Connecticut House Bill HB05592

Connecticut 2015 Regular Session

• Introduced: 1/20/15
• Refer: 1/20/15

Caption

An Act Prohibiting Certain Health Care Provider Contract Provisions For Payment Of Services.

Impact

If enacted, HB 05592 would serve to enhance patient care by ensuring that health care providers are compensated for the full range of services they provide, regardless of an insurance company's designation of medical necessity. This change could help alleviate financial pressures on providers and ensure that patients may receive necessary treatments without facing barriers due to insurance policies. The bill may result in greater transparency in health care payments and support the rights of health care providers.

Summary

House Bill 05592 aims to amend Title 38a of the general statutes regarding the contractual relations between health care providers and health insurers. Specifically, the bill seeks to prohibit health insurers and related entities from including contract clauses that deny payment for services deemed non-medically necessary. This legislative effort reflects a growing concern about the restrictions that insurance companies can impose on health care providers, potentially affecting the quality and accessibility of health care services provided to patients.

Contention

However, the bill may also evoke contention among stakeholders within the health care system. Proponents argue that it protects the financial interests of providers and promotes patient welfare, while opponents, likely from the insurance industry, may contend that it could lead to increased costs for insurers and ultimately higher premiums for consumers. The balance of protecting health care providers while managing health care costs will be a significant point of discussion if the bill moves forward in the legislative process.