OFFICE OF FISCAL ANALYSIS
Legislative Office Building, Room 5200
Hartford, CT 06106 (860) 240-0200
http://www.cga.ct.gov/ofa
HB-6588
AN ACT CONCERNING MENTAL HEALTH CARE AND
SUBSTANCE ABUSE SERVICES.
Primary Analyst: AN 4/6/21
Contributing Analyst(s): DC
OFA Fiscal Note
State Impact: None
Municipal Impact:
Municipalities Effect FY 22 $ FY 23 $
Various Municipalities Potential
Savings
Minimal Minimal
Explanation
There is no fiscal impact to the State resulting from the bill, which
prohibits health insurance policies that provide pharmaceutical
benefits from prescribing a supply of psychotropic drugs that is larger
than the prescribing provider deems clinically necessary. The
provisions of the bill are consistent with the current contract between
the state and its pharmacy benefit manager.
To the extent that the provisions of the bill change the volume of
psychotropic drugs utilized and the rate paid for such drugs as
determined by a plan's formulary, there is a potential minimal savings
to fully-insured municipal plans that will be reflected in premiums for
contracts after January 1, 2022.
Pursuant to federal law, self-insured plans are exempt from state 2021HB-06588-R000344-FN.DOCX Page 2 of 2
health insurance mandates.
1
Sections 4 and 5 of the bill, which establish task forces related to
peer support and mental health services, have no fiscal impact as PA
17-236 prohibits transportation allowances for members of task forces.
The Out Years
The annualized ongoing fiscal impact identified above would
continue into the future subject to future premiums for fully insured
municipal plans.
1
The state employee and retiree health plan is currently a self-insured plan and
therefore not required to comply with state health mandates; however, the plan has
historically adopted all mandated health plan requirements.