General Assembly Substitute Bill No. 879
January Session, 2011 *_____SB00879APP___050511____*
General Assembly
Substitute Bill No. 879
January Session, 2011
*_____SB00879APP___050511____*
AN ACT CONCERNING HEALTH INSURANCE COVERAGE FOR PRESCRIPTION EYE DROPS.
Be it enacted by the Senate and House of Representatives in General Assembly convened:
Section 1. Section 38a-492m of the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2012):
Each individual health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, amended, renewed or continued in this state [on or after January 1, 2010,] that provides coverage for prescription eye drops, shall not deny coverage for: [a]
(1) A renewal of prescription eye drops when [(1)] (A) the renewal is requested by the insured less than thirty days from the later of [(A)] (i) the date the original prescription was distributed to the insured, or [(B)] (ii) the date the last renewal of such prescription was distributed to the insured, and [(2)] (B) the prescribing physician indicates on the original prescription that additional quantities are needed and the renewal requested by the insured does not exceed the number of additional quantities needed; and
(2) One additional bottle of prescription eye drops when (A) such bottle is requested by the insured or the prescribing physician at the time the original prescription is filled, and (B) the prescribing physician indicates on the original prescription that such additional bottle is needed by the insured for use in a day care center or school. Such additional bottle shall be limited to one every three months.
Sec. 2. Section 38a-518l of the general statutes is repealed and the following is substituted in lieu thereof (Effective January 1, 2012):
Each group health insurance policy providing coverage of the type specified in subdivisions (1), (2), (4), (11) and (12) of section 38a-469 delivered, issued for delivery, amended, renewed or continued in this state [on or after January 1, 2010,] that provides coverage for prescription eye drops, shall not deny coverage for: [a]
(1) A renewal of prescription eye drops when [(1)] (A) the renewal is requested by the insured less than thirty days from the later of [(A)] (i) the date the original prescription was distributed to the insured, or [(B)] (ii) the date the last renewal of such prescription was distributed to the insured, and [(2)] (B) the prescribing physician indicates on the original prescription that additional quantities are needed and the renewal requested by the insured does not exceed the number of additional quantities needed; and
(2) One additional bottle of prescription eye drops when (A) such bottle is requested by the insured or the prescribing physician at the time the original prescription is filled, and (B) the prescribing physician indicates on the original prescription that such additional bottle is needed by the insured for use in a day care center or school. Such additional bottle shall be limited to one every three months.
This act shall take effect as follows and shall amend the following sections:
Section 1 January 1, 2012 38a-492m
Sec. 2 January 1, 2012 38a-518l
This act shall take effect as follows and shall amend the following sections:
Section 1
January 1, 2012
38a-492m
Sec. 2
January 1, 2012
38a-518l
APP Joint Favorable Subst.
APP
Joint Favorable Subst.