General Assembly Proposed Bill No. 5961
January Session, 2017 LCO No. 1630
*01630*
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
REP. ORANGE, 48th Dist.
General Assembly
Proposed Bill No. 5961
January Session, 2017
LCO No. 1630
*01630*
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
REP. ORANGE, 48th Dist.
AN ACT EXTENDING TO PHYSICIANS THE PROHIBITION ON THE SETTING OF PAYMENTS BY HEALTH INSURERS AND OTHER ENTITIES FOR NONCOVERED BENEFITS.
Be it enacted by the Senate and House of Representatives in General Assembly convened:
That section 38a-472h of the general statutes be amended to provide that no insurer, health care center, fraternal benefit society, hospital service corporation, medical service corporation or other entity delivering, issuing for delivery, renewing, amending or continuing certain health insurance policies and health benefit plans in this state shall include in any contract with a physician licensed pursuant to chapter 370 any provision that requires such physician to accept as payment an amount set by such insurer, center, society, corporation or entity for services or procedures provided to an insured or enrollee that are not covered benefits under such insured's or enrollee's policy or plan.
Statement of Purpose:
To extend to physicians the prohibition on insurers and other entities setting payment for services or procedures that are not covered benefits under certain health insurance policies or health benefit plans.