LCO No. 4281 1 of 3
General Assembly Raised Bill No. 7176
January Session, 2019
LCO No. 4281
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
(INS)
AN ACT EXEMPTING ACC IDENT ONLY INSURANCE POLICIES FROM
REQUIRED HEALTH INSU RANCE COVERAGE FOR P REVENTIVE
PEDIATRIC CARE AND DIRECT ACCESS TO OBST ETRICIAN-
GYNECOLOGISTS.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. Subsection (a) of section 38a-503b of the general statutes is 1
repealed and the following is substituted in lieu thereof (Effective 2
January 1, 2020): 3
(a) As used in this section, "carrier" means each insurer, health care 4
center, hospital service corporation, medical service corporation or 5
other entity delivering, issuing for delivery, renewing, amending or 6
continuing any individual health insurance policy in this state 7
providing coverage of the type specified in subdivisions (1), (2), (4), 8
[(6),] (10), (11) and (12) of section 38a-469. 9
Sec. 2. Subsection (a) of section 38a-530b of the general statutes is 10
repealed and the following is substituted in lieu thereof (Effective 11
January 1, 2020): 12 Raised Bill No. 7176
LCO No. 4281 2 of 3
(a) As used in this section, "carrier" means each insurer, health care 13
center, hospital service corporation, medical service corporation or 14
other entity delivering, issuing for delivery, renewing, amending or 15
continuing any group health insurance policy in this state providing 16
coverage of the type specified in subdivisions (1), (2), (4), [(6),] (11) and 17
(12) of section 38a-469. 18
Sec. 3. Subsection (b) of section 38a-535 of the general statutes is 19
repealed and the following is substituted in lieu thereof (Effective 20
January 1, 2020): 21
22
(b) Each group health insurance policy providing coverage of the 23
type specified in subdivisions (1), (2), (4), [(6),] (11) and (12) of section 24
38a-469 delivered, issued for delivery or renewed on or after October 1, 25
1989, or continued as defined in section 38a-531, on or after October 1, 26
1990, shall provide benefits for preventive pediatric care for any child 27
covered by the policy or contract at approximately the following age 28
intervals: Every two months from birth to six months of age, every 29
three months from nine to eighteen months of age and annually from 30
two through six years of age. Any such policy may provide that 31
services rendered during a periodic review shall be covered to the 32
extent that such services are provided by or under the supervision of a 33
single physician during the course of one visit. On and after January 1, 34
2009, each such policy shall also provide coverage for blood lead 35
screening and risk assessments ordered by a primary care provider 36
pursuant to section 19a-111g. Such benefits shall be subject to any 37
policy provisions which apply to other services covered by such 38
policy. 39
This act shall take effect as follows and shall amend the following
sections:
Section 1 January 1, 2020 38a-503b(a)
Sec. 2 January 1, 2020 38a-530b(a)
Sec. 3 January 1, 2020 38a-535(b)
Raised Bill No. 7176
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Statement of Purpose:
To exempt accident only insurance policies from required health
insurance coverage for (1) certain preventive pediatric care, and (2)
direct access to obstetrician-gynecologists.
[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.]