History: P.A. 94-210 amended Subsec. (a) to add reference to chapter 371, effective June 9, 1994; P.A. 95-74 and P.A.
95-271 amended Subsec. (a) to add physician assistants in a resident physician program to those needing a supervising
physician and to prohibit the department from registering applicants against whom a disciplinary action or unresolved
complaint is pending, effective July 1, 1995, and July 6, 1995, respectively; P.A. 95-271 also added references to resident
physician assistant programs and to osteopathic physicians, effective July 6, 1995; P.A. 96-12 amended Subsec. (b) to
allow part-time equivalent supervision; P.A. 97-213 amended Subsec. (b) re supervision requirements; P.A. 99-102 deleted
obsolete references to osteopathy, osteopathic physicians and osteopathic physician assistants and made technical changes;
P.A. 05-259 added Subsec. (e) allowing physician assistant to work under the supervision of a physician not registered as a
supervising physician while engaged in civil preparedness duty or training if the physician assistant is part of the Connecticut
Disaster Medical Assistance Team, Medical Reserve Corps, or Connecticut Urban Search and Rescue Team, effective
July 13, 2005.
Sec. 20-12d. Medical functions performed by physician assistants. Prescriptive authority. (a) A physician assistant who has complied with the provisions of sections 20-12b and 20-12c may perform medical functions delegated by a supervising
physician when: (1) The supervising physician is satisfied as to the ability and competency of the physician assistant; (2) such delegation is consistent with the health and
welfare of the patient and in keeping with sound medical practice; and (3) when such
functions are performed under the oversight, control and direction of the supervising
physician. The functions that may be performed under such delegation are those that
are within the scope of the supervising physician's license, within the scope of such
physician's competence as evidenced by such physician's postgraduate education, training and experience and within the normal scope of such physician's actual practice.
Delegated functions shall be implemented in accordance with written protocols established by the supervising physician. All orders written by physician assistants shall be
followed by the signature of the physician assistant and the printed name of the supervising physician. A physician assistant may, as delegated by the supervising physician
within the scope of such physician's license, (A) prescribe and administer drugs, including controlled substances in schedule IV or V in all settings, (B) renew prescriptions
for controlled substances in schedule II, III, IV or V in all settings, and (C) prescribe
and administer controlled substances in schedule II or III in all settings, provided in all
cases where the physician assistant prescribes a controlled substance in schedule II or
III, the physician under whose supervision the physician assistant is prescribing shall
document such physician's approval of the order in the patient's medical record not
later than one calendar day thereafter. The physician assistant may, as delegated by the
supervising physician within the scope of such physician's license, request, sign for,
receive and dispense drugs to patients, in the form of professional samples as defined
in section 20-14c or when dispensing in an outpatient clinic as defined in the regulations
of Connecticut state agencies and licensed pursuant to subsection (a) of section 19a-491 that operates on a not-for-profit basis, or when dispensing in a clinic operated by
a state agency or municipality. Nothing in this subsection shall be construed to allow
the physician assistant to request, sign for, receive or dispense any drug the physician
assistant is not authorized under this subsection to prescribe.
(b) All prescription forms used by physician assistants shall contain the printed
name, license number, address and telephone number of the physician under whose
supervision the physician assistant is prescribing, in addition to the signature, name,
address and license number of the physician assistant.
(c) No physician assistant may: (1) Engage in the independent practice of medicine;
(2) claim to be or allow being represented as a physician licensed pursuant to this chapter;
(3) use the title of doctor; or (4) associate by name or allow association by name with
any term that would suggest qualification to engage in the independent practice of medicine. The physician assistant shall be clearly identified by appropriate identification as
a physician assistant to ensure that the physician assistant is not mistaken for a physician
licensed pursuant to this chapter.
(d) A physician assistant licensed under this chapter may make the actual determination and pronouncement of death of a patient, provided: (1) The death is an anticipated
death; (2) the physician assistant attests to such pronouncement on the certificate of
death; and (3) the physician assistant or a physician licensed by the state of Connecticut
certifies the death and signs the certificate of death no later than twenty-four hours after
the pronouncement.
(P.A. 90-211, S. 6, 23; P.A. 95-271, S. 4, 40; P.A. 96-12, S. 1; P.A. 99-102, S. 9; P.A. 00-205, S. 2; P.A. 04-221, S.
21; 04-255, S. 21; P.A. 05-219, S. 1.)
