General Assembly Raised Bill No. 599
January Session, 2013 LCO No. 1104
*01104_______INS*
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
(INS)
General Assembly
Raised Bill No. 599
January Session, 2013
LCO No. 1104
*01104_______INS*
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
(INS)
AN ACT CONCERNING DISPENSATION AND INSURANCE COVERAGE OF A PRESCRIBED DRUG DURING REVIEW OF AN ADVERSE DETERMINATION OR A FINAL ADVERSE DETERMINATION.
Be it enacted by the Senate and House of Representatives in General Assembly convened:
Section 1. Section 38a-591d of the general statutes is amended by adding subsection (h) as follows (Effective October 1, 2013):
(NEW) (h) Notwithstanding subdivision (3) of subsection (c) of section 38a-591e, if a covered person or the covered person's authorized representative files any grievance or requests any review of an adverse determination or a final adverse determination pursuant to section 38a-591e, 38a-591f or 38a-591g, relating to the dispensation of a drug prescribed by a licensed participating provider, the health carrier shall issue immediate electronic authorization to the covered person's pharmacy for the duration of any such grievance or review. Such authorization shall include confirmation of the availability of payment for such supply of such drug.
This act shall take effect as follows and shall amend the following sections:
Section 1 October 1, 2013 38a-591d
This act shall take effect as follows and shall amend the following sections:
Section 1
October 1, 2013
38a-591d
Statement of Purpose:
To require dispensation and coverage of a prescribed drug for an insured for the duration of any grievance or review filed or requested by such insured of an adverse determination or a final adverse determination.
[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.]