Sec. 19a-269b. Screening for kidney disease: Physicians, hospitals and clinical
laboratories. (a) As used in this section, "clinical laboratory" has the same meaning as
provided in section 19a-30, "patient" does not include any person under eighteen years of
age and "routine general medical examination" does not include an annual gynecological
(b) Beginning September 1, 2006:
(1) Each physician licensed under chapter 370 shall order a serum creatinine test as part of each patient's routine general medical examination if the patient has not submitted to such test within the one-year period preceding the routine general medical examination. The order shall include a notification that the test is being ordered pursuant to the provisions of this subdivision.
(2) For each serum creatinine test performed on a patient admitted as an inpatient to a hospital licensed in this state, the ordering provider shall request, at least once during such patient's hospital stay, that the laboratory performing the test include an estimated glomerular filtration rate in the laboratory report if the patient has not submitted to such test within the one-year period preceding such hospitalization.
(3) Any person, firm or corporation operating a clinical laboratory licensed in this state shall ensure that when the clinical laboratory tests a specimen to determine a patient's serum creatinine level, as ordered or prescribed by a physician or provider in a hospital pursuant to subdivision (1) or (2) of this subsection, the clinical laboratory shall (A) calculate the patient's estimated glomerular filtration rate using the patient's age and gender, which information shall be provided to the clinical laboratory by the physician or the provider in a hospital, and (B) include the patient's estimated glomerular filtration rate with its report to the physician or the provider in a hospital.
(4) A person, firm or corporation operating a clinical laboratory licensed in this state shall be deemed in compliance with subdivision (3) of this subsection if the clinical laboratory makes available to the ordering physician or provider in a hospital test order codes for serum creatinine that include eGFR.
(P.A. 06-120, S. 1; 06-195, S. 53; P.A. 07-53, S. 1.)
History: P.A. 06-120 effective June 2, 2006; P.A. 06-195 amended Subsec. (b)(2) by replacing requirement that hospitals order serum creatinine tests for all admitted patients at least once during patient's hospital stay with requirement that if such test is performed on a patient admitted as an inpatient, the ordering provider must request, at least once during patient's stay, that testing lab report an estimated glomerular filtration rate if patient hasn't submitted to such test within the preceding year, and made conforming changes in Subsec. (b)(3) and (4), effective June 7, 2006; P.A. 07-53 amended Subsec. (a) to define "routine general medical examination" to exclude annual gynecological examinations, and amended Subsec. (b)(1) to replace "annual physical examination" with "routine general medical examination".
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