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General Assembly Substitute Bill No. 1530
January Session, 2025
AN ACT CONCERNING A TECHNICAL CHANGE TO A PROVISION
CONCERNING GOVERNMENT ADMINISTRATION AND THE
PROVISION OF REPRODUCTIVE AND GENDER-AFFIRMING HEALTH
CARE SERVICES TO PATIENTS REGARDLESS OF LOCATION.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. Section 4-38j of the general statutes is repealed and the 1
following is substituted in lieu thereof (Effective October 1, 2025): 2
The Secretary of the Office of Policy and Management and each 3
department head, as defined by section 4-5, shall, upon request, (1) 4
submit to the joint standing committee of the General Assembly having 5
cognizance of matters relating to government administration, 6
organization and reorganization a report [upon request,] on the 7
progress and implementation of reorganization, and [upon request shall 8
also] (2) furnish to the committee any information concerning 9
reorganization or appear before the committee to provide such 10
information as may be determined by the chairpersons of said 11
committee. 12
Sec. 2. Section 52-571m of the general statutes is repealed and the 13
following is substituted in lieu thereof (Effective October 1, 2025): 14
(a) As used in this section: 15
(1) "Reproductive health care services" includes all medical, surgical, 16 Substitute Bill No. 1530
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counseling or referral services relating to the human reproductive 17
system, including, but not limited to, services relating to pregnancy, 18
fertility, contraception or the termination of a pregnancy; [and all 19
medical care relating to treatment of gender dysphoria as set forth in the 20
most recent edition of the American Psychiatric Association's 21
"Diagnostic and Statistical Manual of Mental Disorders" and gender 22
incongruence, as defined in the most recent revision of the 23
"International Statistical Classification of Diseases and Related Health 24
Problems"; and] 25
(2) "Gender-affirming health care services" means all medical care 26
related to the treatment of gender dysphoria as set forth in the most 27
recent edition of the American Psychiatric Association's "Diagnostic and 28
Statistical Manual of Mental Disorders" and gender incongruence, as 29
defined in the most recent revision of the "International Statistical 30
Classification of Diseases and Related Health Problems"; and 31
[(2)] (3) "Person" includes an individual, a partnership, an association, 32
a limited liability company or a corporation. 33
(b) When any person has had [a judgment entered] an action filed 34
against such person, in any state, where liability, in whole or in part, is 35
based on the alleged provision, receipt, assistance in receipt or 36
provision, material support for, or any theory of vicarious, joint, several 37
or conspiracy liability derived therefrom, for reproductive health care 38
services or gender-affirming health care services that are permitted 39
under the laws of this state, regardless of whether the patient was 40
physically located in this state at the time the services were provided, 41
such person may recover damages from any party that brought the 42
action [leading to that judgment] or has sought to enforce [that] a 43
judgment based upon such action. Recoverable damages shall include: 44
(1) Just damages created by the action [that led to that judgment,] in the 45
other state, including, but not limited to, money damages in the amount 46
of the judgment in that other state and costs, expenses and reasonable 47
attorney's fees spent in defending the action; [that resulted in the entry 48
of a judgment in another state;] and (2) costs, expenses and reasonable 49 Substitute Bill No. 1530
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attorney's fees incurred in bringing an action under this section as may 50
be allowed by the court. 51
(c) The provisions of this section shall not apply to [a judgment 52
entered in another state that is based on:] (1) [An] an action in another 53
state founded in tort, contract or statute, and for which a similar claim 54
would exist under the laws of this state, brought by the patient who 55
received the reproductive health care services or gender-affirming 56
health care services upon which the original lawsuit was based or the 57
patient's authorized legal representative, for damages suffered by the 58
patient or damages derived from an individual's loss of consortium of 59
the patient; (2) an action in another state founded in contract, and for 60
which a similar claim would exist under the laws of this state, brought 61
or sought to be enforced by a party with a contractual relationship with 62
the person that is the subject of the judgment entered in another state; 63
or (3) an action in another state where no part of the acts that formed the 64
basis for liability occurred in this state. 65
Sec. 3. Section 52-146w of the general statutes is repealed and the 66
following is substituted in lieu thereof (Effective October 1, 2025): 67
(a) Except as provided in sections 52-146c to 52-146k, inclusive, 68
sections 52-146o, 52-146p, 52-146q and 52-146s and subsection (b) of this 69
