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Bill

SB 1483

AN ACT CONCERNING THE PATIENT-CENTERED MEDICAL HOME-PLUS PROGRAM.

2025 Regular Session

SB 1483 creates Connecticut's Patient-Centered Medical Home-Plus program to deliver integrated, coordinated primary care using alternative payment models emphasizing quality outcomes over volume.

FILE NO. 445
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Bill Summary · SB 1483

Legislative bill overview

SB 1483 establishes the Patient-Centered Medical Home-Plus (PCMH-Plus) program in Connecticut, which expands primary care delivery models beyond traditional fee-for-service arrangements. The bill creates a framework for healthcare providers to offer coordinated, comprehensive care while potentially receiving alternative payment arrangements designed to incentivize quality outcomes and preventive services.

Why is this important

This legislation addresses rising healthcare costs and fragmented care delivery by encouraging integration across primary care, behavioral health, and specialty services. The PCMH-Plus model could improve care coordination for patients with chronic conditions while potentially reducing unnecessary emergency department visits and hospitalizations, which have broader implications for state healthcare spending and insurance premiums.

Potential points of contention

  • Implementation costs and provider burden: Transitioning to coordinated care models requires significant practice infrastructure investment and workflow changes, which may disadvantage smaller practices or rural providers without sufficient capital
  • Payment model uncertainty: Alternative payment arrangements could create financial risk for providers if quality/utilization targets are unrealistic, or conversely, may insufficiently incentivize participation if reimbursement levels remain low
  • Patient access and choice concerns: Enhanced care coordination sometimes involves limiting specialist referrals or requiring care navigation through primary providers, which some stakeholders argue restricts patient autonomy in choosing healthcare providers

Compiled from official sources — confirm details with the bill’s official record.

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