History: P.A. 95-271 added references to osteopathic physicians, effective July 6, 1995; P.A. 96-12 added Subsec. (d)
re pronouncement of death by physician assistants; P.A. 99-102 deleted obsolete references to osteopathy and osteopathic
physicians and made technical changes; P.A. 00-205 amended Subsec. (a) by revising prescriptive authority of physician
assistants; P.A. 04-221 amended Subsec. (a) by authorizing physician assistant to request, sign for and receive drugs for
dispensing to patients; P.A. 04-255 amended Subsec. (d)(3) by allowing physician assistant to sign certificate of death and
by making technical changes; P.A. 05-219 amended Subsec. (a) by expanding physician assistants' authority to renew
prescriptions for controlled substances to schedules II to V, inclusive, in all settings and expanding their authority to
prescribe and administer controlled substances in schedules II or III in all settings, provided for the latter, physician approval
is documented in the patient's medical record not later than the next calendar day.
Sec. 20-13b. Guidelines for reviewing complaints against physicians. The
Commissioner of Public Health, with advice and assistance from the board, shall establish guidelines as may be necessary to carry out the provisions of sections 20-13a to 20-13i, inclusive. Not later than January 1, 2006, such guidelines shall include, but need
not be limited to: (1) Guidelines for screening complaints received to determine which
complaints will be investigated; (2) guidelines to provide a basis for prioritizing the order
in which complaints will be investigated; (3) a system for conducting investigations to
ensure prompt action when it appears necessary; (4) guidelines to determine when an
investigation should be broadened beyond the scope of the initial complaint to include,
but not be limited to, sampling patient records to identify patterns of care, reviewing
office practices and procedures, and reviewing performance and discharge data from
hospitals; and (5) guidelines to protect and ensure the confidentiality of patient and
provider identifiable information when an investigation is broadened beyond the scope
of the initial complaint. Such guidelines shall not be considered regulations, as defined
in section 4-166.
(P.A. 76-276, S. 2, 22; P.A. 77-614, S. 353, 610; P.A. 93-381, S. 9, 39; P.A. 95-257, S. 12, 21, 58; P.A. 05-275, S. 20.)
History: P.A. 77-614 replaced commissioner of health with commissioner of health services, effective January 1, 1979;
P.A. 93-381 replaced commissioner of health services with commissioner of public health and addiction services, effective
July 1, 1993; P.A. 95-257 replaced Commissioner and Department of Public Health and Addiction Services with Commissioner and Department of Public Health, effective July 1, 1995; P.A. 05-275 required Commissioner of Public Health to
establish guidelines, rather than regulations, to carry out provisions of Secs. 20-13a to 20-13i, added Subdivs. (1) to (5)
specifying elements to be included within such guidelines, required that guidelines include such elements not later than
January 1, 2006, and provided that guidelines shall not be considered regulations, effective July 13, 2005.
Sec. 20-13c. Restriction, suspension or revocation of physician's right to practice. Grounds. The board is authorized to restrict, suspend or revoke the license or limit
the right to practice of a physician or take any other action in accordance with section
19a-17, for any of the following reasons: (1) Physical illness or loss of motor skill,
including, but not limited to, deterioration through the aging process; (2) emotional
disorder or mental illness; (3) abuse or excessive use of drugs, including alcohol, narcotics or chemicals; (4) illegal, incompetent or negligent conduct in the practice of medicine; (5) possession, use, prescription for use, or distribution of controlled substances
or legend drugs, except for therapeutic or other medically proper purposes; (6) misrepresentation or concealment of a material fact in the obtaining or reinstatement of a license
to practice medicine; (7) failure to adequately supervise a physician assistant; (8) failure
to fulfill any obligation resulting from participation in the National Health Service
Corps; (9) failure to maintain professional liability insurance or other indemnity against
liability for professional malpractice as provided in subsection (a) of section 20-11b; (10)
failure to provide information requested by the department for purposes of completing a
health care provider profile, as required by section 20-13j; (11) engaging in any activity
for which accreditation is required under section 19a-690 or 19a-691 without the appropriate accreditation required by section 19a-690 or 19a-691; (12) failure to provide
evidence of accreditation required under section 19a-690 or 19a-691 as requested by
the department pursuant to section 19a-690 or 19a-691; (13) failure to comply with the
continuing medical education requirements set forth in section 20-10b; or (14) violation
of any provision of this chapter or any regulation established hereunder. In each case,
the board shall consider whether the physician poses a threat, in the practice of medicine,
to the health and safety of any person. If the board finds that the physician poses such
a threat, the board shall include such finding in its final decision and act to suspend or
revoke the license of said physician.
