Substitute Senate Bill No. 1162
         Substitute Senate Bill No. 1162

              PUBLIC ACT NO. 97-213


AN ACT CONCERNING LICENSURE OF MARRIAGE AND FAMILY
THERAPISTS,   SANITARIANS,  SPEECH   PATHOLOGISTS,
PODIATRISTS,  OPTICIANS, ACUPUNCTURISTS,  CLINICAL
SOCIAL WORKERS AND MASSAGE THERAPISTS.


    Be  it  enacted  by  the  Senate  and House of
Representatives in General Assembly convened:
    Section  1.  Section  20-195b  of  the general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    (a)  EXCEPT AS PROVIDED IN SECTION 20-195f, AS
AMENDED BY THIS  ACT,  NO  PERSON  SHALL  PRACTICE
MARITAL  AND  FAMILY  THERAPY  UNLESS  LICENSED IN
ACCORDANCE WITH SECTION  20-195c,  AS  AMENDED  BY
THIS ACT.
    (b)    No   person   shall   use   the   title
["Connecticut  licensed]  "LICENSED  marital   and
family   therapist"   unless  he  is  licensed  in
accordance with the provisions of  [this  chapter]
SECTION 19a-195c, AS AMENDED BY THIS ACT.
    Sec.   2.   Section  20-195c  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    (a)  [On and after October 1, 1995, any person
certified under this  chapter  as  a  marital  and
family  therapist, as of October 1, 1995, shall be
deemed licensed as a marital and family  therapist
pursuant  to  this  chapter.]  Each  applicant for
licensure as a marital and family therapist  shall
present  to  the  department satisfactory evidence
that he  has:  (1)  Completed  a  graduate  degree
program specializing in marital and family therapy
from a regionally accredited college or university
OR  AN  ACCREDITED  POSTGRADUATE CLINICAL TRAINING
PROGRAM   APPROVED   BY    THE    COMMISSION    ON
ACCREDITATION  FOR  MARRIAGE  AND  FAMILY  THERAPY
EDUCATION AND  RECOGNIZED  BY  THE  UNITED  STATES
DEPARTMENT  OF  EDUCATION; (2) completed a minimum
of twelve months  of  a  supervised  practicum  or
internship  to be completed within a period not to
exceed [eighteen] TWENTY-FOUR  consecutive  months
with   emphasis  in  marital  and  family  therapy
supervised by the program granting  the  requisite
degree  or  by an accredited postgraduate clinical
training program, approved by  the  commission  on
accreditation  for  marriage  and  family  therapy
education  recognized   by   the   United   States
Department  of  Education  in  which  the  student
received a minimum of five hundred direct clinical
hours  that included one hundred hours of clinical
supervision; (3) completed  a  minimum  of  twelve
months   of   relevant   postgraduate  experience,
including at  least  (A)  one  thousand  hours  of
direct  client contact offering marital and family
therapy services subsequent  to  being  awarded  a
master's  degree or doctorate or subsequent to the
training year specified in subdivision (2) of this
subsection,  and  [such  postgraduate  work  shall
additionally include a minimum of] (B) one hundred
hours   of   postgraduate   [supervised  casework]
CLINICAL  SUPERVISION  provided  by   a   licensed
marital  and  family  therapist  [,  provided  the
supervisor of an applicant who commences such year
of  relevant  postgraduate experience on and after
January 1, 1996, shall not be] WHO IS NOT directly
compensated  by  such applicant for providing such
supervision;  and  (4)   passed   an   examination
prescribed  by the department. The fee [payable in
the case of  each  application  shall  be  in  the
amount  of] SHALL BE two hundred fifty dollars for
each initial application. Licenses [shall] MAY  be
renewed annually in accordance with the provisions
of section 19a-88, AS AMENDED BY THIS ACT. The fee
for  such  renewal  shall  be  two  hundred  fifty
dollars.
    (b)   The   department   may  grant  licensure
without examination, [but] subject to  payment  of
fees  with  respect to the initial application, to
any  applicant  who  is  currently   licensed   or
certified   in  another  state  as  a  marital  or
marriage and family  therapist  on  the  basis  of
standards which, in the opinion of the department,
are substantially similar to or higher than  those
of  this  state.  No license shall be issued under
this  section  to  any  applicant   against   whom
professional disciplinary action is pending or who
is the subject of an unresolved complaint.
