40 | | - | be utilized whenever practicable. 20 |
---|
41 | | - | (b) Notwithstanding the provisions of subsection (a) of this section, 21 |
---|
42 | | - | [on and after July 1, 2024,] the Commissioner of Social Services shall not 22 |
---|
43 | | - | require a new prescription or prior authorization for the medically 23 |
---|
44 | | - | necessary repair of a customized wheelchair unless the original 24 |
---|
45 | | - | prescription for such wheelchair is more than five years old. The 25 |
---|
46 | | - | commissioner shall provide coverage under the medical assistance 26 |
---|
47 | | - | program for (1) the medically necessary repair or replacement of a 27 |
---|
48 | | - | Medicaid recipient's customized wheelchair, (2) transportation by a 28 |
---|
49 | | - | Medicaid recipient to a repair facility of an authorized wheelchair dealer 29 |
---|
50 | | - | to repair such recipient's customized wheelchair, (3) annual preventive 30 |
---|
51 | | - | maintenance of a Medicaid recipient's customized wheelchair, and (4) 31 |
---|
52 | | - | payment for domestic overnight delivery or express international 32 |
---|
53 | | - | delivery of a customized wheelchair part necessary for a repair but not 33 |
---|
54 | | - | on the premises of the authorized wheelchair dealer making the repair. 34 |
---|
55 | | - | (c) The commissioner shall inform Medicaid recipients who use 35 |
---|
56 | | - | customized wheelchairs of their rights to timely and emergency repair 36 |
---|
57 | | - | pursuant to section 42-338, as amended by this act. The commissioner 37 |
---|
58 | | - | shall seek any federal approval necessary, including amending the 38 |
---|
59 | | - | Medicaid state plan or applying for a Medicaid waiver, to implement 39 |
---|
60 | | - | the provisions of this section. 40 |
---|
61 | | - | (d) The commissioner, pursuant to section 17b-10, may implement 41 |
---|
62 | | - | policies and procedures necessary to administer the provisions of this 42 |
---|
63 | | - | section while in the process of adopting such policies and procedures as 43 |
---|
64 | | - | regulations, provided the commissioner posts notice of intent to adopt 44 |
---|
65 | | - | regulations on the eRegulations System not later than twenty days after 45 |
---|
66 | | - | the date of implementation. Policies and procedures implemented 46 |
---|
67 | | - | pursuant to this section shall be valid until the time final regulations are 47 |
---|
68 | | - | adopted. 48 |
---|
69 | | - | Sec. 2. (NEW) (Effective January 1, 2026) As used in this section, 49 |
---|
70 | | - | "wheelchair" has the same meaning as provided in section 42-337 of the 50 |
---|
71 | | - | general statutes, as amended by this act. Except as otherwise required 51 Substitute Bill No. 7106 |
---|
| 43 | + | LCO No. 5461 2 of 11 |
---|
| 44 | + | |
---|
| 45 | + | Social Services. Wheelchair and mobility scooter repairs and parts 16 |
---|
| 46 | + | replacements may be subject to review and approval by the department. 17 |
---|
| 47 | + | Refurbished wheelchairs or mobility scooters, parts and components 18 |
---|
| 48 | + | shall be utilized whenever practicable. The Department of Social 19 |
---|
| 49 | + | Services may designate categories of durable medical equipment in 20 |
---|
| 50 | + | addition to customized wheelchairs and mobility scooters for which 21 |
---|
| 51 | + | reused equipment, parts and components shall be utilized whenever 22 |
---|
| 52 | + | practicable. 23 |
---|
| 53 | + | (b) Notwithstanding the provisions of subsection (a) of this section, 24 |
---|
| 54 | + | [on and after July 1, 2024,] the Commissioner of Social Services shall not 25 |
---|
| 55 | + | require a new prescription or prior authorization for the medically 26 |
---|
| 56 | + | necessary repair of a [customized] wheelchair or mobility scooter unless 27 |
---|
| 57 | + | the original prescription for such wheelchair or mobility scooter is more 28 |
---|
| 58 | + | than five years old. The commissioner shall provide coverage under the 29 |
---|
| 59 | + | medical assistance program for (1) the medically necessary repair or 30 |
---|
| 60 | + | replacement of a Medicaid recipient's wheelchair or mobility scooter, (2) 31 |
---|
| 61 | + | transportation by a Medicaid recipient to a repair facility of an 32 |
---|
| 62 | + | authorized wheelchair or mobility scooter dealer to repair such 33 |
---|
| 63 | + | recipient's customized wheelchair or mobility scooter, (3) annual 34 |
---|
| 64 | + | preventive maintenance of a Medicaid recipient's wheelchair or 35 |
---|
| 65 | + | mobility scooter, and (4) payment for domestic overnight delivery or 36 |
---|
| 66 | + | express international delivery of a wheelchair or mobility scooter part 37 |
---|
| 67 | + | necessary for a repair but not on the premises of the authorized 38 |
---|
| 68 | + | wheelchair or mobility scooter dealer making the repair. 39 |
---|
| 69 | + | (c) The commissioner shall inform Medicaid recipients who use 40 |
---|
| 70 | + | wheelchairs or mobility scooters of their rights to timely and emergency 41 |
---|
| 71 | + | repair pursuant to section 42-338, as amended by this act. The 42 |
---|
| 72 | + | commissioner shall seek any federal approval necessary, including 43 |
---|
| 73 | + | amending the Medicaid state plan or applying for a Medicaid waiver, to 44 |
---|
| 74 | + | implement the provisions of this section. 45 |
---|
| 75 | + | (d) The commissioner, pursuant to section 17b-10, may implement 46 |
---|
| 76 | + | policies and procedures necessary to administer the provisions of this 47 |
---|
| 77 | + | Raised Bill No. 7106 |
---|
76 | | - | in any collective bargaining agreement, the State Comptroller shall 52 |
---|
