OFFICE OF FISCAL ANALYSIS
Legislative Office Building, Room 5200
Hartford, CT 06106 (860) 240-0200
http://www.cga.ct.gov/ofa
HB-6622
AN ACT CONCERNING PRESCRIPTION DRUG FORMULARIES
AND LISTS OF COVERED DRUGS.
Primary Analyst: AN 4/5/21
Contributing Analyst(s):
OFA Fiscal Note
State Impact: None
Municipal Impact:
Municipalities Effect FY 22 $ FY 23 $
Various Municipalities Potential
Cost
See Below See Below
Explanation
The bill is not anticipated to result in a fiscal impact to the state
employee and retiree health plan. The bill is not anticipated to
materially modify the pharmacy benefit manager’s administration of
the plan’s formulary compared to current practice given the $40 copay
cap in the bill.
The bill may increase costs to certain fully insured municipal plans
to comply with the provisions of the bill if the plans are not otherwise
excluded by the copay cap. There will be a cost to the extent the bill’s
provisions impact a municipal plan’s ability to modify their formulary
during a plan year. The coverage requirements will result in increased
premium costs when municipalities enter into new health insurance
contracts after January 1, 2022.
The Out Years
The annualized ongoing fiscal impact identified above would
continue into the future subject to a change in the contracts or
administration of fully insured municipal plans' prescription benefits.