section, in any civil action or any proceeding preliminary thereto or in 70
any probate, legislative or administrative proceeding, no covered entity 71
or business associate, as such terms are defined in 45 CFR 160.103, shall 72
disclose (1) any communication made to such covered entity or business 73
associate, or any information obtained by such covered entity or 74
business associate from, a patient or the conservator, guardian or other 75
authorized legal representative of a patient relating to reproductive 76
health care services or gender-affirming health care services, as defined 77
in section 52-571m, as amended by this act, that are permitted under the 78
laws of this state and provided to a patient physically located in this 79
state at the time the services were provided, or (2) any information 80
obtained by personal examination of a patient relating to [reproductive 81
health care services, as defined in section 52-571m] such services, that 82 Substitute Bill No. 1530
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are permitted under the laws of this state, and provided to a patient 83
physically located in this state at the time the services were provided, 84
unless the patient or that patient's conservator, guardian or other 85
authorized legal representative explicitly consents in writing to such 86
disclosure. A covered entity shall inform the patient or the patient's 87
conservator, guardian or other authorized legal representative of the 88
patient's right to withhold such written consent. A covered entity or 89
business associate that receives a request for patient information related 90
to reproductive health care services or gender-affirming health care 91
services subject to the provisions of this section that is not exempted 92
under subsection (b) of this section and is not accompanied by the 93
written consent of the patient or the conservator, guardian or other 94
authorized legal representative of the patient, shall provide notice of the 95
request to the office of the Attorney General not later than seven days 96
after receipt of the request. The notice shall not contain any information 97
that identifies the patient or the conservator, guardian or other 98
authorized legal representative of the patient. 99
(b) Written consent of the patient or the patient's conservator, 100
guardian or other authorized legal representative shall not be required 101
for the disclosure of such communication or information (1) pursuant to 102
the laws of this state or the rules of court prescribed by the Judicial 103
Branch, (2) by a covered entity or business associate against whom a 104
claim has been made, or there is a reasonable belief will be made, in such 105
action or proceeding, to the covered entity's or business associate's 106
attorney or professional liability insurer or such insurer's agent for use 107
in the defense of such action or proceeding, (3) to the Commissioner of 108
Public Health for records of a patient of a covered entity in connection 109
with an investigation of a complaint, if such records are related to the 110
complaint, or (4) if child abuse, abuse of an elderly individual, abuse of 111
an individual who is physically disabled or incompetent or abuse of an 112
individual with intellectual disability is known or in good faith 113
suspected. 114
(c) Nothing in this section shall be construed to impede the lawful 115
sharing of medical records as permitted by state or federal law or the 116 Substitute Bill No. 1530
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rules of the court prescribed by the Judicial Branch, except in the case of 117
a subpoena commanding the production, copying or inspection of 118
medical records relating to reproductive health care services or gender-119
affirming health care services, as defined in section 52-571m, as 120
amended by this act. 121
Sec. 4. Section 19a-17e of the general statutes is repealed and the 122
following is substituted in lieu thereof (Effective October 1, 2025): 123
(a) As used in this section, "reproductive health care services" [has] 124
and "gender-affirming health care services" have the same [meaning] 125
meanings as provided in section 52-571m, as amended by this act. 126
(b) Notwithstanding the provisions of subsection (a) of section 19a-127
14, the Department of Public Health shall not deny the eligibility of an 128
applicant for a (1) permit, (2) license by examination, endorsement or 129
reciprocity, or (3) reinstatement of a license (A) voided pursuant to the 130
provisions of subsection (f) of section 19a-88, (B) voluntarily 131
surrendered, or (C) by agreement, not renewed or reinstated pursuant 132
to the provisions of subsection (d) of section 19a-17 based on pending 133
disciplinary action, an unresolved complaint or the imposition of 134
disciplinary action against the applicant by a duly authorized 135
professional disciplinary agency of another state, the District of 136
Columbia or a commonwealth, territory or possession of the United 137
States that is based solely on the alleged provision of, receipt of, 138
assistance in provision or receipt of, material support for, or any theory 139
of vicarious, joint, several or conspiracy liability derived therefrom, 140
