General Assembly Raised Bill No. 374
February Session, 2016 LCO No. 1337
*_____SB00374INS___031616____*
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
(INS)
General Assembly
Raised Bill No. 374
February Session, 2016
LCO No. 1337
*_____SB00374INS___031616____*
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
(INS)
AN ACT PROHIBITING HEALTH INSURERS FROM RESTRICTING OR REDUCING COVERED BENEFITS FOR INSUREDS DIAGNOSED WITH A TERMINAL CONDITION.
Be it enacted by the Senate and House of Representatives in General Assembly convened:
Section 1. (NEW) (Effective October 1, 2016) No health insurance company, health care center, fraternal benefit society, hospital service corporation, medical service corporation or other entity that delivers, issues for delivery, renews, amends or continues a health insurance policy providing coverage of the types specified in subdivisions (1), (2), (3), (4), (10), (11), (12), (13) and (16) of section 38a-469 of the general statutes in this state shall restrict or reduce coverage for an insured, based on an insured's diagnosis of a terminal condition, for any service, treatment, prescription drug or device that is a covered benefit and is (1) consistent with best practices for the care or treatment of a disease, illness or condition, (2) prescribed as medically appropriate by the insured's treating health care provider, or (3) supported by peer-reviewed medical literature generally recognized by the relevant medical community for use in the care or treatment of a disease, illness or condition. As used in this section, "terminal condition" means an incurable or irreversible disease, illness or medical condition that a physician has diagnosed as expected to result in death in twenty-four months or less.
This act shall take effect as follows and shall amend the following sections:
Section 1 October 1, 2016 New section
This act shall take effect as follows and shall amend the following sections:
Section 1
October 1, 2016
New section
INS Joint Favorable
INS
Joint Favorable