Proposed H.B. No. 5759
Session Year 2025

AN ACT ESTABLISHING A CIVIL PENALTY FOR DELAYED PROCESSING OF HEALTH INSURANCE CLAIMS.

To require that the Insurance Department, in consultation with the Department of Public Health, establish a civil penalty of ten thousand dollars per violation, to be deposited in the Insurance Fund and allocated to the Office of the Healthcare Advocate, for any health insurance company that fails to (1) process any health insurance claim within five business days of receipt of such claim, or (2) if approved, reimburse the health care provider by mail within five business days of approval of such claim.

Other Bills with Similar Topics

  Civil actions 

 

• HB06156 - AN ACT ESTABLISHING A CAUSE OF ACTION FOR TORTIOUS INTERFERENCE WITH AN EXPECTED INHERITANCE.
• HB06241 - AN ACT CONCERNING AGRITOURISM.
• HB06504 - AN ACT CONCERNING EVIDENCE OF CONTRIBUTORY NEGLIGENCE IN PERSONAL INJURY ACTIONS.
• HB06505 - AN ACT PROHIBITING A MOTORCYCLIST, BICYCLIST OR SKATEBOARD RIDER FROM FILING A CAUSE OF ACTION RELATED TO A BRAIN INJURY UNLESS SUCH PERSON WAS UTILIZING PROTECTIVE HEADGEAR OR A PROTECTIVE HELMET AT THE TIME OF SUCH INJURY.
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• HB06878 - AN ACT CONCERNING MORTGAGE FORECLOSURES AND UNDISCHARGED MORTGAGES.
• HB06907 - AN ACT CONCERNING THE USE OF QUOTAS BY WAREHOUSE DISTRIBUTION CENTERS.
• HB07033 - AN ACT PROHIBITING A MUNICIPALITY FROM IMPOSING ANY PENALTY ON HOMELESS PERSONS FOR PERFORMING ACTIVITIES OF DAILY LIVING ON PUBLIC LAND.
• HB07142 - AN ACT ESTABLISHING A CAUSE OF ACTION FOR TORTIOUS INTERFERENCE WITH THE RIGHT OF AN INHERITANCE.
• HB07157 - AN ACT CONCERNING VARIOUS REVISIONS TO THE PUBLIC HEALTH STATUTES.
• HB07196 - AN ACT CONCERNING LIMITATIONS ON THE USE OF NONCOMPETE AGREEMENTS.
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• SB00011 - AN ACT CONCERNING PRESCRIPTION DRUG ACCESS AND AFFORDABILITY.
• SB00213 - AN ACT REPEALING CERTAIN PROVISIONS OF PA 20-1 OF THE JULY SPECIAL SESSION, ALSO KNOWN AS THE POLICE ACCOUNTABILITY ACT.
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• SB00342 - AN ACT CONCERNING LIABILITY FOR INJURIES OCCURRING IN A SKATEBOARD PARK OR DOG PARK MAINTAINED BY A MUNICIPALITY.
• SB00617 - AN ACT CONCERNING CIVIL ACTIONS FOR DAMAGES RESULTING FROM AN ALLEGED DEPRIVATION OF RIGHTS COMMITTED BY A POLICE OFFICER, USE OF FORCE, AND SEARCHES OF MOTOR VEHICLES AND PEDESTRIANS.
• SB01035 - AN ACT CONCERNING LIMITATIONS ON THE USE OF NONDISCLOSURE AGREEMENTS.
• SB01171 - AN ACT ELIMINATING CIVIL ASSET FORFEITURE.
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  Health insurance 

 

