Connecticut Seal

General Assembly

Amendment

 

February Session, 2012

LCO No. 3410

   
 

*HB0501303410HDO*

Offered by:

 

REP. MEGNA, 97th Dist.

SEN. CRISCO, 17th Dist.

 

To: Subst. House Bill No. 5013

File No. 5

Cal. No. 46

In line 56, strike "of specialized"

Strike line 57 in its entirety

In line 58, strike "or" and strike ","

In line 63, bracket "appointee" and after the closing bracket, insert "board member"

In line 67, before "or" insert an opening bracket and after "staff" insert a closing bracket

In line 74, after "be a member" insert "of"

In line 74, after "board" insert "of, a consultant to"

In line 77, before "or on" insert an opening bracket

In line 78, after "staff" insert a closing bracket

In line 115, strike "effective date of this section," and insert "additional board members pursuant to subparagraph (B)(i) of subdivision (1) of subsection (b) of this section are appointed," in lieu thereof

In line 117, strike "the effective date" and insert "both such additional board members are appointed,"

In line 118, strike "of this section,"

In line 125, bracket "Any" and after the closing bracket, insert "Except as otherwise provided, any"

After the last section, add the following and renumber sections and internal references accordingly:

"Sec. 501. Subsection (e) of section 38a-1081 of the 2012 supplement to the general statutes is repealed and the following is substituted in lieu thereof (Effective from passage):

(e) (1) (A) No employee of the exchange shall be employed by, a consultant to, a member of the board of directors of, affiliated with or otherwise a representative of (i) an insurer, (ii) an insurance producer or broker, (iii) a health care provider, or (iv) a health care facility or health or medical clinic while serving on the staff of the exchange. For purposes of this subdivision, "health care provider" means any person that is licensed in this state, or operates or owns a facility or institution in this state, to provide health care or health care professional services in this state, or an officer, employee or agent thereof acting in the course and scope of such officer's, employee's or agent's employment.

(B) No employee of the exchange shall be a member of, a member of the board of, a consultant to or an employee of a trade association of [(A)] (i) insurers, [(B)] (ii) insurance producers or brokers, [(C)] (iii) health care providers, or [(D)] (iv) health care facilities or health or medical clinics while serving [on the board or] on the staff of the exchange.

[(2)] (C) No employee of the exchange shall be a health care provider unless [(A)] (i) (I) such employee receives no compensation for rendering services as a health care provider, or [(ii)] (II) the chief executive officer approves the hiring of such provider as an employee on the basis that such provider fills an area of need of expertise for the exchange, and [(B)] (ii) such employee does not have an ownership interest in a professional health care practice.

[(3)] (2) No employee of the exchange shall, for one year after terminating employment with the exchange, accept employment with any health carrier that offers a qualified health benefit plan through the exchange.

[(4)] (3) Any employee of the exchange whose primary purpose is to assist individuals or small employers in selecting health insurance plans offered on the exchange to purchase shall be licensed as an insurance producer under chapter 701a not later than eighteen months after such employee begins employment with the exchange.

Sec. 502. (Effective July 1, 2012) (a) If the chief executive officer of the Connecticut Health Insurance Exchange, established pursuant to section 38a-1081 of the general statutes, as amended by this act, determines that the current expenses of said exchange exceed the amount of cash available to said exchange and an advance of funds from federal grants awarded to the exchange is unavailable, the chief executive officer may make a written request for approval from the Secretary of the Office of Policy and Management for an advance, not to exceed five million dollars, from the General Fund to pay such expenses.

(b) If said secretary approves the request, the Office of Policy and Management shall notify the Treasurer and the Comptroller of the advance amount approved and the Comptroller shall draw a warrant for disbursement of the advance amount approved. Said secretary shall not approve any advances pursuant to this section (1) until all prior advances have been repaid, (2) if sufficient federal grant award funds to repay an advance are unavailable, and (3) after December 31, 2014.

(c) Said exchange shall process draw-downs of federal grant funds awarded to the exchange as soon as is practicable and shall repay to the Comptroller the amount advanced not later than seven business days after the exchange receives such advance. Said exchange and the Office of Policy and Management shall provide reports regarding any advances approved as required by the Comptroller. "

This act shall take effect as follows and shall amend the following sections:

Sec. 501

from passage

38a-1081(e)

Sec. 502

July 1, 2012

New section