CT HB06343

Establishes a "certificate of public advantage" process allowing the Attorney General to authorize health care providers (physicians, chiropractors, podiatrists, naturopaths, optometrists) to enter cooperative arrangements that might otherwise restrict competition.

Requires applicants to submit a $100 application fee and provide detailed information about the cooperative arrangement, including its nature, scope, and evidence that benefits outweigh disadvantages to state residents.

Attorney General must issue a written decision within 90 days, approving only if the arrangement enhances quality, improves cost efficiency, increases access, or avoids duplication while addressing concerns about reduced competition and adverse impacts on prices or access.

Exempt conduct under approved certificates from antitrust law (chapter 624), but the Attorney General must actively supervise through annual $100 progress reports and may modify or revoke certificates within three years if benefits no longer outweigh disadvantages.

Prohibits managed care organizations from refusing good faith negotiations with certified cooperative arrangements; violations subject to civil penalties up to $25,000 per day and treatment as unfair or deceptive trade practices.