146 to 38a-155, inclusive, 38a-283, 38a-288 to 
38a-290, inclusive, 38a-319, 38a-320, 38a-459, 38a-464, 38a-815 to 38a-819, 
inclusive, 38a-824 to 38a-826, inclusive, and 38a-828 to 38a-830, 
inclusive. Whenever the interest due a claimant or health care provider 
pursuant to this section is less than one dollar, the insurer shall deposit 
such amount in a separate interest-bearing account in which all such 
amounts shall be deposited. At the end of each calendar year each such 
insurer shall donate such amount to The University of Connecticut 
Health Center. 
(B) Each insurer or other entity responsible for providing payment to 
a health care provider pursuant to an insurance policy subject to this 
section, shall pay claims not later than: 
(i) For claims filed in paper format, sixty days after receipt by the 
insurer of the claimant's proof of loss form or the health care provider's 
request for payment filed in accordance with the insurer's practices or 
procedures, except that when there is a deficiency in the information 
needed for processing a claim, as determined in accordance with section 
38a-477, the insurer shall (I) send written notice to the claimant or health 
care provider, as the case may be, of all alleged deficiencies in 
information needed for processing a claim not later than thirty days 
after the insurer receives a claim for payment or reimbursement under  House Bill No. 6387 
 
Public Act No. 21-156 	13 of 19 
 
the contract, and (II) pay claims for payment or reimbursement under 
the contract not later than thirty days after the insurer receives the 
information requested; and 
(ii) For claims filed in electronic format, twenty days after receipt by 
the insurer of the claimant's proof of loss form or the health care 
provider's request for payment filed in accordance with the insurer's 
practices or procedures, except that when there is a deficiency in the 
information needed for processing a claim, as determined in accordance 
with section 38a-477, the insurer shall (I) notify the claimant or health 
care provider, as the case may be, of all alleged deficiencies in 
information needed for processing a claim not later than ten days after 
the insurer receives a claim for payment or reimbursement under the 
contract, and (II) pay claims for payment or reimbursement under the 
contract not later than ten days after the insurer receives the information 
requested. 
(C) As used in this subdivision, "health care provider" means a person 
licensed to provide health care services under chapter 368d, chapter 
368v, chapters 370 to 373, inclusive, 375 to 383c, inclusive, 384a to 384c, 
inclusive, or chapter 400j. 
(16) Failure to pay, as part of any claim for a damaged motor vehicle 
under any automobile insurance policy where the vehicle has been 
declared to be a constructive total loss, an amount equal to the sum of 
(A) the settlement amount on such vehicle plus, whenever the insurer 
takes title to such vehicle, (B) an amount determined by multiplying 
such settlement amount by a percentage equivalent to the current sales 
tax rate established in section 12-408. For purposes of this subdivision, 
"constructive total loss" means the cost to repair or salvage damaged 
property, or the cost to both repair and salvage such property, equals or 
exceeds the total value of the property at the time of the loss. 
(17) Any violation of section 42-260, by an extended warranty  House Bill No. 6387 
 
Public Act No. 21-156 	14 of 19 
 
provider subject to the provisions of said section, including, but not 
limited to: (A) Failure to include all statements required in subsections 
(c) and (f) of section 42-260 in an issued extended warranty; (B) offering 
an extended warranty without being (i) insured under an adequate 
extended warranty reimbursement insurance policy or (ii) able to 
demonstrate that reserves for claims contained in the provider's 
financial statements are not in excess of one-half the provider's audited 
net worth; (C) failure to submit a copy of an issued extended warranty 
form or a copy of such provider's extended warranty reimbursement 
policy form to the Insurance Commissioner. 
(18) With respect to an insurance company, hospital service 
corporation, health care center or fraternal benefit society providing 
individual or group health insurance coverage of the types specified in 
subdivisions (1), (2), (4), (6), (10), (11) and (12) of section 38a-469, 
refusing to insure, refusing to continue to insure or limiting the amount, 
extent or kind of coverage available to an individual or charging an 
individual a different rate for the same coverage because such 
individual has been a victim of family violence. 
(19) With respect to an insurance company, hospital service 
corporation, health care center or fraternal benefit society providing 
individual or group health insurance coverage of the types specified in 
subdivisions (1), (2), (3), (4), (6), (9), (10), (11) and (12) of section 38a-469, 
refusing to insure, refusing to continue to insure or limiting the amount, 
extent or kind of coverage available to an individual or charging an 
individual a different rate for the same coverage because of genetic 
information. Genetic information indicating a predisposition to a 
disease or condition shall not be deemed a preexisting condition in the 
absence of a diagnosis of such disease or condition that is based on other 
medical information. An insurance company, hospital service 
corporation, health care center or fraternal benefit society providing 
individual health coverage of the types specified in subdivisions (1), (2),  House Bill No. 6387 
 
