Governor Lamont Proposes Laws To Cut back Well being Care Prices

Governor Lamont Proposes Laws To Cut back Well being Care Prices

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Governor Lamont Proposes Laws To Cut back Well being Care Prices

02/21/2023

Governor Lamont Proposes Laws To Cut back Well being Care Prices

(HARTFORD, CT) – Governor Ned Lamont at the moment held a information convention in New Britain to announce that he has submitted multi-pronged legislative proposals to the Common Meeting that concentrate on lowering well being care prices for Connecticut residents, with a selected emphasis on enhancing competitors , eliminating pointless expenses, lowering rising costs, and growing affordability for residents and employers.

The laws is Home Invoice 6669, An Act Defending Sufferers and Prohibiting Pointless Well being Care Pricesand Senate Invoice 983, An Act Limiting Anticompetitive Well being Care Practices.

“Gallup not too long ago reported that record-high numbers of People are pushing aside care resulting from prices,” Governor Lamont mentioned. “Roughly 38% of People postpone care in 2022, the very best proportion Gallup has ever seen in its 22 years of polling. Two-thirds of non-public bankruptcies are associated to medical debt, the commonest reason for chapter, and healthcare is consuming a bigger and bigger proportion of GDP, now greater than 18%. We merely can now not afford to not take motion. These payments I am proposing to deal with this complicated drawback from a number of angles, and I’m calling on all events – insurers, hospitals, medical doctors, employers, and shoppers – to hitch with me in engaged on options for the folks of Connecticut.”

“Entry to inexpensive and high quality well being care is among the most vital points dealing with Connecticut households and companies at a time when prices are rising and insurance coverage covers lower than it used to,” Comptroller Sean Scanlon mentioned. “The combat for higher well being take care of the folks of this state is one among my largest priorities as a comptroller, and I am proud to work with Governor Lamont to cross a ‘sufferers first’ well being care reform agenda that can decrease prices and guarantee everybody has entry to the care they deserve.”

“Whereas our state’s well being care system is excessive in high quality and ranks among the many finest nationwide, the rising prices stay a barrier for much too many individuals and ends in many individuals pushing aside care as a result of they can not afford it,” Dr. Deidre Gifford, government director of the Connecticut Workplace of Well being Technique, mentioned. “It’s clear that hospital inpatients, hospital outpatients, and retail pharmacy prices are the biggest contributors to the well being care affordability drawback. Well being system consolidation and lack of competitors can also be contributing. These multi-pronged proposals tackle main value drivers in these areas and broaden on our persevering with efforts to include medical prices.”

“The price of well being care is a problem for almost everybody within the state, however it’s significantly acute for folks of coloration,” Tiffany Donelson, president and CEO of the Connecticut Well being Basis and member of the Workplace of Well being Technique’s Healthcare Benchmark Initiative Steering Committee, mentioned. “Knowledge from the Connecticut Healthcare Affordability Index exhibits that individuals of coloration are particularly more likely to have well being care prices which can be unaffordable – that’s, their well being care prices are too excessive to satisfy different fundamental wants with out going into debt. The implications of unaffordable well being care are clear and troubling: folks skipping remedy, avoiding care, and family budgets stretched to the breaking level to repay medical debt. We can not obtain well being fairness except well being care is inexpensive. The causes of excessive well being care prices are complicated, however the want is straightforward – we should all work collectively to make sure that everybody can afford to get the care they want once they want it.”

The laws:

  • Eliminates hospital facility charges charged at free-standing workplaces and clinics.
  • Implement stronger regulatory enforcement instruments on the Connecticut Workplace of Well being Technique to guarantee compliance with certificates of want necessities and associated circumstances of approval, corresponding to value controls, affected person entry, and detailed reporting. This may curb well being care prices by stopping duplicative companies in particular areas, whereas making certain availability and entry to vital companies in all components of the state.
  • Connecticut commits to becoming a member of a multistate bulk buying consortium to barter prescription drug reductions that the entire state’s residents will be capable of entry by a reduction card at their pharmacy.
  • Requires the Connecticut Workplace of Well being Technique to yearly publish an inventory of prescribed drugs which can be experiencing main worth spikes to tell shoppers and prescribers about which drug costs are going up and by how a lot.
  • Reins in aggressive advertising and marketing practices by pharmaceutical representatives to make sure prescribers get clear and correct details about the medication they prescribe and generic options. Pharmaceutical representatives can be required to finish a coaching, register with the state, and disclose related details about drug prices and efficacy throughout completely different races and ethnicities, if identified.
  • Strengthens protections to make sure that discounted prescribed drugs bought by the federal 340B program profit the low-income shoppers and communities this system was designed to assist.
  • Prevents worth gouging when sufferers get care from a supplier who shouldn’t be of their community. Particularly, the governor is proposing to restrict out-of-network prices for inpatient and outpatient hospital companies to 100% of the Medicare price for a similar service in the identical geographic space.
  • Outlaws using anti-competitive contracting practices which have been utilized by well being techniques to impede competitors and improve costs. This may present well being insurers with further bargaining energy to make it simpler to barter inexpensive costs for shoppers. These embody:
    • Anti-tiering clauses: Requiring a well being plan to increase a most popular worth tier standing to all services or suppliers in a well being system, even when sure suppliers don’t meet the price or high quality requirements for that tier.
    • Anti-steering clauses: Prohibiting insurers from utilizing incentives to steer sufferers to increased worth suppliers.
    • All-or-nothing clauses: Requiring well being plans to just accept all suppliers in a healthcare system or none of them.
    • Gag clauses: Stopping events from disclosing related info, together with costs or phrases of an settlement to a 3rd celebration.

Home Invoice 6669 has been referred to the Public Well being Committee, and Senate Invoice 983 has been referred to the Insurance coverage and Actual Property Committee.

Twitter: @GovNedLamont

Fb: Workplace of Governor Ned Lamont


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