77 | | - | make available to an enrollee of the state employee health plan, 53 |
---|
78 | | - | established pursuant to section 5-259 of the general statutes, coverage 54 |
---|
79 | | - | for medically necessary wheelchairs and timely repair of such 55 |
---|
80 | | - | wheelchairs consistent with the provisions of section 42-338 of the 56 |
---|
81 | | - | general statutes, as amended by this act. 57 |
---|
82 | | - | Sec. 3. Section 42-337 of the general statutes is repealed and the 58 |
---|
83 | | - | following is substituted in lieu thereof (Effective July 1, 2025): 59 |
---|
84 | | - | As used in this section and section 42-338, as amended by this act: 60 |
---|
85 | | - | (1) "Authorized wheelchair dealer" means any company doing 61 |
---|
86 | | - | business in the state selling or leasing wheelchairs, including complex 62 |
---|
87 | | - | rehabilitation technology wheelchairs. 63 |
---|
88 | | - | (2) "Complex rehabilitation technology" has the same meaning as 64 |
---|
89 | | - | provided in section 17b-278j. 65 |
---|
90 | | - | (3) "Complex rehabilitation technology wheelchair" means a 66 |
---|
91 | | - | specialized, medically necessary manual or powered wheelchair 67 |
---|
92 | | - | individually configured for the user with specialized equipment that 68 |
---|
93 | | - | requires evaluation, configuration, fitting, adjustment, programming 69 |
---|
94 | | - | and long-term maintenance and repair services. 70 |
---|
95 | | - | (4) "Consumer" means the purchaser or lessee of a wheelchair, 71 |
---|
96 | | - | including a complex rehabilitation technology wheelchair, irrespective 72 |
---|
97 | | - | of whether the purchase or lease of the wheelchair is funded in whole 73 |
---|
98 | | - | or in part by the consumer or privately or publicly funded health 74 |
---|
99 | | - | insurance. 75 |
---|
100 | | - | (5) "Emergency repair" means repair services when a wheelchair is 76 |
---|
101 | | - | completely inoperable on weekends and holidays and may include 77 |
---|
102 | | - | remote repair services if such service renders the wheelchair operable. 78 |
---|
103 | | - | (6) "Systemic noncompliance" means the failure by an authorized 79 |
---|
104 | | - | wheelchair dealer to meet timely repair requirements for more than five 80 |
---|
105 | | - | per cent of repair requests in a thirty-day period. 81 Substitute Bill No. 7106 |
---|
| 81 | + | LCO No. 5461 3 of 11 |
---|
| 82 | + | |
---|
| 83 | + | section while in the process of adopting such policies and procedures as 48 |
---|
| 84 | + | regulations, provided the commissioner posts notice of intent to adopt 49 |
---|
| 85 | + | regulations on the eRegulations System not later than twenty days after 50 |
---|
| 86 | + | the date of implementation. Policies and procedures implemented 51 |
---|
| 87 | + | pursuant to this section shall be valid until the time final regulations are 52 |
---|
| 88 | + | adopted. 53 |
---|
| 89 | + | Sec. 2. Section 38a-492w of the general statutes is repealed and the 54 |
---|
| 90 | + | following is substituted in lieu thereof (Effective January 1, 2026): 55 |
---|
| 91 | + | (a) As used in this section, (1) ["complex rehabilitation technology 56 |
---|
| 92 | + | wheelchair" has] "authorized wheelchair or mobility scooter dealer", 57 |
---|
| 93 | + | "wheelchair" and "mobility scooter" have the same [meaning] meanings 58 |
---|
| 94 | + | as provided in section 42-337, as amended by this act, and (2) "medically 59 |
---|
| 95 | + | necessary" means a written determination by a policy holder's health 60 |
---|
| 96 | + | care provider that repair or replacement of a [complex rehabilitation 61 |
---|
| 97 | + | technology] wheelchair or mobility scooter is necessary to preserve the 62 |
---|
| 98 | + | health of such policy holder. 63 |
---|
| 99 | + | (b) Each individual health insurance policy providing coverage of the 64 |
---|
| 100 | + | types specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-65 |
---|
| 101 | + | 469 delivered, issued for delivery, renewed, amended or continued in 66 |
---|
| 102 | + | this state on and after January 1, [2025] 2026, shall not require a new 67 |
---|
| 103 | + | prescription or prior authorization for the medically necessary repair or 68 |
---|
| 104 | + | replacement of a [complex rehabilitation technology] policy holder's 69 |
---|
| 105 | + | wheelchair or mobility scooter unless the original prescription for such 70 |
---|
| 106 | + | wheelchair or mobility scooter is more than five years old. 71 |
---|
| 107 | + | (c) Each individual health insurance policy providing coverage of the 72 |
---|
| 108 | + | types specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-73 |
---|
| 109 | + | 469 delivered, issued for delivery, renewed, amended or continued in 74 |
---|
| 110 | + | this state on and after January 1, 2026, shall provide a policy holder 75 |
---|
| 111 | + | coverage for (1) the medically necessary repair or replacement of a 76 |
---|
| 112 | + | wheelchair or mobility scooter, (2) annual preventive maintenance of a 77 |
---|
| 113 | + | wheelchair or mobility scooter, and (3) payment for domestic overnight 78 |
---|
| 114 | + | Raised Bill No. 7106 |
---|
110 | | - | [(5)] (7) "Timely repair" means as soon as practicable but not later 82 |
---|
111 | | - | than ten business days after the date of request for repair from a 83 |
---|
112 | | - | consumer, provided (A) the consumer makes the wheelchair available, 84 |
---|
113 | | - | and (B) any prior authorization required from an insurer has been 85 |
---|
114 | | - | acquired. [, and (C)] The timely repair period shall be tolled by any time 86 |
---|
115 | | - | spent waiting for prior authorization from an insurer or for delivery of 87 |
---|
