Connecticut 2021 2021 Regular Session

Connecticut Senate Bill SB01008 Comm Sub / Analysis

Filed 08/05/2021

                    O F F I C E O F L E G I S L A T I V E R E S E A R C H 
P U B L I C A C T S U M M A R Y 
 
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PA 21-57—SB 1008 
Insurance and Real Estate Committee 
 
AN ACT CONCERNING HE ALTH EQUITY, THE COR ONAVIRUS 
PANDEMIC AND PULSE O XIMETERS 
 
SUMMARY: This act requires the Department of Public Health (DPH), by 
January 1, 2022, and in consultation with the Insurance Department, to develop 
educational materials on pulse oximeters. (Pulse oximeters are electronic devices 
that estimate the percentage of oxygen in a person’s blood and are typically 
placed on a finger. There are both prescription and over-the-counter versions.)  
Under the act, the educational materials must ensure that health care 
providers, insurers, other health carriers, pharmacists, pharmacies, and pharmacy 
benefits managers doing business in the state are informed that a pulse oximeter is 
more likely to produce an inaccurate blood oxygen level reading for individuals of 
color as compared to individuals who are white. 
The act requires DPH and the Insurance Department, by July 1, 2022, to each 
post these educational materials on its website. By this same date, they also must 
distribute these materials, as follows: 
1. DPH must distribute them to health care providers and pharmacies and to 
in-state medical schools for dissemination to their students and 
2. the Insurance Department must distribute them to health carriers and 
pharmacy benefits managers.  
The act prohibits certain insurers and others providing health insurance from 
denying coverage for an otherwise covered benefit if the denial is exclusively 
based on the insured’s blood oxygen level as measured by a pulse oximeter. 
EFFECTIVE DATE:  July 1, 2021, except the insurance coverage provision is 
effective January 1, 2022.  
 
APPLICABILITY OF INSURANCE COVERAGE PROVISION 
 
The act’s insurance coverage provision applies to individual or group health 
insurance policies delivered, issued, renewed, amended, or continued in 
Connecticut on or after January 1, 2022, that cover (1) basic hospital expenses; 
(2) basic medical-surgical expenses; (3) major medical expenses; or (4) hospital 
or medical services, including those provided under an HMO plan. The act applies 
to insurers, HMOs, hospital or medical service corporations, fraternal benefit 
societies, or other entities providing this coverage. Because of the federal 
Employee Retirement Income Security Act (ERISA), state insurance benefit 
mandates do not apply to self-insured benefit plans.