• HB05174 - AN ACT REQUIRING HEALTH INSURANCE COVERAGE FOR DIAGNOSTIC AND SCREENING COLONOSCOPIES.
• HB05277 - AN ACT ALLOWING SPONSORING ASSOCIATIONS TO CREATE MULTIPLE EMPLOYER WELFARE ARRANGEMENTS.
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• HB05279 - AN ACT CONCERNING HEALTH INSURANCE COVERAGE FOR INSULIN.
• HB05282 - AN ACT REQUIRING HEALTH INSURANCE COVERAGE FOR EMERGENCY MEDICAL SERVICES.
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• HB05367 - AN ACT ALLOWING SPONSORING ASSOCIATIONS TO CREATE MULTIPLE EMPLOYER WELFARE ARRANGEMENTS.
• HB05472 - AN ACT CONCERNING HEALTH INSURANCE COVERAGE FOR CHILD CARE EDUCATORS.
• HB05589 - AN ACT CONCERNING HEALTH INSURANCE COVERAGE FOR PAXLOVID.
• HB05773 - AN ACT ESTABLISHING A SINGLE-PAYER HEALTH CARE PROGRAM IN CONNECTICUT.
• HB05821 - AN ACT CONCERNING FUNDING FOR TEACHERS' HEALTH INSURANCE COVERAGE.
• HB06097 - AN ACT CONCERNING PRESCRIPTION DRUG DISCOUNT TRANSPARENCY.
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• HB06135 - AN ACT CONCERNING THE DEFINITION OF "INFERTILITY".
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• SB00454 - AN ACT REQUIRING HEALTH INSURERS TO ALLOW A COVERED PERSON TO TERMINATE COVERAGE AND PROCURE ALTERNATE HEALTH INSURANCE WITHOUT PENALTY WHEN SUCH COVERED PERSON'S HEALTH CARE PROVIDERS ARE DESIGNATED OUT-OF-NETWORK.
• SB00456 - AN ACT CONCERNING HEALTH INSURER LIABILITY FOR DAMAGES AND HARMS CAUSED BY UNDUE DELAY IN AUTHORIZING OR APPROVING CARE.
• SB00552 - AN ACT CONCERNING MENTAL HEALTH PARITY.
• SB00554 - AN ACT REQUIRING HEALTH INSURANCE COVERAGE FOR BIOMARKER TESTING.
• SB00680 - AN ACT CONCERNING PRIOR AUTHORIZATIONS WHEN AN INSURED OBTAINS NEW HEALTH INSURANCE COVERAGE.
• SB00683 - AN ACT REQUIRING HEALTH INSURANCE COVERAGE FOR CERTAIN SURGICAL PROCEDURES PERFORMED TO TREAT SEVERE OBESITY.
• SB00757 - AN ACT REQUIRING SELF-FUNDED MUNICIPALITIES IN THIS STATE TO PROVIDE HEALTH INSURANCE COVERAGE FOR BREAST CANCER SCREENINGS.
• SB00815 - AN ACT CONCERNING CONSUMER PROTECTIONS FOR CERTAIN HEALTH INSURANCE PLANS.
• SB00817 - AN ACT PROHIBITING HEALTH INSURERS FROM USING SOFTWARE TOOLS TO AUTOMATICALLY DOWNCODE HEALTH INSURANCE CLAIMS.
• SB00819 - AN ACT REQUIRING SITE-NEUTRAL REIMBURSEMENTS FOR CERTAIN COVERED HEALTH INSURANCE BENEFITS.
• SB00823 - AN ACT LIMITING RECOVERY OF CLAIMS FOR BEHAVIORAL HEALTH CONDITIONS.
• SB00836 - AN ACT REQUIRING THE HEALTH CARE CABINET TO REPORT ON THE FEASIBILITY OF REGULATING STOP LOSS INSURANCE POLICIES USED IN CONJUNCTION WITH HEALTH PLANS AS FULLY INSURED HEALTH PLANS.
• SB00998 - AN ACT REQUIRING HEALTH INSURANCE COVERAGE FOR MEDICAL FOODS FOR INDIVIDUALS DIAGNOSED WITH PHENYLKETONURIA.
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• SB01004 - AN ACT CONCERNING COMPLIANCE WITH MENTAL HEALTH PARITY LAWS.
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• SB01007 - AN ACT CONCERNING HEALTH INSURANCE COVERAGE FOR EARLY CHILD CARE WORKERS.
• SB01008 - AN ACT CONCERNING HEALTH INSURANCE COVERAGE FOR NONPROFITS UNDER THE STATE EMPLOYEE HEALTH PLAN.
• SB01009 - AN ACT PROHIBITING THE REMOVAL OF PARTICIPATING PROVIDERS UNTIL THE END OF A POLICY PERIOD.
• SB01012 - AN ACT REQUIRING CONTRACTS BETWEEN PHARMACY BENEFITS MANAGERS AND HEALTH CARRIERS TO PROVIDE FEE-BASED COMPENSATION.
• SB01013 - AN ACT REQUIRING HEALTH INSURANCE COVERAGE FOR CLOSURE OF A PATENT FORAMEN OVALE.
• SB01015 - AN ACT REQUIRING HEALTH INSURANCE COVERAGE FOR ACTIVITY-SPECIFIC PROSTHETIC AND ORTHOTIC DEVICES.
• SB01044 - AN ACT CONCERNING ADVERSE DETERMINATION AND UTILIZATION REVIEWS.
• SB01210 - AN ACT REQUIRING HEALTH CARRIERS TO PAY A CIVIL PENALTY FOR ADVERSE DETERMINATION REVERSALS.
• SB01239 - AN ACT CONCERNING THE FALLEN HERO FUND AND PROVIDING HEALTH INSURANCE COVERAGE TO SURVIVORS OF FIRST RESPONDERS WHO ARE KILLED IN THE LINE OF DUTY.
• SB01366 - AN ACT CONCERNING PHARMACY BENEFITS MANAGERS AND PRESCRIPTION DRUG REBATE REPORTING REQUIREMENTS.
• SB01376 - AN ACT REDUCING BLOOD ALCOHOL LIMITS FOR IMPAIRED DRIVING AND BOATING, CONCERNING INFORMATION REGARDING POLICE PHLEBOTOMY TRAINING AND STUDYING THE IMPLEMENTATION OF ELECTRONIC WARRANT TECHNOLOGY.
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  Insurance Fund 

