Connecticut 2019 Regular Session

Connecticut Senate Bill SB00086 Compare Versions

Only one version of the bill is available at this time.
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33 LCO No. 1178 1 of 1
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55 General Assembly Proposed Bill No. 86
66 January Session, 2019
77 LCO No. 1178
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1010 Referred to Committee on INSURANCE AND REAL ESTATE
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1313 Introduced by:
1414 SEN. SOMERS, 18th Dist.
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1818 AN ACT LIMITING CHANGES TO HEALTH INSURERS'
1919 PRESCRIPTION DRUG FORMULARIES.
2020 Be it enacted by the Senate and House of Representatives in General
2121 Assembly convened:
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2323 That sections 38a-492f and 38a-518f of the general statutes be 1
2424 amended to provide that no health carrier that includes prescription 2
2525 drug coverage shall remove a covered prescription drug from its list of 3
2626 covered drugs, or reclassify or place a covered prescription drug in a 4
2727 higher cost-sharing tier, during a policy term unless (1) such drug is 5
2828 not medically necessary, such health carrier provides the insured and 6
2929 the insured's prescribing health care provider with not less than sixty 7
3030 days' advance written notice of its intended action and such provider 8
3131 agrees that such drug is not medically necessary, or (2) such drug is 9
3232 identified as no longer safe and effective by the federal Food and Drug 10
3333 Administration or peer-reviewed medical literature generally 11
3434 recognized by the relevant medical community. 12
3535 Statement of Purpose:
3636 To limit when health carriers may change prescription drug
3737 formularies during a policy term.