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General Assembly Proposed Bill No. 33
January Session, 2021
LCO No. 98
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
SEN. ANWAR, 3rd Dist.
AN ACT CONCERNING CONTRACTS BETWEEN HEALTH CARRIERS
AND HEALTH CARE PROVIDERS.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
That title 38a of the general statutes be amended to provide that no 1
contract entered into or renewed between a health carrier and a health 2
care provider shall contain a provision: (1) Requiring the health care 3
provider to collect from an insured any coinsurance, copayment, 4
deductible or other out-of-pocket expense due and owing for a covered 5
benefit that the health care provider provided to the insured; or (2) 6
permitting the health carrier to reduce any payment to the health care 7
provider due to an insured's nonpayment or partial payment of any 8
coinsurance, copayment, deductible or other out-of-pocket expense due 9
and owing for a covered benefit that the health care provider provided 10
to the insured. 11
Statement of Purpose:
To prohibit a health carrier from: (1) Requiring a contracting health care
provider to collect any cost-sharing payment due and owing from an
insured for a covered benefit that the health care provider provided to
the insured; and (2) reducing any payment to a contracting health care Proposed Bill No. 33
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provider due to an insured's nonpayment or partial payment of the
insured's cost-sharing liability for a covered benefit that the health care
provider provided to the insured.