Text of CT SB 1530 (2025)
An Act Concerning A Technical Change To A Provision Concerning Government Administration And The Provision Of Reproductive And Gender-affirming Health Care Services To Patients Regardless Of Location.
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As introduced
33,854 characters
LCO No. 6549
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General Assembly
Raised Bill No. 1530
January Session, 2025
LCO No. 6549
Referred to Committee on GOVERNMENT ADMINISTRATION
AND ELECTIONS
Introduced by:
(GAE)
AN ACT CONCERNING GOVERNMENT ADMINISTRATION AND THE
PROVISION OF REPRODUCTIVE AND GENDER-AFFIRMING HEALTH
CARE SERVICES TO PATIENTS.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. Section 4-38j of the general statutes is repealed and the
1
following is substituted in lieu thereof (Effective October 1, 2025):
2
The Secretary of the Office of Policy and Management and each
3
department head, as defined by section 4-5, shall, upon request, (1)
4
submit to the joint standing committee of the General Assembly having
5
cognizance of matters relating to government administration,
6
organization and reorganization a report [upon request,] on the
7
progress and implementation of reorganization, and [upon request shall
8
also] (2) furnish to the committee any information concerning
9
reorganization or appear before the committee to provide such
10
information as may be determined by the chairpersons of said
11
committee.
12
Sec. 2. Section 52-571m of the general statutes is repealed and the
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following is substituted in lieu thereof (Effective October 1, 2025):
14
(a) As used in this section:
15
(1) "Reproductive health care services" includes all medical, surgical,
16
counseling or referral services relating to the human reproductive
17
system, including, but not limited to, services relating to pregnancy,
18
fertility, contraception or the termination of a pregnancy; [and all
19
medical care relating to treatment of gender dysphoria as set forth in the
20
most recent edition of the American Psychiatric Association's
21
"Diagnostic and Statistical Manual of Mental Disorders" and gender
22
incongruence, as defined in the most recent revision of the
23
"International Statistical Classification of Diseases and Related Health
24
Problems"; and]
25
(2) "Gender-affirming health care services" means all medical care
26
related to the treatment of gender dysphoria as set forth in the most
27
recent edition of the American Psychiatric Association's "Diagnostic and
28
Statistical Manual of Mental Disorders" and gender incongruence, as
29
defined in the most recent revision of the "International Statistical
30
Classification of Diseases and Related Health Problems"; and
31
[(2)] (3) "Person" includes an individual, a partnership, an association,
32
a limited liability company or a corporation.
33
(b) When any person has had [a judgment entered] an action filed
34
against such person, in any state, where liability, in whole or in part, is
35
based on the alleged provision, receipt, assistance in receipt or
36
provision, material support for, or any theory of vicarious, joint, several
37
or conspiracy liability derived therefrom, for reproductive health care
38
services or gender-affirming health care services that are permitted
39
under the laws of this state, regardless of whether the patient was
40
physically located in this state at the time the services were provided,
41
such person may recover damages from any party that brought the
42
action [leading to that judgment] or has sought to enforce [that] a
43
judgment based upon such action. Recoverable damages shall include:
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(1) Just damages created by the action [that led to that judgment,] in the
45
other state, including, but not limited to, money damages in the amount
46
of the judgment in that other state and costs, expenses and reasonable
47
attorney's fees spent in defending the action; [that resulted in the entry
48
of a judgment in another state;] and (2) costs, expenses and reasonable
49
attorney's fees incurred in bringing an action under this section as may
50
be allowed by the court.
51
(c) The provisions of this section shall not apply to [a judgment
52
entered in another state that is based on:] (1) [An] an action in another
53
state founded in tort, contract or statute, and for which a similar claim
54
would exist under the laws of this state, brought by the patient who
55
received the reproductive health care services or gender-affirming
56
health care services upon which the original lawsuit was based or the
57
patient's authorized legal representative, for damages suffered by the
58
patient or damages derived from an individual's loss of consortium of
59
the patient; (2) an action in another state founded in contract, and for
60
which a similar claim would exist under the laws of this state, brought
61
or sought to be enforced by a party with a contractual relationship with
62
the person that is the subject of the judgment entered in another state;
63
or (3) an action in another state where no part of the acts that formed the
64
basis for liability occurred in this state.