reproductive health care services or gender-affirming health care 141
services that are permitted under the laws of this state and were 142
provided in accordance with the standard of care applicable to such 143
services, regardless of whether the patient receiving such services was 144
[a resident of] physically located in this state at the time the services 145
were provided. The provisions of this subsection shall not apply where 146
the underlying conduct of the applicant would constitute the basis of 147
disciplinary action against the applicant under the laws of this state if 148
the applicant had been licensed or permitted in this state and the 149 Substitute Bill No. 1530
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conduct had occurred in this state. 150
(c) Notwithstanding the provisions of section 19a-17, a board or 151
commission established under title 20 that has jurisdiction over persons 152
licensed, certified or registered under said title who provide 153
reproductive health care services or gender-affirming health care 154
services, and the Department of Public Health, with respect to 155
professions under the department's jurisdiction that are not subject to 156
discipline by such a board or commission, shall not impose disciplinary 157
action against a licensed, certified or registered person based on 158
pending disciplinary action, an unresolved complaint or the imposition 159
of disciplinary action against such persons before or by a duly 160
authorized professional disciplinary agency of another state, the District 161
of Columbia, or a commonwealth, territory or possession of the United 162
States that is based solely on the alleged provision of, receipt of, 163
assistance in provision or receipt of, material support for, or any theory 164
of vicarious, joint, several or conspiracy liability derived therefrom, 165
reproductive health care services or gender-affirming health care 166
services that are permitted under the laws of this state and were 167
provided in accordance with the standard of care applicable to such 168
services, regardless of whether the patient receiving such services was 169
[a resident of] physically located in this state at the time the services 170
were provided. The provisions of this subsection shall not apply where 171
the underlying conduct of the licensed, certified or registered person 172
would constitute the basis of disciplinary action against such person 173
under the laws of this state if the conduct had occurred in this state. 174
Sec. 5. Section 19a-567 of the general statutes is repealed and the 175
following is substituted in lieu thereof (Effective October 1, 2025): 176
(a) As used in this section, (1) "credentialing" means the process of 177
assessing and validating the qualifications of a health care provider 178
applying to be approved to provide treatment, care or services in or for 179
an institution, (2) "health care provider" means a person licensed 180
pursuant to title 20 who provides reproductive health care services, (3) 181
"institution" has the same meaning as provided in section 19a-490, (4) 182 Substitute Bill No. 1530
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"privileging" means the process of authorizing a health care provider to 183
provide specific treatment, care or services at an institution, and (5) 184
"reproductive health care services" [has] and "gender-affirming health 185
care services" have the same [meaning] meanings as provided in section 186
52-571m, as amended by this act. 187
(b) An institution shall not revoke, suspend, reprimand, penalize, 188
refuse to issue or renew credentials or privileges or take any other 189
adverse action against a health care provider with respect to 190
credentialing or privileging based solely on the alleged provision of, 191
receipt of, assistance in provision or receipt of, material support for, or 192
any theory of vicarious, joint, several or conspiracy liability derived 193
therefrom, reproductive health care services or gender-affirming health 194
care services that (1) are permitted under the laws of this state, (2) were 195
provided in accordance with the standard of care applicable to such 196
services, and (3) were provided by the health care provider (A) before 197
the date on which the health care provider entered an employment 198
relationship with the institution, or (B) outside the scope of the health 199
care provider's employment with the institution, regardless of whether 200
the patient receiving such services was [a resident of] physically located 201
in this state at the time the services were provided. 202
(c) An institution shall not revoke, suspend, reprimand, penalize, 203
refuse to issue or renew credentials or privileges or take any other 204
adverse action against a health care provider based on pending 205
disciplinary action, an unresolved complaint or the imposition of 206
disciplinary action against the applicant by a duly authorized 207
professional disciplinary agency of another state, the District of 208
Columbia, or a commonwealth, territory or possession of the United 209
States that is based solely on the alleged provision of, receipt of, 210
assistance in provision or receipt of, material support for, or any theory 211