(P.A. 76-276, S. 3, 22; P.A. 77-614, S. 354, 610; P.A. 80-484, S. 15, 176; P.A. 81-471, S. 7, 71; P.A. 90-211, S. 10,
23; P.A. 91-105, S. 3, 4; P.A. 92-40; P.A. 94-71, S. 7; P.A. 99-284, S. 34; P.A. 01-50, S. 3, 4; P.A. 05-275, S. 21.)
History: P.A. 77-614 added Subdiv. (8) allowing restriction, suspension or revocation of license etc. for violations of
chapter or related regulations, effective January 1, 1979; P.A. 80-484 replaced "certificate of registration" with "license"
and deleted Subdiv. (7) prohibiting advertising which may deceive the public, renumbering Subdiv. (8) accordingly; P.A.
81-471 deleted reference to "certificate" in Subdiv. (6); P.A. 90-211 added failure to adequately supervise a physician
assistant as ground for disciplinary action; P.A. 91-105 amended section to require the board to make determination
concerning any threat presented by a physician to the health and safety of patients; P.A. 92-40 inserted new Subdiv. (8)
concerning failure to fulfill obligations resulting from participation in the National Health Service Corps, renumbering
former Subdiv. (8) as (9); P.A. 94-71 inserted new Subdiv. (9) concerning failure to maintain professional liability insurance
or other indemnity against liability for professional malpractice and renumbered former Subdiv. (9) as (10); P.A. 99-284
inserted new Subdiv. (10) re failure to provide profile information, renumbering former Subdiv. (10) as (11), and made
technical changes; P.A. 01-50 added new Subdivs. (11) and (12) re accreditation requirements and redesignated former
Subdiv. (11) as Subdiv. (13), effective July 1, 2001; P.A. 05-275 added new Subdiv. (13) including failure to comply with
continuing medical education requirements of Sec. 20-10b as ground for disciplinary action and redesignated existing
Subdiv. (13) as Subdiv. (14).
Sec. 20-13e. Investigation of petition. Examination of physician. Hearing. Enforcement. (a) The department shall investigate each petition filed pursuant to section
20-13d, in accordance with the provisions of subdivision (10) of subsection (a) of section
19a-14, to determine if probable cause exists to issue a statement of charges and to
institute proceedings against the physician under subsection (e) of this section. Such
investigation shall be concluded not later than eighteen months from the date the petition
is filed with the department and, unless otherwise specified by this subsection, the record
of such investigation shall be deemed a public record, in accordance with section 1-210, at the conclusion of such eighteen-month period. Any such investigation shall be
confidential and no person shall disclose his knowledge of such investigation to a third
party unless the physician requests that such investigation and disclosure be open. If
the department determines that probable cause exists to issue a statement of charges,
the entire record of such proceeding shall be public unless the department determines
that the physician is an appropriate candidate for participation in a rehabilitation program
in accordance with subsection (b) of this section and the physician agrees to participate
in such program in accordance with terms agreed upon by the department and the physician. If at any time subsequent to the filing of a petition and during the eighteen-month
period, the department makes a finding of no probable cause, the petition and the entire
record of such investigation shall remain confidential unless the physician requests that
such petition and record be open.
(b) In any investigation pursuant to subsection (a) of this section, the department
may recommend that the physician participate in an appropriate rehabilitation program,
provided the department determines that the physician, during his participation in such
a program in accordance with terms agreed upon by the department and the physician,
does not pose a threat in his practice of medicine to the health and safety of any person.
Such determination shall become a part of the record of such investigation. The department may seek the advice of established medical organizations in determining the appropriateness of any rehabilitation program. If the physician participates in an approved
program, with the consent of the department, the department shall monitor the physician's participation in such program and require the person responsible for the physician's activities in such program to submit signed monthly reports describing the physician's progress therein. The department shall determine if participation in such a
program is sufficient cause to end its investigation. Upon commencement of the rehabilitation program by the physician and during his continued participation in such program
in accordance with terms agreed upon by the department and the physician, all records
shall remain confidential.
