CT HB05284

Requires health insurers, managed care organizations, pharmacy benefit managers, and third-party administrators to provide comprehensive coverage information to the Department of Social Services within 90 days of request, including policyholder names, addresses, dates of birth, Social Security numbers, and coverage dates.

Expands the types of entities required to disclose information about applicants and recipients of state assistance, adding third-party administrators to the list of health plans and insurers that must comply with information requests.

Clarifies that the Department of Social Services' subrogation claims for medical assistance costs cannot be denied based on submission date, claim format, lack of prior authorization, or missing documentation if submitted within three years, with enforcement actions allowed within six years.

Permits automated data matches between the Department of Social Services and health insurers to identify insurance coverage for medical assistance recipients and their families, removing requirements for the state to reimburse companies for matching costs.

Prohibits health insurers and plans from denying enrollment, limiting benefits, or excluding coverage based on an insured person's eligibility for or receipt of Medicaid.