State of Connecticut Workers' Compensation Commission, John A. Mastropietro, Chairman
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Public Act No. 01-85

An Act Requiring Direct Payment of Prescription Medication for Workers' Compensation Claimants.


Effective January 1, 2002


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

Section 1. Subsection (c) of section 31-279 of the general statutes is repealed and the following is substituted in lieu thereof:

(c) [On or after January 1, 1992, any] (1) Any employer or any insurer acting on behalf of an employer, may establish a plan, subject to the approval of the chairman of the Workers' Compensation Commission under subsection (d) of this section, for the provision of medical care [which] that the employer provides for treatment of any injury or illness under this chapter. Each plan shall contain such information as the chairman shall require, including, but not limited to:

[(1)] (A) A listing of all persons who will provide services under the plan, along with appropriate evidence that each person listed has met any licensing, certification or registration requirement necessary for the person to legally provide the service in this state; [(2) a]

(B) A listing of all pharmacies that will provide services under the plan, to which the employer, any insurer acting on behalf of the employer, or any other entity acting on behalf of the employer or insurer shall make direct payments for any prescription drug prescribed by a physician participating in the plan;

(C) A designation of the times, places and manners in which the services will be provided; [(3) a]

(D) A description of how the quality and quantity of medical care will be managed; and [(4) such]

(E) Such other provisions as the employer and the employees may agree to, subject to the approval of the chairman.

(2) The election by an employee covered by a plan established under this subsection to obtain medical care and treatment from a provider of medical services who is not listed in the plan shall suspend [his] the employee's right to compensation, subject to the order of the commissioner.

Sec. 2. Subsection (a) of section 31-294d of the general statutes is repealed and the following is substituted in lieu thereof:

(a) (1) The employer, as soon as [he] the employer has knowledge of an injury, shall provide a competent physician or surgeon to attend the injured employee and, in addition, shall furnish any medical and surgical aid or hospital and nursing service, including medical rehabilitation services and prescription drugs, as the physician or surgeon deems reasonable or necessary. The employer, any insurer acting on behalf of the employer, or any other entity acting on behalf of the employer or insurer shall be responsible for paying the cost of such prescription drugs directly to the provider.

(2) If the injured employee is a local or state police officer, state marshal, judicial marshal, correction officer, emergency medical technician, paramedic, ambulance driver, firefighter, or active member of a volunteer fire company or fire department engaged in volunteer duties, who has been exposed in the line of duty to blood or bodily fluids [which] that may carry blood-borne disease, the medical and surgical aid or hospital and nursing service provided by [his] the employer shall include any relevant diagnostic and prophylactic procedure for and treatment of any blood-borne disease.

Sec. 3. This act shall take effect January 1, 2002.

Approved June 6, 2001


State of Connecticut Workers' Compensation Commission, John A. Mastropietro, Chairman
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State of Connecticut
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Page last revised: August 3, 2001
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