65
Sec. 3. Section 52-146w of the general statutes is repealed and the
66
following is substituted in lieu thereof (Effective October 1, 2025):
67
(a) Except as provided in sections 52-146c to 52-146k, inclusive,
68
sections 52-146o, 52-146p, 52-146q and 52-146s and subsection (b) of this
69
section, in any civil action or any proceeding preliminary thereto or in
70
any probate, legislative or administrative proceeding, no covered entity
71
or business associate, as such terms are defined in 45 CFR 160.103, shall
72
disclose (1) any communication made to such covered entity or business
73
associate, or any information obtained by such covered entity or
74
business associate from, a patient or the conservator, guardian or other
75
authorized legal representative of a patient relating to reproductive
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health care services or gender-affirming health care services, as defined
77
in section 52-571m, as amended by this act, that are permitted under the
78
laws of this state and provided to a patient physically located in this
79
state at the time the services were provided, or (2) any information
80
obtained by personal examination of a patient relating to [reproductive
81
health care services, as defined in section 52-571m] such services, that
82
are permitted under the laws of this state, and provided to a patient
83
physically located in this state at the time the services were provided,
84
unless the patient or that patient's conservator, guardian or other
85
authorized legal representative explicitly consents in writing to such
86
disclosure. A covered entity shall inform the patient or the patient's
87
conservator, guardian or other authorized legal representative of the
88
patient's right to withhold such written consent. A covered entity or
89
business associate that receives a request for patient information related
90
to reproductive health care services or gender-affirming health care
91
services subject to the provisions of this section that is not exempted
92
under subsection (b) of this section and is not accompanied by the
93
written consent of the patient or the conservator, guardian or other
94
authorized legal representative of the patient, shall provide notice of the
95
request to the office of the Attorney General not later than seven days
96
after receipt of the request. The notice shall not contain any information
97
that identifies the patient or the conservator, guardian or other
98
authorized legal representative of the patient.
99
(b) Written consent of the patient or the patient's conservator,
100
guardian or other authorized legal representative shall not be required
101
for the disclosure of such communication or information (1) pursuant to
102
the laws of this state or the rules of court prescribed by the Judicial
103
Branch, (2) by a covered entity or business associate against whom a
104
claim has been made, or there is a reasonable belief will be made, in such
105
action or proceeding, to the covered entity's or business associate's
106
attorney or professional liability insurer or such insurer's agent for use
107
in the defense of such action or proceeding, (3) to the Commissioner of
108
Public Health for records of a patient of a covered entity in connection
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with an investigation of a complaint, if such records are related to the
110
complaint, or (4) if child abuse, abuse of an elderly individual, abuse of
111
an individual who is physically disabled or incompetent or abuse of an
112
individual with intellectual disability is known or in good faith
113
suspected.
114
(c) Nothing in this section shall be construed to impede the lawful
115
sharing of medical records as permitted by state or federal law or the
116
rules of the court prescribed by the Judicial Branch, except in the case of
117
a subpoena commanding the production, copying or inspection of
118
medical records relating to reproductive health care services or gender-
119
affirming health care services, as defined in section 52-571m, as
120
amended by this act.
121
Sec. 4. Section 19a-17e of the general statutes is repealed and the
122
following is substituted in lieu thereof (Effective October 1, 2025):
123
(a) As used in this section, "reproductive health care services" [has]
124
and "gender-affirming health care services" have the same [meaning]
125
meanings as provided in section 52-571m, as amended by this act.
