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CT SB01089
Bill
Status
3/7/2013
Primary Sponsor
Insurance and Real Estate Committee
Click for details
AI Summary
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Redefines "clinical peer" to require a licensed health care professional with a doctoral or medical degree who either holds appropriate national board certification or actively practices and manages the medical condition or procedure under review.
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Removes the requirement that clinical peers hold a nonrestricted license in the same or similar specialty, replacing it with broader qualifications based on expertise and experience.
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Eliminates subsection (4) of section 38a-591l(c) which previously set out detailed minimum qualifications for assigned clinical peers, including requirements for specialized board certification and disciplinary history checks.
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Makes technical changes to independent review organization requirements by changing subsection (2) to end with "and" instead of semicolon, and subsection (3) to end with period instead of semicolon and "and."
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Effective date: October 1, 2013.
Legislative Description
An Act Concerning The Qualifications Of Clinical Peers For Adverse Determination Reviews.
Last Action
Public Hearing 03/12
3/8/2013