LCO No. 248 1 of 2
General Assembly Proposed Bill No. 5546
January Session, 2021
LCO No. 248
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
REP. PETIT, 22nd Dist.
SEN. SOMERS, 18th Dist.
AN ACT CONCERNING REQUIRED HEALTH INSURANCE
COVERAGE FOR TELEHEALTH SERVICES.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
That sections 38a-499a and 38a-526a of the general statutes be 1
amended to: (1) Expand (A) required health insurance coverage for 2
telehealth services, and (B) the variety of telehealth providers and 3
platforms that are eligible for reimbursement; (2) provide that no (A) 4
telehealth provider who provides a covered benefit to an insured 5
through telehealth and receives a reimbursement for such benefit shall 6
seek any payment from the insured for such benefit except for any 7
coinsurance, copayment, deductible or other out-of-pocket expense due 8
and owing for such benefit under the insured's health insurance policy, 9
and (B) health carrier shall reduce the amount of any reimbursement 10
paid to a telehealth provider for a covered benefit solely because the 11
telehealth provider provided such covered benefit to an insured 12
through telehealth. 13 Proposed Bill No. 5546
LCO No. 248 2 of 2
Statement of Purpose:
To: (1) Expand (A) required health insurance coverage for telehealth
services, and (B) the variety of telehealth providers and platforms that
are eligible for reimbursement; (2) provide that no (A) telehealth
provider who provides a covered benefit to an insured through
telehealth and receives a reimbursement for such benefit shall seek any
payment from the insured for such benefit except for any coinsurance,
copayment, deductible or other out-of-pocket expense due and owing
for such benefit under the insured's health insurance policy, and (B)
health carrier shall reduce the amount of any reimbursement paid to a
telehealth provider for a covered benefit solely because the telehealth
provider provided such covered benefit to an insured through
telehealth.