Connecticut Senate Bill SB01009

Connecticut 2025 Regular Session

• Introduced: 1/22/25
• Refer: 1/22/25

Caption

An Act Prohibiting The Removal Of Participating Providers Until The End Of A Policy Period.

Impact

If passed, SB01009 would significantly impact the contractual agreements between health insurance carriers and participating providers. Insurance companies would be required to honor the inclusion of participating providers throughout the duration of a policy period, which could influence how health plans manage their networks. This stability could be particularly beneficial for patients who require ongoing care, as it safeguards their relationship with their providers and mitigates potential disruptions in care continuity. However, there is concern regarding the implications this may have on health carriers' ability to manage network costs and provider quality.

Summary

SB01009 is a legislative proposal introduced by Senator Honig, which aims to amend chapter 700c of the general statutes to protect participating providers in health insurance networks from being removed until the end of a policy period. This legislative initiative seeks to ensure stability in provider networks for consumers and prevent abrupt changes that could impact access to medical care. By delaying the removal of healthcare providers, the bill aims to provide clarity and reassurance to policyholders who rely on consistent access to their chosen medical professionals.

Contention

While proponents of SB01009 argue that the bill is crucial for patient protection and access to healthcare, there may be opposition from health insurance carriers who view this requirement as a limitation on their operational flexibility. Critics may contend that the inability to remove low-performing providers or to adjust networks in response to market conditions could ultimately negatively impact the quality and efficiency of care provided. Additionally, the allowance for removals during contract disputes raises questions about the effectiveness and enforceability of the provisions within the bill.