General Assembly Proposed Bill No. 33
January Session, 2021 LCO No. 98
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
SEN. ANWAR, 3rd Dist.
AN ACT CONCERNING CONTRACTS BETWEEN HEALTH CARRIERS
AND HEALTH CARE PROVIDERS.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
1 That title 38a of the general statutes be amended to provide that no
2 contract entered into or renewed between a health carrier and a health
3 care provider shall contain a provision: (1) Requiring the health care
4 provider to collect from an insured any coinsurance, copayment,
5 deductible or other out-of-pocket expense due and owing for a covered
6 benefit that the health care provider provided to the insured; or (2)
7 permitting the health carrier to reduce any payment to the health care
8 provider due to an insured's nonpayment or partial payment of any
9 coinsurance, copayment, deductible or other out-of-pocket expense due
10 and owing for a covered benefit that the health care provider provided
11 to the insured.
Statement of Purpose:
To prohibit a health carrier from: (1) Requiring a contracting health care
provider to collect any cost-sharing payment due and owing from an
insured for a covered benefit that the health care provider provided to
the insured; and (2) reducing any payment to a contracting health care
LCO No. 98 1 of 2
Proposed Bill No. 33
provider due to an insured's nonpayment or partial payment of the
insured's cost-sharing liability for a covered benefit that the health care
provider provided to the insured.
LCO No. 98 2 of 2