| 1 | 1 | | |
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| 2 | 2 | | |
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| 3 | 3 | | LCO No. 95 1 of 2 |
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| 4 | 4 | | |
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| 5 | 5 | | General Assembly Proposed Bill No. 19 |
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| 6 | 6 | | January Session, 2021 |
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| 7 | 7 | | LCO No. 95 |
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| 8 | 8 | | |
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| 9 | 9 | | |
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| 10 | 10 | | Referred to Committee on INSURANCE AND REAL ESTATE |
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| 11 | 11 | | |
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| 12 | 12 | | |
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| 13 | 13 | | Introduced by: |
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| 14 | 14 | | SEN. ANWAR, 3rd Dist. |
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| 15 | 15 | | |
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| 16 | 16 | | |
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| 17 | 17 | | |
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| 18 | 18 | | AN ACT CONCERNING HEALTH COVERAGE FOR OUTPATIENT |
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| 19 | 19 | | PSYCHOTROPIC DRUGS. |
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| 20 | 20 | | Be it enacted by the Senate and House of Representatives in General |
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| 21 | 21 | | Assembly convened: |
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| 22 | 22 | | |
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| 23 | 23 | | That title 38a of the general statutes be amended to provide that no 1 |
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| 24 | 24 | | health insurance policy providing coverage for outpatient prescription 2 |
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| 25 | 25 | | drugs, or mental health care benefits provided under state law, with 3 |
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| 26 | 26 | | state funds or to state employees, shall: (1) Require a prescribing health 4 |
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| 27 | 27 | | care provider to prescribe an outpatient psychotropic drug in a quantity 5 |
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| 28 | 28 | | that the provider deems clinically inappropriate; or (2) if a prescribing 6 |
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| 29 | 29 | | health care provider deems a ninety-day supply of a covered outpatient 7 |
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| 30 | 30 | | psychotropic drug to be clinically inappropriate, impose a coinsurance, 8 |
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| 31 | 31 | | copayment, deductible or other out-of-pocket expense for the prescribed 9 |
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| 32 | 32 | | supply of such drug in an amount that exceeds the amount of the 10 |
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| 33 | 33 | | coinsurance, copayment, deductible or other out-of-pocket expense for 11 |
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| 34 | 34 | | a ninety-day supply of such drug reduced pro rata according to the 12 |
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| 35 | 35 | | quantity of the prescribed supply of such drug. 13 Proposed Bill No. 19 |
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| 36 | 36 | | |
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| 37 | 37 | | |
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| 38 | 38 | | LCO No. 95 2 of 2 |
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| 39 | 39 | | |
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| 40 | 40 | | Statement of Purpose: |
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| 41 | 41 | | To prohibit health insurance policies providing coverage for outpatient |
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| 42 | 42 | | prescription drugs, and mental health care benefits provided under |
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| 43 | 43 | | state law, with state funds or to state employees, from: (1) Requiring a |
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| 44 | 44 | | prescribing health care provider to prescribe an outpatient psychotropic |
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| 45 | 45 | | drug in a quantity that the provider deems clinically inappropriate; or |
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| 46 | 46 | | (2) imposing increased cost-sharing for less than a ninety-day supply of |
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| 47 | 47 | | a covered outpatient psychotropic drug if a prescribing health care |
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| 48 | 48 | | provider deems a ninety-day supply of such drug to be clinically |
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| 49 | 49 | | inappropriate. |
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