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General Assembly Proposed Bill No. 6242
January Session, 2021
LCO No. 1944
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
REP. COOK, 65th Dist.
AN ACT PROHIBITING HEALTH INSURERS FROM USING A
DOLLARS-PER-QUALITY ADJUSTED LIFE YEAR OR ANY SIMILAR
MEASURE AS A THRESHOLD.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
That title 38a of the general statutes be amended to provide that no 1
insurer, health care center, fraternal benefit society, hospital service 2
corporation, medical service corporation or other entity that delivers, 3
issues for delivery, renews, amends or continues a health insurance 4
policy in this state shall use a dollars-per-quality adjusted life year, or 5
any similar measure, as a threshold to determining whether such 6
insurer, center, society, corporation or entity will cover or recommend a 7
health care service or establish or modify an incentive or reimbursement 8
program. 9
Statement of Purpose:
To provide that no insurer, health care center, fraternal benefit society,
hospital service corporation, medical service corporation or other entity
that delivers, issues for delivery, renews, amends or continues a health
insurance policy in this state shall use a dollars-per-quality adjusted life
year, or any similar measure, as a threshold to determining whether Proposed Bill No. 6242
LCO No. 1944 2 of 2
such insurer, center, society, corporation or entity will cover or
recommend a health care service or establish or modify an incentive or
reimbursement program.