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CT SB01089

Bill

Status

Introduced

3/7/2013

Primary Sponsor

Insurance and Real Estate Committee

Click for details

Origin

Senate

2013 General Assembly

AI Summary

  • 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.

  • 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.

  • 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.

  • 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."

  • 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

Committee Referrals

Insurance and Real Estate3/7/2013

Full Bill Text

No bill text available