126
(b) Notwithstanding the provisions of subsection (a) of section 19a-
127
14, the Department of Public Health shall not deny the eligibility of an
128
applicant for a (1) permit, (2) license by examination, endorsement or
129
reciprocity, or (3) reinstatement of a license (A) voided pursuant to the
130
provisions of subsection (f) of section 19a-88, (B) voluntarily
131
surrendered, or (C) by agreement, not renewed or reinstated pursuant
132
to the provisions of subsection (d) of section 19a-17 based on pending
133
disciplinary action, an unresolved complaint or the imposition of
134
disciplinary action against the applicant by a duly authorized
135
professional disciplinary agency of another state, the District of
136
Columbia or a commonwealth, territory or possession of the United
137
States that is based solely on the alleged provision of, receipt of,
138
assistance in provision or receipt of, material support for, or any theory
139
of vicarious, joint, several or conspiracy liability derived therefrom,
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reproductive health care services or gender-affirming health care
141
services that are permitted under the laws of this state and were
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provided in accordance with the standard of care applicable to such
143
services, regardless of whether the patient receiving such services was
144
[a resident of] physically located in this state at the time the services
145
were provided. The provisions of this subsection shall not apply where
146
the underlying conduct of the applicant would constitute the basis of
147
disciplinary action against the applicant under the laws of this state if
148
the applicant had been licensed or permitted in this state and the
149
conduct had occurred in this state.
150
(c) Notwithstanding the provisions of section 19a-17, a board or
151
commission established under title 20 that has jurisdiction over persons
152
licensed, certified or registered under said title who provide
153
reproductive health care services or gender-affirming health care
154
services, and the Department of Public Health, with respect to
155
professions under the department's jurisdiction that are not subject to
156
discipline by such a board or commission, shall not impose disciplinary
157
action against a licensed, certified or registered person based on
158
pending disciplinary action, an unresolved complaint or the imposition
159
of disciplinary action against such persons before or by a duly
160
authorized professional disciplinary agency of another state, the District
161
of Columbia, or a commonwealth, territory or possession of the United
162
States that is based solely on the alleged provision of, receipt of,
163
assistance in provision or receipt of, material support for, or any theory
164
of vicarious, joint, several or conspiracy liability derived therefrom,
165
reproductive health care services or gender-affirming health care
166
services that are permitted under the laws of this state and were
167
provided in accordance with the standard of care applicable to such
168
services, regardless of whether the patient receiving such services was
169
[a resident of] physically located in this state at the time the services
170
were provided. The provisions of this subsection shall not apply where
171
the underlying conduct of the licensed, certified or registered person
172
would constitute the basis of disciplinary action against such person
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under the laws of this state if the conduct had occurred in this state.
174
Sec. 5. Section 19a-567 of the general statutes is repealed and the
175
following is substituted in lieu thereof (Effective October 1, 2025):
176
(a) As used in this section, (1) "credentialing" means the process of
177
assessing and validating the qualifications of a health care provider
178
applying to be approved to provide treatment, care or services in or for
179
an institution, (2) "health care provider" means a person licensed
180
pursuant to title 20 who provides reproductive health care services, (3)
181
"institution" has the same meaning as provided in section 19a-490, (4)
182
"privileging" means the process of authorizing a health care provider to
183
provide specific treatment, care or services at an institution, and (5)
184
"reproductive health care services" [has] and "gender-affirming health
185
care services" have the same [meaning] meanings as provided in section
186
52-571m, as amended by this act.
187
(b) An institution shall not revoke, suspend, reprimand, penalize,
188
refuse to issue or renew credentials or privileges or take any other
189
adverse action against a health care provider with respect to
190
credentialing or privileging based solely on the alleged provision of,
191
receipt of, assistance in provision or receipt of, material support for, or
192
any theory of vicarious, joint, several or conspiracy liability derived
193
therefrom, reproductive health care services or gender-affirming health
194
care services that (1) are permitted under the laws of this state, (2) were
195
provided in accordance with the standard of care applicable to such
196
services, and (3) were provided by the health care provider (A) before
197
the date on which the health care provider entered an employment
198
relationship with the institution, or (B) outside the scope of the health
199
care provider's employment with the institution, regardless of whether
200
the patient receiving such services was [a resident of] physically located
201
in this state at the time the services were provided.
