Bifurcated

Connecticut No Surprises Act & IDR Rules

Last verified: July 2026 · For informational purposes only, not legal advice

Quick answer: Connecticut is a bifurcated state. Some disputes are governed by Connecticut's own specified state law, while others default to the federal No Surprises Act IDR process depending on the plan type and service involved.

How it works

Connecticut's specified state law applies to emergency services furnished to insured individuals regardless of provider network status, plus certain non-emergency out-of-network services at in-network facilities when an in-network provider wasn't available. The federal IDR process applies mainly to air ambulance services.

Key dates

Federal No Surprises Act protections took effect January 1, 2022. State-specific protections vary — check the official source below for exact effective dates in this state.

Official source: Centers for Medicare & Medicaid Services — Connecticut enforcement letter and specified state law documentation (cms.gov/nosurprises)

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