    (c) NOTWITHSTANDING THE  REQUIREMENTS  OF THIS
SECTION, THE COMMISSIONER SHALL GRANT A LICENSE AS
A MARITAL AND  FAMILY  THERAPIST TO ANY PERSON WHO
APPLIES FOR LICENSURE  PRIOR  TO  JANUARY 1, 1998,
AND SUBMITS SATISFACTORY  EVIDENCE THAT HE HAS (1)
A MINIMUM OF  TEN  YEARS OF RELEVANT EXPERIENCE AS
OF JANUARY 1,  1998,  INCLUDING  A MINIMUM OF FIVE
YEARS WORK EXPERIENCE UNDER AN APPROVED SUPERVISOR
OR APPROVED SUBSTITUTE  SUPERVISOR OF THE AMERICAN
ASSOCIATION FOR MARRIAGE  AND  FAMILY  THERAPY  OR
SUPERVISOR OR SUBSTITUTE  SUPERVISOR  CERTIFIED OR
LICENSED UNDER THIS  CHAPTER, AND (2) SUCCESSFULLY
COMPLETED EITHER (A)  A  GRADUATE  DEGREE  PROGRAM
SPECIALIZING IN MARITAL  AND FAMILY THERAPY OR (B)
AN  ACCREDITED  POSTGRADUATE   CLINICAL   TRAINING
PROGRAM   APPROVED   BY    THE    COMMISSION    ON
ACCREDITATION  FOR  MARRIAGE  AND  FAMILY  THERAPY
EDUCATION  AND RECOGNIZED  BY  THE  UNITED  STATES
DEPARTMENT OF EDUCATION.
    Sec.   3.   Section  20-195f  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    [Nothing  in  this  chapter shall be construed
to limit the activities and services of a] (a)  NO
LICENSE AS A MARITAL AND FAMILY THERAPIST SHALL BE
REQUIRED OF: (1) A student pursuing  a  course  of
study  in  an  educational institution meeting the
requirements of section  20-195c,  AS  AMENDED  BY
THIS  ACT, if such activities constitute a part of
his supervised course of study; [. Nothing in this
chapter shall be construed to limit the activities
and services  of]  (2)  a  faculty  member  within
[such]  AN  institution  [from] OF HIGHER LEARNING
performing duties consistent with his position; [.
Nothing  in  this  chapter  shall  be construed to
prohibit the activities and services provided  by]
(3) a person holding a graduate degree in marriage
and family therapy or a certificate of  completion
of  a  postdegree  program for marriage and family
therapy education, provided  such  activities  and
services  constitute a part of his supervised work
experience required for licensure; [.  Nothing  in
this  chapter  shall  be construed to prohibit] OR
(4) a person licensed or certified in  this  state
in  a  field other than marital and family therapy
[from] practicing within the scope of such license
or certification.
    (b)  A  PERSON  PRACTICING MARRIAGE AND FAMILY
THERAPY PURSUANT TO SUBDIVISION (4) OF  SUBSECTION
(a)  OF  THIS  SECTION  MAY  ADVERTISE  OR PRESENT
HIMSELF AS PRACTICING MARRIAGE AND FAMILY  THERAPY
PROVIDED   HE   CLEARLY   SETS   FORTH,   IN   HIS
ADVERTISEMENT OR PRESENTATION, THE TYPE OF LICENSE
PURSUANT TO WHICH HE IS PRACTICING.
    Sec.   4.   Section   20-361  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    (a)  Except  as  provided in SUBSECTION (b) OF
THIS SECTION AND section 20-365, no  person  shall
be  licensed as a sanitarian who does not prove to
the satisfaction of the commissioner that he holds
a  degree from an accredited college or university
following four years of study and has two years of
full-time  experience,  or  the equivalent, in the
field of environmental health  acceptable  to  the
commissioner.   An   applicant   who  successfully
completes   a   special   training    course    in
environmental  health approved by the commissioner
may substitute such course for six months of  such
required  experience in the field of environmental
health. The applicant shall also  be  required  to
pass  a written or oral examination in the science
of  environmental  health  as  determined  by  the
commissioner. An applicant for licensure shall not
be required to be licensed  while  completing  the
work  experience  requirements  of  this  section,
provided, on  and  after  January  1,  1998,  such
experience    shall   be   completed   under   the
supervision of a sanitarian licensed  pursuant  to
this  chapter or licensed, certified or registered
in the jurisdiction in which such  experience  was
completed.
