OLR Bill Analysis

HB 5963

AN ACT CONCERNING TREATMENT OR CARE PROVIDED BY RELIGIOUS NONMEDICAL PROVIDERS UNDER HEALTH INSURANCE POLICIES OR HEALTH BENEFIT PLANS.

SUMMARY

This bill allows health carriers (e.g., insurers and HMOs) to include religious nonmedical providers in their provider networks. Under the bill, a “religious nonmedical provider” provides only religious nonmedical treatment or care and does not provide medical care.

The bill specifies that state health insurance laws do not require health carriers to:

1. exclude religious nonmedical providers from their provider networks because they do not provide medical or other data required from health care providers,

2. use medically based eligibility criteria to determine a provider's status as a religious nonmedical provider or an enrollee's access to such a provider,

3. use medical professionals or criteria for utilization reviews or grievance determinations involving a benefit request for a religious nonmedical provider, or

4. compel an enrollee to undergo a medical examination or test as a condition of receiving coverage for services provided by a religious nonmedical provider.

The bill applies to health insurers, HMOs, hospital and medical service corporations, and other entities that deliver, renew, amend, or continue health insurance policies or benefit plans in Connecticut.

EFFECTIVE DATE: October 1, 2017

COMMITTEE ACTION

Insurance and Real Estate Committee

Joint Favorable

Yea

20

Nay

0

(03/07/2017)