202
(c) An institution shall not revoke, suspend, reprimand, penalize,
203
refuse to issue or renew credentials or privileges or take any other
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adverse action against a health care provider based on pending
205
disciplinary action, an unresolved complaint or the imposition of
206
disciplinary action against the applicant by a duly authorized
207
professional disciplinary agency of another state, the District of
208
Columbia, or a commonwealth, territory or possession of the United
209
States that is based solely on the alleged provision of, receipt of,
210
assistance in provision or receipt of, material support for, or any theory
211
of vicarious, joint, several or conspiracy liability derived therefrom,
212
reproductive health care services or gender-affirming health care
213
services that (1) are permitted under the laws of this state, (2) were
214
provided in accordance with the standard of care applicable to such
215
services, and (3) were provided by the health care provider (A) before
216
the date on which the health care provider entered an employment
217
relationship with the institution, or (B) outside the scope of the health
218
care provider's employment with the institution, regardless of whether
219
the patient receiving such services was [a resident of] physically located
220
in this state at the time the services were provided.
221
(d) The provisions of this section shall not be construed to prevent an
222
institution from taking any of the actions described in subsections (b)
223
and (c) of this section against a health care provider for conduct that (1)
224
does not conform to the standards of care for the provider's profession,
225
(2) is illegal under the laws of this state, or (3) violates policies or rules
226
of the institution that define the scope of services provided by the
227
institution if (A) such conduct occurs within the scope of the health care
228
provider's employment with, or delivery of care at, the institution, and
229
(B) the institution's enforcement of such policies or rules is not otherwise
230
prohibited by law or regulation.
231
Sec. 6. Section 20-579a of the general statutes is repealed and the
232
following is substituted in lieu thereof (Effective October 1, 2025):
233
(a) As used in this section, "reproductive health care services" [has]
234
and "gender-affirming health care services" have the same [meaning]
235
meanings as provided in section 52-571m, as amended by this act.
236
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(b) Notwithstanding any provision of this chapter, the Commissioner
237
of Consumer Protection and the Commission of Pharmacy shall not
238
deny the eligibility of an applicant for a license, permit or registration
239
under this chapter based on pending disciplinary action, an unresolved
240
complaint or the imposition of disciplinary action against the applicant
241
by a duly authorized professional disciplinary agency of another state,
242
the District of Columbia or a commonwealth, territory or possession of
243
the United States that is based solely on the alleged provision of, receipt
244
of, assistance in provision or receipt of, material support for, or any
245
theory of vicarious, joint, several or conspiracy liability derived
246
therefrom, reproductive health care services or gender-affirming health
247
care services that are permitted under the laws of this state and were
248
provided in accordance with the standard of care applicable to such
249
services, regardless of whether the patient receiving such services was
250
[a resident of] physically located in this state at the time the services
251
were provided. The provisions of this subsection shall not apply where
252
the underlying conduct of the applicant would constitute the basis of
253
disciplinary action against the applicant under the laws of this state if
254
the applicant had been licensed, permitted or registered in this state and
255
the conduct had occurred in this state.
256
(c) Notwithstanding any provision of this chapter, the Commissioner
257
of Consumer Protection and the Commission of Pharmacy shall not
258
impose disciplinary action against any person licensed, permitted or
259
registered pursuant to the provisions of this chapter based on pending
260
disciplinary action, an unresolved complaint or the imposition of
261
disciplinary action against the applicant by a duly authorized
262
professional disciplinary agency of another state, the District of
263
Columbia, or a commonwealth, territory or possession of the United
264
States that is based solely on the alleged provision of, receipt of,
265
assistance in provision or receipt of, material support for, or any theory
266
of vicarious, joint, several or conspiracy liability derived therefrom,
267
reproductive health care services or gender-affirming health care
268
services that are permitted under the laws of this state and were
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provided in accordance with the standard of care applicable to such
270
services, regardless of whether the patient receiving such services was
271
[a resident of] physically located in this state at the time the services
272
were provided. The provisions of this subsection shall not apply where
273
the underlying conduct of the person licensed, permitted or registered
274
would constitute the basis of disciplinary action against such person
275
under the laws of this state if such person had been licensed, permitted
276
or registered in this state and the conduct had occurred in this state.
277
Sec. 7. Section 38a-835 of the general statutes is repealed and the
278
following is substituted in lieu thereof (Effective October 1, 2025):
279
(a) As used in this section, (1) "health care provider" means a person
280
licensed pursuant to title 20 who provides reproductive health care
281
services, (2) "insurer" means an insurer that insures a health care
282
provider against professional liability, and (3) "reproductive health care
283
services" [has] and "gender-affirming health care services" have the
284
same [meaning] meanings as provided in section 52-571m, as amended
285
by this act.
