CT SB00354

Requires 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, 2023, to include specific reimbursement provisions in such contracts.

Mandates that reimbursement for covered outpatient benefits using CPT E/M codes, CPT A/M codes, telehealth codes, or drug infusion codes cannot vary based on the facility location where the health care provider delivers the service.

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.

Requires contracts to include a conspicuous statement confirming compliance with these reimbursement provisions.

Directs the Insurance Commissioner to adopt regulations in accordance with chapter 54 of the general statutes to implement these requirements; effective July 1, 2023.