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