Connecticut House Bill HB06244

Connecticut 2021 Regular Session

• Introduced: 1/29/21
• Refer: 1/29/21

Caption

An Act Prohibiting Certain Health Carriers And Pharmacy Benefits Managers From Employing Copay Accumulator Programs.

Impact

If enacted, HB 6244 would significantly impact how health carriers and pharmacy benefits managers handle copayments in the context of health insurance. Specifically, it will require them to recognize and credit third-party payments toward patients' cost-sharing responsibilities, which could lead to improved access to necessary medications and treatments for insured individuals. This bill raises important implications for the management of health insurance practices and could influence the relationship between insurance companies, patients, and healthcare providers.

Summary

House Bill 6244 aims to prohibit certain health carriers and pharmacy benefits managers from implementing copay accumulator programs. This legislation specifically seeks to amend Title 38a of the General Statutes to ensure that patients receive credit for payments made by third parties toward their cost-sharing obligations for covered benefits. The intent of the bill is to enhance the affordability and accessibility of healthcare by ensuring patients do not face undue financial burdens when third-party payments are made on their behalf.

Contention

The discussions surrounding HB 6244 may include debates about the implications of regulating insurance practices related to copay accumulator programs. Supporters are likely to argue that the bill is essential in protecting patients from unexpected financial liabilities resulting from insurance policies that do not credit third-party payments. On the other hand, opponents may express concerns about the potential financial impact on health plans and the feasibility of enforcing such requirements across various programs.