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CT HB06409

CT HB06409
An Act Concerning Undue Delay In Workers' Compensation Claims.


summary

Introduced
01/23/2025
In Committee
04/22/2025
Crossed Over
Passed
Dead
06/04/2025

Introduced Session

2025 General Assembly

Bill Summary

To limit undue delay by an employer or its insurance carrier in providing compensation for medically necessary treatment or equipment.

AI Summary

This bill aims to limit undue delays in workers' compensation claims by establishing new notification requirements for employers and insurance carriers when they want to object to, discontinue, or reduce payments for prescription drug medications or durable medical equipment. Specifically, if an employer or insurer wants to challenge or stop payments for a prescribed medication or medical equipment, they must provide a written notice to the administrative law judge and the employee, detailing the reasons for the proposed action and the date it would take effect. The notice must include medical documentation supporting the objection and follow a specific format. Employees have 15 days to request a hearing if they disagree with the proposed action, and the administrative law judge must prioritize such hearings. If an employer discontinues or reduces payments without prior approval, they may be required to repay the full amount of discontinued payments, pay interest at 1.25% per month, and cover the employee's reasonable attorney's fees. The bill does not apply when the employee's authorized healthcare provider discontinues the medication or equipment. These provisions are designed to protect workers by ensuring transparent and fair processes in workers' compensation claims and preventing arbitrary reductions in medical treatment and support.

Committee Categories

Business and Industry, Labor and Employment

Sponsors (10)

Other Sponsors (1)

Labor and Public Employees Committee (J)

Last Action

Referred by House to Committee on Insurance and Real Estate (on 04/22/2025)

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