Healthcare (Insurance)

signed · Connecticut · House May 27, 2026

HB 5377: AN ACT CONCERNING RETURN OF HEALTH CARE PROVIDER PAYMENTS.

HB 5377 modifies health insurance billing rules to protect providers and improve transparency. It shortens the timeframe insurers can demand repayment for claims from 18 to 15 months after a clean claim is submitted (except for fraud, billing errors, duplicate payments, or federal program overlaps), requires insurers to provide 30 days' notice and an electronic appeal process for repayment demands, and mandates off-site hospital facilities to submit their unique national provider identifier (NPI) and tax ID on all claims. These changes directly affect health insurers, healthcare providers, and off-site hospital facilities, ensuring clearer billing requirements and reducing disputes over claim payments. The bill takes effect October 1, 2026, for the NPI requirement and January 1, 2027, for the repayment timeline changes.

Topics ✓ HealthcareSupports HealthcareProtects healthcare providers by shortening insurer repayment timelines and adding appeal processes, improving billing transparency and provider payment security.85% confidence

Sub-Topics Hospitals Insurance

in committee · Connecticut · Senate Apr 20, 2026

SB 223: AN ACT CONCERNING THE PARAEDUCATOR HEALTH CARE SUBSIDY PROGRAM.

SB 223 creates a healthcare subsidy program for paraeducators in Connecticut public schools. It provides two key subsidies: (1) direct financial assistance to paraeducators who enroll in high deductible health plans or open health savings accounts (covering a portion of their deductible costs, minus employer contributions), and (2) subsidies to school districts that help offset employee payroll deductions for health coverage (capped at 10% of total premium costs). The bill directly affects paraeducators (school support staff like teaching assistants) and public school districts, including charter schools. The program becomes effective July 1, 2026, with funding drawn from available appropriations.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill creates state-funded healthcare subsidies for paraeducators, directly increasing government spending on employee benefits through new appropriations.90% confidence ✓ EducationSupports EducationDirectly provides healthcare subsidies for paraeducators (school support staff), strengthening educator benefits and workforce stability in K-12 schools.92% confidence ✓ HealthcareSupports HealthcareCreates healthcare subsidies for paraeducators, covering deductibles and reducing costs for health coverage access, directly expanding affordability.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentProvides direct healthcare subsidies to paraeducators and school districts, expanding worker benefits and reducing healthcare cost burdens for employees.95% confidence

Sub-Topics Insurance

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signed · Connecticut · House May 28, 2026

HB 5374: AN ACT CONCERNING HEALTH COVERAGE MANDATES FOR CERTAIN HEALTH CONDITIONS.

HB 5374 requires individual health insurance policies in Connecticut that cover chemotherapy to also provide coverage for scalp cooling systems used to prevent hair loss during treatment. This applies to policies delivered, renewed, or continued on or after January 1, 2027, and mandates coverage "at least equivalent to such coverage provided under Medicare." The bill specifically targets policies covering certain chemotherapy-related treatments, directly affecting patients receiving chemotherapy who may use scalp cooling systems. It does not apply to group plans or other insurance types, focusing solely on individual health insurance policies meeting the specified coverage criteria.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for scalp cooling during chemo, expanding patient access to preventive care for treatment side effects per Medicare-equivalent standards.95% confidence

Sub-Topics Insurance Medicare

in committee · Connecticut · Senate Feb 4, 2026

SB 42: AN ACT ESTABLISHING A MEDICARE PREMIUMS TAX CREDIT AGAINST THE PERSONAL INCOME TAX.

SB 42 creates a tax credit that allows taxpayers to reduce their personal income tax bill by the amount paid for Medicare and Medicare Advantage plan premiums. This directly affects individuals who pay Medicare premiums and file personal income tax returns. The credit applies to premiums paid during a taxable year and lowers the taxpayer's overall income tax liability. The bill does not change Medicare eligibility or premium amounts but provides a direct tax benefit for those already paying for Medicare coverage.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates tax credit reducing personal income tax for Medicare premium payers, offering direct tax relief to eligible individuals.95% confidence ✓ HealthcareSupports HealthcareProvides tax credit for Medicare premiums, reducing out-of-pocket costs for beneficiaries and improving healthcare affordability within public coverage framework.95% confidence

Sub-Topics Income Tax Tax Credits Insurance Medicare

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in committee · Connecticut · Senate Apr 20, 2026

SB 3: AN ACT CONCERNING HEALTH CARE AFFORDABILITY.

SB 3 requires the state to cover the full cost of health care premium increases for people enrolled in Access Health CT who have household incomes between 500% and 600% of the federal poverty level. This directly affects moderate-income residents who rely on Access Health CT for health insurance, ensuring they do not face higher out-of-pocket costs due to premium hikes. The bill mandates a state appropriation from the General Fund to pay for these increases, rather than shifting the cost to enrollees. It aims to maintain affordability amid federal subsidy reductions, without creating new programs or altering eligibility criteria.

Topics ✓ Budget & TaxesSupports Budget & TaxesMandates state appropriation from General Fund to cover health care premiums, increasing public spending on essential services for moderate-income residents.95% confidence ✓ HealthcareSupports HealthcareFunds premium coverage for moderate-income Access Health CT enrollees, preventing out-of-pocket cost increases and protecting access to health insurance.95% confidence

Sub-Topics Appropriations State Budget Insurance

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signed · Connecticut · House May 27, 2026

HB 5375: AN ACT CONCERNING THE RECOMMENDATIONS OF THE INSURANCE AND REAL ESTATE COMMITTEE WORKING GROUPS.