286
(b) An insurer shall not take any adverse action, including, but not
287
limited to, denial or revocation of coverage, sanctions, fines, penalties or
288
rate increases against a health care provider, if such action is based
289
solely on:
290
(1) Such health care provider's alleged provision of, receipt of,
291
assistance in provision or receipt of, material support for, or any theory
292
of vicarious, joint, several or conspiracy liability derived therefrom,
293
reproductive health care services or gender-affirming health care
294
services that are permitted under the laws of this state and were
295
provided in accordance with the standard of care applicable to such
296
services, regardless of whether the patient receiving such services was
297
[a resident of] physically located in this state at the time the services
298
were provided; or
299
(2) Pending disciplinary action, an unresolved complaint or the
300
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imposition of disciplinary action against such health care provider by a
301
duly authorized professional disciplinary agency of another state, the
302
District of Columbia, or a commonwealth, territory or possession of the
303
United States that is based solely on the alleged provision of, receipt of,
304
assistance in provision or receipt of, material support for, or any theory
305
of vicarious, joint, several or conspiracy liability derived therefrom,
306
reproductive health care services or gender-affirming health care
307
services that are permitted under the laws of this state and were
308
provided in accordance with the standard of care applicable to such
309
services, regardless of whether the patient receiving such services was
310
[a resident of] physically located in this state at the time the services
311
were provided.
312
Sec. 8. Section 52-155a of the general statutes is repealed and the
313
following is substituted in lieu thereof (Effective October 1, 2025):
314
Notwithstanding the provisions of sections 52-155 and 52-657, a
315
judge, justice of the peace, notary public or commissioner of the
316
Superior Court shall not issue a subpoena requested by a commissioner,
317
appointed according to the laws or usages of any other state or
318
government, or by any court of the United States or of any other state or
319
government, when such subpoena relates to reproductive health care
320
services or gender-affirming health care services, as defined in section
321
52-571m, as amended by this act, that are permitted under the laws of
322
this state, unless the subpoena relates to: (1) An out-of-state action
323
founded in tort, contract or statute, for which a similar claim would exist
324
under the laws of this state, brought by a patient or the patient's
325
authorized legal representative, for damages suffered by the patient or
326
damages derived from an individual's loss of consortium of the patient;
327
or (2) an out-of-state action founded in contract, and for which a similar
328
claim would exist under the laws of this state, brought or sought to be
329
enforced by a party with a contractual relationship with the person that
330
is the subject of the subpoena requested by a commissioner appointed
331
according to the laws or usages of another state.
332
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Sec. 9. Subsection (b) of section 54-82i of the general statutes is
333
repealed and the following is substituted in lieu thereof (Effective October
334
1, 2025):
335
(b) If a judge of a court of record in any state which by its laws has
336
made provision for commanding persons within that state to attend and
337
testify in this state certifies, under the seal of such court, that there is a
338
criminal prosecution pending in such court, or that a grand jury
339
investigation has commenced or is about to commence, that a person
340
being within this state is a material witness in such prosecution or grand
341
jury investigation and that the presence of such witness will be required
342
for a specified number of days, upon presentation of such certificate to
343
any judge of a court of record in the judicial district in which such
344
person is, such judge shall fix a time and place for a hearing and shall
345
make an order directing the witness to appear at such time and place for
346
such hearing. If, at such hearing, the judge determines that the witness
347
is material and necessary, that it will not cause undue hardship to the
348
witness to be compelled to attend and testify in the prosecution or a
349
grand jury investigation in the other state and that the laws of such other
350
state and the laws of any other state through which the witness may be
351
required to pass by ordinary course of travel will give to such witness
352
protection from arrest and from the service of civil or criminal process,
353
the judge shall issue a summons, with a copy of the certificate attached,
354
directing the witness to attend and testify in the court where the
355
prosecution is pending, or where a grand jury investigation has
356
commenced or is about to commence at a time and place specified in the
