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.
As Amended by House "A" (LCO 8402)
House Calendar No.: 260
Primary Analyst: AN 5/13/21
Contributing Analyst(s):
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 as
amended, 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 as amended are consistent with
the current contract between the state and its pharmacy benefit
manager.
To the extent that the provisions of the bill as amended 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 effective after January 1, 2022.
Pursuant to federal law, self-insured plans are exempt from state 2021HB-06588-R01-FN.DOCX Page 2 of 2
health insurance mandates.
1
Sections 4 and 5 of the bill as amended, 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.
House "A" changes the membership of the task forces established in
the underlying bill and does not result in a fiscal impact.
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.