of vicarious, joint, several or conspiracy liability derived therefrom, 212
reproductive health care services or gender-affirming health care 213
services that (1) are permitted under the laws of this state, (2) were 214
provided in accordance with the standard of care applicable to such 215
services, and (3) were provided by the health care provider (A) before 216 Substitute Bill No. 1530
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the date on which the health care provider entered an employment 217
relationship with the institution, or (B) outside the scope of the health 218
care provider's employment with the institution, regardless of whether 219
the patient receiving such services was [a resident of] physically located 220
in this state at the time the services were provided. 221
(d) The provisions of this section shall not be construed to prevent an 222
institution from taking any of the actions described in subsections (b) 223
and (c) of this section against a health care provider for conduct that (1) 224
does not conform to the standards of care for the provider's profession, 225
(2) is illegal under the laws of this state, or (3) violates policies or rules 226
of the institution that define the scope of services provided by the 227
institution if (A) such conduct occurs within the scope of the health care 228
provider's employment with, or delivery of care at, the institution, and 229
(B) the institution's enforcement of such policies or rules is not otherwise 230
prohibited by law or regulation. 231
Sec. 6. Section 20-579a of the general statutes is repealed and the 232
following is substituted in lieu thereof (Effective October 1, 2025): 233
(a) As used in this section, "reproductive health care services" [has] 234
and "gender-affirming health care services" have the same [meaning] 235
meanings as provided in section 52-571m, as amended by this act. 236
(b) Notwithstanding any provision of this chapter, the Commissioner 237
of Consumer Protection and the Commission of Pharmacy shall not 238
deny the eligibility of an applicant for a license, permit or registration 239
under this chapter based on pending disciplinary action, an unresolved 240
complaint or the imposition of disciplinary action against the applicant 241
by a duly authorized professional disciplinary agency of another state, 242
the District of Columbia or a commonwealth, territory or possession of 243
the United States that is based solely on the alleged provision of, receipt 244
of, assistance in provision or receipt of, material support for, or any 245
theory of vicarious, joint, several or conspiracy liability derived 246
therefrom, reproductive health care services or gender-affirming health 247
care services that are permitted under the laws of this state and were 248 Substitute Bill No. 1530
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provided in accordance with the standard of care applicable to such 249
services, regardless of whether the patient receiving such services was 250
[a resident of] physically located in this state at the time the services 251
were provided. The provisions of this subsection shall not apply where 252
the underlying conduct of the applicant would constitute the basis of 253
disciplinary action against the applicant under the laws of this state if 254
the applicant had been licensed, permitted or registered in this state and 255
the conduct had occurred in this state. 256
(c) Notwithstanding any provision of this chapter, the Commissioner 257
of Consumer Protection and the Commission of Pharmacy shall not 258
impose disciplinary action against any person licensed, permitted or 259
registered pursuant to the provisions of this chapter based on pending 260
disciplinary action, an unresolved complaint or the imposition of 261
disciplinary action against the applicant by a duly authorized 262
professional disciplinary agency of another state, the District of 263
Columbia, or a commonwealth, territory or possession of the United 264
States that is based solely on the alleged provision of, receipt of, 265
assistance in provision or receipt of, material support for, or any theory 266
of vicarious, joint, several or conspiracy liability derived therefrom, 267
reproductive health care services or gender-affirming health care 268
services that are permitted under the laws of this state and were 269
provided in accordance with the standard of care applicable to such 270
services, regardless of whether the patient receiving such services was 271
[a resident of] physically located in this state at the time the services 272
were provided. The provisions of this subsection shall not apply where 273
the underlying conduct of the person licensed, permitted or registered 274
would constitute the basis of disciplinary action against such person 275
under the laws of this state if such person had been licensed, permitted 276
or registered in this state and the conduct had occurred in this state. 277
Sec. 7. Section 38a-835 of the general statutes is repealed and the 278
following is substituted in lieu thereof (Effective October 1, 2025): 279
(a) As used in this section, (1) "health care provider" means a person 280
licensed pursuant to title 20 who provides reproductive health care 281 Substitute Bill No. 1530