    (b)  FOR  ANY PERSON APPLYING FOR LICENSURE AS
A SANITARIAN ON  OR  BEFORE  OCTOBER  1,  1997,  A
MINIMUM  OF  FOUR  YEARS  OF COMBINED TRAINING AND
WORK EXPERIENCE  IN  THE  FIELD  OF  ENVIRONMENTAL
HEALTH  WITHIN A CONNECTICUT MUNICIPAL OR DISTRICT
HEALTH DEPARTMENT, THE DEPARTMENT OF PUBLIC HEALTH
OR THE ARMED FORCES, AS DEFINED IN SECTION 27-103,
MAY  BE  SUBSTITUTED  FOR  THE  DEGREE   FROM   AN
ACCREDITED  COLLEGE  OR  UNIVERSITY  SPECIFIED  IN
SUBSECTION (a) OF THIS SECTION.
    Sec.   5.   Section  20-74bb  of  the  general
statutes is amended by adding  subsection  (h)  as
follows:
    (NEW) (h) Notwithstanding  the requirements of
this  section,  the  commissioner  shall  grant  a
license to any  person  who  submits  satisfactory
evidence that he  has  a  degree in radiography or
identical  field  of   study   under  a  different
designation   from  an   institution   of   higher
education authorized to grant degrees by the state
or country where  located,  has  a  minimum of ten
years experience in  the field of radiography, has
a temporary license  from the Department of Public
Health and applies  for licensure prior to January
1, 1998.
    Sec.   6.   Section   20-413  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    Nothing  in this chapter shall be construed as
prohibiting:
    [(a)   Persons  not  licensed  hereunder  from
consulting] (1) CONSULTING with  or  disseminating
[their]    research    findings   and   scientific
information to accredited academic institutions or
governmental  agencies  [,  and  such  persons may
offer] OR OFFERING lectures to the  public  for  a
fee,  monetary  or  otherwise;  [,  without  being
licensed under this chapter;]
    [(b)]  (2)  The  activities  and services of a
graduate student or  speech  pathology  intern  in
speech   pathology  pursuing  a  course  of  study
leading to a graduate degree in  speech  pathology
at an accredited or approved college or university
or a clinical training facility  approved  by  the
department, provided these activities and services
constitute a part  of  his  supervised  course  of
study  and  that  such  person  is  designated  as
"Speech  Pathology  Intern",   "Speech   Pathology
Trainee",  or  other such title clearly indicating
the training status appropriate to  his  level  of
training;
    [(c)]  (3)  The  activities  and services of a
graduate student or audiology intern in  audiology
at an accredited or approved college or university
or a clinical training facility  approved  by  the
department, provided these activities and services
constitute a part  of  his  supervised  course  of
study  and  that  such  person  is  designated  as
"Audiology Intern", "Audiology Trainee", or  other
such  title clearly indicating the training status
appropriate to his level of training;
    [(d)  (1)] (4) (A) A person from another state
offering  [his]  speech  pathology  or   audiology
services in this state, provided such services are
performed for  no  more  than  five  days  in  any
calendar  year  and provided such person meets the
qualifications and requirements for  licensing  in
this  state;  or  [(2)]  (B) a person from another
state who is licensed or  certified  as  a  speech
pathologist  or audiologist by a similar authority
of another  state,  or  territory  of  the  United
States,  or of a foreign country or province whose
standards are equivalent to or higher than, at the
date   of  his  certification  or  licensure,  the
requirements  of  this  chapter  and   regulations
adopted  hereunder,  or  a  person  who meets such
qualifications and requirements and resides  in  a
state  or  territory  of  the  United States, or a
foreign country or province which does  not  grant
certification or license to speech pathologists or
audiologists, from offering  speech  pathology  or
audiology  services  in  this state for a total of
not more than thirty days in any calendar year;
    [(e)]  (5)  The  activities  and services of a
person who meets the requirements of  subdivisions
(1)  and  (2) of subsection (a) of section 20-411,
while such person is engaged in full or  part-time
employment  in  fulfillment  of  the  professional
employment requirement of subdivision (3) of  said
[section] SUBSECTION (a);
    [(f)]  (6)  Nurses  and  other  personnel from
engaging in  screening  and  audiometric  testing,
under  the  supervision  of  a licensed physician,
surgeon  or  audiologist,  for  the   purpose   of
identifying  those  persons  whose  sensitivity of
