OLR Bill Analysis

sHB 5913 (as amended by House "A")*



This bill generally requires anyone who practices as a central service technician (CST) to pass a national exam and to be certified or have similar credentials. A CST is someone who decontaminates, inspects, assembles, packages, and sterilizes reusable medical instruments or devices in a health care facility whether the person is employed by the facility or provides contracted services.

The bill allows those who were employed or contracted for services as a CST in a health care facility before January 1, 2016 to continue to do so without any examination or further credentials. It also exempts certain health-related professions, students, and interns that perform CST tasks or functions from these requirements.

The bill requires CSTs and exempted people who have been deemed competent to perform CST functions to annually take 10 hours of continuing education.

Upon a CST's written request, the bill requires a health care facility to verify in writing a CST's employment dates or the contract period when he or she provided health care services.

The bill requires any health care facility that employs or contracts with a CST to submit to the Department of Public Health (DPH), upon request (including during an inspection), documentation demonstrating that a CST is in compliance with the bill's requirements.

The bill does not set penalties for CSTs or the facilities that violate these provisions.

*House Amendment “A” (1) replaces certain DPH oversight functions with the provision requiring health care facilities to provide documentation upon the department's request, (2) generally limits the qualifications an individual must have to practice as a CST, and (3) makes minor and technical changes.

EFFECTIVE DATE: January 1, 2016


The bill generally prohibits anyone hired or contracted after January 1, 2016 from practicing as a CST unless he or she has successfully passed a nationally accredited central service exam for CSTs and has certain credentials. The person must hold and maintain one of the following:

1. a certified registered CST credential administered by the International Association of Healthcare Central Service Materiel Management or

2. a certified sterile processing and distribution technician credential administered by the Certification Board for Sterile Processing and Distribution, Inc.

Under the bill, a person who has either certification, but has not passed the national exam, may perform CST functions if he or she obtains the certification within two years after the date of hire or contracting with the health care facility.


The bill allows the following people to perform CST tasks or functions without certification or examination:

1. licensed health care providers;

2. students or interns performing CST functions under a health care provider's direct supervision as part of their training or internship; or

3. those who do not work in a health care facility's central service department (i.e., the department that processes, issues, and controls medical supplies, devices, and equipment for patient care) but have been specially trained and determined competent to decontaminate or sterilize reusable medical equipment, instruments, or devices meeting applicable manufacturer's instructions and standards based on a health care facility's infection prevention or control committee standards; such person must also be acting in consultation with a certified CST who has passed the examination or was employed before January 1, 2016.

A health care facility must retain a list of the people determined competent to perform CST functions, including their job titles.


The bill requires a CST to annually complete at least 10 hours of continuing education in areas related to CST functions. An exempt person determined competent to perform CST functions must also annually complete at least 10 hours of continuing education in areas related to infection control and the decontamination and sterilization of reusable medical equipment, instruments, and devices.


Public Health Committee

Joint Favorable Substitute