 

• HB06435 - AN ACT CONCERNING THE INSURANCE DEPARTMENT'S AUTOMOBILE PHYSICAL AND PROPERTY DAMAGE ARBITRATION PROCESS.
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• SB00010 - AN ACT CONCERNING HEALTH INSURANCE AND PATIENT PROTECTION.
• SB01210 - AN ACT REQUIRING HEALTH CARRIERS TO PAY A CIVIL PENALTY FOR ADVERSE DETERMINATION REVERSALS.
• SB01425 - AN ACT CONCERNING MOTOR VEHICLE PROTECTION PRODUCTS.

  Insurance Department 

 

• HB05368 - AN ACT REQUIRING A STUDY OF AUTOMOBILE LIABILITY INSURANCE LAWS IN NEIGHBORING STATES.
• HB05437 - AN ACT REQUIRING A FEASIBILITY STUDY OF INSURANCE POOLING FOR NONPROFIT ENTITIES.
• HB06434 - AN ACT CONCERNING THE LEGISLATIVE COMMISSIONERS' RECOMMENDATIONS FOR TECHNICAL REVISIONS TO THE INSURANCE-RELATED STATUTES.
• HB06435 - AN ACT CONCERNING THE INSURANCE DEPARTMENT'S AUTOMOBILE PHYSICAL AND PROPERTY DAMAGE ARBITRATION PROCESS.
• HB06436 - AN ACT CONCERNING REVISIONS TO THE HEALTH INSURANCE STATUTES.
• HB06437 - AN ACT CONCERNING INSURANCE MARKET CONDUCT AND LICENSING.
• HB06771 - AN ACT ESTABLISHING AN ALZHEIMER'S DISEASE AND DEMENTIA TASK FORCE, REQUIRING HEALTH INSURANCE COVERAGE FOR BIOMARKER TESTING AND CONCERNING TRANSFERS AND DISCHARGES IN RESIDENTIAL CARE HOMES, TUITION WAIVERS FOR NURSING HOME RESIDENTS WHO TAKE COURSES AT REGIONAL COMMUNITY-TECHNICAL COLLEGES AND CLOSURES AND EVACUATIONS OF RESIDENTIAL CARE HOMES AND NURSING HOMES.
• HB06817 - AN ACT REQUIRING THE INSURANCE DEPARTMENT TO STUDY HEALTH CARRIER USE OF PRIOR AUTHORIZATIONS.
• HB06895 - AN ACT CONCERNING HEALTH BENEFIT REVIEW AND REQUIRING HEALTH INSURANCE COVERAGE FOR BIOMARKER TESTING.
• HB06897 - AN ACT EXTENDING THE SUNSET DATE FOR PERSONAL RISK INSURANCE RATE FILINGS.
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• HB07039 - AN ACT CONCERNING THE RETURN OF HEALTH CARE PROVIDER PAYMENTS, ESTABLISHING A WORKING GROUP TO STUDY PHARMACIST COMPENSATION FOR ADMINISTERING CERTAIN SERVICES, REVISING THE DEFINITION OF CLINICAL PEER AND CONCERNING THE CONNECTICUT UNFAIR INSURANCE PRACTICES ACT.
• HB07040 - AN ACT REQUIRING A STUDY OF HEALTH CARRIER COVERAGE GUIDELINES, UTILIZATION REVIEW AND COVERAGE FOR LIFE-SAVING MEDICAL TREATMENT OR SERVICES.
• HB07079 - AN ACT CONCERNING INSURANCE REGULATION IN THE STATE.
• HB07116 - AN ACT CONCERNING INSURANCE ACCOUNTABILITY AND TRANSPARENCY.
• HB07117 - AN ACT CONCERNING THE RECOMMENDATIONS OF THE INSURANCE FUND WORKING GROUP.
• HB07183 - AN ACT CONCERNING THE REGULATION OF LONG-TERM CARE INSURANCE, REPORTS CONCERNING SUCH INSURANCE AND A LIMITED PERFORMANCE AUDIT OF THE CONNECTICUT PARTNERSHIP FOR LONG-TERM CARE.
