SB 983 Summary

• Prohibits health care providers, carriers, and plan administrators from including all-or-nothing clauses, anti-steering clauses, anti-tiering clauses, and gag clauses in contracts effective January 1, 2024.

• Nullifies any prohibited contract provisions while keeping remaining contract terms in effect; does not restrict network design, cost initiatives, or pay-for-performance programs that tier providers by quality or cost.

• Grants exclusive enforcement authority to the Connecticut Attorney General, with a 60-day resolution period for violations before legal action (July 1, 2024 - December 31, 2024), and requires a report to the Legislature by February 1, 2024.

• Caps out-of-network hospital service costs at 150% of Medicare reimbursement rates for plans effective January 1, 2024; providers cannot charge patients amounts exceeding plan cost-sharing authorized by law.

• Requires health care providers to report pricing data to the Office of Health Strategy to monitor compliance; creates enforcement mechanisms including notices of violation, hearings, civil penalties, and four-year audit authority.