Substitute for Raised S.B. No. 842
Session Year 2021
 

AN ACT CONCERNING HEALTH INSURANCE AND HEALTH CARE IN CONNECTICUT.

To: (1) Authorize the Comptroller to offer health coverage to plan participants and beneficiaries in this state under a multiemployer plan, nonprofit employers and their employees and small employers and their employees; (2) assess an annual fee against certain insurers, health care centers and exempt insurers; (3) require the Connecticut Health Insurance Exchange to (A) administer the "Connecticut Health Insurance Exchange account", (B) consult with the Office of Health Strategy to develop and, if approved, implement a plan to (i) establish a subsidiary, (ii) seek a state innovation waiver, and (iii) use the moneys deposited in said account for the purposes set forth in the plan, (C) consult with the Commissioner of Social Services to develop and, if approved, implement a methodology to determine eligibility for the working persons with disabilities program, and (D) determine whether certain individuals referred to the exchange by the Labor Commissioner are eligible for free or subsidized health coverage or other assistance or benefits and, if such individuals are eligible for such coverage, assistance or benefits, enroll such individuals in such coverage, assistance or benefits; (4) establish the "Connecticut Health Insurance Exchange account"; (5) require certain qualified health plans offered through the exchange to (A) provide coverage for certain benefits, (B) have a minimum actuarial value of at least seventy per cent, and (C) provide enrollees with access to the broadest provider network available under the qualified health plans offered by the health carrier through the exchange; (6) require the Office of Health Strategy to (A) annually determine, and disclose to the Office of Policy and Management, the amount of an annual assessment against certain insurers, health care centers and exempt insurers, and (B) develop, and submit to the joint standing committee of the General Assembly having cognizance of matters relating to insurance for approval, a plan for the exchange to (i) establish a subsidiary to create a marketplace for health carriers to offer affordable health insurance coverage to persons who are ineligible for coverage under the qualified health plans offered through the exchange, (ii) seek a state innovation waiver to (I) reduce the cost of health insurance in this state, (II) make health insurance coverage available to persons in this state who are ineligible for coverage under a qualified health plan offered through the exchange, and (III) allow persons to receive coverage under the working persons with disabilities program through the exchange, and (iii) use the moneys deposited in the "Connecticut Health Insurance Exchange account" to (I) reduce the cost of qualified health plans offered through the exchange, (II) make coverage affordable for persons who are ineligible for coverage under a qualified health plan offered through the exchange, and (III) implement the state innovation waiver if the federal government issues su

Introduced by: