Connecticut 2010 Regular Session

Connecticut Senate Bill SB00015 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1		General Assembly Substitute Bill No. 15
2		-	February Session, 2010 _____~~SB00015APP~~___~~042010~~____
	2	+	February Session, 2010 _____SB00015INS___021710____
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4	4		General Assembly
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6	6		Substitute Bill No. 15
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8	8		February Session, 2010
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10		-	_____~~SB00015APP~~___~~042010~~____
	10	+	_____SB00015INS___021710____
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12	12		AN ACT CONCERNING PRESCRIPTION DRUG COPAYMENTS.
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14	14		Be it enacted by the Senate and House of Representatives in General Assembly convened:
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16	16		Section 1. Section 38a-510 of the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2011):
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18	18		[(a)] No health insurance policy issued on an individual basis, whether issued by an insurance company, a hospital service corporation, a medical service corporation or a health care center, [which] that provides coverage for prescription drugs may: [require]
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20	20		(1) Require any person covered under such policy to obtain prescription drugs from a mail order pharmacy as a condition of obtaining benefits for such drugs; or
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22	22		(2) Impose (A) any copayment, reimbursement amount, number of days of a drug supply for which reimbursement is allowed under such policy or any other payment or condition for prescription drugs obtained from an in-network or out-of-network retail pharmacy that is more restrictive than that imposed on prescription drugs obtained from another retail pharmacy, or (B) a monetary advantage or penalty under such policy that could affect an insured's choice of pharmacy, including, but not limited to, a higher copayment, a reduction in reimbursement or promotion of one participating provider pharmacy over another by such methods.
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24	24		[(b) The provisions of this section shall apply to any such policy delivered, issued for delivery, renewed, amended or continued in this state on or after July 1, 2005.]
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26	26		Sec. 2. Section 38a-544 of the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2011):
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28	28		[(a)] No medical benefits contract on a group basis, whether issued by an insurance company, a hospital service corporation, a medical service corporation or a health care center, [which] that provides coverage for prescription drugs may: [require]
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30	30		(1) Require any person covered under such contract to obtain prescription drugs from a mail order pharmacy as a condition of obtaining benefits for such drugs; or
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32	32		(2) Impose (A) any copayment, reimbursement amount, number of days of a drug supply for which reimbursement is allowed under such policy or any other payment or condition for prescription drugs obtained from an in-network or out-of-network retail pharmacy that is more restrictive than that imposed on prescription drugs obtained from another retail pharmacy, or (B) a monetary advantage or penalty under such policy that could affect an insured's choice of pharmacy, including, but not limited to, a higher copayment, a reduction in reimbursement or promotion of one participating provider pharmacy over another by such methods.
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34	34		[(b) The provisions of this section shall apply to any such medical benefits contract delivered, issued for delivery or renewed in this state on or after July 1, 1989.]
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39	39		This act shall take effect as follows and shall amend the following sections:
40	40		Section 1 January 1, 2011 38a-510
41	41		Sec. 2 January 1, 2011 38a-544
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43	43		This act shall take effect as follows and shall amend the following sections:
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45	45		Section 1
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47	47		January 1, 2011
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49	49		38a-510
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51	51		Sec. 2
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53	53		January 1, 2011
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55	55		38a-544
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59	59		INS Joint Favorable Subst.
60		-	APP Joint Favorable
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62	61		INS
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64	63		Joint Favorable Subst.
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66		-	APP
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68		-	Joint Favorable