Public Act No. 21-156 	15 of 19 
 
(3), (4), (6), (9), (10), (11) and (12) of section 38a-469, shall not be 
prohibited from refusing to insure or applying a preexisting condition 
limitation, to the extent permitted by law, to an individual who has been 
diagnosed with a disease or condition based on medical information 
other than genetic information and has exhibited symptoms of such 
disease or condition. For the purposes of this subsection, "genetic 
information" means the information about genes, gene products or 
inherited characteristics that may derive from an individual or family 
member. 
(20) Any violation of sections 38a-465 to 38a-465q, inclusive. 
(21) With respect to a managed care organization, as defined in 
section 38a-478, failing to establish a confidentiality procedure for 
medical record information, as required by section 38a-999. 
(22) Any violation of sections 38a-591d to 38a-591f, inclusive. 
(23) Any violation of section 38a-472j. 
(24) Any violation of section 2 of this act.  
Sec. 4. (NEW) (Effective from passage) (a) There is established a chronic 
kidney disease advisory committee. The advisory committee shall: 
(1) Work directly with policymakers, public health organizations and 
educational institutions to: 
(A) Increase awareness of chronic kidney disease in this state; and 
(B) Develop health education programs that: 
(i) Are intended to reduce the burden of kidney disease throughout 
this state; 
(ii) Include an ongoing health and wellness campaign that is based  House Bill No. 6387 
 
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on relevant research; 
(iii) Promote preventive screenings; and 
(iv) Are promoted through social media and public relations 
campaigns; 
(2) Examine chronic kidney disease, kidney transplantation, 
including, but not limited to, kidney transplantation as a preferred 
treatment for chronic kidney disease, living and deceased kidney 
donation and racial disparities in the rates of individuals afflicted with 
chronic kidney disease; 
(3) Examine methods to reduce the occurrence of chronic kidney 
disease by controlling the most common risk factors, diabetes and 
hypertension, through early detection and preventive efforts at the 
community level and disease management efforts in the primary care 
setting; 
(4) Identify the barriers to the adoption of best practices and the 
policies available to address such barriers; 
(5) Develop an equitable, sustainable, cost-effective plan to raise 
awareness about the importance of early detection, screening, diagnosis 
and treatment of chronic kidney disease and prevention; and 
(6) Examine the potential for an opt-out organ or kidney donor 
registry. 
(b) The advisory committee shall consist of the following members: 
(1) The chairpersons and ranking members of the joint standing 
committee of the General Assembly having cognizance of matters 
relating to public health, or their designees; 
(2) One appointed by the Senate chairperson of the joint standing  House Bill No. 6387 
 
Public Act No. 21-156 	17 of 19 
 
committee of the General Assembly having cognizance of matters 
relating to public health; 
(3) One appointed by the House chairperson of the joint standing 
committee of the General Assembly having cognizance of matters 
relating to public health; 
(4) One appointed by the Senate ranking member of the joint standing 
committee of the General Assembly having cognizance of matters 
relating to public health; 
(5) One appointed by the House ranking member of the joint standing 
committee of the General Assembly having cognizance of matters 
relating to public health; 
(6) One appointed by the speaker of the House of Representatives, 
who shall represent the renal provider community;  
(7) One appointed by the president pro tempore of the Senate, who 
shall represent a medical center with a kidney-related program; 
(8) One appointed by the majority leader of the House of 
Representatives; 
(9) One appointed by the majority leader of the Senate; 
(10) One appointed by the minority leader of the House of 
Representatives; 
(11) One appointed by the minority leader of the Senate; 
(12) One appointed by the Governor; 
(13) The Commissioner of Public Health, or the commissioner's 
designee; 
(14) One appointed by the chief executive officer of the National  House Bill No. 6387 
 
Public Act No. 21-156 	18 of 19 
 
Kidney Foundation; 
(15) One appointed by the chief executive officer of the American 
Kidney Fund; and 
(16) At least three additional members appointed by the chairpersons 
of the joint standing committee of the General Assembly having 
cognizance of matters relating to public health, one of whom shall 
represent the kidney physician community, one of whom sha ll 
represent a nonprofit organ procurement organization, one of whom 
shall represent the kidney patient community in this state and such 
other members that such chairpersons, in their discretion, agree are 
necessary to represent public health clinics, community health centers, 
minority health organizations and health insurers. 
(c) Any member of the advisory committee appointed under 
subdivision (1), (2), (3), (4), (5), (6), (7), (8), (9), (10), (11) or (16) of 
subsection (b) of this section may be a member of the General Assembly. 
(d) All initial appointments to the advisory committee shall be made 
not later than thirty days after the effective date of this section. Any 
vacancy shall be filled by the appointing authority. 
(e) The speaker of the House of Representatives and the president pro 
tempore of the Senate shall select the chairpersons of the advisory 
committee from among the members of the advisory committee. Such 
chairpersons shall schedule the first meeting of the advisory committee, 
which shall be held not later than sixty days after the effective date of 
this section. Meetings of the advisory committee may, at the discretion 
of the chairpersons of the advisory committee, be conducted on a virtual 
platform. 
(f) The administrative staff of the advisory committee shall be 
selected by the Office of Legislative Management in consultation with 
the chairpersons of the advisory committee.  House Bill No. 6387 
 
Public Act No. 21-156 	19 of 19 
 
(g) Not later than January 1, 2022, and annually thereafter, the 
advisory committee shall submit a report on its findings and 
recommendations to the joint standing committee of the General 
Assembly having cognizance of matters relating to public health in 
accordance with the provisions of section 11-4a of the general statutes.