Connecticut HB 5398: AN ACT CONCERNING LICENSED OCCUPATIONS OF MILITARY SPOUSES.

Bill Text

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General Assembly Raised Bill No. 5398
February Session, 2026 LCO No. 1479

Referred to Committee on PUBLIC HEALTH

Introduced by:
(PH)

AN ACT CONCERNING THE REVIEW OF HEALTH CARE ENTITY
TRANSACTIONS, THE EXPANSION OF EQUITABLE RELIEF AND
ENFORCEMENT TOOLS AVAILABLE UNDER THE CONNECTICUT
ANTITRUST ACT AND THE INCLUSION OF ADDITIONAL
INFORMATION IN HOSPITAL PRICEMASTER FILINGS.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:

Section 1. Section 19a-486i of the general statutes is repealed and the 1
following is substituted in lieu thereof (Effective October 1, 2026): 2
(a) As used in this section: 3
(1) "Advanced practice registered nurse" means an advanced practice 4
registered nurse licensed pursuant to chapter 378; 5
[(1)] (2) "Affiliation" means the formation of a relationship between 6
two or more entities that permits the entities to negotiate jointly with 7
third parties over rates for professional medical services; 8
[(2)] (3) "Captive professional entity" means a partnership, 9
professional corporation, limited liability company or other entity 10
formed to render professional services in which a partner, a member, a 11

Raised Bill No. 5398

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shareholder or a beneficial owner is a physician, directly or indirectly, 12
employed by, controlled by, subject to the direction of, or otherwise 13
designated by (A) a hospital, (B) a hospital system, (C) a medical school, 14
(D) a medical foundation, organized pursuant to subsection (a) of 15
section 33-182bb, or (E) any entity that controls, is controlled by or is 16
under common control with, whether through ownership, governance, 17
contract or otherwise, another person, entity or organization described 18
in subparagraphs (A) to (D), inclusive, of this subdivision; 19
(4) "Entity" has the same meaning as provided in section 33-602; 20
(5) "Group practice" means two or more physicians, legally organized 21
in a partnership, professional corporation, limited liability company 22
formed to render professional services, medical foundation, not-for-23
profit corporation, faculty practice plan or other similar entity (A) in 24
which each physician who is a member of the group provides 25
substantially the full range of services that the physician routinely 26
provides, including, but not limited to, medical care, consultation, 27
diagnosis or treatment, through the joint use of shared office space, 28
facilities, equipment or personnel; (B) for which substantially all of the 29
services of the physicians who are members of the group are provided 30
through the group and are billed in the name of the group practice and 31
amounts so received are treated as receipts of the group; or (C) in which 32
the overhead expenses of, and the income from, the group are 33
distributed in accordance with methods previously determined by 34
members of the group. An entity that otherwise meets the definition of 35
group practice under this section shall be considered a group practice 36
although its shareholders, partners or owners of the group practice 37
include single-physician professional corporations, limited liability 38
companies formed to render professional services or other entities in 39
which beneficial owners are individual physicians; 40
(6) "Health care entity" means a health care provider, health care 41
facility, as defined in section 19a-630, provider organization, group 42
practice or pharmacy benefit manager, as defined in section 38a-479aaa. 43

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As used in this subdivision, "provider organization" means any 44
corporation, partnership, business trust, association or organized group 45
of persons, including, but not limited to, a physician organization, a 46
physician-hospital organization, an independent practice organization, 47
a provider network, an accountable care organization or a management 48
services organization, that is in the business of health care delivery or 49
management, whether incorporated or not, and that represents one or 50
more health care providers in contracting with health carriers for the 51
payment of health care services; 52
(7) "Health care provider" has the same meaning as provided in 53
section 19a-17b; 54
[(3)] (8) "Hospital" (A) has the same meaning as provided in section 55
19a-646, or (B) means a facility licensed as a hospital pursuant to the 56
laws of another state; 57
[(4)] (9) "Hospital system" means: (A) A parent corporation of one or 58
more hospitals and any entity affiliated with such parent corporation 59
through ownership, governance or membership; or (B) a hospital and 60
any entity affiliated with such hospital through ownership, governance 61
or membership; 62
[(5) "Health care provider" has the same meaning as provided in 63
section 19a-17b;] 64
(10) "Management services organization" means an entity that 65
provides management, administrative support and other services to a 66
gr