The proposed bill, General Assembly Proposed Bill No. 1210, seeks to amend section 38a-591g of the general statutes to impose a civil penalty on health carriers when their adverse determinations are reversed during an external review by an independent review organization. The bill stipulates that the penalty collected from health carriers will be deposited into the Insurance Fund and allocated specifically to the Office of the Healthcare Advocate.

This legislation aims to hold health carriers accountable for adverse determinations that are found to be unjustified upon external review, thereby promoting fair practices in healthcare decision-making. The introduction of this civil penalty serves as a financial incentive for health carriers to ensure their determinations are in line with established healthcare standards and patient rights.