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Bill > SB00445


CT SB00445

CT SB00445
An Act Concerning Patient Choice And Continuity Of Care During Health Insurance Contract Disputes.


summary

Introduced
01/10/2025
In Committee
01/10/2025
Crossed Over
Passed
Dead
06/04/2025

Introduced Session

2025 General Assembly

Bill Summary

To allow any covered person under a health insurance policy that is the subject of a health care contract dispute between such covered person's health care provider and the health insurer, resulting in such health care provider being deemed out-of-network, to terminate such policy and enroll in a new health insurance policy that provides in-network coverage, without any early termination fees, financial penalties, increased premiums, increased out-of-pocket expenses, changes in coverage or coverage gaps.

AI Summary

This bill addresses a situation where a health insurance policy becomes problematic due to a contract dispute between a healthcare provider and the health insurer, which results in the provider being classified as "out-of-network" (meaning the insurer no longer has a contractual agreement with that provider). Under this proposed legislation, patients covered by such a policy would be granted the right to terminate their current health insurance policy and enroll in a new policy with in-network coverage, without facing any negative financial consequences. Specifically, patients would be protected from early termination fees, financial penalties, premium increases, out-of-pocket expense increases, changes in coverage, or coverage gaps. This bill aims to provide patients with more flexibility and protection when their healthcare providers are suddenly no longer covered by their existing insurance plan, ensuring that patients can maintain continuous and affordable healthcare access during insurance contract disputes.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Referred to Joint Committee on Insurance and Real Estate (on 01/10/2025)

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