Bill > SB00451

This bill aims to authorize the state to impose a fee on health insurance companies that offer Medicare Advantage plans within the state. Specifically, the bill seeks to create a mechanism for the state to recover healthcare costs associated with services provided to dually eligible beneficiaries—individuals who qualify for both Medicaid (a state and federal health insurance program for low-income people) and Medicare (a federal health insurance program primarily for people 65 and older or with certain disabilities)—when those services are not covered by a Medicare Advantage plan. Medicare Advantage plans are an alternative to traditional Medicare, offered by private insurance companies and approved by Medicare, which often provide additional benefits beyond standard Medicare coverage. The purpose of this fee is to help the state recoup expenses for healthcare services that fall outside the coverage of these Medicare Advantage plans, essentially creating a financial recovery mechanism for the state when it must cover medical services not included in private insurance plans.

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https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=SB00451&which_year=2025