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House of Representatives

File No. 649

General Assembly

 

February Session, 2018

(Reprint of File No. 313)

Substitute House Bill No. 5297

 

As Amended by House Amendment

Schedule "A"

Approved by the Legislative Commissioner

April 26, 2018

AN ACT CONCERNING CONTINUING MEDICAL EDUCATION IN SCREENING FOR INFLAMMATORY BREAST CANCER AND GASTROINTESTINAL CANCERS.

Be it enacted by the Senate and House of Representatives in General Assembly convened:

Section 1. Subsection (b) of section 20-10b of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2018):

(b) Except as otherwise provided in subsections (d), (e) and (f) of this section, a licensee applying for license renewal shall earn a minimum of fifty contact hours of continuing medical education within the preceding twenty-four-month period. Such continuing medical education shall (1) be in an area of the physician's practice; (2) reflect the professional needs of the licensee in order to meet the health care needs of the public; and (3) during the first renewal period in which continuing medical education is required and not less than once every six years thereafter, include at least one contact hour of training or education in each of the following topics: (A) Infectious diseases, including, but not limited to, acquired immune deficiency syndrome and human immunodeficiency virus, (B) risk management, including, but not limited to, [for registration periods beginning on or after October 1, 2015,] prescribing controlled substances and pain management, and, for registration periods beginning on or after October 1, 2018, such risk management continuing medical education may also include screening for inflammatory breast cancer and gastrointestinal cancers, including colon, gastric, pancreatic and neuroendocrine cancers and other rare gastrointestinal tumors, (C) sexual assault, (D) domestic violence, (E) cultural competency, and (F) behavioral health, provided further that on and after January 1, 2016, such behavioral health continuing medical education may include, but not be limited to, at least two contact hours of training or education during the first renewal period in which continuing education is required and not less than once every six years thereafter, on the topic of mental health conditions common to veterans and family members of veterans, including (i) determining whether a patient is a veteran or family member of a veteran, (ii) screening for conditions such as post-traumatic stress disorder, risk of suicide, depression and grief, and (iii) suicide prevention training. For purposes of this section, qualifying continuing medical education activities include, but are not limited to, courses offered or approved by the American Medical Association, American Osteopathic Association, Connecticut Hospital Association, Connecticut State Medical Society, Connecticut Osteopathic Medical Society, county medical societies or equivalent organizations in another jurisdiction, educational offerings sponsored by a hospital or other health care institution or courses offered by a regionally accredited academic institution or a state or local health department. The commissioner, or the commissioner's designee, may grant a waiver for not more than ten contact hours of continuing medical education for a physician who: [(i)] (I) Engages in activities related to the physician's service as a member of the Connecticut Medical Examining Board, established pursuant to section 20-8a; [(ii)] (II) engages in activities related to the physician's service as a member of a medical hearing panel, pursuant to section 20-8a; or [(iii)] (III) assists the department with its duties to boards and commissions as described in section 19a-14.

This act shall take effect as follows and shall amend the following sections:

Section 1

October 1, 2018

20-10b(b)

The following Fiscal Impact Statement and Bill Analysis are prepared for the benefit of the members of the General Assembly, solely for purposes of information, summarization and explanation and do not represent the intent of the General Assembly or either chamber thereof for any purpose. In general, fiscal impacts are based upon a variety of informational sources, including the analyst's professional knowledge. Whenever applicable, agency data is consulted as part of the analysis, however final products do not necessarily reflect an assessment from any specific department.


OFA Fiscal Note

State Impact: None

Municipal Impact: None

Explanation

The bill, which makes changes to physician continuing education requirements, does not result in a fiscal impact to the Department of Public Health, as it is not anticipated to affect the number of individuals licensed by the agency.

House “A,” which made clarifying changes to the underlying bill, is not anticipated to result in a fiscal impact to the state or municipalities.

The Out Years

State Impact: None

Municipal Impact: None


OLR Bill Analysis

sHB 5297 (as amended by House "A")*

AN ACT CONCERNING CONTINUING MEDICAL EDUCATION IN COLONOSCOPIES AND ENDOSCOPIES.

SUMMARY

As part of existing law's continuing education requirements, physicians must complete one contact hour of risk management training or education (1) during their first license renewal period in which continuing education is required and (2) at least once every six years after that. This bill allows such training to address screening for inflammatory breast cancer and gastrointestinal cancers, including colon, gastric, pancreatic, and neuroendocrine cancers and other rare gastrointestinal tumors. This applies to license registration periods starting on or after October 1, 2018.

Existing law, unchanged by the bill, requires the risk management training to address prescribing controlled substances and pain management.

By law, physicians generally must complete 50 contact hours of continuing education every two years, starting with their second license renewal.

*House Amendment “A” allows, rather than requires, the training to address gastrointestinal cancers and adds breast cancer to the list of permissible topics.

EFFECTIVE DATE: October 1, 2018

COMMITTEE ACTION

Public Health Committee

Joint Favorable Substitute

Yea

14

Nay

13

(03/19/2018)

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