LCO \\PRDFS1\HCOUSERS\BARRYJN\WS\2023HB-06634-R02-
HB.docx
1 of 2
General Assembly Substitute Bill No. 6634
January Session, 2023
AN ACT CONCERNING SITE OF SERVICE REIMBURSEMENTS.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. (NEW) (Effective October 1, 2023) (a) For the purposes of this 1
section: 2
(1) "Campus" and "hospital-based facility" have the same meanings 3
as provided in section 19a-508c of the general statutes; and 4
(2) "National provider identifier" means a standard, unique health 5
identifier for each health care provider issued by the federal Centers for 6
Medicare and Medicaid Services' National Plan and Provider 7
Enumeration System. 8
(b) On and after January 1, 2024, each hospital-based facility in this 9
state located off-site from a hospital campus shall submit with each 10
claim for reimbursement or payment for health care services provided 11
at such facility, such facility's national provider identifier and federal 12
tax identification number. Such national provider identifier and federal 13
tax identification number shall be (1) separate from any national 14
provider identifier and federal tax identification number issued to such 15
hospital campus, and (2) included on any claim for reimbursement or 16
payment for health care services provided at such facility, regardless of 17
whether such claim or reimbursement is filed or submitted by or 18 Substitute Bill No. 6634
LCO {\\PRDFS1\HCOUSERS\BARRYJN\WS\2023HB-06634-
R02-HB.docx }
2 of 2
through a separate facility or hospital. 19
(c) On and after January 1, 2024, no hospital-based facility in this state 20
located off-site from a hospital campus shall charge a facility fee, unless 21
such fee is mutually agreed upon in a contract between the health carrier 22
and hospital. 23
(d) On and after January 1, 2024, no health carrier shall be required to 24
reimburse or issue payment to a health care provider for a claim for a 25
health care item or service provided to a covered person at a hospital-26
based facility in this state located off-site from a hospital campus, unless 27
such health care provider submits such claim for reimbursement or 28
payment to such health carrier in accordance with the provisions of 29
subsection (b) of this section. 30
(e) On and after January 1, 2024, no hospital-based facility in this state 31
located off-site from a hospital campus, or its designee, that fails to 32
submit a claim for reimbursement or payment to the health carrier in 33
accordance with the provisions of subsection (b) of this section shall 34
hold the covered person liable for payment of such claim for a health 35
care item or service. 36
(f) The Insurance Commissioner may adopt regulations, in 37
accordance with the provisions of chapter 54 of the general statutes, to 38
implement the provisions of this section. 39
This act shall take effect as follows and shall amend the following
sections:
Section 1 October 1, 2023 New section
INS Joint Favorable Subst.
APP Joint Favorable