Bill Text: CT SB00192 | 2014 | General Assembly | Comm Sub

---

Bill Title: An Act Concerning The Qualifications Of Clinical Peers For Adverse Determination Reviews.

Sponsorship: Partisan Bill (Democrat 1)

Status: (Engrossed - Dead) 2014-05-01 - House Calendar Number 485 [SB00192 Detail]

Download: Connecticut-2014-SB00192-Comm_Sub.html

---

General Assembly		Raised Bill No. 192
February Session, 2014		LCO No. 1020
		*_____SB00192INS___030714____*
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
(INS)

AN ACT CONCERNING THE QUALIFICATIONS OF CLINICAL PEERS FOR ADVERSE DETERMINATION REVIEWS.

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

Section 1. Subdivision (7) of section 38a-591a of the 2014 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2015):

(7) "Clinical peer" means a physician or other health care professional who:

(A) For a review other than as specified under subparagraph (B) or (C) of subdivision (38) of this section, (i) holds a nonrestricted license in a state of the United States, [and in the same or similar specialty as] (ii) holds a doctoral or medical degree, and (iii) (I) holds an appropriate national board certification including at the subspecialty level where available, or (II) actively practices and typically manages the medical condition [, procedure or treatment] under review [, and] or provides the procedure or treatment under review; or

(B) [for] For a review specified under subparagraph (B) or (C) of subdivision (38) of this section concerning:

(i) [a] A child or adolescent substance use disorder or a child or adolescent mental disorder, (I) holds a nonrestricted license in a state of the United States, (II) holds a doctoral or medical degree, and (III) holds a national board certification in child and adolescent psychiatry or child and adolescent psychology, and has training or clinical experience in the treatment of child and adolescent substance use disorder or child and adolescent mental disorder, as applicable; [,] or

(ii) [an] An adult substance use disorder or an adult mental disorder, (I) holds a nonrestricted license in a state of the United States, (II) holds a doctoral or medical degree, and (III) holds a national board certification in psychiatry or psychology, and has training or clinical experience in the treatment of adult substance use disorders or adult mental disorders, as applicable.

This act shall take effect as follows and shall amend the following sections:
Section 1	January 1, 2015	38a-591a(7)

INS

Joint Favorable