Connecticut 2021 Regular Session

Connecticut House Bill HB06587 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
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3		-	LCO \\PRDFS1\HCOUSERS\BARRYJN\WS\2021HB-06587-R01-
4		-	HB.docx
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7		-	General Assembly Substitute Bill No. 6587
	4	+	LCO No. 3750 1 of 3
	5	+
	6	+	General Assembly Raised Bill No. 6587
8	7		January Session, 2021
	8	+	LCO No. 3750
	9	+
	10	+
	11	+	Referred to Committee on INSURANCE AND REAL ESTATE
	12	+
	13	+
	14	+	Introduced by:
	15	+	(INS)
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12	19
13		-
14		-	AN ACT REQUIRING HEA LTH INSURANCE COVERA GE FOR
	20	+	AN ACT CONCERNING HE ALTH INSURANCE COVER AGE FOR
15	21		EPINEPHRINE CARTRIDG E INJECTORS.
16	22		Be it enacted by the Senate and House of Representatives in General
17	23		Assembly convened:
18	24
19		-	Section 1. (NEW) (Effective January 1, 2022) ~~(a) Each~~ individual health 1
	25	+	Section 1. (NEW) (Effective January 1, 2022) No individual health 1
20	26		insurance policy providing coverage of the type specified in 2
21		-	subdivisions (1), (2), (4), (11), (12) and (16) of section 38a-469 of the 3
	27	+	subdivisions (1), (2), (4), (10), (11), (12) and (16) of section 38a-469 of the 3
22	28		general statutes delivered, issued for delivery, renewed, amended or 4
23		-	continued in this state on or after January 1, 2022, that includes coverage 5
24		-	for outpatient prescription drugs shall provide coverage for epinephrine 6
25		-	cartridge injectors, as defined in section 19a-909 of the general statutes. 7
26		-	(b) No policy described in subsection (a) of this section shall impose 8
27		-	a coinsurance, copayment, deductible or other out-of-pocket expense for 9
28		-	an epinephrine cartridge injector in an amount that is greater than 10
29		-	twenty-five dollars. The provisions of this subsection shall apply to a 11
30		-	high deductible health plan, as that term is used in subsection (f) of 12
31		-	section 38a-493 of the general statutes, to the maximum extent permitted 13
32		-	by federal law, except if such plan is used to establish a medical savings 14
33		-	account or an Archer MSA pursuant to Section 220 of the Internal 15
34		-	Revenue Code of 1986, or any subsequent corresponding internal 16
35		-	revenue code of the United States, as amended from time to time, or a 17
36		-	health savings account pursuant to Section 223 of said Internal Revenue 18 Substitute Bill No. 6587
	29	+	continued in this state on or after January 1, 2022, that provides coverage 5
	30	+	for an epinephrine cartridge injector shall impose a coinsurance, 6
	31	+	copayment, deductible or other out-of-pocket expense for a covered 7
	32	+	epinephrine cartridge injector in an amount that is greater than twenty-8
	33	+	five dollars. The provisions of this section shall apply to a high 9
	34	+	deductible health plan, as that term is used in subsection (f) of section 10
	35	+	38a-493 of the general statutes, to the maximum extent permitted by 11
	36	+	federal law, except if such plan is used to establish a medical savings 12
	37	+	account or an Archer MSA pursuant to Section 220 of the Internal 13
	38	+	Revenue Code of 1986, or any subsequent corresponding internal 14
	39	+	revenue code of the United States, as amended from time to time, or a 15
	40	+	health savings account pursuant to Section 223 of said Internal Revenue 16 Raised Bill No. 6587
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38	42
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43		-	Code, as amended from time to time, the provisions of this subsection 19
44		-	shall apply to such plan to the maximum extent that (1) is permitted by 20
45		-	federal law, and (2) does not disqualify such account for the deduction 21
46		-	allowed under said Section 220 or 223, as applicable. 22
47		-	Sec. 2. (NEW) (Effective January 1, 2022) (a) Each group health 23
48		-	insurance policy providing coverage of the type specified in 24
49		-	subdivisions (1), (2), (4), (11), (12) and (16) of section 38a-469 of the 25
50		-	general statutes delivered, issued for delivery, renewed, amended or 26
51		-	continued in this state on or after January 1, 2022, that includes coverage 27
52		-	for outpatient prescription drugs shall provide coverage for epinephrine 28