116 | | - | necessary parts ordered for the repair by an authorized wheelchair 88 |
---|
117 | | - | dealer. [shall not be included in the ten business days.] 89 |
---|
118 | | - | [(6)] (8) "Wheelchair" means a manual or motorized wheeled device 90 |
---|
119 | | - | that enhances the mobility or positioning of an individual with a 91 |
---|
120 | | - | disability. [and] "Wheelchair" includes a complex rehabilitation 92 |
---|
121 | | - | technology wheelchair but not a mobility scooter. 93 |
---|
122 | | - | Sec. 4. Section 42-338 of the general statutes is repealed and the 94 |
---|
123 | | - | following is substituted in lieu thereof (Effective July 1, 2025): 95 |
---|
124 | | - | (a) An authorized wheelchair dealer shall timely repair a wheelchair, 96 |
---|
125 | | - | including a complex rehabilitation technology wheelchair, sold or 97 |
---|
126 | | - | leased by such dealer in the state and provide emergency repair when a 98 |
---|
127 | | - | consumer's wheelchair is rendered completely inoperable. An 99 |
---|
128 | | - | authorized wheelchair dealer who sells or leases a complex 100 |
---|
129 | | - | rehabilitation technology wheelchair in the state shall provide timely or 101 |
---|
130 | | - | emergency repair of such wheelchair at a consumer's home upon 102 |
---|
131 | | - | request and, in consultation with the Office of the Healthcare Advocate, 103 |
---|
132 | | - | shall notify consumers, in writing, of their rights pursuant to this section 104 |
---|
133 | | - | (1) at the point and time of sale or lease of such wheelchair, (2) in an 105 |
---|
134 | | - | annual mailing, (3) on the Internet web site of such dealer, and (4) in all 106 |
---|
135 | | - | electronic communications with consumers. 107 |
---|
136 | | - | (b) An authorized wheelchair dealer shall maintain an electronic mail 108 |
---|
137 | | - | address and a phone line for consumer repair requests that are 109 |
---|
138 | | - | accessible each business day and capable of receiving and recording 110 |
---|
139 | | - | messages. The authorized wheelchair dealer shall (1) respond to a 111 |
---|
140 | | - | request for wheelchair repair and assess the need for such repair not 112 |
---|
141 | | - | later than one business day after the date of such request, [and] (2) order 113 Substitute Bill No. 7106 |
---|
| 118 | + | LCO No. 5461 4 of 11 |
---|
| 119 | + | |
---|
| 120 | + | delivery or express international delivery of a wheelchair or mobility 79 |
---|
| 121 | + | scooter part necessary for a repair but not on the premises of the 80 |
---|
| 122 | + | authorized wheelchair or mobility scooter dealer making such repair. 81 |
---|
| 123 | + | [(c)] (d) The Insurance Commissioner shall adopt regulations, in 82 |
---|
| 124 | + | accordance with chapter 54, to implement the provisions of this section. 83 |
---|
| 125 | + | Sec. 3. Section 38a-518w of the general statutes is repealed and the 84 |
---|
| 126 | + | following is substituted in lieu thereof (Effective January 1, 2026): 85 |
---|
| 127 | + | (a) As used in this section, (1) ["complex rehabilitation technology 86 |
---|
| 128 | + | wheelchair" has] "authorized wheelchair or mobility scooter dealer", 87 |
---|
| 129 | + | "wheelchair" and "mobility scooter" have the same [meaning] meanings 88 |
---|
| 130 | + | as provided in section 42-337, as amended by this act, and (2) "medically 89 |
---|
| 131 | + | necessary" means a written determination by a policy holder's health 90 |
---|
| 132 | + | care provider that repair or replacement of a [complex rehabilitation 91 |
---|
| 133 | + | technology] wheelchair or mobility scooter is necessary to preserve the 92 |
---|
| 134 | + | health of such policy holder. 93 |
---|
| 135 | + | (b) Each group health insurance policy providing coverage of the 94 |
---|
| 136 | + | types specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-95 |
---|
| 137 | + | 469 delivered, issued for delivery, renewed, amended or continued in 96 |
---|
| 138 | + | this state on and after January 1, [2025] 2026, shall not require a new 97 |
---|
| 139 | + | prescription or prior authorization for the medically necessary repair or 98 |
---|
| 140 | + | replacement of a [complex rehabilitation technology] wheelchair or 99 |
---|
| 141 | + | mobility scooter unless the original prescription is more than five years 100 |
---|
| 142 | + | old. 101 |
---|
| 143 | + | (c) Each group health insurance policy providing coverage of the 102 |
---|
| 144 | + | types specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-103 |
---|
| 145 | + | 469 delivered, issued for delivery, renewed, amended or continued in 104 |
---|
| 146 | + | this state on and after January 1, 2026, shall provide a policy holder 105 |
---|
| 147 | + | coverage for (1) the medically necessary repair or replacement of a 106 |
---|
| 148 | + | wheelchair or mobility scooter, (2) annual preventive maintenance of a 107 |
---|
| 149 | + | wheelchair or mobility scooter, and (3) payment for domestic overnight 108 |
---|
| 150 | + | delivery or express international delivery of a wheelchair or mobility 109 |
---|
| 151 | + | Raised Bill No. 7106 |
---|
146 | | - | parts for a repair not later than three business days after assessing the 114 |
---|
147 | | - | need for the repair or after receiving prior authorization from an insurer 115 |
---|
148 | | - | for the repair, and (3) employ sufficient staff and stock sufficient parts 116 |
---|
149 | | - | to ensure timely repair and emergency repair, if necessary, and a 117 |
---|
150 | | - | domestic overnight and international express delivery option for parts 118 |
---|
151 | | - | needed for such repairs but not on the premises of such dealer. An 119 |
---|
152 | | - | authorized wheelchair dealer shall utilize a scheduling management 120 |
