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CT HB07173

Bill

Status

Engrossed

5/23/2019

Primary Sponsor

Insurance and Real Estate Committee

Click for details

Origin

House of Representatives

2019 General Assembly

AI Summary

  • Prohibits health insurers from requiring optometrists or ophthalmologists to accept insurer-set payment rates for non-covered services, procedures, or products in contracts entered into, renewed, or amended on or after January 1, 2020.

  • Requires optometrists and ophthalmologists to charge no more than their usual and customary rates for non-covered services, procedures, or products.

  • Mandates that vision plan evidence of coverage include a disclosure statement informing enrollees that participating providers may charge usual and customary rates for non-covered services and should provide a treatment plan with estimated costs before providing such services.

  • Requires optometrists and ophthalmologists to post a conspicuous notice stating that non-covered services, procedures, or products may not be offered at discounted rates.

  • Exempts self-insured plans and contracts derived from collective bargaining agreements from these requirements; effective January 1, 2020.

Legislative Description

An Act Concerning Contracts Between Health Insurers, Optometrists And Ophthalmologists.

Last Action

File Number 1004

5/28/2019

Committee Referrals

Insurance and Real Estate2/21/2019

Full Bill Text

No bill text available