hearing is below the standard acceptable level;
    [(g)]   (7)   The  activity  and  services  of
hearing aid dealers;
    (8)  THE  USE  OF SUPERVISED SUPPORT PERSONNEL
TO ASSIST LICENSED SPEECH PATHOLOGISTS WITH  TASKS
THAT  ARE  (A)  DESIGNED  BY  THE  LICENSED SPEECH
PATHOLOGISTS BEING ASSISTED, (B) ROUTINE, AND  (C)
RELATED TO MAINTENANCE OF ASSISTIVE AND PROSTHETIC
DEVICES, RECORDING AND CHARTING OR  IMPLEMENTATION
OF  EVALUATION OR INTERVENTION PLANS. FOR PURPOSES
OF THIS SUBDIVISION, "SUPERVISED"  MEANS  (i)  NOT
MORE  THAN  THREE  SUPPORT PERSONNEL ARE ASSISTING
ONE LICENSED SPEECH  PATHOLOGIST,  (ii)  IN-PERSON
COMMUNICATION    BETWEEN   THE   LICENSED   SPEECH
PATHOLOGIST AND SUPPORT PERSONNEL IS AVAILABLE  AT
ALL   TIMES,   AND   (iii)   THE  LICENSED  SPEECH
PATHOLOGIST PROVIDES THE  SUPPORT  PERSONNEL  WITH
REGULARLY  SCHEDULED DIRECT OBSERVATION, GUIDANCE,
DIRECTION  AND  CONFERENCING  FOR  NOT  LESS  THAN
THIRTY  PER  CENT  OF  CLIENT CONTACT TIME FOR THE
SUPPORT PERSONNEL'S FIRST NINETY WORKDAYS AND  FOR
NOT  LESS  THAN  TWENTY PER CENT OF CLIENT CONTACT
TIME THEREAFTER.
    Sec.   7.   Section   20-50a  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    Podiatric   surgery  requiring  an  anesthetic
other than a local anesthetic shall  be  performed
in  a  facility accredited by the Joint Commission
on Accreditation of Healthcare Organizations or  a
free  standing  surgery  center  accredited by the
Accreditation Association  for  Ambulatory  Health
Care,  by  a licensed podiatrist who is accredited
by the credentials committee of the medical  staff
of  such  facility to perform podiatric surgery in
conformance with rules promulgated by the chief of
the  surgical  department  of said facility taking
into    account    the    training,    experience,
demonstrated  competence and judgment of each such
licensed podiatrist,  and  such  podiatrist  shall
comply  with  such  rules. Podiatric surgery shall
not include amputation of the leg [,] OR foot [or]
OTHER  THAN  FROM THE TRANSMETATARSAL LEVEL TO THE
toes.
    Sec.   8.   Section   20-146  of  the  general
statutes is amended by adding  subsection  (c)  as
follows:
    (NEW) (c) Each  licensed  optician  shall meet
such  continuing  education  requirements  as  the
Commissioner of Public  Health  may establish. The
commissioner may adopt  regulations, in accordance
with the provisions  of  chapter 54, setting forth
continuing  education  requirements  for  licensed
opticians.
    Sec.  9. Subsection (c) of section 20-206bb of
the general statutes is repealed and the following
is substituted in lieu thereof:
    (c)   Notwithstanding   the    provisions   of
subsection (b) of  this  section,  the  department
[may, not later than thirty days following June 4,
1996] SHALL, PRIOR  TO  JANUARY  1,  1999, issue a
license  to any  applicant  who  presents  to  the
department satisfactory evidence  that he [(1) has
completed sixty semester  hours  or its equivalent
of postsecondary education which, if in the United
States or its  territories,  was  accredited  by a
recognized  regional  accrediting   body   or,  if
outside the United  States or its territories, was
legally chartered to  grant  postsecondary degrees
in the country  in which located, or is acceptable
to the department,  (2) has successfully completed
a course of  study  in  acupuncture  in  a program
located  outside  the   United   States   or   its
territories, fully licensed  and  approved  by the
appropriate regulatory body of the jurisdiction in
which located, or  accepted  by the department and
which included a  minimum  of  one  thousand three
hundred  fifty  hours  of  didactic  and  clinical
training,  five  hundred   hours   of  which  were
clinical, (3) has passed an examination prescribed
by the department  pursuant  to  subsection (b) of
this section or  its  equivalent  as prescribed by
the department, (4)]  has  (1) PASSED THE NATIONAL
COMMISSION FOR THE CERTIFICATION OF ACUPUNCTURISTS
WRITTEN  EXAMINATION BY  TEST  OR  BY  CREDENTIALS
REVIEW, (2) SUCCESSFULLY  COMPLETED  THE PRACTICAL
EXAMINATION OF POINT  LOCATION  SKILLS  OFFERED BY
THE NATIONAL COMMISSION  FOR  THE CERTIFICATION OF
ACUPUNCTURISTS, AND (3)  successfully  completed a
course in clean needle technique prescribed by the
department  pursuant to  subsection  (b)  of  this
section. [, and  (5) has worked continuously as an
acupuncturist   for   eight    years   immediately
preceding the submission  of  an  application  for
licensure to the department.]