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services, (2) "insurer" means an insurer that insures a health care 282
provider against professional liability, and (3) "reproductive health care 283
services" [has] and "gender-affirming health care services" have the 284
same [meaning] meanings as provided in section 52-571m, as amended 285
by this act. 286
(b) An insurer shall not take any adverse action, including, but not 287
limited to, denial or revocation of coverage, sanctions, fines, penalties or 288
rate increases against a health care provider, if such action is based 289
solely on: 290
(1) Such health care provider's alleged provision of, receipt of, 291
assistance in provision or receipt of, material support for, or any theory 292
of vicarious, joint, several or conspiracy liability derived therefrom, 293
reproductive health care services or gender-affirming health care 294
services that are permitted under the laws of this state and were 295
provided in accordance with the standard of care applicable to such 296
services, regardless of whether the patient receiving such services was 297
[a resident of] physically located in this state at the time the services 298
were provided; or 299
(2) Pending disciplinary action, an unresolved complaint or the 300
imposition of disciplinary action against such health care provider by a 301
duly authorized professional disciplinary agency of another state, the 302
District of Columbia, or a commonwealth, territory or possession of the 303
United States that is based solely on the alleged provision of, receipt of, 304
assistance in provision or receipt of, material support for, or any theory 305
of vicarious, joint, several or conspiracy liability derived therefrom, 306
reproductive health care services or gender-affirming health care 307
services that are permitted under the laws of this state and were 308
provided in accordance with the standard of care applicable to such 309
services, regardless of whether the patient receiving such services was 310
[a resident of] physically located in this state at the time the services 311
were provided. 312
Sec. 8. Section 52-155a of the general statutes is repealed and the 313 Substitute Bill No. 1530
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following is substituted in lieu thereof (Effective October 1, 2025): 314
Notwithstanding the provisions of sections 52-155 and 52-657, a 315
judge, justice of the peace, notary public or commissioner of the 316
Superior Court shall not issue a subpoena requested by a commissioner, 317
appointed according to the laws or usages of any other state or 318
government, or by any court of the United States or of any other state or 319
government, when such subpoena relates to reproductive health care 320
services or gender-affirming health care services, as defined in section 321
52-571m, as amended by this act, that are permitted under the laws of 322
this state, unless the subpoena relates to: (1) An out-of-state action 323
founded in tort, contract or statute, for which a similar claim would exist 324
under the laws of this state, brought by a patient or the patient's 325
authorized legal representative, for damages suffered by the patient or 326
damages derived from an individual's loss of consortium of the patient; 327
or (2) an out-of-state action founded in contract, and for which a similar 328
claim would exist under the laws of this state, brought or sought to be 329
enforced by a party with a contractual relationship with the person that 330
is the subject of the subpoena requested by a commissioner appointed 331
according to the laws or usages of another state. 332
Sec. 9. Subsection (b) of section 54-82i of the general statutes is 333
repealed and the following is substituted in lieu thereof (Effective October 334
1, 2025): 335
(b) (1) If a judge of a court of record in any state which by its laws has 336
made provision for commanding persons within that state to attend and 337
testify in this state certifies, under the seal of such court, that there is a 338
criminal prosecution pending in such court, or that a grand jury 339
investigation has commenced or is about to commence, that a person 340
being within this state is a material witness in such prosecution or grand 341
jury investigation and that the presence of such witness will be required 342
for a specified number of days, upon presentation of such certificate to 343
any judge of a court of record in the judicial district in which such 344
person is, such judge shall fix a time and place for a hearing and shall 345
make an order directing the witness to appear at such time and place for 346 Substitute Bill No. 1530
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such hearing. 347
(2) If, at such hearing, the judge determines that the witness is 348
material and necessary, that it will not cause undue hardship to the 349
witness to be compelled to attend and testify in the prosecution or a 350
grand jury investigation in the other state and that the laws of such other 351
state and the laws of any other state through which the witness may be 352
required to pass by ordinary course of travel will give to such witness 353
