House Bill No. 6840
Public Act No. 07-53
AN ACT CONCERNING SCREENING FOR KIDNEY DISEASE.
Be it enacted by the Senate and House of Representatives in General Assembly convened:
Section 1. Section 19a-269b of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2007):
(a) As used in this section, "clinical laboratory" has the same meaning as provided in section 19a-30, [and] "patient" does not include any person under eighteen years of age and "routine general medical examination" does not include an annual gynecological examination.
(b) Beginning September 1, 2006:
(1) Each physician licensed under chapter 370 shall order a serum creatinine test as part of each patient's [annual physical] routine general medical examination if the patient has not submitted to such test within the one-year period preceding the [annual physical] routine general medical examination. The order shall include a notification that the test is being ordered pursuant to the provisions of this subdivision.
(2) For each serum creatinine test performed on a patient admitted as an inpatient to a hospital licensed in this state, the ordering provider shall request, at least once during such patient's hospital stay, that the laboratory performing the test include an estimated glomerular filtration rate in the laboratory report if the patient has not submitted to such test within the one-year period preceding such hospitalization.
(3) Any person, firm or corporation operating a clinical laboratory licensed in this state shall ensure that when the clinical laboratory tests a specimen to determine a patient's serum creatinine level, as ordered or prescribed by a physician or provider in a hospital pursuant to subdivision (1) or (2) of this subsection, the clinical laboratory shall (A) calculate the patient's estimated glomerular filtration rate using the patient's age and gender, which information shall be provided to the clinical laboratory by the physician or the provider in a hospital, and (B) include the patient's estimated glomerular filtration rate with its report to the physician or the provider in a hospital.
(4) A person, firm or corporation operating a clinical laboratory licensed in this state shall be deemed in compliance with subdivision (3) of this subsection if the clinical laboratory makes available to the ordering physician or provider in a hospital test order codes for serum creatinine that include eGFR.
Approved May 22, 2007