Connecticut 2012 Regular Session

Connecticut House Bill HB05142 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	General Assembly Raised Bill No. 5142
2	2	February Session, 2012 LCO No. 801
3	3	00801_______INS
4	4	Referred to Committee on Insurance and Real Estate
5	5	Introduced by:
6	6	(INS)
7	7
8	8	General Assembly
9	9
10	10	Raised Bill No. 5142
11	11
12	12	February Session, 2012
13	13
14	14	LCO No. 801
15	15
16	16	00801_______INS
17	17
18	18	Referred to Committee on Insurance and Real Estate
19	19
20	20	Introduced by:
21	21
22	22	(INS)
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24	24	AN ACT REQUIRING THE INCLUSION OF PRIMARY CARE PROVIDERS ON HEALTH INSURANCE IDENTIFICATION CARDS.
25	25
26	26	Be it enacted by the Senate and House of Representatives in General Assembly convened:
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28	28	Section 1. Section 38a-472f of the 2012 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2013):
29	29
30	30	(a) Each insurer, health care center, managed care organization or other entity that delivers, issues for delivery, renews, amends or continues an individual or group health insurance policy or medical benefits plan, and each preferred provider network, as defined in section 38a-479aa, that contracts with a health care provider, as defined in section 38a-478, for the purposes of providing covered health care services to its enrollees, shall maintain a network of such providers that is consistent with the National Committee for Quality Assurance's network adequacy requirements or URAC's provider network access and availability standards.
31	31
32	32	(b) Each insurer, health care center, managed care organization or other entity that delivers, issues for delivery, renews, amends or continues an individual or group health insurance policy or medical benefits plan shall include on any identification card issued to an enrollee for such policy or plan the name of the enrollee's primary care provider.
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34	34	Sec. 2. Section 38a-478d of the 2012 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2013):
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36	36	For any contract delivered, issued for delivery, renewed, amended or continued in this state, each managed care organization shall:
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38	38	(1) Provide at least annually to each enrollee a listing of all providers available under the provisions of the enrollee's enrollment agreement, in writing or through the Internet at the option of the enrollee;
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40	40	(2) Include, under a separate category or heading, participating advanced practice registered nurses in the listing of providers specified under subdivision (1) of this section; [and
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42	42	(3) For a managed care plan that requires the selection of a primary care provider:
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44	44	(A)] (3) Allow an enrollee to designate a participating, in-network physician or a participating, in-network advanced practice registered nurse as such enrollee's primary care provider; and
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46	46	[(B)] (4) Provide notification, as soon as possible, to each such enrollee upon the termination or withdrawal of the enrollee's primary care provider.
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48	48
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51	51	This act shall take effect as follows and shall amend the following sections:
52	52	Section 1 January 1, 2013 38a-472f
53	53	Sec. 2 January 1, 2013 38a-478d
54	54
55	55	This act shall take effect as follows and shall amend the following sections:
56	56
57	57	Section 1
58	58
59	59	January 1, 2013
60	60
61	61	38a-472f
62	62
63	63	Sec. 2
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65	65	January 1, 2013
66	66
67	67	38a-478d
68	68
69	69	Statement of Purpose:
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71	71	To require an insurer, health care center, managed care organization or other entity that delivers, issues for delivery, renews, amends or continues a health insurance policy or medical benefits plan to include the name of an enrollee's primary care provider on any identification card issued to the enrollee for such policy or plan.
72	72
73	73	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]