HB 5375 transfers public health program funding from the Insurance Fund to the General Fund over five years (starting July 1, 2026), replacing the previous fee structure. It requires domestic insurers and health care centers providing specific health insurance types to pay an annual public health fee based on their enrolled lives in Connecticut, calculated to fund designated programs. These programs include syringe services, AIDS services, breast/cervical cancer detection, tuberculosis care, and children's health initiatives. The fee amount is determined annually by the Insurance Commissioner using a formula based on the total funding needed and the reported number of covered lives. The bill repeals the existing fee statute (Section 19a-7p) and establishes new reporting and payment requirements for insurers.

Topics ✓ Budget & TaxesSupports Budget & TaxesTransfers public health funding to General Fund via new insurer fees, explicitly funding essential programs (AIDS, cancer detection, etc.) to strengthen fiscal management and public service funding.92% confidence ✓ HealthcareSupports HealthcareBill creates new insurer fees to fund specific public health programs (syringe services, AIDS care, cancer detection, TB care) via redirected funding.95% confidence

Sub-Topics State Budget Children's Health Insurance Public Health

in committee · Connecticut · House Feb 27, 2026

HB 5345: AN ACT CONCERNING STATE CONTRACTING FOR STATE EMPLOYEE HEALTH INSURANCE COVERAGE AND OTHER RELATED SERVICES.

HB 5345 requires health insurance companies managing Connecticut's state employee health plans to provide advance written notices to the Comptroller, legislative leaders, and health cost oversight committee about potential termination of agreements with hospitals or healthcare providers. It mandates 90-, 60-, and 30-day written notices before provider agreement expirations and immediate notification of new or extended agreements. The bill also prohibits insurers that terminate provider agreements from bidding on future state health insurance contracts for up to five years, unless the parties agree to renew within 30 days. This directly affects third-party administrators (insurers/health carriers) and their network hospitals or healthcare providers. The law takes effect July 1, 2026, aiming to improve transparency and continuity in state employee health coverage.

Topics ✓ HealthcareSupports HealthcareRequires insurers to provide advance notices before terminating provider agreements, ensuring continuity of care for state employees and preventing abrupt disruptions in healthcare access.85% confidence

Sub-Topics Insurance

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in committee · Connecticut · Senate Feb 17, 2026

SB 212: AN ACT ESTABLISHING A TAX CREDIT FOR PREMIUM PAYMENTS FOR CERTAIN LONG-TERM CARE INSURANCE POLICIES.

SB 212 creates a tax credit for individuals and groups purchasing long-term care insurance policies. It credits policyholders for any annual premium increase exceeding 2% of their total premium cost, allowing them to offset future tax liability with unused credits. This directly affects long-term care insurance buyers by reducing their out-of-pocket costs when premiums rise significantly. The credit is calculated annually and can be carried forward to offset taxes in subsequent years.

Topics ✓ Budget & TaxesSupports Budget & TaxesCreates tax credit for long-term care insurance premiums, reducing taxpayer liability through annual credit for premium increases exceeding 2%.90% confidence ✓ HealthcareSupports HealthcareBill reduces out-of-pocket costs for long-term care insurance, expanding access to healthcare coverage by making premiums more affordable for policyholders.90% confidence

Sub-Topics Procurement Tax Credits Insurance Long-Term Care

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failed · Connecticut · House Apr 13, 2026

HB 5378: AN ACT CONCERNING SELF-FUNDED MULTIPLE EMPLOYER WELFARE ARRANGEMENTS AND REQUIRING A STUDY OF THE FEASIBILITY OF ESTABLISHING THE CONNECTICUT OPTION PROGRAM.

HB 5378 requires a study to determine if Connecticut can establish a state-run health insurance program (the "Connecticut Option Program") that would allow multiple employers to pool health coverage. The bill also updates definitions related to self-funded health plans shared by multiple employers (known as multiple employer welfare arrangements, or MEWAs) and other insurance terms. It does not create new programs but mandates a feasibility study by the state's insurance department. The study will examine whether such a program could provide affordable coverage options for employers and employees. This bill directly affects employers using self-funded health plans and future participants in the Connecticut Option Program, if established.

Topics ✓ HealthcareSupports HealthcareBill mandates feasibility study for Connecticut Option Program, a state-run health insurance program to expand employer-pooled coverage options, advancing potential healthcare access expansion.85% confidence

Sub-Topics Insurance

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in committee · Connecticut · Senate Feb 4, 2026

SB 71: AN ACT ESTABLISHING A TAX CREDIT FOR PREMIUM PAYMENTS FOR CERTAIN LONG-TERM CARE INSURANCE POLICIES.

SB 71 establishes a state income tax credit for individuals or groups who pay premiums for long-term care insurance policies covering home health care services. It directly affects residents purchasing qualifying long-term care insurance that provides benefits for care received in their homes. The bill allows taxpayers to reduce their state income tax liability by the amount paid in premiums for these specific policies. This policy change provides a financial incentive for securing home-based long-term care coverage.

Topics ✓ Budget & TaxesSupports Budget & TaxesProvides tax credit reducing state income tax liability for qualifying long-term care insurance premiums, offering direct tax relief.95% confidence ✓ HealthcareSupports HealthcareBill creates tax credit for long-term care insurance premiums, directly expanding access to home health care coverage by reducing costs for consumers, advancing healthcare access.95% confidence

Sub-Topics Income Tax Procurement Tax Credits Insurance Long-Term Care

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