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), Senate "A" (LCO 9991)
House Calendar No.: 260
Senate Calendar No.: 436
Primary Analyst: AN 6/5/21
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 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 effective after January 1, 2022.
Pursuant to federal law, self-insured plans are exempt from state 2021HB-06588-R02-FN.DOCX Page 2 of 2
health insurance mandates.
1
Section 4 of the bill, which establishes task forces related to peer
support and mental health services, has 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.
Senate "A" eliminates the task force related to peer support services
and has no 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.
The preceding Fiscal Impact statement is prepared for the benefit of the members of the General Assembly,
solely for the purposes of information, summarization and explanation and does not represent the intent of the
General Assembly or either chamber thereof for any purpose. In general, fiscal impacts are based upon a variety
of informational sources, including the analyst’s professional knowledge. Whenever applicable, agency data is
consulted as part of the analysis, however final products do not necessarily reflect an assessment from any
specific department.
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.