CT SB00281

Repeals and replaces Section 38a-472i effective October 1, 2016, to expand site-neutral reimbursement requirements beyond colonoscopy and endoscopic services to all health care services.

Requires health insurers, health care centers, hospital service corporations, medical service corporations, and preferred provider networks to include site-neutral reimbursement policies in all contracts entered into, renewed, or amended on or after October 1, 2016.

Mandates equal reimbursement regardless of service location for evaluation and management visits, Group 1 ambulatory payment classification services, and ambulatory surgical procedures as identified by the Medicare Payment Advisory Commission.

Allows limited reimbursement differentials only to cover actual ancillary service packaging costs for Group 2 ambulatory payment classification services.

Requires each contract to include a conspicuous statement certifying compliance with site-neutral reimbursement policies as required by law.