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General Assembly Raised Bill No. 6587
January Session, 2021
LCO No. 3750
Referred to Committee on INSURANCE AND REAL ESTATE
Introduced by:
(INS)
AN ACT CONCERNING HE ALTH INSURANCE COVER AGE FOR
EPINEPHRINE CARTRIDG E INJECTORS.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. (NEW) (Effective January 1, 2022) No individual health 1
insurance policy providing coverage of the type specified in 2
subdivisions (1), (2), (4), (10), (11), (12) and (16) of section 38a-469 of the 3
general statutes delivered, issued for delivery, renewed, amended or 4
continued in this state on or after January 1, 2022, that provides coverage 5
for an epinephrine cartridge injector shall impose a coinsurance, 6
copayment, deductible or other out-of-pocket expense for a covered 7
epinephrine cartridge injector in an amount that is greater than twenty-8
five dollars. The provisions of this section shall apply to a high 9
deductible health plan, as that term is used in subsection (f) of section 10
38a-493 of the general statutes, to the maximum extent permitted by 11
federal law, except if such plan is used to establish a medical savings 12
account or an Archer MSA pursuant to Section 220 of the Internal 13
Revenue Code of 1986, or any subsequent corresponding internal 14
revenue code of the United States, as amended from time to time, or a 15
health savings account pursuant to Section 223 of said Internal Revenue 16 Raised Bill No. 6587
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Code, as amended from time to time, the provisions of this section shall 17
apply to such plan to the maximum extent that (1) is permitted by 18
federal law, and (2) does not disqualify such account for the deduction 19
allowed under said Section 220 or 223, as applicable. For the purposes 20
of this section, "epinephrine cartridge injector" has the same meaning as 21
provided in section 19a-909 of the general statutes. 22
Sec. 2. (NEW) (Effective January 1, 2022) No group health insurance 23
policy providing coverage of the type specified in subdivisions (1), (2), 24
(4), (10), (11), (12) and (16) of section 38a-469 of the general statutes 25
delivered, issued for delivery, renewed, amended or continued in this 26
state on or after January 1, 2022, that provides coverage for an 27
epinephrine cartridge injector shall impose a coinsurance, copayment, 28
deductible or other out-of-pocket expense for a covered epinephrine 29
cartridge injector in an amount that is greater than twenty-five dollars. 30
The provisions of this section shall apply to a high deductible health 31
plan, as that term is used in subsection (f) of section 38a-520 of the 32
general statutes, to the maximum extent permitted by federal law, 33
except if such plan is used to establish a medical savings account or an 34
Archer MSA pursuant to Section 220 of the Internal Revenue Code of 35
1986, or any subsequent corresponding internal revenue code of the 36
United States, as amended from time to time, or a health savings account 37
pursuant to Section 223 of said Internal Revenue Code, as amended 38
from time to time, the provisions of this section shall apply to such plan 39
to the maximum extent that (1) is permitted by federal law, and (2) does 40
not disqualify such account for the deduction allowed under said 41
Section 220 or 223, as applicable. For the purposes of this section, 42
"epinephrine cartridge injector" has the same meaning as provided in 43
section 19a-909 of the general statutes. 44
This act shall take effect as follows and shall amend the following
sections:
Section 1 January 1, 2022 New section
Sec. 2 January 1, 2022 New section
Raised Bill No. 6587
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Statement of Purpose:
To provide that certain individual and group health insurance policies
shall not impose a coinsurance, copayment, deductible or out-of-pocket
expense for a covered epinephrine cartridge injector in an amount that
is greater than twenty-five dollars.
[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
underlined.]