---|
153 | | - | system that offers (A) not less than twenty-four-hour notice to a 121 |
---|
154 | | - | consumer of a nonemergency repair date and time, (B) follow-up 122 |
---|
155 | | - | electronic mail messages to a consumer after a repair request with a 123 |
---|
156 | | - | summary of the request and an estimate of time left before a repair is 124 |
---|
157 | | - | completed, and (C) a contact number or electronic mail address at the 125 |
---|
158 | | - | authorized dealer to resolve problems with the response to the repair 126 |
---|
159 | | - | request. An authorized wheelchair dealer shall provide a written receipt 127 |
---|
160 | | - | to a consumer upon completion of the repair that records the type of 128 |
---|
161 | | - | repair, the date the repair was requested and the date the repair was 129 |
---|
162 | | - | completed. 130 |
---|
163 | | - | (c) On and after July 1, 2024, the Office of the Healthcare Advocate, 131 |
---|
164 | | - | in consultation with the Department of Consumer Protection, shall 132 |
---|
165 | | - | maintain a phone number and electronic mail address to be posted 133 |
---|
166 | | - | conspicuously on the Internet web sites of the Office of the Healthcare 134 |
---|
167 | | - | Advocate and the department, to receive and record complaints 135 |
---|
168 | | - | regarding timely repair issues. Not later than January 1, 2025, and 136 |
---|
169 | | - | annually thereafter, the Healthcare Advocate shall submit a report to the 137 |
---|
170 | | - | joint standing committees of the General Assembly having cognizance 138 |
---|
171 | | - | of matters relating to general law, human services and insurance 139 |
---|
172 | | - | regarding the complaints received and recorded pursuant to this 140 |
---|
173 | | - | subsection. The Office of the Healthcare Advocate shall, within 141 |
---|
174 | | - | available appropriations, conduct a public awareness campaign to 142 |
---|
175 | | - | inform consumers of their rights concerning timely wheelchair repair 143 |
---|
176 | | - | under state law. 144 |
---|
177 | | - | (d) [Not later than December 31, 2024, and annually thereafter, an] 145 |
---|
178 | | - | An authorized wheelchair dealer that contracts with the Department of 146 |
---|
179 | | - | Social Services to sell or lease wheelchairs to Medicaid recipients shall 147 Substitute Bill No. 7106 |
---|
| 155 | + | LCO No. 5461 5 of 11 |
---|
| 156 | + | |
---|
| 157 | + | scooter part necessary for a repair but not on the premises of the 110 |
---|
| 158 | + | authorized wheelchair or mobility scooter dealer making such repair. 111 |
---|
| 159 | + | [(c)] (d) The Insurance Commissioner shall adopt regulations, in 112 |
---|
| 160 | + | accordance with chapter 54, to implement the provisions of this section. 113 |
---|
| 161 | + | Sec. 4. (NEW) (Effective January 1, 2026) As used in this section, 114 |
---|
| 162 | + | "wheelchair" and "mobility scooter" have the same meanings as 115 |
---|
| 163 | + | provided in section 42-337 of the general statutes, as amended by this 116 |
---|
| 164 | + | act. Except as otherwise required in any collective bargaining 117 |
---|
| 165 | + | agreement, the State Comptroller shall make available to an enrollee of 118 |
---|
| 166 | + | the state employee health plan established pursuant to section 5-259 of 119 |
---|
| 167 | + | the general statutes coverage for medically necessary wheelchairs and 120 |
---|
| 168 | + | mobility scooters and repair of such wheelchairs and mobility scooters 121 |
---|
| 169 | + | consistent with the provisions for such wheelchairs and mobility 122 |
---|
| 170 | + | scooters provided in sections 38a-492w of the general statutes, as 123 |
---|
| 171 | + | amended by this act, and 38a-518w of the general statutes, as amended 124 |
---|
| 172 | + | by this act. 125 |
---|
| 173 | + | Sec. 5. Section 42-337 of the general statutes is repealed and the 126 |
---|
| 174 | + | following is substituted in lieu thereof (Effective July 1, 2025): 127 |
---|
| 175 | + | As used in this section and [section] sections 42-338 and 42-339, as 128 |
---|
| 176 | + | amended by this act: 129 |
---|
| 177 | + | (1) "Authorized wheelchair or mobility scooter dealer" means any 130 |
---|
| 178 | + | company doing business in the state selling or leasing wheelchairs, 131 |
---|
| 179 | + | including complex rehabilitation technology wheelchairs, mobility 132 |
---|
| 180 | + | scooters, or both. 133 |
---|
| 181 | + | (2) "Complex rehabilitation technology" has the same meaning as 134 |
---|
| 182 | + | provided in section 17b-278j. 135 |
---|
| 183 | + | (3) "Complex rehabilitation technology wheelchair" means a 136 |
---|
| 184 | + | specialized, medically necessary manual or powered wheelchair 137 |
---|
| 185 | + | individually configured for the user with specialized equipment that 138 |
---|
| 186 | + | Raised Bill No. 7106 |
---|
184 | | - | submit a monthly report to the Commissioner of Social Services and the 148 |
---|
185 | | - | advisory council established pursuant to section 42-339 regarding repair 149 |
---|
186 | | - | of such wheelchairs. Not later than August 1, 2025, the advisory council 150 |
---|
187 | | - | shall approve and disseminate to authorized wheelchair dealers a 151 |
---|
188 | | - | uniform definition for the term "wheelchair repair technician" and 152 |
---|
189 | | - | qualifications for such technician for use by such dealers in required 153 |
---|
190 | | - | reporting. On and after September 1, 2025, any authorized wheelchair 154 |
---|
191 | | - | dealer in the state, regardless of whether such dealer contracts with the 155 |
---|
192 | | - | Department of Social Services to sell or lease wheelchairs to Medicaid 156 |
