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Bill

SB 1009

AN ACT PROHIBITING THE REMOVAL OF PARTICIPATING PROVIDERS UNTIL THE END OF A POLICY PERIOD.

2025 Regular Session Introduced by Paul Honig

Connecticut bill would require health insurers to retain network providers through policy period end, preventing mid-year provider removals to ensure patient continuity of care.

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Bill Summary · SB 1009

Legislative bill overview

SB 1009 would prohibit health insurance companies from removing participating healthcare providers from their networks until the end of the current policy period. This means once a provider is in a network at the start of a policy year, they cannot be terminated mid-year, ensuring continuity until the next annual renewal date.

Why is this important

Network changes mid-policy period can disrupt patient care, force people to switch doctors unexpectedly, and create gaps in ongoing treatment. This bill aims to protect patient stability and prevent the administrative burden and healthcare interruptions that sudden provider removals cause. It also provides providers with more predictable employment relationships within insurance networks.

Potential points of contention

  • Insurance company flexibility: Insurers argue they need mid-year removal authority to address quality concerns, fraud, or compliance violations quickly rather than waiting until renewal
  • Implementation costs: Determining which policy periods apply (individual vs. group, different renewal dates) and enforcing compliance across multiple insurers could create administrative burden
  • Scope ambiguity: The bill doesn't clarify whether it applies to voluntary provider departures, involuntary terminations for cause, or both—potentially limiting insurers' ability to manage bad actors
  • Patient choice limitations: Restricting network changes could theoretically lock patients into networks with problematic providers if removal is delayed until year-end

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

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