The proposed bill, General Assembly Proposed Bill No. 1210, seeks to amend section 38a-591g of the general statutes by introducing a requirement for health carriers to pay a civil penalty when their adverse determinations are overturned during an external review conducted by an independent review organization. This civil penalty will be deposited into the Insurance Fund and allocated specifically to the Office of the Healthcare Advocate.

The bill aims to hold health carriers accountable for their adverse determinations, thereby promoting fair practices in healthcare decision-making. The introduction of this civil penalty serves as a financial incentive for health carriers to ensure that their determinations are just and in compliance with established healthcare standards.