---|
193 | | - | recipients, shall submit a monthly report and an annual report 157 |
---|
194 | | - | compiling the data of the monthly reports to the commissioner and said 158 |
---|
195 | | - | council. The [report] reports shall include, but need not be limited to, 159 |
---|
196 | | - | the number and duties of such dealer's staff, including, but not limited 160 |
---|
197 | | - | to, wheelchair repair technicians, and minimum, maximum and average 161 |
---|
198 | | - | times from the date and time of a repair request for the authorized 162 |
---|
199 | | - | wheelchair dealer to: (1) [respond] Respond; (2) conduct a repair 163 |
---|
200 | | - | assessment (A) in the home or other community location, (B) remotely, 164 |
---|
201 | | - | or (C) at a repair facility; (3) request any necessary prior authorization 165 |
---|
202 | | - | from the Department of Social Services or a private insurer and receive 166 |
---|
203 | | - | a decision from the department or private insurer on such request; (4) 167 |
---|
204 | | - | order any wheelchair parts needed; (5) receive delivery of any needed 168 |
---|
205 | | - | repair parts; and (6) complete repairs (A) in the home or other 169 |
---|
206 | | - | community location, (B) remotely, or (C) at a repair facility. 170 |
---|
207 | | - | (e) On and after October 1, 2025, the Commissioner of Social Services 171 |
---|
208 | | - | may recoup or withhold Medicaid payments for an authorized 172 |
---|
209 | | - | wheelchair dealer whose repair record for Medicaid -funded 173 |
---|
210 | | - | wheelchairs meets the definition of systemic noncompliance provided 174 |
---|
211 | | - | in section 42-337, as amended by this act. 175 |
---|
212 | | - | (f) Nothing in this section shall be construed to limit the rights or 176 |
---|
213 | | - | remedies of a consumer pursuant to sections 42-330 to 42-334, inclusive. 177 |
---|
| 190 | + | LCO No. 5461 6 of 11 |
---|
| 191 | + | |
---|
| 192 | + | requires evaluation, configuration, fitting, adjustment, programming 139 |
---|
| 193 | + | and long-term maintenance and repair services. 140 |
---|
| 194 | + | (4) "Consumer" means the purchaser or lessee of a wheelchair, 141 |
---|
| 195 | + | including a complex rehabilitation technology wheelchair, or mobility 142 |
---|
| 196 | + | scooter, irrespective of whether the purchase or lease of the wheelchair 143 |
---|
| 197 | + | or mobility scooter is funded in whole or in part by the consumer or 144 |
---|
| 198 | + | privately or publicly funded health insurance. 145 |
---|
| 199 | + | (5) "Emergency repair" means repair services when a wheelchair or 146 |
---|
| 200 | + | mobility scooter is completely inoperable on weekends and holidays 147 |
---|
| 201 | + | and may include remote repair services if such service renders the 148 |
---|
| 202 | + | wheelchair or mobility scooter operable. 149 |
---|
| 203 | + | (6) "Mobility scooter" means a medically necessary, battery-powered 150 |
---|
| 204 | + | vehicle with a seat, three or four wheels and a stable foot rest prescribed 151 |
---|
| 205 | + | by a licensed health care provider for a person with a physical disability 152 |
---|
| 206 | + | that impairs such person's mobility. 153 |
---|
| 207 | + | (7) "Systemic noncompliance" means the failure by an authorized 154 |
---|
| 208 | + | wheelchair or mobility scooter dealer to meet timely repair 155 |
---|
| 209 | + | requirements for more than five per cent of repair requests in a thirty-156 |
---|
| 210 | + | day period. 157 |
---|
| 211 | + | [(5)] (8) "Timely repair" means as soon as practicable but not later 158 |
---|
| 212 | + | than ten business days after the date of request for repair from a 159 |
---|
| 213 | + | consumer, provided (A) the consumer makes the wheelchair or mobility 160 |
---|
| 214 | + | scooter available, and (B) any prior authorization required from an 161 |
---|
| 215 | + | insurer has been acquired. [, and (C)] The timely repair period shall be 162 |
---|
| 216 | + | tolled by any time spent waiting for prior authorization from an insurer 163 |
---|
| 217 | + | or for delivery of necessary parts ordered for the repair by an authorized 164 |
---|
| 218 | + | wheelchair or mobility scooter dealer. [shall not be included in the ten 165 |
---|
| 219 | + | business days.] 166 |
---|
| 220 | + | [(6)] (9) "Wheelchair" means a manual or motorized wheeled device 167 |
---|
| 221 | + | that enhances the mobility or positioning of an individual with a 168 |
---|
| 222 | + | Raised Bill No. 7106 |
---|
| 223 | + | |
---|
| 224 | + | |
---|
| 225 | + | |
---|
| 226 | + | LCO No. 5461 7 of 11 |
---|
| 227 | + | |
---|
| 228 | + | disability and includes a complex rehabilitation technology wheelchair. 169 |
---|
| 229 | + | Sec. 6. Section 42-338 of the general statutes is repealed and the 170 |
---|
| 230 | + | following is substituted in lieu thereof (Effective July 1, 2025): 171 |
---|
| 231 | + | (a) An authorized wheelchair or mobility scooter dealer shall timely 172 |
---|
| 232 | + | repair a wheelchair, including a complex rehabilitation technology 173 |
---|
| 233 | + | wheelchair [,] or mobility scooter, sold or leased by such dealer in the 174 |
---|
| 234 | + | state and provide emergency repair when a consumer's wheelchair or 175 |
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| 235 | + | mobility scooter is rendered completely inoperable. An authorized 176 |
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| 236 | + | wheelchair or mobility scooter dealer who sells or leases a complex 177 |
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| 237 | + | rehabilitation technology wheelchair or mobility scooter in the state 178 |