protection from arrest and from the service of civil or criminal process, 354
the judge shall issue a summons, with a copy of the certificate attached, 355
directing the witness to attend and testify in the court where the 356
prosecution is pending, or where a grand jury investigation has 357
commenced or is about to commence at a time and place specified in the 358
summons, except that no judge shall issue a summons in a case where 359
prosecution is pending, or where a grand jury investigation has 360
commenced or is about to commence for a criminal violation of a law of 361
such other state involving the provision or receipt of or assistance with 362
reproductive health care services or gender-affirming health care 363
services, as defined in section [52-571n] 52-571m, as amended by this 364
act, that are legal in this state, regardless of whether the patient was 365
physically located in this state at the time the services were provided, 366
unless the acts forming the basis of the prosecution or investigation 367
would also constitute an offense in this state. 368
(3) At any such hearing, the certificate shall be prima facie evidence 369
of all the facts stated therein. If such certificate recommends that the 370
witness be taken into immediate custody and delivered to an officer of 371
the requesting state to assure the attendance of the witness in such state, 372
such judge may, in lieu of notification of the hearing, direct that such 373
witness be forthwith brought before such judge for such hearing, and, 374
being satisfied, at such hearing, of the desirability of such custody and 375
delivery, of which desirability such certificate shall be prima facie proof, 376
may, in lieu of issuing a subpoena or summons, order that such witness 377
be forthwith taken into custody and delivered to an officer of the 378
requesting state. 379 Substitute Bill No. 1530
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(4) If such witness, after being paid or tendered by an authorized 380
person the same amount per mile as provided for state employees 381
pursuant to section 5-141c for each mile by the ordinary traveled route 382
to and from the court where the prosecution is pending and five dollars 383
each day that such witness is required to travel and attend as a witness, 384
fails, without good cause, to attend and testify as directed in the 385
summons, the witness shall be punished in the manner provided for the 386
punishment of any witness who disobeys a summons issued from a 387
court of record in this state. 388
Sec. 10. Section 54-155a of the general statutes is repealed and the 389
following is substituted in lieu thereof (Effective October 1, 2025): 390
No public agency, as defined in section 1-200, or employee, 391
appointee, officer or official or any other person acting on behalf of a 392
public agency, may provide any information or expend or use time, 393
money, facilities, property, equipment, personnel or other resources in 394
furtherance of any interstate investigation or proceeding or unless 395
pursuant to a court order, any federal investigation or proceeding, 396
seeking to impose civil or criminal liability upon a person or entity for 397
(1) the provision, seeking or receipt of or inquiring about reproductive 398
health care services or gender-affirming health care services, as defined 399
in section 52-571m, as amended by this act, that are legal in this state, or 400
(2) assisting any person or entity providing, seeking, receiving or 401
responding to an inquiry about reproductive health care services or 402
gender-affirming health care services, as defined in section 52-571m, as 403
amended by this act, that are legal in this state, regardless of whether 404
the patient was physically located in this state at the time the services 405
were provided. This section shall not apply to any investigation or 406
proceeding where the conduct subject to potential liability under the 407
investigation or proceeding would be subject to liability under the laws 408
of this state if committed in this state. 409
Sec. 11. Subdivision (17) of section 42-515 of the general statutes is 410
repealed and the following is substituted in lieu thereof (Effective October 411
1, 2025): 412 Substitute Bill No. 1530
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(17) "Gender-affirming health care services" has the same meaning as 413
provided in section [52-571n] 52-571m, as amended by this act. 414
Sec. 12. Sections 52-146x, 52-155b, 52-571n and 54-155b of the general 415
statutes are repealed. (Effective October 1, 2025) 416
This act shall take effect as follows and shall amend the following
sections:
Section 1 October 1, 2025 4-38j
Sec. 2 October 1, 2025 52-571m
Sec. 3 October 1, 2025 52-146w
Sec. 4 October 1, 2025 19a-17e
Sec. 5 October 1, 2025 19a-567
Sec. 6 October 1, 2025 20-579a
Sec. 7 October 1, 2025 38a-835
Sec. 8 October 1, 2025 52-155a
Sec. 9 October 1, 2025 54-82i(b)
Sec. 10 October 1, 2025 54-155a
Sec. 11 October 1, 2025 42-515(17)
Sec. 12 October 1, 2025 Repealer section
Statement of Legislative Commissioners:
In Section 9(b), subdivision designators (1) to (4), inclusive, were
added for consistency with standard drafting conventions.
GAE Joint Favorable Subst. -LCO