Connecticut House Bill HB05833

Connecticut 2015 Regular Session

• Introduced: 1/21/15
• Refer: 1/21/15

Caption

An Act Concerning Insurer Payments For Noncovered Services.

Impact

If enacted, HB 5833 would represent a significant change in how insurer payments are structured for noncovered services across the state. By preventing insurance companies from unilaterally determining payment rates for various healthcare providers, the bill aims to protect healthcare professionals from potential underpayment and to ensure that patients are not deterred from seeking necessary services due to financial uncertainties. This would particularly benefit patients who require specialized care not typically included in standard health insurance plans.

Summary

House Bill 5833, introduced by Representative Orange, aims to amend existing legislation related to insurer payments for noncovered services. The primary focus of this bill is to extend the prohibition currently applied only to dentists, preventing insurers from setting the payment amounts for services or procedures that are not covered by health insurance plans, thereby expanding protection to additional healthcare providers. This legislative move is intended to promote fair compensation for healthcare services that patients may receive but which are not reimbursed under typical insurance policies.

Contention

There may be contentions associated with this bill, particularly concerning the implications it could have on the insurance market and healthcare costs. Critics might argue that altering insurer payment structures could lead to increased premiums for consumers as insurance companies aim to offset any financial losses stemming from the expanded coverage of noncovered services. Additionally, there could be concerns about the potential for misuse of this legislation by providers who may seek to charge higher rates under the guise of noncovered services, therefore prompting a need for regulatory oversight.