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| 238 | + | shall provide timely or emergency repair of such wheelchair or mobility 179 |
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| 239 | + | scooter at a consumer's home upon request and, in consultation with the 180 |
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| 240 | + | Office of the Healthcare Advocate, shall notify consumers in writing of 181 |
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| 241 | + | their rights pursuant to this section at (1) the point and time of sale or 182 |
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| 242 | + | lease of such wheelchair or mobility scooter, (2) in an annual mailing, 183 |
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| 243 | + | (3) on the Internet web site of such dealer, and (4) in all electronic 184 |
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| 244 | + | communications with consumers. 185 |
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| 245 | + | (b) An authorized wheelchair or mobility scooter dealer shall 186 |
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| 246 | + | maintain an electronic mail address and a phone line for consumer 187 |
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| 247 | + | repair requests that are accessible each business day and capable of 188 |
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| 248 | + | receiving and recording messages. The authorized wheelchair or 189 |
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| 249 | + | mobility scooter dealer shall (1) respond to a request for wheelchair or 190 |
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| 250 | + | mobility scooter repair and assess the need for such repair not later than 191 |
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| 251 | + | one business day after the date of such request, [and] (2) order parts for 192 |
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| 252 | + | a repair not later than three business days after assessing the need for 193 |
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| 253 | + | the repair or after receiving prior authorization from an insurer for the 194 |
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| 254 | + | repair, and (3) employ sufficient staff and stock sufficient parts to ensure 195 |
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| 255 | + | timely repair and emergency repair, if necessary, and a domestic 196 |
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| 256 | + | overnight and international express delivery option for parts needed for 197 |
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| 257 | + | such repairs but not on the premises of such dealer. An authorized 198 |
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| 258 | + | wheelchair or mobility scooter dealer shall utilize a scheduling 199 |
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| 259 | + | management system that offers (A) sufficient notice to a consumer of a 200 |
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| 260 | + | Raised Bill No. 7106 |
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| 261 | + | |
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| 262 | + | |
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| 263 | + | |
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| 264 | + | LCO No. 5461 8 of 11 |
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| 265 | + | |
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| 266 | + | repair date and time, (B) follow-up electronic mail messages to a 201 |
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| 267 | + | consumer after a repair request with a summary of the request and an 202 |
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| 268 | + | estimate of time left before a repair is completed, and (C) a contact 203 |
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| 269 | + | number or email address at the authorized dealer to resolve problems 204 |
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| 270 | + | with the response to the repair request. An authorized wheelchair or 205 |
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| 271 | + | mobility scooter dealer shall provide a written receipt to a consumer 206 |
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| 272 | + | upon completion of the repair that records the type of repair, the date 207 |
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| 273 | + | the repair was requested and the date the repair was completed. 208 |
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| 274 | + | (c) On and after July 1, 2024, the Office of the Healthcare Advocate, 209 |
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| 275 | + | in consultation with the Department of Consumer Protection, shall 210 |
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| 276 | + | maintain a phone number and electronic mail address to be posted 211 |
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| 277 | + | conspicuously on the Internet web sites of the Office of the Healthcare 212 |
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| 278 | + | Advocate and the department, to receive and record complaints 213 |
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| 279 | + | regarding timely repair issues. Not later than January 1, 2025, and 214 |
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| 280 | + | annually thereafter, the Healthcare Advocate shall submit a report to the 215 |
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| 281 | + | joint standing committees of the General Assembly having cognizance 216 |
