General Assembly Substitute Bill No. 7184
January Session, 2017 *_____HB07184INS___031617____*
General Assembly
Substitute Bill No. 7184
January Session, 2017
*_____HB07184INS___031617____*
AN ACT CONCERNING REIMBURSEMENT FOR HEALTH CARE AND CLINICAL SERVICES PROVIDED AT STATE EXPENSE AND ESTABLISHING A TASK FORCE TO MAXIMIZE REIMBURSEMENTS FOR COVERED BENEFITS AND SERVICES PROVIDED BY STATE AGENCIES.
Be it enacted by the Senate and House of Representatives in General Assembly convened:
Section 1. Section 4-67 of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2017):
(a) The Secretary of the Office of Policy and Management may require reports from any department, agency or institution, supported in whole or in part by the state, upon any matter of property or finance at any time and under such regulations as he may prescribe and shall require special reports upon the request of the Governor. The information contained in such special reports shall be submitted by him to the Governor. Said secretary, or any agent of the Office of Policy and Management designated by him for such purpose, may enter any property of any department, board, institution or agency of the state and may examine any of its property and any of its books, papers, plans and records, investigate its service, the effectiveness of its policies, management, internal organization and operating procedure and the character, amount, quality and cost of the service rendered; may recommend to any such department, institution or agency, and assist it to effect, improvements in organization, management, methods and procedure and report his findings and recommendations to the Governor. Each officer and employee of any such department, institution, board or other agency shall assist said secretary or his agent in carrying out the provisions of this chapter. Said secretary shall submit an annual report to the Governor, as provided by section 4-60, which shall include such information concerning the operations of the office and the financial condition and operations of the state as he deems advisable and also any recommendations for changes in the organization or activities of the office. This section shall not apply to the medical records of state employees unless the employee gives his consent or unless the information sought is necessary to assure adjudication of any responsibility on the part of the state or unless medical interpretations of preemployment and other examinations are requested by the Commissioner of Administrative Services.
(b) Not later than January 1, 2018, and annually thereafter, each department, agency and institution supported in whole or in part by the state and providing or facilitating clinical or health care services at state expense shall submit a report to the Secretary of the Office of Policy and Management concerning its policies and procedures for, whenever possible, (1) seeking reimbursement from third parties for the cost of such services, and (2) ensuring that the state is the payor of last resort for such services.
Sec. 2. (Effective from passage) (a) There is established a task force to study and develop strategies to maximize the state's recovery of reimbursements from insurers, health care centers, fraternal benefit societies, hospital service corporations, medical service corporations and other entities that deliver, issue for delivery, renew, amend or continue individual or group health insurance policies in this state for expenditures of state funds to provide covered benefits and services to insureds and enrollees. Such study shall include, but need not be limited to, an examination of (1) current state expenditures for covered benefits and services provided to insureds and enrollees, (2) methods used by state agencies to secure reimbursement for such expenditures, (3) state agency policies concerning reimbursement for such expenditures, and (4) methods available to increase reimbursements for such expenditures.
(b) The task force shall consist of the following members who shall have expertise in the insurance industry:
(1) Two appointed by the speaker of the House of Representatives;
(2) Two appointed by the president pro tempore of the Senate;
(3) One appointed by the majority leader of the House of Representatives;
(4) One appointed by the majority leader of the Senate;
(5) One appointed by the minority leader of the House of Representatives;
(6) One appointed by the minority leader of the Senate;
(7) The Insurance Commissioner, or the commissioner's designee;
(8) The Commissioner on Aging, or the commissioner's designee;
(9) The Commissioner of Children and Families, or the commissioner's designee;
(10) The Commissioner of Education, or the commissioner's designee;
(11) The Commissioner of Mental Health and Addiction Services, or the commissioner's designee;
(12) The Commissioner of Public Health, or the commissioner's designee;
(13) The Commissioner of Social Services, or the commissioner's designee;
(14) The Commissioner of Developmental Services, or the commissioner's designee; and
(15) The Healthcare Advocate, or the advocate's designee.
(c) Any member of the task force appointed under subdivision (1), (2), (3), (4), (5) or (6) of subsection (b) of this section may be a member of the General Assembly.
(d) All appointments to the task force shall be made not later than thirty days after the effective date of this section. Any vacancy shall be filled by the appointing authority.
(e) The speaker of the House of Representatives and the president pro tempore of the Senate shall select the chairpersons of the task force from among the members of the task force. Such chairpersons shall schedule the first meeting of the task force, which shall be held not later than sixty days after the effective date of this section.
(f) The administrative staff of the joint standing committee of the General Assembly having cognizance of matters relating to insurance shall serve as administrative staff of the task force.
(g) Not later than January 1, 2018, the task force shall submit a report on its findings and recommendations to the joint standing committee of the General Assembly having cognizance of matters relating to insurance, in accordance with the provisions of section 11-4a of the general statutes. The task force shall terminate on the date that it submits such report or January 1, 2018, whichever is later.
This act shall take effect as follows and shall amend the following sections:
Section 1 October 1, 2017 4-67
Sec. 2 from passage New section
This act shall take effect as follows and shall amend the following sections:
Section 1
October 1, 2017
4-67
Sec. 2
from passage
New section
INS Joint Favorable Subst.
INS
Joint Favorable Subst.