Latest Executive Order Repeals Certain Changes Made to Provider Reimbursement Rates

Yesterday, Governor Lamont issued Executive Order No. 7CC, which repeals two of the temporary changes to health care provider reimbursement rates that were made in Executive Order No. 7U. Specifically, Section 9 of Executive Order No. 7CC repeals Sections 2(a) and 2(b) of Executive Order No. 7U, which had:

  • Required that emergency services rendered to an insured patient by an out-of-network health care provider be reimbursed in the amount that the insured’s health care plan would pay for the services if rendered by an in-network health care provider as payment in full; and
  • Suspended the application of the state statute (C.G.S. §38a-477aa(b)(3)(B)) that permits a health carrier and out-of-network health care provider to agree to a greater reimbursement amount than those provided in subsection (b)(3)(A) of that statute (i.e., (i) the amount the insured's health care plan would pay for such services if rendered by an in-network health care provider; (ii) the usual, customary and reasonable rate for such services; or (iii) the amount Medicare would reimburse for such services).

These provisions have been repealed and the effective date of these repeals is retroactive to April 5. See our prior Alert for a summary of Executive Order No. 7U, including the changes to provider reimbursement rates that were not repealed by Executive Order No. 7CC.

And please contact a Pullman & Comley Health Care attorney for more information.

This blog/web site presents general information only. The information you obtain at this site is not, nor is it intended to be, legal advice, and you should not consider or rely on it as such. You should consult an attorney for individual advice regarding your own situation. This website is not an offer to represent you. You should not act, or refrain from acting, based upon any information at this website. Neither our presentation of such information nor your receipt of it creates nor will create an attorney-client relationship with any reader of this blog. Any links from another site to the blog are beyond the control of Pullman & Comley, LLC and do not convey their approval, support or any relationship to any site or organization. Any description of a result obtained for a client in the past is not intended to be, and is not, a guarantee or promise the firm can or will achieve a similar outcome.

PDF
Subscribe to Updates

About Our Connecticut Health Law Blog

Alerts, commentary and insights from the attorneys of Pullman & Comley’s Health Care practice on legal developments affecting hospitals, physician groups, pharmaceutical and medical device companies as well as other health care providers and suppliers.

Other Blogs by Pullman & Comley

Working Together

Education Law Notes

Recent Posts

Archives

Jump to Page