(c) As part of an investigation of a petition filed pursuant to subsection (a) of section
20-13d, the Department of Public Health may order the physician to submit to a physical
or mental examination, to be performed by a physician chosen from a list approved by the
department. The department may seek the advice of established medical organizations or
licensed health professionals in determining the nature and scope of any diagnostic
examinations to be used as part of any such physical or mental examination. The examining physician shall make a written statement of his or her findings.
(d) If the physician fails to obey a department order to submit to examination or
attend a hearing, the department may petition the superior court for the judicial district
of Hartford to order such examination or attendance, and said court or any judge assigned
to said court shall have jurisdiction to issue such order.
(e) Subject to the provisions of section 4-182, no license shall be restricted, suspended or revoked by the board, and no physician's right to practice shall be limited by
the board, until the physician has been given notice and opportunity for hearing in
accordance with the regulations established by the commissioner.
(P.A. 76-276, S. 5, 22; P.A. 77-614, S. 356, 610; P.A. 80-483, S. 160, 186; P.A. 81-471, S. 8, 71; P.A. 84-148, S. 2, 4;
P.A. 88-230, S. 1, 12; P.A. 90-98, S. 1, 2; P.A. 91-105, S. 2, 4; P.A. 93-142, S. 4, 7, 8; 93-381, S. 9, 39; P.A. 95-220, S.
4-6; 95-257, S. 12, 21, 58; P.A. 05-288, S. 80.)
History: P.A. 77-614 deleted Subsecs. (a) and (b) re procedure for investigation of complaints after board's staff report
or county society report and Subsecs. (d) and (e) re hearings, rights of physicians during hearings, etc., designated former
Subsec. (c) as (a), substituting department of health services for board and deleting clause re consideration of examining
physician's statement as part of investigation and staff report, designated former Subsec. (f) as (b), similarly substituting
department for board, and added new Subsec. (c) prohibiting restriction, suspension or revocation of certificate, etc. unless
notice and opportunity for hearing has been given, effective January 1, 1979; P.A. 80-483 replaced Hartford county with
judicial district of Hartford-New Britain in Subsec. (b); P.A. 81-471 changed "certificate of registration" to "license" in
Subsec. (c) as of July 1, 1981; P.A. 84-148 inserted new Subsecs. (a) and (b) concerning investigations of petitions and
appropriate rehabilitation programs for physicians, relettered former Subsec. (a) and authorized the department to seek
medical advice re examinations of a physician and relettered former Subsecs. (b) and (c); P.A. 88-230 replaced "judicial
district of Hartford-New Britain" with "judicial district of Hartford", effective September 1, 1991; P.A. 90-98 changed
the effective date of P.A. 88-230 from September 1, 1991, to September 1, 1993; P.A. 91-105 amended Subsec. (b) to
require the department to make determination concerning any threat presented by a physician to the health and safety of
patients; P.A. 93-142 changed the effective date of P.A. 88-230 from September 1, 1993, to September 1, 1996, effective
June 14, 1993; P.A. 93-381 replaced department of health services with department of public health and addiction services,
effective July 1, 1993; P.A. 95-220 changed the effective date of P.A. 88-230 from September 1, 1996, to September 1,
1998, effective July 1, 1995; P.A. 95-257 replaced Commissioner and Department of Public Health and Addiction Services
with Commissioner and Department of Public Health, effective July 1, 1995; P.A. 05-288 made technical changes in
Subsecs. (a) and (b), effective July 13, 2005.
Sec. 20-13j. Physician profiles. Establishment. Public availability. (a) For purposes of this section: "Department" means the Department of Public Health, and "physician" means a physician licensed pursuant to this chapter.
