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 by an independent review organization. This civil penalty will be deposited into the Insurance Fund and allocated to the Office of the Healthcare Advocate.

The bill aims to hold health carriers accountable for their adverse determinations, ensuring that they face financial repercussions when their decisions are found to be unjustified. This measure is intended to enhance consumer protection and support the advocacy efforts of the Office of the Healthcare Advocate.