    Sec.  10. Subsection (b) of section 20-195o of
the general statutes is repealed and the following
is substituted in lieu thereof:
    (b) Notwithstanding the  provisions of section
20-195n concerning examinations,  the commissioner
may issue a  license without examination, prior to
January  1, [1996]  1998,  to  any  applicant  who
offers   proof  to   the   satisfaction   of   the
commissioner  that  he  met  the  requirements  of
subdivisions (1) and (2) of section 20-195n [prior
to October 1,  1993]  AND  WAS  AN EMPLOYEE OF THE
FEDERAL  GOVERNMENT  WITH   NOT  LESS  THAN  THREE
THOUSAND HOURS POSTMASTER'S SOCIAL WORK EXPERIENCE
PRIOR TO OCTOBER 1, 1986.
    Sec.   11.  Section  20-206b  of  the  general
statutes  is  repealed  and   the   following   is
substituted in lieu thereof:
    (a)  No person shall [on and after February 1,
1994,] engage in the practice of  massage  therapy
unless   he   has  obtained  a  license  from  the
department pursuant to this section.  Each  person
seeking  licensure  as  a  massage therapist shall
make  application  on  forms  prescribed  by   the
department,   pay  an  application  fee  of  three
hundred dollars  and  present  to  the  department
satisfactory    evidence    that    he   (1)   has
[successfully completed] GRADUATED FROM  A  SCHOOL
OF  MASSAGE  THERAPY OFFERING a course of study of
not less than five hundred classroom  hours,  with
the  instructor  present,  [at a school of massage
therapy which (A) is] AND,  AT  THE  TIME  OF  HIS
GRADUATION,   WAS  EITHER  (A)  accredited  by  an
[accrediting] agency recognized by the [Department
of  Higher Education in this state, the Department
of Education, or an equivalent  state  agency,  of
the  state  in  which  the school is located or by
the] United States  Department  of  Education  and
[(B)  provided,  at  the  time  of the applicant's
graduation, a curriculum which  was]  approved  by
the American Massage Therapy Association, or [was]
(B) accredited [or approved] by the Commission  on
Massage  Training  Accreditation/Approval,  [or by
the accrediting agency recognized by the state  in
which the school is located] and (2) has passed an
examination prescribed by the  department  or  has
passed   a   national   certification  examination
approved   by   the   American   Massage   Therapy
Association  prior to July 1, 1995. [, except that
from June 1, 1993, until June 30, 1994,  a  person
seeking   such   licensure   may  present  to  the
department satisfactory evidence that he  had  not
later  than  February 1, 1994, met the requirement
either  of  subdivision  (1)  or   (2)   of   this
subsection.]  Passing  scores  on  the examination
shall be prescribed by  the  department.  Licenses
shall  be  renewed annually in accordance with the
provisions of section 19a-88. The fee for  renewal
shall  be one hundred dollars. No license shall be
issued under this section to any applicant against
whom  professional  disciplinary action is pending
or who is the subject of an  unresolved  complaint
in  this  or  any  other  state  or territory. Any
certificate granted by  the  department  prior  to
June  1,  1993,  shall  be  deemed a valid license
permitting continuance of  profession  subject  to
the provisions of this chapter.
    (b)    Notwithstanding   the   provisions   of
subsection (a) of this section, the department may
issue  a  license  to an applicant whose school of
massage therapy does not satisfy  the  requirement
of  subparagraph  (A) or (B) of subdivision (1) of
said subsection, provided the school held, at  the
time  of the applicant's graduation, a certificate
issued by the Commissioner of  Education  pursuant
to   section  10-7b  and  provided  the  applicant
graduated within thirty-three months of  the  date
said school first offered the curriculum completed
by the applicant. No license shall be issued under
this  subsection  to  a graduate of a school which
fails to apply for and obtain accreditation by  an
accrediting agency recognized by the United States
Department of Education and  either  accreditation
or  approval by the Commission on Massage Training
Accreditation/Approval within thirty-three  months
of   the   date  said  school  first  offered  the
curriculum.