53		-	cartridge injectors, as defined in section 19a-909 of the general statutes. 29
54		-	(b) No policy described in subsection (a) of this section shall impose 30
55		-	a coinsurance, copayment, deductible or other out-of-pocket expense for 31
56		-	an epinephrine cartridge injector in an amount that is greater than 32
57		-	twenty-five dollars. The provisions of this subsection shall apply to a 33
58		-	high deductible health plan, as that term is used in subsection (f) of 34
59		-	section 38a-520 of the general statutes, to the maximum extent permitted 35
60		-	by federal law, except if such plan is used to establish a medical savings 36
61		-	account or an Archer MSA pursuant to Section 220 of the Internal 37
62		-	Revenue Code of 1986, or any subsequent corresponding internal 38
63		-	revenue code of the United States, as amended from time to time, or a 39
64		-	health savings account pursuant to Section 223 of said Internal Revenue 40
65		-	Code, as amended from time to time, the provisions of this subsection 41
66		-	shall apply to such plan to the maximum extent that (1) is permitted by 42
67		-	federal law, and (2) does not disqualify such account for the deduction 43
68		-	allowed under said Section 220 or 223, as applicable. 44
	44	+	LCO No. 3750 2 of 3
	45	+
	46	+	Code, as amended from time to time, the provisions of this section shall 17
	47	+	apply to such plan to the maximum extent that (1) is permitted by 18
	48	+	federal law, and (2) does not disqualify such account for the deduction 19
	49	+	allowed under said Section 220 or 223, as applicable. For the purposes 20
	50	+	of this section, "epinephrine cartridge injector" has the same meaning as 21
	51	+	provided in section 19a-909 of the general statutes. 22
	52	+	Sec. 2. (NEW) (Effective January 1, 2022) No group health insurance 23
	53	+	policy providing coverage of the type specified in subdivisions (1), (2), 24
	54	+	(4), (10), (11), (12) and (16) of section 38a-469 of the general statutes 25
	55	+	delivered, issued for delivery, renewed, amended or continued in this 26
	56	+	state on or after January 1, 2022, that provides coverage for an 27
	57	+	epinephrine cartridge injector shall impose a coinsurance, copayment, 28
	58	+	deductible or other out-of-pocket expense for a covered epinephrine 29
	59	+	cartridge injector in an amount that is greater than twenty-five dollars. 30
	60	+	The provisions of this section shall apply to a high deductible health 31
	61	+	plan, as that term is used in subsection (f) of section 38a-520 of the 32
	62	+	general statutes, to the maximum extent permitted by federal law, 33
	63	+	except if such plan is used to establish a medical savings account or an 34
	64	+	Archer MSA pursuant to Section 220 of the Internal Revenue Code of 35
	65	+	1986, or any subsequent corresponding internal revenue code of the 36
	66	+	United States, as amended from time to time, or a health savings account 37
	67	+	pursuant to Section 223 of said Internal Revenue Code, as amended 38
	68	+	from time to time, the provisions of this section shall apply to such plan 39
	69	+	to the maximum extent that (1) is permitted by federal law, and (2) does 40
	70	+	not disqualify such account for the deduction allowed under said 41
	71	+	Section 220 or 223, as applicable. For the purposes of this section, 42
	72	+	"epinephrine cartridge injector" has the same meaning as provided in 43
	73	+	section 19a-909 of the general statutes. 44
69	74		This act shall take effect as follows and shall amend the following
70	75		sections:
71	76
72	77		Section 1 January 1, 2022 New section
73	78		Sec. 2 January 1, 2022 New section
74		-
75		-	INS Joint Favorable Subst. Substitute Bill No. 6587
	79	+	Raised Bill No. 6587
76	80
77	81
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	83	+	LCO No. 3750 3 of 3
	84	+
	85	+	Statement of Purpose:
	86	+	To provide that certain individual and group health insurance policies
	87	+	shall not impose a coinsurance, copayment, deductible or out-of-pocket
	88	+	expense for a covered epinephrine cartridge injector in an amount that
	89	+	is greater than twenty-five dollars.
	90	+	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
	91	+	that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
	92	+	underlined.]
82	93