Connecticut 2021 Regular Session

Connecticut House Bill HB05346 Compare Versions

Only one version of the bill is available at this time.
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33 LCO No. 888 1 of 1
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55 General Assembly Proposed Bill No. 5346
66 January Session, 2021
77 LCO No. 888
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1010 Referred to Committee on INSURANCE AND REAL ESTATE
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1313 Introduced by:
1414 REP. COOK, 65th Dist.
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1818 AN ACT LIMITING CHANGES TO PRESCRIPTION DRUG
1919 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 not 5
2828 medically necessary, such health carrier provides the insured and the 6
2929 insured's prescribing health care provider with not less than sixty days' 7
3030 advance written notice of its intended action and such provider agrees 8
3131 that such drug is not medically necessary; or (2) such drug is identified 9
3232 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 further limit when health carriers may change prescription drug
3737 formularies during a policy term.