Connecticut 2019 2019 Regular Session

Connecticut Senate Bill SB00029 Introduced / Bill

Filed 01/14/2019

                     
 
LCO No. 923   	1 of 1 
 
General Assembly  Proposed Bill No. 29  
January Session, 2019  
LCO No. 923 
 
 
Referred to Committee on INSURANCE AND REAL ESTATE  
 
 
Introduced by:  
SEN. LOONEY, 11th Dist. 
 
 
 
AN ACT CONCERNING THE BURDEN OF PROOF DURING ADVERSE 
DETERMINATION AND UTILIZATION REVIEWS. 
Be it enacted by the Senate and House of Representatives in General 
Assembly convened: 
 
That sections 38a-591c, 38a-591e and 38a-591g of the general statutes 1 
be amended to require that health carriers bear the burden of proving 2 
that certain health care services under adverse determination or 3 
utilization review are not medically necessary. 4 
Statement of Purpose:   
To require that health carriers bear the burden of proving that certain 
health care services under adverse determination or utilization review 
are not medically necessary.