CT HB07039

Reduces the timeframe for health organizations to cancel, deny, or demand return of payments for authorized covered services from 18 months to 12 months after receipt of a clean claim, effective January 1, 2026

Establishes a working group by July 1, 2025 to study pharmacist compensation for health care services including vaccine administration, HIV and influenza testing, and contraceptive prescribing, with a report due by February 1, 2026

Expands the definition of "clinical peer" to include health care professionals with substantial experience managing the medical condition under review, not just those with the same specialty as the treating provider

Adds new unfair insurance practices including failure to make good-faith network decisions, failure to provide written notice of participating provider status changes, and attempts to interfere with provider-representative relationships, effective October 1, 2025

Requires health carriers to provide written explanations when denying provider network participation requests or making changes to participating provider status, with decisions made in good faith and not based solely on financial impact