(b) The department, after consultation with the Connecticut Medical Examining
Board and the Connecticut State Medical Society, shall collect the following information
to create an individual profile on each physician for dissemination to the public:
(1) The name of the medical school attended by the physician and the date of graduation;
(2) The site, training, discipline and inclusive dates of the physician's postgraduate
medical education required pursuant to the applicable licensure section of the general
statutes;
(3) The area of the physician's practice specialty;
(4) The address of the physician's primary practice location or primary practice
locations, if more than one;
(5) A list of languages, other than English, spoken at the physician's primary practice locations;
(6) An indication of any disciplinary action taken against the physician by the department, the state board or any professional licensing or disciplinary body in another
jurisdiction;
(7) Any current certifications issued to the physician by a specialty board of the
American Board of Medical Specialties;
(8) The hospitals and nursing homes at which the physician has admitting privileges;
(9) Any appointments of the physician to Connecticut medical school faculties and
an indication as to whether the physician has current responsibility for graduate medical
education;
(10) A listing of the physician's publications in peer reviewed literature;
(11) A listing of the physician's professional services, activities and awards;
(12) Any hospital disciplinary actions against the physician that resulted, within
the past ten years, in the termination or revocation of the physician's hospital privileges
for a medical disciplinary cause or reason, or the resignation from, or nonrenewal of,
medical staff membership or the restriction of privileges at a hospital taken in lieu of
or in settlement of a pending disciplinary case related to medical competence in such
hospital;
(13) A description of any criminal conviction of the physician for a felony within
the last ten years. For the purposes of this subdivision, a physician shall be deemed to
be convicted of a felony if the physician pleaded guilty or was found or adjudged guilty
by a court of competent jurisdiction or has been convicted of a felony by the entry of a
plea of nolo contendere;
(14) To the extent available, and consistent with the provisions of subsection (c)
of this section, all medical malpractice court judgments and all medical malpractice
arbitration awards against the physician in which a payment was awarded to a complaining party during the last ten years, and all settlements of medical malpractice claims
against the physician in which a payment was made to a complaining party within the
last ten years;
(15) An indication as to whether the physician is actively involved in patient
care; and
(16) The name of the physician's professional liability insurance carrier.
(c) Any report of a medical malpractice judgment or award against a physician made
under subdivision (14) of subsection (b) of this section shall comply with the following:
(1) Dispositions of paid claims shall be reported in a minimum of three graduated categories indicating the level of significance of the award or settlement; (2) information concerning paid medical malpractice claims shall be placed in context by comparing an
individual physician's medical malpractice judgments, awards and settlements to the
experience of other physicians licensed in Connecticut who perform procedures and treat
patients with a similar degree of risk; (3) all judgment award and settlement information
reported shall be limited to amounts actually paid by or on behalf of the physician; and (4)
comparisons of malpractice payment data shall be accompanied by (A) an explanation of
the fact that physicians treating certain patients and performing certain procedures are
more likely to be the subject of litigation than others and that the comparison given is
for physicians who perform procedures and treat patients with a similar degree of risk;
(B) a statement that the report reflects data for the last ten years and the recipient should
take into account the number of years the physician has been in practice when considering the data; (C) an explanation that an incident giving rise to a malpractice claim may
have occurred years before any payment was made due to the time lawsuits take to move
through the legal system; (D) an explanation of the effect of treating high-risk patients
on a physician's malpractice history; and (E) an explanation that malpractice cases may
be settled for reasons other than liability and that settlements are sometimes made by
the insurer without the physician's consent. Information concerning all settlements shall
be accompanied by the following statement: "Settlement of a claim may occur for a
variety of reasons that do not necessarily reflect negatively on the professional competence or conduct of the physician. A payment in settlement of a medical malpractice
action or claim should not be construed as creating a presumption that medical malpractice has occurred."
(d) Pending malpractice claims against a physician and actual amounts paid by or
on behalf of a physician in connection with a malpractice judgment, award or settlement
shall not be disclosed by the department to the public. This subsection shall not be
construed to prevent the department from investigating and disciplining a physician on
the basis of medical malpractice claims that are pending.
(e) Prior to the initial release of a physician's profile to the public, the department
shall provide the physician with a copy of the physician's profile. Additionally, any
amendments or modifications to the profile that were not supplied by the physician or
not generated by the department itself shall be provided to the physician for review prior
to release to the public. A physician shall have sixty days from the date the department
mails or delivers the prepublication copy to dispute the accuracy of any information
that the department proposes to include in such profile and to submit a written statement
setting forth the basis for such dispute. If a physician does not notify the department that
the physician disputes the accuracy of such information within such sixty-day period, the
department shall make the profile available to the public and the physician shall be
deemed to have approved the profile and all information contained therein. If a physician
notifies the department that the physician disputes the accuracy of such information in
accordance with this subsection, the physician's profile shall be released to the public
without the disputed information, but with a statement to the effect that information in
the identified category is currently the subject of a dispute and is therefore not currently
available. Not later than thirty days after the department's receipt of notice of a dispute,
the department shall review any information submitted by the physician in support of
such dispute and determine whether to amend the information contained in the profile.
