Connecticut Senate Bill SB00142

Connecticut 2023 Regular Session

• Introduced: 1/13/23
• Refer: 1/13/23

Caption

An Act Concerning A State-operated Reinsurance Program And Health Care Cost Growth.

Impact

The introduction of SB00142 is expected to have significant implications for state laws governing health insurance and service delivery. By implementing a reinsurance program, the bill intends to lower premiums for consumers and stabilize the insurance market. Additionally, the requirement for the Office of Health Strategy to adjust for the impacts of primary care spending on funding for individuals with developmental disabilities indicates a conscious effort to maintain equitable service provision while managing healthcare expenditures.

Summary

SB00142, titled 'An Act Concerning A State-operated Reinsurance Program And Health Care Cost Growth,' aims to establish a state-operated reinsurance program that would help cover claims for certain health benefits under qualified health plans. The bill mandates the state to apply for a federal waiver, which, if approved, would allow the reinsurance program to be funded through premium tax credits and cost-sharing reductions, enabling better financial stability in the healthcare sector. This measure is seen as a proactive step to mitigate rising healthcare costs for residents while ensuring that essential health services remain accessible.

Contention

However, the bill may face opposition based on concerns over its funding and implementation. Critics might argue that relying on federal waivers and reallocating funds from other programs could create uncertainty in healthcare financing. Moreover, the inclusion of provisions related to drug pricing benchmarks and the establishment of a task force to study prescription drug pricing indicates an intention to control pharmaceutical costs, which may be contentious among pharmaceutical stakeholders and advocates for free-market practices. The balance between controlling costs and ensuring the quality of care is likely to be a focal point in discussions surrounding the bill.