Connecticut 2013 Regular Session

Connecticut Senate Bill SB01105 Compare Versions

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

Old	New	Differences
1	1	General Assembly Raised Bill No. 1105
2	2	January Session, 2013 LCO No. 3615
3	3	03615_______APP
4	4	Referred to Committee on APPROPRIATIONS
5	5	Introduced by:
6	6	(APP)
7	7
8	8	General Assembly
9	9
10	10	Raised Bill No. 1105
11	11
12	12	January Session, 2013
13	13
14	14	LCO No. 3615
15	15
16	16	03615_______APP
17	17
18	18	Referred to Committee on APPROPRIATIONS
19	19
20	20	Introduced by:
21	21
22	22	(APP)
23	23
24	24	AN ACT CONCERNING A RIGHT OF RECOVERY AGAINST THIRD PARTIES FOR MEDICAL EXPENSES PAID BY STATE-PROVIDED GROUP HOSPITALIZATION AND MEDICAL AND SURGICAL INSURANCE PLANS FOR COVERED INDIVIDUALS.
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 5-259 of the general statutes is amended by adding subsection (n) as follows (Effective from passage):
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30	30	(NEW) (n) (1) The Comptroller may request the Attorney General to bring an action in the superior court for the judicial district of Hartford to recover medical expenses, including health care provider, hospital, surgical or prescription drug expenses, paid for an individual covered by a plan procured by the Comptroller pursuant to subsection (a) of this section against a third party from whom the individual is entitled to recover such expenses.
31	31
32	32	(2) The Attorney General may bring suit against such third party in the name of the covered individual and in the Comptroller's own name as subrogee. If such individual receives payment from a third party by suit or settlement for any medical expenses, including health care provider, hospital, surgical or prescription drug expenses, such individual shall reimburse the Comptroller for the amount of such expenses paid by the plan under which the individual is covered, less the individual's pro rata share of the reasonable attorney's fees and costs incurred by the individual in obtaining such payment from such third party.
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34	34	(3) For the purposes of this subsection, any payments made by a third party to, or on behalf of, an individual covered by a plan procured by the Comptroller pursuant to subsection (a) of this section to pay for or reimburse medical expenses, including health care provider, hospital, surgical or prescription drug expenses, shall not be considered collateral sources, as defined in section 52-225b, pursuant to section 52-225a and recovery of any such payments is excluded from the prohibition on the recovery of collateral source benefits under section 52-225c.
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36	36	Sec. 2. Section 52-225b of the general statutes is repealed and the following is substituted in lieu thereof (Effective from passage):
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38	38	For purposes of sections 52-225a to 52-225c, inclusive: "Collateral sources" means any payments made to the claimant, or on his behalf, by or pursuant to: (1) Any health or sickness insurance, automobile accident insurance that provides health benefits, and any other similar insurance benefits, except life insurance benefits available to the claimant, whether purchased by him or provided by others; or (2) any contract or agreement of any group, organization, partnership or corporation to provide, pay for or reimburse the costs of hospital, medical, dental or other health care services. "Collateral sources" do not include (A) amounts received by a claimant as a settlement, or (B) payments made by a third party to, or on behalf of, an individual covered by a plan procured by the Comptroller pursuant to subsection (a) of section 5-259 to pay for or reimburse medical expenses, including health care provider, hospital, surgical or prescription drug expenses, for the purposes of subsection (n) of said section 5-259, as amended by this act.
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40	40
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43	43	This act shall take effect as follows and shall amend the following sections:
44	44	Section 1 from passage 5-259
45	45	Sec. 2 from passage 52-225b
46	46
47	47	This act shall take effect as follows and shall amend the following sections:
48	48
49	49	Section 1
50	50
51	51	from passage
52	52
53	53	5-259
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55	55	Sec. 2
56	56
57	57	from passage
58	58
59	59	52-225b
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61	61	Statement of Purpose:
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63	63	To permit the Comptroller to recover medical expenses paid by state-provided group hospitalization and medical and surgical insurance plans for covered individuals from liable third parties.
64	64
65	65	[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.]