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General Assembly Substitute Bill No. 1479
January Session, 2025
AN ACT CONCERNING WITHHOLDING MEDICAID REIMBURSEMENT
FOR HEALTH CARE PROVIDERS WHO REQUIRE MANDATORY
ARBITRATION IN BILLING DISPUTES.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. (NEW) (Effective October 1, 2025) (a) As used in this section, 1
(1) "health care provider" has the same meaning as provided in section 2
19a-17b of the general statutes, and (2) "mandatory arbitration clause" 3
means a clause in a health care provider agreement with a patient 4
requiring the patient to submit to mandatory arbitration to resolve a 5
billing dispute. 6
(b) On and after October 1, 2025, the Commissioner of Social Services 7
shall require that a health care provider not use any mandatory 8
arbitration clause in a health care provider agreement with any patient 9
as a condition of receiving Medicaid reimbursement for providing 10
health care services to Medicaid recipients. 11
This act shall take effect as follows and shall amend the following
sections:
Section 1 October 1, 2025 New section
Substitute Bill No. 1479
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Statement of Legislative Commissioners:
In Subsec. (b), "receiving" was inserted before "Medicaid
reimbursement" and "to Medicaid recipients" was inserted after
"services" for clarity.
HS Joint Favorable Subst. -LCO