Bill > SB00819

This bill requires health insurers to provide site-neutral reimbursements to healthcare providers, meaning that the payment for certain medical services will be the same regardless of where the service is performed. Specifically, the bill covers four types of medical service codes: Current Procedural Terminology (CPT) Evaluation and Management (E/M) codes, CPT Assessment and Management (A/M) codes, telehealth codes, and drug infusion codes. The key provision is that reimbursement amounts cannot vary based on the ownership of the facility where the healthcare provider delivers the service. This approach aims to eliminate financial disparities that can occur when the same medical procedure is performed in different settings, such as a hospital-owned clinic versus an independent medical office. By standardizing reimbursement rates, the bill seeks to create a more equitable payment system for healthcare providers and potentially reduce overall healthcare costs by removing financial incentives related to facility ownership.

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https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=SB00819&which_year=2025