Bill Text: CT HB06557 | 2015 | General Assembly | Comm Sub
Bill Title: An Act Concerning Health Care Provider Data Reported To The Centers Of Medicare & Medicaid Services' Physician Quality Reporting System.
Spectrum: Committee Bill
Status: (Introduced - Dead) 2015-02-18 - Public Hearing 02/26 [HB06557 Detail]
Download: Connecticut-2015-HB06557-Comm_Sub.html
General Assembly |
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January Session, 2015 |
LCO No. 3257 | ||
*03257HB06557INS* | |||
Referred to Committee on INSURANCE AND REAL ESTATE |
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Introduced by: |
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(INS) |
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AN ACT CONCERNING HEALTH CARE PROVIDER DATA REPORTED TO THE CENTERS OF MEDICARE & MEDICAID SERVICES' PHYSICIAN QUALITY REPORTING SYSTEM.
Be it enacted by the Senate and House of Representatives in General Assembly convened:
Section 1. Section 38a-472b of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2015):
[Notwithstanding the provisions of section 38a-472a, every medical provider participating in a contract pursuant to said section shall be responsible for his professional actions and related liability.] Each insurer, health care center or other entity that provides health care benefits shall maintain as confidential any data received or accessed by such insurer, health care center or other entity, that is reported by an eligible professional to the Centers of Medicare & Medicaid Services' Physician Quality Reporting System and is not publicly available.
Sec. 2. Section 38a-472a of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2015):
(a) No contract between a managed care company, other organization or insurer authorized to do business in this state and a medical provider practicing in this state for the provision of services may require that the medical provider indemnify the managed care company, other organization or insurer for any expenses and liabilities including, without limitation, judgments, settlements, attorneys' fees, court costs and any associated charges incurred in connection with any claim or action brought against a managed care company, other organization or insurer on the basis of its determination of medical necessity or appropriateness of health care services if the information provided by said medical provider used in making the determination was accurate and appropriate at the time it was given. As used in this section, [and section 38a-472b,] "medical provider" means any person licensed pursuant to chapters 370 to 373, inclusive, or chapter 375, 379, 380 or 383.
(b) Notwithstanding the provisions of subsection (a) of this section, every medical provider participating in a contract pursuant to said subdivision shall be responsible for such provider's professional actions and related liability.
This act shall take effect as follows and shall amend the following sections: | ||
Section 1 |
October 1, 2015 |
38a-472b |
Sec. 2 |
October 1, 2015 |
38a-472a |
Statement of Purpose:
To require insurers, health care centers or other entities that provide health care benefits to maintain as confidential any data received or accessed by such insurer, health care center or other entity, that is reported by an eligible professional to the Centers of Medicare & Medicaid Services' Physician Quality Reporting System and is not publicly available.
[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.]