• HB07192 - AN ACT IMPLEMENTING RECOMMENDATIONS OF THE BIPARTISAN DRUG TASK FORCE.
• HB07207 - AN ACT CONCERNING THE DISCLOSURE OF INSURER REPORTS CONCERNING TREATMENT LIMITATIONS ON MENTAL HEALTH AND SUBSTANCE USE DISORDER AND OTHER BENEFITS AS A PUBLIC RECORD.
• HB07226 - AN ACT CONCERNING LONG-TERM CARE INSURANCE AND ELIGIBILITY FOR STATE CONTRACTS.
• SB00010 - AN ACT CONCERNING HEALTH INSURANCE AND PATIENT PROTECTION.
• SB00011 - AN ACT CONCERNING PRESCRIPTION DRUG ACCESS AND AFFORDABILITY.
• SB00187 - AN ACT CONCERNING THE REGULATION OF PREMIUM RATES ON LONG-TERM CARE INSURANCE POLICIES.
• SB00452 - AN ACT CONCERNING CONSUMER PROTECTIONS FOR LONG-TERM CARE INSURANCE POLICYHOLDERS.
• SB00552 - AN ACT CONCERNING MENTAL HEALTH PARITY.
• SB01004 - AN ACT CONCERNING COMPLIANCE WITH MENTAL HEALTH PARITY LAWS.
• SB01016 - AN ACT REQUIRING THE INSURANCE DEPARTMENT TO CONDUCT A STUDY OF CERTAIN HOMEOWNERS INSURANCE PRACTICES.
• SB01253 - AN ACT REDUCING INSURANCE RATE PREMIUM REQUESTS.
• SB01269 - AN ACT CONCERNING LONG-TERM CARE INSURANCE.
• SB01278 - AN ACT CONCERNING LONG-TERM CARE INSURANCE PREMIUM RATES.
• SB01322 - AN ACT REQUIRING STUDIES OF INSURANCE POOLING FOR NONPROFIT ORGANIZATIONS AND CERTAIN PRACTICES BY HOMEOWNERS INSURANCE COMPANIES.
• SB01366 - AN ACT CONCERNING PHARMACY BENEFITS MANAGERS AND PRESCRIPTION DRUG REBATE REPORTING REQUIREMENTS.
• SB01385 - AN ACT REQUIRING THE INSURANCE COMMISSIONER TO CONDUCT A STUDY OF FLOOD INSURANCE COVERAGE OPTIONS FOR OWNERS OF RESIDENTIAL OR COMMERCIAL PROPERTY.
• SB01386 - AN ACT CONCERNING DOG BREED AND THERAPY ANIMALS IN INSURANCE UNDERWRITING AND EVALUATING THE FEASIBILITY OF ESTABLISHING A PENALTY FOR MISREPRESENTING A DOG AS A SERVICE ANIMAL.
• SB01420 - AN ACT CONCERNING THE CONNECTICUT PARTNERSHIP FOR LONG-TERM CARE.
• SB01425 - AN ACT CONCERNING MOTOR VEHICLE PROTECTION PRODUCTS.

  Healthcare Advocate, Office of the 

 

• HB07103 - AN ACT CONCERNING THE KATIE BECKETT WORKING GROUP RECOMMENDATIONS.
• HB07106 - AN ACT CONCERNING WHEELCHAIR REPAIR REQUIREMENTS.
• HB07287 - AN ACT CONCERNING THE STATE BUDGET FOR THE BIENNIUM ENDING JUNE 30, 2027, AND MAKING APPROPRIATIONS THEREFOR, AND PROVISIONS RELATED TO REVENUE AND OTHER ITEMS IMPLEMENTING THE STATE BUDGET.
• SB00482 - AN ACT CONCERNING HOSPITAL FINANCIAL ASSISTANCE.
• SB01192 - AN ACT CONCERNING HOSPITAL FINANCIAL ASSISTANCE.
• SB01210 - AN ACT REQUIRING HEALTH CARRIERS TO PAY A CIVIL PENALTY FOR ADVERSE DETERMINATION REVERSALS.
• SJ00023 - RESOLUTION CONFIRMING THE NOMINATION OF KATHLEEN UNGER HOLT OF MANSFIELD TO BE HEALTHCARE ADVOCATE.