Bill Text: CT HB06588 | 2013 | General Assembly | Introduced

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Bill Title: An Act Concerning The Expiration Of Certain Health Care Provider Contracts.

Spectrum: Committee Bill

Status: (Introduced - Dead) 2013-03-15 - Public Hearing 03/20 [HB06588 Detail]

Download: Connecticut-2013-HB06588-Introduced.html

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General Assembly		Raised Bill No. 6588
January Session, 2013		LCO No. 3934
		*03934_______PH_*
Referred to Committee on PUBLIC HEALTH
Introduced by:
(PH)

AN ACT CONCERNING THE EXPIRATION OF CERTAIN HEALTH CARE PROVIDER CONTRACTS.

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

Section 1. (NEW) (Effective October 1, 2013) (a) As used in this section:

(1) "Health care center" has the same meaning as provided in section 38a-175 of the general statutes;

(2) "Hospital" has the same meaning as provided in section 19a-289a of the general statutes;

(3) "Hospital service corporation" has the same meaning as provided in section 38a-199 of the general statutes;

(4) "Insurer" has the same meaning as provided in section 38a-551 of the general statutes; and

(5) "Medical service corporation" has the same meaning as provided in section 38a-214 of the general statutes.

(b) Not later than ninety days before the expiration of such contract, the hospital or physician-hospital organization shall provide written notice to all current patients that may be affected by the expiration of such contract that includes: (1) The expiration date of such contract; (2) a statement that the hospital or physician-hospital organization may not be in-network after expiration of the contract; (3) information concerning the available procedures for a patient to continue existing coverage or secure alternative coverage for future treatment; (4) contact information for the appropriate person or department of the hospital or the physician-hospital organization and the insurer, health care center or medical service corporation; and (5) contact information for the Office of the Healthcare Advocate.

(c) Not later than thirty days before the expiration of a contract between a hospital or a physician-hospital organization and an insurer, health care center or medical service corporation, the hospital or physician-hospital organization shall: (1) Obtain a certification or accreditation from the National Committee for Quality Assurance or URAC that the network of providers is likely to remain consistent with the National Committee for Quality Assurance's network adequacy requirements or URAC's provider network access and availability standards after expiration of such contract; and (2) submit such certification or accreditation to the Insurance Commissioner.

This act shall take effect as follows and shall amend the following sections:
Section 1	October 1, 2013	New section

Statement of Purpose:

To require certification or accreditation that an adequate provider network will exist after expiration of a contract between a hospital or physician-hospital organization and an insurer, health care center or medical service corporation and to require notice to patients when such contract is set to expire.

[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.]