CT SB01116

Office of Health Strategy seeks a federal Section 1332 waiver under the Affordable Care Act to establish a reinsurance program for the individual health insurance market, designed to lower premiums both on and off the Connecticut Health Insurance Exchange.

State shall fund the reinsurance program with up to $21.21 million annually beginning in plan year 2025, with the Health Reinsurance Association administering the program; funding ceases if the federal waiver terminates and is not replaced.

Office of Health Strategy must set annual health care cost growth benchmarks and primary care spending targets by July 1, 2025, and every five years thereafter, with benchmarks subject to public hearings and legislative review if they differ from prior periods by more than 0.5%.

Executive director shall develop and adopt annual health care quality benchmarks based on nationally recognized measures, hold public hearings, and prepare annual reports to the General Assembly examining spending trends, quality performance, and recommendations for system improvements.

Hospital-based facilities located off-site from a hospital campus must submit separate national provider identifiers and federal tax identification numbers on claims for health care services beginning January 1, 2024.