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CT HB07173
Bill
Status
5/23/2019
Primary Sponsor
Insurance and Real Estate Committee
Click for details
AI Summary
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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.
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Requires optometrists and ophthalmologists to charge no more than their usual and customary rates for non-covered services, procedures, or products.
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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.
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Requires optometrists and ophthalmologists to post a conspicuous notice stating that non-covered services, procedures, or products may not be offered at discounted rates.
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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