Raised S.B. No. 1006
Session Year 2021


AN ACT CONCERNING HEALTH CARE COSTS, THE CONNECTICUT HEALTH INSURANCE EXCHANGE AND HEALTH EQUITY.

To: (1) Require the Office of Health Strategy to (A) develop, innovate, direct and oversee health care delivery and payment models, (B) develop and adopt health care quality benchmarks, (C) enhance the transparency of health care entities, (D) monitor the development of accountable care organizations and patient-centered medical homes, and (E) monitor the adoption of alternative payment methodologies; (2) require the executive director of the Office of Health Strategy to (A) establish annual health care cost growth benchmarks and primary care targets, (B) submit an annual report to the General Assembly, (C) establish standards governing submission of data, information and documents by certain persons, (D) prepare and disclose an annual report concerning health status adjusted total medical expenses, (E) at least annually, submit a request to the federal Centers for Medicare and Medicaid Services for the health status adjusted total medical expenses of provider organizations that serve Medicare patients, (F) identify and examine any health care entity or payer that exceeds any annual health care cost growth benchmark and take enforcement action against such entity or payer, and (G) develop and adopt annual health care quality benchmarks for health care entities and payers; (3) require certain providers and provider organizations to annually submit certain data, information and documents to the Office of Health Strategy; (4) authorize the Office of Health Strategy to (A) enter into certain contractual agreements with third parties, and (B) adopt certain regulations; (5) subject to approval by the federal government, require the Commissioner of Consumer Protection to establish a Canadian legend drug importation program and authorize the commissioner, in consultation with the Commissioner of Public Health, to adopt regulations to implement such program; (6) adopt the Insurance Commissioner's recommendations concerning stop-loss insurance; (7) subject to approval by the federal government, require the Office of Health Strategy, in conjunction with the Office of Policy and Management, Insurance Department and Health Reinsurance Association, to establish a reinsurance program; (8) require the Auditors of Public Accounts to annually conduct an audit of certain health care plans administered or offered by this state and disclose the results of such audit to the General Assembly; (9) establish term limits for members of the board of directors of the Connecticut Health Insurance Exchange and require that members appointed or reappointed to the board have insurance expertise; (10) require the Connecticut Health Insurance Exchange to (A) conduct a public meeting before charging an assessment or user fee to certain health carriers, increasing the amount of any such assessment or fee or implementing or changing any process used to calculate any such assessment or fee, and (B) receive the approval of the joint standing committee of the General Assembly having co


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