OLR Bill Analysis
AN ACT CONCERNING ACCESS TO IMAGING SERVICES.
This bill limits the total amount of copayments that can be imposed on a person for all magnetic resonance imaging (MRI), computed axial tomography (CAT scan), and positron emission tomography (PET scan) services performed in-network to $ 750 in any policy year. It also limits the copayment amount that can be imposed for any single PET scan performed as an in-network service to $ 200.
The bill's copayment limitations do not apply (1) if the physician ordering the MRI, CAT scan, or PET scan is the same physician performing the imaging service or in the same practice group as him and (2) to high deductible health plans designed to be compatible with federally-qualified health savings accounts.
The bill applies to health insurers, HMOs, hospital service corporations, medical service corporations, and fraternal benefit societies providing group or individual coverage for such imaging services.
EFFECTIVE DATE: October 1, 2006
BACKGROUND
Related Bill
sSB 311 limits copayments, deductibles, and other out-of-pocket costs for MRIs, CAT scans, and PET scans to $ 50 per visit and $ 400 per year for all services combined.
COMMITTEE ACTION
Insurance and Real Estate Committee
Joint Favorable Substitute
Yea |
19 |
Nay |
0 |
(03/14/2006) |