CT HB05463

Effective January 1, 2025, prohibits insurers, health care centers, hospital service corporations, medical service corporations, fraternal benefit societies, and other health insurance entities from denying reimbursement to health care providers or excluding them from provider networks based solely on their decision not to maintain specialty certification through a maintenance of certification program.

Prevents insurers from requiring health care providers to maintain specialty certification through a maintenance of certification program as a prerequisite for obtaining professional liability insurance or malpractice indemnity coverage.

Exception allows insurers to require specialty certification maintenance if the health care provider holds themselves out to be a specialist under that particular specialty certification.

Applies to individual and group health insurance policies covering specified types of coverage under Connecticut General Statutes section 38a-469.

Defines "maintenance of certification" as any process requiring periodic recertification examinations or other professional development activities to maintain specialty certification.