357
summons, except that no judge shall issue a summons in a case where
358
prosecution is pending, or where a grand jury investigation has
359
commenced or is about to commence for a criminal violation of a law of
360
such other state involving the provision or receipt of or assistance with
361
reproductive health care services or gender-affirming health care
362
services, as defined in section [52-571n] 52-571m, as amended by this
363
act, that are legal in this state, regardless of whether the patient was
364
physically located in this state at the time the services were provided,
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unless the acts forming the basis of the prosecution or investigation
366
would also constitute an offense in this state. At any such hearing, the
367
certificate shall be prima facie evidence of all the facts stated therein. If
368
such certificate recommends that the witness be taken into immediate
369
custody and delivered to an officer of the requesting state to assure the
370
attendance of the witness in such state, such judge may, in lieu of
371
notification of the hearing, direct that such witness be forthwith brought
372
before such judge for such hearing, and, being satisfied, at such hearing,
373
of the desirability of such custody and delivery, of which desirability
374
such certificate shall be prima facie proof, may, in lieu of issuing a
375
subpoena or summons, order that such witness be forthwith taken into
376
custody and delivered to an officer of the requesting state. If such
377
witness, after being paid or tendered by an authorized person the same
378
amount per mile as provided for state employees pursuant to section 5-
379
141c for each mile by the ordinary traveled route to and from the court
380
where the prosecution is pending and five dollars each day that such
381
witness is required to travel and attend as a witness, fails, without good
382
cause, to attend and testify as directed in the summons, the witness shall
383
be punished in the manner provided for the punishment of any witness
384
who disobeys a summons issued from a court of record in this state.
385
Sec. 10. Section 54-155a of the general statutes is repealed and the
386
following is substituted in lieu thereof (Effective October 1, 2025):
387
No public agency, as defined in section 1-200, or employee,
388
appointee, officer or official or any other person acting on behalf of a
389
public agency may provide any information or expend or use time,
390
money, facilities, property, equipment, personnel or other resources in
391
furtherance of any interstate investigation or proceeding or unless
392
pursuant to a court order, any federal investigation or proceeding,
393
seeking to impose civil or criminal liability upon a person or entity for
394
(1) the provision, seeking or receipt of or inquiring about reproductive
395
health care services or gender-affirming health care services, as defined
396
in section 52-571m, as amended by this act, that are legal in this state, or
397
(2) assisting any person or entity providing, seeking, receiving or
398
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responding to an inquiry about reproductive health care services or
399
gender-affirming health care services, as defined in section 52-571m, as
400
amended by this act, that are legal in this state, regardless of whether
401
the patient was physically located in this state at the time the services
402
were provided. This section shall not apply to any investigation or
403
proceeding where the conduct subject to potential liability under the
404
investigation or proceeding would be subject to liability under the laws
405
of this state if committed in this state.
406
Sec. 11. Subdivision (17) of section 42-515 of the general statutes is
407
repealed and the following is substituted in lieu thereof (Effective October
408
1, 2025):
409
(17) "Gender-affirming health care services" has the same meaning as
410
provided in section [52-571n] 52-571m, as amended by this act.
411
Sec. 12. Sections 52-146x, 52-155b, 52-571n and 54-155b of the general
412
statutes are repealed. (Effective October 1, 2025)
413
This act shall take effect as follows and shall amend the following
sections:
Section 1
October 1, 2025
4-38j
Sec. 2
October 1, 2025
52-571m
Sec. 3
October 1, 2025
52-146w
Sec. 4
October 1, 2025
19a-17e
Sec. 5
October 1, 2025
19a-567
Sec. 6
October 1, 2025
20-579a
Sec. 7
October 1, 2025
38a-835
Sec. 8
October 1, 2025
52-155a
Sec. 9
October 1, 2025
54-82i(b)
Sec. 10
October 1, 2025
54-155a
Sec. 11
October 1, 2025
42-515(17)
Sec. 12
October 1, 2025
Repealer section
Statement of Purpose:
To make a technical change to a statute concerning government
administration and to provide protections to health care providers who
Raised Bill No.
1530
LCO No. 6549
15 of 15
provide reproductive and gender-affirming health care services to
patients, regardless of whether the patients are physically located in this
state at the time the services are provided.
[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
underlined.]