LCO No. 1334 1 of 2 General Assembly Raised Bill No. 5196 February Session, 2024 LCO No. 1334 Referred to Committee on PUBLIC HEALTH Introduced by: (PH) AN ACT EXPANDING THE PODIATRIC SCOPE OF PRACTICE. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Subsection (c) of section 20-54 of the general statutes is 1 repealed and the following is substituted in lieu thereof (Effective October 2 1, 2024): 3 (c) A licensed podiatrist may independently engage in the surgical 4 treatment of the ankle, including the surgical treatment of the 5 anatomical structures of the ankle, as well as the administration and 6 prescription of drugs incidental thereto, and the surgical treatment of 7 manifestations of systemic diseases as they appear on the ankle, after 8 the podiatrist provides documentation to the Department of Public 9 Health of the following: (1) (A) Graduation on or after June 1, 2006, from 10 a three-year residency program in podiatric medicine and surgery that 11 was accredited by the Council on Podiatric Medical Education, or its 12 successor organization, at the time of graduation, and (B) current board 13 certification or qualification in reconstructive rearfoot ankle surgery by 14 the American Board of Foot and Ankle Surgery, or its successor 15 organization; or (2) (A) graduation prior to June 1, 2006, from a 16 Raised Bill No. 5196 LCO No. 1334 2 of 2 residency program in podiatric medicine and surgery that was at least 17 two years in length and accredited at the time of graduation by said 18 council, and (B) current board certification or qualification in 19 reconstructive rearfoot ankle surgery by the American Board of Foot 20 and Ankle Surgery, or its successor organization. For purposes of this 21 section, "surgical treatment of the ankle" includes all soft tissue and 22 osseous procedures, including ankle fracture fixation, ankle fusion, 23 ankle arthroscopy, insertion or removal of external fixation pins into or 24 from the tibial diaphysis at or below the level of the myotendinous 25 junction of the triceps surae and insertion and removal of retrograde 26 tibiotalocalcaneal intramedullary rods and locking screws up to the 27 level of the myotendinous junction of the triceps surea, [but does not 28 include] the surgical treatment of complications within the tibial 29 diaphysis related to the use of external fixation pins, the performance of 30 total ankle replacements [or] and the treatment of tibial pilon fractures. 31 This act shall take effect as follows and shall amend the following sections: Section 1 October 1, 2024 20-54(c) Statement of Purpose: To expand the podiatric scope of practice to include surgical treatment of complications within the tibial diaphysis related to the use of external fixation pins, the performance of total ankle replacements and the treatment of tibial pilon fractures. [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.]