LCO No. 888 1 of 1
General Assembly Proposed Bill No. 5346
January Session, 2021
LCO No. 888
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
REP. COOK, 65th Dist.
AN ACT LIMITING CHANGES TO 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 not 5
medically necessary, such health carrier provides the insured and the 6
insured's prescribing health care provider with not less than sixty days' 7
advance written notice of its intended action and such provider agrees 8
that such drug is not medically necessary; or (2) such drug is identified 9
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 further limit when health carriers may change prescription drug
formularies during a policy term.