In the event that the department determines not to amend the disputed information,
the disputed information shall be included in the profile with a statement that such
information is disputed by the physician.
(f) A physician may elect to have the physician's profile omit information provided
pursuant to subdivisions (9) to (11), inclusive, of subsection (b) of this section. In collecting information for such profiles and in the dissemination of such profiles, the department shall inform physicians that they may choose not to provide the information described in said subdivisions (9) to (11), inclusive.
(g) Each profile created pursuant to this section shall include the following statement: "This profile contains information that may be used as a starting point in evaluating
the physician. This profile should not, however, be your sole basis for selecting a physician."
(h) The department shall maintain a web site on the Internet for use by the public
in obtaining profiles of physicians.
(i) No state law that would otherwise prohibit, limit or penalize disclosure of information about a physician shall apply to disclosure of information required by this section.
(j) All information provided by a physician pursuant to this section shall be subject
to the penalties of false statement, pursuant to section 53a-157b.
(k) Except for the information in subdivisions (1), (2), (10) and (11) of subsection (b)
of this section, a physician shall notify the department of any changes to the information
required in said subsection (b) not later than sixty days after such change.
(P.A. 99-284, S. 33; P.A. 05-275, S. 22, 23.)
History: P.A. 05-275 amended Subsec. (b) by making a technical change, expanding Subdiv. (6) to require disclosure
of disciplinary actions taken against physicians by any professional licensing or disciplinary body in another jurisdiction,
adding Subdiv. (15) to require indication as to whether physician is actively involved in patient care, and adding Subdiv.
(16) to require profile to include name of physician's professional liability insurance carrier, and amended Subsec. (k) by
requiring physicians to report any changes or updates in mandatory reporting information, except for information specified
in Subdivs. (1), (2), (10) and (11) of Subsec. (b).
Sec. 20-13k. Guideliens for disciplinary action. Not later than January 1, 2006,
the Department of Public Health, with the advice and assistance of the Connecticut
Medical Examining Board and relevant medical professional associations, shall establish guidelines for use in the disciplinary process. Such guidelines shall include, but
need not be limited to: (1) Identification of each type of violation; (2) a range of penalties
for each type of violation; (3) additional optional conditions that may be imposed by
the board for each violation; (4) identification of factors the board shall consider in
determining what penalty should apply; (5) conditions, such as mitigating factors or
other facts, that may be considered in allowing deviations from the guidelines; and (6)
a provision that when a deviation from the guidelines occurs, the reason for the deviation
shall be identified. Such guidelines shall not be considered regulations, as defined in
section 4-166.
(P.A. 05-275, S. 17.)
Sec. 20-13l. Notification of criminal charges against physicians. Investigation.
The Office of the Chief State's Attorney shall notify the Department of Public Health
immediately, in writing, when criminal charges are brought against a physician licensed
by the department for (1) reckless endangerment within the scope of the physician's
medical practice, (2) manslaughter, or (3) murder. Upon such notification, the department may initiate an investigation of the physician to determine whether any disciplinary
action should be taken against the physician, including possible suspension of his or
her license, while such criminal charges are pending against the physician.
(P.A. 05-67, S. 1.)
Sec. 20-14h. Definitions. As used in sections 20-14h to 20-14j, inclusive:
(1) "Administration" means the direct application of a medication by means other
than injection to the body of a person.
(2) "Day programs", "residential facilities" and "individual and family support"
include only those programs, facilities and support services designated in the regulations
adopted pursuant to section 20-14j.
(3) "Juvenile detention centers" include only those centers operated under the jurisdiction of the Judicial Department.
(4) "Medication" means any medicinal preparation, and includes any controlled
substances specifically designated in the regulations or policies adopted pursuant to
section 20-14j.
(5) "Trained person" means a person who has successfully completed training prescribed by the regulations or policies adopted pursuant to section 20-14j.
(P.A. 87-433, S. 1, 4; P.A. 90-70, S. 1, 4; P.A. 05-150, S. 1.)
History: P.A. 90-70 added definition of "juvenile detention centers" as Subdiv. (3), renumbering as necessary; P.A.
05-150 amended Subdiv. (2) to include reference to individual and family support.