    (c)  All  persons  licensed  pursuant  to this
section shall have an affirmative duty to  make  a
written   referral  to  a  licensed  healing  arts
practitioner of any client who has any physical or
medical   condition   which   would  constitute  a
contraindication for massage therapy or which  may
require  evaluation  or treatment beyond the scope
of massage therapy.
    (d)    No   person   shall   use   the   title
"Connecticut licensed massage therapist" unless he
holds  a  license  issued  in accordance with this
section.
    (e)   NOTWITHSTANDING   THE    PROVISIONS   OF
SUBSECTION (a) OF  THIS  SECTION, THE COMMISSIONER
MAY ISSUE A  LICENSE  TO  AN APPLICANT WHO SUBMITS
EVIDENCE  SATISFACTORY TO  THE  COMMISSIONER,  NOT
LATER THAN OCTOBER  1,  1997,  OF  (1) AN ADVANCED
DEGREE,  FROM  A  FOREIGN  INSTITUTION  OF  HIGHER
LEARNING, WITH A  FOCUS ON THERAPEUTIC MASSAGE AND
A MINIMUM OF  TEN  YEARS'  EXPERIENCE AS A MASSAGE
THERAPIST,  OR  (2)  CONNECTICUT  LICENSURE  AS  A
REGISTERED  NURSE  AND   CERTIFICATION  (A)  AS  A
NEUROMUSCULAR THERAPIST OR  (B)  BY  THE  NATIONAL
CERTIFICATION BOARD FOR MASSAGE AND BODY WORK.
    Sec.  12.  Section   20-12c   of  the  general
statutes  is  repealed   and   the   following  is
substituted in lieu thereof:
    (a)  Each physician  assistant  practicing  in
this  state  or   participating   in   a  resident
physician assistant program  shall  have a clearly
identified supervising physician who maintains the
final responsibility for  the care of patients and
the performance of  the  physician  assistant.  No
physician assistant issued  a license or temporary
permit by the department shall practice until such
time  as  a   supervising   physician   has   been
registered with the  department. An individual may
register  with the  department  as  a  supervising
physician provided he:  (1)  Possesses  a  current
unrestricted  license  to   practice  medicine  or
osteopathy  issued pursuant  to  this  chapter  or
chapter 371; and  (2)  has  submitted  a completed
application, on such  forms  as the department may
require, with a  fee  of  thirty-seven dollars and
fifty cents. No physician or osteopathic physician
shall function as  a  supervising physician unless
so registered with  the department. The department
shall  not register  any  applicant  against  whom
professional disciplinary action is pending or who
is the subject  of an unresolved complaint in this
or any other state or territory.
    (b) [No] A  physician or osteopathic physician
[shall] MAY function  as  a  supervising physician
for [more than  two full-time physician assistants
concurrently, or the part-time equivalent thereof,
unless  such  physician  assistants  are  directly
employed as staff  of an institution licensed as a
hospital pursuant to  subsection  (a)  of  section
19a-491  or  are   participating   in  a  resident
physician  assistant program]  AS  MANY  PHYSICIAN
ASSISTANTS AS IS  MEDICALLY  APPROPRIATE UNDER THE
CIRCUMSTANCES,  PROVIDED (1)  THE  SUPERVISION  IS
ACTIVE AND DIRECT, AND AT THE SPECIFIC LOCATION IN
WHICH THE PHYSICIAN  ASSISTANT  IS PRACTICING, AND
(2) THE PHYSICIAN IS SUPERVISING NOT MORE THAN SIX
FULL-TIME  PHYSICIAN ASSISTANTS  CONCURRENTLY,  OR
THE PART-TIME EQUIVALENT THEREOF.
    (c) Nothing in this chapter shall be construed
to prohibit the employment of physician assistants
in a hospital  or other health care facility where
such  physician  assistants   function  under  the
direction of a supervising physician.
    (d) A supervising  physician  shall notify the
department  in  writing   within  thirty  days  of
termination of a  physician-physician assistant or
osteopathic-physician     assistant    supervisory
relationship.  Nothing in  this  subsection  shall
relieve   a   supervising    physician    of   his
responsibility  to  report   pursuant  to  section
20-12e.
    Sec. 13. This  act  shall take effect from its
passage, except that  sections  6 to 8, inclusive,
and 12 shall take effect October 1, 1997.

Approved June 26, 1997