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