Connecticut Senate Bill SB00195

Connecticut 2025 Regular Session

• Introduced: 1/8/25
• Refer: 1/8/25

Caption

An Act Requiring That Health Carriers Collect Out-of-pocket Expenses For Covered Benefits.

Impact

The bill could significantly impact state laws governing health insurance practices, particularly in how insurers handle cost-sharing components of healthcare coverage. By placing a clear responsibility on health carriers to collect these payments, the law may streamline the billing process for covered benefits and enhance patients' understanding of their payment responsibilities. Moreover, this could potentially reduce administrative burdens on healthcare providers who often deal with the complicated processes of collecting these payments from patients.

Summary

SB00195 aims to require health carriers to collect all out-of-pocket expenses for covered benefits directly from insured individuals. Specifically, this bill mandates that health carriers—insurance companies that provide health coverage—are responsible for collecting coinsurance, copayments, deductibles, and any other out-of-pocket costs that are owed according to the service benefits provided by health care providers. The intent behind this legislation is to improve the accountability of health carriers in the management of out-of-pocket costs, ultimately benefiting consumers by clarifying financial obligations related to their healthcare services.

Contention

Debates surrounding SB00195 may center on the implications this has for consumers who may face increased pressure to pay these out-of-pocket expenses in a timely manner. Opponents might argue that while the bill aims to clarify the responsibilities of health carriers, it could lead to a greater financial strain on patients during medical emergencies or for chronic care needs. Additionally, there may be concerns regarding how this law would integrate with existing regulations and the operations of health providers and insurers in the state.