Connecticut Seal

General Assembly

 

Committee Bill No. 5963

January Session, 2017

 

LCO No. 4406

 

*04406HB05963INS*

Referred to Committee on INSURANCE AND REAL ESTATE

 

Introduced by:

 

(INS)

 

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

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

Section 1. (NEW) (Effective October 1, 2017) (a) As used in this section, "religious nonmedical provider" means a provider who provides no medical care and who provides only religious nonmedical treatment or care.

(b) Nothing in chapter 700c or 700d of the general statutes shall be construed to:

(1) Limit the right of a health insurance company, health care center, hospital service corporation, medical service corporation or other entity that delivers, issues for delivery, renews, amends or continues a health insurance policy or health benefit plan in this state to include religious nonmedical providers as in-network providers;

(2) Require any such company, center, corporation or other entity to exclude religious nonmedical providers from its provider network on the basis that the religious nonmedical providers do not provide medical or other data required from health care providers, if such data are inconsistent with the religious nonmedical treatment or care provided by the religious nonmedical provider;

(3) Require any such company, center, corporation or other entity to use medically based eligibility standards or criteria to decide the provider status of a religious nonmedical provider or to decide an insured's or enrollee's access to a religious nonmedical provider;

(4) Require, notwithstanding sections 38a-591a to 38a-591n, inclusive, of the general statutes, any such company, center, corporation or other entity to use medical professionals or criteria for a utilization review of a benefit request for a religious nonmedical provider or for a grievance of an adverse determination or a final adverse determination involving a benefit request for a religious nonmedical provider; or

(5) Compel an insured or enrollee to undergo a medical examination or test as a condition of receiving coverage for treatment or care provided by a religious nonmedical provider.

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

Section 1

October 1, 2017

New section

Statement of Purpose:

To specify that religious nonmedical providers may be included as providers by health insurance companies, health care centers, hospital service corporations, medical service corporations and other entities that deliver, issue for delivery, renew, amend or continue health insurance policies or health benefit plans in this state.

[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.]

Co-Sponsors:

REP. KUPCHICK, 132nd Dist.

H.B. 5963