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CT HB05383
Bill
Status
6/6/2018
Primary Sponsor
Insurance and Real Estate Committee
Click for details
AI Summary
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Increases advance notice requirement from 60 to 90 days when health carriers remove participating providers from networks or providers leave networks, effective July 1, 2018
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Requires health carriers to notify affected patients within 30 days of a provider removal or departure, regardless of whether the removal was for cause
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Mandates health carriers and hospital participating providers continue abiding by existing contract terms, including reimbursement rates, for 60 days following termination or non-renewal of contracts
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Establishes continuity of care procedures for patients in active treatment, including medically necessary ongoing care, pregnancy-related care, or complex conditions, allowing patients to continue with departing providers for up to 90 days unless longer periods are medically necessary
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Requires health carriers to provide patients with lists of alternative in-network providers in their geographic area when a treating provider leaves the network
Legislative Description
An Act Concerning Disputes Between Health Carriers And Participating Providers That Are Hospitals.
Last Action
Signed by the Governor
6/6/2018