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CT SB00333
Bill
Status
2/27/2020
Primary Sponsor
Insurance and Real Estate Committee
Click for details
AI Summary
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Requires all insurers, health care centers, hospital service corporations, medical service corporations, preferred provider networks and other entities entering into, renewing or amending contracts with health care providers on or after July 1, 2021 to include specific reimbursement provisions in those contracts.
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Mandates reimbursement for covered outpatient benefits using current procedural terminology evaluation and management (CPT E/M) codes or drug infusion codes must not vary based on the facility where the health care provider delivers the benefit.
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Requires equal reimbursement rates for all contracting health care providers in the same geographic region as determined by the Insurance Commissioner, regardless of employer or affiliation, when reimbursement is made on a fee-for-benefit basis or bundled benefits basis.
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Requires contracts to include a conspicuous statement confirming compliance with these reimbursement provisions.
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Directs the Insurance Commissioner to adopt regulations to implement the provisions of this act in accordance with chapter 54 of the general statutes.
Legislative Description
An Act Concerning Reimbursements For Certain Covered Health Benefits.
Last Action
Joint Favorable
3/10/2020