LCO No. 1686 1 of 2
General Assembly Proposed Bill No. 5861
January Session, 2019
LCO No. 1686
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
REP. GRESKO, 121
st Dist.
REP. ORANGE, 48
th Dist.
AN ACT PROHIBITING HEALTH INSURERS FROM USING A
DOLLARS-PER-QUALITY ADJUSTED LIFE YEAR OR ANY SIMILAR
MEASURE AS A THRESHOLD.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
That title 38a of the general statutes be amended to provide that no 1
insurer, health care center, fraternal benefit society, hospital service 2
corporation, medical service corporation or other entity that delivers, 3
issues for delivery, renews, amends or continues a health insurance 4
policy in this state shall use a dollars-per-quality adjusted life year, or 5
any similar measure, as a threshold to determining whether such 6
insurer, center, society, corporation or entity will cover or recommend 7
a health care service or establish or modify an incentive or 8
reimbursement program. 9
Statement of Purpose:
To provide that no insurer, 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 in this state shall use a dollars-per-quality
adjusted life year, or any similar measure, as a threshold to Proposed Bill No. 5861
LCO No. 1686 2 of 2
determining whether such insurer, center, society, corporation or
entity will cover or recommend a health care service or establish or
modify an incentive or reimbursement program.