Bill Text: CT SB00378 | 2018 | General Assembly | Introduced

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Bill Title: An Act Concerning Reimbursements Under Certain High Deductible Health Plans.

Spectrum: Committee Bill

Status: (Introduced - Dead) 2018-03-02 - Public Hearing 03/06 [SB00378 Detail]

Download: Connecticut-2018-SB00378-Introduced.html

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General Assembly		Raised Bill No. 378
February Session, 2018		LCO No. 1730
		*01730_______INS*
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
(INS)

AN ACT CONCERNING REIMBURSEMENTS UNDER CERTAIN HIGH DEDUCTIBLE HEALTH PLANS.

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

Section 1. (NEW) (Effective January 1, 2019) Each health carrier, as defined in section 38a-591a of the general statutes, that delivers, issues for delivery, renews, amends or continues an individual or group health insurance policy in this state that is both a high deductible plan, as that term is used in subsection (f) of section 38a-493 of the general statutes, and a network plan, as defined in section 38a-472f of the general statutes, and provides coverage of the type specified in subdivisions (1), (2), (4), (6), (10), (11) and (12) of section 38a-469 of the general statutes, shall directly reimburse a participating provider for covered benefits delivered by the participating provider to a covered person if the participating provider is otherwise eligible for reimbursement for such benefits. The health carrier shall reimburse the participating provider in accordance with the participating provider's fee schedule. No health carrier shall withhold or offset any payment to a participating provider under this section due to an uncollected or outstanding deductible, coinsurance or copayment owed to the health carrier by a covered person.

This act shall take effect as follows and shall amend the following sections:
Section 1	January 1, 2019	New section

Statement of Purpose:

To require that health carriers that issue certain high deductible plans directly reimburse participating providers for the cost of covered benefits.

[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.]