CT SB00907

Employers and insurers must notify the commissioner, physician, and employee before discontinuing, reducing, or denying medical treatment deemed reasonable by a physician, with written commissioner approval required before treatment can be stopped.

Notice of intent to discontinue, reduce, or deny treatment must be issued within 10 days of receiving a treatment request and must specify the employer's reasons for disputing the care's reasonableness.

Employees have 15 days after receiving notice to request an informal hearing; the commissioner cannot approve discontinuance until the hearing period expires or a hearing is completed, whichever is later.

Notice must include either an opinion from a Connecticut-licensed physician stating the treatment is unreasonable, or information about a required medical examination to be conducted within 30 days; failure to conduct the examination within 30 days prevents the employer from disputing the treatment.

Employers providing accident and health insurance under state law are exempt from these notice requirements, and ongoing treatment of limited duration is also exempt.