Connecticut 2015 Regular Session

Connecticut House Bill HB06557 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	General Assembly ~~Committee~~ Bill No. 6557
2		-	January Session, 2015 LCO No. ~~3257~~
3		-	~~03257HB06557INS~~
	1	+	General Assembly Proposed Bill No. 6557
	2	+	January Session, 2015 LCO No. 1526
	3	+	01526
4	4		Referred to Committee on INSURANCE AND REAL ESTATE
5	5		Introduced by:
6		-	~~(INS)~~
	6	+	REP. SRINIVASAN, 31st Dist.
7	7
8	8		General Assembly
9	9
10		-	~~Committee~~ Bill No. 6557
	10	+	Proposed Bill No. 6557
11	11
12	12		January Session, 2015
13	13
14		-	LCO No. ~~3257~~
	14	+	LCO No. 1526
15	15
16		-	~~03257HB06557INS~~
	16	+	01526
17	17
18	18		Referred to Committee on INSURANCE AND REAL ESTATE
19	19
20	20		Introduced by:
21	21
22		-	~~(INS)~~
	22	+	REP. SRINIVASAN, 31st Dist.
23	23
24	24		AN ACT CONCERNING HEALTH CARE PROVIDER DATA REPORTED TO THE CENTERS OF MEDICARE & MEDICAID SERVICES' PHYSICIAN QUALITY REPORTING SYSTEM.
25	25
26	26		Be it enacted by the Senate and House of Representatives in General Assembly convened:
27	27
28		-	Section 1. Section 38a-472b of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2015):
29		-
30		-	[Notwithstanding the provisions of section 38a-472a, every medical provider participating in a contract pursuant to said section shall be responsible for his professional actions and related liability.] Each insurer, health care center or other entity that provides health care benefits shall maintain as confidential any data received or accessed by such insurer, health care center or other entity, that is reported by an eligible professional to the Centers of Medicare & Medicaid Services' Physician Quality Reporting System and is not publicly available.
31		-
32		-	Sec. 2. Section 38a-472a of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2015):
33		-
34		-	(a) No contract between a managed care company, other organization or insurer authorized to do business in this state and a medical provider practicing in this state for the provision of services may require that the medical provider indemnify the managed care company, other organization or insurer for any expenses and liabilities including, without limitation, judgments, settlements, attorneys' fees, court costs and any associated charges incurred in connection with any claim or action brought against a managed care company, other organization or insurer on the basis of its determination of medical necessity or appropriateness of health care services if the information provided by said medical provider used in making the determination was accurate and appropriate at the time it was given. As used in this section, [and section 38a-472b,] "medical provider" means any person licensed pursuant to chapters 370 to 373, inclusive, or chapter 375, 379, 380 or 383.
35		-
36		-	(b) Notwithstanding the provisions of subsection (a) of this section, every medical provider participating in a contract pursuant to said subdivision shall be responsible for such provider's professional actions and related liability.
37		-
38		-
39		-
40		-
41		-	This act shall take effect as follows and shall amend the following sections:
42		-	Section 1 October 1, 2015 38a-472b
43		-	Sec. 2 October 1, 2015 38a-472a
44		-
45		-	This act shall take effect as follows and shall amend the following sections:
46		-
47		-	Section 1
48		-
49		-	October 1, 2015
50		-
51		-	38a-472b
52		-
53		-	Sec. 2
54		-
55		-	October 1, 2015
56		-
57		-	38a-472a
	28	+	That the general statutes be amended to require insurers to maintain as confidential any data reported by a health care provider to the Centers of Medicare & Medicaid Services' Physician Quality Reporting System that is received or accessed by an insurer.
58	29
59	30		Statement of Purpose:
60	31
61		-	To require insurers, health care centers or other entities that provide health care benefits to maintain as confidential any data received or accessed by such insurer, health care center or other entity, that is reported by an eligible professional to the Centers of Medicare & Medicaid Services' Physician Quality Reporting System and is not publicly available.
62		-
63		-	[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.]
64		-
65		-
66		-
67		-	Co-Sponsors: REP. SRINIVASAN, 31st Dist.
68		-
69		-	Co-Sponsors:
70		-
71		-	REP. SRINIVASAN, 31st Dist.
72		-
73		-	H.B. 6557
	32	+	To require insurers to maintain as confidential any data reported by a health care provider to the Centers of Medicare & Medicaid Services' Physician Quality Reporting System that is received or accessed by an insurer.