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CT HB05383

Bill

Status

Passed

6/6/2018

Primary Sponsor

Insurance and Real Estate Committee

Click for details

Origin

House of Representatives

2018 General Assembly

AI Summary

  • 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

  • Requires health carriers to notify affected patients within 30 days of a provider removal or departure, regardless of whether the removal was for cause

  • 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

  • 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

  • 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

Committee Referrals

Insurance and Real Estate3/1/2018

Full Bill Text

No bill text available