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| 282 | + | of matters relating to general law, human services and insurance 217 |
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| 283 | + | regarding the complaints received and recorded pursuant to this 218 |
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| 284 | + | subsection. The Office of the Healthcare Advocate shall, within 219 |
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| 285 | + | available appropriations, conduct a public awareness campaign to 220 |
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| 286 | + | inform consumers of their rights concerning timely wheelchair and 221 |
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| 287 | + | mobility scooter repair under state law. 222 |
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| 288 | + | (d) [Not later than December 31, 2024, and annually thereafter, an] 223 |
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| 289 | + | An authorized wheelchair or mobility scooter dealer that contracts with 224 |
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| 290 | + | the Department of Social Services to sell or lease wheelchairs or mobility 225 |
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| 291 | + | scooters to Medicaid recipients shall submit a monthly report to the 226 |
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| 292 | + | Commissioner of Social Services and the advisory council established 227 |
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| 293 | + | pursuant to section 42-339, as amended by this act, regarding repair of 228 |
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| 294 | + | such wheelchairs or mobility scooters. Not later than August 1, 2025, the 229 |
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| 295 | + | advisory council shall approve and disseminate to authorized 230 |
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| 296 | + | wheelchair and mobility scooter dealers a uniform definition for the 231 |
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| 297 | + | term "wheelchair or mobility scooter repair technician" and 232 |
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| 298 | + | qualifications for such technician for use by such dealers in required 233 |
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| 299 | + | Raised Bill No. 7106 |
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| 300 | + | |
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| 301 | + | |
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| 302 | + | |
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| 303 | + | LCO No. 5461 9 of 11 |
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| 304 | + | |
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| 305 | + | reporting. On and after September 1, 2025, any authorized wheelchair 234 |
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| 306 | + | or mobility scooter dealer in the state, regardless of whether such dealer 235 |
---|
| 307 | + | contracts with the Department of Social Services to sell or lease 236 |
---|
| 308 | + | wheelchairs or mobility scooters to Medicaid recipients, shall submit a 237 |
---|
| 309 | + | monthly report and an annual report compiling the data of the monthly 238 |
---|
| 310 | + | reports to the commissioner and said council. The [report] reports shall 239 |
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| 311 | + | include, but need not be limited to, number, duties and starting and 240 |
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| 312 | + | average compensation and benefits of such dealer's staff, including, but 241 |
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| 313 | + | not limited to, wheelchair or mobility scooter repair technicians, any 242 |
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| 314 | + | data available on national starting and average compensation and 243 |
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| 315 | + | benefits for such technicians, new job postings for such technicians and 244 |
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| 316 | + | minimum, maximum and average times from the date and time of a 245 |
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| 317 | + | repair request for the authorized wheelchair or mobility scooter dealer 246 |
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| 318 | + | to: (1) [respond] Respond; (2) conduct a repair assessment (A) in the 247 |
---|
| 319 | + | home or other community location, (B) remotely, or (C) at a repair 248 |
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| 320 | + | facility; (3) request any necessary prior authorization from the 249 |
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| 321 | + | Department of Social Services or a private insurer and receive a decision 250 |
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| 322 | + | from the department or private insurer on such request; (4) order any 251 |
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| 323 | + | wheelchair or mobility scooter parts needed; (5) receive delivery of any 252 |
---|
| 324 | + | needed repair parts; and (6) complete repairs (A) in the home or other 253 |
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| 325 | + | community location, (B) remotely, or (C) at a repair facility. 254 |
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| 326 | + | (e) On and after October 1, 2025, it shall be an unfair or deceptive act 255 |
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| 327 | + | or practice pursuant to subsection (a) of section 42-110b for an 256 |
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| 328 | + | authorized wheelchair or mobility scooter dealer whose repair record 257 |
