Connecticut 2011 Regular Session

Connecticut Senate Bill SB00013 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1		General Assembly Committee Bill No. 13
2	2		January Session, 2011 LCO No. 2303
3		-	~~_____SB00013INS___020911____~~
	3	+	02303SB00013INS
4	4		Referred to Committee on Insurance and Real Estate
5	5		Introduced by:
6	6		(INS)
7	7
8	8		General Assembly
9	9
10	10		Committee Bill No. 13
11	11
12	12		January Session, 2011
13	13
14	14		LCO No. 2303
15	15
16		-	~~_____SB00013INS___020911____~~
	16	+	02303SB00013INS
17	17
18	18		Referred to Committee on Insurance and Real Estate
19	19
20	20		Introduced by:
21	21
22	22		(INS)
23	23
24	24		AN ACT CONCERNING COPAYMENTS FOR DRUGS.
25	25
26	26		Be it enacted by the Senate and House of Representatives in General Assembly convened:
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28	28		Section 1. Section 38a-510 of the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2012):
29	29
30	30		[(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]
31	31
32	32		(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;
33	33
34	34		(2) Impose 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 a retail pharmacy that is more restrictive than that imposed on prescription drugs obtained from a mail order pharmacy; or
35	35
36	36		(3) Impose a monetary advantage or penalty under such policy that could affect an insured's choice of pharmacies, including, but not limited to, a higher copayment, a reduction in reimbursement or promotion of one participating pharmacy over another by such methods.
37	37
38	38		[(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.]
39	39
40	40		Sec. 2. Section 38a-544 of the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2012):
41	41
42	42		[(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]
43	43
44	44		(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;
45	45
46	46		(2) Impose any copayment, reimbursement amount, number of days of a drug supply for which reimbursement is allowed under such contract or any other payment or condition for prescription drugs obtained from a retail pharmacy that is more restrictive than that imposed on prescription drugs obtained from a mail order pharmacy; or
47	47
48	48		(3) Impose a monetary advantage or penalty under such contract that could affect an insured's choice of pharmacies, including, but not limited to, a higher copayment, a reduction in reimbursement or promotion of one participating pharmacy over another by such methods.
49	49
50	50		[(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.]
51	51
52	52
53	53
54	54
55	55		This act shall take effect as follows and shall amend the following sections:
56	56		Section 1 January 1, 2012 38a-510
57	57		Sec. 2 January 1, 2012 38a-544
58	58
59	59		This act shall take effect as follows and shall amend the following sections:
60	60
61	61		Section 1
62	62
63	63		January 1, 2012
64	64
65	65		38a-510
66	66
67	67		Sec. 2
68	68
69	69		January 1, 2012
70	70
71	71		38a-544
72	72
	73	+	Statement of Purpose:
	74	+
	75	+	To require any copayment required by an individual or group health insurance policy for prescription drugs to be the same regardless of whether such drugs are obtained through a retail pharmacy or through a mail order pharmacy.
	76	+
	77	+	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]
73	78
74	79
75		-	INS Joint Favorable
76	80
77		-	~~INS~~
	81	+	Co-Sponsors: SEN. CRISCO, 17th Dist.
78	82
79		-	Joint Favorable
	83	+	Co-Sponsors:
	84	+
	85	+	SEN. CRISCO, 17th Dist.
	86	+
	87	+	S.B. 13