AN ACT CONCERNING HEALTH COVERAGE.

SB 342 requires health insurers and health care providers to use consistent reimbursement rates for outpatient services, regardless of where care is delivered (e.g., office, hospital, or telehealth) or the provider's affiliation. It prohibits insurers from automatically downcoding claims using algorithms without clinical review by a qualified peer. The bill mandates equal reimbursement rates for similar services within the same geographic area and includes a requirement for contracts to clearly state compliance with these rules. These changes directly affect insurers, hospitals, and clinics by standardizing payment practices for covered outpatient benefits starting July 2026.