---|
| 329 | + | meets the definition of systemic noncompliance provided in section 42-258 |
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| 330 | + | 337, as amended by this act, to violate the provisions of this section. 259 |
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| 331 | + | (f) Nothing in this section shall be construed to limit the rights or 260 |
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| 332 | + | remedies of a consumer pursuant to sections 42-330 to 42-334, inclusive. 261 |
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| 333 | + | Sec. 7. Subsections (a) and (b) of section 42-339 of the general statutes 262 |
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| 334 | + | are repealed and the following is substituted in lieu thereof (Effective July 263 |
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| 335 | + | 1, 2025): 264 |
---|
| 336 | + | Raised Bill No. 7106 |
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| 337 | + | |
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| 338 | + | |
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| 339 | + | |
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| 340 | + | LCO No. 5461 10 of 11 |
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| 341 | + | |
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| 342 | + | (a) There is established a [complex rehabilitation technology and] 265 |
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| 343 | + | wheelchair and mobility scooter repair advisory council to monitor 266 |
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| 344 | + | repairs of wheelchairs, including complex rehabilitation technology 267 |
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| 345 | + | wheelchairs, and mobility scooters, as defined in section 42-337, as 268 |
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| 346 | + | amended by this act, and to make recommendations concerning 269 |
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| 347 | + | improving repair times. 270 |
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| 348 | + | (b) The advisory council shall consist of the following members: 271 |
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| 349 | + | (1) Two appointed by the House and Senate chairpersons of the joint 272 |
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| 350 | + | standing committee of the General Assembly having cognizance of 273 |
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| 351 | + | matters relating to human services, one of whom is a consumer who 274 |
---|
| 352 | + | uses a complex rehabilitation technology wheelchair or a mobility 275 |
---|
| 353 | + | scooter purchased, leased or repaired under the Medicaid program, and 276 |
---|
| 354 | + | one of whom is a representative of the state advocacy system for persons 277 |
---|
| 355 | + | with disabilities, established pursuant to section 46a-10b; 278 |
---|
| 356 | + | (2) Two appointed by the House and Senate ranking members of the 279 |
---|
| 357 | + | joint standing committee of the General Assembly having cognizance of 280 |
---|
| 358 | + | matters relating to human services, one of whom is a consumer who 281 |
---|
| 359 | + | uses a [complex rehabilitation technology] wheelchair or a mobility 282 |
---|
| 360 | + | scooter purchased, leased or repaired under a private health insurance 283 |
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| 361 | + | policy, and one of whom is an authorized wheelchair or mobility scooter 284 |
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| 362 | + | dealer, as defined in section 42-337, as amended by this act; 285 |
---|
| 363 | + | (3) Two appointed by the House and Senate chairpersons of the joint 286 |
---|
| 364 | + | standing committee of the General Assembly having cognizance of 287 |
---|
| 365 | + | matters relating to general law, each of whom is a representative of an 288 |
---|
| 366 | + | organization that represents persons with physical disabilities; 289 |
---|
| 367 | + | (4) Two appointed by the House and Senate ranking members of the 290 |
---|
| 368 | + | joint standing committee of the General Assembly having cognizance of 291 |
---|
| 369 | + | matters relating to general law, each of whom is a consumer who 292 |
---|
| 370 | + | privately pays for [complex rehabilitation technology] wheelchairs or 293 |
---|
| 371 | + | mobility scooters; 294 |
---|
| 372 | + | Raised Bill No. 7106 |
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| 373 | + | |
---|
| 374 | + | |
---|
| 375 | + | |
---|
| 376 | + | LCO No. 5461 11 of 11 |
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| 377 | + | |
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| 378 | + | (5) The Commissioner of Aging and Disability Services, or the 295 |
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| 379 | + | commissioner's designee; 296 |
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| 380 | + | (6) The Insurance Commissioner, or the commissioner's designee; 297 |
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| 381 | + | (7) The Commissioner of Social Services, or the commissioner's 298 |
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| 382 | + | designee; 299 |
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| 383 | + | (8) The Healthcare Advocate, or the Healthcare Advocate's designee; 300 |
---|
| 384 | + | and 301 |
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| 385 | + | (9) The Commissioner of Consumer Protection, or the commissioner's 302 |
---|
| 386 | + | designee. 303 |
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