LCO No. 4665 1 of 5 General Assembly Raised Bill No. 6979 January Session, 2025 LCO No. 4665 Referred to Committee on PUBLIC HEALTH Introduced by: (PH) AN ACT CONCERNING THE DEPARTMENT OF PUBLIC HEALTH'S RECOMMENDATIONS REGARDING PHYSICIAN RECRUITMENT. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Subsection (b) of section 19a-88 of the general statutes is 1 repealed and the following is substituted in lieu thereof (Effective October 2 1, 2025): 3 (b) Each person holding a license to practice medicine, surgery, 4 podiatry, chiropractic or naturopathy shall, annually, during the month 5 of such person's birth, register with the Department of Public Health, 6 upon payment of the professional services fee for class I, as defined in 7 section 33-182l, plus five dollars. Each person holding a license to 8 practice medicine or surgery shall pay five dollars in addition to such 9 professional services fee. Such registration shall be on blanks to be 10 furnished by the department for such purpose, giving such person's 11 name in full, such person's residence and business address and such 12 other information as the department requests. On and after January 1, 13 2026, each person holding a license to practice medicine who has retired 14 from the profession may renew such license. The fee for such license 15 Raised Bill No. 6979 LCO No. 4665 2 of 5 renewal shall be ten per cent of the professional services fee for class I, 16 as determined in accordance with section 33-182l, or ninety-five dollars, 17 whichever is greater. Any such license provided by the department at a 18 reduced fee pursuant to this subsection shall indicate that the 19 practitioner is retired. 20 Sec. 2. (NEW) (Effective October 1, 2025) For the purposes of subsection 21 (b) of section 19a-88 of the general statutes, the Commissioner of Public 22 Health shall, not later than January 1, 2026, adopt regulations, in 23 accordance with the provisions of chapter 54 of the general statutes. 24 Such regulations shall include, but need not be limited to, (1) a definition 25 of "retired from the profession" as that term applies to physicians, (2) 26 procedures for licensed physicians, who have retired from the 27 profession, to return to active employment, and (3) appropriate 28 restrictions upon the scope of practice for such physicians who are 29 retired from the profession, including restricting the license of such 30 physicians to the provision of volunteer services without monetary 31 compensation. 32 Sec. 3. (NEW) (Effective October 1, 2025) Any person licensed pursuant 33 to section 20-13 of the general statutes, who is retired from the 34 profession and whose license has become void pursuant to section 19a-35 88 of the general statutes, may apply for reinstatement of such license 36 pursuant to the provisions of 19a-14 of the general statutes. The 37 Commissioner of Public Health shall adopt regulations, in accordance 38 with the provisions of chapter 54 of the general statutes, to implement 39 the provisions of this section. Such regulations shall include, but need 40 not be limited to, (1) a definition of "retired from the profession" as that 41 term applies to physicians, and (2) (A) eligibility requirements 42 consistent with the provisions of subdivision (6) of subsection (a) of 43 section 19a-14 of the general statutes, and (B) application procedures 44 relating to license reinstatement. The commissioner may impose any 45 conditions or restrictions upon the scope of a practice of a physician 46 whose license is reinstated pursuant to the provisions of this 47 subdivision, including, but not limited to, conditions or restrictions 48 Raised Bill No. 6979 LCO No. 4665 3 of 5 relating to the provision of volunteer services without monetary 49 compensation. 50 Sec. 4. Subsections (a) to (c), inclusive, of section 20-11b of the general 51 statutes are repealed and the following is substituted in lieu thereof 52 (Effective October 1, 2025): 53 (a) Except as provided in subsection (c) of this section, each person 54 licensed to practice medicine and surgery under the provisions of 55 section 20-13 who provides direct patient care services shall maintain 56 professional liability insurance or other indemnity against liability for 57 professional malpractice. The amount of insurance which each such 58 person shall carry as insurance or indemnity against claims for injury or 59 death for professional malpractice shall not be less than five hundred 60 thousand dollars for one person, per occurrence, with an aggregate of 61 not less than one million five hundred thousand dollars. 62 (b) Each insurance company which issues professional liability 63 insurance, as defined in subdivisions (1), (6), (7), (8) and (9) of subsection 64 (b) of section 38a-393, shall on and after January 1, 1995, render to the 65 Commissioner of Public Health a true record of the names and 66 addresses, according to classification, of cancellations of and refusals to 67 renew professional liability insurance policies and the reasons for such 68 cancellation or refusal to renew said policies for the year ending on the 69 thirty-first day of December next preceding. 70 (c) A person subject to the provisions of subsection (a) of this section 71 shall be deemed in compliance with such subsection when providing 72 primary health care or behavioral health care services at a clinic licensed 73 by the Department of Public Health that is recognized as tax exempt 74 pursuant to Section 501(c)(3) of the Internal Revenue Code of 1986 or 75 any successor internal revenue code, as may be amended from time to 76 time, provided: (1) Such person is not compensated for such services; (2) 77 the clinic does not charge patients for such services; (3) the clinic 78 maintains professional liability insurance coverage in the amounts 79 Raised Bill No. 6979 LCO No. 4665 4 of 5 required by subsection (a) of this section for each aggregated forty hours 80 of service or fraction thereof for such persons; (4) the clinic carries 81 additional appropriate professional liability coverage on behalf of the 82 clinic and its employees in the amounts of five hundred thousand 83 dollars per occurrence, with an aggregate of not less than one million 84 five hundred thousand dollars; and (5) the clinic maintains total 85 professional liability coverage of not less than one million dollars per 86 occurrence with an annual aggregate of not less than three million 87 dollars. Such person shall be subject to the provisions of subsection (a) 88 of this section when providing direct patient care services in any setting 89 other than such clinic. Nothing in this subsection shall be construed to 90 relieve the clinic from any insurance requirements otherwise required 91 by law. 92 Sec. 5. (NEW) (Effective from passage) The Commissioner of Public 93 Health shall establish, within available appropriations, a student loan 94 repayment program for health care providers who provide primary care 95 and behavioral health services in the state. For the purposes of this 96 section, "primary care" means the medical fields of family medicine, 97 general pediatrics, primary care, internal medicine, primary care 98 obstetrics or primary care gynecology, without regard to board 99 certification. The commissioner may adopt regulations, in accordance 100 with the provisions of chapter 54 of the general statutes, to implement 101 the provisions of this section, including, but not limited to, establishing 102 eligibility criteria and obligations of program participants. 103 This act shall take effect as follows and shall amend the following sections: Section 1 October 1, 2025 19a-88(b) Sec. 2 October 1, 2025 New section Sec. 3 October 1, 2025 New section Sec. 4 October 1, 2025 20-11b(a) to (c) Sec. 5 from passage New section Raised Bill No. 6979 LCO No. 4665 5 of 5 Statement of Purpose: To (1) allow retired physicians to provide free primary and behavioral health care at nonprofit clinics, and (2) require the Commissioner of Public Health to establish a student loan repayment program for health care providers who provide primary care and behavioral health services in the state. [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.]