Sec. 20-14i. Administration of medication by trained persons. Any provisions
to the contrary notwithstanding, chapter 378 shall not prohibit the administration of
medication to persons attending day programs, residing in residential facilities or receiving individual and family support, under the jurisdiction of the Departments of Children
and Families, Correction, Mental Retardation and Mental Health and Addiction Services, or being detained in juvenile detention centers or residing in residential facilities
dually licensed by the Department of Children and Families and the Department of
Public Health, when such medication is administered by trained persons, pursuant to
the written order of a physician licensed under this chapter, a dentist licensed under
chapter 379, an advanced practice registered nurse licensed to prescribe in accordance
with section 20-94a or a physician assistant licensed to prescribe in accordance with
section 20-12d, authorized to prescribe such medication. The provisions of this section
shall not apply to institutions, facilities or programs licensed pursuant to chapter 368v.
(P.A. 87-433, S. 2, 4; P.A. 90-70, S. 2, 4; P.A. 93-91, S. 1, 2; P.A. 96-19, S. 2; P.A. 04-257, S. 103; P.A. 05-150, S. 2;
05-246, S. 14.)
History: P.A. 90-70 added phrase "or being detained in juvenile detention centers"; P.A. 93-91 substituted commissioner
and department of children and families for commissioner and department of children and youth services, effective July
1, 1993; P.A. 96-19 expanded written orders by physicians to include written orders by advanced practice registered nurses
and physician assistants; P.A. 04-257 made a technical change, effective June 14, 2004; P.A. 05-150 added reference to
persons receiving individual and family support; P.A. 05-246 added exception for persons residing in residential facilities
dually licensed by the Departments of Children and Families and Public Health.
Sec. 20-14j. Regulations. Advisory task force. Training programs and policies
re administration of medication at juvenile detention centers. (a) The commissioners
of the departments which license the residential facilities, day programs or individual
and family support services in which the administration of medication in accordance
with section 20-14i is appropriate shall adopt regulations, in accordance with the provisions of chapter 54, to carry out the provisions of sections 20-14h and 20-14i. If licensing
is not required, the regulations shall be adopted by the commissioners of the departments
having authority over the persons served in such facilities or programs, or receiving
individual and family support. Such regulations shall be adopted by each affected department in consultation with an advisory task force which shall include the Commissioner
of Public Health, the Commissioner of Mental Health and Addiction Services, the Commissioner of Mental Retardation, the Commissioner of Correction and the Commissioner of Children and Families, or their designees. The task force shall submit a report
to the joint standing committee of the General Assembly having cognizance of matters
relating to public health by November 1, 1988.
(b) The Chief Court Administrator shall (1) establish ongoing training programs
for personnel who are to administer medications to detainees in juvenile detention centers, and (2) adopt policies to carry out the provisions of sections 20-14h and 20-14i
concerning the administration of medication to detainees in juvenile detention centers.
(P.A. 87-433, S. 3, 4; P.A. 90-70, S. 3, 4; P.A. 93-91, S. 1, 2; 93-381, S. 9, 39; P.A. 95-257, S. 11, 12, 21, 58; P.A. 05-150, S. 3.)
History: P.A. 90-70 added Subsec. (b) re establishment of training programs and adoption of policies by the chief court
administrator for administration of medication at juvenile detention centers; P.A. 93-91 substituted commissioner and
department of children and families for commissioner and department of children and youth services, effective July 1,
1993; P.A. 93-381 replaced commissioner of health services with commissioner of public health and addiction services,
effective July 1, 1993; P.A. 95-257 replaced Commissioner and Department of Public Health and Addiction Services with
Commissioner and Department of Public Health and replaced Commissioner and Department of Mental Health with
Commissioner and Department of Mental Health and Addiction Services, effective July 1, 1995; P.A. 05-150 amended
Subsec. (a) to include references to individual and family support.
Sec. 20-14l. Delegation of ophthalmological services. A physician licensed pursuant to this chapter, who specializes in ophthalmology, may delegate to an appropriately
trained medical assistant the use or application of any ocular agent, provided such delegated service is performed only under the supervision, control and responsibility of the
licensed physician. For purposes of this section, "appropriately trained medical assistant" means a medical assistant who has completed on-the-job training in the use and
application of ocular agents under the supervision, control and responsibility of an employing, licensed physician, an affidavit in support of which shall be kept by the employing physician on the premises.
(P.A. 05-36, S. 3.)
See Secs. 20-127(g) authorizing optometrists to delegate certain duties re ocular agents.