Connecticut Seal

General Assembly

 

Raised Bill No. 6310

January Session, 2011

 

LCO No. 2810

 

*02810_______INS*

Referred to Committee on Insurance and Real Estate

 

Introduced by:

 

(INS)

 

AN ACT CONCERNING CERTAIN HEALTH CARE PROVIDER NETWORK ARRANGEMENTS.

Be it enacted by the Senate and House of Representatives in General Assembly convened:

Section 1. Subsection (b) of section 20-138b of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2011):

(b) If any health care center, as defined in section 38a-175, or preferred provider network, as defined in section 38a-479aa, offers health care benefits [which] that provide ophthalmologic care for any person, partnership, corporation, association or group, however organized, such health care center or preferred provider network shall provide optometric care. If the ophthalmologic care provided may be lawfully rendered by an optometrist, such health care center or preferred provider network shall provide the identical eye care coverage and benefits for its members when such care is rendered by an optometrist under contract with such health care center or preferred provider network. Such health care center or preferred provider network shall (1) contract with ophthalmologists and optometrists (A) in a manner [which] that will provide fair and sufficient representation of such providers in relation to the benefits provided by the health care center plan or preferred provider network, and (B) in substantially the same manner, and (2) equally inform its members of the availability of ophthalmologic and optometric services.

This act shall take effect as follows and shall amend the following sections:

Section 1

October 1, 2011

20-138b(b)

Statement of Purpose:

To require health care centers and preferred provider networks to contract with ophthalmologists and optometrists in substantially the same manner.

[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]