Connecticut 2024 Regular Session

Connecticut House Bill HB05196 Compare Versions

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	7	+	General Assembly Substitute Bill No. 5196
	8	+	February Session, 2024
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4		-	Substitute House Bill No. 5196
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6		-	Public Act No. 24-112
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9	14		AN ACT EXPANDING THE PODIATRIC SCOPE OF PRACTICE.
10	15		Be it enacted by the Senate and House of Representatives in General
11	16		Assembly convened:
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13		-	Section 1. Subsection (c) of section 20-54 of the general statutes is
14		-	repealed and the following is substituted in lieu thereof (Effective October
15		-	1, 2024):
16		-	(c) A licensed podiatrist may independently engage in the surgical
17		-	treatment of the ankle, including the surgical treatment of the
18		-	anatomical structures of the ankle, as well as the administration and
19		-	prescription of drugs incidental thereto, and the surgical treatment of
20		-	manifestations of systemic diseases as they appear on the ankle, after
21		-	the podiatrist provides documentation to the Department of Public
22		-	Health of the following: (1) (A) Graduation on or after June 1, 2006, from
23		-	a three-year residency program in podiatric medicine and surgery that
24		-	was accredited by the Council on Podiatric Medical Education, or its
25		-	successor organization, at the time of graduation, and (B) current board
26		-	certification or qualification in reconstructive rearfoot ankle surgery by
27		-	the American Board of Foot and Ankle Surgery, or its successor
28		-	organization; or (2) (A) graduation prior to June 1, 2006, from a
29		-	residency program in podiatric medicine and surgery that was at least
30		-	two years in length and accredited at the time of graduation by said
31		-	council, and (B) current board certification or qualification in Substitute ~~House~~ Bill No. 5196
	18	+	Section 1. Subsection (c) of section 20-54 of the general statutes is 1
	19	+	repealed and the following is substituted in lieu thereof (Effective October 2
	20	+	1, 2024): 3
	21	+	(c) A licensed podiatrist may independently engage in the surgical 4
	22	+	treatment of the ankle, including the surgical treatment of the 5
	23	+	anatomical structures of the ankle, as well as the administration and 6
	24	+	prescription of drugs incidental thereto, and the surgical treatment of 7
	25	+	manifestations of systemic diseases as they appear on the ankle, after 8
	26	+	the podiatrist provides documentation to the Department of Public 9
	27	+	Health of the following: (1) (A) Graduation on or after June 1, 2006, from 10
	28	+	a three-year residency program in podiatric medicine and surgery that 11
	29	+	was accredited by the Council on Podiatric Medical Education, or its 12
	30	+	successor organization, at the time of graduation, and (B) current board 13
	31	+	certification or qualification in reconstructive rearfoot ankle surgery by 14
	32	+	the American Board of Foot and Ankle Surgery, or its successor 15
	33	+	organization; or (2) (A) graduation prior to June 1, 2006, from a 16
	34	+	residency program in podiatric medicine and surgery that was at least 17
	35	+	two years in length and accredited at the time of graduation by said 18
	36	+	council, and (B) current board certification or qualification in 19 Substitute Bill No. 5196
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33		-	Public Act No. 24-112 2 of 3
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35		-	reconstructive rearfoot ankle surgery by the American Board of Foot
36		-	and Ankle Surgery, or its successor organization. For purposes of this
37		-	section, "surgical treatment of the ankle" includes all soft tissue and
38		-	osseous procedures, including ankle fracture fixation, ankle fusion,
39		-	ankle arthroscopy, insertion or removal of external fixation pins into or
40		-	from the tibial diaphysis at or below the level of the myotendinous
41		-	junction of the triceps surae, [and] insertion and removal of retrograde
42		-	tibiotalocalcaneal intramedullary rods and locking screws up to the
43		-	level of the myotendinous junction of the triceps [surea] surae and
44		-	Chopart joint-level amputation, but does not include the surgical
45		-	treatment of complications within the tibial diaphysis related to the use
46		-	of external fixation pins, the performance of total ankle replacements or
47		-	the treatment of tibial pilon fractures.
48		-	Sec. 2. (NEW) (Effective from passage) (a) The cochairpersons of the
49		-	joint standing committee of the General Assembly having cognizance of
50		-	matters relating to public health shall convene a panel comprised of two
51		-	representatives each from an organization representing podiatrists in
52		-	the state and an organization representing orthopedic physicians in the
53		-	state to develop, not later than August 1, 2024, a protocol for permitting
54		-	licensed podiatrists who have provided documentation to the
55		-	Department of Public Health of meeting the requirements set forth in
56		-	subdivision (1) or (2) of subsection (c) of section 20-54 of the general
57		-	statutes, as amended by this act, to perform total ankle replacement
58		-	surgery. The protocol shall consist of a description of the experience,
59		-	skill and training requirements for performance of such surgery and the
60		-	procedure for assessing whether a podiatrist has the requisite
61		-	experience, skill and training. Not later September 1, 2024, the panel
62		-	shall submit a report, in accordance with the provisions of section 11-4a
63		-	of the general statutes, regarding the panel's protocol to the joint
64		-	standing committee of the General Assembly having cognizance of
65		-	matters relating to public health and the Commissioner of Public
66		-	Health. Not later than October 1, 2024, the commissioner shall post such Substitute House Bill No. 5196
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68		-	Public Act No. 24-112 3 of 3
	43	+	reconstructive rearfoot ankle surgery by the American Board of Foot 20
	44	+	and Ankle Surgery, or its successor organization. For purposes of this 21
	45	+	section, "surgical treatment of the ankle" includes all soft tissue and 22
	46	+	osseous procedures, including ankle fracture fixation, ankle fusion, 23
	47	+	ankle arthroscopy, insertion or removal of external fixation pins into or 24
	48	+	from the tibial diaphysis at or below the level of the myotendinous 25
	49	+	junction of the triceps surae, [and] insertion and removal of retrograde 26
	50	+	tibiotalocalcaneal intramedullary rods and locking screws up to the 27
	51	+	level of the myotendinous junction of the triceps [surea] surae and 28
	52	+	forefoot and midfoot amputation, but does not include the surgical 29
	53	+	treatment of complications within the tibial diaphysis related to the use 30
	54	+	of external fixation pins, the performance of total ankle replacements or 31
	55	+	the treatment of tibial pilon fractures. 32
	56	+	This act shall take effect as follows and shall amend the following
	57	+	sections:
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70		-	protocol on the Department of Public Health's Internet web site.
71		-	(b) On and after October 1, 2024, a licensed podiatrist who has
72		-	provided documentation to the Department of Public Health of meeting
73		-	the requirements set forth in subdivision (1) or (2) of subsection (c) of
74		-	section 20-54 of the general statutes, as amended by this act, may apply
75		-	to a hospital in the state for privileges to perform total ankle
76		-	replacement surgery at such hospital. A hospital may, at a minimum,
77		-	utilize the protocol developed pursuant to subsection (a) of this section
78		-	to assess whether a podiatrist has the requisite experience, skill and
79		-	training to perform total ankle replacement surgery at such hospital.
80		-	(c) A podiatrist who has been approved by a hospital for privileges
81		-	to perform total ankle replacement surgery pursuant to subsection (b)
82		-	of this section may perform such surgery at such hospital.
83		-	(d) Nothing in this section shall be construed to require a hospital to
84		-	grant a podiatrist privileges to perform total ankle replacement surgery
85		-	at the hospital.
	59	+	Section 1 October 1, 2024 20-54(c)
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	61	+	PH Joint Favorable Subst.
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